lingran 10-13
Transcript
00:03As long as you all understand it
00:05But no one is allowed to learn
00:08Director, what do you mean?
00:10There are many, many ways to cover scars
00:13But as a hand surgeon
00:14What you need to prioritize
00:16How to complete treatment safely and quickly
00:20Coco, I don’t want to leave scars
00:23I say so
00:24It doesn't mean that what Ling Ran did was wrong.
00:27The reason why his principles and considerations can be implemented
00:30It's because he's talented and bold
00:32Don’t think too much if your other skills are not good enough.
00:35Stitch up the wound for me first
00:37Do you understand everything?
00:39Got it
00:40Li Ran, hurry up and change the patient's dressing.
00:43yes
00:44Why don't you quickly say thank you to others?
00:46Thank you Dr. Lin
00:48No need to be so polite
00:50Heartfelt thanks from newly accomplished patients
00:53Reward primary treasure chest
00:55There is actually an achievement system
00:57I don’t know what the treasure chest will reward this time.
00:59nice one
01:02I'm going to give you medicine
01:04It might hurt a little bit
01:06Um
01:09OK, the medicine has been changed
01:11Be sure to pay attention in the next few days
01:12Do not splash water on the wound
01:14In the end, just remove the stitches on time
01:16The scar will be very shallow
01:17good doctor
01:19Can it be done elsewhere when the sutures are removed?
01:22Actually, my home is quite far away from here.
01:26Sutures can be removed anywhere
01:28As long as it is a regular hospital
01:29But I also want to see a doctor when I take out the stitches
01:32You are looking for me
01:33Of course it's ok too
01:34It’s just that I may not be on duty then
01:37It's okay, I'll wait until you get to work
01:40Can't wait to remove the stitches
01:41Can be slightly earlier
01:42But it must not be delayed
01:44do you understand
01:46we understand
01:47We will definitely remove the stitches on time
01:49Definitely yes, eh
01:51Okay, I've dealt with the matter.
01:54Next is the rescue work
01:56yes
02:00Heart rate stable
02:01Breathing normally
02:02Various indicators are also gradually recovering
02:04Very good. The next head injury is more serious.
02:08to be observed
02:10Next time you need to supplement more nutrition and energy and
02:14Observe the skin condition next time
02:18Ahhh
02:20What's wrong? What's wrong? This is
02:21doctor doctor
02:22Come quickly
02:24The situation is a bit bad
02:25Need immediate rescue
02:27Xiao Zhang Xiao Zou
02:28Get the defibrillator quickly.
02:29coming
02:31Establish intravenous access
02:32Prepare for infusion
02:33Is the sterile disaster prepared?
02:35Defibrillator is ready
02:37Have you got all the medicine?
02:38Got it all
02:39still
02:40if it were you
02:41How to take medicine
02:42Well, first use epinephrine and lidocaine intravenously.
02:47Then
02:48Glucose Injection and Lidocaine Static
02:51Don’t take the wrong medicine
02:52Adrenaline first
02:53Then intravenous lidocaine
02:55The patient's heart has stopped.
02:57quick
02:58Hurry up and turn on the abort device.
03:015% glucose solution
03:02There is also 250 mg of lidocaine hydrogen iron fast
03:05Such a standard rescue procedure
03:07He is truly worthy of being a doctor who has experienced the hardships of being on the front line of rescue operations.
03:10blood pressure return to normal index
03:12The electrocardiogram has also stabilized.
03:14ah
03:15so far so good
03:16your choice is right
03:18Let’s talk about why lidocaine is used
03:21because
03:21Lidocaine has strong antiarrhythmic effects
03:24Generally the first choice in such situations
03:26Not bad, there’s more
03:29And there's more
03:32I remember I should have memorized it when I was preparing for the exam
03:35It should be
03:38Also has antibacterial activity and brain protective effects
03:41Well, lidocaine is used in rescue
03:43Also consider its ability to prevent inflammatory reactions
03:47Do you usually read literature?
03:49Is there very little literature?
03:52After returning home, I will write at least two articles every day
03:55Follow me there next
03:57no problem
04:02The situation in the emergency room is indeed unusual.
04:04After two hours, I felt dizzy.
04:06If you still want to continue searching
04:08I need to take energy potions.
04:10Director Huo is actually in better spirits than me at this age.
04:13Can't tell at all
04:13Preserved Director Level
04:15As expected, they are all very strong doctors.
04:17No one, look here
04:21Emergency room prepares for car accident
04:22The patient will arrive in 5 minutes
04:24What, how many of you?
04:25Follow me to pick up the car
04:26Just give in, give in, give in
04:30Director Huo
04:31This patient was injured in a car accident
04:33There is a 20cm open wound on the abdomen
04:35The patient's part of the long tube omentum is extruded
04:37Have active bleeding
04:39The long tube has been protected with a sterile dressing
04:44This risk amount
04:48hurry up
04:50It's ready here
04:55Ribs 3-12 on the left side are obviously misaligned
04:57Heart rate 105, severe bleeding
04:59Need blood transfusion immediately
05:00Venous blood comes out now
05:01Urgent check of blood glucose gauge, renal function, blood type, electrolytes
05:05The first four items of blood transfusion and coagulation function
05:07Um
05:08Second venous access 500 ml Lingge test solution
05:11Omeprazole injection 10ml
05:13Life saline 10ml
05:14Advance and retreat all the way
05:15You continue to rescue
05:16I'll go talk to the patient's family first.
05:18It's Li Ran, follow me
05:21working in emergency room
05:23Beyond medical skills
05:23The most important thing is to deal with the patient well
05:25and relationships with patients’ families.
05:27I have to tell you too much in one breath now
05:29I guess you can’t remember it either
05:30Don't speak for a moment.
05:31Just read and memorize more, that’s it
05:34doctor my husband
05:35how is he
05:36Still under rescue
05:38I am the doctor in charge
05:39I need to ask you some questions
05:41Does the patient have liver disease or other chronic diseases?
05:44Have alcoholic liver disease
05:45My husband is in sales
05:46There is a problem with three highs
05:48That's all there is to it and nothing else
05:50Without us, we go for physical examination every year
05:52If you have any questions, you will definitely know
05:54Are there any problems such as hepatitis B?
05:56There are no other infectious diseases
05:58We need to fully understand the patient's condition
06:01none of these
06:02The director's inquiry is a fixed routine
06:04Know that the patient has regular physical examinations
06:06Chronic disease allergies are easy to know
06:09On the contrary, infectious diseases are often easily hidden by the parties involved
06:12You have to ask more carefully.
06:13The patient lost a lot of blood
06:15He needs a blood transfusion
06:16You signed the blood transfusion consent form here
06:18Just go there and pay the money.
06:19Um
06:23Please let me take you here
06:25You will definitely have to in the future
06:26Remember to ask the patient’s family to sign the consent form first
06:30clear
06:31Then hear the conversation I just had with the patient
06:33Do you have any insights?
06:35Learned the rhythm of conversation
06:36Well, the other thing is that your attitude must be firm.
06:40Yes, this is very important
06:42Don’t give unnecessary illusions to the patient’s family
06:45yes
06:47Director Huo, you are finally back
06:49How is the patient's condition?
06:51The bleeding can't be stopped at all
06:53You calm down first
06:54Tell me carefully what you used
06:58Concentrated lychee blood
07:00Ice saline and norepinephrine were used
07:02Cargill applies for red blood cells and plasma from peers
07:04I also used dopamine injections
07:05So far, 1,400 ml of infusion has been administered
07:09Prepare for emergency surgery
07:10laparotomy
07:11Increase fluid intake
07:12Do I need to have a laparotomy now?
07:14It is not yet confirmed whether the bleeding point is in the abdomen
07:16Bad, the patient is in shock
07:25borrow some space
07:27The emergency room has many patient contacts
07:29Use alcohol gel to wipe your hands regularly
07:31Just let it dry naturally.
07:32Otherwise you wash your hands too many times
07:34The skin on your hands peels off easily
07:35What are you going to do later?
07:36Getting ready for surgery
07:39what surgery
07:40It can't be an inner tube, right?
07:41That kind of surgery is pretty good even if you can run errands.
07:43How could I possibly need surgery?
07:46Everyone knows that Director Huo values you very much.
07:48But no matter how much I value it
07:49It's impossible for you to lose control of a critically ill patient.
07:52What are you thinking about?
07:53Xiaoling, she just started her internship
07:55Dr. Zhou will naturally understand this kind of thing later.
07:59It would have been nice if that kid hadn't been kicked out by Director Huo.
08:02hemorrhagic shock
08:03They are all about to undergo a rehabilitation check-up.
08:05He's so stupid that he's still trying to move his first sign upwards
08:07What's the big deal?
08:07What the hell
08:09What is your ghost name?
08:10Don't yell at me in the emergency room
08:12What the hell
08:14Li Ran, are you crazy?
08:17What are you doing?
08:18He actually operated directly without winning or losing.
08:21Still with bare hands
08:22Oh my God, is this a murder scene?
08:25Li Ran, please let me go quickly. Let me go.
08:28no problem
08:29I have no problem stopping bleeding with my bare hands at a perfect level
08:32start
08:33The location of the patient's subcapsular hepatic bleeding is not good
08:35difficult to sew
08:35If you don't stop soon
08:37The blood loss is too much
08:38The bleeding point was found
08:39Use four fingers to hold the liver in place
08:41Use your little finger to compress the bleeding point
08:43It will definitely be no problem to stop the bleeding
08:45The rest will be left to time
08:48This guy is using his bare hands to stop the bleeding
08:51But did the bleeding really stop?
08:54How is the patient doing now?
08:56The bleeding really stopped
08:59Good guy, but someone who can do this
09:02It is extremely rare even in military hospitals.
09:05He is an intern director
09:07What's the next step?
09:08Stopping bleeding with bare hands only temporarily controlled heavy bleeding
09:11I still have to have surgery next.
09:13Since the posture is good
09:15Don't touch the patient's other organs
09:16Let's get this surgery done quickly
09:27Still maintain good posture
09:29Don’t touch the patient’s other organs
09:31I didn’t expect my first operating room
09:34in the mirror
09:35It actually exists in the form of a medical appendage
09:40I'm so tired, my hands are numb
09:42The patient's vital signs have stabilized
09:45Li Ran, how did you know that the bleeding point was in the dry capsule?
09:48The patient has heavy bleeding
09:50Abdomen basically exposed
09:51But there are no problems such as hemothorax
09:53So I noticed the blood surge
09:56Unexpectedly, after acquiring the perfect bare-handed bleeding technique,
09:58This also increases the corresponding muscle memory
10:01and related knowledge reserves
10:03not only technique
10:04Knowledge reserves and adaptability
10:06They are already at the level of top doctors
10:09Before, I just thought Lin An was pretty good.
10:11I didn't expect him to be a genius
10:14Where did you learn these?
10:17I learned it in my own clinic
10:19own clinic
10:21Oh, it’s called Xiagou Clinic
10:24It's not far from our hospital
10:26Community clinic in Xiagou Lane
10:28They often send patients to our emergency department there.
10:31I haven't found anyone with your skills
10:33I I am following
10:34Learned by the Cathedral Doctor
10:36I didn’t expect that the director actually knew about my small clinic.
10:39In a small clinic
10:40There is such a powerful Dr. Sato
10:43How long have you studied
10:44About a month
10:46It only takes one month to learn this level
10:48Stop bleeding with bare hands
10:50this skill
10:51Learning mainly depends on talent
10:52Actually it's not that difficult
10:54Difficult
10:56Yeah, the liver is in very good condition.
10:59The director sewed it perfectly
11:00The patient is also lucky
11:01This should not affect functionality
11:04Not only that
11:05The previous technique of holding blood with bare hands is also very important.
11:08But no matter how good the technique is
11:10It must also be operated in accordance with regulations
11:12do you understand
11:13Is this right?
11:15Director, you have to let this kid study hard.
11:17The rule is
11:20As long as the regulations of the operating procedures are complied with, they must be followed
11:23What does it mean
11:24Only willing to follow technical procedures
11:25What about the administrative process?
11:27It sounds like he doesn't intend to follow these words.
11:30Generally speaking
11:31It is easy to injure the liver by pinching it with your hands
11:33Cause hepatobiliary complications
11:35What you did just now was very particular.
11:38Blood circulation is very smooth
11:39Are you using your fingertips?
11:41The position wasn't very good when I put my hand in.
11:44So I use the inside of the second fingertip of my little finger.
11:47Then wrap your liver with your boxer
11:49No, I'm holding it in with my knuckles
11:52Prevent organ migration
11:53Reduce secondary damage to the liver
11:55That's it
11:57Lying down to solve the problem of organ deviation
12:00Minimize secondary damage
12:03And whether the little finger is flexible or not?
12:05is a big problem that has troubled surgeons over the past hundred years.
12:08At my age
12:10This technique is probably very difficult to learn.
12:12Since this guy is a talent
12:14You might as well teach more
12:17Li Ran, it's okay for you to come and see me later.
12:20Okay, new intern
12:22The first time I entered the operating room, I was responsible for observing the recovery.
12:25My first time watching Fu
12:26But when I have been officially working for almost a year,
12:29Now I can still recall my trembling stupidity
12:32Dissatisfaction with colleagues around me
12:33But why can this kid stay so calm?
12:36Not stupid and even a little handsome.
12:39Complete the count twice
12:41All the gauze is there
12:42Well, let’s start closing the abdomen
12:44It's before the pool
12:46here
12:47The first thing that needs to be sutured is the lowest layer of peritoneum.
12:50No need to consider aesthetic issues here
12:53Next is the anterior rectus abdominis sheath
12:55The last thing to suture is the subcutaneous and skin
12:57First time sewing
12:58It's impossible not to have any flaws or omissions
13:01Everyone comes from mistakes
13:03Only by being scolded in the operating room can you grow
13:06Wait until he is
13:12OK viewing completed
13:17Oh my god, this is really a freshly graduated intern.
13:20what comes from errors
13:22What does it take to grow up by being scolded?
13:24Hey, there really are cheating people out there.
13:27What did you say?
13:28I said Xiaolin
13:29He did pretty well
13:31Well, he just lacks a little experience.
13:33Take him with you when you have time
13:35Master, rest assured
13:36Leave it to me
13:37And mine
13:39How does he look like he is inexperienced?
13:41Wait, director
13:42This surgery involves countless pages of bare-handed use to stop bleeding.
13:45Or the inner second fingertip of the little finger?
13:48After leaving the operating room, you can write a paper with SCI graphics
13:52It's a pity that Ling Ran is still an intern.
13:54Not understanding these will not reflect the value of surgery at all
13:58Still can you write a paper?
14:00Um
14:01Paper?
14:04Li Ran, can you write a paper?
14:07Essay assignment
14:09Complete an essay assignment
14:11Reward Ultimate Treasure Chest
14:13Another ultimate treasure chest
14:15Once the last ultimate treasure chest is opened
14:16It’s a perfect level of bare-handed hemostasis.
14:19Compared with the primary treasure chest that only contains energy potions,
14:22The rewards from the ultimate treasure chest are so much better
14:25What's more, the paper is meant to be written.
14:28Now there is no need to look for medical records
14:30You can also get an ultimate treasure chest
14:32You don’t need to think too much at all.
14:34Write me write hahaha
14:37I'm asking you if you can
14:38I’m not asking you whether to write or not.
14:41But I understand the answer
14:42Just not
14:44Although I really want to teach you
14:45But now I really can’t spare the time
14:48Help you with these basic tutorials
14:50Dr. Zhou, you are Lin Ran’s substitute teacher
14:53It's up to you to figure this out.
14:55Oh ok
14:57Lin Ran, Director Huo asked you to write a paper
15:00I promised you the first authorship
15:01Well, what the director mentioned was that countless wild people were using their bare hands
15:05local compression to stop bleeding
15:06perform liver suturing
15:08Probably this direction
15:10Oh, such a hard subject
15:12Your kid's luck is really good.
15:15You haven't answered my question yet
15:17Which one of us is following who is the first author?
15:20Just stop pretending to be ignorant in front of me.
15:26You kid really don’t know anything.
15:29Oh oops
15:31Listen to me tell you
15:33Our Yunhua is a provincial hospital
15:35So the director of our emergency department
15:36He has always been a standing committee member of the Chauncey Provincial Medical Association.
15:41He is also a member of the Emergency Medicine Branch of the Chinese Medical Association
15:45Let's put it this way
15:46Director Huo is the number one in emergency medicine in Yunhua City.
15:50He is a well-known celebrity in the emergency department in the province.
15:54Identity and status are important
15:56The paper he wants you to write
16:00At least 80% of your paper has been sent out.
16:03If I can still get the signature of the first author
16:06Hehe, you understand what I mean?
16:08Ah understand
16:10Director Huo is the number one
16:11A big name in the emergency department
16:13In fact, I can guess it even if you don’t tell me.
16:16Oops
16:16Is surgery the only thing on your mind?
16:19Oh, forget it, forget it
16:21You should go back and think about the thesis yourself first.
16:23Uh-oh
16:32Uh-huh, what's wrong?
16:34Uh, nothing, nothing
16:36Here comes Naruto
16:38Hey, Director Huo
16:41Fortunately, you didn't find me
16:42This is yesterday's record
16:43You check it later
16:45OK
16:46Hey Lingran
16:48Although I have to admit that you have two brushes
16:51But now everyone has nothing but admiration for you
16:54More of a fear
16:55Hu Shuye used his bare hands to stop the bleeding and so on.
16:58Your skills have indeed
17:00Exaggeratedly strong
17:01But now it’s all the head-responsibility system
17:03No matter how good you are as an intern, you are limited.
17:06What if you fail?
17:08Once it really happens
17:09None of us can afford it
17:10The consequences of your own actions
17:13so
17:13Where is Ling Ran?
17:15Until you change your arrogance
17:17Before I didn’t understand the rules and habits
17:19Let's go our separate ways.
17:22By the way, who will take care of Lin Ran in the emergency room today?
17:25Hahaha
17:26Hmm, it seems they don't have much time today.
17:31Lin Ran, just continue to follow me.
17:33okay
17:37It's time to get off work soon
17:38Finally, let’s take a look at the patient’s postoperative condition.
17:43Dr. Lin
17:44Dr. Lin, thank you for saving our coach
17:47Yeah, we really didn't expect that
17:49A good person is suddenly hit by a car
17:51What a boo
17:53do not get excited
17:54lower your voice
17:55Let him rest well
17:56And your coach can’t be considered saved by me.
17:59This is the way of our Director Huo
18:01Don't be humble
18:03We all watched the video
18:04If you hadn't jumped on him decisively to stop the bleeding
18:07Our coach may have already
18:09Video what video
18:11It seems that Dr. Lin hasn’t seen it yet
18:13That video of me saving someone?
18:15You see the patient has subcapsular hemorrhage of the liver
18:18Ling Ran maintains a good posture
18:20Don’t touch the patient’s other organs
18:22Thank you very much, Dr. Lin.
18:25Where did you see the video?
18:27Chat group social circle
18:28There are also forums
18:29Now it’s basically gone viral all over the internet
18:31Everyone is talking about you
18:33You are now an internet celebrity doctor
18:35Um