This doctor is already middle-aged, and he's only just started practicing medicine.

Chapter 134 Technology Management!
Emergency care is a holistic procedure, not a solo performance. If two or three trauma emergencies come in at once, it can keep you very busy.

The emergency department of Longxian People's Hospital is short-staffed. For eight or nine traumatic emergencies, it is necessary to dispatch specialists and make overall arrangements!

We need to prepare a batch of patients, a batch of medical orders, a batch of emergency treatments, and then we need some manpower to go to the operating room to prepare for the surgeries.

Lu Cheng is skilled in many types of surgeries in the surgical ward, but he has never been exposed to emergency resuscitation. Therefore, Lin Qianlong did not let Lu Cheng stay in the emergency department, but instead had Lu Cheng wait in the operating room to receive patients.

Not only Lu Cheng, but Tian Zhuang was also called to the department and instructed to follow Lu Cheng.

After quickly washing his hands with Lu Cheng, Tian Zhuang asked, "Brother Lu, what kind of surgery will we be performing?"

"We don't know yet. There are a lot of tendon ruptures today, and it's highly likely that Director Lin will send over a lot of tendon sutures."

"In matters of life-saving, Professor Chen will probably still be called out of the operating room... Otherwise, Director Lin and the others alone might not be able to fully guarantee the safety of those people outside."

When people get into a fight, anything can happen.

Slashing with a knife is secondary; stabbing indiscriminately at different parts of the body is what can be fatal.

We can only speculate that the abdominal aorta was not punctured, or perhaps it was, but the person was already dead and was never brought to the hospital.

Lu Cheng then asked, "Tian Zhuang, how's your practice of the modified Kessler suture technique going? If it's going well, you should take someone to perform the wound care alone later."

"Given the situation today, Professor Tong Yuan'an from the orthopedics department is unlikely to come. It's just Peng Kun and me; we can't handle so many ruptured tendons in a short time."

"Even with Director Peng's help, it will still take up a lot of time. A ruptured tendon requires surgery within a certain timeframe, and anything that can be treated must be treated as soon as possible."

Before Tian Zhuang could reply, Professor Chen Song called, saying that he had gone outside and instructed Lu Cheng not to perform the general surgery, because with Lu Cheng's current skills, he was not yet capable of completely handling it.

"Okay, Teacher Chen, I understand." Lu Cheng replied immediately. After hanging up the phone, Lu Cheng removed the venom and started washing his hands again.

Tian Zhuang replied honestly, "I'm not very skilled yet..."

After saying that, Tian Zhuang added, "I'm sorry, Brother Lu, I caused you trouble with my brother and sister-in-law's matter last time."

Lu Cheng smiled but didn't reply.

Even an upright official finds it difficult to settle family disputes. Lu Cheng didn't want to provoke Tian Zhuang's family. If Tian Zhuang could handle it himself, he could; if not, there was nothing Lu Cheng could do.

Soon, patients with simple trauma and tendon injuries were pushed in from outside.

The person handing over the patient was Brother Zhang Tiesheng: "Xiao Lu, this patient has multiple tendon injuries, multiple muscle injuries, and multiple superficial tissue injuries. You and Tian Zhuang should start working on him."

"It would be best to get the tendon sutured and the wound cleaned first. Director Lin will arrange for someone else to come and meet you later."

"According to Vice President Zeng Long'an, you will be in charge of all tendon rupture rescues in the emergency room this time."

"Professor Chen Song is in charge of life-saving surgeries in the emergency room. Other routine traumas are handled by Director Peng and Director Liu from the orthopedics department, and Director Lin from our department."

"For general surgery-related diseases, the responsibility falls to Director Du and Director Ding of the Department of General Surgery. Both directors report directly to Professor Chen Song. Don't cause any unnecessary trouble."

"In urgent situations, expediency is necessary! Orders must be obeyed without question."

Lu Cheng nodded and said, "Understood, Brother Zhang."

"Then this patient will be in your care for now. You can start with the tendon suturing. According to Professor Chen Song, tendon rupture is not fatal, but it greatly affects postoperative function."

"Professor Chen and the others outside are assessing the severity of the life-or-death situation. After the screening is complete, you will go out to assess the severity of the tendon injury and arrange the surgeon according to the actual situation. You will be responsible for reviewing the quality of the surgery." "This is also a very important task." Zhang Tiesheng finished his instructions and left.

As Zhang Tiesheng spoke, the patient had already been transferred to the operating table by Lu Cheng and the anesthesiologist.

The patient, with his hair dyed a rooster-comb red and wearing a surgical cap, was now officially in the operating room. After his vision became distorted by the bright operating lights, he asked in a panic, "Doctor, is my hand really going to be ruined?"

The conversation and signing before he went into the operating room was extremely violent.

"First, surgery is necessary; second, your hand may be ruined. Sign the papers, go into the operating room, and that's it!"

Without his informed consent or informed refusal, the treatment process was directly determined by the on-duty officer, the hospital's medical department, and the police.

During the emergency rescue, I didn't say much to him.

"Now you're scared? You weren't so careful when you were wielding a knife and attacking people?"

The anesthesiologist rolled his eyes and scoffed, "Whether your hand is ruined or not is another matter. After your surgery, you won't even have a chance to stay in a ward."

The boy was young, probably not even twenty, and his voice was sore: "I was called over by my brothers to back me up, but I didn't expect the other side to actually use a knife."

"Nothing will happen if you don't go, brother. The guy who takes you to the police station, is he really your brother?"

"You've ruined yourself, and now your children, and even your nephews, will have no chance of getting into military school or taking the civil service exam."

"You call this brotherhood..." the anesthesiologist grumbled and scolded, "Lie down properly, I'm about to give you anesthesia."

"General anesthesia, it will be quick!" Because of the multiple injuries, the anesthesiology department couldn't gather enough anesthesiologists at the moment, so he had to manage three operating rooms by himself.

We can't do any delicate brachial plexus block anesthesia, we'll just do general anesthesia!
The medicine was prepared in advance, and after asking about the boy's height and weight, the medicine was administered.

Lu Cheng and Tian Zhuang then began routine preoperative procedures such as disinfection and rinsing.

After the two finished disinfecting and draping the towels, Lu Cheng began to examine the patient's injuries more carefully.

“There are knife wounds on the palmar side of the left forearm, the outer side of the right upper arm, and the front of the left thigh.”

"The wound on the side of the thigh is the smallest, and the depth of the injury is only the muscle layer, so it is easy to treat."

"There is muscle and tendon damage in the left forearm. This is a ruptured flexor tendon in the V zone. I will suture it in a moment."

"There is a thick muscle rupture on the outer side of the right upper arm, which can be sutured directly."

"Tian Zhuang, don't work on the tendon yet. I'll finish suturing the tendon and cleaning the wound first. Then you can slowly do the muscle and skin suturing." Lu Cheng quickly made a simple assessment of the patient's condition.

Because it was simple and there were quite a few wounds, he was taken to the operating room ahead of schedule.

“Okay, Brother Lu.” Tian Zhuang didn’t suspect anything.

Although he wasn't good with words, he studied very diligently. He remembered the information Lu Cheng sent him clearly. The flexor tendons in the V zone required the use of circular embedding and Pulvertaft weaving, which were things he didn't know.

Tian Zhuang also knew that even if his current tendon suturing technique could suture tendons, its applicability was extremely narrow.

Tian Zhuang sat attentively in the assistant's seat, carefully assisting Lu Cheng with the wound cleaning procedure, his eyes filled with envy.

(End of this chapter)