Is there no limit to this doctor's skills?

Chapter 167 Evaluation Ability!

Guo Ziyuan inserted one end of the one-way valve that Guo Ziyuan had brought onto the stage into the patient's femoral vein!

Everyone can understand that!

Venous return.

Many hematomas, even those involving lacunar venous bleeding, will not develop into large hematomas if they drain in time.

However, Guo Ziyuan inserted the other end of the one-way valve directly into the femoral artery!

Venous blood flowing directly into arteries? What kind of bizarre operation is this?

however!

Before anyone could even begin to suspect anything, some small hematomas in the patient's retroperitoneum that Guo Ziyuan hadn't cut open immediately visibly 'shrank'...

Yes, these hematomas are miraculously shrinking!

This is currently an observable phenomenon, visible to the naked eye.

The reason is currently unknown.

After Guo Ziyuan secured the two one-way valves, he began the rapid electrocoagulation injection hemostasis procedure.

Two more wounds were bandaged with silk thread, and seven bleeding points were treated with a plasma electrocautery knife.

Guo Ziyuan stopped what he was doing, then turned his head to look at him and said, "Director Qian... please step back a little, I have to leave."

With this, all hemostasis procedures are nearly complete.

Once the hemostasis procedure is completed, the patient should not die from hemorrhagic shock.

As for whether the patient will die on the operating table due to non-traumatic factors such as electrolyte imbalance, embolism, or arrhythmia.

That's something that emergency room doctors can't "avoid".

The emergency department is primarily responsible for life-saving resuscitation, emphasizing the most direct and efficient symptomatic treatment!

Raising blood pressure when there is no blood pressure.

If there is no breathing, give it as much breathing as possible.

If there's no heartbeat, give me one.

Stop the bleeding...

embolism?

Any type of embolism will be treated through the emergency room whenever possible.

Unblocking blood vessel embolisms is definitely not part of an emergency room doctor's "business"!

Upon hearing this, Qian Shuhang glanced down at the surgical field again, then said blankly, "Oh, yes, I can step down now!"

As Qian Shuhang was speaking, Professor Ning Sanlong, who was opposite Guo Ziyuan, also chose to "leave Taiwan and join the group"!

……

The most impressive thing is when an emergency room doctor encounters a difficult or complicated case and can turn the emergency room into an elective treatment.

Naturally, this is also the most difficult!

As long as the patient's vital signs can be stabilized, the remaining surgical procedures will be handled by the specialists.

Most emergency room patients die before a specialist can "reassuringly" take over their care.

The second hurdle is the post-operative ICU.

The second hurdle is very difficult to overcome; it's entirely up to fate.

The first hurdle is even harder to overcome; if you don't encounter a suitable expert as soon as possible, you'll die a very graceful death.

Therefore, the ability of emergency room doctors to snatch lives back from the jaws of death is a testament to their skills and a testament to the entirety of their mission!

Ning Sanlong, Qian Shuhang, and Guo Ziyuan stood side by side in front of the sink.

The heights are also arranged from shortest to tallest.

"Dr. Guo, why did you connect the vein and artery with the one-way valve?" Ning Sanlong still couldn't figure out the reason behind this operation.

So he chose to inquire directly.

His "inquiry" was addressed with the respectful title "Dr. Guo" instead of his usual address of Xiao Guo.

Guo Ziyuan said, "Professor Ning, according to Bernoulli's fundamental principle..."

"As the velocity of a fluid increases, its kinetic energy increases accordingly, while its static pressure energy (i.e., pressure potential energy) decreases, resulting in a decrease in pressure while the total energy remains constant."

"Actually, even a one-way valve that connects veins to veins will have a pressure difference!"

"Airplanes take off successfully using this principle."

Guo Ziyuan didn't explain in great detail, but after he gave a general overview, Ning Sanlong roughly understood.

"You mean, this is also to stop the bleeding?" Ning Sanlong's mind went blank.

Currently, the understanding and definition of hemostasis in clinical medicine can be roughly divided into the following categories.

Direct pressure hemostasis, instrument hemostasis, tourniquet hemostasis, packing hemostasis, cold compress hemostasis, drug hemostasis, etc.!

Currently, no one has chosen or considered any other method of hemostasis besides these existing methods!

Logically speaking, if you see a burst water pipe, shouldn't your first reaction be to plug it up?

However, it seems that Guo Ziyuan's thoughts are completely different from those of ordinary people.

Guo Ziyuan was pulling out tissues to wipe his hands, and he actually found it hard to categorize this action as "simple hemostasis": "I guess it's hemostasis."

"Compared to the side effects of venous blood flowing directly into the artery, the higher flow rate applied to the artery will result in a greater pressure difference across the one-way valve."

"This will make the patient's venous return faster."

"I do this for two reasons: first, to increase venous blood return..."

"The second step is to stop the bleeding."

Guo Ziyuan also felt that his description was not accurate enough, because the concept of this treatment approach is difficult to relate to as a simple hemostasis treatment.

To be more precise, this procedure is for "comprehensive treatment"!

Stop the bleeding and give them an IV drip!

Upon hearing Guo Ziyuan's answer, Ning Sanlong abruptly offered a strange guess: "Dr. Guo, tell me the truth."

"If only this surgery had a one-way valve from the very beginning."

"Is it possible that we won't even need ECMO?"

Ning Sanlong's expression was conflicted, and his eyes were even filled with horror.

Because he also felt that this guess would be too extreme.

But for some reason, he just had this feeling.

Guo Ziyuan's expertise lies not only in his exceptional hemostasis techniques, but also in his profound understanding of the concept and essence of hemostasis, which is beyond the comprehension of most people.

This reflects the true skill gap.

A special understanding of medical skills cannot be faked.

As Guo Ziyuan and Qian Shuhang walked towards the locker room, Guo Ziyuan pondered, "Director Ning, this kind of speculation is meaningless."

There are a few points.

"First, under the circumstances, the patient couldn't wait; immediate occlusion of the major arteries and veins was necessary!"

"Secondly, even if the one-way valve was on the table at the time, the effect of 'limiting' the hematoma might not have been so good."

"Third, there are no 'ifs.' If we manage the risk to the maximum extent possible, having ECMO on hand at all times is the safest approach."

Ning Sanlong finally heard a new term: "What does 'localized hematoma' mean?"

"You mean, you're using the check valve to limit the hematoma?"

"Yes!" Guo Ziyuan nodded.

"If this patient is not on ECMO, I will insert a catheter into the hematoma through the vein, so that the vein opening connected to the hematoma remains open."

"Professor Ning, as you know, the pressure inside a hematoma is very high."

"Although the pressure at the arterial end is high, it is concentrated on the flow velocity. The higher the flow velocity, the lower the relative pressure, even if blood comes through the one-way valve..."

"It will also move with the tide."

"This will always create a pressure difference, which will force the fluid in the patient's hematoma to flow back continuously."

"Because it's fresh bleeding, and it's inside the patient's body."

"This method can limit the hematoma while also bringing blood back to the heart, achieving two goals at once."

Ning Sanlong finally stopped.

However, Ning Sanlong's stance was a bit peculiar. For some reason, his back was pressed against the wall, his spine pressed tightly against the wall, and he assumed a horse stance.

Qian Shuhang could tell at a glance that Ning Sanlong had suddenly lost his balance and sat down backwards in a squatting position.

It was blocked by the wall.

Ning Sanlong's voice was as tight as a modern-day eunuch's: "You've created a completely new treatment plan and approach for retroperitoneal hematoma, haven't you?"

Ning Sanlong's voice suddenly became very sharp.

Guo Ziyuan also reached out to help Ning Sanlong up: "Professor Ning, this is just a line of thought at the moment, and it is still only in the derivation stage of personal theory."

"But it works!"

"This rescue measure is harmless to the patient."

Ning Sanlong thought about many things again.

With the help of Guo Ziyuan and Qian Shuhang, he finally regained his footing, but his eyes began to show fear:

"Watching videos reflects your knowledge and information processing ability."

"A precise and rapid interpretation of images to make a diagnosis reflects your responsiveness."

"Now, what about your thinking ability and your knowledge base?"

"Guo Ziyuan, tell me yourself, where are your weaknesses?"

These words were purely Professor Ning Sanlong's personal emotional outburst and had nothing to do with his professional expertise.

Guo Ziyuan, a clinical practitioner, was not nervous at all upon hearing these words.

"There are so many shortcomings!"

"Professor Ning, I am a trauma orthopedic surgeon. These days, we don't perform many specialized surgeries, and we're becoming more and more like emergency room doctors."

After Guo Ziyuan finished speaking, he saw that Ning Sanlong was about to lash out and hit him!

Guo Ziyuan immediately twisted his waist to avoid being hit by Ning Sanlong, and continued to tease, "Professor Ning, it's a good thing I dodged it."

"Otherwise, it would be on the news tomorrow."

"An associate professor in the emergency department of Union Hospital affiliated with Huazhong University of Science and Technology assaulted a student first, followed by a mutual fight. Currently..."

Ning Sanlong finally calmed down after hearing Guo Ziyuan's jokes.

"Dr. Guo, you are very suitable to be an emergency room doctor."

"You are the best prospect for our emergency room doctors..." Ning Sanlong said earnestly.

Guo Ziyuan, without any panic, said, "Professor Ning, you see... you say the same thing again."

"I just feel that this world is still too frivolous."

"A month ago, a professor in our hospital's radiology department told me that my path was in radiology."

"Now, you're telling me that I am a congenital emergency sacred body."

"So... what kind of sacred body am I?"

Guo Ziyuan rejected Ning Sanlong's suggestion in a joking tone this time.

This time, Qian Shuhang gave his answer: "Dr. Guo, you should at least become a surgeon!"

"Absolutely do not go to the radiology department."

Previously, Qian Shuhang had considered that Guo Ziyuan was acting rashly.

The professors in the Department of Radiology at the Provincial People's Hospital are so respectful and humble, why don't you apply?

Why should I...?

Why become a doctor if it's not about treating illnesses and saving lives, or about making money? Isn't it just a job?

Now, Qian Shuhang admits that his initial thoughts were somewhat frivolous.

If Guo Ziyuan really goes to the radiology department, then the emergency department will definitely lose a genius.

The most suitable department for Guo Ziyuan is still the emergency department, especially the emergency surgery department!

Why would someone with Guo Ziyuan's excellent hemostasis and rapid diagnostic abilities go to the emergency department?

Isn't this like sending Kyoto University's "God Wei" to work in the public relations department of some company?

Ning Sanlong and his group arrived at the changing room.

At this moment, Professor Ning Sanlong started to get physical: "Your muscles are rock hard."

"You must go to the gym quite often, right?"

Guo Ziyuan looked down at himself: "Professor Ning, I've never been to a gym before!"

Qian Shuhang was somewhat taken aback: "You haven't practiced this yet?"

Guo Ziyuan: "I don't train at the gym, but I often train in the operating room."

"As you know, in orthopedics, we need to lift the leg for disinfection."

"Tighten the screws firmly when installing the internal fixation!"

"If you're going to need osteotomy for corrective surgery, then you'll have to twist your thigh with your arm..."

"Manual reduction is also an option."

"I've never been to a gym."

The gyms I went to in my past life haven't helped my body in any way now, so does that count as going?

Twenty-six-year-old Guo Ziyuan has not yet gained weight and does not attend many drinking parties, so he does not need extra training at the gym to maintain his figure.

Ning Sanlong then sighed, "One lifetime of eating chicken, nine lifetimes of studying medicine..."

Qian Shuhang immediately glanced at Ning Sanlong: "Professor Ning, where did you hear that? Could you elaborate?"

"What I mean is, we must have enjoyed all the good fortune in our previous lives, and now we're paying back the bad karma that led us to become doctors."

Ning Sanlong punched Guo Ziyuan on the shoulder again: "Listen to this."

"This kid has never been to a gym before!"

All three remained silent in response.

Don't orthopedic surgeons know how to lie flat?

They were all forced into it by the demands of "business." If they didn't have the energy, they wouldn't be able to eat, and they'd have to change careers...

Several people changed into their own clothes and left the locker room.

Ning Sanlong finally said with some envy, "You're not a radiologist, but your ability to interpret images is as high-profile as that of a eunuch."

"You're not an emergency room doctor, but you're exceptionally skilled at puncture and hemostasis."

"Hey, Guo Ziyuan, there's something wrong with you!"

"I can't cause you trouble on a professional level, but I have to condemn you on a moral level."

"What exactly is wrong with you?"

Ning Sanlong is a qualified professor, and a qualified surgical professor at that; he even drives very smoothly.

Guo Ziyuan could understand what he meant by puncture and hemostasis.

This is a term that both men and women understand.

Guo Ziyuan also pointed to his temple smoothly: "There's something wrong with your brain. This window is closed."

"Huh?" Ning Sanlong was quite surprised.

Just as he was wondering if Guo Ziyuan had some unspeakable secret.

Guo Ziyuan said in a serious tone, "There are so many majors, and of all people, he chose clinical medicine."

"And she's doing so well in it, isn't there something wrong with her?"

As soon as Guo Ziyuan finished speaking, he noticed that Qian Shuhang and Ning Sanlong had both stopped in their tracks.

Then the two men glared at him with eyes that could kill.

Feeling a cold light emanating from his body, Guo Ziyuan dared not bet that it came from the cold weather outside.

Guo Ziyuan quickly ran away.

After getting quite a distance away from Ning Sanlong and Qian Shuhang, Guo Ziyuan finally looked at his skill panel.

[By using hemostasis techniques to promptly and accurately save the life of a critically ill patient, 178 skill points were gained.]

Is this a case of taking away a young master?

Does a more severe illness grant more skill points?