This miracle doctor just wants to be fired!

At this moment, Li Dongyu returned with the patient's blood test results.

"Teacher Zhou, the blood test results are in. The white blood cell and neutrophil counts are significantly elevated, indicating a bacterial infection. It's likely a high fever caused by an upper respiratory tract infection."

Zhou Cheng glanced at the report and nodded: "Then use targeted antibiotics to fight the infection, and at the same time use antipyretics to lower the fever. Closely monitor the child's temperature and mental state, and notify me immediately if there is another seizure."

Li Dongyu and Feng Xi immediately sprang into action, preparing medication according to Zhou Cheng's medical orders, administering intravenous fluids and lowering the child's fever, without daring to slack off in the slightest throughout the entire process.

After the rescue, they have completely shed their previous restlessness and become calm and serious.

The child's condition gradually stabilized, his temperature slowly dropped, and he regained consciousness, starting to whisper for his mother.

The young mother held her child, a relieved smile on her face, and kept thanking Zhou Cheng and the two graduate students.

Zhou Cheng waved his hand and instructed, "We need to continue to observe the child. Once the EEG results are in and other problems are ruled out, the child can go home to rest. After returning home, make sure the child gets plenty of rest, drinks plenty of water, eats a light diet, and takes medication on time. If the child has a fever or convulsions again, be sure to come to the hospital immediately."

"Okay, thank you, doctor!"

……

After dealing with the child who had a high fever and seizure, Zhou Cheng hadn't even had a chance to drink a sip of water when another commotion arose at the entrance of the observation room.

A man in a construction site uniform was helped in by two coworkers. His left leg was covered in blood, his trouser leg was soaked in blood, and his face was full of pain.

"Doctor, it hurts so much! Please help me! My leg was crushed by a steel bar!"

Zhou Cheng was stunned. This kind of patient was being sent to their observation room?

What is the emergency triage desk doing?

Despite thinking this, Zhou Cheng immediately went to meet him.

The man had a long, deep wound on his left leg that was still bleeding, and you could even see the muscle tissue inside.

He quickly said, "Quickly, put him on the bed. Li Dongyu, go get sterile gauze, iodine, and a tourniquet. Feng hope, go and notify the orthopedic surgeon for an emergency consultation, and prepare for X-rays to see if there are any fractures!"

The two graduate students immediately sprang into action.

Li Dongyu quickly brought over sterile supplies and assisted Zhou Cheng in stopping the bleeding, disinfecting, and bandaging the patient.

While bandaging the wound, Zhou Cheng asked, "How did you get injured? When did you get injured? Do you feel dizzy, have heart palpitations, or are sweating profusely?"

The coworker next to him quickly replied, "Doctor, he was working on the construction site when he was accidentally hit on the leg by a falling steel bar. He was injured about half an hour ago and has lost a lot of blood. Just now on the way, he said he felt a little dizzy and had heart palpitations."

Zhou Cheng's heart tightened. The patient's wound was very deep and the bleeding was heavy, which could very likely lead to hemorrhagic shock.

He immediately checked the patient's blood pressure, which was 85/50, indeed low, and the pulse was also very fast, at 105 beats per minute.

"Quickly, establish intravenous access, rapidly administer fluids to replenish blood volume, and closely monitor blood pressure and heart rate!"

Zhou Cheng gave the medical orders, his hands moving without stopping, skillfully bandaging the patient's wound, applying pressure to stop the bleeding, and minimizing the amount of bleeding as much as possible.

"Teacher Zhou, the wound is too deep and needs to be stitched up. It also looks like there might be tendon damage," Li Dongyu said quietly to Zhou Cheng as he carefully examined the wound.

Zhou Cheng nodded: "Yes, I see. After the orthopedic surgeon comes for a consultation and confirms that there are no serious fractures or tendon ruptures, we will proceed with debridement and suturing. Right now, the most important thing is to stop the bleeding and replenish blood volume to prevent the patient from going into hemorrhagic shock."

When encountering such patients, they should be sent directly to a ward or treated in the emergency room, rather than being taken to an observation room for further treatment.

Instead of the current situation where patients go through a roundabout process, are sent to the observation room, and then have to call in orthopedic specialists for further consultation.

……

A few minutes later, the orthopedic surgeon arrived, carefully examined the patient's leg wound, and reviewed the X-ray results.

"The patient has no fractures, but has a minor tendon contusion. The wound is deep and requires thorough debridement and suturing, followed by anti-infection treatment. Afterwards, the patient should rest and avoid strenuous activity."

Zhou Cheng nodded: "Okay, let's start cleaning and suturing now."

After a consultation with orthopedic surgeons, Zhou Cheng and his two students began cleaning the wound.

The patient groaned incessantly due to the pain and even tried to struggle.

Li Dongyu and Feng hope gently pressed down on the patient's body while continuously comforting him.

"Master, just bear with it, it will be over soon. Once the wound is stitched up, it won't hurt so much anymore."

"Teacher Zhou's suturing technique is excellent. He will try to minimize your suffering and finish quickly."

Zhou Cheng remained completely focused, concentrating intently on the debridement and suturing.

He first picked up a sterile gauze and gently pressed it against the surface of the wound to check the bleeding again.

Then, use hemostatic forceps to pick up a sterile cotton ball, soak it in diluted iodine, and disinfect it from the center of the wound outwards to the surrounding skin, covering an area with a diameter of no less than 15 centimeters. Repeat this process three times, replacing the cotton ball each time to ensure thorough disinfection and prevent bacterial residue from causing infection.

"Feng hope, hand me the sterile saline solution, and also get a pair of debridement scissors and tweezers." Zhou Cheng's voice was calm and steady, and his movements were methodical and without a trace of panic.

Feng hope nodded and immediately handed over sterile saline solution and instruments. Zhou Cheng took the saline solution, drew an appropriate amount with a syringe, and slowly rinsed the inside of the wound, cleaning away the mud, rust, and other foreign objects.

Each time you rinse, gently absorb the liquid inside the wound with sterile gauze. Repeat this rinsing process three times until the inside of the wound is clean and free of any foreign objects or blood.

……

After cleaning the wound, Zhou Cheng disinfected the wound and surrounding skin again with iodine solution. Then, he picked up sterile tweezers and gently pulled the skin on both sides of the wound to align the edges and ensure that the wound was flat for easy suturing.

He picked up the needle holder, clamped a sterile suture needle, threaded absorbable sutures onto it, and inserted the needle 0.5 centimeters from the edge of one side of the wound. The needle tip pierced the skin vertically, passed through the subcutaneous tissue, and then exited from the corresponding position on the other side of the wound.

After removing the needle, gently tighten the suture to ensure the wound edges are tightly closed, then tie a knot with a surgical knot.

When tying a knot, apply moderate force to ensure the wound closes tightly without damaging the skin tissue.

"The wound is quite deep, so it needs to be sutured in layers. First, suture the subcutaneous tissue, then suture the skin. This will help it heal faster and reduce scarring," Zhou Cheng explained softly to Feng Xi and Li Dongyu as he performed the procedure. "When suturing the subcutaneous tissue, be careful to avoid blood vessels and nerves. The needle depth should be even, and the tightness of the suture should be moderate. It shouldn't be too loose or too tight. If it's too loose, the wound won't heal properly, and if it's too tight, it will affect local blood circulation."

Feng hope and Li Dongyu held their breath, watching Zhou Cheng's every move intently, silently memorizing the key points of the operation, afraid of missing any detail.