My Medical Skills Give Me Experience Points

Chapter 1330: Chapter 525: Advanced Pharmacology, Director Ming Checks the Records (2)

Plus, he possesses the special medical skill of emergency rescue wisdom.

This makes him even more formidable in rescue operations than chief physicians.

At Tuya Hospital, be it the operating room, Emergency Department, or Intensive Care Medicine Department, having Zhou Can around is like giving the patient an extra life-saving charm.

Cardiothoracic Surgery has performed quite a few high-risk, high-difficulty surgeries in the past two years. Since Zhou Can got involved, there hasn’t been an accident.

It’s not that accidents never occurred during surgeries, but when they did, Zhou Can was the first to find a way to treat them, working hand in hand with other medical staff, ultimately bringing the patient out of danger.

As his rescue experience grew richer, his proficiency in various medical skills increased, and the rescue success rate has reached over 99%.

At this moment, he just briefly checked the patient’s condition and quickly diagnosed the cause.

"Why not use adrenaline for cardiotonic?"

Ru Yaji, standing behind Director Xiang Fei, couldn’t help but ask.

In emergency scenarios, adrenaline is more commonly used for cases of heart failure and cardiac arrest.

"Adrenaline is a vasoconstrictor, and it can indeed raise blood pressure and increase cardiac contractility. However, it also constricts blood vessels in the heart, liver, and muscles, and selectively constricts blood vessels in the skin mucosa and limbs. It is more suitable for rescuing patients in shock, widely used clinically in emergencies, but should be used cautiously in patients with overly fragile blood vessels."

Zhou Can glanced at her and provided an explanation.

"The patient just had a repair and anastomosis of the splenic artery vessels, his blood vessels are inherently fragile, and using adrenaline could easily cause secondary rupture."

Director Xiang Fei was timely to guide his pupil.

The greatest fear in medical learning is dogmatism and uniformity. This can be extremely harmful to patients.

Thousand people, thousand diseases; one disease, one prescription: this is an experience already summarized by ancient Chinese medicine.

Patients who seem critically ill might require completely different rescue methods.

Even if the same medication is used, dosage might vary greatly. Some patients might need rapid administration, while others require slow intravenous drip. Dosage for some might only require 0.5ml, while for others it may not be effective at that amount.

For instance, those excessively obese often require increased dosage.

Additionally, one must consider whether the patient is allergic, unresponsive to the medication, or has underlying contraindicated conditions.

For those who have had stent surgeries, hemostatic medications should be used particularly cautiously.

Normally, such patients need lifelong anticoagulant medication to prevent re-blockage of blood vessels.

"Got it!"

Ru Yaji nodded appreciatively and glanced at Zhou Can gratefully.

She couldn’t help but feel more admiration for Zhou Can’s clinical rescue capability, deeply sensing the gap in skill between them.

She initially thought the disparity was vast only in surgical skills compared to Zhou Can.

But unexpectedly, when it came to rescuing critical patients, be it diagnosis or medication, Zhou Can surpassed her by far.

With this, she was thoroughly convinced.

Pang Houzhong nearby, had a downcast look, appearing quite disheartened.

After giving the patient an IV push of 0.5mg of Atropine, the patient’s condition slightly improved.

But the situation remained concerning.

"Director Ming, do you think transfusing about 150ml blood into the patient now poses any risk?"

Zhou Can asked.

Among those present, only Director Ming Xin and Director Xiang Fei had high-level rescue capabilities.

For consultation, one would definitely seek the anesthesiologist in charge.

After all, she is responsible for the patient’s safety during surgery.

"Why 150ml of blood rather than more than 200ml?"

She countered.

"Maybe I’m too cautious by nature. Earlier, I calculated based on the patient’s heart rate and blood pressure that transfusing 150ml should barely suffice, just enough to stabilize his vital signs to support completing the intracranial surgery. Transfusing too much, I fear, might trigger unforeseen consequences and increase the difficulty of intracranial hemostasis."

Zhou Can provided his reasoning.

Immediately, it drew envious and begrudging looks from those around.

Calculating transfusion volume isn’t a particularly advanced skill; many doctors can determine lost blood volume based on hemoglobin levels and then prescribe transfusion fluid volumes.

However, accurately calculating the transfusion volume on the spot during clinical emergencies, solely based on parameters like heart rate and blood pressure, even Director Xiang Fei felt inferior.

150ml versus 200ml, seemingly only a difference of 50ml, but once inside the patient, it might disrupt a certain balance, causing a series of adverse effects.

This precise control over transfusion volume truly reflects high-level skills.

"Fetch 150ml of plasma, immediately transfuse the patient."

Director Ming Xin issued the command.

During the process of transfusing the patient, Wu Yongming no longer drilled into the patient’s skull.

It indeed frightened him considerably earlier.

"Dr. Zhou’s ability to rescue critically ill patients is outstanding! Which doctor at Tuya did you train under? Was it Director Liu Xiangqing from the Intensive Care Medicine Department?"

Director Ming Xin took the opportunity during the blood transfusion to inquire about Zhou Can’s background.

Because this young man is extraordinarily excellent.

"Didn’t expect you to know Director Liu; I did train under him for a while." Zhou Can nostalgically recalled his training time in the Intensive Care Medicine Department, feeling grateful towards Director Liu Xiangqing.