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90, blooming fracture

"Let's go see the patient." Li Minghui said with a frown, but as soon as he finished speaking, he realized that Su Jie had walked in front of him at some point.

Li Minghui smiled bitterly, thinking that Su Jie was like a chicken in the past few days, so he quickened his pace and followed him.

The accompanying personnel left the emergency room one after another, and order gradually returned to the chaotic and crowded emergency room. Su Jie and Li Minghui passed through the crowd and finally saw the patient with a traumatic fracture.

The moment he saw the patient, Su Jie couldn't help but take a breath of cold air.

Li Minghui has been in the emergency department for so many years and has seen too many tragic injuries, so he can control his emotions well, but he also frowns.

Fracture, as the name suggests, is a complete or partial break in the continuity of the bone structure. This situation is very common in daily life. Severe impact, fall, and failure to exert force may lead to fracture.

But often patients understand fractures as closed fractures, that is, the fracture occurs within the skin, fascia, and muscles.

To the naked eye, there may be only a slight swelling of the soft tissue. Except for the patient himself who can judge the severity of the fracture through pain, it is basically impossible for outsiders to directly judge. Even doctors need to use CT to see the internal fracture clearly.

But the patient in front of me has a rare open fracture!

The ankle is twisted at almost ninety degrees like in a horror movie, completely violating the normal physiological structure of the human body.

The skin, fascia, and muscles were completely blooming, like a cluster of flowers, revealing the first scene of the fracture inside. The broken bones poked out of the skin diagonally, and the fracture was clearly visible, making people's scalp numb just looking at it.

"Why is it so serious? Car accident?" Li Minghui walked over with a frown on his face and began to check the injuries.

There was a man who looked like a coach left next to the patient, with a bald head and a big belly. He explained anxiously: "No, it was just when I jumped up and landed while playing basketball, my ankle sprained a bit, and then..."

The coach stopped talking halfway through. The scene at that time was so tragic that he didn't want to recall it.

"Just playing basketball normally?"

Li Minghui was a little skeptical: "Can you fall like this when you play basketball normally?"

The coach hesitated for a moment, and then said: "I was maliciously stepped on."

"Stepping up?" Li Minghui asked doubtfully. He usually prefers to play badminton and doesn't know much about some professional terms of basketball.

Su Jie reminded from the side at this time: "When you jump and land, someone puts their feet under your feet. The ground is uneven and the ankle is unstable, and it is easy to severely sprain your ankle."

"That makes sense." Li Minghui nodded and said.

At this time, Su Jie also moved to the patient's ankle and checked the injury with Li Minghui.

At this moment, the patient who had been silent all this time suddenly asked weakly: "Doctor, is my foot injury serious?"

The coach immediately comforted him: "Li Chao, please stop talking. The doctor will try his best to treat you."

"No, I want to know if my foot can still be cured. Can I still play ball in the future, doctor?" The patient named Li Chao asked stubbornly. In fact, he was almost fainting from the pain and his face turned pale.

His lips couldn't help but tremble as he spoke.

Li Minghui frowned and said, "Let's save the leg first. Whether we can still perform high-intensity exercises will only be known after the orthopedic surgery is completed."

"Save the leg? Is it possible that my leg can't be saved?" The patient's face instantly turned pale again, and he looked at the two doctors in white coats in horror.

Li Minghui needed to explain the situation, but did not want to continue to irritate the patient, so he changed the subject and said: "Please cooperate well. Treatment is what we need to worry about. The most important thing you should do now is to close your eyes and rest, conserve your strength, and wait."

Just go to the operating table."

The patient did not dare to ask any more questions after hearing this. He closed his eyes and turned his head to one side.

After checking the injury, Li Minghui whispered to Su Jie: "Luckily, it's just the simplest open fracture. The opening is small, the wound is relatively clean, and the fracture is relatively simple. I'll call the orthopedics department, and you can prepare a cleanup."

Created objects.”

After finishing speaking, someone emphatically warned: "Prepare more iodophor cotton balls. Debridement of open fractures is very important. I will come in person later."

"I know." Su Jie nodded, turned around and went to prepare the supplies.

Li Minghui ordered the nurse to quickly connect the patient to ECG monitoring, then went to the computer to download some potions and antibiotics, and then dialed the orthopedic department.

The blind tone lasted for several minutes before the call was connected. Li Minghui couldn't help but frown. He didn't know what the Department of Orthopedics was doing during this period. It was always so slow to answer the phone, and it was also slow to come to the consultation. It took a long time and made people anxious.

!

"Hey, orthopedics? There's a traumatic fracture here in the emergency department. Let your boss come over and take a look!"

After saying that, Li Minghui wanted to hang up, but a crisp voice suddenly came from the other side of the phone: "Ah? Wait!"

Li Minghui said helplessly: "What's wrong?"

"I, I'm not the doctor on duty, I'm a nurse. Our doctor on duty is not in the office right now. Please wait a moment and I'll go find him. Don't hang up the phone."

Li Minghui still wanted to speak, but the other party had already dropped the microphone on the table. There was a muffled sound, and Li Minghui could only hold the microphone impatiently and continue to wait.

After a few more minutes, there was finally another sound on the phone.

"Hey, I'm sorry, I was busy changing the patient's dressing just now. What's wrong? Are there any patients in the emergency department that I want to see?"

"Yes, those with traumatic fractures, come here quickly!" The long wait exhausted all Li Minghui's patience. The patient was still lying on the flat car waiting for debridement.

"Ah? Our boss just went out for a consultation. He probably won't be able to go to the emergency department for a while. Is it urgent over there?"

"Traumatic fractures, don't you have the ability to judge whether it's urgent or not?" Li Minghui asked rhetorically.

The person on the phone seemed a little confused by the question. After a moment of silence, his tone suddenly turned cold: "I understand, then just wait. I will contact the boss now."

The phone was hung up.

Li Minghui held the microphone and felt that his lungs were about to explode.

He hung up the phone with a 'bang' and walked quickly towards the patient.

It's okay to be angry, but as an emergency physician, you also have your own responsibilities and obligations. You can't delay the patient's treatment just because you are angry with an orthopedic surgeon.

Although I really want to beat up the arrogant guys in the orthopedics department, I must quickly debridement the patient so that the patient can go to the orthopedic operating table later. This is what I must do and it is my duty to do so.

After working for more than ten years, Li Minghui is very good at handling these things and resolving these negative emotions.

But when he walked to the flat car, he found that Su Jie had already started debriding the patient.

Li Minghui frowned slightly, walked to Su Jie, and whispered: "Let me do it, this debridement is a bit difficult... huh?"
Chapter completed!
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