My Medical Skills Give Me Experience Points Chapter 1330 - 525: Advanced Pharmacology, Director Ming Checks the Records (2)

Furthermore, his mastery of the unique medical skill of emergency rescue wisdom sets him apart. This unique ability makes his performance in rescue operations even more impressive than that of seasoned chief physicians. At Tuya Hospital, whether in the operating room, the Emergency Department, or the Intensive Care Medicine Department, Zhou Can's presence is akin to bestowing an extra life-saving charm upon any patient. The Cardiothoracic Surgery department has undertaken numerous high-risk, complex surgeries over the past two years. Since Zhou Can became involved, not a single accident has occurred. Even when unexpected complications arose during procedures, it was Zhou Can who swiftly devised effective treatments, collaborating with the medical team to guide patients back from the brink of danger. As his experience in rescues deepened, his command over various medical techniques flourished, elevating his rescue success rate to an astounding level above 99%.

At this very moment, after a cursory examination of the patient's condition, he rapidly pinpointed the ailment. "Why aren't we administering adrenaline for cardiotonic support?" Ru Yaji, standing behind Director Xiang Fei, couldn't help but inquire. In critical emergency situations, adrenaline is a common choice for addressing heart failure and cardiac arrest. "Adrenaline functions as a vasoconstrictor, which can indeed elevate blood pressure and enhance cardiac contractility. However, it also constricts the blood vessels within the heart, liver, and muscles, and selectively narrows vessels in the skin, mucosa, and extremities. While it's highly effective for rescuing patients in shock and widely applied in clinical emergencies, its use requires caution in individuals with exceptionally fragile blood vessels." Zhou Can offered an explanation, his gaze briefly meeting hers. "The patient recently underwent a repair and anastomosis of the splenic artery vessels; their blood vessels are inherently delicate, and using adrenaline could easily trigger a secondary rupture." Director Xiang Fei interjected, guiding his student. The most perilous pitfall in medical education is rigid adherence to dogma and uniformity, as this can prove exceedingly detrimental to patients. As the ancient Chinese medical adage states, 'A thousand people, a thousand diseases; one disease, one prescription.' Patients appearing critically ill might necessitate entirely distinct rescue methodologies. Even when administering the same medication, the dosage might require significant variation. Some patients may need rapid infusion, while others require a slow intravenous drip. For some, a mere 0.5ml might suffice, while for others, that amount might prove ineffective. For instance, individuals with extreme obesity often necessitate larger dosages. Moreover, one must meticulously consider potential patient allergies, unresponsiveness to the medication, or the presence of underlying conditions that contraindicate its use. For those who have previously undergone stent procedures, hemostatic medications must be employed with extreme prudence. Typically, such patients require lifelong anticoagulant therapy to prevent re-occlusion of blood vessels.

"Understood!" Ru Yaji nodded, a sense of appreciation dawning on her face as she cast a grateful look toward Zhou Can. She couldn't help but feel a surge of admiration for Zhou Can's clinical rescue prowess, acutely sensing the significant skill disparity between them. Initially, she had believed the gap was primarily evident in surgical techniques when compared to Zhou Can. However, to her surprise, in the realm of critical patient rescue, encompassing both diagnosis and medication management, Zhou Can demonstrably surpassed her by a wide margin. This realization left her thoroughly convinced. Pang Houzhong, standing nearby, wore a crestfallen expression, appearing quite disheartened. Following the administration of a 0.5mg intravenous push of Atropine, the patient's condition showed a slight improvement, yet the overall situation remained precarious.

"Director Ming, do you believe that transfusing approximately 150ml of blood into the patient at this juncture carries any significant risk?" Zhou Can inquired. Among those present, only Director Ming Xin and Director Xiang Fei possessed high-level rescue capabilities. For consultation regarding critical decisions, it was natural to seek the opinion of the anesthesiologist in charge, as she bore ultimate responsibility for the patient's safety throughout the surgical procedure. "Why opt for 150ml of blood rather than over 200ml?" she countered. "Perhaps it's my inherent cautious nature. Earlier, based on calculations of the patient's heart rate and blood pressure, I determined that transfusing 150ml should be just adequate, sufficient to stabilize his vital signs and support the completion of the intracranial surgery. I fear that transfusing an excessive amount might precipitate unforeseen complications and escalate the difficulty of intracranial hemostasis," Zhou Can elaborated on his rationale. This meticulous calculation immediately drew looks of envy and grudging admiration from those assembled. Calculating the precise volume for blood transfusion is not an exceptionally advanced skill; numerous physicians can ascertain lost blood volume based on hemoglobin levels and subsequently prescribe appropriate transfusion volumes. However, the ability to accurately determine the necessary transfusion volume on the spot during emergent clinical situations, relying solely on parameters such as heart rate and blood pressure, was a skill that even Director Xiang Fei admitted to finding inferior.A mere 50ml difference between 150ml and 200ml might seem small, yet once administered, it could upset a delicate equilibrium within the patient, triggering a cascade of negative reactions. This meticulous accuracy in managing transfusion volumes is a clear indicator of superior medical expertise. "Prepare 150ml of plasma and begin the transfusion immediately," ordered Director Ming Xin. While the patient received the transfusion, Wu Yongming ceased his work within the patient's skull; the earlier events had indeed left him quite shaken. "Dr. Zhou, your skill in stabilizing critical patients is truly exceptional! Under which physician at Tuya did you hone your craft? Was it perhaps Director Liu Xiangqing from the Intensive Care Medicine Department?" Director Ming Xin seized the moment during the blood transfusion to probe Zhou Can about his training. This young man's talents were truly remarkable. "It's surprising you know Director Liu; I did indeed study under him for a period," Zhou Can replied, a wave of nostalgia washing over him as he reflected on his time in the Intensive Care Medicine Department, feeling a deep sense of gratitude towards Director Liu Xiangqing.