No. The patient may truly have no ecchymoses.
It is not surprising that there is no ecchymosis. If the fracture is just a bone crack, there will be no swelling and ecchymosis.
I can only wonder whether Xie’s diagnosis is wrong?
It was time to see for herself what Xie was capable of. Grandma Cao calmed herself down, stretched out her fingers and pressed down on the patient's shoulder blade area to check Xie's diagnosis.
The injured person immediately let out a groan due to her experienced orthopedic doctor's actions.
Absolutely amazing. Grandma Cao shouted these two words in her heart.
It's a broken shoulder blade.
You can see how sharp classmate Xie's eyes are. Scanning the injured person's body is like using a CT machine, and it is even faster and more accurate than a CT machine.
After Grandma Zheng settled the first patient, she ran over and exclaimed with her old friend, "I believe it. I believe it completely."
...
...
I no longer doubt what Grandma Cao's family had said about classmate Xie.
The two veterans looked at each other again. If the orthopedic diagnosis can be so accurate, doesn't it mean orthopedic treatment?
The first key to orthopedic treatment is actually the same as or even more demanding than other departments, requiring accurate judgment of the movement, position, function, etc. of the injured part of the patient. Therefore, clinical orthopedic treatment is a great challenge for orthopedic surgeons without the help of medical equipment such as X-ray machines.
For a good orthopedic surgeon, looking at a person is like looking at a human skeleton, and his eyes must have the extraordinary ability to see the essence through the surface.
Scapula fractures, mild to moderate, can be treated conservatively without surgery. The first step is on-site emergency treatment. If fixation can be done in one step, the importance of this to the patient is self-evident. It can significantly shorten the fracture healing time and avoid the subsequent displacement sequelae that affect the patient's shoulder joint function and related muscle groups.
Fracture fixation is like surgical wound suturing, which is to align the tissues on both sides of the injury and bring them together in the correct position, so that the body's self-healing ability can play a role. Therefore, it is really important to align the position.
The sling fixation for scapula fracture is basically the same as that for clavicle fracture, because their anatomical positions are similar and the functions of the limb joints they mainly affect are similar.
When the patient is sitting or standing, the medical staff can ask the patient to place the injured upper limb in front of the chest with the palm facing the chest and the thumb facing up. The role of the triangular bandage or clothing used to suspend the injured arm is mainly to support the patient's elbow joint to prevent the displacement of the fracture of the upper bone.
It is not difficult in theory, but it is not easy to achieve textbook perfection, especially when there are no professional medical first aid items such as triangular bandages on site.
A bright light flashed in the eyes of the two old seniors.
Xie Wanying decisively pulled out the belt from the patient's waist. This can relieve the patient's abdominal pressure and help relieve the patient's breathing rate due to pain and other factors when injured. Secondly, the belt is passed around the back of the patient's neck, and the other end is tied into a loop around the patient's wrist to suspend the patient's arm to complete the arm suspension fixation.
One of the manifestations of a doctor's excellent ability is to be able to create his own tools, just like what Zhang did when he led Xie.
"Very good." Grandma Zheng excitedly gave a thumbs up and said to Grandma Cao.
The two female bosses were so excited because female orthopedic doctors were so rare, just like giant pandas. If a talented junior appeared at this time, their eyes would be full of green light.
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