Chapter 602: Was A Well-trained Major Resuscitation
Old Chief Physician Pan went up to meet him. When he saw the sorry state that Chief Zhou was in, he asked, “Chief Zhou, how are you?”
“Please don’t mention it.” Chief Zhou came to the emergency department. When he saw that the patients had not arrived yet, he was relieved. He patted the snow off his body and then said, “My home is not far away. I figured that the d.a.m.n weather would hinder my ability to get here quickly so I walked here.”
The road was still pa.s.sable if he walked slowly.
However, if he walked just a little bit faster, he would definitely fall victim to the d.a.m.ned weather.
Chief Zhou was anxious. He was afraid that the patient would arrive then. There were many legal procedures that needed the internal medical affairs department needed to handle, so he had walked a little faster. He did not know how many times he had slipped on the road.
Zheng Ren glanced at him. When he saw that there was no diagnosis in the System’s interface for Chief Zhou, he knew that he was just in a sorry state. There were no fractures or sprains so he did not go over. Instead, he instructed the doctors from the emergency department and the accompanying physician to push the stretcher trolley to the door and wait.
“Please don’t make our schedule too packed. Our plane leaves tomorrow morning,” Su Yun whispered to Zheng Ren.
This was a mission. He could not tell anyone about it, not even Old Chief Physician Pan and Xie Yiren.
Zheng Ren nodded. He would do his best.
As for when the time came… Zheng Ren really did not believe that Sea City General Hospital would not be able to continue operating if he left.
The sound of the first-aid ambulance came from afar but did not arrive.
The snow was heavy and the ambulance could not drive fast. No matter how anxious the doctors, nurses, and drivers were, they could not rush.
After waiting for a few minutes, a shabby ambulance appeared in the snow. It tried its best to stagger to the emergency building’s front door.
The side door opened and a junior doctor jumped down. He said hurriedly, “Two of the injured are suspected to have injuries to their abdominal organs. They each received 1500 ml of saline and sugar on the way. Their blood pressure is very low now.”
While he said that, the ambulance’s back door opened. The stretcher trolley was pushed over and the injured were pulled down.
Two stretcher trolleys, one in front and one behind, quickly rushed to the resuscitation room.
The emergency surgeon next to Zheng Ren and the doctor from Yuandian County Hospital completed the follow-up handover procedures. Zheng Ren and Su Yun escorted the patient all the way into the building.
The diagnosis on the System’s panel on the upper right side of his field of vision was very clear. Hepatic rupture, spleen rupture, colon rupture, multiple rib fractures, traumatic hemopneumothorax, and lung rupture.
The series of diagnoses gave Zheng Ren a splitting headache.
It was a chest and abdomen injury, and it was such a serious emergency.
The most serious thing was that the patient was dragged from the scene of the accident more than two hours ago before heading to Sea City General Hospital.
At the moment, the patient’s internal environment was very chaotic. Even if the surgery was successful, it would probably be difficult for him to survive the post-operative stage.
However, no matter what, he had to seize the time to operate and stop the source of the bleeding before he could talk about the rest.
The stretcher trolley ran all the way to the resuscitation room. The ultrasound doctor at the bedside was already on standby.
After cutting the clothes, the staff under Chief Zhou started the recording.
Medical treatment was difficult because of the patient’s condition, and doctors did not care about the severity of the condition. After all, it was their job.
The most worrying thing was when all sorts of unexpected things happened.
For example, cutting the patient’s clothes during the emergency treatment. The time saved might determine whether the resuscitation could be successful or not.
However, it was not uncommon for patients and their families to demand compensation for the torn clothes.
Therefore, the role of the internal medical affairs department was revealed.
It was no wonder that Chief Zhou dreamed of being transferred out of the department. All kinds of trivial details needed to be dealt with to protect the doctors but made others mentally and physically exhausted.
Zheng Ren did not care about the matters that the internal medical affairs department was in charge of. He took the deep vein puncture bag that the nurse handed over and gave up his position to the ultrasound doctor as he began to perform the puncture diagonally.
Disinfection and direct penetration. Zheng Ren felt that he could already penetrate blindly with his level of skill.
He took 20 ml of blood samples with the injector and handed them to the nurse to deliver for a blood test.
Blood samples were required for all kinds of preoperative examinations and blood preparation. The patient was already in a state of severe hemorrhagic shock. Even an experienced old nurse could not guarantee direct penetration.
If their side could save some time, then something was better than nothing.
“Low-molecular dextran skin test, but put them on glucose first,” Zheng Ren said in a low voice.
It was meaningless for the patient to add more crystals to the crystal sugar saline that he had replenished in the ambulance. However, low-molecular dextran might cause an allergic reaction, so a skin test needed to be done. Zheng Ren was afraid that it would be difficult to save the patient after an allergic reaction, so he asked for a skin test first.
After performing a deep vein puncture on another patient, Zheng Ren turned his head to look at the ultrasound screen.
The ultrasound doctor smeared a large number of couplers on the patient’s chest and abdomen and began to take a look.
There was a large amount of fluid in the liver area, spleen fossa, ribs, and diaphragm.
“Chief Cao, I’ll pull this patient up for surgery first,” Zheng Ren said. “If there’s nothing else later, you can go and help.”
After he said that, Zheng Ren pulled the patient and rushed to the operating theater.
Chief w.a.n.g and Doctor Ming followed behind Zheng Ren. They calculated that there were two patients in total. Four of them would definitely have to operate separately.
Even if they were unfamiliar with the place, it was still good for them to go up and help.
On the way, Zheng Ren handed the stretcher trolley to w.a.n.g Liren. He took out his phone and called the operating theater to inform them to prepare for the emergency surgery.
He pushed the patient to the operating theater at lightning speed. Zheng Ren called out to him and dragged him to the hybrid operating theater.
w.a.n.g Liren helped to carry the patient to the operating theater. Chu Yanran began to anesthetize the patient while Zheng Ren and Su Yun hurriedly went to change their clothes.
w.a.n.g Liren and Doctor Han had just come out of the operating theater. Zheng Ren and Su Yun were already striding out of the changing room with sterile masks on their faces.
‘This speed is really fast. They’re well-trained. It doesn’t seem like they come from a small hospital at all,’ w.a.n.g Liren lamented.
They brushed past each other and did not make eye contact. From the moment Zheng Ren stepped into the operating theater, he had already entered a state that he would do the best he could to help save the patient.
In his eyes, other than the surgery and the patient, there was nothing else.
When he came to the operating theater, Zheng Ren took a look. The patient’s blood pressure was unreadable. His heart rate was 162 beats per minute, and his blood oxygen saturation was at 85%.
“You can lower the chest tube. I’ll disinfect it.” After Zheng Ren finished speaking, he went straight to scrub his hands.
Su Yun did not say anything. He opened a small surgical tray and placed a chest tube between the sixth and seventh ribs of the patient’s chest wall.
The moment the tube went in, a stream of black and red blood was drawn out.
Su Yun used hemostatic forceps to choke the tube and roared, “Chest bottle, quick! Get two!”
The circulating nurse was fast but she was still not able to fully keep up with them. She was responsible for counting equipment with Xie Yiren and checking the medical supplies so as not to miss anything.
She also had to take care of their side…
During that moment, w.a.n.g Liren and Doctor Han walked in.
Seeing this situation, w.a.n.g Liren immediately picked up the chest bottle and tore open the packaging. Doctor Han found a bottle of saline for external use, opened the cap, and poured 500 ml of saline into the closed chest drainage bottle.
Connecting the closed chest drainage bottle, Su Yun observed it for a few seconds and immediately shouted, “Boss, open the chest too!”