godfather of surgery

Chapter 92

Director Miao, Director Wu of the emergency department, and selected key doctors and nurses all lined up at the emergency door.

The surgical outpatient clinic was also closed, and all patients were transferred to the traditional Chinese medicine hospital, and a special person was responsible for guiding patients to the traditional Chinese medicine hospital for treatment.

Dean Dong accompanied Magistrate Wu in the emergency hall and waited. The directors were scattered around on the phone, allocating the resources under their control, and fully cooperated with the rescue.

Magistrate Wu was very anxious, walked back and forth, and asked several times, "Where are the wounded?"

"It's almost time, a police car was dispatched to drive the road and escorted to the door of the hospital. It should be there right away." The chief of public security explained.

"What about the provincial medical team?"

"It's almost too soon. It is estimated that it will take more than ten minutes. There are also police cars to escort the road." The chief of public security said.

"We have sufficient stocks of various blood types, and have already sent a lot to the hospital's blood transfusion department. Our blood delivery vehicles are all in place, and support from neighboring counties is also on the way." The blood station reported.

"First aid medicine?" Mayor Wu has experience.

"The county's hospitals support the rescue. Each hospital has set up a dedicated line to accept personnel and drug deployment at any time. Neighboring counties have also negotiated and supported at any time." The health director replied.

"Very good." There are no loopholes anymore. Mayor Wu visits the emergency door from time to time.

The police car honked its whistle and drove past the emergency door, the ambulance arrived later, the back door was lifted, and a stretcher was lifted from the car.

The folded legs of the stretcher were opened and turned into a flat car. The flat car was covered with dark red blood and was sticky. The people on it were also bloody. They were lying on their sides, curled up, and the ripped clothes were bloodied. soaked.

A piece of wood with a thick bowl mouth passed through the junction of the chest and abdomen, completely running through the body, entering from the front and coming out from the back. The front and rear sections of the wood were stained with blood.

The scene is extremely bloody and thrilling. If it wasn't for the doctor who is used to blood and life and death, it would be difficult to adapt to this scene, and it will be unforgettable for a lifetime.

Director Miao and Director Wu led the doctor to meet them immediately, followed the flat car, grumbled, the sound of the flat car rolling over the ground was urgent, racing against time.

Mayor Wu and Director Dong also came up.

The directors saw that the flat cart here was pushing the patient in, and they ran along while talking on the phone.

There is nothing wrong with Director Dong's clinical background; when Magistrate Wu saw this scene, he immediately put his hand on his forehead and felt dizzy.

"Fu Wu County Governor into the office to rest." Director Dong said to the secretary.

Magistrate Wu waved his hand: "It's okay, I can hold it." Then he put down the hand that touched his forehead.

Without a second delay, the flat cart was pushed to the red area of ​​the emergency department. The emergency management of Shipo People's Hospital was standardized, and the red, yellow and green areas were clearly demarcated.

The red zone is responsible for primary and secondary patients, that is, endangered and critically ill patients, the yellow zone is for emergency patients, and the green zone is for non-emergency patients.

In this way, the purpose of zoning is to focus and prioritize the allocation of medical resources.

There are doctors and ambulance doctors handing over the condition, other doctors and nurses, changing fluids, counting pulses, checking urine output, puncturing blood, connecting arm cuffs to measure blood pressure, and connecting leads for ECG monitoring.

Shipo People's Hospital is worthy of being the strongest hospital in this area. Every doctor and nurse is well-trained, not flustered, not stunned, not delayed, and cooperates with each other skillfully.

"Quick! Immediately draw blood, match blood, and send it directly to the operating room!" Director Miao commanded decisively. He has directed many traffic accidents and is more experienced than the director of the emergency department, but this kind of shocking was also strongly shocked.

"I can't draw blood!" The nurse tried several punctures, but all failed. The blood pressure was too low, the veins were not full, they were all flat, and naturally no blood could be drawn.

Directly pumped from the intravenous infusion channel, just infused with liquid, will cause some inaccurate detection.

If the puncture doesn't work, the vein is cut!

The nurse brought up the phlebotomy kit and opened it. The doctor put on sterile gloves. In just 2 minutes, a small incision was made in the skin of the great saphenous vein on the medial malleolus. The great saphenous vein was picked out, punctured and fixed under direct vision. The needle is pierced and the skin is sutured.

Blood drawn, cross matched.

Just following the ambulance, a middle-aged man, not wearing a white coat, has been mixed in the crowd and followed the flat car, standing next to him: "The gap between the front and rear wooden stakes and the flat car, take a pillow and plug it in to reduce the fall of gravity. ."

Who is he?Everyone looked at him, who should be a friend of the injured person. He didn't ask much, didn't have time to ask more, and felt that he was right. Everyone was inexperienced with this special kind of injured person, so it was inevitable that the details were not in place.

Bring two pillows at once.

"I'm coming!" The man's technique is very skillful, he gently stuffed it in, and lifted the stake slightly, which can reduce the bumps during the operation; it can also reduce the falling of gravity, causing the lower part to be oppressed and the upper part to be empty and empty. Bleeds easily.

"Thank you!" The ambulance doctor shook his hand just now.If it wasn't for him to direct the scene, the rescue would not be so professional.

"It's okay! I just know a little about first aid." The man was very modest.

He had already arrived at the hospital, and the rest was the operation. The man didn't make any more trouble. He sat on the plastic chair in the emergency department to rest and didn't leave, to see if there was anything else he could help.

Everyone is busy and in a hurry, and they all need to be rescued, and no one cares who he is.

Blood drawn!

"Send to the operating room! Emergency surgery!" Director Miao ordered.

After staying in the emergency red area for just a few minutes, "Quick! Quick! Quick!", Gululu, the flat car was pushed to the operating room immediately, and the directors of general surgery and thoracic surgery were already on standby in the operating room.

Watching the flat car leave, Director Miao took out his mobile phone, sweat on his forehead, anxious.

"Professor Tian, ​​the patient with penetrating injury to the chest and abdomen has arrived. It is very serious. We have sent the patient to the operating room for preoperative preparation!"

"Okay, we'll be there soon, and in a few minutes, we can see the hospital building!"

Director Miao, Director Dong, Mayor Wu, and several directors went to the door of the emergency department and waited.

The siren hummed, the police car appeared, and the bus carrying the medical team appeared later, parked in the parking lot under the steps of the emergency door, the door of the bus opened, and Director Tian jumped out first.

Director Miao, Director Dong, and Mayor Wu immediately greeted him.

"Professor Tian, ​​it's just right!" Director Miao walked too fast, Director Dong and Magistrate Wu did not keep up, Magistrate Wu almost fell when he went down the steps, but the secretary helped him in time.

"The first wounded, the one with penetrating injuries to the chest and abdomen, has been sent to the operating room. The other seven are on their way and will arrive soon." Director Miao briefly introduced the situation.

Everyone got off the bus one by one and voluntarily formed a line in the nearby open space. Sanbo Hospital usually has emergency first aid training for major incidents, and this time the line came in handy.

Female colleagues, those with shawls and hair, had already tied them up in the car; those with rings, necklaces, and earrings were all taken off; Fatty Liang got out of the car and did not smoke.

Director Tian quickly arranged: "Yang Ping, Song Zimo, Su Yixuan, Liang Jing, Zhang Lin, and Xiao Wu, follow me to the operating room to rescue those with penetrating chest and abdomen injuries. Of the remaining colleagues, who has the highest title? Raise your hand with the senior title!"

Chen Xiaoqiao from the Obstetrics and Gynecology Department and Wang Hansheng from the Urology Department raised their hands.

"Director Wang, I'll go to the operating room right away, and the rest of my colleagues will be handed over to you to command. If you go to the operating room later, it will be handed over to Director Chen to command. Everyone is familiar with the procedure. Anyway, choose a commander with the highest title on the scene. , all actions obey the command!"

"Understood!" The answer was loud and neat.

After a brief explanation, Tian Yuan turned around and said to Director Miao: "This unit will be handed over to you, and we will go to the operating room as soon as possible."

In extraordinary times, there is no such thing as greetings, all superfluous things are omitted, and Director Miao immediately accompanies Tian Yuan and his party to the operating room.

What was the introduction of the county magistrate Wu and the first wave of bureau chiefs?

Go to the operating room, change clothes, wear a mask and hat, and enter the operating room quickly without delay.

The patient was lying on his side on the operating table, and Dr. Tao supported the patient.

This position of the wounded is difficult to put, and can only be placed on the side.

In this lateral position, it is difficult to maintain stability, the surgical field of vision is extremely poor, and the anesthesiologist is also difficult to intubate.

A doctor specializes in tilting the head back to open the airway for the anaesthetist to intubate.

But the anesthesiologist tried several times and failed.

This kind of first aid is indeed very rare. Depending on the location, the stake directly passes through the diaphragm, surrounded by important organs, such as the heart, lungs, liver, gallbladder, pancreas, spleen, etc. Any one of them is fatal, and it is also luck that they can survive on the operating table.

Seeing this, the directors of general surgery and thoracic surgery felt that the operation would be impossible.

The more experienced the more afraid, the ignorant and fearless are the most courageous. If the stake is pulled out, the patient will die of blood, and the rescue will be over in a few seconds.

Without being polite, the pastoral command: "Fatty, you go!" Fatty immediately put on gloves.

Director Miao affirmed: "This is Director Tian from the provincial capital. He made a special trip to support us. Everyone must obey Director Tian's instructions."

Director Tian?The last time I had an operation here, as everyone knows, it was amazing.

Hearing the strong support from the provincial capital, the directors of general surgery and thoracic surgery were relieved.

Fatty Liang's professional level is directly proportional to his craving for smoking. He gently inserted the laryngoscope, inserted the tracheal tube, pulled the guide wire, succeeded, inflated the cuff, fixed the tracheal tube, and connected to the anesthesia machine.

"We do it at the same time, so it can save time?" Yang Ping observed the injured person.

In the system space, he has done countless such multiple traumas, and the system simulates many more serious ones. He has enough confidence.

Tian Yuan looked at Yang Ping: "Have you done this kind of surgery?"

Yang Ping nodded: "Trust me, no problem, you deal with the back, I'll deal with the front, and we operate at the same time."

"No, the front is too difficult. In this part, the heart, lungs, liver, gallbladder, pancreas and spleen are all around, and the wood just passes through them. Squeeze and pull these organs. Some organs must have been damaged, but they are only compressed. , there is no fatal blood burst for the time being."

"Trust me!" Yang Ping pleaded again.

Tian Yuan hesitated. Looking at the previous pelvic surgery, Yang Ping was indeed better than himself, but this surgery?

It is too dangerous and difficult. If you are not careful, the patient will burst blood and die on the operating table. It can be said to be the most dangerous trauma.

He remembered the pelvic surgery he performed on adhesions, the extreme anatomy, the superb separation, and the precise hemostasis like a sniper.

He can!After a little thought, Pastoral makes a decision.

"Brush your hands!"

(End of this chapter)