medical road high rise

Chapter 4 Hemostasis Surgery ([-])

Chapter 4 Hemostatic surgery ([-])

The elevator stopped on the third floor, and Qin Feng was about to watch them leave, because the general surgery ward area was on the fourth floor.

"What are you doing? Help support the flat car!" The nurse looked at Qin Feng who was stunned and scolded.

Because she saw the intern's mark on Qin Feng's chest, this kind of mark would not be noticed by those who are not careful.

Qin Feng froze for a moment, pointed to himself and said, "Are you calling me?"

"Nonsense, otherwise is there anyone else here?" The nurse pushed Qin Feng. Qin Feng stuffed the medical record into his pocket with a confused look, put his hands on the flat bed and followed Dr. Lu to the emergency room.

There is a difference between three people pushing a flat cart and two people pushing a flat cart. At least in terms of stability, three people are relatively stable.

After sending the patient into the emergency room, Qin Feng was about to leave. After all, he was going to deliver the checklist. Before he could walk out of the emergency room, he was grabbed by the nurse again.

"Follow me to get the blood bag." The nurse hurriedly took the lead and ran towards the hematology department.

Qin Fengyun followed behind the nurse in a fog, and the nurse hurriedly filled out the form, while Wang Yang was counting the blood to prevent mistakes.

This kind of counting is especially necessary, as the matching blood type of patients who need blood transfusion is fixed, and if other blood types are used, the patient may not be saved, and the death of the patient may be accelerated.

Qin Feng rushed to the emergency room with the blood bag in his arms. The patient could not receive blood transfusion before CPR, because the patient's cardiopulmonary resuscitation has not yet started, that is to say, the heart has not started to work.

CPR is aimed at patients with sudden cardiac arrest caused by excessive blood loss, recovering the patient's heartbeat in time, opening up the infusion channel, and infusing plasma into the patient's heartbeat at the moment when the patient's heartbeat recovers.

Qin Feng and the nurse stood aside holding the blood bag, watching Dr. Lu being helped by the assistant doctor. One was in charge of cardiopulmonary resuscitation and the other was in charge of chest compressions.

As for why you are holding the blood bag, it is because when the blood bag is just taken out, the blood bag is refrigerated and needs to be warmed up so that it can be absorbed by the body when the channel is opened.

Otherwise, if your cold plasma enters the human body, the patient who is originally due to hypotension will die instantly.

"Do you have blood pressure?" Sweat dripped from Dr. Lu's forehead and slid down the back of his ears.

"No, it can't be detected." The doctor in the auxiliary department said, "Doctor Lu, there is no hope. I'll call the patient's family members in. We've tried our best."

Dr. Lu still didn't give up, and shouted: "Prepare the pacemaker, that little doctor, come here to stop the bleeding. You should know the routine hemostasis operations, right?"

Facing Dr. Lu's eyes, Qin Feng nodded, gently placed the blood bag in the nurse's arms, and put on sterile gloves and a sterile mask.

"You only need to treat the visible wounds and clean up the patient's wounds, isn't that a problem?" Dr. Lu asked repeatedly.

This was already related to the patient's life, and Dr. Lu did not dare to joke casually. For such a chance, if the pacemaker could not resuscitate the patient, then the patient could only be declared dead.

"No problem." Qin Feng said firmly.

He has performed this operation seven or eight times in the training room, and he may not be able to complete the entire operation now, but there is no problem at all in hemostasis of the wound.

"Is the interventional doctor from the circulatory department here?" Dr. Lu shouted.

"There are patients in the circulatory department, but there is no doctor at the moment." The assistant who finished the call replied.

"Oh shit!"

Dr. Lu cursed loudly. Although the prospect of intervention is very good now, there are still very few intervention doctors in a small city like Taoshi.

"Prepare for electric shock and defibrillation." Dr. Lu had no choice but to choose another plan. In fact, if the interventional doctor came and placed a pacemaker catheter, the possibility of cardiopulmonary resuscitation would be greatly improved, but there is no interventional doctor now. Can only be defibrillated by electric shock.

Electric shock defibrillation is a severe test for Dr. Lu. The defibrillation electric shock needs to be grasped to a certain degree. If it exceeds this degree, it will only accelerate the death of the patient.

When Doctor Lu yelled these words, his voice trembled.

"81 time!"

Dr. Lu turned his head and shouted to the assistant who was operating, and adjusted the current to [-].

"Has hemostasis been completed?" Dr. Lu asked.

"It's done!" Qin Feng raised his head, stepped aside, and stood in the position of the second assistant.

Dr. Lu took a deep breath and began the first defibrillation.

"The first defibrillation was successful, the patient's heart rate recovered, but the blood pressure was still undetectable." Assistant Hui reported.

"Perform a second defibrillation, once at 85." Dr. Lu said.

Qin Feng was observing the patient's electrocardiogram. At this time, the waves of the electrocardiogram indicated the serious condition of the patient, and Qin Feng felt a little worried when he saw it.

As a doctor, standing on the operating table, they all hope that their patients can live on, not a cold body that goes down.

"Blood pressure is 89/mhg, establish a venipuncture channel and perform blood transfusion." The assistant shouted excitedly.

Qin Feng also forgot his identity at this time, took the puncture set handed over by the nurse, and punctured the patient's femoral artery to establish an infusion channel.

The blood plasma was delivered into the patient's body through a blood transfusion pressurizer, and the nurse next to Dr. Lu took out a towel and wiped the sweat from his temples for Dr. Lu.

"You and him push the patient to the operating room, and I'll come over after explaining to the family before the operation." Dr. Lu pointed to Qin Feng and his assistant.

Qin Feng followed Dr. Lu's assistant and carefully pushed the patient to the emergency operating room, pushed the patient into the operating room, and the anesthetist gave the patient anesthesia.

"Brother, are you the new doctor in my emergency department?" Assistant Doctor Lu asked.

"No, I'm in the general surgery department now..."

"General surgery, we are brother departments!" Dr. Lu's assistant laughed, "My name is Zhao Peng, and I am a regular trainee. Your hemostasis operation is very good, and you didn't see any bleeding during the defibrillation process." point."

"I'm sorry, it's just a basic operation." Qin Feng said flatly.

Zhao Peng gave Qin Feng a thumbs up. Doctors are like this. As long as you show enough ability, you can get enough respect.

Sometimes, a person's surgical level can be seen from a small operation, and a major operation is not required.

Soon, Dr. Lu hurriedly changed into the surgical gown to prepare for the operation. Before the operation, he explained to the assistant that the surgical approach is a routine operation. As for the patient's laboratory tests, there is no infectious disease, and the operation can be performed with confidence. After all, if a patient has a disease such as AIDS, let alone saving lives, the doctor may involve himself.

In the past, there were many good doctors who were forced to leave the post of doctors because they were infected with AIDS because they lacked the work of laboratory tests and pursued the speed of rescue.

Before Dr. Lu started the operation, the mobile phone on the side rang. Dr. Lu asked the equipment nurse to help connect the phone and put it next to Dr. Lu's ear.

"Old Lu, I have consulted the directors of the Department of Orthopedics and Urology to see your patient's film. The initial diagnosis is hemorrhagic shock caused by rupture of the liver and spleen."

(End of this chapter)