Ling Ran strode into Operating Theater 3, and he saw a tense and solemn scene.
Operating Theater 3 in the Emergency Medical Center was not big. At this time, more than ten people were crammed into it, and it could be said to be against the rules. With so many people inside, first of all, the cleanliness could not be guaranteed.
With the Orthopedics Department's strong control and emphasis on infection, this was a scene that should not have happened.
However, whether it was the associate chief physician of the Orthopedics Department or the patrolling nurses in charge of the operating theater, they basically could not care less about this.
The doctors who held the blood transfusion bags, the anxious anesthetists, and the nurses who were assigned to work in circles were all silently hinting at one thing: the scene was in chaos.
Ling Ran did not say a word. He covered his mouth and nose with a mask, walked forward, and looked at the patient first.
The management in the operating theater was simple. With a loud shout, the chaotic crowd would probably return to a stable state. However, the problem now was not the medical staff's attitude or procedure. It was more likely that it was a pure technical problem.
The dozen or so medical staff who did not know what to do would not suddenly gain a boost in their skills just because someone yelled at them.
When they don't know what to do, strict discipline and proper attitude are meaningless.
It was just like how the care of a class of students could not cure a pregnant student's cold.
Ling Ran first focused on the patient.
The patient was probably a factory worker or an engineer. He had the face of a laboring person in his forties. His face was pale and bloodless, his abdomen was bulging, and there were lumps of bruises on his right lower limb …
"There were six fingernail-sized fragments shot into the patient's back. We were treating it when suddenly, blood came out." When the attending physician saw Ling Ran, he did not feel much relieved. He anxiously reported the situation, and his tone was a little vague.
The senior doctor standing next to him, Associate Chief Physician Yao, quickly added, "The blood pressure is dropping rapidly, and the dorsalis pedis artery in the right lower limb can no longer be felt. I've already asked the Department of Interventional Medicine to come over and do an angiography of the lower limb to identify the location of the bleeding, but the Department of Interventional Medicine is a little busy …"
This was the state of being on the verge of breaking down due to the influx of a large number of patients.
There were more than ten medical staff gathered around the patient, and it would not be a problem for them to perform surgery and care for three patients with moderate to light injuries.
However, due to the severity of the patient's condition, the doctors were unable to deal with him. Hence, they could only keep piling up medical staff, and they piled up all the way to Ling Ran and the Interventional Department.
If Ling Ran could not handle it, or if the Department of Interventional Medicine could not provide useful examination results, the patient could only give up or try his luck.
No matter what method was used, it meant that a life would be lost. Moreover, more than a dozen medical staff had done a futile job when the patient needed them the most.
Even if it was a large institution like the Emergency Medical Center of Yun Hua Hospital, it would be easily crushed if it did not mobilize all its strength in the face of an emergency.
Ling Ran, who had participated in disaster relief many times, had a serious expression on his face.
"The patient is already showing signs of severe shock. Since he's bleeding so quickly, it's very likely that his artery has ruptured …" Ling Ran slowly voiced out his judgment.
"Yes, I agree with Doctor Ling's judgment," Associate Chief Physician Yao of the Orthopedics Department said in agreement.
He had already lost control, and what he needed the most was Ling Ran's participation.
No matter what the outcome of his participation was, the participation of a senior doctor could solve his mental and physical problems.
If Zuo Cidian were here, he would actually take out a small notebook and make a record when he heard the attending physician's vague words. He might even need to perform a dissection to clarify his responsibility.
However, Ling Ran did not care about this. His gaze lingered on the patient's abdomen for a short while before he turned to the patient's thigh.
"It's too late to perform an angiogram. Now, I can only make an emergency judgment." Ling Ran did not act like a normal doctor, who would think about it carefully until it was certain before saying it out loud.
On one hand, in the face of so many possibilities, he also hoped that he could make a suggestion to attract more people to discuss it or get more information. On the other hand, Ling Ran did not care too much about things like responsibility.
He had always done things by the book, and it was impossible for everything to be followed. However, Ling Ran had basically never suffered losses in this aspect, so naturally, he would not pay much attention to this aspect.
For the current Ling Ran, increasing the probability of saving the patient was his current concern.
At the same time, Ling Ran's Perfect Level Barehanded Bleeding Control and his experience of performing more than two hundred dissections were enough for him to confidently state his thought process.
"Doctor Ling, what should we do?" Associate Chief Physician Yao of the Orthopedics Department thought even more, and he was secretly suspected of shifting the blame to Ling Ran.
There were nurses and anesthetists present who understood what he meant. They glanced at him in disdain, but they did not say anything.
The doctors from the Orthopedics Department lowered their heads in unison. They were a little embarrassed, but they did not dare to say anything.
The relationship between superiors and subordinates in the hospital was sometimes stricter than that in the army, and it was more of a test for people. Those who could not pass the test would be kicked out sooner or later, and it was very difficult for them to establish a foothold in a big hospital like Yun Hua Hospital.
Associate Chief Physician Yao was a full-time doctor who graduated with a doctorate. He was young and capable. He was not even forty years old, but he became an associate chief physician of the Orthopedics Department and led a treatment group. It could be said that he was young and promising. No matter how he looked at it, he did not want to be the scapegoat for this emergency surgery.
And Ling Ran was the commander at the scene, so every scapegoat was on him.
The attending physician from the Orthopedics Department, who was also young, could not help but lower his head. In order to reduce his responsibility, he was a little embarrassed and worried that he would make Ling Ran the scapegoat so blatantly.
"Open the anterior abdominal wall directly." Ling Ran still had to think about the ambulance that would come later, but he gave the order very quickly. It was as if he had directly taken over the scene.
Associate Chief Physician Yao of the Orthopedics Department did not hesitate anymore. He immediately took the scalpel and was ready to start.
"Wait a moment," Ling Ran said again.
Associate Chief Physician Yao sighed. 'Did he finally realize his mistake? Is he going to shift the blame to me? '
At this time, Ling Ran said, "When the abdominal cavity is opened later, there will definitely be a lot of blood gushing out. Nurses, go and get more blood. Assistants, prepare two aspirators. Anesthetist, check the intubation … Next, once the abdominal cavity is opened, we must immediately find the bleeding point. The right clamp is the key …"
Ling Ran's instructions were very detailed, and just as Associate Chief Physician Yao hoped, he became the commander at the scene.
However, as he gave detailed orders, the nurses, assistants, and anesthetists moved in an orderly manner, and the operating theater suddenly became spacious and orderly.
The atmosphere of a successful surgery spread in an unnatural manner.
Associate Chief Physician Yao could not help but glance at Ling Ran, and a hint of understanding rose in his heart. 'Yes, as long as the surgery is successful, there will be no problem of shifting the blame to me. But …'
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