"Have you done the arterial gas analysis? Are the results out? "
"Blood pressure and heart rhythm are under control."
"What about the CT report? Inform me when it's out. "
"Let's see if we can use the blood recovery machine."
Huo Congjun was the overall person in charge of the emergency treatment. He did not solve the specific problems of medication and dosage. Of course, he paid attention to the medication plans and methods prescribed by other doctors, but he would not express his opinion if there were no mistakes.
Huo Congjun was mainly concerned about the progress of the resuscitation and the overall plan.
There was a progress in resuscitation.
Things like arterial gas analysis and CT scans could only be obtained after a period of time. If they were not arranged in advance, they would not be able to get the results. A doctor's X-ray vision was like an image. A good doctor would be able to see most of the details from a CT scan. For example, bleeding injuries could not be hidden from CT scans and other equipment.
They just needed to arrange the time.
At the same time, if they wanted to perform autologous blood transfusion, they needed to arrange the time for the blood recovery machine to intervene.
Huo Congjun was an advocate of autologous blood transfusion in Yun Hua and Changxi Province. This title was not meaningless. It also meant that Huo Congjun was familiar with autologous blood transfusion and that the Emergency Department of Yun Hua Hospital had complete relevant equipment.
When the patient was in the ambulance or on the helicopter, there was no condition to use autologous blood transfusion. After arriving at the hospital, if hundreds of blood products were transfused into the patient's body, the prognosis would definitely be a lot of trouble. Of course, autologous blood transfusion would not reduce too much trouble, but at least they did not have to worry about running out of blood products.
However, autologous blood transfusion had more requirements. Equipment was one of them. The blood recovery machine collected blood, and the blood was filtered or washed before it was transfused back into the patient's body. The contamination of the blood had to be controlled.
Huo Congjun was busy doing these tasks, and at the same time, he kept giving authorization.
Zhao Leyi cleaned up a lot of blood clots during the exploration of the abdomen.
Department Associate Director Du personally separated the ligaments of the spleen step by step, revealing the spleen pedicle. After double ligation, the spleen was removed.
Doctor Zhou sutured the two-centimeter regular laceration on the left side of the liver, and used a large gauze pad to compress the laceration of the diaphragm.
Zuo Liangcai, the attending physician, dealt with the femoral vein alone.
At this point, the golden moment had long passed, and the surrounding doctors were even more exhausted.
In terms of time, doctors could last a lot longer in the operating theater, but during the resuscitation process, everyone's posture was really too uncomfortable.
For example, Ling Ran had to sit on the gurney. He had to kneel on one leg while his other leg was crossed. He had to either perform barehanded bleeding control or act as a part-time assistant. From the moment Zhao Leyi stepped on the stepping stool, he never left it. Huo Congjun only turned half of his body sideways to give commands. Fortunately, Doctor Zhou had entered the field earlier. His right side was the robotic arm, which gave him more space.
But regardless of whether they were big or small, everyone seemed to be punished to stand.
After being punished to stand for an hour, he could still persevere, but his fatigue was already starting to show.
However, Huo Congjun did not give everyone time to rest. He sighed and said to Ling Ran, "Use your hand to check your lungs and see if there are any ruptures. If not, we will inflate the lungs and suture the diaphragm. "
The latter sentence was directed at the anesthetist.
The anesthetist responded and quickly got to work.
Doctor Zhou asked for a No. 7 surgical thread and quietly waited for Ling Ran's answer.
Using one's hand to check was a common procedure for surgeons. When Huo Congjun was young, it could be said to be a basic operation. Basically, all the doctors in the field knew how to do it, and Doctor Zhou was no exception.
However, Huo Congjun now trusted Ling Ran's barehanded operation more.
The other doctors did not express any objections. It was not a problem for them to find the rupture, but it would take a long time to confirm that there was no rupture. No one was confident that they could beat Ling Ran.
Ling Ran had not been in Yun Hua Hospital for a long time, and he did not know many skills. But when it came to the use of a certain skill, everyone could still see it.
For example, barehanded bleeding control. Most doctors also knew a little, but if they really asked them to do barehanded bleeding control like Ling Ran, especially barehanded bleeding control without a surgical field, no one was really confident.
Barehanded examination was not as simple as imagined. The human lung was not completely smooth. Different lung surfaces would have different appearances. Using one's hand to explore the rupture of a lung was like using one's hand to touch the surface of a mahjong tile. It required special training to feel what was on it.
To ensure accuracy, a certain level of skill was also needed.
However, since Ling Ran was able to perform barehanded bleeding control, he had a very clear understanding of tissue rupture.
He quickly checked it and then checked it again before saying, "There's no rupture."
Huo Congjun ordered without hesitation, "Put in the drainage tube and inflate the lungs."
After the patient's lungs inflated, the diaphragm, which was under pressure to stop bleeding, was fully exposed. Doctor Zhou went in again and used the No. 7 silk thread to suture the diaphragm.
Huo Congjun breathed a sigh of relief. In this way, the bleeding in the liver, spleen, and chest was controlled. These were the few organs with the most blood supply in the human body besides the heart.
Huo Congjun then thought about it. After the thoracic drainage was completed, he said, "Suture the ribs 9 to 10. Close the drainage. Ling Ran, check the stomach."
In a rescue of this scale, suturing the ribs was like a slide in Disneyland. Zhao Leyi simply sutured it and gave up the surgical field.
Ling Ran checked with his bare hands and said, "There is a wound that is one centimeter long."
This time, Doctor Du went in. He performed a varus suture, put in hemostatic gauze, sprayed protein glue, put in the drainage tube, and rinsed with saline …
Huo Congjun turned and asked, "How's the bleeding?"
The anesthetist who was monitoring at the same time shook his head gently.
"There is still a bleeding point. Continue looking." Huo Congjun looked calm, but he was cursing in his heart.
This kind of case with multiple stab wounds all over the body was troublesome. Sometimes, if the knife was stabbed forward a little, it would cut an internal organ. If it was only a very thin knife tip, it would be difficult to find the bleeding point.
Blood transfusion could not be maintained for long, especially in the case of internal bleeding. If the bleeding could not be stopped by surgery, the patient would soon suffer from multiple organ dysfunction, and then fall into a more and more serious shock. Then, all rescue efforts would be meaningless.
Huo Congjun could only look on the bright side. At least they did not find any missing blood after the abdominal closure. Otherwise, the second exploratory laparotomy would be even more troublesome.
"Can you find it?" Huo Congjun asked Ling Ran first.
"There is a hole in the right lower abdomen, but it should not be." Ling Ran searched, and he was also sweating.
Perfect Level Barehanded Bleeding Control might not be able to solve all bleeding problems perfectly.
"How much longer?" Huo Congjun's forehead was full of sweat, and he did not even have time to let someone wipe it off.
"I don't know," Ling Ran answered softly.
"Then, let's suture the one we just found first." Huo Congjun quickly made a decision, turned his head, and said, "Ask someone from the Medical Imaging Department to come over and take a look at the scan and find a possible location."
The circulating nurse agreed and walked out. She then called the Medical Imaging Department doctor who had been looking at the scan.
However, he could not provide the location of the bleeding blood vessels.
"I'll look for it again." Ling Ran did not know how to look at CT scans, so he could only rely on barehanded bleeding control.
Huo Congjun frowned and nodded. He started to think from the beginning.
"Uncle Jiang, all the best!"
"Uncle Jiang, all the best!"
"Uncle Jiang, Uncle Jiang!"
A few childish voices came from behind him. At some point in time, the ambulance had already sent over the students and teachers with minor injuries.
Most of the students were injured because of the abnormal driving of the vehicle. Those who were seriously injured needed six to seven stitches, while those who were lightly injured only had their skin scratched and left with bruises.
Even so, a group of primary school students who were two or three years old still looked pitiful with their heads wrapped in gauze and their hands wrapped in bandages.
Usually, if these children were injured like this, they would have already burst into tears. But today, no one knew if they had cried enough or if there was something else, but all of their faces were tense. Under the restraint of their teachers, they stood on their tiptoes and looked in the direction of the resuscitation room.
No one knew who started it, but a child suddenly sang the national anthem. Then, all the children sang along.
"Rise! People who don't want to be slaves!
"Build our new Great Wall with our flesh and blood!
"The Chinese people have arrived. At the most dangerous moment, everyone is forced to let out their last roar."
The children's voices always made people feel happy on normal days, but at this moment, it made everyone in the room feel heavy.
Jiang Li's family and colleagues were already extremely nervous. At this moment, they could not help but stand up and hum along.
The resuscitation room, which was originally very serious, was now shrouded in a solemn atmosphere.
Everyone did not know medicine, but from the solemn expressions of the doctors and the long period of time that had passed, everyone could tell something.
The blood on the ground had already turned into a slippery liquid. The scattered and torn clothes were thrown to the side. The infusion tubes that were as dense as a forest swayed in the arms of the doctors.
Only the surveillance camera kept emitting monotonous beeps.
"Rise! People who don't want to be slaves! "
"Build our new Great Wall with our flesh and blood!"
The singing was repeated again and again. The children's voices also became louder, and their faces became redder.
The nurses looked at the head nurse with a troubled expression. They did not know if they should stop the crowd.
"Help me wipe my sweat." Ling Ran tilted his head to make it easier for the nurses.
From his angle, he could see the children's scattered group, serious expressions, and crystalline tears.
Jiang Li's fiancée, Wang Yi, was already crying her eyes out.
After two hours of resuscitation and bags of blood, the results were almost obvious.
"I want to change my gloves." Ling Ran suddenly changed his posture and jumped down from the gurney. Ignoring everyone's gazes, he took off his blood-stained gloves and threw them away. Then, he turned around and went out to wash his hands again.
After he washed his entire arm clean, Ling Ran took out a small blue bottle that he had kept for a long time and poured it into his mouth. [Skill Serum: All skills + 1. Lasts for two hours.]
A densely packed list of skills appeared before Ling Ran's eyes. The most eye-catching was still the skills he had mastered.
[Appositional Suturing: Perfect Level]
[Epineurium Anastomosis: Perfect Level]
[Endoneurium Anastomosis: Perfect Level]
[Physical Examination: Master Level]
Behind Barehanded Bleeding Control was a light purple color that Ling Ran had never seen before. [Legendary Level]
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