The emergency room was not a general clinic. When faced with patients with complicated and severe injuries, their responsibility was to stabilize the vital signs and then refer them to a professional consultation room for treatment.
If the bleeding could not be stopped, it could not be considered stable.
Moreover, the bleeding did not stop, it also showed that the patient was seriously injured.
"What did you use?" Huo Congjun stood still calmly.
There were all kinds of strange diseases in the emergency room, and being anxious would not solve the problem.
Under his influence, attending physician Zhao Leyi also calmed down and said, "Intramuscular hemostasis, iced saline and norepinephrine, rushed to apply for the same type of red blood cells and plasma, and also used a dopamine needle … The patient now has a total of 1,400 ounces of fluid."
Huo Congjun listened to him and shone the flashlight on the patient's pupils. He said decisively, "Prepare for emergency surgery, exploratory laparotomy, and increase the amount of fluid replacement …"
"Exploratory laparotomy now?" Zhao Leyi was a little hesitant. They still could not confirm whether the bleeding point was in the abdomen. If they made a mistake, the patient would have to be cut twice.
"Save the life first, then treat the disease!" Huo Congjun said through gritted teeth.
"The patient is in shock," the nurse shouted.
In the emergency room, there were many patients in shock, but it was not good news to go into shock during the emergency treatment.
Ling Ran had been staring at the patient, but at this time, he turned around and went to the cubicle to wash his hands.
"Let me borrow some space." The plain and ugly resident doctor who used to be in the same group squeezed over and scrubbed his hands under the faucet beside him.
Ling Ran made some space and continued to scrub his hands meticulously.
The plain and ugly resident doctor saw that Ling Ran was so serious, so he kindly reminded him, "The emergency room is busy, and you have to deal with many patients in a day. Usually, wipe your hands with alcohol-based hand sanitizer and let it air-dry. Otherwise, if you wash your hands too much, your skin will peel."
"Prepare for surgery," Ling Ran answered and began to rub his hands together. His hands were hot and did not stop.
After staying in the treatment room for a few days, not only did he suture hundreds of patients, but he also became familiar with the operation of the hospital.
The resident doctor looked around and was very surprised. "What surgery?"
The departments in the hospital were divided into groups. Each treatment group was led by a chief physician or associate chief physician, and they were responsible for one or more patients.
It was the same during resuscitation. The doctors that a patient came into contact with were usually from the same treatment group.
The division of medical interns was not very strict, but Ling Ran was following Department Director Huo today. If he wanted to perform surgeries, he would naturally be in Huo Congjun's treatment group.
The plain and ugly resident doctor only saw Department Director Huo busying himself with the critically ill patient.
He could not help but purse his lips and think, 'It's already good enough that he can run errands for this kind of rescue. How can he perform surgery?'
The patient went into shock, which meant that the patient's classification changed from Level 2 critical to Level 1 critical.
Patients who were in critical condition were the most troublesome existences in the emergency room. Even ordinary attending physicians might not be able to participate in the treatment.
To put it in a more westernized way, this was called raising a level.
Ling Ran left the sink, crossed his hands, returned to the resuscitation room, and put on latex gloves.
A serious operating theater was actually quite rare in the Emergency Department. Ling Ran's solemn expression as he raised his hands and wore gloves attracted many doctors' sidelong glances.
"What a young man." The plain and ugly resident doctor who returned to his post could not help but laugh out loud. "No matter how much Department Director Huo values him, it's impossible for him to test his skills on patients who are in critical condition. What is he thinking?"
"Young Ling has just started his internship. He'll understand in the future," Doctor Zhou said casually as he turned around to take a look.
"It's already good enough that Department Director Huo didn't kick him out. He's in shock due to blood loss, and we're going to perform an open laparotomy. Why is he still going up … What the f * ck! "
As he spoke, he began to shout.
"What the f * ck are you shouting for?" Doctor Zhou was shocked. He followed the other party's gaze and was also stunned.
He saw Ling Ran standing between the attending physician and Department Director Huo, and he directly extended his hand into the open wound on the patient's abdomen.
The doctors from the Emergency Department who saw this scene were all stunned.
'He actually dared to operate directly in a situation where there is no operative view? Is this a murder scene?'
Not to mention that he did not have any warning, even if he performed a normal surgery, he would not do this.
Huo Congjun's enraged figure instantly popped up in the plain and ugly resident doctor's mind. He felt the same way and shuddered. He said, "This is the most suicidal intern I've ever seen."
Although Doctor Zhou wanted to defend Ling Ran, he could not say a word.
Compared to the doctors who were watching, Huo Congjun was the most shocked.
From his interaction with Ling Ran over the past two days, he knew that Ling Ran was a careful and cautious young man. Even if his imagination was doubled, he would not have thought that Ling Ran would dare to suddenly extend his hand during a life-threatening emergency.
"Ling Ran … let go!" Huo Congjun could not reach out and pull it out. That would cause a second trauma to the patient.
"The patient's liver is bleeding under the capsule. The location is not good, and it's very difficult to suture. If we don't stop it soon, the blood loss will be too much." Ling Ran explained what he was doing and what he was doing with just one sentence.
He spoke so well that Huo Congjun and Zhao Leyi, the attending physician, had to look at the monitor.
"Department director, the bleeding has stopped." Zhao Leyi's expression was so incredulous.
Huo Congjun was even more shocked.
He knew that Ling Ran used barehanded bleeding control. This method was widely used in the Emergency Department, especially during on-site emergency treatment.
The most commonly used acupressure method was to press on the artery on the same side of the face when the patient was bleeding from the head and face. If the patient was bleeding from the neck, he could press on the carotid artery on the same side. If the patient was bleeding from the upper arm, pressing on the axillary artery was also very useful.
However, if Ling Ran was right, how did he determine the location of the hepatic capsule hemorrhage? And how did he press on it?
In Huo Congjun's impression, barehanded bleeding control was very rare even in military hospitals.
How could medical interns do it without the corresponding practical experience?
How could he be so bold?
"Department director?" Zhao Leyi urged him.
Time waited for no man, and the patient's condition could change at any moment.
Huo Congjun looked at Ling Ran deeply and checked the numbers for a few seconds again. Finally, he nodded and said, "Ling Ran, get on the gurney. Don't touch the patient. Young Zhao and I will enter the operating theater. "
Barehanded bleeding control could only temporarily control the massive bleeding. They still had to carry out the surgery next.
Two resident doctors were called over. Under Huo Congjun's command, they put Ling Ran on the gurney.
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