In the resuscitation hall of the Emergency Medical Center, the resident doctors were in a mess.
In terms of experience, the resident doctors in the Emergency Medical Center of Yun Hua Hospital had a lot of experience.
Regardless of whether they had studied in medical school for five years or ten years, after graduation, they had to go through internships, housemanship, and residency. It would take at least three to six years.
In other industries, people who had worked for four to five years after graduation would dare to say that they had achieved a certain level of success, and most of them still studied unrelated majors in university.
The fault tolerance rate in the medical industry was too low. Even if a car was smashed into pieces by a car accident, regardless of whether it was a Bentley or a Jetta, the parts that should be scrapped would be scrapped, and the parts that should be replaced would be replaced. However, the patients must be resuscitated.
If it were a normal car accident or an emergency, the resident doctors in the Emergency Medical Center of Yun Hua Hospital would not be afraid. The most senior resident doctor here, Zheng Pei, had been a resident doctor for more than four years. When he encountered a critical patient, he could stabilize the patient's vital signs and transfer them to a professional consultation room.
However, sending three ambulances to deliver four patients in one go was slightly beyond their ability to handle the situation.
In fact, if there were more patients, Zheng Pei could directly summon Department Director Huo, and the problem would be solved.
If there were fewer patients, he would not have to worry. He could just focus on his work.
Four patients, one in critical condition, one in critical condition, and the other two with serious injuries, happened to be the most stressful for the current Emergency Medical Center.
In this situation, the department director could not be summoned.
At night, the hospital's department director was equivalent to a spirit sword. When the spirit sword was unsheathed, blood would be shed. For an Emergency Medical Center's department director like Huo Congjun, when he came to the resuscitation room and saw that the number and quality of patients were not enough, he would turn around and eat the person who summoned him.
Forget about the department director, Zheng Pei did not even dare to summon a third-string doctor. Associate chief physicians were not dogs. They also had family lives to live. Only when the situation was so urgent that the attending physicians could not handle it, would they rush over at night.
The hospital could not do anything about it. Nowadays, hospitals no longer talked about eight-hour working hours, five-day working days, or annual leave. However, Ling Ran was the only one who wanted a doctor to work 24 hours.
When Ling Ran appeared in the resuscitation room, the panicked resident doctors immediately calmed down.
Ling Ran was a doctor who led an independent group. Theoretically, he could be a third-string doctor.
When he arrived, not only did he bring with him human resources and technical resources, but he also brought responsibility and resources. The current person in charge of the Emergency Medical Center was undoubtedly Ling Ran.
"Doctor Ling." Zheng Pei, who had thick eyebrows and big eyes, quickly walked to Ling Ran's side, greeted him, and said, "You can give us orders. We'll listen to you."
If Ling Ran did not come, Zheng Pei would be the person in charge of the resuscitation room. For a senior resident doctor like Zheng Pei, he would be extremely busy when he encountered a patient with chest pain during his night shift. He could handle four patients with severe chest pain in one go, and it would be even better if he had a backbone.
"What's the situation now?" Ling Ran never thought of shirking responsibility.
Based on his life experience, it was meaningless to shirk responsibility in advance, and it was not in line with his mentality.
Zheng Pei did not have much contact with Ling Ran. When he saw that Ling Ran was willing to take responsibility, he felt at ease. He quickly reported, "Four people. One of them is in a critical condition and is in a coma. He has an open wound on his abdomen. One of them is in a critical condition but is still conscious. He is bleeding profusely. Another one has a broken leg and is injured in many parts of his body. The lightest symptom was an arm fracture … "
"Inform the Orthopedics Department, General Surgery Department, Neurosurgery Department, and Cardiothoracic Department to come over …"
"I've already informed them of the consultation," Zheng Pei said.
"Okay, I'll assign tasks later. Everyone, dress neatly." As Ling Ran spoke, he put on his clothes with the nurse's help. He then put on a pair of goggles, a mask, and a pair of gloves.
The resident doctors in the resuscitation room were originally staring at Ling Ran. When they saw him going through the procedure, they also followed suit.
"Put on a pair of gloves." Ling Ran checked everyone's clothes one by one. He walked in front of a resident doctor and reminded him.
"It's inconvenient to put on a pair of gloves …" the resident doctor muttered.
Ling Ran said calmly, "We don't have time to do the five infectious tests, so we don't know if the patient is an HIV carrier or a hepatitis patient …"
"It won't be so coincidental …" the resident doctor muttered in a low voice.
"Give him another pair of gloves." Ling Ran did not argue. He only gave the resident doctor a reminder.
The supervisor nurse on duty, Nurse Liu, quickly brought a pair of rubber gloves over. She then glared at the resident doctor and said, "It's for your own good. Put it on."
The young resident doctor was a little embarrassed. He could not help but say, "Even Doctor Zhao doesn't have such a request."
This time, no one paid attention to him.
The young resident doctor looked left and right. He hesitated for a few seconds before he put on the second pair of gloves.
The relationship between superiors and subordinates in the hospital tended to be strict. It was not the typical relationship between colleagues in ordinary units. This was because senior doctors could always occupy the high ground in terms of skills.
When faced with a sudden emergency patient, it was right to wear a pair of gloves, but it was even more correct to wear a pair of gloves. The young resident doctor could not continue to be stubborn on this issue to prove his attitude. He could not resist senior doctors with simple orders, and it was even more impossible to resist difficult orders. Occasionally, orders to buy instant noodles and cigarettes became difficult to resist.
"He'll arrive in thirty seconds." The nurse at the reception desk received the last call. She quickly stood up and was ready to help.
The Emergency Department at night was not like the Emergency Department during the day. It was not very realistic to ask everyone to perform their own duties. When there was nothing to do, they would sleep. When there was something to do, they would have to work together.
Ling Ran stood at the front of the reception door with his hands in front of his chest. It was as if he was going to the operating theater.
In fact, emergency resuscitation had always been extremely dangerous surgeries.
Compared with ordinary surgeries, emergency surgeries were urgent in terms of time requirements and preparation time.
If it was a major surgery like hepatectomy, if it was carried out in the Department of Hepatobiliary and Pancreatic Surgery, it was normal for preoperative examinations to be done for one to two days, or even three to four days. Patients with many underlying diseases might need to be consulted by the Department of Internal Medicine to adjust their blood pressure, blood sugar, liver function, and other indicators before surgery.
In the Emergency Department, if they encountered a patient with liver rupture, if they could not do it themselves, they would ask the Department of Hepatobiliary and Pancreatic Surgery or the General Surgery Department to come over and do it. There was no such thing as adjusting blood sugar or liver function.
Similarly, it was impossible to know the condition of the liver as well as it was for elective surgery.
For any department, a Level 1 or Level 2 emergency patient was a rather dangerous patient. This was also the reason why the specialized departments in weaker hospitals tended to transfer the patients to the higher-level hospitals.
The Department of Hepatobiliary and Pancreatic Surgery was also a hospital like the First People's Hospital of Wuxin City. They would only choose patients with good conditions and a simple course of disease. If they suddenly encountered an emergency hepatectomy, they would not dare to accept it.
Similarly, the Emergency Department of the First People's Hospital of Wuxin City would not dare to accept patients with liver rupture. This showed that it was difficult for the Emergency Department to develop without the support of a large number of specialized departments.
The Emergency Medical Center of Yun Hua Emergency Medical Center relied on the many specialized departments in Yun Hua Hospital.
The ambulance stopped.
Two people quickly rushed up and helped to carry the patient down.
Ling Ran listened to the paramedics' report while he quickly performed a physical examination.
The Master Level Physical Examination was very useful when he got his hands on it.
"Spleen rupture, liver rupture, suspected hemorrhagic shock. Send him directly to the operating theater, rehydrate, CT scan …" Ling Ran made a judgment when he received the first patient.
For such a patient, splenectomy and hepatectomy were the first choice.
Zheng Pei said, "Should we transfer him to the General Surgery Department or the Department of Hepatobiliary and Pancreatic Surgery?"
According to the division of departments in Yun Hua Hospital, the spleen belonged to the General Surgery Department, and the liver belonged to the Department of Hepatobiliary and Pancreatic Surgery.
Ling Ran shook his head without hesitation and said, "I'll do it."
Zheng Pei was stunned. He looked at the lights of the ambulance and thought about how to transfer the patient to another department. He suddenly realized that Ling Ran had long surpassed the Department of Hepatobiliary and Pancreatic Surgery when it came to hepatectomy.
"Oh, okay …" Zheng Pei hesitated for a moment and said, "I can be the assistant for splenectomy, but not for hepatectomy …"
This was not the time to fight for surgeries, especially for surgeries like hepatectomy. If they did not handle it well, the patient would die. If Zheng Pei directly went to the operating table to be the first assistant, he would end up being scolded by others during the discussion of death.
Ling Ran hummed in acknowledgment and said, "Zuo Cidian is suturing the skin upstairs. Send someone to inform him."
"Okay." Zheng Pei quickly agreed. He did not need Ling Ran's orders and quickly arranged various examinations.
At this time, the second patient was also pushed down.
Ling Ran quickly changed into a pair of gloves and went forward to quickly perform a physical examination. He said, "Spleen rupture, testicular rupture. Call the Department of Urology for consultation and send him to the operating theater."
After a short pause, Ling Ran added, "I'll handle the spleen and testicular rupture. Zheng Pei, you take this one and stabilize the patient's condition first."
The men in the operating theater felt a chill in their crotch. Then, they realized that Ling Ran had actually taken care of two serious patients.
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