"Take a picture with the C-arm, then do an ultrasonography. Prepare to perform an exploratory laparotomy. I'll lie down for a while." Ling Ran did a simple physical examination and ordered.
He had Energy Serums to drink, but his muscles were sore, and he had to relax.
The surgeries on the ship were very different from the surgeries he performed in the hospital. Although the most dangerous surgeries he participated in were abdominal surgeries, the most labor-intensive ones were orthopedic surgeries. For Ling Ran, performing them for a day was more tiring than performing five hepatectomies in the hospital.
Ling Ran massaged his neck and found four small stools. He placed them against the wall and lay down on them. At first glance, he looked like a martial arts hero practicing martial arts in wuxia novels. He supported his body with four fulcrums, and he slept peacefully.
The young nurses on the ship could not bear to watch, but there was nothing they could do. The conditions on the ship were like this. The operating theater was smaller than the operating theaters in regular hospitals. Once the operating table and various machines occupied the space, there was no space left.
Zuo Cidian and the others could not do anything about it. They were not familiar with the ship, and they could not find a suitable place for Ling Ran. Besides, they did not have much time. Everyone was busy. Zuo Cidian ran a few rounds in and out of the operating theater. Lu Wenbin was purely used as a technical laborer. After entering the operating theater, he would only go out when it was time to wash his hands. When he was slightly free, Ling Ran would chase him to take a shower and change his clothes. For Lu Wenbin, it was extremely difficult.
However, when a new patient arrived, he could only endure it no matter how tired he was.
Although he was tired, the patient was waiting to be saved. Therefore, even if the responsibility was beyond his ability, as a doctor, he could only brace himself and endure it.
Zuo Cidian surrounded the operating table with lead plates and put on a lead crotch protector for the patient. At the same time, he connected the operating console and the monitor and shouted, "Doctor Ling, come and put on your clothes."
Ling Ran got up, put on the lead neckline and apron, and nodded. "I'm done."
The medical staff on the ship asked the nurse in the room to go out before he turned on the red warning light at the door of the operating theater. Then, he came back and reminded Ling Ran before he stepped on the discharge switch.
Ling Ran stood at a safer spot a little further away. He waited for the image on the monitor to appear and read it quickly.
If he had to choose, he would definitely prefer MRI scans. In terms of information, MRI scans provided much more information than X-rays. However, the huge size of the MRI machine meant that it could not be placed on the Yun Hua 893.
Proper, large-scale hospital ships did have MRI scans. The largest hospital ship in the United States, Mercy, had 1,000 beds and 12 operating theaters, which was even higher than the standard of ordinary tertiary Grade A hospitals in the country. But the conditions of Yun Hua 893 were limited, so they could only use whatever they had.
For Ling Ran, X-rays could provide a lot of information. With his Perfect Level X-ray Reading, Ling Ran nodded after he looked through the whole thing. "The bones are fine, but the fibula and rib fractures will be dealt with later. Let's deal with the abdominal problems first. Prepare more blood. Withdraw the C-arm. Ultrasound. "
The nurse immediately went to make a call. Lu Wenbin and the health workers started to deal with the lead baffles and other protective equipment. Zuo Cidian glanced at the anesthetist's operation and asked Ling Ran in a low voice, "Doctor Ling, is there not enough blood?"
They were prepared to deal with trauma patients in the operating theater, so they had prepared more blood, but Ling Ran still asked someone to get more …
Zuo Cidian looked at the patient's abdomen. If there was bleeding, it could only be in the abdomen. Bleeding in the abdomen was not strange for the vice-captain's injury, but it was definitely not good news.
Ling Ran hummed softly and said, "His performance in the physical examination is not good."
Zuo Cidian knew that Ling Ran's level of physical examination was very high, and he immediately felt worried.
He wanted to ask if it was dangerous, but he knew that it was useless to ask, so he could only force himself to hold it in.
The health workers on the ship prepared the ultrasound machine, put in the gel, shouted, and started operating it.
On the screen, the black and white internal organs were faintly visible.
"Spleen contusion, liver contusion, kidney contusion, blood coagulation …" Ling Ran read the information inside as he looked at it. Lu Wenbin and Zuo Cidian did not have much practice in this area, so it was better for Ling Ran to explain it.
Zuo Cidian's expression darkened.
It was not always a happy thing when his premonition was verified.
"Go and see what Department Director Huo is doing. If he's not busy, ask him to come over." Ling Ran made preparations, but he still ordered, "You have to explain the situation clearly. I can handle the liver and spleen, but it's best to let Department Director Huo handle the kidney. " “
Zuo Cidian then realized that Ling Ran had never performed kidney surgery before.
In fact, in normal local hospitals, doctors nowadays were becoming more and more specialized. Doctors from the Department of Cardiovascular Surgery only cared about the heart, doctors from the Department of Hepatobiliary and Pancreatic Surgery only cared about the liver, and doctors from the Department of Digestive Surgery only cared about the esophagus and gastrointestinal tract. The kidney belonged to the urinary system. In a hospital like Yun Hua, other departments were usually not allowed to touch it.
Of course, the Emergency Department would often deal with organ injuries on the spot. But even so, with the current training model, when young doctors encountered substantial organ injuries, they would mainly refer them to other departments or call for reinforcements. Even for Huo Congjun, the only organs that he could be certain of doing well were the spleen and gallbladder. He would only remove an appendix. Similarly, he would not touch other organs.
However, with the current conditions on the ship, Department Director Huo was already the most reliable one.
When Zuo Cidian thought of this, he could not help but think deeper.
If Department Director Huo's patient was in a critical moment, would he ask Ling Ran to give up on the patient who was too critical? Maybe he would not ask to give up directly, but not participating in the resuscitation would affect the patient.
Zuo Cidian took a deep breath and said, "Doctor Ling, I'll go."
"Are you going?" Ling Ran looked at Zuo Cidian and did not object to it. He nodded and said, "Then go and come back soon."
"Okay." Zuo Cidian immediately turned and left.
"Let's open the abdomen." Ling Ran's voice came from behind him.
Zuo Cidian could not help but speed up, and he kept simulating the conversation with Huo Congjun in his mind.
All the doctors in Yun Hua Hospital had a certain psychological trauma when it came to Old Huo.
It was even more so for a young doctor like Zuo Cidian. Sometimes, Zuo Cidian even thought that if everyone was scolded by Huo Congjun every day, it would become a conditioned reflex in the future.
* Shick. *
Zuo Cidian stepped open the door of Operating Theater 2.
Huo Congjun turned his head with a bloody face and asked in a bad temper, "What are you doing?"
"Um …" Zuo Cidian had a lot to say, but he could not say it all at once when he looked at the patient on Operating Table 2. After a pause of one or two seconds, Zuo Cidian said, "The patient in Operating Theater 1 has a kidney contusion. Doctor Ling, please consult him."
Huo Congjun hummed in acknowledgment and said, "Go and find Doctor Zhao. Let him replace me."
"Oh … okay." Zuo Cidian did not expect such an answer. He quickly went to the consultation room to find Zhao Leyi.
Zhao Leyi was consulting a patient with a fracture. When he heard Zuo Cidian's words, he immediately stood up and handed the patient in his hands to Zuo Cidian.
Zuo Cidian felt guilty and wanted to decline. As a resident doctor, his ability to handle patients independently was far less than Lu Wenbin's.
"It's just a Colles' fracture. If you really can't handle it, just protect him and send him away." Zhao Leyi patted Zuo Cidian's shoulder and did not give him time to bargain.
Zuo Cidian wanted to say something, but when he heard the word Colles' fracture, he stopped.
When he turned around, the patient was staring at him with wide eyes.
This was an old fisherman in his forties or fifties. He was thin and had dark skin. He was a man of few words, but his eyes were deep. His arm was clearly in pain, but he seemed to be enduring the pain.
Zuo Cidian heaved a long sigh. "I'll deal with your fracture."
…
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