Chapter 331
Words:2068Update:22/06/27 09:05:59
The ambulance was a simple mobile first-aid station.
There were not many things that could be done in an ambulance.
Zheng Ren placed a simple closed thoracic drainage on the patient to ensure that her breathing was smooth and she would not die from a pneumothorax. He also used a sputum suction tube to suck the blood out of the upper airway to prevent clotting and clogging the airway.
The most he could do was press down on the incision on Yang Lili's chest and abdomen to prevent bleeding.
Faster, faster!
Zheng Ren knocked on the partition three to five times, urging the driver to hurry up.
In fact, Sea City General Hospital was not far from Ninth Elementary School, but the thick stench of blood on the ambulance made him anxious.
Normally, the ambulance would not be able to fly even if it blared its siren to the max.
However, there was a traffic police car in front of them today. Different sirens mixed together, and the traffic flow between Sea City General Hospital and No.9 Elementary School was much slower. Everyone did not know what was going on, so they unanimously gave way to the police car.
Even at the traffic lights, there would be private cars taking the initiative to give way to the police and ambulances … to let them pass.
In the ambulance, Zheng Ren calmed down when he saw the alarming numbers on the monitor and the undetectable blood pressure.
He removed his blood-stained gloves and picked up his phone.
"This is Zheng Ren. Prepare for emergency surgery."
"Yes, we haven't done any preoperative preparations."
"We have a blood sample. Send someone to deliver it to hasten the bleeding."
"Call the cardiothoracic surgery department for a consultation. Prepare two surgeries."
"Ask Yanran to prepare a double-lumen catheter."
After hanging up, Zheng Ren's brows furrowed. Yang Lili's breathing was extremely weak with intermittent deep breaths.
The so-called deep breath, in the words of the common people, was the "exhaling" of the dying person before he died.
She was not in a good state. Her blood pressure was still undetectable even after the sugar and saline solution was injected.
The police car and ambulance rushed to the emergency department of Sea City General Hospital.
Due to the vicious campus attack, Sea City General Hospital was on high alert. Director Xiao hurried over with a group of people. Old Chief Physician Pan stood by the ambulance lane with his hands behind his back. He did not engage in conversation with the hospital leaders as he prepared a rescue plan in his mind.
Despite Zheng Ren's presence, Old Chief Physician Pan did not slack off.
The more thorough the rescue plan was, the more likely it was that they would be able to make up for the mistakes and complete the rescue as soon as possible.
Police cars and ambulances arrived at the scene.
The high-pitched, blood-pressure-inducing sirens interrupted Old Chief Physician Pan's train of thought.
There were police cars clearing the way? The front and side of the ambulance were damaged? Old Chief Physician Pan was puzzled, but he had no time to figure out what was going on.
The police car did not enter the emergency lane. The ambulance slowed down slightly and stopped steadily in the emergency lane.
The back door opened and a stretcher trolley was pushed in. Yang Lili was placed on the stretcher trolley and Zheng Ren ran toward the operating theater.
Because the city attached great importance to it, more people from the government agencies came.
Some people were used to going up to him to show that they were more important.
He blocked the stretcher trolley's path and was pushed away by Zheng Ren. Zheng Ren did not even see who he had pushed away.
The elevator was already guarded. A trail of dark red blood dripped onto the marble floor of the emergency building of Sea City General Hospital like a trail of blooming flowers.
The first-aid nurse handed over a few tubes of blood samples to the doctor. The doctor quickly ran to the blood transfusion department. The rest of the blood samples were prepared to be sent to the emergency laboratory.
Although it was an emergency treatment, it was extremely urgent. There were many procedures that could not be skipped, such as testing for infectious diseases such as AIDS and syphilis.
Two years ago, National Taiwan University Affiliated Hospital had overlooked a certain point due to the urgency of the situation, resulting in all organ transplant patients being infected with AIDS.
The necessary procedures had to be followed. What could be omitted had to be omitted.
Zheng Ren pulled the stretcher trolley and ran all the way to the operating theater on the third floor.
Su Yun, Yang Lei, Xie Yiren, Chu Yanran, Chu Yanzhi, and the operating theater matron were already waiting. The operating theater door was open, which was rare.
Only the faint sound of the stretcher trolley's wheels on the marble floor could be heard.
The stretcher trolley entered the operating theater. Zheng Ren went straight to the changing room to change his clothes and prepare for the emergency surgery.
This time was completely different from the time in Imperial Capital.
Previously, when Fang Lin was injured, he was treated immediately. But this time, the ambulance had to drive there and back, and the prime time for emergency treatment was delayed on the road.
Zheng Ren was not sure if he could save her.
He had to save her even if he was not sure!
She …
Protected the children with her body.
He …
He had to work harder to protect her.
Zheng Ren changed his clothes as fast as he could and strode to the operating theater while putting on a hat and mask.
When he reached the operating theater, the patient had already been carried to the operating table.
The patient was slightly lower on the operating table. Su Yun had obviously realized that there might be two operating theaters at the same time and was prepared in advance.
Su Yun was performing closed thoracic drainage on the patient. He did not choose the second intercostal midline of the clavicle, but the sixth and seventh intercostal midline of the armpit.
The advantage of the former was that it could draw out the gas while the latter could draw out the blood. Zheng Ren did not dare to draw a large amount of blood in the ambulance. Hundreds of milliliters of blood would cause negative pressure in the patient's chest and cause more blood to be lost.
In the operating theater, it was different.
"What do we do?" Su Yun asked.
"Where's the person in the thoracic surgery?" Zheng Ren frowned and began to scrub in.
"I'll be there soon."
"Open the chest and abdomen. Position … 45 degrees to the right," Zheng Ren said.
The general surgery department needed a supine position. The thoracic surgery department needed a lateral position.
If the two departments were to do it together, everyone would be more accommodating and choose a position in the middle. Although the field of vision was limited, it saved time.
Su Yun did not say anything. After suturing the closed thoracic drainage, he began to adjust the position.
"Double-lumen tube." Zheng Ren finished scrubbing in and went to the operating table.
"Got it," Chu Yanzhi said.
Chu Yanran was fixing the tracheal intubation and adjusting the parameters of the ventilator.
She passed him the oval forceps and curved plate. Zheng Ren picked up a large amount of iodophor gauze and began disinfecting.
After disinfection, he scrubbed in and put on a sterile surgical gown. At that moment, the thoracic surgery department's leaders rushed over.
"How's the situation?" Old Chief Physician Pan asked from behind Zheng Ren.
"It's not looking good." Zheng Ren reached out and the handle of the scalpel landed in his hand.
"Do we need a combined incision?"
"Lung rupture. I'm guessing an artery rupture. We need to deal with it. The abdomen has a ruptured intestine and superior mesenteric artery. We don't know how much intestine we'll need to remove. "The scalpel skipped the blunt dissection step and went straight to the peritoneum.
The peritoneum was protected and the peritoneum was opened. A suction device was used to draw out the slightly colder dark red bloody fluid.
Old Chief Physician Pan immediately picked up the phone and left the operating theater to rush the blood.
A steady flow of blood was the patient's best hope for survival.
"What's the condition of the chest? Do you have a chest CT scan? "the thoracic department chief asked.
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