Second Provincial Hospital, operating theater.
Everyone flew into the air.
The old chief of the orthopedics department, who was nearing retirement, had been squatting in the operating theater for nearly 24 hours. During this period, he only ate one meal and stood at the operating table the rest of the time.
There were so many injured that there was no end to them.
As the scrub nurses did it, their eyes turned red. One of them could not help but cry on the operating table.
As someone in the operating theater, what had they not seen before? No matter how tragic and sad the matter was, they could all look at it as an outsider.
But this time, they did not do it.
Chief Jing, on the other hand, remained silent. He stubbornly refused all requests for him to step down and rest, even requests from the medical administration division.
After amputations, another batch of patients was sent over. It was as if he had no end to his courage.
Chief Jing did not want to see what was going on in front. He was old and his legs were not convenient. If he had to go to the frontline, he would have to drag at least two to three people to take care of him.
He used his own way to make the most of his impact.
However …
There were simply too many amputations. The number of amputations he had performed in a lifetime was not as many as the number of amputations he had performed in 24 hours.
This was under the premise that most of the serious patients were sent to Huaxi for treatment.
In Chengdu, the Second Provincial Hospital's comprehensive medical strength was not ranked high. It was probably in the top five.
But even so, countless seriously injured people were still sent over.
Chief Jing had been enduring for nearly 24 hours, and his body was already exhausted. He did not say a single word about introducing boyfriends to the nurses as he usually did on the operating table.
The atmosphere in the entire operating theater was compressed, and the pressure was at least five times higher.
He carefully used all his energy on the patients. Those seriously injured people's limbs were smashed and crushed by heavy objects. They did not receive treatment in a short period of time and developed osteofascial compartment syndrome. The range of amputations was much larger than he had imagined.
He tried very hard to preserve as many limbs as possible for the injured, but he could not do it.
Osteofascial compartment syndrome was often caused by the hematoma and tissue edema of the traumatic fracture, which increased the volume of the compartment's contents or by the external bandage being too tight. Local compression caused the volume of the compartment to decrease, causing the pressure in the compartment to increase.
When the pressure reached a certain level (8.7kpa (65mmHg) in the forearm and 7.3kpa (55mmHg) in the calf), it could close the small arteries that supplied the muscles, forming a vicious cycle of ischemia-edema and ischemia.
This was a more common acute symptom in clinical practice.
Usually, it was enough to make an incision to reduce the pressure. There was no need for amputation at all.
However, in the face of a natural disaster, almost all of the injured did not receive treatment at the first moment. The situation was completely different from when they were singing and dancing. Most of the patients had heavy objects pressing on their limbs, and the huge pressure directly led to limb ischemia and necrosis.
The swollen surface gradually spread upward, and continued to spread. It led to ischemia and necrosis, and the osteofascial compartment syndrome continued to appear above the blackened limb.
The scope of amputation expanded. Many limbs that did not need to be amputated were amputated under Chief Jing's hands. He felt that he was committing a crime.
However, not doing so would inevitably lead to more and more complications, causing the injured to sink into even more troublesome infections and poisons.
Bearing tremendous pressure and self-blame, Department Director Jing performed one surgery after another in silence.
He knew that the operating theaters next door were arranged for orthopedic surgeries, and the rest were mainly neurosurgery surgeries.
On the other hand, there were not many patients in the General Surgery Department and Thoracic Department. Due to internal bleeding or pneumothorax, it was difficult for the seriously injured to last more than 48 hours.
A heavily injured middle-aged man was carried away. His right thigh had been amputated.
Under normal circumstances, the injured only needed to fix the fracture. At most, an incision could be made to reduce the pressure.
But now, one of his legs was going to be amputated …
"Next." Chief Jing's voice was completely hoarse. He squeezed out a voice with all his might. Even he could not tell what he had just said.
Another patient was sent to the operating table. Chief Jing used the interval to sit on a stool in the operating theater and closed his eyes to rest. The junior doctors under him were responsible for carrying the patient, disinfecting the operation, and other preparatory work.
There was a plastic bag tightly taped with medical tape on the patient's chest. The orthopedic doctor did not hesitate to remove the tape and throw the plastic bag into the red trash can.
The circulating nurse saw this scene. She had just slept for a few hours and was still very energetic.
Yes, she only slept for two or three hours the day before and spent the rest of the time working. It was already enough to make people collapse.
But in the current situation, she was the one with the most energy among them.
The circulating nurse realized that there might be something important in the plastic bag, such as the patient's identity, so that the patient's family could find it.
She used oval pliers to take the plastic bag out of the red trash can and opened it to take a look.
"This patient's limb edema is not serious, Chief. Sister Su, prepare … "The orthopedic doctor was interrupted by the circulating nurse halfway through his sentence.
"This is the medical record left by the frontline doctor," the circulating nurse said in a deep voice.
"What?" The orthopedic doctor did not understand. Frontline? Doctor? Medical record?
The frontline lacked everything. In some places, even water had to be airdropped. And the cost of airdropping purified water once was at least 100 yuan per bottle.
Even so, because of the weather, most of the water and food could not fall into the hands of the disaster victims. The frontline headquarters did not care about the cost and continued to airdrop.
They were so short of things, but there were still doctors who left medical records at the frontline?
Chief Jing's eyes suddenly opened. He reached out and said, "Let me take a look."
A tissue was handed to Chief Jing's hand. The entire paper was wet. It was very, very heavy in his hand.
He looked at the messy handwriting on it, and his nose turned sour.
What kind of difficult medical treatment was carried out under …
Although he did not experience it personally, Chief Jing could imagine it.
After reading for nearly three minutes, Chief Jing was silent and did not say a word. The hand that was carefully holding the tissue trembled slightly, and the trembling became more and more intense.
"Chief?" The circulating nurse only took a glance and handed the tissue to Chief Jing. She saw that Chief Jing's situation was not right, so she immediately asked.
Chief Jing did not say anything. He used his big hand to randomly wipe his face. After his emotions calmed down a little, he said, "This patient had an embolectomy at the frontline six hours ago."
"…" The circulating nurse was stunned.
"…" The orthopedic doctor who was disinfecting was also stunned.
With the conditions at the frontline, how could they perform embolectomy?
The difficulty of removing the embolectomy for severe trauma was many times more difficult than removing the embolectomy for ordinary cardiovascular and cerebrovascular diseases.
Because the original normal physiological anatomical structure was destroyed, there were many and dense emboli, and it was very difficult to remove.
This kind of surgery was rarely performed in the Secondary Provincial Hospital. There was actually someone at the frontline who did it?
。 m.
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