Chapter 46 Dangerous Surgery
The mobile phone displayed: "Director Tian’s phone number!"
After answering the call, Song Zimo shrugged: "They couldn't stand it anymore. They fought and injured more than ten people. The minor ones were admitted by the orthopedics on duty. The two serious ones went through the procedures of the trauma emergency center and were immediately rescued and operated on."
"Didn't you just say hold on? It's too fast. Director Tian can't do it. He needs to replenish his kidneys." Zhang Lin said.
We couldn't eat the hot pot anymore. Everyone looked at each other in shock. Zhang Lin used the chopsticks in his hand and suddenly put a handful of mutton into the pot without even touching the seasoning. He blew a few breaths and stuffed it into his mouth. His mouth was so hot that he exhaled.
"Let's go!" Yang Ping said, first aid time is the most precious.
Xiao Wu told the waiter: "Keep it, keep it, wait until we come back."
Song Zimo scanned WeChat to pay the bill. He opened the restaurant even if he didn't eat. If he left like this, people would think he was having a Bawang meal.
Zhang Lin didn't put his chopsticks away until Xiao Wu pulled him, and was stuffing mutton into his mouth.
The fire in the hot pot was not turned off, and no one wanted to reserve a table. A few people said hello, left in a hurry, and rushed to the hospital. They arrived at the emergency department in a few minutes.
There were many police officers in the emergency department hall, and Yang Ping and several others swiped their cards to enter the emergency room.
The emergency room is closed, and you need to swipe your card to enter. There are also several police officers in the emergency room.
The doctors and nurses were busy without touching the ground and were skilled in rescue techniques.
Director Tian Fang Yan was still in the emergency room. When he saw friendly reinforcements arriving, he immediately came up to him and said, "We need surgery on two of the more serious ones. One of them had dozens of cuts, and the blood vessels and nerves in his limbs were severed. He was stabbed in the back." The most serious one was a stabbing into the spinal canal, and the spinal cord was probably damaged. There was also a injury to the left groin from a wine bottle, the femoral artery was broken, and the glass was left. The preoperative examination was completed, and the results were not ready to be sent out immediately. In the operating room, I will take Fang Yan to do the spinal surgery. How about you doing the femoral artery rupture?”
Director Tian is unhurried and has the demeanor of a general.
This arrangement is more reasonable. The deputy chief physician can only perform surgery on the spine. Yang Ping currently does not have the authority to perform surgery. Besides, he has not yet dealt with the spine and will not do it.
"No problem, let's do it like this." Yang Ping was decisive, and it was pointless to argue at this time.
Yang Ping wanted to see the patient, but just as they were talking, the patient was pushed away.
This speed was fast enough, and several people rushed to the operating room immediately.
Song Zimo opened the locker in the dressing room, took out a bag, and threw it to Xiao Wu: "Open it and give it to everyone."
Xiaowu took a look and saw that it was all chocolate.
"The German sports chocolate is high in calories and is a must-have for emergency surgery," Song Zimo said.
"Thank you, Mr. Song!" Xiao Wu handed out a few pieces of chocolate to each person.
Yang Ping quickly finished the chocolate and changed his clothes.
As soon as he entered the door of the operating room, the circulating nurse came over and said: "The laboratory department just called. This patient tested positive for HIV. The paper report will be sent immediately. Please pay attention to protection. I will prepare the space suit."
The initial HIV test is positive, which means AIDS is suspected. This operation is a bit stressful.
Xiaowu used the computer in the operating room to call up the patient's test report. Yes, the preliminary HIV test was positive.
This is really a highly dangerous operation. Generally, surgeries for patients like this are performed by the Eighth Hospital of the City. However, the Eighth Hospital of the City is an infectious disease hospital. Its infectious disease department is strong, but other departments, especially the surgery department, are weak.
This kind of emergency or some major surgeries cannot be done by infectious disease hospitals and can only be done by general hospitals.
The anesthesiologist had already put on an eye mask, a visor, and two layers of gloves. The visor was anti-fog, but there was still moisture on it.
Fortunately, the anesthesiologist was experienced enough, and tracheal intubation under general anesthesia was successful.
The circulating nurse prepared disposable sterile sheets, and Su Yixuan has also rushed over.
"The space suits are ready!" shouted the traveling nurse.
A space suit is a special surgical suit with a hood that seals the entire person inside to prevent blood from splashing during surgery.
"Everyone, please be careful, cooperate more slowly, and wear double gloves." Yang Ping warned.
Xiaowu Zhang Lin wanted to go on stage, but Song Zimo stopped them: "The two of us are enough. If there are too many people, it is easy to accidentally hurt!" In rescue operations for AIDS patients, protection must be in place. It is not discrimination or dislike, but science and scientific protection. Ensure your own safety. Only by ensuring your own safety can you better save others.
Yang Ping washed his hands and started to put on surgical gown.
This surgical gown provides good protection, but the surgery is extremely inconvenient.
Especially the field of vision, through the protective shield, it is not clear to see things. It is even more inconvenient for doctors who wear glasses. Fortunately, Yang Ping does not wear glasses.
"When you open it, blood will spurt out. What are you going to do?" Song Zimo asked.
Tourniquet cannot be applied to this area. If it is an ordinary patient, it doesn't matter. Squirting some blood will not affect anything.
Yang Ping put on his gloves: "What do you think?"
"Open the abdomen, find the external iliac artery, block the blood supply, and then do the next step?" Song Zimo said.
Yang Ping gave a thumbs up. He was indeed a genius. If he hadn't met his cheating self, he would have been a shining star.
The method described by Song Zimo is the safest method. It not only reduces bleeding, but also allows you to find blood vessels calmly.
"Brother, do we want to go up?" Zhang Lin Xiaowu was eager to give it a try, but was worried.
To be honest, I'm a little worried, but as a doctor, I can't help it. This is my job.
Just like when a police officer encounters a gangster, others can escape, but the police officer cannot. This is the bottom line of the profession.
"You two brothers are so active. Come here and let's continue eating hot pot."
Song Zimo was a little angry. He asked no matter how many times he said he didn't need to use it.
Laying out the sheets and doing a simple pre-operative check, there was no delay at all.
Yang Ping made an incision in the lower abdomen, because when the system was tested at that time, he had performed hundreds of operations to find the external iliac artery, and he was already very skilled in the anatomy of the pelvic blood vessels and nerves.
Soon, in less than two minutes, the external iliac artery was found and clamped with a vascular clamp.
"Why are you so skilled?" Song Zimo asked while pulling the hook.
When Song Zimo was studying, he dissected more than a dozen corpses before acquiring proficient knowledge of anatomy.
It was impossible for Yang Ping to have the opportunity to dissect so many cadavers, but looking at his proficiency, it felt like he had performed hundreds of external iliac artery surgeries.
"Loosen the bindings below and disinfect again." Yang Ping ignored him and ordered decisively.
It is said that this towel was tied by the injured person himself. If it were not for this towel, this person would not have a chance to enter the operating room.
After releasing it, the bleeding stopped, and the two disinfected the wound again.
"Don't touch it, there's a lot of glass inside, be careful."
Yang Ping reminded Song Zimo.
The glass in the wound is the most dangerous. Sharp glass can easily puncture gloves and skin, and lead to HIV infection.
At this time, only instruments can be used instead of finger operations.
A large vascular forceps was slapped on Yang Ping's palm.
"Well, take out the big pieces. It won't be a big deal if you keep the broken glass." Song Zimo carefully pulled the hook.
Stretch out the vascular clamp and take it out.
A piece of glass, at least three centimeters long, is gently placed in the curved plate.
(End of chapter)