Chapter 92 Urgent emergency
Director Miao, Director Wu of the Emergency Department, and selected key doctors and nurses all lined up and waited at the emergency door.
The surgical outpatient clinic has also been suspended, and all patients have been diverted to the traditional Chinese medicine hospital. There is a dedicated person responsible for guiding patients to the traditional Chinese medicine hospital for treatment.
Director Dong was waiting with County Magistrate Wu in the emergency room. Directors were scattered around making calls, allocating their respective resources, and fully cooperating with the rescue.
County Magistrate Wu was very anxious. He walked back and forth and asked several times: "Where are the wounded?"
"It's almost time. We've sent a police car to clear the way and escort them to the entrance of the hospital. They should be there soon." The police chief explained.
“Where is the medical team in the provincial capital?”
"It's fast. It will take more than ten minutes, and there will be police cars escorting us," the police chief said.
"We have sufficient stocks of various blood types. We have sent many to the hospital's blood transfusion department. Our blood delivery vehicles are all in place, and support from neighboring counties is on the way." The blood station reported.
"Emergency medicine?" County Magistrate Wu has experience.
"Hospitals in the county support rescue operations. Each hospital has set up a dedicated line to receive personnel and medicine deployment at any time. Neighboring counties have also negotiated and provided support at any time." the health director replied.
"Very good." There are no more loopholes. County Magistrate Wu visits the emergency room door from time to time.
The police car drove past the emergency door with its siren honking, and then the ambulance arrived. The back door opened, and a stretcher was lifted out of the car.
The folding legs of the stretcher opened and turned into a flat cart. The flat cart was covered in dark red blood and was sticky. The person on it was also bloody. He was lying on his side, curled up, and his torn clothes were covered in blood. Soaked.
A wooden stake as thick as a bowl passed through the junction of the chest and abdomen, completely penetrating the body. It entered from the front and came out from the back. The sections of the front and rear wooden stakes were stained with a lot of blood. The sections were left by the rescuers who sawed the wood.
The scene was extremely bloody and horrifying. If a doctor hadn't been used to seeing blood and life and death, he would have found it difficult to adapt to this scene and would never forget it.
Director Miao and Director Wu led the doctors to meet him immediately and ran with the cart, grunting, the sound of the cart grinding against the ground, rushing and racing against time.
County Magistrate Wu and Dean Dong also came up.
The directors saw the flat cart pushing patients in and ran after them while making phone calls.
Dean Dong had a clinical background, so there was no problem. When County Magistrate Wu saw this scene, he immediately put his hand on his forehead and felt dizzy.
"Ask Magistrate Wu to go into the office and rest." Dean Dong said to his secretary.
County Magistrate Wu waved his hand: "It's okay, you can hold on." Then he put down the hand that was stroking his forehead.
Without delaying for a second, the flat car was pushed to the red zone of the emergency department. The emergency management of Shipo People's Hospital was very standardized, and the red, yellow and green zones were clearly divided.
The red zone is for first- and second-level patients, that is, endangered and critical patients, the yellow zone is for acute patients, and the green zone is for non-emergency patients.
The purpose of such zoning is to focus and prioritize the allocation of medical resources.
There are doctors and ambulance doctors who explain the condition, and other doctors and nurses change fluids, count pulses, check urine output, puncture and draw blood, attach arm cuffs to measure blood pressure, and connect ECG monitoring leads.
Shipo People's Hospital deserves to be the strongest hospital in this area. Every doctor and nurse is well-trained, not panicked, not stunned, not delayed, and cooperates skillfully with each other.
"Quick! Draw blood immediately, match the blood, and send it directly to the operating room!" Director Miao commanded decisively. He had directed many traffic accidents and was more experienced than the director of the emergency department, but he was also deeply shocked by this shocking incident.
"Can't draw blood!" The nurse punctured several times but failed. The blood pressure was too low and the veins were not full and flat, so naturally no blood could be drawn.
Drawing directly from the intravenous infusion channel, just after the fluid has been infused, will cause some tests to be inaccurate.
If puncture doesn't work, just venous incision!
The nurse brought the phlebotomy bag up and opened it. The doctor put on sterile gloves. In just two minutes, a small incision was made in the skin of the great saphenous vein of the medial ankle. The great saphenous vein was picked out, punctured and fixed under direct vision. Puncture the needle and suture the skin.
Draw blood and cross-match blood.
A middle-aged man who had just followed the ambulance down was not wearing a white coat. He had been following the flat car among the crowd and stood beside him: "Take pillows to fill the gap between the front and rear wooden piles and the flat car to reduce the gravity of the fall. .”
who is he? Everyone looked at him, he must be a friend of the injured person, and they didn't ask any more questions. They didn't have time to ask more questions. They felt that he was right. Everyone had little experience with this special kind of injured people, so it was inevitable that the details were not in place.
Get two pillows immediately.
"I'll do it!" The man's technique was extremely skillful. He gently stuffed it in and slightly held up the wooden pile. This could reduce the bumps during operation; it could also reduce the gravity drop, which would cause oppression below and emptiness above. Bleeding easily.
"Thank you!" The ambulance doctor shook hands with him just now. If he hadn't been at the scene to direct the rescue, the rescue wouldn't have been so professional.
"It's okay! I just know a little bit about first aid." The man was very modest.
Having arrived at the hospital, all that was left was the operation. The man did not make any further trouble. He sat on the plastic chair in the emergency department to rest, and did not leave to see if there was anything else he could do to help.
Everyone is very busy and urgent, and they all want to rescue him. No one cares who he is.
Finished drawing blood!
"Send to the operating room! Emergency surgery!" Director Miao ordered.
After just a few minutes in the red zone of the emergency department, "Hurry! Hurry! Hurry!", grunted, and the flat car was immediately pushed to the operating room. The directors of general surgery and thoracic surgery were already on standby in the operating room.
Watching the flat car leave, Director Miao took out his mobile phone, sweat on his forehead and anxious. "Professor Tian, the patient with a penetrating thoracoabdominal injury has arrived. It is very serious. We have sent the patient to the operating room for preoperative preparation!"
"Okay, we'll be there soon. In a few minutes, we can see the hospital building!"
Director Miao, Director Dong, County Magistrate Wu, and several directors went to the entrance of the emergency department to wait.
The siren wailed, the police car appeared, and then the bus carrying the medical team appeared and parked in the parking lot under the steps of the emergency room door. The door of the bus opened, and Director Tian jumped out first.
Director Miao, Dean Dong, and County Magistrate Wu immediately came forward to greet him.
"Professor Tian, you came just in time!" Director Miao walked too fast, and Dean Dong and County Magistrate Wu failed to keep up. Magistrate Wu almost fell down when he went down the steps, but fortunately the secretary caught him in time.
"The first injured person, who suffered a penetrating tree injury in the chest and abdomen, has been sent to the operating room. The other seven are on the way and will arrive soon." Director Miao briefly introduced the situation.
Everyone got off the bus one by one and lined up consciously in the open space nearby. Sanbo Hospital usually has emergency first aid training for major incidents, and this time the queue came in handy.
The female colleagues who had shawl hair had already tied it up in the car; those who had rings, necklaces, and earrings had all taken off; Fatty Liang did not go to smoke after getting off the car.
Director Tian quickly arranged: "Yang Ping, Song Zimo, Su Yixuan, Liang Jing, Zhang Lin, and Xiao Wu will follow me to the operating room to rescue those with penetrating thoracoabdominal injuries. The rest are on standby in the emergency department and will be dispatched by Shipo People's Hospital. Among the remaining colleagues, who has the highest professional title? Raise your hand! ”
Chen Xiaoqiao from the Department of Obstetrics and Gynecology and Wang Hansheng from the Department of Urology raised their hands.
"Director Wang, I will go to the operating room right away. The rest of my colleagues will be under your command. If you go to the operating room later, you will be under the command of Director Chen. Everyone is familiar with the procedures. Anyway, a commander with the highest professional title will be elected here. , all actions follow the command!”
"Understood!" The reply was loud and neat.
After a brief explanation, Tian Yuan turned back to Director Miao and said, "This unit will be under your command. Let's go to the operating room as soon as possible."
In an emergency situation, there was no need for small talk, and all unnecessary things were dispensed with. Director Miao immediately accompanied Tian Yuan and his party to the operating room.
The introduction of County Magistrate Wu and Director Yibo was omitted. It was either unnecessary or simply forgotten.
Go to the operating room, change clothes, wear a mask and hat, and quickly enter the operating room without delay.
The patient lies on his side on the operating bed, and Dr. Tao supports the patient.
This position of the wounded is difficult to assume and can only be done in the side-lying position.
This side-lying position is difficult to maintain stability, the surgical field of view is extremely poor, and it is also difficult for the anesthesiologist to intubate.
A doctor is responsible for tilting the head back to open the airway so that the anesthetist can intubate.
But the anesthesiologist tried several times and failed.
This kind of first aid is indeed very rare. Depending on the position, the wooden stake goes directly through the diaphragm, and is surrounded by important organs, such as the heart, lungs, liver, gallbladder, pancreas, spleen, etc. Any one of them will be fatal. It is also lucky to survive on the operating table.
Seeing this, the directors of the general surgery department and the thoracic surgery department felt that there was no way to start the operation.
The more experienced the patient, the more frightened they are. The ignorant and fearless are the most courageous. If the wooden stake is pulled out, the patient will bleed to death and the rescue will be over in a few seconds.
Not caring about being polite anymore, Tian Yuan ordered: "Fat man, come on!" The fat man immediately put on his gloves.
Director Miao declared: "This is Director Tian coming from the provincial capital to support us. Everyone must obey Director Tian's command."
Director Tian? I had surgery here last time, and everyone knows it was amazing.
The director of general surgery and thoracic surgery was relieved to hear the strong support from the provincial capital.
Fatty Liang's professional level is directly proportional to his smoking addiction. He gently inserted the laryngoscope, inserted the tracheal tube, pulled out the guidewire, and successfully, inflated the cuff, fixed the tracheal tube, and connected to the anesthesia machine.
"How can we save time by doing it at the same time?" Yang Ping observed the injured person.
In the system space, he has suffered countless multiple traumas like this, and the system has simulated many more serious ones than this. He has enough confidence.
Tianyuan looked at Yang Ping: "Have you ever had this kind of surgery?"
Yang Ping nodded: "Believe me, it's no problem. You handle the back, I'll handle the front, and we operate at the same time."
"No, the front is too difficult. This part is surrounded by the heart, lungs, liver, gallbladder, pancreas and spleen. The wood goes right through the middle of them, squeezing and pulling these organs. Some organs must have been damaged and are just being compressed. , there is no fatal blood explosion at the moment.”
"Believe me!" Yang Ping requested again.
Tianyuan hesitated, looking at the previous pelvic surgery, Yang Ping was indeed better than him, but this surgery?
It is too dangerous and difficult. If you are not careful, the patient will burst into blood and die on the operating table. It can be said to be the most dangerous trauma.
I think of his pelvic surgery for adhesions, his skillful and extreme anatomy, his superb separation, and his sniper-like precision in stopping bleeding.
He can do it! After thinking for a moment, Tianyuan made a decision.
"Brush your hands!"
(End of chapter)