Chapter 525 Opening the stage
The aircraft's route was further than usual, requiring it to bypass combat zones and no-fly zones.
The journey that usually takes more than an hour took more than two hours.
It was a safe journey and the plane successfully landed at Aden International Airport.
After getting off the plane, the staff of Huaan Golden Shield received Yang Ping, and there was also an armed team responsible for escorting him.
Yang Ping told them to load the supplies they carried on the plane into the car. These were the sterile instrument kits, sterile gauze, narcotics, analgesics and antibiotics that Robert and Li Zehui had temporarily prepared. These things were more precious than gold during the war. .
A commercial vehicle took Yang Pinghe's supplies to the hospital.
This hospital is the Republic Hospital in Aden, Yemen, similar to our People's Hospital or Central Hospital.
This hospital is considered the best hospital in Aden, but in terms of medical level and hardware equipment, it is not as good as our better county-level hospitals.
Now the hospital is noisy and crowded with people. Most of them have frightened and anxious eyes. Some injured people have just come from the war zone.
When he got out of the car, Yang Ping saw Manager Qiu, who had been in contact with him. He was in his thirties, with a strong build and bright eyes. He looked very capable and could tell he was a soldier.
"Professor Yang, I'm so grateful." Manager Qiu was so excited to see Yang Ping, it was like seeing a savior.
Manager Qiu looked at his comrades lying on the hospital bed, helpless, and felt very painful. Now that Yang Ping flew over from Saudi Arabia overnight, how could he not be excited.
"Where is the patient? Take me there quickly."
Yang Ping couldn't wait to have surgery immediately and didn't dare to delay at all.
Manager Qiu said no more and immediately took Yang Ping to the observation ward of the emergency department.
Because the injured person was too seriously injured and it was unclear which department to admit him to, and the ability of cooperation and coordination among various departments was insufficient, the injured person remained in the emergency department.
The attending doctor is also a Chinese doctor, Dr. Zhou from Hong Kong. He was dispatched by the International Red Cross to provide medical support to the hospital.
"Dr. Zhou, our compatriot, is from Hong Kong. Professor Yang is from Nandu Province and has rich experience in trauma surgery." Manager Qiu introduced.
Dr. Zhou was very tired. His hair was stuck in strands due to excess oil and stuck to his scalp. There was a thin layer of fog on his glasses.
He held Yang Ping's hand: "You came too soon.
Without any nonsense, Dr. Zhou immediately got to the point:
"There are a total of 27 shrapnel in the wounded, distributed in the skull, chest, abdomen, pelvis, and limbs. I am a trauma orthopedic surgeon. I can't do anything about the shrapnel in the head, chest and abdomen, and these are the most deadly. We lack excellent people here. A surgeon for intracranial and thoracoabdominal trauma, so he dared not operate and could only rely on blood transfusions and fluids to maintain his life.”
This Hong Kong doctor often supports war-torn areas and has seen many seriously injured patients, but there is nothing he can do about this case.
"Thank you for your hard work. I'm going to take a look at the wounded now." Yang Ping immediately conducted a full-body physical examination.
The wounded man was lying on the bed, covered with two layers of quilts to keep warm. All his clothes had been cut off. Yang Ping could still see the bloody clothes thrown in the corner of the ward.
Several infusion tubes, including deep vein catheters and peripheral vein catheters, were used to transfuse blood and fluids into the wounded body at the same time.
Dr. Zhou handed over the gloves, Yang Ping put them on, walked to the bed, and began to examine the body.
The gloves were a bit small and Yang Ping put them on very tightly.
"Medical supplies are beginning to be scarce here, and rubber gloves are only in small sizes." Dr. Zhou explained.
Yang Ping didn't pay attention to these, his attention was on the wounded, and he didn't even pay attention to other people in the room.
My blood pressure is low, only 65/36mmg, which is much lower than a few hours ago.
The heart rate is very fast, over 130 beats/minute.
The pulse is very weak and difficult to feel if you are not careful.
The body was covered with two layers of quilts and was still cold to the touch.
The paper medical record was sent over by a Yemeni doctor. Yang Ping quickly looked through it and immediately judged that the hemodynamics was extremely unstable and he would soon die from shock. If the injured were not in good physical condition, he would not be able to survive now.
If the shrapnel in the skull is not removed, it will cause cerebral herniation; the "invisible" tiny triangular iron on the heart can cause the heart to burst at any time.
Three fatal ropes tightly strangled the wounded man, and it was the most urgent moment.
Fortunately, the injured should have been at a certain distance from the explosion at that time. All injuries were mechanical injuries from shrapnel and there were no blast injuries. In this way, if the injured could be rescued, the functional prognosis of the organs would be much better.
The family member guarding the bedside was the wounded man's brother. He wanted to say hello to Yang Ping just now, but Yang Ping's attention was always on the wounded man and did not notice anyone else at all.
The younger brother was very nervous, wondering if Professor Yang could save his brother.
Yang Ping looked up, as if thinking.
The wounded man's brother knelt down and handed the hand over: "Professor Yang, you must save my brother."
Yang Ping did not expect that this young man, who was more than 1.8 meters tall, suddenly knelt down and immediately helped him up: "I will try my best."
"The injured person's name is Chen Dashun, and this is his younger brother Chen Ershun. He should have been injured in the explosion, but my brother protected him with his body." Qiu Zhiqiang told Yang Ping.
Yang Ping nodded: "Arrange the operation immediately! Manager Qiu, didn't you say that you can mobilize the medical plane in Oman? Move the plane over, and use the medical plane to transport you to Saudi Arabia for continued treatment after the operation. I will escort you during the transfer."
"Hemoglobin is only 40 grams!" Dr. Zhou received a test sheet from the director of the emergency department. This was the result of the latest blood draw.
"No matter how much it is, do the surgery immediately. He won't last long. No matter how high the risk is, surgery is necessary. Find me an assistant!"
Yang Ping was categorical.
"I'm coming!"
Dr. Zhou recommended himself and looked at this calm young colleague with admiration.
Before Yang Ping came, Dr. Zhou briefly searched for Yang Ping's papers. Sure enough, he was a top figure in trauma surgery. He was especially experienced in compound multiple trauma. Among them, the rescue operation on half of the people was the pinnacle of trauma surgery. The treatment theory he created has been published in top medical journals and has a very high citation index.
I just didn't expect it to be so young.
Outside the window of the ward, a fire snake of artillery fire cut through the night sky in the distance.
The atmosphere in the whole city is very depressing, with dark clouds and storm approaching.
"Arrange the operation immediately." Dr. Zhou ordered the Yemeni doctor beside him, who is also the director of the emergency department.
The director said anxiously: "The operating room is now completely occupied, and we cannot leave the operating room within three hours."
Originally there were not many operating rooms in this hospital, but during this period the hospital was overwhelmed with too many patients.
"Is there any surgery that can be suspended?" Dr. Zhou was very decisive.
The Yemeni director shook his head: "They are all emergency rescue operations."
"Don't wait for the operating room. Is there an operating room in the emergency department? A simple operating room is also fine."
Yang Ping didn't want to waste time in the operating room anymore.
"We still have an operating room in the emergency department, but it can only perform simple debridement and suturing. The only surgical instruments are debridement kits, no anesthesia machines, and there are not enough anesthesiologists." The Yemeni director was helpless.
This surgery requires a thoracotomy, abdominal opening and craniotomy, and requires general anesthesia.
How to perform surgery without an anesthesia machine?
"Just do it in this emergency operating room. Open a pack of debridement and suturing instruments, find a chest expander, two S-shaped retractors, two thyroid retractors, various types of silk threads, and a wire saw. An electric drill or a chainsaw is even better. Let’s get started immediately! Anesthesiologists and anesthesia machines can be found in nearby hospitals.”
Yang Ping didn't plan to wait any longer. He had already missed the best opportunity. If he waited any longer, the gods might not be able to save him.
Special circumstances, special handling, how can we ask for so much as usual.
"Are these devices enough?"
Dr. Zhou couldn't believe it. Opening up the chest, abdomen, craniotomy, removing shrapnel, and exploring and repairing damaged organs. Which one was not a major operation? How could the operation be completed with these simple instruments?
"Ali, go prepare the equipment! I'll see if we can have an anesthesia machine for the surgeries currently being performed in the operating room. As for the anesthesia machine, I'll have someone contact the surrounding hospitals right away."
The Yemeni director immediately cooperated and ordered his men to split up.
In normal surgeries, it is absolutely not allowed for one anesthesiologist to perform two surgeries, but in an emergency like this, as long as it can save lives, that's fine.
This rule was originally set to ensure the safety of patients. Now if the rules are followed, many patients will not have time to go to the operating table.
The doctor who called Ali ran back immediately, sweating profusely: "We have used up the debridement kits. Can we do temporary disinfection now?"
It really doesn’t matter what I want. Now I don’t even have a debridement bag, so how can I do the surgery?
This has to be driven into the skull.
Yang Ping immediately remembered that before leaving Saudi Arabia, Li Zehui and Robert had prepared several boxes of equipment and medicines, which were just in time for use.
"Hurry up. The car that picked me up just now has a full set of trauma surgery instruments. Bring them over and ask a doctor to follow. Don't break the sterile packaging." Yang Ping breathed a sigh of relief.
The equipment problem was solved, Robert and Li Zehui were of great help.
Director Yemen put down the phone and told Dr. Zhou: "The Refinery Staff Hospital has a spare anesthesia machine and can send it over right away."
The missing manpower and equipment were all gathered together, and work could finally begin.
Dr. Zhou brought two Yemeni doctors on stage as assistants. Although Dr. Zhou did not understand thoracoabdominal and cranial surgery, he had no problem helping with exposure, knot tying, and suture cutting.
"Manager Qiu, I'm going to operate on him right now. I can't wait any longer. I'll do it in the emergency department operating room. Has the medical plane from Oman taken off? Let it take off as soon as possible. You can't stay here after the operation. He will be transferred to Saudi Arabia. Over there. The medical conditions are much better than this.”
"Prepare more blood of the same type. It will be transfused during the operation and also after the operation."
Blood transfusion is life-saving.
"Er Shun, go call the brothers over and continue drawing blood."
Chen Dashun has type B blood, and all people with type B blood in the company are on call to donate blood to Chen Dashun.
Their blood types are all registered, and their blood types are on the labels inside their clothes. Therefore, in the event of an emergency, not only will they know their blood types immediately, but they can also quickly provide blood donations for mutual aid.
The operating room in the emergency department was quickly vacated, and Chen Dashun pushed the bed into the operating room.
(End of chapter)