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Chapter 132 It's a crime to be on stage(2/4)

"I think if you want to be on the safe side, you should be prepared to ask for consultation and surgery."

"Okay, I understand." After Dong Qiansheng hung up the phone, he immediately began to notify the people in the team and began to prepare for emergency surgery.

Then he called Luo Yun and explained that he and Director Yan would undergo two emergency surgeries at the same time. If there were any patients later, Luo Yun would help take care of them.

He didn't call Luo Yun to come to the operating room, not because he thought Luo Yun and the others were not qualified to participate!

Instead, they had been divided long ago, and the routine emergency surgeries of their respective groups were handled by their respective second-line consulting teams.

Luo Yun and Zhou Cheng are only responsible for the general duty of joint dislocation, and other patients will not help deal with it. Otherwise, Luo Yun will die from exhaustion even if he fights with iron.

If it could be thrown to Luo Yun, Dong Qiansheng felt that it would be better to just throw it to Luo Yun.



And Zhou Cheng didn't know all this.

When Min Chaoshuo, who was on duty, received Dong Qiansheng's call, he was stunned for a moment, and then immediately said: "Okay, Director Dong, I understand the situation. If there are any special circumstances, I will call Teacher Luo directly."

"Did you tell Teacher Luo?"

"Okay, okay, okay." Min Chaoshuo immediately felt relieved.

The patient went directly from the emergency department to the operating room. Although it meant that the patient was extremely critical, fortunately, if he did not walk around the orthopedics ward, he would not have much to do with the doctor on duty.

He doesn't need to do anything more, he just needs to be on duty.



At the same time, the anesthesiology department and the operating department also received notifications of urgent reception of two emergency surgeries, and must be ready to receive patients at any time.

The call was made directly to Zeng Yi, director of the anesthesiology department.

Zeng Yi got off work early and happened to be eating out with his wife and children today. After hearing this, he asked: "Director Du, is the patient suitable for anesthesia? Has anyone in our department seen it?"

Du Haoran said: "Director Zeng, the hospital attaches great importance to this operation. I hope your anesthesiology department can perform in the best condition. It is too late to see it! It will be sent to the operating room urgently."

"good!"

"I will immediately arrange for Director Wu Rui of our department to prepare the anesthesia for the patient, and I will rush to the hospital immediately!" Zeng Yi didn't feel embarrassed to say that it was already past six o'clock.

Moreover, he had already finished his own work, so no one would say anything about it when he was not in the hospital.

Although Du Haoran felt that if Zeng Yi was not in the anesthesia department in person, the anesthesia time would be prolonged, but he couldn't care so much.

No one can predict when an emergency call will come, and naturally it is impossible to be ready 24 hours a day, waiting for the patient to arrive!

Moreover, these two patients were in critical condition and could not reach their destination hospital, so they were dragged to the nearby No. 8 Hospital at short notice without prior notice and negotiation.

It’s even harder to prepare in advance.

"That's all we can do, Director Du."

Du Haoran then lowered his voice and said: "These two comrades were deliberately revenged. They are very respectable. We cannot prevent harm from happening. What we can do is try to keep them as much as possible."

"And they have key information."

"But none of that matters now."

"Do your best and obey destiny."

Du Haoran's gratuitous words have no logic and meaning. They are just nonsense out of emotion.

Zeng Yi only heard the word "revenge" and understood about seventy-eight points.

The specific reasons for what happened are not important at this moment, the injury has become an established fact.

So, in today's rescue, rescuing people is the top priority.

Zeng Yi didn't even call his students, he immediately took a taxi and rushed to the Eighth Hospital...

Fifteen minutes later, Zeng Yi hurried to the operating room.

I was told that one of the patients had lost vital signs on the way to the operating room.

Now, although all the pressure and rescue efforts are being carried out in the operating room, the outcome is still unknown. But it is certainly not too optimistic.

When he heard the news, even though Zeng Yi was used to seeing life and death, he couldn't help but tremble a little in his heart.

Then he ran directly to the operating room where there were still vital signs——

After entering, they saw Wu Rui. At this moment, induction anesthesia was quickly administered, tracheal intubation was completed, and the other deputy director of the anesthesiology department had already started maintaining anesthesia on the patient.

Zeng Yi did not disturb Wu Rui, but watched the surgeons from multiple departments operating crazily like robots.

Before starting the disinfection, people from each department began to take out the temporary packing gauze within their respective scopes.

Before debridement, thorough cleaning is extremely necessary.

However, just when Dong Qiansheng and Wang Yaoxiang took off a corner of the gauze on their thighs and upper arms, they suddenly...

Two sprays of blood flew out, spraying directly into their faces, and the splattered blood splashed onto other people.

Dong Qiansheng and Wang Yaoxiang immediately pressed down the gauze cover with both hands -

Ignoring the blood dripping down his face, he said with a changed expression: "Director Chen, these two patients have damage to their aorta, and you need to send someone from your specialist department to deal with it!"

The Eighth Hospital does not have a specialized vascular surgery department, and the Department of Hepatobiliary and Pancreatic Surgery of the General Department of Surgery is responsible for this concurrently.

When encountering small blood vessel injuries on weekdays, the orthopedics department would deal with them accordingly. But for this kind of damage to a large artery, to be honest, Dong Qiansheng and Wang Yaoxiang immediately gave up.

This TN attacker seemed to have picked out the right place to strike. The wound he chose was so coincidentally located at the femoral artery and brachial artery!

With such a large blood vessel injury, Dong Qiansheng immediately became intimidated and did not dare to deal with it any further, pressing the wound firmly.

Chen Liwei's expression also changed drastically at this moment.

He had seen the scene just now, and although he secretly hated Dong Qiansheng for directly throwing the risk to them, there was nothing he could do about it.

The Department of Orthopedics is an orthopedics department. The Eighth Hospital does not have a vascular surgery department, and the words cardiovascular surgery happen to be written in their department. He could only bite the bullet and agree: "Our director will be in the operating room soon. He will think about it later."

Find a way."

Chen Liwei didn't dare to rely on others, nor did he dare to handle it himself. He could only leave it to his superiors to handle the pressure.

Moreover, in fact, our department rarely comes into contact with patients with vascular injuries, and most of them suffer from liver, biliary and pancreatic injuries.

He is alone now. If he needs to do an abdominal exploration and continue the blood vessels in his upper and lower limbs, even splitting is not enough.

Even if it was enough, Chen Liwei didn't dare to take action.



Soon, Yan Haihan and Li Changhong, chief physicians of the Department of Orthopedics, and Huang Shinan, Chen Liwei's superior in the Department of Vascular Surgery and the director of the Department of Vascular Surgery, arrived in the operating room.

Each pulled his own person and listened to the report.

The expressions of the three people immediately changed.

Li Changhong bore the brunt and said: "Director Huang, in our Department of Orthopedics, the trauma itself is not fatal, the main problem is blood vessel problems."

Yan Haihan also nodded: "Our Department of Orthopedics is similar. Femoral artery injuries must be dealt with as soon as possible."

Huang Shinan's face turned slightly pale at this moment, and he scolded Yan Haihan and Li Changhong so much that they didn't even recognize their mother anymore.

But Li Changhong and Yan Haihan were right. In addition to blood vessel damage, can nerve damage and simple soft tissue cutting injuries be fatal to emergency trauma patients?

Huang Shinan smiled bitterly at this moment and said to everyone: "Our department still needs to do a laparotomy, and now there are problems with the arteries of the upper and lower limbs. I can't handle it alone."

"And, to be honest, the vascular surgery department in our department is just a brand. Such a large artery injury cannot be diagnosed without any auxiliary examination before surgery. Our department cannot solve this problem."

"Either we all wait together for me to invite someone to come over and do the surgery."

"But the patient certainly can't wait that long."

"Or just go out and talk to people about amputation." Huang Shinan also became angry at this moment and immediately gave in.

The patient was not pushed to the emergency operating room by the vascular surgery department. Now there are major artery injuries in both places. Our department cannot handle it and there is no warning in advance.

Our abilities are limited, and this diagnosis is not what we intend to solve.

You orthopedic surgeons don’t even think about hiding away like this.

Yan Haihan was stunned, with a strange look in his eyes, and looked at Huang Shinan: "Both legs have been amputated? Can't even one of them be saved?"

Huang Shinan said: "Can you see the blood supply at the distal end of the affected limb?"

"If the proximal large artery is injured for more than a certain time, agglutination emboli will occur in the artery far away from the wound. This is also the body's self-preservation response. Try to supply blood to the head and heart first, speeding up the blood coagulation system of the peripheral circulation.

.”

"I even sewed up the injured artery, but it didn't help!"

"Our department cannot perform this kind of surgery for emboli caused by emergency trauma. Either we have to wait for someone who can do it, or we risk transferring the patient out. Or we have to amputate the limb and tie up the artery." Huang Shinan also made a prompt decision.

Just admit it.

As soon as Huang Shinan said these words, the expressions of the others immediately changed.

The anesthesiologist Wu Rui was in a particularly agitated mood at the moment. She took the risk of giving the patient enough anesthesia, but the surgeon here said that the operation could not continue and that the patient would be transferred out. This was very harmful to her.

Under anesthesia, how should the patient be transferred out? She followed him throughout the process?

How long does it take to wake up from anesthesia to the point where it can be turned around?

Her original intention was to be sent directly to the intensive care unit after the operation.

"Your surgery department needs to deal with it as soon as possible. The patient's vital signs are now extremely unstable. We managed to hold him up with great difficulty. If we delay any longer, I may not be able to maintain my current vital signs." Wu Rui said.

Start urging.

Huang Shinan continued to shake his head: "There is no other way. My suggestion is to amputate the leg directly and save your life temporarily."

He threw the question directly to Yan Haihan and Li Changhong.
To be continued...
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