The emergency room is not a general practice clinic. Facing critically ill patients with complex and severe trauma, their duty is to stabilize the vital signs and then refer them to specialized clinics for treatment.
If you can't stop the bleeding, you can't talk about stability anyway.
Furthermore, the bleeding is not only in itself, but also indicates serious trauma.
"What did you use?" Huo Congjun stood still, calmly.
There are so many strange illnesses in the emergency room, and getting angry can't solve the problem.
Affected by him, the attending doctor Zhao Lele also calmed down, and said: "Intramuscular injection was given to stop the bleeding, ice saline and norepinephrine were used, and the same type of red blood cells and plasma were urgently applied, and dopamine injections were also used... The patient now has a total of Infusion of 1400ml."
Huo Congjun listened to him, and first shone a flashlight on the patient's pupils, and said decisively: "Prepare for emergency surgery, open the abdomen, increase the amount of fluid..."
"Should we open the abdomen now?" Zhao Le was a little hesitant. He still couldn't confirm whether the bleeding point was in the abdomen. If he made a mistake, the patient would have to be stabbed twice.
"Save lives first, then treat illnesses!" Huo Congjun gritted his teeth and said.
"The patient is in shock." The nurse shouted.
In the emergency room, there are many patients with shock, but shock during the emergency process is often not good news.
Ling Ran was always staring at the patient, but now he turned and left, and started washing his hands in the cubicle.
"Borrow some space." A group of ordinary residents squeezed over and brushed their paws under the faucet next to them.
Ling Ran gave up some space and continued to brush his hands meticulously.
Seeing Ling Ran brushing so seriously, the Puchou resident doctor kindly reminded him: "The emergency room is busy, and I don't know how many patients I have to contact in a day. I usually wipe my hands with alcohol gel and let them dry naturally. Otherwise, washing hands is too much. It will peel off."
"Get ready for surgery." Ling Ran replied, and began to rub his hands together, the rubbing was hot and non-stop.
The few days in the treatment room not only allowed him to suture hundreds of patients, but also made him familiar with the operation of the hospital.
The resident doctor looked around and was very surprised: "What operation?"
The departments of the hospital are divided into groups, and different treatment groups are led by a chief physician or deputy chief physician, responsible for one or more patients.
The same is true during rescue. The doctors that a patient comes into contact with usually belong to the same treatment group.
The division of interns is not too strict, but Ling Ran is with Director Huo today. If he wants to have an operation, he will naturally follow Huo Congjun's treatment team.
The Puchou resident doctor only saw Director Huo busy in front of the critically ill patient,
I couldn't help curling my lips, thinking: This kind of rescue, it's good to be able to run errands, how can I get an operation.
The patient is in shock, which means that the classification has changed from the second-level critical condition to the first-level endangered condition.
Endangered patients are the most troublesome existence in the emergency room, and ordinary attendings may not be able to participate.
In Western style terms, this is called raising a level (level).
Ling Ran left the sink, tied his hands, returned to the emergency room, and put on latex gloves.
The serious state of the operating room is actually relatively rare in the emergency department. Ling Ran's solemn appearance with his paws in gloves attracted the attention of many doctors.
"What a young man." The Puchou resident who returned to his post couldn't help laughing: "No matter how important Director Huo is to him, it is impossible for him to try his hand on endangered patients. What are you thinking?"
"Xiaoling just started his internship, so he will understand later." Dr. Zhou glanced back and said something casually.
"It would be nice not to be chased down by Director Huo. He was in shock due to blood loss and had to have his laparotomy checked. What else is he trying to do... I'll go!"
As he spoke, he called out.
"What's your name?" Dr. Zhou was taken aback, followed the other's gaze, and was also stunned.
I saw Ling Ran standing between the attending doctor and Director Huo, and actually put a hand directly into the open wound on the patient's abdomen.
The emergency doctors who saw this scene were stunned.
How dare you operate directly without a surgical operator? Is this a murder scene
Don't say that he didn't have any warning, even if he had a normal operation, it didn't look like this.
Huo Congjun's furious figure instantly popped up in the mind of Puchou's resident doctor. He shuddered empathetically and said, "This is the worst intern I've ever seen."
Although Doctor Zhou wanted to defend Ling Ran, he couldn't say a word.
Compared with the doctors onlookers, in terms of shock index, Huo Congjun is definitely the first.
Judging from his contacts in the past two days, Ling Ran is a careful and cautious young man. Even if his imagination is doubled, he would never have imagined that Ling Ran would dare to suddenly reach out his hand in the midst of life-threatening rescue.
"Ling Ran... let go!" Huo Congjun couldn't reach out to pull it out, it would cause secondary trauma to the patient.
"The subcapsular hemorrhage of the patient's liver is in a bad position, and it is difficult to suture. If it is not stopped quickly, the blood loss will be too great." Ling Ran explained what he was doing and the work he was doing in one sentence.
He spoke in a manner that forced Huo Congjun and the chief executive Zhao Leyi to watch the monitor.
"Director, the bleeding has stopped." Zhao Yue's expression was so unbelievable.
Huo Congjun's inner shock was even worse.
He knew that Ling Ran used bare hands to stop the bleeding, and this method was widely used in the emergency room, especially during on-site first aid.
The most commonly used acupressure method, when encountering head and face bleeding, can compress the ipsilateral artery, and when encountering neck bleeding, can compress the ipsilateral carotid artery, and pressing the axillary artery is also very useful.
However, hepatic capsule hemorrhage—if what Ling Ran said is correct, how did he confirm the location? How is it pressed
In Huo Congjun's impression, it is extremely rare in military hospitals to stop bleeding with bare hands.
How can medical interns do it without corresponding practical experience
How dare you be so brave
"Director?" Zhao Yue urged.
Time waits for no one, and the patient's condition may change every minute.
Huo Congjun took a deep look at Ling Ran, checked the number for a few seconds again, finally nodded, and said, "Ling Ran, get on the flat bed and keep away from the patient. Xiao Zhao and I will go into the operating room."
Manual hemostasis only temporarily controlled the bleeding, and surgery was still required next.
Two resident doctors were called over, and under Huo Congjun's command, they also put Ling Ran on the flat bed.
Then, a group of people pushed the patient and Ling Ran on the flat bed into the operating room.