on Monday.
Ling Ran got up very early, fried eggs and cooked porridge by himself, breathed in the fresh mist, and walked to the hospital.
The Ling family didn't have a car, because Ms. Tao Ping didn't have a driver's license. From the perspective of Comrade Ling Jieju, the consumer goods that Ms. Tao Ping didn't need were naturally non-essentials. The depreciation of the car was so fast, how could Ling Jieju be willing to buy it.
Ling Ran didn't care. When he was in medical school, he didn't need a car, and when he went to Yunhua Hospital for an internship, he didn't need a car, unless the system gave him a Transformer, and it had to be the kind that could be driven by a C photo.
Ling Ran, change clothes and enter the operating room. "
As soon as he entered the building of the emergency department, he could see the scene of a slightly busy department, and Ling Ran was immediately stopped.
Ling Ran quickly put down his things and asked the nurse on duty, "What's the situation?"
"A highway accident. The patient is on the way. It's serious. Someone has been sent to pick him up." The nurse on duty stayed up all night, looking at Ling Ran with red eyes.
"Pick up?"
"Helicopter rescue." The nurse on duty explained specially: "Jinhui General Aviation has a helicopter in Yunhua, and some insurance companies and banks sell helicopter rescue. If you are in distress, you can call and send it to our hospital or provincial government by helicopter. , we can meet once every two or three months."
"I see."
"It's very expensive to make a phone call by yourself, tens of thousands of dollars an hour."
"oh."
"It seems to cost thirty thousand yuan. One hour."
"oh."
"Doctor Ling, come on!" The nurse on duty had nothing to say, so she raised her little arm and waved it.
"Thank you." Ling Ran breathed out. Participating in the rescue as soon as I got to work, I felt like playing a game without warming up, and I couldn't avoid all kinds of doubts in my heart.
Go through the treatment room, turn around the corridor and get on the elevator. The fifth floor is the changing room of the operating room.
The operating room standard of the emergency department of Yunyi is quite high. The changing room has an area of 200 square meters. The shower room, toilet and other facilities are all made according to the standards of the top three hospitals. This standard refers to the entire hospital of the top three hospitals. A whole floor of shared operating rooms.
Such extravagance is mainly due to the fact that the emergency department of Yunyi has a stable source of income—the hemodialysis room.
In many hospitals, the hemodialysis room is a separate department, especially in some secondary hospitals, the income of the hemodialysis room serving patients with uremia can account for half the sky, and the low-level tertiary hospitals, such as Cangping of the third B In the district hospital, the hemodialysis room is also more valuable than the sum of several surgeries.
But in the emergency department of Yunyi, Huo Congjun, who wanted to do a big emergency, would not allow the hemodialysis room to be independent. Instead, he took the opportunity to integrate it, allowing the operating room and the dialysis room to share the changing room, etc. The operating conditions of the emergency department have been improved, and room for expansion has been left.
Ling Ran took off all his clothes in the changing room, and then changed into hand washing clothes and came out. Then he heard Zhao Lele give an order: "Have the people inside and outside the heart arrived? Let them hurry up, and urge the general surgery and orthopedics department again, let them send In addition, ask me, is the deadline surgery scheduled?"
Zhao Lele is the attending doctor on duty on Sunday, and he received a call before he could take over the shift, so he had no choice but to persevere.
"Operating room No. 1 is ready." The equipment nurse came to inform.
"Then use No. 1." Zhao Le said nothing.
Operating room No. 1 is the largest operating room in the emergency department with the most complete equipment, suitable for today's crowded environment. Judging from the news he has received so far, the patient's condition is quite bad, with multiple injuries all over his body, and he may have to perform multiple operations simultaneously.
Zhao Lexi looked at both sides. He only had two residents who were on duty yesterday, plus Ling Ran, an intern. It was far from enough for patients with multiple traumas and serious injuries.
It is better to have one more resident doctor than two resident doctors who have just finished their regular training.
According to Zhao Lele's observation, two resident doctors can pull a hook in this level of surgery.
"Ling Ran, come and help me." Zhao Lexi made a quick decision.
Although some are not used to Ling Ran, but at this time, there is no room for him to be picky.
Doctors are like this, no matter what festivals they have, they always have to restrain themselves in front of human life.
OK "Ling Ran agreed, and stood in the first aid position opposite Zhao Lexie.
The two resident doctors looked at each other and said nothing.
A few minutes later, the patient with the infusion bag was pushed in by several people, accompanied by rapid muttering: "The patient is still conscious, the pupillary reflex is normal, the spine, abdomen, and limbs are injured and bleeding, and intra-abdominal bleeding is suspected..."
"The laboratory does blood tests, X-rays, ultrasound, and pushes the CT machine over..." Zhao Le made the arrangements in an orderly manner, and then urged: "Have people from other departments come? Come in when they come, there is no way to turn around like this." diagnosed, let them do it here."
Car accident patients are the most common and complex category of emergency department visits.
In Yunhua City, a city with a population of nearly 10 million, an average of five car accidents occur every day, resulting in one death and five injuries.
With such a high frequency, Yunhua Hospital will receive at least one car accident patient in almost two or three days. Departmental joint diagnosis and treatment.
The emergency department of Yunhua Hospital is very strong, but it is not capable of performing thoracotomy. General surgery involves the duodenum. Once the liver, gallbladder, pancreas and spleen are involved, they will not do it by themselves. The orthopedics department does more and can do it independently. There are two types of surgeries, and a small number of third-level surgeries, but that is mainly to grab the patient and leave the bill. At this time, the patient is seriously injured, so that several departments are called at the same time, so it is impossible to take care of the detailed account.
This is an emergency surgery organized by multiple disciplines, and Zhao Le only takes the lead temporarily. He must ensure that the patient's vital signs are stable and confirm that he has the physical strength to withstand the operation.
"I'm going to cut off the tourniquet on my leg now." After confirming that the infusion and blood transfusions were all ready, and the medicines at hand were all ready, Zhao Le made a special call to remind Ling Ran.
Ling Ran said "En", without even lifting his head.
The patient's situation is indeed complicated, but it is not so difficult to look at each wound individually.
He did not find it complicated to analyze with the perfect-level manual hemostasis method he mastered. The patient had indeed suffered a serious car accident, but it was just an ordinary car accident.
Ling Ran stared at the patient's wound, and while watching Zhao Yue's operation, he asked in his mind: "System, who is the strongest person in the world who can stop bleeding with bare hands, and to what extent can he do it?"
"The person with the strongest manual hemostasis technique in the world is Adam Love Davis." The system only answered the first question.
Ling Ran remembered that when he was reading the literature, he seemed to have seen this person. While recalling, he asked: "Is there still a grade for the perfect-level manual hemostasis? What level is he?"
"There will be no classification within the perfect level. Adam Love Davis's pioneering technique of hemostasis with bare hands is rated as legendary and number one in the world."
"There's also the legendary level..." Ling Ran was a little surprised, paused for a moment, and asked, "Then what is my rank in hemostasis with bare hands?"
"The skill level you have mastered to stop bleeding with bare hands ranks 126th in the world, 13th in China, and second in Changxi Province! Yunhua City is first."
"Changxi also has someone who is better at stopping bleeding with bare hands?" Ling Ran didn't expect this.
"Ling Ran, what are you thinking about?" Zhao Leyi cut off the tourniquet, and blood immediately gushed out from the wound on his leg, like Baotu Spring at the end of his career.
However, Ling Ran seemed to be in a daze at this moment.
"Ling Ran, the gauze is oppressing." Zhao Leyi didn't get an immediate response, and shouted angrily, "Ling Ran!"
"Here we come." Ling Ran's tone was desolate and tired, as if carrying the sigh of a wise man.
At the same time, his hand crossed the wound like lightning, and grabbed the patient's upper thigh.
The gurgling blood spring lowered its height in an instant, and then disappeared without a trace.
The perfect level of bare-handed hemostasis, to deal with an ordinary car accident patient, is already killing a chicken with a sledgehammer.
Gauze oppression or something is unnecessary.