Zheng Ren first gently covered the patient's incision with gauze. This was just a kind of psychological comfort and could also try to avoid infection to a certain extent.
Usually there are not many opportunities to see people bleeding and spraying blood at the same time, but I didn't expect to encounter such a thing at the door of the branch. Zheng Ren then took off his gloves, asked the emergency doctor to open a bottle of salt water, and washed his hands.
Then he picked up the phone and dialed Fang Lin's number.
"A patient with tracheal rupture, pneumomediastinum, and subcutaneous emphysema will be sent to you directly from the emergency department. Preoperative preparations will be made before going to the stage." Zheng Ren said directly after the call was connected.
"Boss, Fang Lin is no longer the hospital chief." Su Yun said helplessly.
Zheng Ren was stunned for a moment before he remembered that when Fang Lin came to the Imperial Capital more than a year ago, he was already working as the general resident. It has been more than a year now, and the call I made was a bit abrupt.
However, Fang Lin responded directly on the phone without any thought of rejection.
"Fang Lin said he went to the emergency department to wait. I don't know when the hospital manager was inappropriate." Zheng Ren put down the phone and said.
Su Yun didn't bother. He was just a patient with a ruptured trachea. He could just sew it up and it would be done.
"Boss, are you following?"
"I just went up to take a look, not to perform surgery."
"Tsk tsk, just rub it."
"..." Zheng Ren frowned, "We are rescuing, don't drive, be serious."
"Tch, it's nothing." Su Yun glanced at the patient. He was breathing hard. The pain caused by the incision on his neck didn't seem to be important at all. One-third of the air he breathed in escaped, leaving the rest It can also participate in blood oxygen exchange.
At least it seems that the patient's condition is still under control.
"This guy is so lucky!" Su Yun praised, "I now suspect that he ran directly into the police station because he didn't deserve to die."
"How about not grabbing things?" Zheng Ren said calmly.
"Why are you so willing to raise the issue!" Su Yun said scornfully, "If he had gone to another place and this situation happened, he would have been brain-dead by calling 120 3 or 5 minutes later and he would have been sent to the hospital. Even if he was rescued in the future, I was still in a vegetative state when I came back. Such severe subcutaneous emphysema is really rare. Once I was the second assistant... "
There was also Officer Hao in the car. Su Yun knew not to say anything about the surgery, so he just kept his mouth shut.
"Dr. Zheng, Dr. Su, is he okay?" Officer Hao asked.
"It should be fine. I have already contacted the hospital, and I will be pushed directly to the ward for pre-operative preparations. Take the time to get on stage, open the chest and sew it up." Su Yundao said.
Looking at the bloody man, Officer Hao was a little dazed.
Doctor Su said it was so easy, just go up and sew it up... This seemed different from what he saw in front of him.
The robber in front of him was already dying. If he hadn't seen his neck swell up like a balloon and then be cut open and "deflated" by Dr. Zheng, he would have thought it was a beating, or a bit sadistic. Beaten.
The 120 ambulance rushed to the 912 emergency department with its siren on.
The flat car has been waiting at the door for a long time, and the man was sent to the flat car as soon as possible. Fang Lin touched it and found that the feeling of holding snow under the skin of his neck was still there, but it just didn't have the terrifying sensory experience of blowing up a balloon.
"Boss Zheng, Brother Yun, where did you pick up such a patient?" Fang Lin asked as he pushed the cart.
He didn't directly ask about the condition. He made three small incisions on the skin and ventilated the skin. Having done this, he would definitely be fine for a while. Zhou Litao put the ECG monitor in the car and got into the elevator. The nurse quickly turned on the ECG monitor.
His vital signs were relatively stable, and as long as he went to the operating room, he would be fine.
After seeing the vital signs, Su Yun smiled and recounted the scene he saw in the branch. Fang Lin was also dumbfounded. There must be something wrong with this guy's brain. Or it was my first robbery and I was too nervous, causing me to run in the wrong direction.
However, if you need to be saved, you should be saved. As for whether you should handcuff the person to the hospital bed or do something else, the police comrades will naturally make the decision. He will be discharged as soon as he can be discharged. What awaits him is a deep prison.
"Boss, if you don't want to go up, I'll go up." Su Yun said with a smile without being polite because his hands were itchy.
"Go ahead. The surgery is not major and I have no interest in it. I just happened to meet you, so I just wanted to take a break." Zheng Ren said.
Ringer is not around, so he can tell the truth.
The air in the operating room is sweet to Zheng Ren. At least his mental strength will not drop so quickly here.
The pre-operative preparation was quick, we entered the operating room, and the anesthesiologist started anesthesia. Fang Lin reminded him of single-chamber ventilation, and then went to brush hands with Su Yun.
Zheng Ren performed a fiberoptic bronchoscope on the patient and confirmed that there was a rupture about 2cm long at the junction of the cartilage ring and the membranous part of the right wall of the trachea, 2cm above the tracheal carina, and that there was a small amount of blood in the trachea.
Then he removed the machine, pulled up a small round stool and sat quietly in the corner of the operating room, leaning his back against the wall. It's a little cold, but still quite comfortable. No matter what, being able to sit in the operating room is infinitely better than having awkward conversations with everyone in the branch.
The anesthetists, nurses and Zheng Ren greeted each other twice, and everyone was busy with their own business. Boss Zheng's appearance in the operating room was a normal thing, and no one cared about it.
The traveling nurse was obviously very busy. Fang Lin had already finished laying out the first layer of sheets before she hurried in.
"Sister Zou, what are you doing here? Diarrhea?" Fang Lin asked with a smile while wearing a sterile surgical gown.
This is the normal atmosphere in the operating room. The patient just looks scary anyway, but the doctors and nurses know that they can just open the chest and sew it up, and the operation is not difficult, so they speak in a relaxed tone.
"Forget it, I am responsible for two operating rooms by myself, and I am so busy that I hit the back of my head." The circulating nurse sighed and began to check the numbers with the equipment nurse in a hurry.
Fang Lin was startled for a moment. One person was responsible for two operating rooms. Usually, this kind of thing would happen when the original traveling nurse was seriously ill.
But this was not easy to ask. He then asked Zheng Ren, "Brother Yun, right side."
"The positions are all set. Do you want to open the left breast?" Su Yun said.
"Isn't this just a confirmation?"
"It's on the right side, 2cm above the carina of the trachea, at the junction of the cartilage ring and membrane on the right side wall of the trachea." Zheng Ren said again.
"Okay, it's a small job, it will be done in half an hour." Fang Lin responded briskly.
Prepare the electric knife and suction device, adjust the energy, and then start the operation.
Su Yun holds the knife, and the 15cm incision is accurate. The skin and subcutaneous tissue were cut layer by layer to stop bleeding, and the operation was carried out in an orderly manner.