An ambulance is just a simple mobile first aid station.
There are actually not many operations that can be done in an ambulance.
Zheng Ren placed a simple closed chest drainage on the patient to ensure smooth breathing and prevent death from pneumothorax. A suction tube is also used to continuously suck out the blood in the upper airway to prevent it from coagulating into blood scab and causing respiratory obstruction.
No matter how much, it means to press the incision on Yang Lili's chest and abdomen to avoid bleeding as much as possible.
Hurry up, hurry up!
Zheng Ren knocked on the partition three or five times to urge the driver.
In fact, the First Hospital of the City was not far from the Ninth Elementary School, but the smell of blood in the ambulance was so strong that it could not be dispelled, which made Zheng Ren anxious.
If it were normal, the ambulance would not be able to fly even if it turned the whistle to the maximum.
But today, there was a traffic police car clearing the way in front, and the sound of different whistles was mixed together. The traffic flow between the No. 1 Hospital and the Ninth Primary School was much slower. Everyone did not know what was happening, so they invariably moved out of the way.
Even at traffic lights, private cars will take the initiative to give way to police cars and ambulances... to escape.
In the ambulance, looking at the shocking numbers on the monitor and the unmeasured blood pressure, Zheng Ren calmed down.
He took off his bloody gloves and picked up his phone.
"I'm Zheng Ren, preparing for emergency surgery."
"Yes, all preoperative preparations have not been done."
"There are blood samples. Send someone to deliver the blood samples to stimulate blood flow."
"Call the thoracic surgery desk for consultation, and prepare to open the surgery at the same time."
"Tell Yanran to prepare a double-lumen tube."
After hanging up the phone, Zheng Ren frowned. Yang Lili's breathing was extremely weak, with intermittent deep breaths.
The so-called deep breathing, in common people's terms, means that the dying person is "breathing out" before death.
The condition is not good, especially bad. Even after pouring in sugar and salt water, my blood pressure did not change, and it was still undetectable.
Police cars and ambulances rushed all the way to the emergency department of the First City Hospital.
Because it was a vicious incident of a campus attack, the city notified the First City Hospital to attach great importance to it. Dean Xiao and a group of people had already hurried over. Director Pan stood at the edge of the emergency lane with his hands behind his back. He did not talk to the leaders of the hospital and was making a rescue plan in his mind.
Although Zheng Ren is here, Director Pan still has no inertia.
The more comprehensive the rescue plan is, the more likely it will be to find and fill in some subtle points and do everything possible to successfully complete the rescue work.
Police cars and ambulances roared in.
The high-pitched, sharp sirens that suddenly raised blood pressure were mixed together, interrupting Director Pan's thoughts.
There was a police car clearing the way? Is there damage to the front or sides of the ambulance? Old Director Pan was very puzzled, but at this time he had no time to pay attention to what happened.
The police car did not go to the emergency exit. The ambulance slowed down slightly and stopped steadily on the emergency exit.
The back door opened, and the flatbed truck was immediately pushed over. Yang Lili was carried onto the flatbed truck, and Zheng Ren took the flatbed truck and ran towards the operating room.
Because the city attaches great importance to it, more people come from the hospital.
Some people are used to getting together and seem to be more important.
He blocked the way of the flat car and was pushed away by Zheng Ren. Zheng Ren didn't even look at the person he pushed away.
The elevator has been guarded for a long time, and dark red blood dripped onto the marble floor of the emergency room building of the First Hospital of the City, like flowers blooming all the way.
The 120 emergency nurse handed the several tubes of blood samples she had left to the doctor, and the doctor quickly ran to the blood transfusion department. The remaining blood samples are ready to be sent to the emergency laboratory.
Although emergency treatment was needed, the situation was urgent. However, many procedures are still indispensable, such as examinations for infectious diseases such as AIDS and syphilis.
Two years ago, the National Taiwan University Affiliated Hospital ignored a certain point due to an emergency, resulting in all organ transplant patients being infected with AIDS.
Necessary procedures must be followed, and those that can be omitted must be omitted.
Zheng Ren pulled the flat cart and ran all the way to the operating room on the third floor.
Su Yun, Yang Lei, Xie Yiren, Chu Yanran, Chu Yanzhi, the head nurse of the operating room, and others had been waiting for a while, and the door of the operating room was rarely open.
There was silence, except for the slight sound of the wheels of the flat cart rolling against the marble floor.
Changing hands, the cart enters the operating room. Zheng Ren went directly to the locker room, changed clothes, and prepared for emergency surgery.
This time, it was completely different from the one in the Imperial Capital.
Last time, Fang Lin was injured and received treatment immediately. But this time, the ambulance drove away and came back again, and the prime time for emergency treatment was delayed on the road.
Zheng Ren was really not sure whether the person could be saved.
If you are sure, you should save it; if you are not sure, you should save it!
she,
Protected the children with my body.
Own,
We must work harder to protect her.
After changing clothes as quickly as possible, Zheng Ren strode towards the operating room, putting on a hat and mask.
Arriving at the operating room, the patient has been lifted to the operating table.
The patient's body position is slightly lower on the operating table. Su Yun has obviously realized that it is possible to operate two machines at the same time and has made preparations in advance.
Su Yun was performing closed drainage of the patient's lower chest. He did not choose the second intercostal space at the midclavicular line, but the sixth and seventh intercostal spaces at the midaxillary line.
The advantage of the former is that it can draw out gas, and the advantage of the latter is that it can draw out blood. In the ambulance, Zheng Ren did not dare to draw a large amount of blood. Drawing out hundreds or thousands of milliliters of blood would cause negative pressure in the patient's chest and result in more blood.
Coming to the operating room is different.
"How to do it?" Su Yun asked.
"Where's the person outside the chest?" Zheng Ren frowned and began to brush his hands.
"Get there right away."
"The chest and abdomen are jointly opened, and the posture...the right side is elevated 45 degrees." Zheng Ren said.
General surgery requires a supine position. Thoracic surgery requires lateral decubitus positioning.
If two departments do it together, everyone should be a little more accommodating and choose a central position. Although the various fields of view are very limited, it can save time after all.
Su Yun said nothing. After suturing and fixing the chest closed drainage tube, he began to position himself.
"Double-lumen tube." Zheng Ren finished brushing his hands and came to the instrument table.
"Understood." Chu Yanzhi said.
Chu Yanran was fixing the tracheal intubation and adjusting the parameters of the ventilator, and had no time to talk.
Xie Yiren handed him the oval forceps and curved disk, and Zheng Ren picked up a lot of iodophor gauze and started disinfecting.
After disinfection was completed, hands were brushed and sterile surgical gowns were put on. At this time, leaders from the Department of Thoracic Surgery and the hospital rushed over.
"How is the situation?" Director Pan walked up behind Zheng Ren and asked.
"Not optimistic." Zheng Ren stretched out his hand, and the handle of the scalpel was slapped into his hand.
"Need a joint incision?"
"The lungs are ruptured. It is estimated that an artery is broken and must be treated. The intestines are ruptured in the abdomen, and the superior mesenteric artery is ruptured. I don't know how much intestines need to be cut." The knife went down, omitting the step of blunt separation, and directly reached the peritoneum.
The peritoneum is protected, the peritoneum is opened, and the suction device draws out the dark red bloody fluid with a slightly lower temperature.
Seeing the gurgling blood, Director Pan immediately made a phone call and left the operating room to encourage blood flow.
At this time, a steady stream of blood is the injured's best hope for survival.
"What's going on with the chest? Do you have a chest CT film?" the director of the chest department asked on stage.
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