Director Pan came up to meet him. Seeing how embarrassed Director Zhou was, he asked, "Director Zhou, how did this happen?"
"Old Director Pan, don't mention it." Director Zhou came to the emergency department and saw that the patient hadn't arrived yet. He was relieved, patted the snow on his body with his hands, and said, "My home is not far away. I'm thinking about driving in this damn weather." It’s not even close to going anywhere, so I just walked here.”
On this road, walking slowly is just fine.
But if he went just a little bit faster, he would definitely fall over in this damn weather.
Director Zhou was anxious because he was afraid that when the patient arrived, many legal procedures would need to be handled by the medical office, so he walked a little faster and fell many times along the way.
Zheng Ren took a glance and saw that Director Zhou did not make a diagnosis in the system panel. He knew that he was just looking at him in embarrassment and there were no fractures or cracks. Instead of approaching him, he directed the doctor from the emergency surgery department and the accompanying examiner to push the cart to the door and wait.
"Be sure not to be too heavy. We have a flight tomorrow morning." Su Yun whispered to Zheng Ren.
This is a task and cannot be told to others, not even Director Pan and Xie Yiren.
Zheng Ren nodded and just tried his best in everything.
As for when the time comes... Zheng Ren really doesn't believe that if he leaves, Haicheng City No. 1 Hospital will not be able to continue running.
The sound of the 120 ambulance came from far away, but it never arrived.
The snow was so heavy that the ambulance couldn't drive very fast, no matter how anxious the doctors, nurses, and drivers were.
After waiting for a few minutes, a dilapidated ambulance appeared in the wind and snow, and staggered to the door of the emergency building.
The side door opened, and a young doctor jumped out and said hurriedly: "The two injured people are suspected of having injuries to their abdominal organs. Each of them received 1500ml of sugar and salt water on the way. Their blood pressure is now very low."
As they were talking, the back door of the ambulance opened, the flat car was pushed over, and the injured person was pulled out.
Two flat cars, one behind the other, quickly rushed to the emergency room.
The emergency surgeon next to Zheng Ren and the doctor from Yuandian County People's Hospital completed the follow-up handover procedures, and Zheng Renze and Su Yun escorted the patient all the way back.
The diagnosis on the system panel on the upper right side of the field of view was clear: liver rupture, spleen rupture, colon rupture, multiple rib fractures, traumatic hemopneumothorax, and lung rupture.
A series of diagnoses gave Zheng Ren a splitting headache.
It was a combined thoracoabdominal injury again, and it was such a serious emergency.
The most serious thing is that the patient had to jostle for more than two hours from the location where the car accident occurred before he was brought to Haicheng No. 1 Hospital.
The patient's internal environment is now in a state of chaos. Even if the operation is successful, it may be difficult to survive the post-operative period.
But no matter what, we must seize the time to perform surgery and stop the source of bleeding before we can talk about what happens next.
The flat car ran all the way to the emergency room, where the bedside B-ultrasound doctor was already waiting.
After cutting open the clothes, Director Zhou's staff began to record.
Medical treatment is difficult, firstly, because of the condition, and doctors don’t mind the severity of the condition, after all, this is their job.
The most worrying thing is all kinds of unexpected things.
For example, if a patient's clothes are cut off during emergency rescue, the time saved may determine whether the rescue can be successful.
However, it is not uncommon for patients and their families to ask for compensation for clothes afterward.
Therefore, the role of the medical office becomes apparent.
No wonder Director Zhou dreams of being transferred out of the medical department. All kinds of trivial details, escorting doctors, are exhausting.
Zheng Ren ignored the matters in charge of the medical office. He took the deep venous puncture bag handed over by the nurse, made room for the B-ultrasound doctor, and began to puncture at an angle.
Disinfection, hitting the nail on the head, Zheng Ren felt like he could already perform a blind puncture at this level.
I took a 20ml blood sample with a syringe and gave it to the nurse for blood delivery.
Blood samples are required for various preoperative examinations, blood preparation, etc. The patient is already in a state of severe hemorrhagic shock, and even veteran nurses with rich clinical experience cannot guarantee to hit the nail on the head.
This can save you some time.
"Low molecular dextran skin test, glucose first." Zheng Ren said solemnly.
The patient was given crystalloid sugar and saline supplements in the ambulance, and there was little point in injecting more crystalloids. However, low-molecular-weight dextran may cause allergic reactions, and clinical skin testing may or may not be done. Zheng Ren was afraid that it would be difficult to rescue the patient after the allergy, so he asked for a skin test first.
After performing deep venipuncture on another patient, Zheng Ren looked back at the B-ultrasound screen.
The B-ultrasound doctor applied a large amount of coupling agent on the patient's chest and abdomen and began to scan.
There is a large amount of fluid collection in the liver area, a large amount of fluid collection in the spleen fossa, and a large amount of fluid collection can be seen in the costophrenic angle recumbent position.
"Mr. Cao, I'll take this patient for surgery first." Zheng Ren said, "If nothing happens later, you can help."
After saying that, Zheng Ren took the patient and ran all the way to the operating room.
Mr. Wang Liren and a doctor followed Zheng Ren. They calculated that there were two patients in total, and the four of them would definitely need to be operated on separately.
Even if you are not familiar with the place, it is good to go up and help.
On the way, Zheng Ren handed the flat car to Wang Liren, took out his mobile phone and called the operating room to inform them to prepare for emergency surgery.
Pushing the patient to the operating room at lightning speed, Zheng Ren said hello and pulled him to the hybrid operating table.
Wang Liren helped lift the patient to the operating table, Chu Yanran started anesthesia, and Zheng Ren and Su Yun hurriedly changed clothes.
Wang Liren and another Dr. Han had just come out of the operating room, while Zheng Ren and Su Yun were already striding out of the dressing room, wearing sterile masks.
This speed is really fast, and they are well-trained. They are not like those of a small hospital at all, Wang Liren sighed with emotion.
Passing by each other without making eye contact, Zheng Ren entered the operating room and went all out to rescue him.
In his eyes, there is nothing else but surgery and patients.
When he came to the operating room, Zheng Ren took a look and found that the blood pressure could not be measured, the heart rate was 162 beats/min, and the blood oxygen saturation was 85%.
"You put in the chest tube and I'll disinfect it." After Zheng Ren said that, he went directly to wash his hands.
Su Yun didn't say anything, opened a small incision bag, and placed chest tubes in the 6th and 7th intercostal spaces of the patient's bilateral chest walls.
As soon as the tube was put in, a stream of black and red blood came out.
Su Yun strangled the pipe with a hemostatic forceps and shouted: "Breast bottle, hurry up, two!"
The traveling nurse has already taken off, but her speed is clearly unable to keep up with this side. She was responsible for counting with Shay and checking the surgical supplies to avoid missing them.
I still have to take care of this side...
At this time, Wang Liren and Dr. Han walked in.
Seeing this situation, Wang Liren immediately picked up the chest bottle and tore open the package. Dr. Han found a bottle of external saline, opened the bottle cap, and poured 500ml of saline into the chest closed drainage bottle.
After connecting the chest closed drainage bottle, Su Yun observed it for a few seconds and immediately shouted: "Boss, the chest must also be opened!"