When we rushed to the first floor of the emergency building, Director Pan was already waiting for Zheng Ren.
The two of them rushed all the way to the ICU, and in the locker room at the door, they put on hats and masks, dark green sterile clothes, changed into slippers, and then walked in.
The ICU is like a secret room used to hide treasures in movies. In addition to changing clothes, you also have to check the door twice.
This is to avoid introducing bacteria as much as possible, because most patients in the ICU have tracheostomy and use ventilators to assist breathing. The body's immunity is extremely weak, and the bacteria that normal people have no problems with may be deadly bacteria in these severely ill patients.
Entering the ICU, many department heads have arrived early and are doing physical examinations.
The diagnosis of placental abruption and hemorrhagic shock was given on the system panel on the upper right side of Zheng Ren's field of vision.
The patient was a young female patient who was 20 weeks pregnant. Due to gestational hypertension, placental abruption occurred, and the placenta was removed from the uterus to 1/2 of the placental area.
Due to severe blood loss, the patient has developed symptoms of hemorrhagic shock such as pale complexion, profuse sweating, rapid pulse, and decreased blood pressure.
The fetus has died due to lack of oxygen, and the fetal heart rate cannot be measured.
This is a very difficult patient...
Because this is the first child, that means if a hysterectomy is performed, the patient will not be able to have children in the future. This is a very cruel thing for a woman who longs to be a mother.
However, if the uterus is not removed urgently, the bleeding area will continue to bleed. The obstetrics department has taken care of it, but packing and hemostatic drugs have not had much effect.
This is a dilemma.
Several directors who came for consultation obviously felt that the condition was very difficult. They frowned and looked at the shocking numbers on the monitor and hesitated.
The condition is simple and clear, but whether to cut the uterus or not is the biggest question.
Su Yun stood beside the patient's bed. His white clothes were as white as snow. He held a blue medical record folder in his hand and a stethoscope hanging on his shoulder. He looked at the directors expressionlessly.
"I suggest that we go to the office to discuss. The time... should only be ten minutes. Xiao Su, make pre-operative preparations." The ICU director said.
As many directors filed out, Su Yun noticed Zheng Ren, who was standing at the back of the crowd and could not be noticed without paying attention.
He gave oral medical orders, and the nurses hurriedly carried them out.
After leaving the intensive care unit, we came to the second room in the corridor. The windows were bright and clean, and several desks were put together into a large square table with more than a dozen chairs around it.
"Now we have nine minutes." The ICU director glanced at the watch and said.
"I think there is nothing to discuss." Obstetrics Director Su adjusted his black-rimmed glasses and said firmly, "We have tried various methods to stop bleeding, but all of them are ineffective. If the delay continues, the patient's symptoms of hemorrhagic shock will worsen and he wants surgery. There is nothing we can do.”
"Alas." The director of the anesthesiology department sighed, but hesitated to speak.
"Old Wang, if you have anything to say, say it quickly and don't sigh here." The ICU director was in an irritable stage and couldn't get a grain of sand out of his eyes.
"It would be great if there were interventional doctors." Director Wang of the Anesthesiology Department expressed the pain in everyone's hearts.
"Ask the Circulation Department if they can help."
The director of ICU had an indifferent expression, "Today, the three circulation departments received 18 patients with myocardial infarction, and they were all on the operating table."
Once a myocardial infarction occurs, if surgery is not performed in time, the only way waiting for the patient is death, and there is no choice at all.
Unlike pregnant women in the ICU, at least they can choose to retain the uterus or remove it.
In hospitals, this kind of sharp contradiction happens almost every day. Whose life is nobler? No. In the face of life and death, everyone is equal. What is unequal is just social difference.
Even if the circulatory doctor has time and lets them plug the uterine artery, who will be responsible if something goes wrong? The scope of practice is written on the medical certificate, and this is the law. Of all the departments, only the emergency department is more extensive.
Everyone was silent.
Zheng Ren stood in a corner. In such a large-scale emergency and first-aid hospital-wide consultation, he did not participate at all as the chief resident.
If it weren't for Director Pan's insistence and other people giving face to Director Pan, Zheng Ren wouldn't even be able to enter the house.
He knew that the troubling point for everyone was to preserve the uterus and stop the bleeding, which could only be done through interventional treatment.
However, treatment in the interventional department requires a large amount of radiation, so the city's first hospital basically stopped its normal chronic interventional surgery after an interventionalist contracted large B lymphoma. Later, the doctor either transferred or went to the circulation to perform cardiac stent surgery. Anyway, there are no doctors at all in the interventional department.
Director Wang of the Department of Anesthesia sighed just for this reason.
When it came to intervention, Zheng Ren suddenly remembered that the system had "tempted" him to choose interventional surgery.
Maybe you can try it yourself? Zheng Ren felt something moving in his heart.
You only have a few minutes, so hurry up.
He immediately entered the system space and opened the system mall. When I saw the entry for interventional surgery training time purchase, I hesitated.
Zheng Ren was not hesitant about whether he should study. If it could save a person or allow a woman to retain her reproductive function, what would a little experience mean
What he hesitated about was whether he could learn it.
Since the introduction of the system, Zheng Ren's memory has been comprehensively improved. Coupled with the advancement of the general surgery skill tree, the anatomy is understood more thoroughly than before.
Recalling it, the interventional treatment for placental abruption seems to only require embolization of one uterine artery, which is the simplest interventional surgery.
So...that's it.
Once Zheng Ren made his decision, he pointed his finger at it without hesitation.
In an instant, the operating room climbed up on the ground. Zheng Ren's body suddenly sank, and he was already wearing a lead suit. The experimental subject was placed in front of him, and Zheng Ren held a puncture kit in his hand.
What should be done
Zheng Ren was in a daze.
If you choose to learn interventional surgery, please increase your interventional skill points first.
The system's mechanical female voice appeared indifferently, reminding Zheng Ren that you are an idiot. If you want to do an interventional surgery, please activate the skill tree first, okay? A shirtless layman wants to learn interventional surgery
Zheng Ren sweated profusely, and then used a skill book to upgrade the interventional surgery to the advanced peak, which was 1,000 skill points. Then invest 1 point in skill to reach expert level.
His speed was very fast, and then he felt a thunder falling from the sky, falling on his body, and his whole body was numb.
Soon, my mind became clear, and many strange memories appeared naturally.
When he was looking at the general surgery skill tree, Zheng Ren didn't feel that any change made a qualitative difference. That's because he is a general surgeon himself, and he is most exposed to various diagnosis and treatment items in general surgery. When a certain point was improved, or even the skill was upgraded to more than 2,000 points, Zheng Ren just felt that it was very powerful.
Interventional surgery is different. This is a skill created from scratch, which makes Zheng Ren feel the magic of the system even more.
The expert-level intervention skills are ready, with a total of 189,920 experience points, which is a little more than 52 hours. Zheng Ren directly exchanged 50 hours of surgical training time, and the remaining experience points... should be used for self-defense.
Interventional surgery training officially begins!