Dr. Song hugged the patient tightly and kept looking for support with his own feet, trying to increase the friction.
But the bridge was slippery and there was nowhere to put any effort.
Ordinarily, such rescue is absolutely illegal, but special circumstances require special handling. If we had followed ordinary procedures, it would have been too late to rescue the person.
The two stretcher bearers used their bodies as a fence below to block the downward movement. However, when sliding down from a high place, the force of the impact is almost the same as someone kicking me hard.
Ignoring the pain, Dr. Song was covered in blood, both from the patient and himself. He loaded the patients who had not suffered secondary injuries onto the stretcher and moved them back to the 120 ambulance step by step.
Oxygen was administered, blood pressure was measured, 80/40 mm Hg, the patient was in hemorrhagic shock. An intravenous channel was left in place and vasopressor drugs were added. The ambulance siren sounded even more shrill and the ambulance turned around and rushed to the First City Hospital.
As long as there are vehicles that can be avoided, no one will fight with the ambulance, because it is a green channel for life.
In the ambulance, fluids and pressurizing drugs were administered to maintain the patient's vital signs. Dr. Song ignored the wounds on his body and began to check the location of the patient's trauma. He also kept in touch with the emergency department and constantly reported the condition so that the other side could prepare in advance.
Twelve minutes later, the ambulance finally returned to the emergency room of No. 1 City Hospital.
A flat car has stopped at the door, and Zheng Ren has been waiting for a long time.
The patient moved to the flat car, and the nurse on the car handed over a few tubes of freshly drawn blood and sent it for laboratory examination. The most important laboratory tests are blood type, HIV and syphilis testing, because there is no doubt that patients with severe trauma require blood transfusions.
The flat car rushed to the emergency room. Zheng Ren performed a subclavian vein puncture on the patient while the doctor in the B-ultrasound room was doing a B-ultrasound examination.
At the same time, the nurse placed a gastric tube and urinary tube on the patient, and prepared the surgical area.
Directors of departments such as surgery, orthopedic surgery, brain surgery, and urology surgery have long been on alert. They are all experienced doctors. They see the patient's condition well and it is not difficult to decide what to do next.
The diagnosis was clear, considering liver rupture, spleen rupture, and hemorrhagic shock.
Because the patient was tall and the car was smaller, the chest was not hit.
Director Sun was also present. He said seriously: "Xiao Zheng, you are young and quick, go ahead and do it."
Zheng Ren nodded, this was not the moment to be humble. The emergency operating room has been prepared long ago and is ready for action. Emergency surgery here can save at least five to ten minutes.
The patient's life or death may be decided in just a few minutes.
"Push him to the emergency operating room and prepare for surgery." Zheng Ren said.
"Director Lao Pan, I'm going for emergency surgery. You can direct the rescue below." Zheng Ren said to Director Pan before leaving.
"There will probably be a lot of injured people." Old Director Pan frowned, "You go ahead, I'll call the operating room if anything happens."
Without too much communication, there is no point in saying anything at this time.
Director Zhou of the Medical Department had already arrived, and without Zheng Ren being present, he began to record the description of the situation and the Medical Department's authority to authorize the emergency doctor to operate on behalf of the hospital.
Zheng Ren walked quickly upstairs when the system's mechanical female voice sounded in his ears.
Urgent mission: serial car accident.
Mission content: Rescue patients injured in a series of car accidents.
Mission reward: unknown.
Task time: 1 day.
Perhaps because the incident happened suddenly and the number of injured was unknown, the system did not even give a clear mission reward.
Zheng Ren has gradually figured out the behavior of the system boss. He is a big pig's hoof. He can predict a little bit of the future, but he is not very clear about it, or he is unwilling to explain it clearly.
In liver surgery, I have the surgical experience provided by the system, which is enough to cope with emergency surgeries. But I have only had splenectomy done once, so I don’t have much experience.
After calculation, I still have 14,920 experience points. If I buy surgical training time, it should be a little more than 4 hours.
Splenectomy is a very simple operation compared to liver repair.
For Zheng Ren, an expert in general surgery, more than four hours of surgical training should be barely enough.
Repairing the spleen may not be possible, but simply removing the spleen is absolutely fine.
Zheng Ren rushed all the way to the operating room and saw Xie Yiren preparing surgical instruments, and sisters Chu Yanran and Chu Yanzhi preparing for general anesthesia. The teacher who always only appeared and rarely spoke to the two of them also appeared in the operating room, silently helping the two with their work.
The surgery was being prepared, and it was time for me to change clothes and get ready.
Zheng Ren went to the locker room and began to redeem surgery time for splenectomy surgery training.
In some ways, splenectomy is even simpler than appendectomy.
Because of complex appendicectomy, all surgeons have to face the problem of ectopic appendix, which is a headache. The spleen rarely becomes ectopic.
It's just a matter of finding, dissociating, clamping, and resecting it, there's nothing difficult about it. As long as the anatomical structures of arteries, veins and ligaments are clear.
4. In 14 hours, Zheng Ren practiced 43 splenectomies, averaging less than 6 minutes per operation.
If it were in the operating room, it would definitely not be so fast. But in the systematic training, Zheng Ren does not need to consider the finishing steps such as flushing and closing the abdomen. He only needs to open the abdomen, face one after another various spleen ruptures, and then remove it.
The difficulty of the operation is that when dealing with the spleen and gastric ligament, care must be taken to avoid negative damage to the abnormally developed short gastric artery or damage to the gastric wall. The second step is to find the splenic artery and vein. As long as the anatomical structure is clear enough, it will be difficult for the operation to fail.
Zheng Ren even performed several cases of difficult splenic tuberculosis, and the overall process was smooth.
When the time was up, Zheng Ren took a look at the skill tree.
According to Zheng Ren's idea, his general surgery skills should have increased from 2044 points to about 2200 points due to reading and performing surgeries, as well as splenectomy training.
But when he noticed the skill tree, he was stunned.
The skill tree has grown directly from 2044 points to 3154 points!
How is this going
Looking back on his experiences over the past few days, Zheng Ren felt that his skills may have skyrocketed due to the experience of 300 liver operations given to him by the system.
No matter what, it's a good thing anyway.
Zheng Ren also kept an eye on it. He must look at the skill tree more in the future. Other skills have increased without him knowing it.
The accumulated skill points are 1529, and there are still more than 300 points left to upgrade from expert level to master.
Zheng Ren felt a little regretful. If he could upgrade directly, he would not be stingy. First of all, we must ensure the success rate of rescue. As for the skill points, can we still complete the task after using them up
The main task prompt has been completed. Zheng Ren thought about it and concluded that it should be a gangrenous appendectomy, which was considered a level 3 or 4 surgery, giving it more completion.
After receiving the task, you will get 1000 more experience points and 10 skill points. There is 1 space left for task completion.
These experience and skill points were of little use, so Zheng Ren simply ignored them.
After walking out of the system space, Zheng Ren began to change into isolation clothes, put on a hat and mask, and went directly to brush his hands.
After brushing and disinfecting the hands, Xie Yi walked into the operating room and handed over sterile forceps and a bent disk. In the bent disk was iodophor gauze.
After starting to disinfect the patient, Xie Yiren told Zheng Ren that the circulating nurse had already gone to collect blood. The blood bank had prepared 16u of fresh frozen red blood cells and 1000ml of fresh frozen plasma for the patient.
As if it wasn't enough, Zheng Ren was calculating while disinfecting and laying out the sheets.
Putting on the surgical gown, standing under the shadowless lamp, the sharp scalpel handle was handed over.
Zheng Ren took it and the operation began!