78%!

63%!

The blood oxygen saturation, which was originally relatively stable, suddenly took a sharp turn.

The red light on the monitor lit up, making everyone's hearts rise again.

Liu Dongfang narrowed his eyes slightly, with a hint of solemnity in his eyes.

The patient suffered from massive gastrointestinal bleeding, resulting in a decrease in hemoglobin and the destruction of the ability of red blood cells to transport oxygen, leading to hypoxemia in the patient!

Although four units of red blood cells have been transfused into the patient's body, the delivery speed is far less than the bleeding speed!

"Activate the emergency plan for massive blood transfusion, notify the blood transfusion department, and prepare 10 units of red blood cells!"

"Existing blood products, pressurized rapid infusion!"

"Prepare tracheal intubation, ventilator-assisted ventilation, and improve patient oxygenation!"

The patient's condition goes up and down, like a roller coaster, which makes people anxious!

Liu Dongfang did not dare to delay any longer and directly launched a major rescue plan!

Although this will increase the patient's pain, in order to save his life, Liu Dongfang can only do this!

All of a sudden!

All the medical staff in the entire emergency room moved.

Some people call the blood transfusion department to prepare blood!

Someone went to get the ventilator tube and install the machine!

Only Sun Ruiqi stood there with a blank expression, at a loss!

This is the first time for Sun Ruiqi to experience such a large-scale rescue scene!

Although he has the experience of studying in a higher education institution, his clinical practice ability is far behind!

Compared with the well-trained first responders in front of him, he was like a new recruit who had just entered the battlefield, useless!

"Yes, is there anything I can do?"

In this extremely tense environment, Sun Ruiqi stuttered a bit.

"Help me hold my head!"

"good!"

Sun Ruiqi quickly came to the patient's bed and held the patient's head with his hands to prevent the head from shaking due to restlessness.

Liu Dongfang looked up without looking at Sun Ruiqi, but took the tracheal intubation handed to him and prepared to use it on the patient!

If the previous gastric tube implantation was just the appetizer!

The tracheal intubation in Liu Dongfang's hands now is the most critical link in this tug-of-war for life!

"Negative pressure suction removes the patient's oral secretions!"

After finishing speaking, the suction tube that had been prepared nearby was connected to the negative pressure and handed to Liu Dongfang.

The slender suction tube makes a whooshing sound.

Seeing the patient's trismus, Liu Dongfang said again: "Get the mouth opener ready!"

Immediately, a small opener with a metallic luster was handed to Liu Dongfang's hand.

At this time, Liu Dongfang squatted at the head of the patient's bed, followed his breathing, and pressed the mouth opener against the patient's front teeth.

This type of opener works in a similar way to a car jack.

As Liu Dongfang opened the wheel little by little, the patient's tightly closed jaw opened little by little.

Seeing the right opportunity, Liu Dongfang quickly inserted the suction tube into the patient's mouth.

As a thick dark red liquid was sucked out, Liu Dongfang drank loudly.

"Lift your head up and expose your glottis!"

As soon as he finished speaking, Sun Ruiqi, who was already ready, placed his hands on both sides of the patient's auricle and lifted it hard.

In an instant, the patient's forehead, bridge of nose and throat formed a straight line.

The white ring-shaped glottis comes into view.

Liu Dongfang's narrowed black eyes suddenly burst into light.

The endotracheal tube is inserted into the patient's glottis.

Along with a violent suction sound, a white mist came out of the endotracheal tube.

These are small water droplets formed when the air in the lungs condenses when the patient breathes.

"It's done!"

Liu Dongfang's eyes lit up, and he immediately picked up the dental pad next to him and blocked the patient's upper and lower front teeth.

It has two functions!

One is the fear that the patient will suddenly clench his teeth and block the catheter to prevent suffocation!

Second, it plays the role of fixing the tracheal intubation!

As the dental pad was inserted, Liu Dongfang breathed a sigh of relief.

He used an empty needle to inflate the air bag. At this time, the ventilator that had completed its self-test was connected to the patient.

"Director Liu, ventilator mode?"

Liu Dongfang glanced at the ventilator model and then said: "Synchronized intermittent mandatory ventilation!"

After saying this, the nurse immediately turned on the screen and adjusted the ventilator mode to SIMV mode.

"Director, how much should we adjust the respiratory rate, plateau pressure, and positive end-expiratory pressure?"

Hearing this, Liu Dongfang looked at the patient who was struggling to breathe again and said: "The patient is breathing spontaneously, but the diaphragm is working hard. In order to prevent atelectasis, PEEP is increased and PC is decreased!"

As Liu Dongfang adjusted the ventilator parameters step by step, the patient finally returned to normal breathing.

Seeing that the blood oxygen saturation on the monitor returned to normal, everyone breathed a sigh of relief.

"It was really dangerous just now. If Director Liu hadn't been in charge of the overall situation, I'm afraid this patient would have been in trouble!"

Thinking of the bloody scene just now, the little hearts of the nurses were still beating fast.

Although they work in emergency departments, they are also more or less involved in rescue work on weekdays!

But the feeling of surviving a disaster like today is not something you encounter every day!

Fortunately!

They won this tough battle!

But just when they were about to cheer and celebrate, a basin of cold water was poured all over them.

"Don't be happy too early!"

Liu Dongfang said solemnly: "Although the patient's current condition is relatively stable, if the bleeding point is never found, he will definitely die!"

For a time, the originally lively atmosphere became solemn again.

But this time, it’s not surprising that Liu Dongfang said it seriously. After all, everyone present is a medical worker, so they still understand this medical common sense.

Seeing this, everyone calmed down and asked, "What should we do next?"

"We still need to prepare a laryngoscope for emergency hemostasis!"

As soon as these words came out, the doctors and nurses present looked embarrassed!

Sun Ruiqi, who had been silent all this time, also said: "Director Liu, although I have not been in the emergency room for a long time, I am afraid that the patient in front of me will not be able to undergo a laryngoscope!"

"how you said that?"

Liu Dongfang raised his eyebrows slightly and looked at Sun Ruiqi with interest, waiting for his explanation.

Seeing this, Sun Ruiqi did not hide it, but expressed his concerns.

"The patient has just undergone two rescue operations and is already weak. If we check again, there may be problems!"

"What's more!" Sun Ruiqi pointed at the patient and said, "Now he has catheters in his mouth and nose, which is not conducive to laryngoscopy at all!"

"If there is another risk on the way, we probably won't be able to save him!"

Sun Ruiqi looked at the video laryngoscope pushed next to him and felt an indescribable feeling in his heart.

Although he wanted to learn technology, he couldn't lose the patient's life for selfish reasons!

This conflict between them made Sun Ruiqi feel entangled in his heart.

"So that's what you thought about."

Hearing this, Liu Dongfang suddenly raised a smile on his lips.

He didn't expect that Sun Ruiqi would be so enlightened at such an age!
To be continued...