428 Fewer people, more techniques
Gao Shaojie ran away immediately.
As a doctor, the reactions they all have the same responses when they encounter emergency rooms.
Adrenaline is secreted in large quantities, and the crackling sound of high-energy phosphate bonds in the body seems to be right in the ears, clearly audible.
He quickly ran to the elevator and saw that the flat car had just entered, so he followed.
Entering the elevator, the narrow and cramped space, the smell of blood became stronger and more intense, making people breathless.
Gao Shaojie glanced at the electrocardiogram monitoring on the flat car, his blood pressure... he could not measure his heart rate 160 times per minute, and his blood oxygen saturation was 80%.
Hemorrhagic shock is the minimum, and Gao Shaojie has his own judgment.
That technician... was pinching the patient's liver vent and trying to make less bleeding? There is no blood left to come out.
Su Yun knelt on the flat car, with a few drops of blood on his black hair on his forehead, but he was still floating firmly.
"Boss, are you going to have a hybrid surgery?" Su Yun on the flat car was very calm, without any panic at all, and asked.
"The liver is crushed and damaged on a large scale, and it is broken." Zheng Ren was also calm and replied: "You must intervene in the surgery to accurately determine the location of the bleeding, and then try to keep some liver."
"..." Gao Shaojie was stunned.
This is just a dead person, can you still save him?
"You have a chest vial in the operating room." Zheng Ren asked.
"Yes." Su Yun's answer was very simple, because the elevator had already reached the operating room on the third floor.
Gao Shaojie helped to pull the flat car out of the elevator and ran towards the operating room.
Although it is "running wildly", its speed is not particularly fast.
After all, there is still someone kneeling on the flat car to stop bleeding. What should I do if I accidentally throw the technician off?
The technician was young and there was no problem with falling, but he was holding the patient's liver port in his hand.
Once the force is too strong and the liver duct is torn, the patient will be really cold.
"Director Pan, emergency department, Anonymous, liver rupture, blood pressure cannot be measured, I have surgery." Zheng Ren finished the last call and walked into the operating room.
There was no Xie Yiren, only a circuit nurse was busy inside.
The following surgery is probably not over yet.
The patient was lifted onto the operating table, and the nurse walked with her afterimages, jogging and chatting all the way.
Su Yun pinched the liver door, watched Zheng Ren brush his hands, put on lead clothes, disinfected them, and said with a smile: "Boss, are you very unaccustomed to it?"
Zheng Ren ignored this guy and disinfected it as fast as possible.
"What technique?" Su Yun saw that Zheng Ren ignored him and was bored, so he stopped the hippie smile and asked seriously.
"Open the abdomen, explore, and intervene in angiography to find out the bleeding blood vessels." Zheng Ren said.
Half a bottle of iodine, more than a dozen large soaked gauze, and sloppy disinfection, Zheng Ren immediately began to lay out the surgical sheet.
He deliberately left the right femoral artery position, which was used for interventional angiography.
"Boss, you are so heart-wrenching. We are only two of us. How many techniques do you have to do? You can't use me like this, right?" Su Yun's tone made people want to hit the sterilized curl in his hand directly onto his head after hearing this.
"It's okay, I can do it." Zheng Ren said: "If you can't do it, you have to do it. The liver is rotten, so you can only do it with liver resection, it won't work."
After laying the order, Zheng Ren brushed his hands, put on the surgical gown, and went straight to the stage.
Instead of letting the tour nurse come up, he stood in Ichisuke's position and made his own instrument nurse, clamping the blade with hemostasis pliers and putting it on the handle of the knife.
Disinfect, wipe clean, follow the previous wound, and cut a 15cm surgical incision into the wound.
Zheng Ren then used the disinfected tourniquet to make a leather case, wrapping around the patient's liver door, making it suitable for elasticity and tightness, liberating Su Yun's hands.
Su Yun immediately went to brush his hands and disinfect.
Gao Shaojie came over and saw it, shocked.
The right lobe of the patient's liver almost no longer exists. It is so fragmented that it can't be even matched.
The left lobe of the liver is also partially ruptured.
If it is just the right lobe of the liver, it will be removed directly.
But even the left lobe of the liver has trauma. Could it be that all of them were removed?
"Su Yun, hurry up, I want to do an angiography." Zheng Ren shouted.
Although Su Yun was about to fly up, Zheng Ren still disliked him.
"Mr. Zheng, can I try it on stage?" Gao Shaojie volunteered.
There are only two people in Haicheng First Hospital. They have to undergo surgical operations and interventional surgery. There is still an operation downstairs that is over, and they are so busy.
It is not appropriate to stand here and look at it at this time.
Although he did not register with the Medical Office, although he was not invited, and had all kinds of non-compliance, Gao Shaojie still stood up and asked for help.
"You are..." Zheng Ren hesitated.
This guy has forgotten who Gao Shaojie is.
"..." Gao Shaojie was speechless. It turned out that he was just an insignificant supporting role in Zheng Ren's heart...
No, the supporting role is not considered a member, just an extra.
Still the one with your own lunch box.
"Mr. Zheng is forgetting too much." Gao Shaojie smiled awkwardly, "I am Gao Shaojie, deputy director of the Intervention Department of the Affiliated Hospital of Medical University."
"Oh, I'll bother you." Zheng Ren was not polite and agreed immediately.
It would be great if Professor Rudolph Wagner was there, but unfortunately the patient came too badly. Not only did he get off work, he was still rushing to do radiofrequency ablation on that side.
Zheng Ren was also helpless.
As for the doctor who said he was the deputy director of the interventional department of the Affiliated Hospital of Medical University, no matter whether he was not good or not, he would just kick him off the stage if he couldn't do the surgery well.
Whether it is good or not, a puncture is enough to judge.
Now the patient's blood pressure is almost zero, so it is not something that ordinary doctors can do if they want to keep the arterial sheath successfully.
"The lead clothes are there, wear them by yourself, hurry up!" Zheng Ren was not polite and shouted directly.
Su Yun brushed his hands, but did not wear surgical gowns. Instead, he left closed chest drainage between the 6th and 7th of the right chest wall on the patient.
The hululu gas was drawn out, carrying black and red blood.
"Yanran, please go out first after anesthesia." Zheng Ren said.
Chu Yanran shook her head and said, "Eat some lines occasionally, no problem."
The anesthesia has been completed and the double lumen has been inserted long ago, but the patient has problems with blood pressure and heart rate. As an anesthesiologist, she dared not leave.
Zheng Ren didn't insist, and said, "Go and wear a lead dress."
"Yeah." Chu Yanran went to the next door to get a lead garment and put it on her body.
The lead clothes are very wide and hung on her body, shaking, making people feel that her small body will be crushed at any time.
"Turn blood! Find a nurse from the emergency department to wait for blood, hurry up!" Zheng Ren shouted.
The nurse was busy covering her head and turned toward her. She put the gastric tube and urethra in, prepared a sterile bag, and prepared a chest bottle for Su Yun. At this time, she was about to be attracted by negative pressure, but when she heard Zheng Ren's roar, she quickly agreed.
Everything is important, but there is indeed not enough manpower.
Wang Qiang, as Gao Shaojie wore a lead suit, originally wanted to be an assistant to Gao Shaojie.
Seeing that the nurse on the tour was so busy, he said, "Leave this to me. If you don't understand, I'll ask you. Go and urge you to blood!"
"Who are you?"
Chapter completed!