A doctor who travels through two eras

Chapter 87 The whole hospital organizes a large rescue

Outside the operating room.

Jiang Meilan and her husband Sun Shu were nervously looking at the big screen, where their son's condition was shown as "under anesthesia."

Jiang Meilan was a little worried:
"Why didn't our son's surgery move at all? I saw that other patients nearby had been changed from anesthesia to surgery. Look, this patient entered the operating room later than our son and has already been operated on."

Sun Shu didn't care. He looked at the big screen and said:
"You don't understand. The reason this patient was able to jump the queue must be that he gave the doctor a red envelope. This is an emergency surgery, we don't know who the surgeon is, and he didn't give a red envelope, so of course he put our son behind the queue."

Jiang Meilan agreed when she heard this. It is said that giving a red envelope to a surgeon will result in completely different treatments, so she convinced herself in her heart.

Just as she was daydreaming, several doctors suddenly rushed out of the elevator, and they all looked like experts in terms of age.

The doctors rushed to the door of the operating room with grim faces, taking off their outer white coats as they walked.

As soon as I arrived at the door, the electric door of the operating room opened, and several doctors came out, holding surgical gowns in their hands to help me change into them.

Then the door of the operating room was closed, leaving a group of patients' families looking at each other in bewilderment outside the waiting area of ​​the operating room.

At this time, someone asked: "What's going on? Why did several experts suddenly come in?..."

"You guys don't understand, do you? It's obvious that a patient in the operating room has an accident, and the surgeon is calling for help..."

"Yes, yes, yes. And it must be urgent. Didn't you see the doctor changing clothes while walking? It's obvious that he has to race against time and can't waste a single moment..."

"Oh my, please don't let anything happen to my dad, God bless me..."

The patient's family members began to discuss the matter. Jiang Meilan became nervous again. She almost cried when she thought about the abnormality of her son's process:
"It can't be my son, right? My poor Xiao Ming~~~"

Sun Shu was also a little annoyed, but he didn't want to show it in front of his wife:
"Don't worry, don't worry. Xiao Ming just has a minor appendicitis. What's the big deal? There are so many major surgeries in this operating room. It's not our turn."

Just as the patients were talking, the elevator door opened again.

An elderly doctor walked in the front, followed by an even larger group of people, with another doctor at the front leading the way:
"Come on, everyone, make way, make way~~~"

As the second group of doctors hurried past, the family members' discussions became louder.

"Why are there more and more people? It seems like something serious has happened in the operating room..."

"Let me tell you, the person who just came is the dean of this hospital, his last name is He, and behind him are experts and professors from the first hospital, they are very high-ranking..."

"I don't know whose patient is in trouble. It's so worrying..."

The patient outside is in a hurry, and the doctor in the operating room is even more anxious.

Xu Huanghui changed into surgical gown as she walked, and at the same time did not forget to ask about the surgical process, her steps were almost flying.

There are 30 operating rooms in the operating area of ​​Huadu First Hospital, arranged in a long row. The distance that seemed very short before felt particularly long today.

Lv Shengwen jogged to catch up with Director Xu while reporting the patient's condition:

"This is how it happened. Less than 2 minutes after the anesthesia was administered, I noticed that the teeth were clenched and the masseter muscles were tense when I was doing the tracheal intubation. Then the heart rate rose rapidly, followed by a rapid rise in body temperature, and finally convulsions occurred..."

Director Xu gritted his teeth, snatched the medical record and started reading:
"Did you meet the patient before surgery? Did you carefully inquire about the relevant medical history, paying special attention to personal and family history of muscle disease, post-anesthesia fever, etc.?"

Lv Shengwen blushed, but he didn't dare to lie: "Director, you also know that this is an appendectomy operation, so I, I didn't go to see the patient..."

"Look, look, I have repeatedly stressed in department meetings that we must abide by procedures and that everything must comply with diagnosis and treatment standards. You are lucky if nothing goes wrong. If something goes wrong, you will be blamed. Lv Shengwen, let me tell you, if the patient cannot be rescued today, you will be the first person responsible!"

Lu Shengwen was almost crying.

They will certainly not be fired, but according to the rules of Huadu First Hospital, doctors who have committed medical accidents cannot be promoted within five years, which is equivalent to wasting five years of time.

Moreover, if you are slow in one step, you will be slow in every step. Others will be promoted before you, and all the benefits in the future will be ahead of you, and your career in the workplace will be over. (This is also the main reason why Lin Sanqi's internship instructor let the students take the blame)

The door of the operating room was opened with a bang, and Xu Huanghui and the director of surgery Jin Limin rushed in.

Xu Huanghui immediately saw the little patient who had fallen into a coma on the operating table, with a tube inserted in his trachea and the ventilator working hard.

"How is the patient now? Report the body temperature and end-tidal CO2!"

Doctor Qi saw that the directors all looked like they were ready to kill, so he also reported with a stutter:
"Report, the patient's temperature is now 40.1℃ and is still rising. The end-tidal CO2 value is 85%. We have just injected the sedative..."

Director Jin asked Xu Huanghui next to him:

"Old Xu, how is it? Can you diagnose malignant hyperthermia?"

Xu Huanghui already had a general understanding of the condition, and combined with the current body temperature and end-tidal CO2, she had a rough idea in her mind.

"It's almost certain, but we still need to do a lanidine contraction test and a dynamic halothane test to confirm it."

Director Xu gave medical advice to the young doctor in the operating room:

“1. Immediately stop using all anesthetics, replace the anesthesia breathing circuit and soda lime to prevent inhaled anesthetics from further aggravating the condition.

2. Use variable temperature water bed, ethanol bath on the aorta, ice pack and large amount of cold balance fluid infusion to control the patient's body temperature. ③ Adequate oxygenation and hyperventilation.

3. Repeated use of furosemide to maintain urine volume, large amounts of fluid replacement to dilute the concentration of myoglobin in the blood, infusion of 5% sodium bicarbonate to alkalinize the urine to prevent myoglobin from blocking the renal tubules, and other measures to protect renal function.

4. Check blood gas and electrolytes every hour, and check blood and urine myoglobin and creatine kinase every 4 hours. "

"Roger that!"

"Roger that!"

Several young doctors and nurses immediately got ready and started working.

At this time, Vice President He also came in with someone, "Director Xu, how is the patient?"

Xu Huanghui touched the patient's forehead and looked at the young face with pity:

"The patient is only 14 years old, a little boy. If his body temperature rises above 41 degrees Celsius and remains blocked, it will be dangerous and there is a high probability that he will not be able to be saved."

Vice President He also had a headache, and turned around and instructed Director Jin of the Department of Surgery next to him:
"It has already happened. Now, your surgery department should notify the patient's family immediately. Every treatment step should be explained clearly to the family and they should sign their consent. Do not escalate the conflict!"

The problem is that some things won't happen unless you're afraid of them...

(End of this chapter)