Chinese medicine: When you do things to the extreme

Chapter 260 It’s hard for one person to have both! (Subscribe)
Being hospitalized is always tiring, and being in the emergency department is always even more tiring!
It is difficult to distinguish day from night.

When Zhou Yanqing received the call in a daze, he could no longer remember what day of November it was or what day of the week it was. He only knew that it was 3:48 in the morning.

Zhou Yanqing put on his slippers and trotted out of the lounge, quickly putting on his white coat in his hand.

Time was too tight and the distance was too short, so Zhou Yanqing could only act cool by not buttoning his clothes and pushing the door open, while tearing off a pair of examination gloves with his right hand!
The people on duty were Du Guodong, attending physician of the gastrointestinal surgery department, Huang Ouming, chief resident of the cardiac surgery department, and Tang Zecheng, attending physician of the emergency department.

Four nurses and three people in white coats blocked most of the view of the bed. Zhou Yanqing urgently rotated around the bed about 100 times before he found a gap to look at the patient.

The patient's abdomen was swollen like a frog, and it was obvious that there was active bleeding in the abdomen, but it was a closed blunt trauma.

The patient's larynx was severely swollen, and Tang Zecheng from the emergency department performed tracheal intubation and ventilation.

The ECG monitor showed very low blood pressure and very high heart rate, beeping and beeping all the time! ~
"It's too late. There must be active bleeding in the abdominal cavity!~"

"Push him to the emergency operating room quickly!" Tang Zecheng looked at the blood pressure that appeared again and said decisively.

"62/45mmHg!"

The patient also had injuries on his right and left hands, but they had been temporarily bandaged. Although there was a small amount of bleeding, it was not the focus of the current symptoms at all!
"We need an emergency operating room and send the patient here immediately." After hearing Tang Zecheng's instructions, a nurse immediately started making a phone call.

After checking the patient's pupils and breathing, Du Guodong said, "The only feasible solution now is to immediately perform a laparotomy at the bedside to stop the bleeding."

"The patient has been delayed too long from the place where he was injured to here. Any time spent on preoperative preparation will cause him to lose more blood and go into shock until his heart stops beating!~"

"The intravenous access has been established." A nurse reported the progress of her task.

When the blood pressure is too low, it is undoubtedly very difficult to establish an intravenous access, but she is still trying her best to follow the doctor's orders.

Zhou Yanqing looked at Du Guodong and said in a firm tone: "Doctor Du, do you want to disinfect? ​​Or should we start right away?"

Not all patients have the opportunity to undergo surgery in the emergency operating room.

The patient’s blood pressure is so low now that he will die if he is pushed into the operating room!
Only by performing an on-site laparotomy can there be a glimmer of hope.

But this is also a very risky move.

Medical principles dictate that, in principle, surgical treatment cannot be performed outside the operating room.

At this moment, Yang Lingchong and Xiang Miao also arrived late!
Du Guodong also saw the two of them and said decisively: "Move!~"

"Xiang Miao, go talk to the family members!~"

"Tell him that if you don't open his abdomen now, he will be 100% dead. If you open his abdomen now, he will be 90% dead."

"Only this ten percent!~"

"Call the chief duty officer immediately to report the situation!" Du Guodong made the decision very quickly.

Xiang Miao immediately ran away, picked up his cell phone and dialed the number.

"Hello, is the chief on duty? Emergency Department Trauma Center, patient with active bleeding, urgent situation, we need to perform laparotomy in the trauma center immediately."

"Non-open abdominal injury!~"

"Is that you?" Xiang Miao said and hung up the phone. Without waiting for the other party's consent, she wanted to get the family member's signature.

"Him?" The young woman, who didn't know whether she was the patient's wife or girlfriend, was stunned and dazed.

She pointed in the direction of the man.

"If we open the abdomen now, there is only a very slim chance of success. If we don't, there will be no chance at all!" Xiang Miao said bluntly.

"He and I haven't married yet. I'll call his mother and ask." The woman was confused.

"Sign first before calling!"

"I can't wait for you to call!" Xiang Miao pushed the writing board in front of the woman...

The atmosphere in the trauma center was chaotic.

However, at this moment, there was the sound of a cart's wheels and the clattering of footsteps. "Are there any external injuries?"

"Correct!"

"Push the Trauma Center!~"

The sound came from far away, obviously not giving anyone a chance to breathe, one wave after another.

Yang Lingchong, who had just put on his gloves, immediately stopped and turned around: "Xiang Miao!"

"Call someone after you sign!" Without waiting for Xiang Miao's reply, Yang Lingchong walked directly towards the door, adjusted his gloves to his wrists, and got ready to receive the patient.

Xiang Miao was even more straightforward: "Sign!~"

The woman opposite covered her face and shook her head: "Don't push me, I can't make the decision."

"You have to make the decision! You are an adult, sign it and give it a try. I'm not kidding you!~" Xiang Miao stuffed the pen directly into her hand.

"Sign quickly, I still need to go over there to see a patient!~"

The woman quickly drew a symbol with a pen, then ran away in a panic, her hands shaking as she made a phone call: "Mom, it's me, Xiang Wei had a motorcycle accident."

"I'm fine. I hadn't gotten into the car yet. It was him..."

Xiang Miao turned around and shouted, "Signed."

Zhou Yanqing and others immediately started to open the abdomen. The scalpel in Zhou Yanqing's hand cut open the patient's abdomen in a standard manner.

At the same time, an experienced nurse called another group of people to participate in the emergency rescue of another trauma patient...

The chaotic sounds of equipment wheels, footsteps, doctors' handovers, and family members' phone calls were all in disarray.

Zhou Yanqing's consciousness at this moment has been isolated from the outside world.

It only took him twenty seconds to open the patient's abdomen and saw blood surging inside.

On the opposite side, Du Guodong quickly cooperated with Zhou Yanqing to suck blood.

Huang Ouming helped to stretch out the abdomen, exposing as much as possible to the naked eye, and said in a serious tone: "Active bleeding! A lot of it!"

"Don't say anything yet!" Du Guodong whispered, suppressing Huang Ouming's voice.

At the door, the family member of the patient who had just arrived wanted to come in, but was stopped by the nurse and Xiang Miao.

"How is my daughter? Doctor, you must save her."

"Family members stand outside!~"

"You can't help if you come in. Sign!~" Xiang Miao continued his work.

"I sign, I sign..."

The noise at the door just died down, and Zhou Yanqing's right hand finally turned in a direction, and then tightly grasped the barrel of a blood vessel like a python. After clamping it hard, the hemostatic forceps in his left hand were inserted quickly and accurately.

After it was quickly clamped, the gurgling blood began to slowly subside.

"It's effective in stopping bleeding!~" Seeing this, Du Guodong's face instantly became overjoyed!
At the same time, he also saw a ruptured small blood vessel in the blind spot where Zhou Yanqing was, and quickly clamped it with the hemostatic forceps in his left hand.

But Zhou Yanqing and the others didn't have time to be happy.

A slightly harsh sneer suddenly broke out.

Then, everyone felt a blood rain spraying down from the sky...

The "beep, beep, beep~~~" alarm sound of the ECG monitor responded immediately and continued to ring in my ears.

Such a change made Zhou Yanqing dazed even though he thought he had strong skills to back him up! ~
(End of this chapter)