Chinese medicine: When you do things to the extreme

Chapter 278 This is the emergency room! (Subscribe)
Different identities, different positioning, and different functions!
Zhou Yanqing has left enough time for Xiang Miao, but this time window is not as wide as before. However, this is the maximum Zhou Yanqing can do in such a short time.

In the past, Zhou Yanqing was just an orthopedic surgeon, and his role in the trauma center was to manage the treatment of orthopedic diseases.

He left the patient he was working on and went to the next room, which was a dereliction of duty.

Now, the Trauma Center has set his position as 'Assistant Director'. In principle, Zhou Yanqing needs to assume the same responsibilities as Professor Yang Lingchong.

Arrange the emergency response priorities for the entire trauma center.

Treat the serious issues first and the less serious ones later; save lives first and cure the disease later!

Don't use people who are suspicious, don't use people!
The Department of Vascular Surgery sent Xiang Miao to the Trauma Center because she had such abilities.

Yang Lingchong and others followed and said to the other group of nurses who did not intervene: "This patient's condition is more urgent!~"

"Oxygen inhalation and ECG monitoring."

"Gel!~"

"Squeeze and deliver!" Tang Zecheng also imitated He Qingqing and began to protect the patient's life.

"Husband!~"

"I want to go in!~" Outside the trauma center, a woman was rushing to the door.

"Stop outside!~"

"Shut up!" Yang Ling shouted angrily.

Zhou Yanqing felt his eardrums vibrate and he became temporarily deaf for half a second.

The uniformed security guard took the person away directly.

It's not just her husband who is in emergency now. If she breaks in and kills her husband, it won't matter. But if she kills the patient next door, she will have to go in if the family members of the patient next door arrive.

"Chest wall collapse!"

"Fix the chest cage! ~Intubate the trachea and squeeze the ball to expand the chest." Chief physician Tan Wei from the Department of Thoracic Surgery immediately gave instructions to Zhu Gongjiao.

However, Zhu Gongjiao was extremely confused at this moment.

He had only seen first aid for chest compression in textbooks and videos before, and had never seen a real patient in clinical practice.

While Zhu Gongjiao was hesitating, Zhou Yanqing had already reached out to help!
Zhou Yanqing directly pulled up the thorax from the opening of the thorax and repositioned it through "manual reduction surgery".

Zhou Yanqing had no way of being sure whether this was a standard rib reduction, but he had to do it now.

The breathing movement of the lungs must rely on the negative pressure gap between the visceral pleura and the parietal peritoneum. The expansion movement of the lungs requires enough space!
Otherwise, the patient will die even if he does not bleed!

Tan Wei meant to have Zhu Gongjiao stabilize the thorax, but Zhu Gongjiao was a little panicked, so Zhou Yanqing took over and dealt with the open pneumothorax himself.

"Can you sew the lungs?" Tan Wei suddenly looked up and asked Zhou Yanqing.

Zhou Yanqing was stunned: "I have never sewn it before!"

"It's okay if you haven't sewn before. I'll teach you!"

"It's mainly about suturing the blood vessels, closing the bronchi, and then exploring."

"Zhu Gongjiao, come up." Tan Wei ordered Zhu Gongjiao.

At this moment, Zhu Gongjiao could only go ahead with gritted teeth!
Both of the patient's lungs collapsed, which was bilateral lung damage.

……

"The tracheal intubation is completed, and the left lung is selected." Tang Zecheng reluctantly took over the duties of the anesthesiologist.

This operation should have been performed by an anesthesiologist, but the situation is urgent at the moment and we have to follow the discretion!
After Tan Wei opened the chest wall again, Zhou Yanqing found that the condition of the lungs was not what he had imagined.

In Zhou Yanqing's understanding, the lungs are full of blood, and once there is a rupture, blood will spurt out.

But in fact, due to the rupture of the lung, a tension pneumothorax has formed, and the lung tissue has collapsed at this moment! The lungs look slightly pale.

"Intravenous access has been established!~" the nurse reported.

"Speed ​​up the blood transfusion!~"

"Push us directly into the operating room. This patient's condition is very special and cannot be treated here!~" said Tan Wei.

"Have you called the thoracic surgery consultation number?" "I have already called!~"

"Go to the operating room!" Tan Wei ordered everyone to start pushing the bed, not daring to delay for a quarter of an hour.

"A large section of the right lower lung is damaged and ruptured, and the left lower lung is also severely ruptured!" Tan Wei said to Zhu Gongjiao, confirming Zhu Gongjiao's decision to stay in the operating room:

"I need to do a lung resection."

"Stop!~" The bed was just pushed!
Zhou Yanqing suddenly stretched out his hand: "Don't push!~"

"Don't push!~" Zhou Yanqing pointed towards the left lung where Tan Wei was.

You can see fresh blood starting to seep out.

After the lungs collapsed, the mediastinum was also damaged, so the blood coming up from below the mediastinum should have come from the heart or aorta!

There is someone in the cardiac surgery department, but he is Huang Ou Ming!

"Don't move, there's a rupture in the aorta!"

"Brother Lan!" Huang Ouming shouted quickly.

Lan Zhuozhi had heard it a long time ago. He was wandering around the bed next door, but he immediately rushed over when he heard the sound. He didn't even have time to change his gloves and took over Tan Wei's position!
"Use clamps to stop the bleeding immediately!" Lan Zhuozhi just took a look and spoke decisively.

Hearing this, Zhou Yanqing picked up a pair of hemostatic forceps in his right hand without hesitation.

But this was not his area of ​​expertise, he was just following orders.

"Open it a little more!" Lan Zhuozhi whispered to Huang Ouming to open the surgical field.

At the critical moment.

The huge blood pressure in the aortic arch directly broke through a certain breaking point.

Blood gushed out from the inside out like a pillar.

"Fuck~" Immediately, Lan Zhuozhi and Tan Wei were sprayed in the face.

The two thought that the rescue was over, but they didn't expect Zhou Yanqing to quickly clamp the ruptured blood vessel with a hemostatic forceps at an angle, just closing the rupture but not blocking the aorta!
Even a fool knows that the aorta cannot be completely blocked, otherwise where would the blood pumped by the heart go?
The blood stopped spurting!
Lan Zhuozhi quickly wiped his face with gloves, then shook his head quickly to shake off the blood in front of his eyelashes.

Zhou Yanqing's hand had already retreated.

“It’s okay, it’s okay!!”

"Send her to the operating room!"

"The patient still has active abdominal bleeding!~"

"Call the general surgery department and vascular surgery department for emergency treatment immediately!"

"Zhu Gongjiao, follow me!" Tan Wei said quickly. He threw the gloves away, ran to the sink and started washing his face.

"Yanqing, let's go, there are still patients!~"

"Is he okay for now?" Zhou Yanqing didn't quite understand how dangerous the situation was.

"It can be delayed for a while, the emergency has been dealt with!"

"The collapsed lung can hold out for a while, the rest depends on luck." Lan Zhuozhi and Tan Wei said quickly.

There was no blood on Zhou Yanqing's body. Upon hearing this, he quickly turned around and ran to the trauma center.

Zhou Yanqing is an orthopedic surgeon. He didn’t know the significance of his rescue, and he didn’t know the use of the decisive thoracic reduction surgery he performed!

Zhou Yanqing only knew that he had done everything he could.

As soon as Zhou Yanqing arrived at the trauma center, he found Yang Lingchong squeezing a spot hard with his hands beside the bed!
Blood was splattering rapidly between his gloves!
This was a new patient, a new emergency, and there was no time to breathe for anyone.

Including Zhou Yanqing, including Yang Lingchong, including Xiang Miao, including the two patients mentioned above...

He came unexpectedly.

This is a 'wild' patient with injuries from four car accidents!
This is the emergency room.

(End of this chapter)