The hospital is too busy, so I'm going to join the army and become a top soldier!

Chapter 65 Why is this third-class merit award being chased after Shen Yan by himself?

The day after the commendation ceremony happened to be a day off.

No new training programs were arranged in the recruit training company.

According to regulations, all new recruits are allowed to wake up half an hour later than usual.

After a month of training, most of the students in Class Two had developed a biological clock.

Shen Yan woke up naturally before the reveille.

He had just sat up in bed when he noticed that Wei Shanjia across from him had also opened his eyes.

The two looked at each other.

Wei Shanjia remained silent for two seconds before lying back down.

"I finally get a day off today."

"I'm not going to try rolling anymore. I can't beat you anyway, it's pointless."

Shen Yan reminded him:

"You're awake."

"You can go back to sleep even if you wake up!"

Wei Shanjia pulled the blanket over his face.

Clearly, he was quite affected by yesterday's assessment and Shen Yan's commendation for meritorious service.

One minute later.

Wei Shanjia suddenly threw off the covers and got out of bed.

"Damn it, I'm not sleeping!"

"The more I try to sleep, the more awake I become!"

"If I can't beat Shen Yan, then I can beat anyone else?"

"Get up and keep going!"

As Wei Shanjia put on his clothes, he looked at Shen Yan.

"Shen Yan, are you going out again today?"

Shen Yan was tidying up the quilt.

Upon hearing this, he paused slightly.

"I'm not going out."

"The company commander didn't give us leave, so we can't go out."

Disappointment immediately appeared on Wei Shanjia's face.

He was thinking about this last night.

The last time Shen Yan went out with the catering team's purchasing truck, he was awarded a second-class merit upon his return!

The little boy who went out with them also received a second-class merit award!

What did I do while I was in the camp?

I've been playing on my phone all day!

The difference is just too big!

If Shen Yan is going out again today, Wei Shanjia will have to find a way to keep up no matter what.

He didn't even ask to go out and get a second-class merit.

A third-class merit is fine too!

If all else fails, giving him a chance to prove himself is also an option!

Shen Yan also felt some regret.

"The last time I went out, I actually wanted to buy some medical books."

"In the end, we didn't make it to the bookstore."

"If I can go out today, I'd like to go again."

Wei Shanjia's eyes lit up instantly.

"You can take me with you when you buy books!"

"You pick the books, I'll carry them!"

"If you encounter any more criminals, I can help you apprehend them!"

Shen Yan looked at him speechlessly.

"I'm going to buy medical books."

"It's not about going out to find criminals."

"That's not necessarily true."

Wei Shanjia said earnestly:

"You were also going to buy books last time, and then you ran into me, didn't you?"

Ga Wa got off the bed, folding the blankets as he added insult to injury:

"Friend, why are you so eager for a second-class merit award now?"

"A second-class merit isn't like potatoes in a field; you can't just go out with Shen Yan and bring back a whole sackful!"

How could I not yearn for it?

Wei Shanjia pointed at Shen Yan, then at Ga Wa.

"The three of us will train together in advance."

"Shen Yan, one second-class merit and one third-class merit."

"You, a second-class merit."

"I have absolutely nothing on me!"

Standing next to the two of you yesterday, I felt so empty inside that I could practically breathe!

After thinking about it, Ga Wa felt that she was indeed a bit pitiful.

He earnestly comforted him:

"It's alright."

"You also have a commemorative award for being 0.5 seconds behind in the 3000 meters."

Wei Shanjia's face instantly darkened.

"Can you please forget about this?"

"It's only half a second, not five years. How can you forget that quickly?"

Wei Shanjia took a deep breath.

Don't get angry!

You must never beat your comrades!

Otherwise, not only will you not get any credit, but you'll also be punished!

……

After breakfast, Gao Zhenhai carried the box containing his cell phone into the dormitory.

The recruits, who had been chatting on the edge of the bed, suddenly brightened up.

mobile phone!

For the past month, many people have only been able to get their phones on their days off to let their families know they are safe.

Gao Zhenhai distributed the phones one by one.

"The rules remain the same as before."

"You can make phone calls and check messages."

"No taking photos of camp facilities without permission, and absolutely no posting information about troop training or personnel online!"

"It's not just a matter of confiscating cell phones if someone violates confidentiality regulations!"

Everyone answered in unison:

"yes!"

After handing out the phones, Gao Zhenhai looked at the new recruits.

"And you guys, you can't do what you did last week, hiding in the bathroom with your phones, locking the door, and messing around with things!"

"We've all been there, I know what you're doing. Don't wait until they check your browsing history and find you, or you'll get punished!"

Hearing Gao Zhenhai's reprimand, the new recruits blushed, and the atmosphere became quite awkward.

The phones had barely been handed out when the dormitory was soon filled with ringing phones.

Some people immediately called their parents to let them know they were safe.

Someone asked about the recent situation at home.

Some people, after getting their phones, stare at dozens of unread messages, unsure who to reply to first.

Gawa found his home phone number and was about to ask how many sheep were left in the sheepfold after the second-class merit plaque was delivered.

Wei Shanjia sat on the edge of the bed, wondering whether he should call his grandfather.

He really wanted to ask if his lieutenant general grandfather had any experience in quickly gaining merit.

But after thinking about it carefully, he gave up.

Given my father's temperament, he might not necessarily praise me if he hears that I want to make a contribution.

More likely, he felt his training volume wasn't enough, so he called the team and asked them to add a few more events for him!

Shen Yan found his mother Chen Sufen's phone number.

During his last day off, his parents already knew that he might receive a third-class merit award.

Now, all second-class and third-class merit awards have been officially approved.

The plaque inscribed "Family of a Second-Class Merit Recipient" should have already been delivered to their home.

He was just about to dial when he suddenly heard hurried footsteps outside in the corridor.

The footsteps are getting closer!

The next second, Ma Jianjun, a medic from the medical unit, appeared at the door of the second squad's dormitory.

His breathing was rapid, and his face was somewhat pale.

"Shen Yan!"

"Come with me now!"

"Someone had an accident at the car park!"

The dormitory fell silent instantly.

Gao Zhenhai immediately asked:

"What's going on?"

"A veteran from the motor transport company had a mechanical accident while repairing a vehicle."

Ma Jianjun took a breath.

"The right forearm was severed by a mechanical component, and appears to be completely severed!"

"Zheng Lian has already gone there; he asked me to come and get you!"

Complete severance!

Upon hearing these four words, Shen Yan's newly acquired master-level knowledge of limb replantation was instantly activated.

At the same time, Shen Yan was also quite puzzled.

Why am I using the knowledge I just learned again?

Without hesitation, he handed the phone, which he hadn't yet dialed, to Gao Zhenhai.

"Squad leader, I'll go check!"

"Could you ask the company commander for leave for me?"

After saying that, Shen Yan followed Ma Jianjun and ran towards the medical unit.

Gao Zhenhai looked at Shen Yan and shook his head helplessly.

"What a busy person!"

Wei Shanjia watched them disappear at the end of the corridor, remaining silent for a long time.

I just received my second-class and third-class merit awards yesterday.

Today is a rest day, and Shen Yan wasn't even allowed to leave the camp.

The injured person ended up coming to us on their own?

Is there no justice left in this world?

Wei Shanjia suddenly realized that meritorious service might really be a matter of fate.

You can't get it even if you beg for it.

Shen Yan was just sitting in his dormitory preparing to make a phone call when a medical worker rushed in and called him!

"These third-class merit awards have become so powerful, they're even coming to Shen Yan's door now?"

Ga Wa, holding the phone, earnestly comforted her:

"Friend, don't be in such a hurry."

"From now on, you'll just follow Shen Yan around, and you'll run into him sooner or later."

"Maybe we can even get a third-class merit award?"

Wei Shanjia: "Why wasn't it a second-class merit?"

Ga Wa chuckled upon hearing this, "This second-class merit depends on luck; it's something you can't just come across by chance!"

……

Group car yard.

A military vehicle undergoing repairs is parked next to the garage.

A cordon has been set up around the area.

Several soldiers from the motor transport company stood not far away, their faces increasingly grim.

An old soldier was lying on the ground.

His face was deathly pale, his forehead was covered in cold sweat, and his consciousness was beginning to fade.

The right forearm was completely severed by mechanical parts.

A comrade had already used a tourniquet to control the bleeding at the stump.

The other person was holding the severed limbs, frantic and unsure of what to do.

"The ice is here!"

Someone ran over carrying a plastic bucket filled with ice.

"Put your arm in first!"

"You can't just put it down!"

Shen Yan had just arrived at the scene when he heard this and immediately stopped him.

The soldier paused.

"But I heard that severed limbs need to be preserved at low temperatures!"

"Low-temperature preservation does not mean burying it directly in ice."

Shen Yan had already reached the wounded soldier's side.

"Direct contact with ice may cause frostbite to the tissues, affecting subsequent replantation!"

"Prepare sterile dressings, resealable bags, and clean containers!"

Ma Jianjun immediately went to get the items.

Shen Yan bent down to examine the wounded.

Can you hear me?

The wounded man's eyelids twitched, and his lips turned slightly pale.

"able……"

"What's your name?"

"Han...Han Dayong..."

"Where does it hurt? Besides your right hand, do you have chest pain, dizziness, or difficulty breathing?"

Han Dayong's voice grew weaker and weaker.

"Dizziness……"

"Da Yong!"

His comrade next to him was anxiously trying to move forward.

Shen Yan immediately looked up.

"Move aside a bit, let the air circulate!"

When was the tourniquet applied?

"9:12!"

Who kept track of the time?

"I!"

The soldier immediately replied, "I checked my watch after I put the bandage on!"

"very good!"

Shen Yan quickly checked the position of the tourniquet and the bleeding at the stump.

The hemostatic effect is temporarily stable.

We cannot loosen the loop arbitrarily in order to supposedly restore the cycle.

Otherwise, there is a high possibility of another uncontrollable massive hemorrhage!

Ma Jianjun ran back with first-aid supplies.

The two quickly established intravenous access and began anti-shock treatment.

Shen Yan then had the severed limbs placed in a clean area.

Instead of grabbing the broken section directly, he supported it from the intact part.

The cross-section showed obvious contamination, and there were contusions on blood vessels and soft tissues.

However, the break occurred in the forearm and was not completely crushed by the mechanical parts!

It also has replanting value!

Shen Yan wrapped the severed limb with sterile wet dressing, put it into a sealed bag, and then placed the sealed bag into a container containing a mixture of ice and water.

This reduces tissue metabolism and prevents severed limbs from directly contacting ice water.

Just after the treatment was completed, Zheng Guoliang arrived at the scene with medical personnel.

"How are the wounded?"

"The right forearm was completely severed. A tourniquet was applied at 9:12 AM, and the bleeding at the stump is currently under control."

Shen Yan quickly reported:

"The injured person is showing signs of hemorrhagic shock. Intravenous access has been established, and fluid resuscitation is underway."

"The severed limbs have been preserved using a low-temperature drying method."

"Although the cross-section shows signs of contamination and damage, it is not completely destroyed and has the potential for replantation!"

Zheng Guoliang squatted down to examine the wounded.

They also checked the preservation of the severed limbs.

His expression grew increasingly serious.

The regimental medical unit is capable of handling hemostasis, immobilization, shock treatment, and emergency transport.

Limb replantation requires microsurgical equipment, a professional surgical team, and comprehensive postoperative monitoring.

The group simply doesn't have that kind of opportunity!

"He must be taken to the military hospital immediately!"

Zheng Guoliang stood up.

"Prepare the ambulance!"

"Continue to monitor vital signs on the road!"

"Record everything clearly: the time the tourniquet was applied, the medication used on-site, the extent of bleeding, and the method of preserving the severed limb!"

"No time point can be missed!"

Medical staff acted swiftly.

Han Dayong was lifted onto a stretcher and sent to an ambulance.

Zheng Guoliang originally wanted Shen Yan to stay in the team.

But then I thought about it again, and Shen Yan was the first person to take professional action at the scene.

He also preserved severed limbs, and he did it very professionally!

He's far more knowledgeable than those half-baked guys under him!

Furthermore, since no one knew the injured person's condition better than Shen Yan, Zheng Guoliang simply put Shen Yan in the ambulance.

"Shen Yan, get in the car!"

"yes!"

The ambulance quickly drove out of the camp.

The regiment's base is far from the military hospital.

Even with the speed limit, it still takes close to two hours!

Under normal circumstances, two hours is not particularly long.

However, when it comes to limb replantation, every minute is eroding the success rate!

Inside the ambulance, Shen Yan observed the injured person's vital signs while meticulously recording the situation.

The injured person's blood pressure, pulse, level of consciousness, fluid resuscitation rate...

He clearly wrote all the information down in the injury record.

Han Dayong experienced a drop in blood pressure midway through the journey.

Shen Yan and Zheng Guoliang immediately adjusted their approach.

Zheng Guoliang only breathed a slight sigh of relief after the situation stabilized again.

He glanced at the cryopreserved severed limbs.

Do you think it can still be connected?

Shen Yan did not give a 100% guarantee just because he had mastered master-level limb replantation techniques.

After all, any patient could encounter unexpected complications!

"There is a possibility of replantation."

"However, the fracture surface is irregular, and the area of ​​blood vessel and soft tissue contusion is quite large."

"During the operation, it may be necessary to expand the debridement, shorten part of the bone, and then find healthy blood vessels for anastomosis."

Whether the surgery can ultimately be saved depends on the start time, the progress of blood flow restoration, and whether a vascular crisis occurs post-surgery.

After listening, Zheng Guoliang couldn't help but look at Shen Yan.

This is no longer a matter of on-site emergency care!

This kid has even started thinking about how to perform the surgery!

"Limb replantation, you've studied that before?"

"I've learned about it from medical materials and watched some surgical videos."

This was the only answer Shen Yan could give.

You can't exactly say that you got first place in the overall assessment and suddenly had a master-level limb replantation technique in your head, can you?

Or perhaps they had undergone dozens of such surgeries in a past life.

Either of these two statements would be enough to terrify Lao Zheng!

Zheng Guoliang did not press the matter further.

The most important thing now is to get the wounded to the hospital as soon as possible!

Nearly two hours later.

The ambulance finally arrived at the military hospital.

The hospital had been notified in advance.

As soon as the ambulance came to a stop, the emergency, orthopedic, and anesthesiology staff quickly completed the handover.

Han Dayong was taken to the emergency treatment area.

The severed limbs were also taken for evaluation immediately.

Next, blood draw, blood preparation, imaging examinations, preoperative preparations...

The whole process got up and running quickly!

But not long after, bad news arrived.

All the hospital's top experts in microsurgery and limb replantation are away attending a conference today!

Even the fastest return trip will take several hours!

The attending physician on duty did indeed participate in limb replantation.

It can also repair some tendons, blood vessels and nerves.

However, Han Dayong's injuries were too complicated.

The cross-section is irregular, and there is extensive contusion in some muscles and blood vessels.

This is not a problem that can be solved by simply aligning and suturing the tissues on both sides!

The attending physician on duty repeatedly checked the test results, his brows furrowing more and more tightly.

"I can handle ordinary amputation injuries."

"But the area of ​​blood vessel contusion in this arm is too large, and there is a high possibility of defects after debridement."

"If a vein graft is needed for reconstruction, I'm not confident!"

The hospital immediately contacted other nearby medical institutions.

We hope to temporarily send an expert over.

I made a few phone calls.

The answer they received only made everyone's hearts sink lower and lower.

Even the nearest experts would need more than four hours to get here!

More than two hours had passed from when the wounded soldier was injured until he was taken to the military hospital.

Even if severed limbs are preserved at low temperatures, it doesn't mean they can wait indefinitely!

In particular, this injury involved severe soft tissue and vascular damage.

If you continue to wait, your muscles, nerves, and blood vessels will gradually lose their activity!

Waiting for the experts to arrive.

This arm may have completely lost its chance of replantation!

The atmosphere outside the operating room grew increasingly oppressive.

The attending physician on duty dared not perform the surgery rashly.

This isn't cowardice; it's that he knows the limits of his abilities!

If vascular anastomosis fails, or the scope of debridement is misjudged.

Not only could the arm be lost, but it could also lead to infection, necrosis, or even more serious systemic problems!

But he couldn't accept watching time slip away like that!

Zheng Guoliang stood to the side, repeatedly reviewing the images and injury records.

His expression grew increasingly serious.

He worked in the military medical system for many years.

He has also participated in complex trauma and limb replantation surgeries.

He was familiar with the entire surgical procedure.

Having participated in surgery and actually performing highly complex limb replantation independently are two completely different things!

Time passed second by second.

The operating room is ready.

The wounded cannot wait any longer!

Zheng Guoliang closed his eyes and remained silent for a few seconds.

When he opened his eyes again, he finally made a decision.

"We can't wait any longer!"

"I'll take the lead!"

"Please cooperate with me, doctor on duty!"

The attending physician on duty looked up.

"Zheng Lian, this is no ordinary replantation."

"I know!"

Zheng Guoliang looked at the closed operating room door.

"If we keep waiting, Han Dayong's arm is definitely going to be lost."

"If we take office now, at least we still have a chance!"

Everyone fell silent.

This decision is extremely risky!

But apart from taking risks, there seems to be no better option at hand!

Zheng Guoliang turned around to change into his surgical gown.

Shen Yan spoke up at this moment.

"Zheng Lian".

Zheng Guoliang turned around.

Holding the video recordings and injury report, Shen Yan said earnestly:

"How about I help you?"

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