This doctor is very stable

Chapter 137 First Aid for Stab Injury
After checking the ward, Xu Hong looked at the ward where Lin Ran and Li Zifeng were located.

Xu Hong walked into the ward first, and greeted: "Director Li, long time no see!"

The two didn't have much friendship, so they should have met each other, but it was necessary to exchange pleasantries.

"Director Xu, long time no see. The last time we met was at a seminar in the province. You and Director Chen were together at that time! Unexpectedly, I became a patient of Director Xu. It's so unpredictable!"

The two chatted a few more words, and the twin sisters stood aside, glancing at Lin Ran and the others from time to time.

Not long after, Xu Hong left Lin Ran and Qian Xuan to take Li Zifeng for an examination.

General doctors, soldiers and other special occupations can open green channels for medical treatment.

Half an hour later, Lin Ran and Qian Xuan accompanied Li Zifeng to conduct a comprehensive and systematic examination, including CT examination, blood test, MRI...

Li Zifeng's two daughters also accompanied him throughout the trip.

After sending Li Zifeng back to the ward, Lin Ran found Xu Hong with the documents.

After reading the examination materials, Xu Hong asked, "Lin Ran, are you really sure that you want to perform laparotomy on the patient? The location of the hypertensive liver cancer is also not good, and the risk of laparotomy is not small!"

Lin Ran nodded, "Interventional embolization surgery for liver cancer is destined to not achieve much therapeutic effect, and if you want to have surgery, the only option is laparotomy."

Interventional embolization surgery cannot eliminate the lesion. As long as liver cancer still exists, it will metastasize and spread, and even when it recurs, the patient's body immunity will become weaker and weaker due to multiple attacks.

Until the cancer enters the advanced stage, the cancer cells spread, the cancer metastasizes, and other serious complications are caused.

Lin Ran insisted, so Xu Hong nodded.

In the end, they made a surgical plan, but Qian Xuan and the others didn't offer any useful opinions.

Lin Ran and Xu Hong led the completion of the operation plan.

After bidding farewell to Xu Hong, Lin Ran went back to the nurse's front desk on the first floor to make an appointment for surgery.

"Nurse, make an appointment for me in an operating room, liver cancer laparotomy surgery No. [-] or No. [-]."

There are three operating rooms in the emergency department. The operation on No. 3 is relatively small, and the equipment conditions are not as good as that of No. 1 and No. 2 operating rooms. Usually, some minor operations are performed.

The head nurse looked at Lin Ran in surprise and asked, "Is the patient in Ward 408 going to undergo surgery?"

Lin Ran nodded, "Liver cancer! Naturally, the sooner the operation is performed, the less risk it will have. Besides, they were treated similarly in the original hospital before, so the operation can be performed so quickly."

The short-haired head nurse took out the operating room appointment form, "Okay, let's do it at twelve o'clock tomorrow! Operating room No. 1."

"Okay, thank you head nurse."

"you are welcome."

An urgent siren sounded outside the gate of the emergency department.

Soon there was a cry for help.

"Doctor...Doctor..."

Hearing the sound, Lin Ran subconsciously turned his head to look at the gate of the emergency department, and saw a police car parked in front of the gate of the emergency department.

A policeman opened the rear door, and inside the car was a policeman with a bloody wound lying on his abdomen.

Lin Ran looked at the head nurse and said immediately, "Push a hospital bed over here, I'll go and have a look."

Lin Ran ran out after speaking, and Qian Xuan immediately followed.

Lin Ran stopped beside the police car. Seeing that the injured man had fallen into a coma, he immediately got into the car, stretched out his hand to the injured man's neck, and asked, "What's the matter?"

"Someone reported to the police that there were traffickers, so we rushed over. My colleague was stabbed twice by the traffickers in order to protect the child."

"I was stabbed twice."

A police officer is helping the injured man to hold his abdomen.

At this time the hospital bed arrived, Lin Ran immediately said: "Help carry the patient to the hospital bed, be gentle."

The crowd carefully carried the wounded to the hospital bed, and then began to push the bed towards the emergency room in the emergency room.

"Li Hu, you must be fine! Didn't Auntie help you find a blind date?"

At this time, Lin Ran had already taken over the compression of the patient's abdominal wound. They pushed the bed and ran while the policeman beside them shouted anxiously.

Lin Ran looked at the policeman beside him and asked, "Did the family members be notified? What is the blood type of the patient, and does he have any medical history?"

Just as Lin Ran was questioning, the system's diagnostic prompt also came.

【V3 patients】

【Abdomen is red...the spleen under the abdomen is damaged...the bleeding rate is 0.08kg/min】

【Abdomen is red...Hypergastric damage and bleeding...Bleeding speed 0.04kg/min】

【Abdomen is red...Hypergastric transverse colon is damaged and bleeding...Bleeding rate 0.03kg/min】

It was so ruthless that two vital organs, the spleen and the stomach, were injured with one knife.

A knife wounded the transverse colon.

The abdomen must be opened immediately to stop the bleeding, and at the same time, care must be taken to contaminate the peritoneum with gastrointestinal foreign matter outflow and cause acute peritonitis.

"My unit has a physical examination every year. Li Hu is in good health and has no past medical history. His blood type is on our police officer certificate."

After speaking, he pointed to the jacket pocket of the wounded man.

The nurse took out a police ID card that was stained red with blood.

"Doctor Lin, blood type A."

Lin Ran replied, "Okay."

"Okay, send it here!"

In front of the emergency room, the nurse stopped several policemen.

After entering the emergency room, Lin Ran immediately ordered: "Emergency blood preparation, establishment of venous access, life monitor, intubation for oxygen."

After speaking, Lin Ran looked at Qian Xuan who had already put on his gloves, "Doctor Qian, cut off the patient's clothes, and then press the wound, don't keep pressing, let some blood come out in 2 minutes."

Qian Xuan is also a person who has seen big scenes, so naturally he is not afraid, "Okay."

After removing the patient's excess clothes, the two exchanged hands, and Lin Ran just put on the gloves.

"The vein is established."

"The activation of the life monitor is complete."

Looking at the data on the eye health monitor, Lin Ran immediately said: "10ml of normal saline, 500ml of Ringer's solution, push it intravenously, and establish a second venous channel."

"Dr. Lin's patient is in shock."

Lin Ran nodded, and immediately said: "Epinephrine 1mg, lidocaine 100mg, intravenous injection."

But he knew that the blood must be transfused immediately to stop the bleeding in order to maintain the patient's vital signs.

Stretching out his right hand, looking at the bleeding wound on the patient's abdomen, "Scalpel, normal saline."

Directly cut the abdomen with a knife to stop bleeding.

If you can't stop the bleeding, all your hard work will be in vain.

At this time, Zhao Jie lifted the curtain and walked in. How much experience in rescue did Lin Ran and his group have?

Zhao Jie looked at Lin Ran and asked, "What's the condition of the patient Lin Ran?"

"Knife wound, suspected spleen rupture, transverse colon injury."

Zhao Jie nodded, "Cut, cut it!"

Lin Ran washed the wound with normal saline, then sterilized and cut it open.

After the incision was made, Qian Xuan applied electrocoagulation to the incision to stop the bleeding. As soon as he put on the retractor, Lin Ran immediately said, "Quick, start the suction."

At this time, the little nurse who had just run out to test and prepare blood ran in, "Doctor Lin, here comes the blood bag."

First aid has its own blood transfusion process. Even if the blood type is known, it takes 3 minutes to get blood from the blood bank.

In fact, the 3-minute blood collection time is often the most exhausting time for the attending doctor.

Patients with massive bleeding often cannot wait for 3 minutes!
Without even thinking about it, Zhao Jie said directly: "Hurry up, transfuse blood, hang 1000ml, squeeze it with your hands."

As the blood in the abdominal cavity was sucked out, Lin Ran and the others saw the situation in the abdominal cavity.

"Tweezers, fine scissors."

After quickly cleaning off the excess lymphatic membrane, Lin Ran put down the scissors in his hand.

"Hemostatic forceps, speed up the suction."

Holding the hemostatic forceps, Lin Ran urged again.

If the hemorrhage does not come down, the splenic artery cannot be seen, and naturally the hemostasis cannot be blocked.

The nurse pressed the aspirator hard, but once the blood in the patient's abdominal cavity dropped to a certain level, the speed of the aspirator slowed down.

Without thinking too much, Lin Ran put the hemostat back on the tray, and inserted his hand into the patient's abdominal cavity.

"Stop the bleeding with bare hands?"

Thinking of Lin Ran's performance in the operating room last time, Zhao Jie said something in surprise.

(End of this chapter)