medical simulator
Chapter 132 Taking power is breaking the law!
Chapter 132 Going on stage is a crime! (Please subscribe!)
When Shen Dong returned to the emergency department from the orthopedic ward with his wife and children to thank his cousin in the next room, he was stopped by two security guards at the passageway of the emergency department.
Still life and death do not let in!
Shen Dong hurriedly explained: "Brother, my younger brother is an emergency doctor, and his name is Shen Shao."
"As soon as I saw my child, I went in to say hello to him, thanked him and left. It won't take too much time."
In order to convince the security guard, Shen Dong pulled Shen Jiahao to the front to show him the cast.
But the security guard insisted: "Since you know each other, let's talk about thanking you at home, or talk on the phone."
"Now there are several critically ill patients in the emergency department, and the doctors are busy!"
"The director of the emergency department personally issued a blockade order. Except for consulting doctors and emergency patients, emergency patients can only enter through the emergency passage, and other passages can only enter and exit for the time being."
"If you insist on looking for Dr. Shen, give him a call and ask him if it's convenient for him to come out."
"The patient's situation is urgent, and we are also following orders."
"Doctors can come in and out freely at this time."
When Shen Dong heard this, his expression was tangled for a while.
His wife Han Xuemei suggested, "Why don't you invite Shen Shao to dinner another day to thank him? He is busy now, so don't bother him."
Her son's illness was cured, but Han Xuemei's condition improved a lot. Looking back on this matter, she felt that she was a little bit wrong.
Even now he has no face to face his relative.
Shen Dong glared at his wife: "It's not all because of you. What I did was a slap in the face. In future family gatherings, what face should I take?"
But Shen Dong still didn't make things difficult for the security guard, he called Shen Shao, and the call got through.
But on the opposite side, Shen Shao just said a few words and then hung up.
"Brother, I'm a little busy."
"Talk back."
Only then did Shen Dong sigh. Shen Shao must have been angry in his heart, and he only sent it to himself when the matter came to an end.
However, he still stuffed three packs of cigarettes for the security guard, explaining that one pack was for him, and asking him to hand over the other two packs to Shen Shao, saying that Shen Dong gave them.
Only then did he leave with his wife and children!
……
At the same time, Shen Dong was extremely busy carrying out all kinds of rescue work, and ordered the nurses in the department to be ready to wrap the gas section at the bedside at any time.
After still answering the phone right under Du Haoran's nose, he hung up immediately.
He also explained: "Director Du, my brother, my nephew was injured and just got out of my hands, so I answered the phone."
Only then did Du Haoran feel better.
A doctor is a doctor, but he is also a human being, and as a human being, he cannot escape the ways of the world.
Then look at the other doctors on duty in the emergency department:
"Did you call the general surgery and neurology clinics? Let me remind you again. The situation of these patients may not be delayed for a long time."
"There is no one at the scene, and there is no one on the road. Now there are only two left. We must try our best to find a way." Du Haoran explained the seriousness of the matter.
"I called a long time ago and said that I will come right away. It will take time to come here." The person who answered looked at the time.
Then he said, "It's only been 6 minutes now."
The allowed time for emergency consultation is 15 minutes!It is impossible for the emergency consultation doctor to stay in the emergency department for 24 hours to prepare for the consultation. Huaguo currently does not have such ample medical resources, and can only divide one person into several people to order.
Du Haoran looked at his watch, then looked at the data changes on the monitor, and said, "Keep calling, tell them to hurry up!"
"Hurry up, open the intravenous line, exchange epinephrine, norepinephrine..." Du Haoran immediately directed the rescue.
"Call the blood bank and ask if the blood has arrived?!"
"Orthopedics, orthopedics..."
All the doctors and nurses began to be very busy.
Finally, 2 minutes later, several doctors rushed in from the emergency room. After seeing the scene in the consulting room, they couldn't help but pause.
Take a deep breath.
Dong Qiansheng from the second orthopedic ward was also among them. After a little mixed look, he asked, "Director Du, what happened?"
Then look at the patient again and confirm what I see!
Good guy, there are wounds on the abdomen, chest, limbs, and even the head, and they are obviously sharp wounds.
A total of four fruit knives were still inserted into the chest and did not dare to pull them out.
The blood scab on the wound was sticky, and the oozing blood stuck tightly to the clothes.
The gauze used in the emergency department had already been infiltrated, and it was completely unknown where the bleeding was more severe. The pitch-black gauze looked like an old shroud.
The wounds of these two patients are not the same, but the fruit knife inserted in it is obviously from the same batch.
His face was pale, and he seemed to be wearing a uniform...
Du Haoran said to the visitor: "It's not up to us to inquire about the reason."
"Hurry up to assess whether the patient needs emergency treatment in each department. If you have to go on stage, go on stage and deal with it. Time is running out."
"The blood pressure of both of them is extremely unstable now. I have pumped the thyroid and adrenal glands, and the high pressure is still less than 80mmHg."
"There must be active bleeding. In this case, you have to figure out a way."
"It's not enough to make ends meet, just relying on blood transfusions is not enough."
After Du Haoran said this, Mao Renjie from the neurosurgery department had already completed a simple physical examination, and said: "The pupils of the two people did not have any special dilation or contraction, and the wound on the head should only be a skin trauma."
"Have you taken a CT scan? Director Du?"
The emergency consultation at this time is equivalent to quickly looking for evidence of exemption from the relevant departments. However, although Mao Renjie's surname is Mao, he dare not rush to do a physical examination and draw a conclusion.
Only then did Du Haoran say: "I didn't do any checks, and I've been trying to rescue him since he got on 120. He was going to be sent to the Affiliated Hospital of Shonan University, but his vital signs failed halfway, so he was temporarily sent to our hospital."
"After entering the department, his vital signs were extremely unstable, and he has been giving life support..."
For any form of rescue, the first sentence written in the textbook is not to solve traumatic bleeding. Shock of any nature, even septic shock, should be rehydrated first.
If you don't make up and just lose, you will lose your life.
Du Haoran's team has achieved this.
Of course, just relying on fluid replacement is definitely not enough.
Chen Liwei from the General Surgery Department did a simple abdominal physical examination, and frowned fiercely: "There is fluid in the abdomen, there must be active bleeding. If there is no auxiliary examination now, we can only do laparotomy!"
"But to estimate the wound, we have to call the gastrointestinal surgeon." Chen Liwei looked at Du Haoran after finishing speaking.
There are only three major areas for the general surgery department of the eighth hospital.
Hepatobiliary and Pancreatic Surgery, Gastrointestinal Breast Surgery, Anorectal Surgery.
Among them, the liver, gallbladder and pancreas are also related to vascular surgery.
"Call!" Du Haoran immediately followed the advice of Chen Liwei from the Department of Hepatobiliary and Pancreatic Surgery.
At this time, even if Chen Liwei said that he would call someone from the nutrition department for consultation, he dared not have any opinions.
Specialist treatment, specialist consultation opinions are extremely important.
Although Du Haoran wanted to create something unique to the emergency department, the soldiers in his hands are getting greasy one by one.One is more cowardly than the other, and he has not yet decided on his final destination.
Then he looked at the person from the thoracic surgery department.
A deputy director of the Thoracic Surgery Department smiled wryly and said, "Director Du, our department will definitely open the chest for exploration, but it's best to have a CT scan before the operation, otherwise."
"This is completely impossible!"
"Where are the family members of the patient? Are you here? I want to talk to them."
Du Haoran replied: "The family members are not here. The units of these two comrades have directly contacted the general duty of the hospital, and the general duty has given authorization."
"If you want to talk, there are his colleagues in the office. You can talk to them, there is no time to waste."
Du Haoran can understand that Fu Liu, a thoracic surgeon, has special functions in his lungs, so he can't just do what he wants like laparotomy.
Explore wherever you want.
At the same time, the deputy director of neurosurgery also said: "Then just sweep the head."
Dong Qiansheng and Wang Yaoxiang from the Department of Orthopedics didn't make any fuss, they just said: "Our Department of Orthopedics must be undergoing surgery, so let's talk to the patient's colleagues together."
……
After Dong Qiansheng, Wang Yaoxiang and people from other departments finished discussing the condition with the patient's colleagues, all of them got into the place where no one was around at the same time, and then started making phone calls.
Dong Qiansheng reported directly to Yan Haihanhui: "Director Yan, yes, here are two very special patients who were injured on duty."
"They originally had four patients, but one was lost at the scene, and one was lost on the road. The remaining two were transferred to our hospital nearby. Now there are multiple stab wounds on both lower limbs!"
"Their unit attaches great importance to it. It seems that they found important clues and dens during the jidu and were silenced..."
"The leadership of the hospital also attaches great importance to it. I hope that all our departments will work together to save these two heroes."
"We don't know the situation in the Department of Orthopedics. The patient is now pushed to the operating room for a quick checkup, and then directly pushed to the operating room. In the emergency department, thoracotomy, laparotomy and debridement are performed at the same time."
"Our orthopedics department deals with the inner and outer sides of the thigh. There are deep knife cuts. I didn't dare to remove the gauze to see what was injured."
"The patient's blood pressure was only over 70 after pumping adrenaline and high pressure."
"I think, if it's just to be on the safe side, it's better to prepare for a consultative operation."
"Okay, I see." After Dong Qiansheng hung up the phone, he immediately began to notify the people in the group and began to prepare for emergency surgery.
Then I called Luo Yun and confessed that I would have two emergency surgeries with Director Yan at the same time, and if there were patients later, Luo Yun would help take care of them.
He didn't call Luo Yun to come to the operating room, not because he thought Luo Yun and the others were not qualified to participate!
Instead, they have been assigned long ago, and the routine emergency operations of each group are performed by their respective second-line consultation classes.
Luo Yun and Zhou Cheng are only in charge of the general duty of joint dislocation, and other patients will not help to deal with it.Otherwise, Luo Yuntie would be exhausted to death.
If it could be thrown to Luo Yun, Dong Qiansheng felt that it would be better to just throw it to Luo Yun.
……
Zhou Cheng didn't know all of this.
When Min Chaoshuo, who was on duty, received Dong Qiansheng's call, he was also taken aback for a moment, and then immediately said, "Okay, Director Dong, I understand the situation. If there are any special circumstances, I will call Teacher Luo directly."
"Did you tell Teacher Luo?"
"Okay, let's go." Min Chaoshuo immediately felt relieved.
The patient entered the operating room directly from the emergency department. Although it meant that the patient was extremely critical, but fortunately, if he didn't walk around the orthopedic ward, it would have little to do with him as the doctor on duty.
He doesn't need to do much, as long as he does his duty well.
……
At the same time, the Department of Anesthesiology and the Department of Surgery also received a notice to urgently receive two emergency surgeries, and must be ready to receive patients at any time.
The call was made directly to Zeng Yi, the director of the anesthesiology department.
Zeng Yi got off work early, and today he happened to be out having dinner with his wife and children. Hearing this, he asked, "Director Du, is the patient suitable for anesthesia? Has anyone in our department looked at it?"
Du Haoran said: "Director Zeng, the hospital attaches great importance to this operation. I hope that your anesthesiology department can perform at its best. It's too late to watch! It will be urgently sent to the operating room immediately."
"it is good!"
"I'll arrange for Director Wu Rui of our department to prepare for anesthesia for the patient first, and I'll come to the hospital right away!" Zeng Yi said without feeling embarrassed, and it was already past six o'clock.
And he has already done his own work, so no one will say anything about things that are not in the hospital.
Although Du Haoran felt that if Zeng Yi wasn't in the anesthesia department in person, the anesthesia time would be prolonged, but he couldn't care less.
No one can predict when an emergency will come, and naturally it is impossible to be ready 24 hours a day, waiting for the arrival of the patient!
Moreover, these two patients were in critical condition, unable to reach the destination hospital, and were temporarily dragged to the No. [-] Hospital, and they did not notify and negotiate in advance.
It is even more difficult to prepare in advance.
"That's the only way to go, Director Du."
Du Haoran immediately lowered his voice and said: "These two comrades were deliberately revenged. They are very respectable. We cannot avoid the harm. What we can do is to keep them as much as possible."
"And they also have critical information."
"But it doesn't matter now."
"Do your best and obey the destiny."
Du Haoran's unreasonable words are illogical and meaningless, they are purely emotional.
Zeng Yi only heard the word "revenge" and understood it.
The specific reasons for what happened are not important at this moment, and the injury has become an established fact.
Then, in today's rescue, rescuing people is the top priority.
Zeng Yi didn't even call his students, so he immediately took a taxi and rushed to the No. [-] Hospital...
Fifteen minutes later, Zeng Yi hurried to the operating room.
I was told that one of the patients lost his vital signs on the way to the operating room.
Now, although he is doing all he can to rescue him in the operating room, it is still unknown what the result will be.But certainly not too optimistic.
When he heard the news, even though Zeng Yi was used to seeing life and death, he couldn't help but tremble a little.
Then he ran directly to the operating room where there were still vital signs——
After entering, I saw Wu Rui. At this moment, the induction of anesthesia was quickly administered, the endotracheal intubation was completed, and another deputy director of the anesthesiology department had already started to maintain anesthesia for the patient.
Zeng Yi didn't bother Wu Rui, but looked at the surgeons in multiple departments, who were operating crazily like robots.
Before starting the disinfection, people from each department began to take out the temporary stuffing gauze within their respective areas.
Before debridement, thorough cleaning is extremely necessary.
However, just when Dong Qiansheng and Wang Yaoxiang just removed a corner of the gauze on their thighs and upper arms, suddenly.
Two sprays of blood rushed out, directly spraying the faces of the two of them, and the splashed blood even splashed on other people.
Dong Qiansheng and Wang Yaoxiang decisively pressed down the gauze cover with both hands——
Not caring about the blood dripping down his face, he changed his face and said, "Director Chen, these two patients have major arterial damage, and you need to send someone from your specialist to deal with it!"
The Eighth Hospital does not have a specialized vascular surgery department, and the Department of Hepatobiliary and Pancreatic Surgery of the General Surgery Department is part-time.
When encountering small vascular injuries on weekdays, the orthopedics department will deal with them accordingly, but for this type of major artery injury, to be honest, Dong Qiansheng and Wang Yaoxiang immediately panicked.
The TN hacker seemed to have spotted the right place to strike, and the wound he picked was so coincidentally located at the femoral and brachial arteries!
With such a large blood vessel injury, Dong Qiansheng immediately faltered, not daring to deal with it any further, pressing tightly on the wound.
Chen Liwei's expression also changed drastically at this moment.
He had already seen the scene just now, and although he secretly hated Dong Qiansheng for throwing the risk to their department at this moment, there was nothing he could do.
The Department of Orthopedics is the Department of Orthopedics, and the Eighth Hospital does not have a Department of Vascular Surgery, and the word Cardiovascular Surgery happened to be written in their department, so he could only bite the bullet and agree: "Our director will be in the operating room soon, and he will come to think about it later." Find a way."
Chen Liwei didn't dare to make a big deal out of it, and he didn't dare to deal with it by himself, so he could only hand over the pressure to his superiors.
Moreover, in fact, in their department, there are very few patients with vascular injuries, and most of them are mainly hepatobiliary and pancreatic injuries.
He is only alone now, if the abdominal examination is to be done, and the blood vessels of the upper and lower extremities must be continued, splitting is not enough.
Even if it was enough, Chen Liwei didn't dare to do it.
……
Soon, Yan Haihan and Li Changhong, chief physicians of the Orthopedics Department, and Huang Shinan, Chen Liwei's superior and director of the Vascular Surgery Department, arrived at the operating room.
Each pulled their own people and listened to the report.
The expressions of the three of them changed immediately.
Li Changhong was the first to bear the brunt and said: "Director Huang, in our orthopedic department, the trauma itself is not fatal, the main problem is blood vessels."
Yan Haihan also nodded: "Our second department of orthopedics is similar, the femoral artery is injured, it must be treated as soon as possible."
Huang Shinan's face was a little pale at the moment, and he scolded Yan Haihan and Li Changhong so much that they didn't even know each other.
But what Li Changhong and Yan Haihan said is correct. Emergency trauma patients, in addition to blood vessel injuries, can nerve injuries and simple soft tissue cutting injuries be fatal?
Huang Shinan also smiled wryly at this moment, and said to everyone: "Our department still has laparotomy to do, and now there are two problems in the upper and lower extremity arteries, and I can't handle it at all by myself."
"Furthermore, to be honest, the vascular surgery department of our department is a brand itself. Such a major artery injury cannot be diagnosed without any auxiliary examination before the operation. Our department cannot solve this problem."
"Or let's all wait for me to ask someone to come over for surgery."
"But patients certainly can't wait that long."
"Or just go out and talk to someone about amputation." Huang Shinan also became ruthless at this moment, and immediately admitted his cowardice.
The patient was not sent to the emergency operating room by vascular surgery, and now both of them are aortic injuries, which our department cannot handle, and there is no advance warning.
We are limited and this diagnosis is not one we intend to address.
You orthopedics don't even think about hiding like this.
Yan Haihan was stunned, with a strange look in his eyes, and looked at Huang Shinan: "Both legs have been amputated? Are you going to lose one?"
Huang Shinan said: "Look at the blood supply at the distal end of the affected limb?"
"The injury time of the large artery near the heart exceeds a certain time limit, and the artery far away from the wound will produce clotted emboli. This is also the body's self-protection response. Try to supply blood to the head and heart first, and speed up the blood coagulation system in the peripheral circulation. .”
"Even if I sew up the injured artery, it won't help!"
"This kind of embolism caused by emergency trauma, our department can't do this kind of operation. Either wait for someone who can do it, or take the risk of transferring the patient out. Or amputate the limb and tie the artery." Huang Shinan also decisively Confess directly.
As soon as Huang Shinan said this, the expressions of the others changed drastically.
The anesthesiologist Wu Rui was in a particularly irritable mood at the moment. She risked giving the patient enough anesthesia. The surgeon here said that the operation could not go on and she wanted to transfer the patient out.This hurt her a lot.
Under anesthesia, how should the patient be transferred out?She followed all the way?
How long will it take to wake up from the anesthesia to the point where it can be turned around?
Her original intention was to be sent directly to the intensive care unit after the operation.
"Your surgeon needs to deal with it as soon as possible. The patient's vital signs are extremely unstable now, and we managed to support it with great difficulty. If there is any delay, then I may not be able to keep the current vital signs." Wu Rui said Start urging.
Huang Shinan continued to shake his head: "There is no way, my suggestion is to amputate the limb directly, and save my life temporarily."
Throw the question directly to Yan Haihan and Li Changhong.
After hearing Huang Shinan's words, Yan Haihan and Li Changhong's expressions suddenly changed, and they secretly scolded Huang Shinan as an old fox, and immediately wanted to take them off and go into the water.
This amputation operation is quite simple, but after the amputation, the patient's life may not be saved, but the limbs will be severed. How will I explain to the patient's family?
"Okay! Director Huang, you are an expert in vascular surgery, we will listen to you." Yan Hanhan was very decisive.
Since Huang Shinan said he would amputate his limbs, and he couldn't solve the problem of blood vessels, he should amputate his limbs.As for whether his life can be saved, it is not up to Yan Haihan alone.
"Director Huang, let's talk to the patient's family..."
5 minute later.
In front of Huang Shinan, Yan Haihan and Li Changhong, a middle-aged man in uniform slapped the table with his face full of anger.
"You're going to amputate your hands and feet, don't you leave any of them?"
"After this amputation, even if his life is saved, how will he live in the future?" His eyes widened with anger, as if he could eat the three of Huang Shinan with one bite.
Huang Shinan explained: "There is no need to hesitate any longer. The patient's condition is very complicated now. The arteries in the extremities are injured, and the possibility of blood clots cannot be ruled out. I called a specialist in vascular surgery, but it may not be able to support until then. "
"Professor Shu from the Department of Vascular Surgery at the Second Affiliated Hospital of Shonan University said that it will take two hours at the fastest to leave."
"And he also said that he may not be able to come."
Huang Shinan's words immediately made the patient's leader feel his scalp numb with anger: "It will take two hours to leave? Who the hell are you looking for? What a big show!"
"Why didn't he wait for the person to die before coming to collect the body?"
Get angry at Yellowstone.
He took off his hat to reveal the Mediterranean Sea, and smashed it on the table to vent his inner anger.
After Huang Shinan took a deep breath, he patiently explained: "Professor Shu is the top professor of vascular surgery in Hunan Province. Even if he has a certain reputation all over the world, the level of cardiovascular surgery in Attachment [-] has always been at the forefront of the country. .”
"Professor Shu is currently on the operating table. We respectfully invite him to come to consult the operation, not ask him to come. Can Professor Shu leave his patient's operation alone?"
"Then there is no one in the whole Hunan province except him?"
"Do you have to ask for this famous professor?" the middle-aged Mediterranean on the opposite side pressed.
"There are people in the Department of Vascular Surgery, but I called, and almost none of them dared to come." Huang Shinan replied firmly with a flickering tone.
"If you can find someone who dares to come, you can call and ask in person. I have invited experts in vascular surgery from the Affiliated Hospital of Shonan University to the Third Hospital and Provincial People's Hospital. At present, only Professor Shu said he is willing to come and see it! "
"This is not just a play, just come to someone. The current situation is very dangerous, and patients may not be able to wait too long."
"If the limbs are not amputated, these big professors have no better way, so we have no better way."
Mediterranean's tone was stagnant, but his occupation determined his attention to be very sharp.
The professors at Shonan University were unwilling to come here. This was not something that could be made up casually. He could find out as soon as he inquired later.
Then he asked again: "What do you mean almost nothing? Tell me more clearly, besides Professor Shu, is there anyone else?"
Huang Shinan nodded: "Yes, Professor Jin from the Affiliated Hospital of Shonan University said that there is this person, but he can't find where the person is now, and he is helping to contact him."
"Then what are you still doing here? Find someone!"
"Do you know, my brothers, they hold very important clues now!"
Huang Shinan could only bite the bullet and say: "This leader, I don't understand or understand what you said. I only know that his current situation is very serious. No matter what important clues he has, now Still hanging by a thread!"
"If you don't deal with it as soon as possible, there will be no people, and everything will be empty. And the time will not be too long. I hope that you can get in touch with the patient's family and listen to their opinions."
The Mediterranean was on fire at that time, with red eyes, looking at Huang Shinan:
"How do I get in touch? He's just a grandma, who's [-] years old this year. His parents, who are also my comrades in arms, are lying on the ground now. Do you dare to go find them?"
"He is only 21 now, unmarried and has no children. His uncle is also dead, earlier than his father, and he has no aunt."
"Almost no contact with my uncle's house."
"A loyal family!~"
"I order you to rescue him no matter what."
The expressions of Huang Shinan, Yan Haihan and others changed immediately, and the pressure was put on Huang Shinan.Huang Shinan could only grit his teeth and say, "We can only do our best."
Just as he was talking, Huang Shinan received a call from Professor Jin from the Affiliated Hospital of Shonan University, and then he connected face to face without caring about anything else.
The tone was extremely respectful: "Hi, Professor Jin, I'm Huang Shinan, sorry to bother you."
"Oh, have you found your contact information? Did you send me your mobile phone?" Huang Shinan was immediately overjoyed.
"Is he unwilling to come?" But immediately, the tone became strange.
"Okay, I know."
After Huang Shinan hung up the phone, he said to Hai Hai with a somewhat unnatural expression: "There is no other way now, and the person recommended by Professor Jin also said that he was not sure, so he didn't dare to come, so he had to amputate."
What Huang Shinan heard was unwilling, but he could only bite the bullet and report to the Mediterranean Sea.
"What the fuck?" Mediterranean was furious at that time.
"Don't want to come? Don't want to come to him to be a doctor?"
Huang Shinan immediately said: "Doctor Yang is not unwilling, but feels unsure!"
The Mediterranean is unlucky for Yellow Heather: "What you just said is that you don't want to."
"Give me the phone. I heard everything you just said." Mediterranean was determined.
Huang Shinan's heart ached, the reason why he repeated loudly just now was to tell the patient's leader, but unexpectedly, he planted a thunderbolt on himself instead.
His expression changed sharply, but his heart was actually bitter.
I want to ask for help from others. It is love for others to come to help, and it is duty for them not to come. It is not a good thing for me to expose my contact information so casually.
Injure one's own character and entrap comrades.
"Why are you still hesitating? My man is still lying on the operating table, he is only 21 years old! What are you hesitating here?"
"You can't call someone, so give me the phone number, and I'll call for it!" Mediterranean asked Huang Shinan.
……
Yellow Heather eventually gave the call to the Mediterranean.
So Mediterranean tidied himself up and made a phone call. Before connecting, he asked Huang Shinan, "Is your surname Yang?"
Soon, the phone was connected, and Mediterranean Sea immediately became polite, without the rigidity just now: "Hi, hello, is this Professor Yang? I invite you to come to the Eighth Hospital for an operation. Director Huang here said that you .”
The phone was hung up immediately!
Mediterranean was so angry that he almost smashed his phone.
Calling again, it directly reminded the other party that he was on a call, probably his phone was blocked.
"Borrow your mobile phone, I want to call him again!" Hai Hai looked at the subordinate beside him.
The subordinate immediately handed over the mobile phone.
After connecting this time, Mediterranean only said three words, Professor Yang, and was hung up by the other party.
"What?!" Mediterranean Sea was so angry that the veins on his forehead were exposed.
However, even though he was angry, he still looked at Yan Haihan and others pleadingly, and said sincerely: "Doctors, can I trouble you to call Professor Yang again? Ask him what he wants? He won't answer my call."
"I just got angry and just wanted to save this child!"
"His parents are my comrades-in-arms, and entrusted him to me before he died, but this child is very stubborn, and he will follow his parents' old path."
"If all his limbs are amputated, I don't know how to face his parents, please."
Bu Chaodong revealed his true feelings, and the tenderness of a tough man.
Huang Shinan also sighed when he heard the words. To be honest, he could understand Bu Chaodong's mood from their respective perspectives, but Bu Chaodong couldn't understand his current mood.
It is really beyond the scope of ability. I came to the Eighth Hospital temporarily, and then I didn't have time to do any examinations. I didn't make any preparations. I would definitely be caught off guard.
Now that another 3 minutes had passed, the patient became more dangerous.
Huang Shinan called and reported himself, but was not hung up.
Then Huang Shinan immediately mentioned the identity of the patient. This time, Huang Shinan turned on the loudspeaker, so everyone heard it. A very young voice came from the other end of the phone.
"Director Huang, it's not that I don't want to come, but that I can't come. You'd better hire Gao Ming."
"But Professor Jin from the Affiliated Hospital of Shonan University said you can do it?" Before Huang Shinan could reply, Bu Chaodong answered the phone with a hoarse and helpless voice.
"Doctor Yang, Professor Yang, ancestor, I can call you grandpa, can you come and save my soldiers? I can kneel down for you." Bu Chaodong's words were rough, even a bit illogical.
The young man on the opposite side pondered for a while, then still took a deep breath, and said, "Sorry, what Professor Jin said was in the past, but now I really can't hold a knife anymore."
"I'm sorry, you should invite another professor."
"It's not that I don't want to help, it's that I really can't help."
"Hang up."
After speaking, Yang Yifeng was ready to hang up.
But Bu Chaodong and Huang Shinan both heard that Yang Yifeng admitted in a disguised form that he could do such an operation, and at the same time interrupted: "Professor Yang, wait a moment, I really want to ask you for a favor."
Bu Chaodong even took a step back and said: "Professor Yang, how about this? Where do you say you are? I can send someone to pick you up. Is there any way you can come and have a look? The way, let’s talk about it.”
After hearing what Bu Chaodong said, Yang Yifeng replied after a while, "I'm near the Eighth Hospital, but it's not very useful."
"I'm here to pick you up. Could you tell me your exact location, is it convenient?" Bu Chaodong was already pleading.
If you ask for help, you will be inferior.
"I'm sorry, don't waste any more time, hurry up and find a way to invite other professors, I really can't do anything now." Yang Yifeng replied calmly, but still refused.
Bu Chaodong became angry: "What are you pretending to be here? Are you a doctor?"
"Don't save yourself, what about your medical ethics?"
"Are you worthy of the oath you swore? There is nothing you can do, it's too late now, you just want to get rid of the responsibility, and you want to die!"
"You have no medical ethics, don't be a doctor as soon as possible, go home and nurse your child." Bu Chaodong was provoking the other party.
But this time, Yang Yifeng did not hang up the phone, but said with relief:
"Thank you for your suggestion. If you say so, it seems that I chose not to be a doctor before. This path is right."
"To tell you the truth, I haven't had patients for a long time. And I'm not going to be a doctor any more."
"As for whether it has anything to do with medical ethics, it doesn't matter."
beep.
After speaking, Yang Yifeng hung up the phone.
Then Bu Chaodong continued to call another phone number, and cursed: "What's wrong with you, doctor? We all begged you so humbly."
"Can't you come over and take a look? Can't you even take a look?"
"I, Bu Chaodong, have rarely begged anyone in my life, can I beg you?"
"Even if you don't see it for my sake, can't you pick up the last trace of your conscience and take a look for the sake of the patient's righteousness?"
After Yang Yifeng was silent, he said, "I don't know who you are, but I know you are sincere, but I can't go to the operating table now."
"I'm really powerless. If I can't get rid of this inner demon, I will never be able to go to the operating table again in this life."
"I came to see, it's useless."
"I'm outside the operating room right now, but I can't get in that operating room, I'm scared."
Yang Yifeng's words immediately changed everyone's expressions.
Immediately afterwards, the three of Yan Haihan and Huang Shinan rushed to the operating room. Sure enough, they saw a person outside the operating room, squatting at the door of the operating room corridor, holding his hair tightly.
The expression is very painful.
Yan Haihan immediately went forward, and finally confirmed the identity of 'Doctor Yang' in his heart. When he saw Huang Shinan calling, he felt that the phone number was inexplicably familiar, and said: "Yifeng, why are you At this?"
Yang Yifeng raised his head bitterly.
His eyes rolled around a few times, and he couldn't figure out whether he came here to pick up stories, collect materials, or to see if he could face up to his former demons and other factors.
Maybe both, maybe neither.
Seeing Yang Yifeng's pale face and trembling all over, he was taken to Bu Chaodong's office.
Yan Haihan had explained Yang Yifeng's identity to Huang Shinan long ago, and now he continued to explain to Bu Chaodong: "This is Dr. Yang we just called, and he was sitting outside the operating room with a pale face and a pain."
"Let's not embarrass him, shall we?"
"We really have no choice, and we can't wait for Professor Shu from the Second Hospital to come. You should make a decision early, and amputate as soon as possible to save your life. This is the best choice for the patient."
Bu Chaodong looked at Yang Yifeng's expression at the moment, his lips and face were extremely pale, he was dripping with sweat, and his back was completely soaked, as if he had just experienced a fierce battle, and his state was not like a normal person at all.
Seeing Yang Yifeng's expression, Bu Chaodong could somewhat understand what Yang Yifeng said just now.
This is no longer something a simple demon can describe, this is simply a devil.
Then he also pulled his heart, and murmured: "Could it be that Xiaoyu is really going to become a disabled person with severed limbs?"
"Is there no other way?"
While Bu Chaodong was talking, Yan Hanhan's phone rang.
At first glance, it was Ding Changle from the Orthopedics Department who was calling. Yan Hanhan's expression changed and he chose to answer.
Before the speaker was turned on, Ding Changle's angry roar came from inside: "Yan Haihan, how did I explain to you? Are you calling Yang Yifeng to the operating room now?"
Yan Haihan opened his mouth to explain: "Professor Ding, the situation is like this..."
"The patient's identity and circumstances are special, and it was recommended by Professor Jin."
At this point, Ding Changle cursed: "The situation is like this, does it have anything to do with Yang Yifeng's half a dime?"
"Professor Jin? What is the relationship between Jin Kaishi, an old bastard, and Yang Yifeng? Is he my student or Jin Kaishi's student?"
"Does he want to kill people without paying for his life? He thinks that he has a deep friendship with Yang Yifeng, doesn't he?"
"Do you, Yan Haihan, think that Jin Kaishi can scare me?"
"If you can't do the question I asked you, you should tell me earlier, damn it, in front of me, let your words be like a ball of fart?"
Yan Haihan felt that he was innocent, and patiently explained: "Professor Ding, I did not call Xiao Yang, and I didn't know Xiao Yang would be called to the operating room."
Huang Shinan twitched his face beside him.
This person who Lian Jin Kaishi called out by name and scolded the old miscellaneous hair must have a lot of background. Will he cause trouble for himself?
Ding Changle probably just wanted to vent his anger, and knew that this matter had nothing to do with Yan Haihan, so he continued to curse: "Jin Kaishi, you old bastard!"
"What nonsense is it that you drag our orthopedic staff to the operating room?"
"Can't you handle the affairs of your own department yourself? Is there no one in the vascular surgery department? Is it dead?"
"I'm here, you arrange Xiao Yang out, and I'll take him home."
Ding Changle continued to give Yan Haihan a word.
Bu Chaodong couldn't take it anymore, he took the phone and cursed: "What's the matter with you, old comrade, are you swearing?"
"Scratches?"
"What is bullshit?"
"We just called Dr. Yang, why are you so excited?"
Ding Changle cursed in front of Bu Chaodong and said, "I'm not just excited, I want to shed Jin Kaishi's blood!"
It's not easy to joke, Bu Chaodong is a member of the police system.
Immediately frowned and said: "Old comrade, be careful with your words, don't think that you can talk nonsense when you are old, let me tell you, I am a policeman."
"You talk about killing people like that in front of me? You're throwing yourself into a trap."
"Also, I want to tell you that this is not a shitty thing."
"My man was injured on duty. He is not a bullshit. He is a hero. He is for justice?"
Ding Changle interrupted Bu Chaodong in the middle:
"Don't talk about justice in a high-sounding way."
"If it's for the sake of justice, you should destroy the people who collapse, and lock up those who should be imprisoned!"
"Don't let the murderer walk up and down the street with ease!"
"justice?"
"If it's justice, can my students be like this?"
"Can people who are killed by drunk driving make up a mental illness? What kind of justice are you talking about?"
"What happened today has nothing to do with our orthopedics department. You can go to whoever you want, and don't trouble my student. He doesn't have the authority to operate blood vessels. If he goes to the operating table today, he will break the law! "
"If you want to persecute, then you know you are breaking the law. I'm already planning to call the police! You can figure it out."
(End of this chapter)
When Shen Dong returned to the emergency department from the orthopedic ward with his wife and children to thank his cousin in the next room, he was stopped by two security guards at the passageway of the emergency department.
Still life and death do not let in!
Shen Dong hurriedly explained: "Brother, my younger brother is an emergency doctor, and his name is Shen Shao."
"As soon as I saw my child, I went in to say hello to him, thanked him and left. It won't take too much time."
In order to convince the security guard, Shen Dong pulled Shen Jiahao to the front to show him the cast.
But the security guard insisted: "Since you know each other, let's talk about thanking you at home, or talk on the phone."
"Now there are several critically ill patients in the emergency department, and the doctors are busy!"
"The director of the emergency department personally issued a blockade order. Except for consulting doctors and emergency patients, emergency patients can only enter through the emergency passage, and other passages can only enter and exit for the time being."
"If you insist on looking for Dr. Shen, give him a call and ask him if it's convenient for him to come out."
"The patient's situation is urgent, and we are also following orders."
"Doctors can come in and out freely at this time."
When Shen Dong heard this, his expression was tangled for a while.
His wife Han Xuemei suggested, "Why don't you invite Shen Shao to dinner another day to thank him? He is busy now, so don't bother him."
Her son's illness was cured, but Han Xuemei's condition improved a lot. Looking back on this matter, she felt that she was a little bit wrong.
Even now he has no face to face his relative.
Shen Dong glared at his wife: "It's not all because of you. What I did was a slap in the face. In future family gatherings, what face should I take?"
But Shen Dong still didn't make things difficult for the security guard, he called Shen Shao, and the call got through.
But on the opposite side, Shen Shao just said a few words and then hung up.
"Brother, I'm a little busy."
"Talk back."
Only then did Shen Dong sigh. Shen Shao must have been angry in his heart, and he only sent it to himself when the matter came to an end.
However, he still stuffed three packs of cigarettes for the security guard, explaining that one pack was for him, and asking him to hand over the other two packs to Shen Shao, saying that Shen Dong gave them.
Only then did he leave with his wife and children!
……
At the same time, Shen Dong was extremely busy carrying out all kinds of rescue work, and ordered the nurses in the department to be ready to wrap the gas section at the bedside at any time.
After still answering the phone right under Du Haoran's nose, he hung up immediately.
He also explained: "Director Du, my brother, my nephew was injured and just got out of my hands, so I answered the phone."
Only then did Du Haoran feel better.
A doctor is a doctor, but he is also a human being, and as a human being, he cannot escape the ways of the world.
Then look at the other doctors on duty in the emergency department:
"Did you call the general surgery and neurology clinics? Let me remind you again. The situation of these patients may not be delayed for a long time."
"There is no one at the scene, and there is no one on the road. Now there are only two left. We must try our best to find a way." Du Haoran explained the seriousness of the matter.
"I called a long time ago and said that I will come right away. It will take time to come here." The person who answered looked at the time.
Then he said, "It's only been 6 minutes now."
The allowed time for emergency consultation is 15 minutes!It is impossible for the emergency consultation doctor to stay in the emergency department for 24 hours to prepare for the consultation. Huaguo currently does not have such ample medical resources, and can only divide one person into several people to order.
Du Haoran looked at his watch, then looked at the data changes on the monitor, and said, "Keep calling, tell them to hurry up!"
"Hurry up, open the intravenous line, exchange epinephrine, norepinephrine..." Du Haoran immediately directed the rescue.
"Call the blood bank and ask if the blood has arrived?!"
"Orthopedics, orthopedics..."
All the doctors and nurses began to be very busy.
Finally, 2 minutes later, several doctors rushed in from the emergency room. After seeing the scene in the consulting room, they couldn't help but pause.
Take a deep breath.
Dong Qiansheng from the second orthopedic ward was also among them. After a little mixed look, he asked, "Director Du, what happened?"
Then look at the patient again and confirm what I see!
Good guy, there are wounds on the abdomen, chest, limbs, and even the head, and they are obviously sharp wounds.
A total of four fruit knives were still inserted into the chest and did not dare to pull them out.
The blood scab on the wound was sticky, and the oozing blood stuck tightly to the clothes.
The gauze used in the emergency department had already been infiltrated, and it was completely unknown where the bleeding was more severe. The pitch-black gauze looked like an old shroud.
The wounds of these two patients are not the same, but the fruit knife inserted in it is obviously from the same batch.
His face was pale, and he seemed to be wearing a uniform...
Du Haoran said to the visitor: "It's not up to us to inquire about the reason."
"Hurry up to assess whether the patient needs emergency treatment in each department. If you have to go on stage, go on stage and deal with it. Time is running out."
"The blood pressure of both of them is extremely unstable now. I have pumped the thyroid and adrenal glands, and the high pressure is still less than 80mmHg."
"There must be active bleeding. In this case, you have to figure out a way."
"It's not enough to make ends meet, just relying on blood transfusions is not enough."
After Du Haoran said this, Mao Renjie from the neurosurgery department had already completed a simple physical examination, and said: "The pupils of the two people did not have any special dilation or contraction, and the wound on the head should only be a skin trauma."
"Have you taken a CT scan? Director Du?"
The emergency consultation at this time is equivalent to quickly looking for evidence of exemption from the relevant departments. However, although Mao Renjie's surname is Mao, he dare not rush to do a physical examination and draw a conclusion.
Only then did Du Haoran say: "I didn't do any checks, and I've been trying to rescue him since he got on 120. He was going to be sent to the Affiliated Hospital of Shonan University, but his vital signs failed halfway, so he was temporarily sent to our hospital."
"After entering the department, his vital signs were extremely unstable, and he has been giving life support..."
For any form of rescue, the first sentence written in the textbook is not to solve traumatic bleeding. Shock of any nature, even septic shock, should be rehydrated first.
If you don't make up and just lose, you will lose your life.
Du Haoran's team has achieved this.
Of course, just relying on fluid replacement is definitely not enough.
Chen Liwei from the General Surgery Department did a simple abdominal physical examination, and frowned fiercely: "There is fluid in the abdomen, there must be active bleeding. If there is no auxiliary examination now, we can only do laparotomy!"
"But to estimate the wound, we have to call the gastrointestinal surgeon." Chen Liwei looked at Du Haoran after finishing speaking.
There are only three major areas for the general surgery department of the eighth hospital.
Hepatobiliary and Pancreatic Surgery, Gastrointestinal Breast Surgery, Anorectal Surgery.
Among them, the liver, gallbladder and pancreas are also related to vascular surgery.
"Call!" Du Haoran immediately followed the advice of Chen Liwei from the Department of Hepatobiliary and Pancreatic Surgery.
At this time, even if Chen Liwei said that he would call someone from the nutrition department for consultation, he dared not have any opinions.
Specialist treatment, specialist consultation opinions are extremely important.
Although Du Haoran wanted to create something unique to the emergency department, the soldiers in his hands are getting greasy one by one.One is more cowardly than the other, and he has not yet decided on his final destination.
Then he looked at the person from the thoracic surgery department.
A deputy director of the Thoracic Surgery Department smiled wryly and said, "Director Du, our department will definitely open the chest for exploration, but it's best to have a CT scan before the operation, otherwise."
"This is completely impossible!"
"Where are the family members of the patient? Are you here? I want to talk to them."
Du Haoran replied: "The family members are not here. The units of these two comrades have directly contacted the general duty of the hospital, and the general duty has given authorization."
"If you want to talk, there are his colleagues in the office. You can talk to them, there is no time to waste."
Du Haoran can understand that Fu Liu, a thoracic surgeon, has special functions in his lungs, so he can't just do what he wants like laparotomy.
Explore wherever you want.
At the same time, the deputy director of neurosurgery also said: "Then just sweep the head."
Dong Qiansheng and Wang Yaoxiang from the Department of Orthopedics didn't make any fuss, they just said: "Our Department of Orthopedics must be undergoing surgery, so let's talk to the patient's colleagues together."
……
After Dong Qiansheng, Wang Yaoxiang and people from other departments finished discussing the condition with the patient's colleagues, all of them got into the place where no one was around at the same time, and then started making phone calls.
Dong Qiansheng reported directly to Yan Haihanhui: "Director Yan, yes, here are two very special patients who were injured on duty."
"They originally had four patients, but one was lost at the scene, and one was lost on the road. The remaining two were transferred to our hospital nearby. Now there are multiple stab wounds on both lower limbs!"
"Their unit attaches great importance to it. It seems that they found important clues and dens during the jidu and were silenced..."
"The leadership of the hospital also attaches great importance to it. I hope that all our departments will work together to save these two heroes."
"We don't know the situation in the Department of Orthopedics. The patient is now pushed to the operating room for a quick checkup, and then directly pushed to the operating room. In the emergency department, thoracotomy, laparotomy and debridement are performed at the same time."
"Our orthopedics department deals with the inner and outer sides of the thigh. There are deep knife cuts. I didn't dare to remove the gauze to see what was injured."
"The patient's blood pressure was only over 70 after pumping adrenaline and high pressure."
"I think, if it's just to be on the safe side, it's better to prepare for a consultative operation."
"Okay, I see." After Dong Qiansheng hung up the phone, he immediately began to notify the people in the group and began to prepare for emergency surgery.
Then I called Luo Yun and confessed that I would have two emergency surgeries with Director Yan at the same time, and if there were patients later, Luo Yun would help take care of them.
He didn't call Luo Yun to come to the operating room, not because he thought Luo Yun and the others were not qualified to participate!
Instead, they have been assigned long ago, and the routine emergency operations of each group are performed by their respective second-line consultation classes.
Luo Yun and Zhou Cheng are only in charge of the general duty of joint dislocation, and other patients will not help to deal with it.Otherwise, Luo Yuntie would be exhausted to death.
If it could be thrown to Luo Yun, Dong Qiansheng felt that it would be better to just throw it to Luo Yun.
……
Zhou Cheng didn't know all of this.
When Min Chaoshuo, who was on duty, received Dong Qiansheng's call, he was also taken aback for a moment, and then immediately said, "Okay, Director Dong, I understand the situation. If there are any special circumstances, I will call Teacher Luo directly."
"Did you tell Teacher Luo?"
"Okay, let's go." Min Chaoshuo immediately felt relieved.
The patient entered the operating room directly from the emergency department. Although it meant that the patient was extremely critical, but fortunately, if he didn't walk around the orthopedic ward, it would have little to do with him as the doctor on duty.
He doesn't need to do much, as long as he does his duty well.
……
At the same time, the Department of Anesthesiology and the Department of Surgery also received a notice to urgently receive two emergency surgeries, and must be ready to receive patients at any time.
The call was made directly to Zeng Yi, the director of the anesthesiology department.
Zeng Yi got off work early, and today he happened to be out having dinner with his wife and children. Hearing this, he asked, "Director Du, is the patient suitable for anesthesia? Has anyone in our department looked at it?"
Du Haoran said: "Director Zeng, the hospital attaches great importance to this operation. I hope that your anesthesiology department can perform at its best. It's too late to watch! It will be urgently sent to the operating room immediately."
"it is good!"
"I'll arrange for Director Wu Rui of our department to prepare for anesthesia for the patient first, and I'll come to the hospital right away!" Zeng Yi said without feeling embarrassed, and it was already past six o'clock.
And he has already done his own work, so no one will say anything about things that are not in the hospital.
Although Du Haoran felt that if Zeng Yi wasn't in the anesthesia department in person, the anesthesia time would be prolonged, but he couldn't care less.
No one can predict when an emergency will come, and naturally it is impossible to be ready 24 hours a day, waiting for the arrival of the patient!
Moreover, these two patients were in critical condition, unable to reach the destination hospital, and were temporarily dragged to the No. [-] Hospital, and they did not notify and negotiate in advance.
It is even more difficult to prepare in advance.
"That's the only way to go, Director Du."
Du Haoran immediately lowered his voice and said: "These two comrades were deliberately revenged. They are very respectable. We cannot avoid the harm. What we can do is to keep them as much as possible."
"And they also have critical information."
"But it doesn't matter now."
"Do your best and obey the destiny."
Du Haoran's unreasonable words are illogical and meaningless, they are purely emotional.
Zeng Yi only heard the word "revenge" and understood it.
The specific reasons for what happened are not important at this moment, and the injury has become an established fact.
Then, in today's rescue, rescuing people is the top priority.
Zeng Yi didn't even call his students, so he immediately took a taxi and rushed to the No. [-] Hospital...
Fifteen minutes later, Zeng Yi hurried to the operating room.
I was told that one of the patients lost his vital signs on the way to the operating room.
Now, although he is doing all he can to rescue him in the operating room, it is still unknown what the result will be.But certainly not too optimistic.
When he heard the news, even though Zeng Yi was used to seeing life and death, he couldn't help but tremble a little.
Then he ran directly to the operating room where there were still vital signs——
After entering, I saw Wu Rui. At this moment, the induction of anesthesia was quickly administered, the endotracheal intubation was completed, and another deputy director of the anesthesiology department had already started to maintain anesthesia for the patient.
Zeng Yi didn't bother Wu Rui, but looked at the surgeons in multiple departments, who were operating crazily like robots.
Before starting the disinfection, people from each department began to take out the temporary stuffing gauze within their respective areas.
Before debridement, thorough cleaning is extremely necessary.
However, just when Dong Qiansheng and Wang Yaoxiang just removed a corner of the gauze on their thighs and upper arms, suddenly.
Two sprays of blood rushed out, directly spraying the faces of the two of them, and the splashed blood even splashed on other people.
Dong Qiansheng and Wang Yaoxiang decisively pressed down the gauze cover with both hands——
Not caring about the blood dripping down his face, he changed his face and said, "Director Chen, these two patients have major arterial damage, and you need to send someone from your specialist to deal with it!"
The Eighth Hospital does not have a specialized vascular surgery department, and the Department of Hepatobiliary and Pancreatic Surgery of the General Surgery Department is part-time.
When encountering small vascular injuries on weekdays, the orthopedics department will deal with them accordingly, but for this type of major artery injury, to be honest, Dong Qiansheng and Wang Yaoxiang immediately panicked.
The TN hacker seemed to have spotted the right place to strike, and the wound he picked was so coincidentally located at the femoral and brachial arteries!
With such a large blood vessel injury, Dong Qiansheng immediately faltered, not daring to deal with it any further, pressing tightly on the wound.
Chen Liwei's expression also changed drastically at this moment.
He had already seen the scene just now, and although he secretly hated Dong Qiansheng for throwing the risk to their department at this moment, there was nothing he could do.
The Department of Orthopedics is the Department of Orthopedics, and the Eighth Hospital does not have a Department of Vascular Surgery, and the word Cardiovascular Surgery happened to be written in their department, so he could only bite the bullet and agree: "Our director will be in the operating room soon, and he will come to think about it later." Find a way."
Chen Liwei didn't dare to make a big deal out of it, and he didn't dare to deal with it by himself, so he could only hand over the pressure to his superiors.
Moreover, in fact, in their department, there are very few patients with vascular injuries, and most of them are mainly hepatobiliary and pancreatic injuries.
He is only alone now, if the abdominal examination is to be done, and the blood vessels of the upper and lower extremities must be continued, splitting is not enough.
Even if it was enough, Chen Liwei didn't dare to do it.
……
Soon, Yan Haihan and Li Changhong, chief physicians of the Orthopedics Department, and Huang Shinan, Chen Liwei's superior and director of the Vascular Surgery Department, arrived at the operating room.
Each pulled their own people and listened to the report.
The expressions of the three of them changed immediately.
Li Changhong was the first to bear the brunt and said: "Director Huang, in our orthopedic department, the trauma itself is not fatal, the main problem is blood vessels."
Yan Haihan also nodded: "Our second department of orthopedics is similar, the femoral artery is injured, it must be treated as soon as possible."
Huang Shinan's face was a little pale at the moment, and he scolded Yan Haihan and Li Changhong so much that they didn't even know each other.
But what Li Changhong and Yan Haihan said is correct. Emergency trauma patients, in addition to blood vessel injuries, can nerve injuries and simple soft tissue cutting injuries be fatal?
Huang Shinan also smiled wryly at this moment, and said to everyone: "Our department still has laparotomy to do, and now there are two problems in the upper and lower extremity arteries, and I can't handle it at all by myself."
"Furthermore, to be honest, the vascular surgery department of our department is a brand itself. Such a major artery injury cannot be diagnosed without any auxiliary examination before the operation. Our department cannot solve this problem."
"Or let's all wait for me to ask someone to come over for surgery."
"But patients certainly can't wait that long."
"Or just go out and talk to someone about amputation." Huang Shinan also became ruthless at this moment, and immediately admitted his cowardice.
The patient was not sent to the emergency operating room by vascular surgery, and now both of them are aortic injuries, which our department cannot handle, and there is no advance warning.
We are limited and this diagnosis is not one we intend to address.
You orthopedics don't even think about hiding like this.
Yan Haihan was stunned, with a strange look in his eyes, and looked at Huang Shinan: "Both legs have been amputated? Are you going to lose one?"
Huang Shinan said: "Look at the blood supply at the distal end of the affected limb?"
"The injury time of the large artery near the heart exceeds a certain time limit, and the artery far away from the wound will produce clotted emboli. This is also the body's self-protection response. Try to supply blood to the head and heart first, and speed up the blood coagulation system in the peripheral circulation. .”
"Even if I sew up the injured artery, it won't help!"
"This kind of embolism caused by emergency trauma, our department can't do this kind of operation. Either wait for someone who can do it, or take the risk of transferring the patient out. Or amputate the limb and tie the artery." Huang Shinan also decisively Confess directly.
As soon as Huang Shinan said this, the expressions of the others changed drastically.
The anesthesiologist Wu Rui was in a particularly irritable mood at the moment. She risked giving the patient enough anesthesia. The surgeon here said that the operation could not go on and she wanted to transfer the patient out.This hurt her a lot.
Under anesthesia, how should the patient be transferred out?She followed all the way?
How long will it take to wake up from the anesthesia to the point where it can be turned around?
Her original intention was to be sent directly to the intensive care unit after the operation.
"Your surgeon needs to deal with it as soon as possible. The patient's vital signs are extremely unstable now, and we managed to support it with great difficulty. If there is any delay, then I may not be able to keep the current vital signs." Wu Rui said Start urging.
Huang Shinan continued to shake his head: "There is no way, my suggestion is to amputate the limb directly, and save my life temporarily."
Throw the question directly to Yan Haihan and Li Changhong.
After hearing Huang Shinan's words, Yan Haihan and Li Changhong's expressions suddenly changed, and they secretly scolded Huang Shinan as an old fox, and immediately wanted to take them off and go into the water.
This amputation operation is quite simple, but after the amputation, the patient's life may not be saved, but the limbs will be severed. How will I explain to the patient's family?
"Okay! Director Huang, you are an expert in vascular surgery, we will listen to you." Yan Hanhan was very decisive.
Since Huang Shinan said he would amputate his limbs, and he couldn't solve the problem of blood vessels, he should amputate his limbs.As for whether his life can be saved, it is not up to Yan Haihan alone.
"Director Huang, let's talk to the patient's family..."
5 minute later.
In front of Huang Shinan, Yan Haihan and Li Changhong, a middle-aged man in uniform slapped the table with his face full of anger.
"You're going to amputate your hands and feet, don't you leave any of them?"
"After this amputation, even if his life is saved, how will he live in the future?" His eyes widened with anger, as if he could eat the three of Huang Shinan with one bite.
Huang Shinan explained: "There is no need to hesitate any longer. The patient's condition is very complicated now. The arteries in the extremities are injured, and the possibility of blood clots cannot be ruled out. I called a specialist in vascular surgery, but it may not be able to support until then. "
"Professor Shu from the Department of Vascular Surgery at the Second Affiliated Hospital of Shonan University said that it will take two hours at the fastest to leave."
"And he also said that he may not be able to come."
Huang Shinan's words immediately made the patient's leader feel his scalp numb with anger: "It will take two hours to leave? Who the hell are you looking for? What a big show!"
"Why didn't he wait for the person to die before coming to collect the body?"
Get angry at Yellowstone.
He took off his hat to reveal the Mediterranean Sea, and smashed it on the table to vent his inner anger.
After Huang Shinan took a deep breath, he patiently explained: "Professor Shu is the top professor of vascular surgery in Hunan Province. Even if he has a certain reputation all over the world, the level of cardiovascular surgery in Attachment [-] has always been at the forefront of the country. .”
"Professor Shu is currently on the operating table. We respectfully invite him to come to consult the operation, not ask him to come. Can Professor Shu leave his patient's operation alone?"
"Then there is no one in the whole Hunan province except him?"
"Do you have to ask for this famous professor?" the middle-aged Mediterranean on the opposite side pressed.
"There are people in the Department of Vascular Surgery, but I called, and almost none of them dared to come." Huang Shinan replied firmly with a flickering tone.
"If you can find someone who dares to come, you can call and ask in person. I have invited experts in vascular surgery from the Affiliated Hospital of Shonan University to the Third Hospital and Provincial People's Hospital. At present, only Professor Shu said he is willing to come and see it! "
"This is not just a play, just come to someone. The current situation is very dangerous, and patients may not be able to wait too long."
"If the limbs are not amputated, these big professors have no better way, so we have no better way."
Mediterranean's tone was stagnant, but his occupation determined his attention to be very sharp.
The professors at Shonan University were unwilling to come here. This was not something that could be made up casually. He could find out as soon as he inquired later.
Then he asked again: "What do you mean almost nothing? Tell me more clearly, besides Professor Shu, is there anyone else?"
Huang Shinan nodded: "Yes, Professor Jin from the Affiliated Hospital of Shonan University said that there is this person, but he can't find where the person is now, and he is helping to contact him."
"Then what are you still doing here? Find someone!"
"Do you know, my brothers, they hold very important clues now!"
Huang Shinan could only bite the bullet and say: "This leader, I don't understand or understand what you said. I only know that his current situation is very serious. No matter what important clues he has, now Still hanging by a thread!"
"If you don't deal with it as soon as possible, there will be no people, and everything will be empty. And the time will not be too long. I hope that you can get in touch with the patient's family and listen to their opinions."
The Mediterranean was on fire at that time, with red eyes, looking at Huang Shinan:
"How do I get in touch? He's just a grandma, who's [-] years old this year. His parents, who are also my comrades in arms, are lying on the ground now. Do you dare to go find them?"
"He is only 21 now, unmarried and has no children. His uncle is also dead, earlier than his father, and he has no aunt."
"Almost no contact with my uncle's house."
"A loyal family!~"
"I order you to rescue him no matter what."
The expressions of Huang Shinan, Yan Haihan and others changed immediately, and the pressure was put on Huang Shinan.Huang Shinan could only grit his teeth and say, "We can only do our best."
Just as he was talking, Huang Shinan received a call from Professor Jin from the Affiliated Hospital of Shonan University, and then he connected face to face without caring about anything else.
The tone was extremely respectful: "Hi, Professor Jin, I'm Huang Shinan, sorry to bother you."
"Oh, have you found your contact information? Did you send me your mobile phone?" Huang Shinan was immediately overjoyed.
"Is he unwilling to come?" But immediately, the tone became strange.
"Okay, I know."
After Huang Shinan hung up the phone, he said to Hai Hai with a somewhat unnatural expression: "There is no other way now, and the person recommended by Professor Jin also said that he was not sure, so he didn't dare to come, so he had to amputate."
What Huang Shinan heard was unwilling, but he could only bite the bullet and report to the Mediterranean Sea.
"What the fuck?" Mediterranean was furious at that time.
"Don't want to come? Don't want to come to him to be a doctor?"
Huang Shinan immediately said: "Doctor Yang is not unwilling, but feels unsure!"
The Mediterranean is unlucky for Yellow Heather: "What you just said is that you don't want to."
"Give me the phone. I heard everything you just said." Mediterranean was determined.
Huang Shinan's heart ached, the reason why he repeated loudly just now was to tell the patient's leader, but unexpectedly, he planted a thunderbolt on himself instead.
His expression changed sharply, but his heart was actually bitter.
I want to ask for help from others. It is love for others to come to help, and it is duty for them not to come. It is not a good thing for me to expose my contact information so casually.
Injure one's own character and entrap comrades.
"Why are you still hesitating? My man is still lying on the operating table, he is only 21 years old! What are you hesitating here?"
"You can't call someone, so give me the phone number, and I'll call for it!" Mediterranean asked Huang Shinan.
……
Yellow Heather eventually gave the call to the Mediterranean.
So Mediterranean tidied himself up and made a phone call. Before connecting, he asked Huang Shinan, "Is your surname Yang?"
Soon, the phone was connected, and Mediterranean Sea immediately became polite, without the rigidity just now: "Hi, hello, is this Professor Yang? I invite you to come to the Eighth Hospital for an operation. Director Huang here said that you .”
The phone was hung up immediately!
Mediterranean was so angry that he almost smashed his phone.
Calling again, it directly reminded the other party that he was on a call, probably his phone was blocked.
"Borrow your mobile phone, I want to call him again!" Hai Hai looked at the subordinate beside him.
The subordinate immediately handed over the mobile phone.
After connecting this time, Mediterranean only said three words, Professor Yang, and was hung up by the other party.
"What?!" Mediterranean Sea was so angry that the veins on his forehead were exposed.
However, even though he was angry, he still looked at Yan Haihan and others pleadingly, and said sincerely: "Doctors, can I trouble you to call Professor Yang again? Ask him what he wants? He won't answer my call."
"I just got angry and just wanted to save this child!"
"His parents are my comrades-in-arms, and entrusted him to me before he died, but this child is very stubborn, and he will follow his parents' old path."
"If all his limbs are amputated, I don't know how to face his parents, please."
Bu Chaodong revealed his true feelings, and the tenderness of a tough man.
Huang Shinan also sighed when he heard the words. To be honest, he could understand Bu Chaodong's mood from their respective perspectives, but Bu Chaodong couldn't understand his current mood.
It is really beyond the scope of ability. I came to the Eighth Hospital temporarily, and then I didn't have time to do any examinations. I didn't make any preparations. I would definitely be caught off guard.
Now that another 3 minutes had passed, the patient became more dangerous.
Huang Shinan called and reported himself, but was not hung up.
Then Huang Shinan immediately mentioned the identity of the patient. This time, Huang Shinan turned on the loudspeaker, so everyone heard it. A very young voice came from the other end of the phone.
"Director Huang, it's not that I don't want to come, but that I can't come. You'd better hire Gao Ming."
"But Professor Jin from the Affiliated Hospital of Shonan University said you can do it?" Before Huang Shinan could reply, Bu Chaodong answered the phone with a hoarse and helpless voice.
"Doctor Yang, Professor Yang, ancestor, I can call you grandpa, can you come and save my soldiers? I can kneel down for you." Bu Chaodong's words were rough, even a bit illogical.
The young man on the opposite side pondered for a while, then still took a deep breath, and said, "Sorry, what Professor Jin said was in the past, but now I really can't hold a knife anymore."
"I'm sorry, you should invite another professor."
"It's not that I don't want to help, it's that I really can't help."
"Hang up."
After speaking, Yang Yifeng was ready to hang up.
But Bu Chaodong and Huang Shinan both heard that Yang Yifeng admitted in a disguised form that he could do such an operation, and at the same time interrupted: "Professor Yang, wait a moment, I really want to ask you for a favor."
Bu Chaodong even took a step back and said: "Professor Yang, how about this? Where do you say you are? I can send someone to pick you up. Is there any way you can come and have a look? The way, let’s talk about it.”
After hearing what Bu Chaodong said, Yang Yifeng replied after a while, "I'm near the Eighth Hospital, but it's not very useful."
"I'm here to pick you up. Could you tell me your exact location, is it convenient?" Bu Chaodong was already pleading.
If you ask for help, you will be inferior.
"I'm sorry, don't waste any more time, hurry up and find a way to invite other professors, I really can't do anything now." Yang Yifeng replied calmly, but still refused.
Bu Chaodong became angry: "What are you pretending to be here? Are you a doctor?"
"Don't save yourself, what about your medical ethics?"
"Are you worthy of the oath you swore? There is nothing you can do, it's too late now, you just want to get rid of the responsibility, and you want to die!"
"You have no medical ethics, don't be a doctor as soon as possible, go home and nurse your child." Bu Chaodong was provoking the other party.
But this time, Yang Yifeng did not hang up the phone, but said with relief:
"Thank you for your suggestion. If you say so, it seems that I chose not to be a doctor before. This path is right."
"To tell you the truth, I haven't had patients for a long time. And I'm not going to be a doctor any more."
"As for whether it has anything to do with medical ethics, it doesn't matter."
beep.
After speaking, Yang Yifeng hung up the phone.
Then Bu Chaodong continued to call another phone number, and cursed: "What's wrong with you, doctor? We all begged you so humbly."
"Can't you come over and take a look? Can't you even take a look?"
"I, Bu Chaodong, have rarely begged anyone in my life, can I beg you?"
"Even if you don't see it for my sake, can't you pick up the last trace of your conscience and take a look for the sake of the patient's righteousness?"
After Yang Yifeng was silent, he said, "I don't know who you are, but I know you are sincere, but I can't go to the operating table now."
"I'm really powerless. If I can't get rid of this inner demon, I will never be able to go to the operating table again in this life."
"I came to see, it's useless."
"I'm outside the operating room right now, but I can't get in that operating room, I'm scared."
Yang Yifeng's words immediately changed everyone's expressions.
Immediately afterwards, the three of Yan Haihan and Huang Shinan rushed to the operating room. Sure enough, they saw a person outside the operating room, squatting at the door of the operating room corridor, holding his hair tightly.
The expression is very painful.
Yan Haihan immediately went forward, and finally confirmed the identity of 'Doctor Yang' in his heart. When he saw Huang Shinan calling, he felt that the phone number was inexplicably familiar, and said: "Yifeng, why are you At this?"
Yang Yifeng raised his head bitterly.
His eyes rolled around a few times, and he couldn't figure out whether he came here to pick up stories, collect materials, or to see if he could face up to his former demons and other factors.
Maybe both, maybe neither.
Seeing Yang Yifeng's pale face and trembling all over, he was taken to Bu Chaodong's office.
Yan Haihan had explained Yang Yifeng's identity to Huang Shinan long ago, and now he continued to explain to Bu Chaodong: "This is Dr. Yang we just called, and he was sitting outside the operating room with a pale face and a pain."
"Let's not embarrass him, shall we?"
"We really have no choice, and we can't wait for Professor Shu from the Second Hospital to come. You should make a decision early, and amputate as soon as possible to save your life. This is the best choice for the patient."
Bu Chaodong looked at Yang Yifeng's expression at the moment, his lips and face were extremely pale, he was dripping with sweat, and his back was completely soaked, as if he had just experienced a fierce battle, and his state was not like a normal person at all.
Seeing Yang Yifeng's expression, Bu Chaodong could somewhat understand what Yang Yifeng said just now.
This is no longer something a simple demon can describe, this is simply a devil.
Then he also pulled his heart, and murmured: "Could it be that Xiaoyu is really going to become a disabled person with severed limbs?"
"Is there no other way?"
While Bu Chaodong was talking, Yan Hanhan's phone rang.
At first glance, it was Ding Changle from the Orthopedics Department who was calling. Yan Hanhan's expression changed and he chose to answer.
Before the speaker was turned on, Ding Changle's angry roar came from inside: "Yan Haihan, how did I explain to you? Are you calling Yang Yifeng to the operating room now?"
Yan Haihan opened his mouth to explain: "Professor Ding, the situation is like this..."
"The patient's identity and circumstances are special, and it was recommended by Professor Jin."
At this point, Ding Changle cursed: "The situation is like this, does it have anything to do with Yang Yifeng's half a dime?"
"Professor Jin? What is the relationship between Jin Kaishi, an old bastard, and Yang Yifeng? Is he my student or Jin Kaishi's student?"
"Does he want to kill people without paying for his life? He thinks that he has a deep friendship with Yang Yifeng, doesn't he?"
"Do you, Yan Haihan, think that Jin Kaishi can scare me?"
"If you can't do the question I asked you, you should tell me earlier, damn it, in front of me, let your words be like a ball of fart?"
Yan Haihan felt that he was innocent, and patiently explained: "Professor Ding, I did not call Xiao Yang, and I didn't know Xiao Yang would be called to the operating room."
Huang Shinan twitched his face beside him.
This person who Lian Jin Kaishi called out by name and scolded the old miscellaneous hair must have a lot of background. Will he cause trouble for himself?
Ding Changle probably just wanted to vent his anger, and knew that this matter had nothing to do with Yan Haihan, so he continued to curse: "Jin Kaishi, you old bastard!"
"What nonsense is it that you drag our orthopedic staff to the operating room?"
"Can't you handle the affairs of your own department yourself? Is there no one in the vascular surgery department? Is it dead?"
"I'm here, you arrange Xiao Yang out, and I'll take him home."
Ding Changle continued to give Yan Haihan a word.
Bu Chaodong couldn't take it anymore, he took the phone and cursed: "What's the matter with you, old comrade, are you swearing?"
"Scratches?"
"What is bullshit?"
"We just called Dr. Yang, why are you so excited?"
Ding Changle cursed in front of Bu Chaodong and said, "I'm not just excited, I want to shed Jin Kaishi's blood!"
It's not easy to joke, Bu Chaodong is a member of the police system.
Immediately frowned and said: "Old comrade, be careful with your words, don't think that you can talk nonsense when you are old, let me tell you, I am a policeman."
"You talk about killing people like that in front of me? You're throwing yourself into a trap."
"Also, I want to tell you that this is not a shitty thing."
"My man was injured on duty. He is not a bullshit. He is a hero. He is for justice?"
Ding Changle interrupted Bu Chaodong in the middle:
"Don't talk about justice in a high-sounding way."
"If it's for the sake of justice, you should destroy the people who collapse, and lock up those who should be imprisoned!"
"Don't let the murderer walk up and down the street with ease!"
"justice?"
"If it's justice, can my students be like this?"
"Can people who are killed by drunk driving make up a mental illness? What kind of justice are you talking about?"
"What happened today has nothing to do with our orthopedics department. You can go to whoever you want, and don't trouble my student. He doesn't have the authority to operate blood vessels. If he goes to the operating table today, he will break the law! "
"If you want to persecute, then you know you are breaking the law. I'm already planning to call the police! You can figure it out."
(End of this chapter)
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