medical simulator

Chapter 168 Only your patients are your patients! (Please subscribe!)

While Zhou Cheng's thoughts were still tossing, Luo Yun took a deep breath to restrain his emotions.

Seeing that Zhou Cheng's expression was still dull, he asked with a heavy voice, "Zhou Cheng, what would you do if Director Cai suddenly wanted to transfer to another operating room while you were performing Tan Yuanwen's operation later on?" ?”

Zhou Cheng turned his head slowly, his eyelids flickering up and down.

Resolutely replied: "I will follow Director Cai's arrangement."

Luo Yun pursed his lips, but was covered by the mask: "What if Tan Yuanwen died after you left? Then you moved to another operating room, and no one survived?"

Luo Yun threw out another harsh question!

Zhou Cheng opened his mouth, and swallowed the words that came to his lips.I don't know how to answer.

He had just thought about Luo Yun's first question carefully. One of the prerequisites Luo Yun gave was that he was performing Tan Yuanwen's surgery!

Cai Dongfan is the superior, the director of the team, that's right!
But if medicine is compared to a performance, Cai Dongfan is the superior, that is in the audience!

On the operating table, at the position of the chief surgeon, Zhou Chengcheng is the temporary master of the operating room. As long as he is not deliberately killing people, let alone Cai Dongfan, even the dean, the leader of the health committee, and even the most powerful experts and professors, the operating table All the sacred attributes gave Zhou Cheng the right to be arbitrary!

It is completely possible not to be a bird.

Offstage, the subordinates obeyed the superiors, and there was nothing wrong with it, but on the operating table, between life and death, the one who could control the situation was Zhou Cheng, the chief surgeon.

Seeing that Zhou Cheng didn't answer, Luo Yun didn't make things difficult for Zhou Cheng, and said, "This is because your growth curve is too fast, and your work experience is still short. Even if your technical level is sufficient and achieved, your experience and accumulation are actually Still very thin."

"This question is difficult for you to choose, so you don't have to think about it."

Luo Yun clicked to the end.

Wanting a doctor, making such a choice, is indeed very painful, even torture, one thought of enlightenment, one thought of hell!
Luo Yun's teacher, Zeng Diwei, once made such a choice!

On one side is a pregnant woman, 31 weeks of pregnancy +, and then to the emergency room!

On one side is an acquaintance of the leader, who came to the emergency room first.

First come, first served?Or according to priority?
It is actually a very happy thing to do a question with right or wrong options.

At that time, Zeng Diwei was not eligible to be nominated as an academician...

The adults didn't keep it, and finally welcomed the new life of a little guy...

"I'll check on Tan Yuanwen's situation first. You call Du Yanjun and Zhang Zhengquan and tell them to come to the operating room immediately. I want to see them within 15 minutes!" Luo Yun ordered and ran away first. .

Previously, Cai Dongfan only considered Qin Yuanwen alone, so three people in the department of orthopedics are more than enough.

but?
If the accident cannot exceed the scope of thought, then it cannot be called an accident.

Zhou Cheng hurriedly called, and after speaking a few words, both of them finished their calls when they reached the door of the operating room.

As soon as he entered, Zhou Chengcheng discovered that the neurosurgery staff were already preparing to open Tan Yuanwen's head by "violent shaving"—

It's a really violent kind of shaving, the scalp is red from the knife.

"Hurry up! Hurry up!"

"There is an intradural hematoma!~"

"Get your equipment ready!"

"Have you had the anesthesia? I can't wait here."

"..."

A person from the anesthesiology department complained incessantly: "I'm taking a shot, my blood pressure can't be stabilized, I don't dare to give medicine casually..."

"It's out of the question." Xie Cuizheng, a neurosurgery surgeon, picked up complex iodine and poured it on his head, not caring about slowly disinfecting it.

For intradural hematoma, the sooner the window is opened for decompression, the sooner the patient's symptoms will improve.

Intracranial hemorrhage cannot be ruled out...

The people from the general surgery department were also urgently watching the film with Luo Yun, looking for injuries in related departments——

The itinerant nurse who was connecting the catheter of the suction device and other equipment suddenly found that his forearm was a little cold. He retracted and saw blood dripping down.

"There's blood!"

Zhou Cheng just arrived at the operating table, and immediately saw the direction of the patient's left upper arm where the itinerant nurse was. A large lump of simply wrapped gauze was soaked, and a large amount of blood oozed out, which wet the waterproof sheet on the operating table.

Thick blood trickled down the waterproof sheet to the ground.

At the same time, Tan Yuanwen's right hand and lower limbs on both sides have different openings.

This made Zhou Cheng feel certain that Tan Yuanwen was definitely not simply beaten, but chopped off!
With a thought, Zhou Cheng shouted to Luo Yun: "Mr. Luo, the left upper arm is still bleeding actively, probably because of a ruptured artery."

While shouting, Zhou Cheng quickly pressed the brachial artery on the left upper arm with his hand, and his thumb sank deep under the skin, pinching the lumen of the blood vessel forcefully.

The mobility of the upper arm appears, first press the brachial artery first!

Hearing Zhou Cheng's words, Luo Yun glanced again, and then ran over. Seeing that Zhou Cheng had probably held down the brachial artery, he asked, "I raised my hand, can I hold it?"

When the patient's hand is on the table, press to stop the bleeding, you can use the operating table as a fixed side of one side, it is easier to press hard, and the pressure to stop the bleeding is also smaller.

But to cut and remove the gauze, you have to pick up your hands.

It's hard to find a focus, so we can only increase our efforts.

"Yes. Teacher Luo."

"Sterile gloves!" Luo Yun turned around and immediately shouted to Xun Xun.

But when he found that the itinerant nurse was still helping the neurosurgery staff, he had no choice but to run to get a pair of gloves by himself, quickly disassembled them and put them on his hands. Without caring too much, he asked the equipment nurse for a sharp knife slice, and began to cut the gauze up.

Using a knife to break the gauze is definitely not a formal operation process, and it may scratch the patient's skin, but in order to save time, this is definitely the fastest way.

After Luo Yun cut the gauze, he immediately saw a pile of blood in the open wound!
The paste is as thick as porridge!
It feels a little warm to the touch, and it is like irregular super-tender tofu brain before it is solidified, and it will break when it is touched!
Because Zhou Cheng pinched the proximal end of the brachial artery, the blood did not increase rapidly for the time being, but there was still a small amount of small circulating blood slowly seeping out.

"Open another pair of gloves!" Luo Yun shouted to the others.

The itinerant nurse really couldn't leave, she was in a hurry, and she was helping to hold a jar beside the operating table outside Shenwai, when she heard Luo Yun's shout, she raised her head aggrievedly, tears were about to flow out!
"Open another pair of gloves!" Luo Yun continued to shout.

In the end, an intern anesthesiologist prescribed a pair of gloves for Luo Yun.

Luo Yun's hands were bloody. After tearing them apart violently, he put on a second layer of gloves, regardless of the blood in the interlayer, and then put his hand into the incision very neatly!
The hand violently crushed the blood tofu!

Pushing it outward, regardless of where the blood would be pushed, after roughly clearing his vision, Luo Yun searched carefully with his eyes and hands, and finally found a half-broken blood vessel on the inner side of his upper arm.

The diameter of the brachial artery is not small, but there is not a lot of blood coming out at this moment, which proves that Zhou Cheng's pressure to stop the bleeding is very precise!
"Silk thread!" Luo Yun shouted again.

"The silk thread hasn't been opened yet," said the handwashing nurse.

"Then just take a thread!" Luo Yun continued to shout, without pursuing responsibility, knowing that everyone is busy with the current rescue, but there are relatively few people.

"Stitches haven't been cut yet!"

Luo Yun is about to scold her!

Fortunately, another tall and thin nurse walked in, and the hand washing nurse hurriedly asked her to help, which temporarily stopped Luo Yun's runaway.

Began to take the initiative to help open the sutures.

Luo Yun got the suture and carefully pricked it off before saying, "Prescribe physiological saline and kick the bucket over."

The liquid used to wash the wound with normal saline must be put into the trash can and cannot be drained in the operating room.

"We have more barrels here, and the hematoma will come out soon." Xie Cuizheng, a neurosurgery surgeon, immediately refused when he heard that someone wanted to take the barrel.

"Then just take a basin first. Pollution is pollution." Luo Yun could only think of other ways.

Arguing at this moment is definitely not the key to solving the problem.

"Drip drip drip drip!"

The voice of the anesthesiologist and the alarm of the anesthesia machine sounded at the same time: "The patient's blood pressure suddenly dropped again, you may still have to stop the active blood loss as soon as possible!"

The circulating nurse has brought the basin back.

Hearing this, Luo Yun immediately put the patient's hand away.

Then he continued to take off his gloves and threw them far away on the edge of the trash can. The shot was not allowed!
But Luo Yun didn't care, but said to Zhou Cheng: "Stop the bleeding first."

Hearing this, Zhou Cheng also immediately let go of the hand that was pressing to stop the bleeding, then ran back immediately, poured a little hand sanitizing foam, and opened a sterile glove, which was put on behind the glove!

He just ran to Tan Yuanwen's right hand again, and then quickly followed the shape of the blood vessel with his fingertips to detect it retrogradely.

Because if the distal blood supply is normal, then the proximal blood vessel is most likely not ruptured.Even if it breaks, there won't be much bleeding.

However, Zhou Cheng quickly found the weakness of the lateral dorsalis pedis artery of the left lower limb.

So he quickly raised his head and said to Luo Yun: "Left peroneal artery. Apply a tourniquet, it will save time."

"Hit!" Luo Yun didn't hesitate at all, and directly ordered someone to pass over the salt water pad.

The peroneal artery is located at the distal end of the femoral artery, and hemostasis can be achieved by directly pricking off the femoral artery with a tourniquet.

"Then I'll go to the right and have a look!" Zhou Chengcheng handed over the operation of applying the tourniquet to Luo Yun to save time.

Luo Yun didn't reply, and now he looked up at the anesthesia machine. The patient's high blood pressure has risen slightly, but it's not known whether it's because of the booster drug or because of the reduction in bleeding volume, but the increase in high pressure is not obvious!
After Zhou Cheng came to the right and took a look, his face suddenly changed, the blood flow at the far end was very weak, and his scalp tightened suddenly.

Weak arterial pulse, it is better to directly embolize it!
Weakness means that the artery is ruptured, and if it is not, it means that it is blocked. If it is blocked, it will not bleed.

Then I looked up and went back to the right femoral artery, and found that the pulsation of the femoral artery was normal!

The right femoral artery is broken!
But at this moment Luo Yun was already applying a tourniquet, Zhou Cheng immediately used his dirty gloves and pressed hard on the butt sheath!
Then look up in the direction of the anesthesia machine.

Five seconds later, it was discovered that the patient's blood pressure jumped another 5mmHg!

"Mr. Luo, the right femoral artery! Let's ignore the peroneal artery." Zhou Cheng looked up for help.

He couldn't untie the tied femoral artery with one hand.

Hearing this, Luo Yun glanced at Zhou Cheng. Zhou Cheng's eyes were deep, and there seemed to be an unquestionable color.

Luo Yun immediately threw the tourniquet in his hand away!
It's a bit like a monkey going down the mountain, giving up halfway, but there are priorities!
Open a pair of gloves again, and take a sharp knife to cut the gauze when you are about to cut the gauze!
"Jingle Bell!"

"Jingle Bell!"

Luo Yun's phone rang.

Luo Yun knew that it might be Cai Dongfan calling, so he hurriedly said, "Help me answer the call, there is an emergency in the emergency department."

At the same time, the phone of Xie Cuizheng from the Department of Neurosurgery also rang.

"Say I'm in surgery!" Xie Cui Zheng also said.

The new itinerant nurse was about to cry, and hadn't stopped since entering the door!

In the end, she hesitated for a while, and chose to pick up Xie Cui Zheng first, and she seemed to be a little entangled!
When Zhou Cheng and Luo Yun saw this, their expressions changed slightly, but they didn't say anything. Xie Cui was the deputy director, and Luo Yun was just attending!

"Ms. Luo, go and answer the phone, I'm here to find blood vessels."

"You?" Luo Yun stared.

Zhou Cheng turned his right thumb in one direction, and gestured to Luo Yun for his volleying hand, "My hand has never been polluted!"

"The other side of the phone is also very important." Zhou Cheng took a deep breath while talking, and the right hand needed more strength!

Luo Yun immediately began to take off a glove without hesitation, and moved out of the way!

Then, while looking at Zhou Cheng, he walked sideways to the storage table, picked up the mobile phone, listened, and looked at Zhou Cheng. At this moment, he was using an incredible movement to stop the bleeding with one hand and hemorrhage with one hand. Look for the movement of the femoral artery.

And you must know that Zhou Cheng is right-handed, and the patient's right femoral artery is injured at the moment. He needs to press with his right hand, explore with his left hand, and cross his hands on his upper abdomen!
It's even more difficult.

"Okay, I got it!" Luo Yun nodded immediately after hearing this.

Hang up the phone and throw it directly on the storage table.

Walking to the operating table, seeing that Zhou Cheng's hands were stiff, he said, "Let me do it."

But at this time, Zhou Cheng's left hand has formed a strange movement of extreme shoulder lifting, elbow half, wrist extreme flexion and external rotation, metacarpophalangeal joint extreme retroflexion, and body side bending, as if digging an eel , Fingers back into the hole!
His right hand actually let go of the pressing action to stop the bleeding.

"Ms. Luo, the stump of the artery has retracted, I grabbed it. But I can't pull it out, I'm afraid the artery will break."

"You are going to cut and expose it!" Zhou Cheng raised his head, looked at Luo Yun and said.

The half palm of the left hand was directly inserted into the blood tofu, which looked extremely cruel.

"Director Cai asked you to go to the emergency department to participate in the emergency rescue on the car!"

"I've been trying to rescue the patient to the operating table, and let you run there!" Luo Yun said with a deadpan expression.

Zhou Cheng was taken aback, and looked at his left hand: "This is the femoral artery, Mr. Luo!"

I managed to find the ruptured femoral artery. When I pressed to stop the bleeding, my blood pressure had already risen, and now it has risen by 10mmHg.At this moment, as long as it is exposed and cut open, the blood pressure can be stabilized temporarily.

If you let go at this time, you don't know how much blood will come out at once!

It is possible to send Tan Yuanwen away in an instant.

When I didn't care about it before, there may be blood clots around the lumen of the blood vessel to stop the dart of blood!

Now I got rid of all the blood clots, if I let go, it would be bloodletting!

"Then if I leave, you just keep holding on to it?"

"Or I won't leave with you? No matter!"

"It will take at least 5 minutes to cut!" Luo Yun asked Zhou Cheng back.

Zhou Cheng's eyes, expressions and expressions all changed rapidly!

What Luo Yun said just now came true.

Let go, Tan Yuanwen may not necessarily die!But it is very likely that it will be gone!

If you don't let it go, then you are resisting the order?
What the hell is this?
Zhou Cheng just hesitated for five seconds and didn't reply.

Luo Yun continued to ask: "You go or I go. If you don't speak, I will leave!"

"Okay!" Zhou Cheng made a thought and made the final decision!

"Mr. Luo, go." Zhou Cheng's tone was very tangled.

But just at this time, the itinerant nurse said to Xie Cuizheng: "Dr. Mao in your department said that your director told you to go to the emergency department immediately. A firefighter came over there. After performing the task, his life is dying now, and he will be alive soon." Danger."

"Doctor Mao will come back immediately to take over your current operation!"

"Come here as soon as he comes! How can I let go!" Xie Cuizheng is not Zhou Cheng, he said politely, "Don't talk! I'm going to cut the meninges right away, get the suction device ready!"

Xie Cuizheng had already cut open the skull quickly, as if he didn't even have time to do the cooling down carefully.

Burnt smell bursts!
Luo Yun continued to glance at Zhou Cheng, but Zhou Cheng still had no intention of withdrawing his hand!
He went straight to the operating room.

At the same time, Du Yanjun and Zhang Zhengquan just rushed to the operating room!
Luo Yun hesitated for a moment, and took away Zhang Zhengquan who was about to enter the door: "You follow me to the emergency department, there must be a shortage of manpower there!"

"Ah?" Zhang Zhengquan was confused.

However, he had already been pushed away by Luo Yun's palm and walked for a while.

Du Yanjun was a little at a loss at the door of the operating room: "Ms. Luo, what about me?"

Luo Yun didn't reply.

When Zhou Cheng saw Du Yanjun coming, he was immediately overjoyed: "Yan Jun, you came at a good time, wash your hands and get dressed quickly, and come for the anatomical exposure of the femoral artery!"

Jun Du Yan was dumbfounded on the spot: "Huh?"

The exploration of the femoral artery is not a class I operation, it is a leapfrog operation.

Before walking far, Luo Yun remembered something, and hurriedly said, "Du Yanjun, go in quickly, do a femoral artery incision, don't be too wordy!"

Surgical Authorization.

In case of emergency, attendance may be granted by leapfrog.

Du Yanjun was terrified immediately, and hurried to wash his hands, and then put on his clothes.

Zhou Cheng freed his right hand and said, "Teacher on the tour, pour me a plate of complex iodine, put more sterile gauze in it, and prescribe a pair of sterile gloves for me!"

Now there are only him and Du Yanjun in the operating room.

Du Yanjun washes his hands first, so he can only wear gloves and disinfect one hand!
Manpower is limited, and it is too late to call someone.

The itinerant nurse looked at Zhou Cheng, hesitated, but the anesthetist said, "Hurry up, this doctor managed to stop the bleeding, and the blood pressure rose a little!"

"If his femoral artery is loosened, our operation can be stopped immediately and go back to rest!"

He probably also saw the intention of going on tour. Zhou Cheng was young and a young doctor, so he didn't know whether he should listen to him or not.

Zhou Cheng finished the substandard gloves-wearing movement with some difficulty, and then immediately picked up the gauze to disinfect his thighs!In fact, it was almost a pinch of blood mud.

Zhou Cheng's movements were not fast, because his left hand was fixed in a strange position, and he didn't dare to move around.

When Du Yanjun approached, he almost disinfected a small circle.

Du Yanjun asked: "Brother Zhou Cheng, do you want to lay the bill?"

"Put the small and medium orders, and the big orders will not be placed. Hurry up." Zhou Cheng said while twisting the direction his buttocks were facing, bowing his body and turning left and right to make room for the order.

when ready.

Zhou Chengcheng said, "Yan Jun, cut from here to expose the femoral artery."

Zhou Cheng pointed to the position about five centimeters below the femoral artery sheath in the groin, and said to Du Yanjun.

Du Yanjun is very tangled at the moment, Zhou Cheng's hand is still here, and this posture can also be seen, Zhou Cheng's hand is probably still inside, what if Zhou Cheng is cut?
"Brother Zhou Cheng, what's your hand?" Du Yanjun held the round knife, not daring to make a move.

"Cut it, cut it slowly, just be careful not to hurt me."

"Teacher Tour, give me a pair of tweezers." After Zhou Cheng finished speaking, he asked for a pair of tweezers, and gave Du Yanjun the line to cut the skin vigorously!Indicate the cutting range.

Only now was Du Yanjun trembling, and he lowered the knife very nervously. Because he was nervous, he was afraid of hurting Zhou Cheng, and his posture for lowering the knife was not standard.

Fortunately, he was holding the knife with his right hand, and Zhou Cheng used tweezers to separate his hands a little bit, so that Du Yanjun could know where he had cut.

"Use an electric knife to stop the bleeding first." Zhou Cheng told Du Yanjun to slow down.

If Luo Yun came to perform the surgery, the bleeding would definitely not stop, but Du Yanjun must not be familiar with these dissections, and if he didn't clean up the surgical field, he was afraid that he would pick out the arteries when he was exposed!
"Pull the hook!" Zhou Cheng said to Xun Xun again.

Zhou Cheng was going to teach Du Yanjun how to expose the femoral artery, and it was the femoral artery exposure under this special situation.

"Stop the bleeding, it doesn't have to be so thorough, it doesn't affect the lowermost surgical field." Zhou Cheng said while pulling the hook.

Du Yanjun nodded in a panic.

This scene, in the eyes of others, is quite strange, obviously two people of the same age, but one person is teaching the other person as if he is a senior doctor.

However, all this seems to be reasonable.

From the very beginning, the patient had massive bleeding in the extremities, and his blood pressure dropped drastically.

After Zhou Cheng came, he stopped the bleeding very quickly. Although there may still be bleeding, blood transfusion, fluid replacement, and medicine have stabilized the blood pressure!
If your income exceeds your expenditure, that is a good thing!
Xie Cuizheng from Shenwai and the people from General Foreign Affairs took a look at Zhou Cheng's teaching, and immediately completed their own operations.

The orthopedics department has stabilized the bleeding. If something happens again, it has nothing to do with the orthopedics department. They must complete their own department's problems well.

"Chichichi!"

Xie Cuizheng, the neurosurgery surgeon, cut open the meninges and finally found the hematoma in the dura mater. There was a strange sound in the aspirator.

At the same time, dark red blood continuously gushed out from the cranial cavity!

The intracranial hypertension caused by intradural hematoma is temporarily relieved, and the danger of life caused by intracranial hypertension is also reduced by one point, but this is far from over.

The patient is in a critical condition, and there is no time for CTA and MRA, so it is necessary to find out whether there are other bleeding lesions in the brain.

This is very time consuming...

The general surgery department has already started the preparations before the laparotomy. Abdominal CT showed that the intestinal tube was ruptured, which was an absolute indication for laparotomy. The reason why the laparotomy was not performed violently at the first time was because the intra-abdominal disease was fatal without intracranial hematoma and Open bleeding so strong...

About five or six minutes later, Mao Renjie and Xie Cuizheng from the Department of Neurosurgery completed the handover of the chief surgeons!
At this time, Du Yanjun exposed the middle layer of the muscles in front of his thigh: "Can this be cut?"

Du Yanjun asked Zhou Cheng with some fear.

He is really unfamiliar with this place!

Orthopedic surgical practice generally starts with a simple mid-tibial fracture, followed by fibula, and the middle and lower femur!

The position of the femoral neck and the femoral sheath is an unfamiliar area for him, no matter how courageous Cai Dongfan is, he dare not let him try it rashly.

But Zhou Cheng is different. Zhou Cheng has done the job of protecting his legs. Cai Dongfan has long known that Zhou Cheng's knowledge of anatomy is solid, and currently there are very few blind spots in orthopedics!
"Cut! Use a little less force." Zhou Cheng was still a little afraid that the unskilled Du Yanjun would cut his hand.

Finally, another 5 minutes passed, stumbling and cowering, finally Du Yanjun exposed the femoral artery, and Du Yanjun immediately stopped moving.He hurriedly asked Zhou Cheng: "Brother Zhou Cheng, didn't you cut your hand?"

He really didn't know where Zhou Cheng's hand was, so he didn't dare to move it rashly!

"No, very good. Now you use a vascular clamp to clamp out the femoral artery. I let go and tie it off with a silk thread. Then do debridement, will it?"

After the femoral artery was punctured here, the danger of Qin Yuanwen's life caused by arterial hemorrhage was temporarily relieved.Then slowly debride the wound and suture the blood vessels, so there is no need to rush.

The debridement operation is quite simple, and Du Yanjun can do it slowly by himself.

Du Yanjun first slowly clamped the proximal end of the femoral artery with a vascular forceps, then raised his head and asked Zhou Cheng, "Brother Zhou Cheng, are you leaving? Am I alone?"

A little empty.

Although he usually likes to do clearing to fight for opportunities, but if such a large clearing machine is really handed over to him, he still panics a lot in his heart.

"Do it slowly. Remember that both the brachial artery and the femoral artery are tied. If you can't control the necrotic muscle level, then wait for Director Cai or Teacher Luo to come back before debridement." Zhou Cheng let go of his hand and said to Du Yan Military confession.

After the aorta is tied, the necrotic muscle layer cannot be judged by oozing blood, which is indeed a bit difficult.

"That's good!" Du Yanjun breathed a sigh of relief. If someone came over again, he would be relieved.

Zhou Cheng then walked to the opposite side and put on the hemostatic tape!
After instructing the roving nurse to pay attention to the duration and interval of the tourniquet, he took off his gloves and walked outside the operating room.

However, when he was about to go downstairs, he found a lot of people rushing in at the door of the operating room!

Luo Yun and Cai Dongfan were impressively among them, and Luo Yun was kneeling on the stroller, performing cardiopulmonary resuscitation!

The patient's whole body was black, his hair seemed a little burnt, and his face could not be seen clearly.

The trachea has been cut, and the trident is directly connected to the trachea!

Zhou Cheng's expression changed immediately, and then he took a step back and began to run along with the green-clothed troop that was pushing the bed at high speed...

When I came to the operating room, I was connected to the ECG monitor while pressing.

However, although the ECG monitoring is not a straight line, there are electrical fluctuations, but they are interference fluctuations of pressing people, not sinus waveforms at all.

Luo Yun had already got off the bed, replaced by another unknown doctor, and knelt on the bed...

"Ms. Luo, this patient?" Zhou Cheng felt a little apologetic in his heart!

Luo Yun glanced at Zhou Cheng: "On the way to the imaging department, the patient I received had a sudden cardiac arrest."

"Extensive burns on a large area of ​​the body, and aftershocks from the explosion, the diagnosis is still unclear..."

"Oh!~~" Luo Yun let out a long sigh.

"Why didn't you send it directly to the operating room?" Zhou Cheng asked with a thought.

"When I entered the emergency department, my vital signs were already very weak. The director of the anesthesiology department, Zeng, was present and said that he dared not give anesthesia!"

"I took the electrocardiogram, and there was already sinus tachycardia at that time."

"The whole body was burned in a large area, the amount of blood loss was unpredictable, and the arterial and venous channels were not easy to establish. I asked the head nurse of the ICU to open up the venous channels..."

"In the end, it was after Yang Yifeng arrived that he said he was anesthetized."

While talking, a person walked in from the operating room, but when he saw the patient being resuscitated on the bed, he clenched his fists tightly!The look in the eyes is complicated!

But no one left, just quietly waiting for the cardiopulmonary resuscitation. The patrol nurses prepared a large number of surgical instrument kits. The directors of six surgical departments and five internal medicine departments were all waiting in the operating room, just waiting for the operation time!
Once there is a heartbeat, other rescues will be started as soon as possible...

……

After half an hour.

Everyone in the operating room bowed deeply to the bed.

Then Yang Yifeng was the first to exit the operating room silently.

Looking at Yang Yifeng's back, Zhou Cheng's expression changed again. When he walked out of the operating room with Cai Dongfan and Luo Yun, Zhou Cheng asked Luo Yun, "Didn't Yang Yifeng stop coming? Why is he here?"

"The place where the explosion happened was not far from where he lived. He said he was typing at home, and rushed to the scene as soon as he heard the sound, just in time to see the second explosion."

"Because of his participation, several people were rescued urgently, but this firefighter, although Yang Yifeng urgently performed a gas cut and took off his clothes."

"But the well-meaning people directly poured a basin of cold water..."

"At that time, Yang Yifeng's scalp was cold!"

Zhou Cheng opened his mouth.

For small burns, a large amount of water is the most correct first aid method, but for large and extensive burns, cold water is a reminder!

There is no one right way to first aid...

"Later the patient was brought to our hospital. Yang Yifeng took a taxi. After a while, seeing the quarrel, he told Zeng Yi to move to the operating room immediately."

"Just passing by the imaging department, the patient's heart stopped suddenly." Luo Yun said with emotion.

The eyes are extremely tangled.

Zhou Cheng rubbed his eyes vigorously with both hands, feeling complicated!

If I followed Cai Dongfan to the emergency department at that time, would I have suggested that Cai Dongfan perform surgery on the spot in the emergency department?
if?I went to Cai Dongfan at the time when Luo Yun was there, would there be any other changes?

Zhou Cheng himself definitely couldn't answer these questions.

Moreover, it is useless to pursue this issue now.

Seeing Zhou Cheng's dim eyes, dull expression, and a little absent-minded, Luo Yun said as he walked, "Your actions and choices just now were correct."

"The reason why I want to force you is to let you make a choice!"

"Because no matter what choice you make, you will never leave the operating room in the end."

"Because, in this whole world, only your patients are your patients, and only the lives saved by you are called life-saving! Only when you try your best to cure your patients first, can you be qualified to greedily To see patients who don't belong to you."

Zhou Cheng raised his head slowly and closed his eyes slightly.

Take a deep breath and let it out again.

Then he said: "Yes, this firefighter soldier is lucky to meet Yang Yifeng in the first place. Otherwise, he might not even be able to make it to the hospital, right?"

Luo Yun didn't give Zhou Cheng a specific answer, but took him into Tan Yuanwen's operating room again.

After washing hands, dressing, and completing formal preparations for going on stage, the search for the peroneal artery began...

Cai Dongfan did not come to the operating room. As the main representative of the orthopedic consultation today, there was a death case, and he needed to report and participate in the communication with the patient's family.

And Qin Yuanwen's remaining orthopedic debridement surgery is actually not difficult.

Two hours later, with the help of Zhou Cheng and Luo Yun and the help of Du Yanjun and Zhang Zhengquan, all the operations were completed.

After stepping down, Shenwai was still carefully looking for the part of the intracranial hemorrhage, and carefully completed the hemostasis. The intestinal suture in the general surgery department has come to an end, and is about to finish it!
When he left the operating room, Du Yanjun was still a little excited, because he had just completed a debridement alone, although he also learned from Zhou Cheng and Luo Yun how to judge ischemia after the artery was punctured.

But it was also completed: "Ms. Luo, the prognosis for this patient should still be good, right?"

Luo Yun didn't reply, neither did Zhou Cheng.

Zhang Zhengquan pulled Du Yanjun away, and whispered in his ear for a while, mainly about Tan Yuanwen's identity and the identity of the firefighter who died, Du Yanjun immediately shut his mouth obediently.

After changing his clothes, Luo Yun said: "You three go back and rest. Remember to come for rounds early tomorrow."

Today is Friday, and tomorrow is the weekend, Luo Yun wants to go back to his mother early to be with her.

Zhou Cheng and the three of them nodded, although they were all in a slightly bad mood.This is one of the few incidents they have experienced that was not rescued, and there are still people who died.

"Mr. Luo, goodbye!" Zhou Cheng and the three waved to Luo Yun at the same time.

But Zhou Cheng and Luo Yun went to the department first, his bag was still in the department, Zhang Zhengquan and Du Yanjun rushed back from home, so they didn't have to go back to the department, they could go home directly.

When Zhou Cheng returned home, it was already past one in the afternoon.

Just at this time, he received a call from Du Yanjun, which probably meant that everyone had dinner together and he was treating them.

Cai Dongfan became the director, and Du Yanjun benefited a lot.

Zhang Zhengquan had already agreed, so Zhou Cheng couldn't refuse. He said that he needed to tidy up a little before going out, and Du Yanjun sent Zhou Cheng the location information directly.

Then, Zhou Chengcheng changed into clean clothes and washed his face.

Just as she was about to go out, she received a call from Qin Min.

"Zhou Cheng, thank you!"

"I heard about my dad from my former colleague. Her name is Li Xun, and she is today's itinerant nurse. Thanks to you, otherwise my dad would never have stepped down."

"Junior Sister Li called me just now and said that my father's operation is almost over. It's hard to say what will happen after the operation, but he is out of danger for the time being. Thank you!"

"Thank you." Tan Min played alone on the opposite side.

And after finishing speaking, Tan Min cried, hung up the phone crying, sat at the door of the operating room, closed his eyes, his eyes were red, but no tears fell out.

She has been crying a lot recently, maybe her body is dehydrated from crying, that's why she didn't cry.

And, soon, Tan Min calmed down, wiped the corners of her eyes, turned her head, looked left and right, and looked at the family members of the patients who were waiting with her to come out.

Tan Min sniffed, and slowly cleared up her emotions, but her thoughts began to float again.

How wonderful it would be without all of this...

When Zhou Cheng came to the place to eat, he unexpectedly discovered that there were three people in the hot pot restaurant where he was eating.

And one of them happened to be the unexpected guest——Yang Yifeng.

At this moment, Yang Yifeng was telling Du Yanjun the general history of the fire incident and the scenes he saw when he was at the scene with a blank face.

When Zhou Cheng arrived, he was feeling: "Actually, it's best to hope that this kind of thing doesn't happen again!"

"Simply improving medical skills, no matter how good the medical skills are, it can't be worth the accident that doesn't know when it will happen."

"When manpower is exhausted..."

While talking, Zhou Chengcheng approached and sat down without disturbing Yang Yifeng's speech, but Yang Yifeng stopped on his own initiative, and then turned to look at Zhou Cheng.

"Brother Zhou Cheng, I'm waiting for you now that you're here."

Zhou Chengcheng asked Yang Yifeng: "I thought you wouldn't come! Director Cai just said this morning that you ended your study journey due to personal reasons."

When Zhou Cheng asked this question, Zhang Zhengquan cast the most curious eyes——

No, brother, why are you here again!

You didn't go over there to understand the matter of your master, did you?
Yang Yifeng said: "Yes, the journey of learning is over for the time being. But that's what happened this morning."

"Just now I found my teacher again and told him my thoughts, and I'm going to come back again. And it's the kind that comes back to manage the bed."

After finishing speaking, Yang Yifeng poured himself a cup of tea, held it up, and said to Zhou Cheng and the others, "In the future, I will try to manage one or two beds first, please take care of me!"

(End of this chapter)