This doctor has a system

Chapter 33 33. Hemostasis with bare hands
"Let people from the Department of Cardiothoracic Surgery, General Surgery, Intensive Care, Respiratory Medicine, Vascular Surgery, and Neurology wait in the emergency department. We will arrive at the hospital in 15 minutes." Ma Liang started making calls as soon as he got in the car.

Ma Liang asked the driver to drive faster, and the nurse stepped aside a little more. Due to the steel bars, the patient could only lie on his side. She, Hao Mengpei, Gao Feng, and Hu Jiaran held the patient with their hands.

The uncle driver was sullen and silent, fast and steady?Hum
Soon Ma Liang received another call, and after hanging up, he turned to Gao Feng and the others and said, "The patient's identity is a bit special, he is the deputy secretary of the JS District Management Committee, and the man who died behind him belonged to the Daikin Group." General Manager, let’s talk about investment.”

After he finished speaking, he shook his head, no matter who you are, no matter where you are, you only have one life.

The emergency department will be full of people, and the ZF of City W will send people over soon. Director Wang of the medical department is coordinating the specific situation and has initially formulated an emergency plan.

As soon as the ambulance arrived at the door, everyone hurriedly surrounded it. Several directors took turns to see the patient, and Director Zhao was also there.Seeing the ferocious steel bars, several directors showed embarrassment.

There were so many people, Gao Feng simply greeted Director Zhao.

"Fortunately, the patient's clothes are elastic, and the steel bars directly pulled the clothes and pierced them in, and the clothes just blocked the bleeding site." Director Zhang from the Department of Cardiothoracic Surgery said.

"The key is how to pull it out?" Everyone had a difficult time.

A CT evaluation was performed on the patient soon, and the blood drawing and fluid rehydration were carried out steadily. The patient even opened his eyes. The nurse quickly comforted her and applied painkillers in time.

"Fortunately, this steel bar just passed by the heart." Someone exclaimed.

"A pulmonary vein and pulmonary artery in the left lung should have been torn. The operation is too difficult and the risk is too high." Director Zhang of the Cardiothoracic Surgery Department reported to Director Wang of the Medical Affairs Department.

People from the city government also arrived at this time and are consulting the specific situation.

"We must mobilize all our strength and ensure the safety of patients!" Director Wang gave Director Zhang a death order loudly.

Then he whispered in his ear: "Just do your best. When discussing the operation method later, I will ask everyone to participate and sign. If there is a problem, the hospital will bear it."

Director Zhang felt a little more relaxed. Director Wang has been the director of the medical department for almost 30 years. He has a high prestige and keeps his word!

The preoperative discussion was held in the large conference room of the emergency department, and Ma Liang, as the first physician, was also required to participate.

He said helplessly to Gao Feng: "It's useless for us to be here, just to highlight the leadership's attention."

Hu Jiaran and Hao Mengpei saw the penetrating chest injury for the first time today, and they were very excited. They stood behind Ma Liang and waited for everyone to speak.

"Let the firefighters cut off some of the steel bars at the back first, so that the operating bed can be padded and the patient can lie flat. Otherwise, the sideways view is not good, so it can't be done." The director of general surgery suggested.

"The main issue is the bleeding during the operation. At least two large blood vessels were torn. Once the steel bar is moved, there will definitely be heavy bleeding." Director Liu of the Vascular Surgery Department looked serious, "The range of surgical incision is estimated to be expanded, otherwise there is no way Stop the bleeding."

"The time must be controlled well. The left lung is seriously injured, so the time for anesthesia should not be too long." A director of the anesthesiology department hurriedly expressed his opinion.

Everyone chattered and discussed for a while, Director Wang finally took out the record book and asked the participants to sign.

The voice of the system sounded: "Please invite Dr. Gao to participate in this emergency operation for penetrating chest injuries and help the patient out of danger. The system will issue rewards according to the degree of completion."

This made Gao Feng in a difficult situation. He is only a regular trainee now, so he is not qualified to participate in the operation.

Seeing that Director Zhao hadn't left yet, Gao Feng's heart moved, "Director, are you going to watch the operation later?"

"I have an outpatient clinic in the afternoon." Director Zhao was obviously not interested in the operation, but she raised her head when she heard Gao Feng's question: "Do you want to see it?"

"Yes, I want to learn. I haven't seen this penetrating chest injury."

"Okay, I'll take you in later." Director Zhao expressed his appreciation for Gao Feng's eagerness to learn.Gao Feng ran over to talk to Ma Liang again.

The operation was performed in Room 8 of the emergency operating room. This is the latest operating room and the largest operating room in the emergency department. The equipment is the latest model in recent years.

Gao Feng saw an acquaintance, anesthesiologist Wu Xingfeng, who was following a chief anesthesiologist, running back and forth to prepare things.

"Okay, it's numb!" The anesthetist glanced at everyone and began to buckle the mask.

The chief surgeons of the operation were Director Zhang of the Cardiothoracic Surgery Department and Director Liu of the Vascular Surgery Department. The first assistant and the equipment nurses were old people who had been working with Director Zhang for a long time.

Director Zhang took a deep breath and cut it down with a single knife. Blood oozes from the incision, and the assistant quickly stopped the bleeding with an electric knife.

Director Liu stared at the wound carefully, "The view from below is not good, and the clothes can't be moved yet. I guess another incision will be made from this side."

"It's a bit traumatic." Director Zhang was sweating on his forehead, and he cut his teeth again.

"Hemostatic clip!" Director Liu shouted, "That one is the pulmonary vein, I'll clip it first, and then you can cut off the clothes on this side and take it out."

The clipping process went smoothly, and the assistant gently pulled out the piece of cloth that had been cut from the top. As soon as it was pulled halfway, blood gushed out immediately.

"It's broken. There should be a mutated blood vessel underneath, which is also torn. Hurry up! Hurry up! Hurry up!" Director Liu panicked.

Like a small spring eye, the blood instantly covered the surgical field of view.Director Zhang was desperate.

"System, enter the constant time space."

Now the intraoperative hemostasis skill has been upgraded to an advanced level, which costs 4 skill points.Gao Feng felt a bit at a loss, and probably wouldn't be able to use this skill in the future.

The patient was lying there quietly in the constant time space. Gao Feng stepped forward to take a closer look and scratched his head. The advanced hemostasis skills did not seem to provide an effective solution.

Director Liu of the Department of Vascular Surgery must have advanced hemostasis skills, but he seems to be helpless!

"System, what should I do in this situation? The field of vision is soaked in blood, I can't find the bleeding blood vessel, and I can't use the hemostat!"

"You can pinch the bleeding blood vessel with your hands."

"What?" Gao Feng was stunned for a moment, "Pinch it with your hands? Is it reliable? Is there such a method to stop bleeding in the book?"

"It's not in the book, but Doctor Gao, you can practice here. This should be the only solution at present."

"That's right, this is a constant time space, you can try and make mistakes!" Gao Feng realized.

Gao Feng put his hand directly into the wound.

I pinch! "Your rough technique caused 2 injuries to the patient, and the bleeding became more serious!"

I pinch again! "Your poor technique caused 2 injuries to the patient and aggravated the patient's bleeding!"

I will pinch again! "You clumsy."

(End of this chapter)