White armor
Chapter 177 Professor Luo, does your mother know that you have such a good temper?
Chapter 177 Professor Luo, does your mother know that you have such a good temper?
[Emergency mission: the endangered method of stopping bleeding with bare hands.
Mission content: Successfully rescued a patient with splenic rupture.
Task time: 1 hours.
Mission reward: Martial Arts Skill Book ×10. 】
Luo Hao looked at the reward and was speechless.
Does the system have any points? Give yourself a skill book to teach martial arts!
Even if it is a skill book for stopping bleeding with bare hands, it is better than a skill book for teaching martial arts.
but……
Where is the patient?
Luo Hao hesitated and stood up to go to the emergency department.
[People say that a man is a boy until he dies...]
……
"Professor Luo, come here for a visit." Mr. Ma Liu Yiyi said directly without caring about anything else.
"Let me ask the director for instructions." Mr. Tang had no choice but to pick up the phone.
"Lao Meng, go tell the patient's foreman that you need surgery!" Luo Hao said directly.
"Mr. Liu, can't you be numb?"
Mr. Tang was scolded horrendously, but he knew that Mr. Ma Liu Yiyi had such a bad temper, and he was as sharp-tongued as he was cruel.
Even if General Anesthetist Liu Yiyi gave me anesthesia, I was not very skilled at opening the abdomen. Moreover, after opening, the abdominal pressure would return to zero, and the blood pressure would probably return to zero instantly. The blood pressure that could barely be maintained with a large amount of vasopressor drugs would disappear.
"Where are the patient's family members?" Luo Hao asked quickly.
"Push dopamine, I'll make a call." General Manager Liu Yiyi handed the syringe to the assistant and picked up the phone.
"To open or not to open?" Manager Ma Liu Yiyi asked.
"Professor Luo, liver and gallbladder, there is an emergency patient. The B-ultrasound shows that the spleen is ruptured. The blood pressure is basically gone and he cannot be anesthetized. Can you help rescue him?" Mr. Ma Liu Yiyi described the situation directly.
As the door of the rescue room closed, Meng Liangren's voice gradually became quieter.
"Last time, a patient with aortic rupture was rescued by Professor Luo. He watched others rescue him, and then watched you rescue him! Even good people have to be dragged to death by you."
Unconsciously, Luo Hao's voice began to get louder.
"There are no family members, just co-workers."
"What?" Mr. Tang's eyes widened.
Just look at Luo Hao, he looks like a surgeon, even if the aorta ruptures, he dares to push into the operating room, unlike others who have so many worries.
"With blood pressure like this, you cannot give muscle relaxants. If you give it, the person will die immediately. Hard anesthesia can also cause numbness. After the operation, the abdominal pressure returns to zero and the blood pressure disappears. What should you do?" Mr. Liu looked at Mr. Tang from the Department of Hepatobiliary Surgery with disgust. .
Meng Liangren turned around and went out, "The patient's family! Which of you has the final say!!"
……
Luo Hao opened the things he wanted to use and put on sterile gloves directly.
He was grinding and chirping, and he didn't look like a surgeon at all.
five minutes ago.
But as long as the rescue records are written down, the hospital, doctors, and nurses will have no trouble.
"Can you guys do that?" General Ma Liu Yiyi glanced impatiently at the resident manager in the hepatobiliary surgery emergency room, "You want me to anesthetize you in this state?"
Luo Hao rushed all the way to the emergency room of the Hepatobiliary Surgery Department and opened the door.
If he died in the audience, it was because the patient was too seriously injured and had nothing to do with the doctors and nurses.
"The chief surgeon is unable to come down for the time being..." the resident manager said helplessly, "Sister Liu, why are you looking for Professor Luo?"
Luo Hao glanced at the arterial blood pressure, took the report, and determined that the spleen was ruptured and the liver was fine for the time being.
Soon, the sound of rapid footsteps came.
Mr. Tang took a deep breath and decided to shrink his head.
Without going on stage and simply rescuing, the patient will still die in the end.
It's the artist's responsibility to die on stage.
Glancing at the medicine again, Luo Hao probably knew what was going on.
If this kind of patient comes to power, 99.99% will die, and the remaining chance will be to become a vegetative state, and there will be endless lawsuits to fight.
Luo Haoli ignored the resident boss. If he had a way, he would have used it long ago. Why did Mr. Ma Liu Yiyi call him.
The patient's condition was critical and there was no time for a hospital-wide consultation.
Just bear with it, what else can you do?
But what can I do? The patient's blood pressure was too low and he was bleeding all over. Now there is blood in the abdominal cavity, and the pressure is high, which can also reduce the amount of blood coming out.
"Chen Yong, call Director Feng and tell him that there is an emergency rescue here. I need to stop the bleeding with my bare hands."
"Okay, waiting for you!" Manager Ma Liu Yiyi hung up the phone.
The arterial blood pressure was 40/15 mmHg. Liu Yiyi cursed while pushing norepinephrine, dopamine, and metahydroxylamine along the three channels.
Pull the leather sheath on the edge of the glove with your left hand. After putting it on, you will habitually stretch it, let go, and make a snapping sound.
This sound was like a rescue horn, and the air in the entire rescue room froze. The seriousness level was +3, and the urgency level was once again raised to a higher level.
Luo Hao picked up the blade and made an incision directly on the edge of the patient's left rectus abdominis.
"You..." Mr. Tang was dumbfounded.
"Mr. Liu, tell the operating room to prepare for the operation." Luo Hao directly incised the skin, subcutaneous tissue, and muscles.
Although the cut was extremely deep, and the blade held between Luo Hao's fingers had been deeply penetrated, there was still no blood flowing out.
The skin, subcutaneous tissue, and muscles were pale and pale.
Luo Hao made a 10cm incision on the patient's abdomen, cut into the peritoneum, picked up the hemostat with his left hand, inserted it along the incision, and then pulled up the peritoneum.
The blade made a small incision in the peritoneum, and then the thread scissors were inserted in, slightly raised, and the peritoneum was cut open.
huh~~~
A dark red spring water gushes out.
As abdominal pressure decreases, arterial blood pressure also decreases.
The patient was motionless. Even without anesthesia, he would have lost consciousness by this time.
Luo Hao put his hand in without hesitation.
"Hurry up the liquid and give me some colloid."
"Mr. Liu, 1 mg of epinephrine, 20 mg of dopamine...no, 40 mg."
"Are you ready for blood? Press again!"
Doctor's orders were issued one after another.
As Luo Hao's hand reached into the patient's abdominal cavity, the patient's blood pressure rose rapidly in less than a minute.
60 mm Hg!
65 mm Hg!
70 mm Hg!
General Manager Liu Yiyi, who had just made a call to the operating room, saw this scene and glared at Mr. Tang fiercely.
"Professor Luo, come on now."
"Let's go." Luo Hao put one hand in the patient's abdominal cavity and supported the flat car with the other hand. He sat on it and lay half on the patient in an awkward posture.
"Push the cart, let's go, let's go!" Boss Ma Liu Yiyi shouted quickly.
Apart from Luo Hao, she has the loudest voice.
"Mr. Tang, please ask for the elevator!" Luo Hao commanded while sitting on the flat car.
The flat car was pushed out, and Luo Hao saw Meng Liangren explaining the patient's condition to his coworkers.
And when they witnessed the scene of their hands reaching into the patient's abdominal cavity, they were all stunned.
Even Meng Liangren was stunned and looked directly at himself.
The flat car roared and rushed all the way to the operating room.
The door to the operating room opened, and the patient and Luo Hao rushed in on a flat cart.
Behind him, blood dripped down the edge of the flat car, leaving an obvious trace.
The patient's family members who were waiting for the operation were dumbfounded. Is this the legendary emergency rescue?
"Disinfect, anesthetize, make the list, Mr. Tang, don't be stunned, the patient is fine." Luo Hao pinched the spleen pedicle to comfort the numb Mr. Tang.
Arriving at the operating room, Luo Hao felt relieved.
Moreover, the patient's blood pressure rose rapidly under the influence of a large amount of vasopressors and fluids, which meant that the only organ that was bleeding, or at least causing massive bleeding, was the spleen.
"Uh...Professor Luo...I..."
"Have you ever had laparoscopic surgery?" Luo Hao sighed and asked.
"Did it."
"Laparotomy is almost the same. It doesn't matter if you haven't done it before. I'll teach you. You first brush your hands, disinfect them, and then lay out the sheets."
Mr. Tang was like a puppet, with a sad face.
Chen Yong couldn't wait and was ready to brush his hands.
"Chen Yong, look at Lao Meng and contact the patient's foreman." Luo Hao stopped Chen Yong from preparing to wash his hands and disinfect them.
"Okay." Chen Yong stopped and turned around to go out.
"Professor Luo, how about I ask the director?" Mr. Tang still didn't wash his hands and wanted to ask the director first.
Luo Hao was not his immediate boss, and no one would take the blame for anything that happened. Mr. Tang, even Liushenwuzhu, knew this clearly.
"Okay." Luo Hao nodded helplessly.
"Why are you acting like a bitch! You're just grinding and whining. The boss asked you to do this. If you're still like this, you might as well become a doctor." Manager Ma Liu Yiyi scolded.
Mr. Tang was stunned for a moment. The expression on his face looked like he was crying, but it was uglier than crying.
"The operation is very simple. I have stopped the bleeding. Go and ask. We are still waiting for blood." Luo Hao smiled and said to Mr. Tang. Then Brick looked at Mr. Ma Liu Yiyi and said, "Please help me wear one." Face mask."
Luo Hao's white clothes were bloody, and his hand was in the patient's abdominal cavity. It clearly looked like a B-level movie like Saw.
But when Luo Hao smiled, his body emitted a soft light, and the terrifying and depressing atmosphere was swept away.
"Senior brother, should I wear it for you?" Zhuang Yan came up behind Luo Hao holding a mask.
"bring it on."
After putting a mask on Luo Hao, Zhuang Yan didn't understand and asked, "Brother, what are you doing?"
"The patient's spleen was ruptured, the splenic artery was bleeding continuously, the blood pressure could not be maintained, and there was no way to operate. To stop the bleeding with my bare hands, I pinched the bleeding artery of the injured person with my hands and gave symptomatic treatment at the same time. I waited until the blood pressure recovered before operating. When you were in school Didn’t the teacher teach you?”
"I seem to have said it before, but why doesn't the resident boss do it?"
"Oh, they started learning surgery through laparoscopic surgery, and they have never done any major surgery. They have never done this kind of rough work, so I don't blame Mr. Tang." Luo Hao spoke for Mr. Tang.
The patient's blood pressure was stable, and Luo Hao was not in a hurry and explained slowly.
"Brother, what about you? There is no field of vision. How can you tell which blood vessel is bleeding after you go in? There is blood in the patient's abdominal cavity, so the feeling after going in should not be very sharp."
“We can’t compare everyone to our Xiehe students.”
Zhuang Yan was startled.
She felt that Brother Luo was yin and yang, but Luo Hao, who had his hand inserted into the patient's abdominal cavity and was covered in blood, had a shocking power that made Zhuang Yan silent.
"Professor Luo, you are really awesome! This is what emergency first aid looks like." General Manager Liu Yiyi quickly intubated and administered medicine to the patient.
Before Mr. Tang came back, the work was almost done.
"You're not bad, you're very skillful. The key is to know how to call me." Luo Hao praised.
"Nowadays, young doctors are spoiled. They only perform laparoscopic surgeries. Our operating room has not had any major surgeries for half a year."
"It has been prescribed. I had an abdominal cocoon syndrome in my gastrointestinal tract." "!!!" Although Mr. Ma Liu Yiyi was refuted, he did not get angry and continued working. "When I was in school, the teacher stopped the bleeding with his bare hands. , open the chest and pinch the heart with bare hands and come to the operating room basically once a month.”
"It's different now. Doctor-patient disputes are serious. Even if it's technically allowed, it's still a bit taboo. So if you throw it around, some techniques will be lost." Luo Hao continued to help.
Manager Ma Liu Yiyi glanced at Luo Hao, "Professor Luo, you have such a good temper, does your mother know?"
"I know." Luo Hao narrowed his eyes, "I have always had a good temper, and my mother's temper is even better."
Just as he was talking, Mr. Tang hurried back, followed by a tall and thin doctor - Director Yang of the Department of Hepatobiliary Surgery.
Director Yang saw Luo Hao's posture and movements, and with a clear mind, he raised his foot and kicked Mr. Tang's butt viciously.
"Slowly, what does it look like! Hurry and wash your hands, disinfect them, and lay out the sheets! It's very tiring to pinch the spleen pedicle with bare hands. When I was young, I pinched it for 10 minutes and my hands cramped for three hours."
Mr. Tang trotted off to disinfect.
"Professor Luo, what are you doing?" Director Yang asked.
"You guys are so annoying when I call you." Manager Ma Liu Yiyi said directly, "Director Yang, your little doctors should hurry up and train them. If you see a patient with splenic rupture and no blood pressure, you are waiting to die."
Director Yang was so sprayed that he stopped talking and turned around to disinfect.
Luo Hao admires Mr. Ma Liu Yiyi very much.
Chen Yong's criticism depends on his mood, he is mindless and just vents his emotions. But Liu Yiyi has a fiery temper, is quick at work, and can attack people directly on the waist. She is well-founded and makes people speechless.
Director Yang was an example. He wanted to say something, but he knew very well that Liu Yiyi was waiting for ten words, so it was better to keep silent.
If the system hadn't always issued DSA surgery tasks, Luo Hao would have had the intention to bring General Ma Liu Yiyi into his medical team.
"Mr. Liu, how long have you been hospitalized?"
"I'm almost done." Manager Ma Liu Yiyi finished his work and looked up at Luo Hao, "Professor Luo, how do you write rescue?"
"I'll do it." Luo Hao followed Liu Yiyi's words, and he understood that Liu Yiyi wanted to be lazy. Because he has a good impression of Liu Yiyi, Luo Hao doesn't mind doing more work.
"Okay, do you want to talk to Director Feng first?" Boss Ma Liu Yiyi asked.
Luo Hao smiled, this Men Qing'er is here.
"Senior brother, why do you need to communicate with Director Feng?" Zhuang Yan asked.
"Because I'm not a hepatobiliary surgery doctor. Although I have a practicing certificate, I can't explain it clearly if something goes wrong. Of course, I can use emergency first aid to explain it, but it's not always good. Say hello in advance. The medical office is prepared in case of an accident. Don’t panic if the situation arises.”
"There will be problems, so why are you still doing this?" Zhuang Yan was confused.
"As a doctor, you have to be brave. If I do it, it can save a life, but it may cause trouble. If I don't do it, he will die. Zhuang Yan, if it were you, what would you do?"
Zhuang Yan was a little confused by the question.
She has been exposed to clinical practice, but only superficially, and does not understand much of the deeper aspects.
"I'll do it!" Zhuang Yan held out her chest and said seriously.
"That's right." Mr. Ma Liu Yiyi said, "Professor Luo has a good relationship with the hospital. If something goes wrong, someone will take care of it. Who would dare to do it to anyone else? Just you?"
Zhuang Yan wanted to reply, but hesitated and closed her mouth.
Luo Hao smiled, this girl looks good.
"Professor Xiao Luo, have you ever experienced abdominal dissection? Tiandi Mou?"
"Yes, I have been exposed to it. Nowadays, there are fewer Concorde surgeries. In the past, operations such as combined pancreaticoduodenectomy could be performed with the da Vinci robot. There would be no severe complications after the operation, and rehabilitation exercises would start 24 hours a day."
"Awesome." Mr. Ma Liu Yiyi praised.
"But it's always good to get in touch. When I was at Xiehe, I always worked in the emergency department."
"Young man, that's all you like. Now you're tired of it."
"That's right, I already felt numb when I saw the emergency department, otherwise I would have chosen a department that doesn't have an emergency department." Luo Hao said with a smile.
No emergency?
Manager Ma Liu Yiyi looked up at Luo Hao.
After Mr. Tang washed his hands, he disinfected them conscientiously, and also disinfected Luo Hao's right forearm.
The order was laid out and the abdomen was opened. Director Yang performed the surgery and avoided Luo Hao's arm.
After entering the abdominal cavity, the spleen pedicle was pinched with forceps, and Luo Hao let go.
"Professor Luo, you're tight enough!" Director Yang praised, "This position is hard to find."
"Haha, not bad."
Luo Hao took off his white clothes and felt a little sad.
I probably can’t ask for the white clothes, nor can I ask for the clothes on my body. The hospital will definitely not reimburse me.
"Have the results of the patient's preoperative blood sample come out?"
"AIDS positive." Mr. Ma Liu Yiyi said.
"!!!"
"I lied to you. It's okay. Don't worry." Mr. Ma Liu Yiyi laughed.
Luo Hao breathed a sigh of relief, "I'm going to take a shower, change clothes, and then write the rescue record."
"You should contact Director Feng. No problem, I can write it myself." Manager Ma Liu Yiyi said.
Luo Hao nodded.
The communication between him and Mr. Ma Liu Yiyi was extremely smooth, and there was no need to explain some little details at all.
"Then I'm off, Director Yang." Luo Hao looked at Director Yang's quick operation and knew that the difficulty was extremely low. He could just sit back and wait for the task to be completed, so he turned and left.
"How come you can't even stop bleeding with your bare hands!"
Luo Hao stepped forward, and Director Yang started to scold Mr. Tang.
Mr. Tang was crying, lowering his head to assist in the operation, not even daring to say a word.
Director Yang cursed a few times and sighed, "Nowadays, all laparoscopic surgeries are performed, and we don't even know how to operate. When there is another major laparotomy surgery in the future, you can follow me!"
"Yes, Director."
……
"Ding dong~~"
The pleasant sound of task completion sounded.
Luo Hao stood under the shower and washed the blood off his body.
Although he knew that the patient had no infectious diseases, Luo Hao still rushed over and over again.
It is easier to stop bleeding with bare hands than to perform pericardial tamponade with bare hands in the chest department. After all, the chest department has to be careful about the ribs to avoid bone stubble piercing the skin.
The task is completed, and there are ten more skill books in the system space.
Luo Hao clicked, and the skill book turned into light and shadow, and a warm current flowed throughout his body.
After trying it, Luo Hao felt some changes, but it didn't help the surgery, so he put the matter aside.
Chen Yong took the clothes, and Luo Hao changed into new clothes and left the operating room very late.
"Your costs are high enough." Chen Yong laughed.
"It's not bad. After all, I saved someone's life." Luo Hao said with a smile.
After walking out of the dressing room, Luo Hao did not go to see the patient, but directly contacted Feng Zixuan.
With the medical department escorting him, Luo Hao could also let go.
This means that you have worked in the medical office and know the authority of the medical office and what it can do.
Otherwise, Luo Hao wouldn't dare to take action easily.
……
……
"Dad, Senior Brother Luo is so awesome!" Zhuang Yan sat at the dinner table and praised him for the nth time.
"Well, that is." Dean Zhuang replied absently.
"Can he stay in the First Hospital of Medical University?" Zhuang Yan asked.
"Normally speaking, it shouldn't be possible." Dean Zhuang said, "Everyone knows that Luo Hao must return to Xiehe in the future. After he made an exception, he returned to the imperial capital immediately and said that it was Xiehe's Principal Wang who took him through the process. Professor’s appointment letter.”
"So awesome!" Zhuang Yan had little stars in her eyes.
"It's okay." Dean Zhuang was still absent-minded.
"Dad, when I come back after graduation, I want to join my senior brother's medical team."
"What?!" Dean Zhuang's eyes suddenly became clear, and he understood what he had been struggling with just now.
I'm not only afraid that my brother will suffer hardship, but also I'm afraid that my brother will drive a Land Rover.
This is the norm.
Dean Zhuang was both afraid that the pig Luo Hao would eat his own cabbage, and he was also afraid that this pig would not eat his own cabbage.
Go to the medical team!
Luo Hao will definitely return to Union Medical College in the future, so as not to send Zhuang Yan to Union Medical College. The point is, it may not be possible to brush your face yourself.
The guys at Peking Union Medical College are fundamentally discriminatory against people whose undergraduate degrees are not from Peking Union Medical College. If Zhuang Yan does not have overseas postdoctoral qualifications, even if she is a Ph.D. student at Peking Union Medical College, there is only a 3% chance that she will be able to stay.
"Okay, go to Luo Hao's medical team!" Dean Zhuang said loudly.
"Huh?" Zhuang Yan was still preparing to argue with her father. After all, interventional medicine was one of the medical sub-sectors that her father marked at that time and that she should never get involved in.
"Why didn't you stop me?" Zhuang Yan asked in surprise.
"Can I stop you if I stop you?"
"It should be possible." Zhuang Yan was a little frustrated, "If I tell my senior brother, he will definitely disagree. You can only suppress it administratively and send me to senior brother's medical team."
Oh shit!
I want to send my own cabbage in. Not only is Luo Hao on the medical team, there is also a playboy Chen Yong!
Dean Zhuang's heart sank when he thought of Chen Yong.
"You saw the people from Professor Luo's medical team today. Let's talk about it." Dean Zhuang said seductively.
"It's nothing. The old attending, Lao Meng, has a way of explaining the condition to the patient's family. Looking at the thick eyebrows and big eyes, there are actually a lot of inducements in his words."
"anything else?"
"Huh? Is there anyone else in the medical team, senior brother? Oh, yes! There is one more!"
Dean Zhuang looked at his daughter seriously.
"That person has no impression."
"In the past few days, you will first have contact with Professor Luo Haolo's medical team, and then go back to complete the project." Dean Zhuang arranged, "Tomorrow, you will report to your Uncle Feng."
"Okay!" Zhuang Yan agreed without hesitation, her ponytail swaying.
"Read more, talk less, and come back and report to me every day."
……
……
Early the next morning, Luo Hao came to the medical office.
It wasn't that there was something wrong with the patient, but that yesterday's emergency incident had to be reported to the medical office, and Luo Hao was prepared to make it clear in person.
Feng Zixuan was in a meeting yesterday afternoon and had no time.
Although Luo Hao knew that Feng Zixuan would definitely agree to this kind of thing, he still cautiously made it clear in person and gave Director Feng enough respect.
Soon, Luo Hao saw Feng Zixuan and Zhuang Yan walking in together.
"Director Feng!"
"Xiao Luo, I'm about to find you."
(End of this chapter)
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