White armor

Chapter 38 Countdown to Death

"Hu Erlian!" Wang Guohua roared.

His voice boomed out of the emergency room like thunder, as if the patient's electrocardiogram had been shaken to some extent.

The falling blood rain fell on Wang Guohua and Luo Hao, as if they had just returned from the sea of ​​blood in hell.

Wang Guohua was full of "killing" energy. He pressed his hands on the patient's chest. After confirming that the patient had cardiac arrest, he immediately started performing chest heart compressions.

"Epinephrine, 1mg, IV push."

"Nikoshami, Lobelin give it again."

"Defibrillator, energy for..."

Luo Hao was on the side directing the emergency department medical staff, and the two of them cooperated seamlessly.

1 minute later.

Wang Guohua's hand left the patient's chest.

The EKG fluctuated while he was pressing, but as the pressing hand moved away, the EKG became a straight line again.

Try again, still the same after 1 minute.

Wang Guohua sighed and looked back at the village chief.

It's probably not going to work anymore, and we need to explain it to the "patient's family".All the medical staff present knew that fortunately Wang Guohua was there, otherwise it would have been somewhat troublesome.

Wang Guohua believed that the patient was no longer alive, so he did everything possible and pressed for a few more minutes to declare the patient clinically dead.

Other doctors and nurses think so too.

Only Luo Hao didn't think so.

The system had just issued a task, and Luo Hao was sure that the patient in front of him was not dead yet, at least not completely dead.

"I'll do it." Luo Hao frowned. His former sunny temperament was gone. Countless blood dripped on his face, and a burst of iron-blooded energy spurted out.

He bumped his shoulder and knocked Wang Guohua away.

Wang Guohua was startled.

Luo Hao straightened his arms and folded his palms. He did not make the most standard posture for external chest heart compression.

But when Luo Hao exerted force, Wang Guohua suddenly heard a "crunching" sound from the patient's chest.

Rib fractures!

A diagnosis appeared in Wang Guohua's mind.

Violence!

So violent!

However! !

The next second, the patient's electrocardiogram began to show waveforms on the electrocardiogram, and the heart resumed beating. (Note)
Gan!
Wang Guohua was stunned.

Does this work too? !

Wang Guohua has experienced countless emergencies in his medical career;
Wang Guohua has also experienced chest cardiac compressions countless times.

In Wang Guohua's judgment, the patient in front of him was already on the verge of death, and cardiac compression and emergency rescue were only a sparse effort.

Simply put, what can be done now and in the next ten minutes is to make the patient's family feel more comfortable and show that the doctor has tried his best.

Doctors are not gods and cannot cure all patients.

but!

Luo Hao only pressed once, and the patient's heartbeat recovered. It seemed that there would be no more heartbeats in a short time.

Impossible, the defibrillator was used just now, and the heart compression was performed by myself, but the patient's heart did not respond at all.

Why Luo Hao...

Just when he thought of this, Wang Guohua suddenly heard a roar ringing in his ears.

"What are you doing standing still! Wang Guohua, you are responsible for taking command and sending the patient to the gastrointestinal endoscopy room!"

The voice was cold and stern, with a strong smell of blood. Even the battle-experienced Wang Guohua subconsciously responded, "Gastroenteroscopy room?"

"Run, hurry up!"

After Luo Hao finished speaking, he rushed out of the emergency room.

Chen Yong had been standing in the corner, his hands and feet trembling due to excessive adrenaline secretion.

Until the scene where Luo Hao "shouted" Wang Guohua appeared, Chen Yong completely calmed down.

It seemed that what he saw in the crystal was this scene, although the words he said were a little different.

Chen Yong always thought that what he studied was just for fun. Although he often comforted himself that the end of science was metaphysics, he never believed it.

However, this scene calmed down Chen Yong. He came to Wang Guohua, put on gloves and began to assist Wang Guohua in rescuing and transporting the patient.

The village chief who came in with Wang Guohua was shocked and dumbfounded.

He never thought that Wang Guohua would be yelled at and would be yelled at one day.

The doctors and nurses in the emergency room also tucked their tails between their legs and started busy with the wind at their feet.

Even Wang Guohua was yelled at, saying that if he failed to do something well, he would have to be hung up and whipped by Luo Hao from the medical department.

The medical department is very cruel.
Luo Hao is so cruel.

Everyone was in awe.

……

Luo Hao ran out of the emergency room and took his mobile phone to make a call.

"Mr. Nie, I need to do an emergency ligation. Do you have any supplies?" Luo Hao called Nie Changchun while running.

"Doctor Luo, we have the consumables. I have arranged for an assistant to be at the hospital. The rented house is a 2-minute walk away. If you need it, be there immediately." Nie Changchun said simply and cleanly.

"Gastroenteroscopy room, immediately, immediately!"

After Luo Hao finished speaking, he hung up the phone.

There was a "ding dong" sound of the system task being announced before, but Luo Hao just glanced at it to confirm that the system had issued the task, and never looked at the system panel in the upper right corner of his field of vision.

Time is running out!

Although the patient's heartbeat has recovered and can maintain it for the time being, Luo Hao knows that it will never last long.

The last time he vomited blood, the blood rushed to the roof, because the blood pressure recovered a little after rehydration, and the veins in the gastric varices continued to bleed. The bleeding accumulated in the stomach, and when it reached a certain amount, it would be vomited out.

No matter how much fluid is given, as long as the bleeding point does not block the patient's gastric vein, he will continue to bleed, and there may even be another cardiac arrest at any time.

This time he was pushed over by himself, next time... Luo Hao was not confident.

The only way to solve the problem is to take advantage of the time you have just returned to have surgery.

After hanging up the phone, Luo Hao immediately called Lin Yuming.

"Director Lin, the patient needs an emergency gastroscopy to stop the bleeding."

"I asked them to open the door." Lin Yuming replied calmly.

"No time!" Luo Hao ran quickly, the biting cold wind slashing across his face like a knife.

"???" Lin Yuming was stunned.

Gastroscopy is not an emergency procedure, so why don’t we have time?

"Tell them to hurry up. The patient's heartbeat just stopped once. I guess..."

As soon as he said this, Luo Hao's eyes began to flash with red light.

00:18:23
00:18:22
00:18:21
18 minutes? !
Luo Hao realized that this was the time that the system gave the patient's circulatory system, which was a countdown to life.

What a joke! !

The gastrointestinal endoscopy room does not have emergency services, and the door is locked at night.Even with a phone call from the director of the medical department, it would take more than ten or ten minutes for the head nurse to arrive.

"Uncle, we don't have time. I'll break down the door and go in for surgery."

After speaking, Luo Hao hung up the phone.

Running and talking on the phone at the same time, coupled with the rescue work that had just filled his body with hormones, Luo Hao felt a little tired.

At this moment, Luo Hao missed his attribute points extremely.

It would be great if the physical strength could also be higher.

[It is said that a man is a boy until he dies, but how can there be a boy...]

The cell phone rang, and Luo Hao went straight to the gastrointestinal endoscopy room as if he hadn't heard it.

The iron door is locked.

Luo Hao stood up, without any hesitation, sprinted quickly, and hit the iron door with his right shoulder like a galloping ancient beast.

[A man is a boy until he dies...]

thump~
[A man is a boy until he dies...]

dong dong~~
[A man is a boy until he dies...]

dong dong dong~~~
Boom~
The iron door was forced open by Luo Hao like an animal.

After breaking in, Luo Hao turned on the lights and prepared the equipment familiarly.

00:13:45
00:13:44
Luo Hao hung up the call from Lin Yuming and dialed Wang Guohua.

"Why hasn't the patient arrived yet! What are you doing to eat!!"

Before Wang Guohua could speak, Luo Hao roared.

"We're almost there. Is there anyone in the gastrointestinal endoscopy room tonight?"

"You have to take care of me! I'll give you 2 minutes. If the patient can't be sent home, he can go home and take care of his grandson."

Luo Hao hung up the phone while scolding coldly.

On the other side of the phone, Wang Guohua held the phone in his hands, making it creak.

He is old and deaf, and the sound on his mobile phone is so loud that others can hear it clearly.

For decades, in the memories of all the medical staff at the scene, not even the chief dean would speak to Wang Guohua so harshly.

And Luo Hao...

No one even dared to breathe, for fear of being angered by Wang Guohua.

Someone had already asked for the elevator, and the journey was smooth. The flat car was pushed to the door of the gastrointestinal endoscopy room.

As long as the patient can live, what does it matter if he is scolded a few times?But if Luo Hao can't save the patient... Wang Guohua thought coldly in his heart.

He suspected that Luo Hao was busy, especially when he saw the rain of blood falling and his whole body was in a state of stress. Luo Hao didn't know what he was doing.

The door to the gastrointestinal endoscopy room is locked at night. What are you doing there?Can it save people?
After sending the patient, Wang Guohua still maintained a little respect for Luo Hao. This respect came from the system and from the surgery Luo Hao completed.

Wang Guohua rushed to the gastrointestinal endoscope room first, and saw the door being knocked open as if a thief had broken it open.

Hey!
Awesome! !

Although Wang Guohua was scolded, he still gave a thumbs up when he saw this scene.

Luo Hao made quick decisions, and Wang Guohua admired him very much.

Seeing the broken door, everyone felt like they couldn't breathe.

They are all doctors and nurses in the emergency department. They have experienced anywhere from [-] to [-] rescue operations, but no one has ever seen such a tragic scene.

After sending the patient in, a girl with pretty features appeared timidly at the door, pulling a trolley suitcase.

"Excuse me, Doctor Luo..."

"Mr. Nie asked you to come. I want to do a gastric vein ligation. Give me the consumables." "Okay, Doctor Luo, I'm Nanfang..."

"Stop talking nonsense, I want the consumables for ligation!" Luo Hao shouted in a deep voice while he and others carried the patient to the operating table.

At this moment, Luo Hao was like a violent beast, biting and tearing anyone to pieces no matter who he didn't like.

The girl was stunned, with tears in her aggrieved eyes.But she did not forget her work. She immediately squatted down, opened the trolley case and took out the consumables.

After cleaning the mouth, Luo Hao spent all the remaining surgical training time, performed basic anesthesia on the patient himself, and put the gastroscope into the esophagus.

The screen is filled with red.

While looking into the mirror, I used a suction device to suck blood. From the entrance of the esophagus, I could see varicose veins spreading like reptiles, all the way to the cardia.

Varicose veins are nodular, and red thrombus heads can be seen on the varicose veins in the lower esophagus. The varicose veins are dark red, and there is no sign of bleeding in the varicose veins in the esophagus.

00:08:54
00:08:53
00:08:52
Although a countdown to death appeared in front of him, Luo Hao could definitely feel the cold light of the death sickle falling on the patient, but he still maintained a calm and cold state and concentrated on rescuing.

When the gastroscope is operated to enter the stomach, the whole screen is red and there is no surgical field at all.

The suction device "hissed" desperately sucked out the remaining blood in the stomach, exposing the surgical area.

However, the exposure was limited. At least Wang Guohua and Chen Yong did not see any veins in their eyes that needed surgery.

Luo Hao took advantage of the short interval between the venous blood being sucked out and the next wave of venous blood blocking his vision to see that the patient's gastric fundus veins were bead-like, with at least three places still bleeding.

Holding his breath and concentrating, Luo Hao glanced at the death countdown.

00:07:26
Time passes by minute by second, and there is not much time left for yourself.

Although the surgical field is limited, Luo Hao has done it dozens of times in the system operating room. He calmly used the 7-ring set device to directly capture a bleeding point and perform ligation.

Generally speaking, no one wants to perform a ligation when bleeding unless absolutely necessary.

There is no surgical field at all, how can we perform surgery when we can't see anything?
At least that's what Wang Guohua thinks now.

But in front of Wang Guohua, Luo Hao used the No. 7 ring set device to directly cover a bleeding point for ligation.

One blood vessel, two blood vessels, three blood vessels.

00:03:56
In less than 5 minutes, Luo Hao performed 12 ligations.

at last!

After the last bandage was completed, a firework appeared in the field of vision.

The sweet sound of mission completion also rang in my ears.

The operation was successful!

Luo Hao's body softened for a moment, but he straightened his back immediately and began to concentrate on sucking out all the blood in the patient's stomach.

"Ronald, can you see the bleeding spots?" Wang Guohua asked in a low voice.

Even the always arrogant and domineering Wang Guohua did not dare to speak loudly.

Although he couldn't understand, the blood in his stomach was getting less and less, and Wang Guohua could still tell that the operation was close to success.

"Yes." Luo Hao said calmly, "The operation is over, Director Guohua."

Wang Guohua was stunned for a moment and burst into tears.

Now that Mb's surgery is done, do you know how to call yourself Director Guohua?
Who was it that told him to go home and pick up his grandson? !

"12 bleeding points. Fortunately, you sent the patient in time. If it had been 5 minutes later, the patient would have had his body prepared by now." Luo Hao squinted his eyes and smiled slightly.

Wang Guohua was silent and blocked all the subsequent words that praised him, leaving only the key points of the 12 bleeding points. He felt that Luo Hao was bragging.

He has performed dozens of portal azygos vein devascularization surgeries and is intimately familiar with the anatomy of local tissues.

12 bleeding places, Wang Guohua can imagine.

However, under the influence of red all over his field of vision, he could not see the bleeding point anyway, so Luo Hao actually performed 12 ligations in a few minutes.

This is simply not possible!

Although he was suspicious, Wang Guohua was not stupid enough to say it.

The less and less red color in the gastroscopy screen seemed to silently tell everyone that the operation was successful.

As the blood accumulation blocking the field of vision becomes less and less, the surgical area appears in everyone's eyes.

There are a series of "beads" on the varicose veins, and there are traces of ligation in between.

The originally silent medical staff became even more silent after seeing clearly the situation in the surgical area.

After an operation, no one could see clearly what the surgeon did. It was incredible and completely unimaginable.

Luo Hao did not taste the joy of victory immediately. He checked from various angles to see if there was active bleeding.

Although the system and microscopic observation told him that the operation was quite successful, Luo Hao still checked for 20 minutes as if he had obsessive-compulsive disorder.

Finding out whether there was any missed active bleeding actually took several times longer than the operation time.

But no one questioned it. The operating room was eerily quiet.

Finally, Luo Hao checked that there was no active bleeding and ended the treatment after inhaling all the gas.

Only then did Luo Hao let out a sigh of relief.Just as he was about to take a closer look at the rewards for the tasks given by the system, Luo Hao heard a loud roar.

"Luo Hao, you little brat! What the hell have you done!!"

It's Lin Yuming...

"If you send the patient to the ICU, just say that...Director Lin asked you to send it. By the way, Director Guohua, please make a trip. Thank you for your hard work."

After the successful operation, Luo Hao's iron-blooded aura completely disappeared. He became gentle and approachable, and his sunny smile reappeared.

Then Luo Hao took off his gloves and mask, and trotted to the door with a smile on his face.

"Director Lin, you're here." Luo Hao bowed slightly, "It's just an emergency rescue. The operation has been completed. There is no need for you to go through this in the middle of the night."

Wang Guohua looked at Luo Hao, who seemed to be changing his face, and felt an inexplicable emotion in his heart.

Is this the same person who just called himself a dog?

If you can scold yourself, why can't you scold Lin Yuming?
If you can scold yourself, why can't you scold Lin Yuming?
"Luo Hao, what the hell have you done! You actually destroyed public finances. I think you've been distracted recently." Lin Yuming scolded sternly.

Lin Yuming was obviously anxious, so that his voice was slightly sharp.

"Director Lin..."

"Director Lin, he is a patient with gastric varices who vomited a lot of blood." Wang Guohua explained in a deep voice.

Lin Yuming originally had a serious face and was ready to teach Luo Hao a lesson, but when he heard Wang Guohua's voice, he paused slightly and a smile appeared on his face.

Exactly the same as Luo Hao.

In other words, Luo Hao and Lin Yuming are exactly the same.

"Director Guohua is here too."

"This patient's heart stopped once in the middle. I didn't press it back, but Luo Hao saved him." Wang Guohua added.

"!!!" Lin Yuming was speechless.

There are too many profound meanings in Wang Guohua’s words worth thinking about.

"As for the surgical operation, the patient has just finished anesthesia. But the matter was urgent at that time, and the patient might vomit blood again at any time, so he came here. Luo Hao performed the ligation and the operation was successful. There was no active bleeding during exploration." Wang Guohua looked directly at Lin. Yu Ming said, "Do you have any opinions?"

"No, no." Lin Yuming smiled, as if he was not the one who just scolded Luo Hao.

"Human life is at stake, so what if the door is broken? Just report for maintenance during the day. You, Director Lin, are too embarrassed to report, so I will report. Is Xiao Geng still the leader of the maintenance class?"

"Damn it, Director Guohua, look at what you said. Xiao Geng is already the section chief, there is no need to trouble you with such a small matter." Lin Yuming said with a smile, "The main thing is to save people, the main thing is to save people."

"You also know that life is at stake." After Wang Guohua said this, he personally led people to carry the patient onto a flat car and sent him to the ICU.

Before going out, Wang Guohua passed by the broken door and went up to repair it with a bang.

Lin Yuming's eyelids jumped.

After everyone left, Lin Yuming asked, "Why don't you leave?"

"Uncle, I was really worried just now. The patient had a cardiac arrest and almost didn't survive. Director Guohua wanted to perform portazygos vein devascularization. I felt that he might not be able to survive even anesthesia, and he would be thrown off the stage, so that's why."

"So what, that's why you kicked in the door?" Lin Yuming said sadly, "When you work for the public, you must first shirk the blame and protect yourself. There is no need to gain limelight."

Luo Hao responded repeatedly, but what he was thinking about was Lin Yuming, who was in a hurry with the CEO of the pharmaceutical company to "grab eggs".

You say one thing, but it turns out to be another, whether you believe it or not.

"Director Guohua said he didn't perform compressions, but you rescued him. What happened?" Lin Yuming asked.

"That's right. People who have never done thoracic surgery don't dare to press hard. The strength is not enough. The electrophysiological stimulation of the heart... simply put, the heart cannot restart. I am strong enough..."

"strength?"

"To put it simply, I broke the patient's ribs."

"!!!"

"It's okay. I've met patients with cardiac tamponade. The patient was out of breath. He opened the chest and looked directly at the patient and pinched the heart with his hands to save the patient. It's not a big deal if he broke two ribs."

Lin Yuming looked at Luo Hao speechlessly.

In such a dangerous medical environment, Luo Hao dared to do this.

A few years ago, there was an incident where a patient’s ribs were broken during cardiopulmonary resuscitation and the patient’s family came to ask for compensation.

"Do you know the consequences?" Lin Yuming asked seriously.

"I know, but I still have you, uncle." Luo Hao said with a smile.

"..."

"The Medical Office will definitely be able to solve it. At the worst, we will have to pay some compensation. We are owned by the whole people, so we can give it to anyone. It is better than building and demolishing the garden behind."

"￥#@&*" Lin Yuming cursed directly.

After scolding for 2 minutes, Lin Yuming still felt tightness in his chest.

He looked at the kicked-in door and suddenly realized that the door was made of stainless steel, and it was almost impossible to break it open.

Lin Yuming reached out and made a fist, and hit Luo Hao's chest hard.

There was a muffled sound.

"Yes, he is a man now." Lin Yuming said with a smile.

"Uncle, please give me an access card. If there is an emergency surgery at night, I won't have to kick the door open."

"What the hell are you @#￥*&!" Lin Yuming's emotions repeatedly switched between the mountain top and the abyss.

"Why did Wang Guohua speak for you?" Lin Yuming suddenly calmed down and asked a fatal question.

"The old director of Guohua protects the calf."

"You are my baby, do you need his Wang Guohua to protect you?!" Lin Yuming was completely angry, "His Wang Guohua is as good as onions and garlic, you are my baby, mine!!"

……

Note: There is a question on Zhihu, which is probably the highlight moment of the doctor.I didn't answer. I thought about it after seeing it. I didn't have many highlight moments. One of them was when a man had an argument with his wife at home and broke the TV screen with his fist. His radial artery ruptured and he didn't go to the hospital.

About half an hour later, he went into hemorrhagic shock. The 120 emergency doctor performed heart compressions all the way. When he arrived at the hospital, he still had no spontaneous heart rate.

I was in the emergency department, and when the patient was brought in, he thought he was gone, but he still gave it a try.

After pressing it, the sound of fracture was heard and the heart resumed beating.

After a while, he said, "Send the watch and notify the ICU for watch consultation."

I was very proud at the time.

After asking the patient the next day, the operation was successful and the patient was alive.

(End of this chapter)