Director Miao, Director Wu of the Emergency Department, and selected key doctors and nurses, all lined up at the emergency door and waited.
The surgical outpatient clinic has also been closed, and all patients have been diverted to the traditional Chinese medicine hospital. There is a dedicated person responsible for guiding patients to the traditional Chinese medicine hospital for treatment.
Director Dong was waiting with County Magistrate Wu in the emergency room. Directors were scattered around making calls, allocating their respective resources, and fully cooperating with the rescue.
County Magistrate Wu was very anxious. He walked back and forth and asked several times: "Where are the wounded?"
"It's almost time. We've sent a police car to clear the way and escort them to the entrance of the hospital. They should be there soon." The police chief explained.
"Where is the medical team in the provincial capital?"
"It's almost here. It will take more than ten minutes, and there will be police cars escorting us," the police chief said.
"We have sufficient stocks of various blood types. We have sent many to the hospital's blood transfusion department. Our blood delivery vehicles are all in place, and support from neighboring counties is also on the way." Report from the blood station.
"Emergency medicine?" County Magistrate Wu has experience.
"Hospitals in the county support rescue operations. Each hospital has set up a dedicated line to receive personnel and medicine deployment at any time. Neighboring counties have also negotiated and provided support at any time." The health director replied.
"Very good." There are no more loopholes. County Magistrate Wu visits the emergency room door from time to time.
The police car drove past the emergency door with its siren honking, and then the ambulance arrived. The back door opened, and a stretcher was lifted out of the car.
The folding legs of the stretcher opened and turned into a flat cart. The flat cart was covered in dark red blood and was sticky. The person on it was also bloody. He was lying on his side, curled up, and his torn clothes were covered in blood.
Soaked.
A wooden stake as thick as a bowl passed through the junction of the chest and abdomen, completely penetrating the body. It entered from the front and came out from the back. The sections of the front and rear wooden stakes were stained with a lot of blood. The sections were left by the rescuers who sawed the wood. p>
The scene was extremely bloody and horrifying. If a doctor hadn't been used to seeing blood and life and death, he would have found it hard to adapt to this scene and would never forget it.
Director Miao and Director Wu led the doctors to meet them immediately, and ran with the flat car, grunting, the sound of the flat car grinding against the ground, rushing, racing against time.
County Magistrate Wu and Dean Dong also came up.
When the directors saw the flat cart pushing patients in, they followed it while making phone calls.
Dean Dong has a clinical background and has no problems; County Magistrate Wu immediately put his hand on his forehead when he saw this scene and felt dizzy.
"Fu County Magistrate Wu go into the office to rest." Dean Dong said to his secretary.
County Magistrate Wu waved his hand: "It's okay, you can hold on." Then he put down the hand that was stroking his forehead.
Without delaying for a second, the flat car was pushed to the red zone of the emergency department. The emergency management of Shipo People's Hospital is very standardized, and the red, yellow and green areas are clearly divided.
The red zone is for first- and second-level patients, that is, endangered and critically ill patients, the yellow zone is for acute patients, and the green zone is for non-emergency patients.
The purpose of such zoning is to focus and prioritize the allocation of medical resources.
There are doctors and ambulance doctors who explain the condition, and other doctors and nurses change fluids, count pulses, check urine output, puncture and draw blood, attach arm cuffs to measure blood pressure, and connect ECG monitoring leads.
Shipo People's Hospital deserves to be the strongest hospital in this area. Every doctor and nurse is well-trained, not panicked, not stunned, not delayed, and cooperates skillfully with each other.
"Quick! Draw blood immediately, match the blood, and send it directly to the operating room!" Director Miao commanded decisively. He had directed many traffic accidents and was more experienced than the director of the emergency department, but he was also deeply shocked by this shocking incident. p>
"Can't draw blood!" The nurse punctured several times, but failed. The blood pressure was too low, the veins were not full, and they were flat, so naturally no blood could be drawn.
Drawing directly from the intravenous infusion channel and just infusing the fluid will lead to inaccurate detection.
If puncture doesn't work, just use venous incision!
The nurse brought the phlebotomy bag up and opened it. The doctor put on sterile gloves. In just two minutes, a small incision was made in the skin of the great saphenous vein of the medial ankle. The great saphenous vein was picked out, punctured and fixed under direct vision.
Puncture needle and suture the skin.
Draw blood and cross-match blood.
A middle-aged man who had just followed the ambulance down was not wearing a white coat. He had been following the flat car among the crowd and stood beside him: "Take pillows to fill the gap between the front and rear wooden piles and the flat car to reduce the gravity of the fall.
."
Who is he? Everyone looked at him. He must be a friend of the injured person, but they didn’t ask any more questions. They didn’t have time to ask more questions. They thought he was right. Everyone had little experience with this special kind of injured person, so it was inevitable that the details were not in place.<
/p>
Bring two pillows over immediately.
"I'll do it!" The man's technique was extremely skillful. He gently stuffed it in and slightly held up the wooden pile. This could reduce the bumps during operation; it could also reduce the gravity drop, which would cause oppression below and empty, empty parts above.
Bleeding easily.
"Thank you!" The ambulance doctor shook hands with him just now. If he hadn't directed the scene, the rescue wouldn't have been so professional.
"It's okay! I just know a little about first aid." The man was very humble.
We have already arrived at the hospital, and the only thing left is the operation. The man did not cause any trouble. He sat on the plastic chair in the emergency department to rest, and did not leave to see if there was anything else he could do to help.
Everyone is very busy and urgent, and they all need to be rescued. No one cares who he is.
Finished drawing blood!
"Send to the operating room! Emergency surgery!" Director Miao ordered.
After staying in the red zone of the emergency department for just a few minutes, "Hurry! Hurry! Hurry!", grunting, the flat car was immediately pushed to the operating room. The directors of general surgery and thoracic surgery were already on standby in the operating room.
Watching the flat car leave, Director Miao took out his mobile phone, sweat on his forehead and anxious.
"Professor Tian, the patient with a penetrating thoracoabdominal injury has arrived. It is very serious. We have sent the patient to the operating room for preoperative preparation!"
"Okay, we'll be there soon. In a few minutes, we can see the hospital building!"
Director Miao, Director Dong, County Magistrate Wu, and several other directors went to the entrance of the emergency department to wait.
Sirens wailed, police cars appeared, and then the bus carrying the medical team appeared and parked in the parking lot under the steps of the emergency entrance. The door of the bus opened, and Director Tian was the first to jump out.
Director Miao, Dean Dong, and County Magistrate Wu immediately came to greet them.
"Professor Tian, you came just in time!" Director Miao walked too fast, and Dean Dong and County Magistrate Wu failed to keep up. County Magistrate Wu almost fell down when he went down the steps, but fortunately the secretary caught him in time.
"The first casualty, who suffered a penetrating tree injury in the chest and abdomen, has been sent to the operating room. The other seven are on the way and will arrive soon." Director Miao briefly introduced the situation.
Everyone got off the bus one by one and lined up consciously in the open space nearby. Sanbo Hospital usually has first aid training for major incidents, and this time the queue came in handy.
The female colleagues with shawl hair had already tied them up in the car; those with rings, necklaces, and earrings had all taken off; Fatty Liang did not go to smoke after getting off the car.
Director Tian quickly arranged: "Yang Ping, Song Zimo, Su Yixuan, Liang Jing, Zhang Lin, Xiao Wu, follow me to the operating room to rescue those with penetrating thoracoabdominal injuries. The rest are on standby in the emergency department and are dispatched by Shipo People's Hospital.
Among the remaining colleagues, who has the highest professional title? Those with senior professional titles raise their hands!"
Chen Xiaoqiao from the Department of Obstetrics and Gynecology and Wang Hansheng from the Department of Urology raised their hands.
"Director Wang, I will go to the operating room immediately. The rest of my colleagues will be under your command. If you go to the operating room later, you will be under the command of Director Chen. Everyone is familiar with the procedures. Anyway, a commander with the highest professional title will be elected here.
, follow the command in all actions!"
"Understood!" The answer was loud and neat.
After a brief explanation, Tian Yuan turned back to Director Miao and said, "This unit will be under your command. Let's go to the operating room as soon as possible."
In these extraordinary times, there was no need for small talk, and all unnecessary things were dispensed with. Director Miao immediately accompanied Tian Yuan and his party to the operating room.
The introduction of County Magistrate Wu and Director Yibo was omitted, but it was not omitted, but simply forgotten.
Go to the operating room, change clothes, wear a mask and hat, and quickly enter the operating room without delay.
The patient is lying on his side on the operating bed, and Dr. Tao is supporting the patient.
It is difficult to position the wounded in this position, so he can only lie on his side.
This side-lying position is difficult to maintain stability, the surgical field of view is extremely poor, and it is also difficult for the anesthesiologist to intubate.
A doctor is responsible for tilting the head back to open the airway so that the anesthesiologist can intubate.
But the anesthesiologist tried several times and failed.
This kind of first aid is indeed very rare. Depending on the location, the wooden stake goes directly through the diaphragm, and is surrounded by important organs, such as the heart, lungs, liver, gallbladder, pancreas, spleen, etc. Any one of them will be fatal. It is also lucky that you can survive on the operating table. Seeing this, the directors of general surgery and thoracic surgery felt that there was no way to start the operation.
The more experienced the person, the more frightened they are. The ignorant and fearless are the most courageous. If the wooden stake is pulled out, the patient will bleed to death and the rescue will be over in a few seconds.
Not caring about being polite anymore, Tian Yuan ordered: "Fat man, come on!" The fat man immediately put on gloves.
Director Miao declared: "This is Director Tian coming from the provincial capital to support us. Everyone must obey Director Tian's command."
Director Tian? I had an operation here last time. Everyone knows that it was very powerful.
The directors of general surgery and thoracic surgery were relieved to hear the strong support from the provincial capital.
Fatty Liang's professional level is directly proportional to his smoking addiction. He gently inserted the laryngoscope, inserted the tracheal tube, pulled out the guidewire, and successfully, cuffed and inflated, fixed the tracheal tube, and connected to the anesthesia machine.
"How can we save time by doing it at the same time?" Yang Ping observed the injured person.
In the system space, he has suffered countless multiple traumas like this, and the system has simulated many more serious ones than this. He has enough confidence.
Tianyuan looked at Yang Ping: "Have you ever had this kind of surgery?"
Yang Ping nodded: "Believe me, it's no problem. You handle the back, I'll handle the front, and we operate at the same time."
"No, the front is too difficult. This part is surrounded by the heart, lungs, liver, gallbladder, pancreas and spleen. The wood goes right through the middle of them, squeezing and pulling these organs. Some organs must have been damaged and are just being compressed.
, there are currently no fatal blood explosions."
"Believe me!" Yang Ping requested again.
Tianyuan hesitated, looking at the previous pelvic surgery, Yang Ping was indeed better than him, but this surgery?
It is too dangerous and difficult. If you are not careful, the patient will bleed to death on the operating table. It can be said to be the most dangerous trauma.
I think of his adhesion pelvic surgery, his skillful and extreme anatomy, his superb separation, and his sniper-like precise hemostasis.
He can do it! After thinking for a while, Tianyuan made a decision.
