Chapter 168 Only your patients are your patients! (Please subscribe!)
While Zhou Cheng's thoughts were still churning, Luo Yun had already taken a deep breath to calm down his mood.
Seeing that Zhou Cheng's expression was still dull, he asked with a heavy voice: "Zhou Cheng, if Director Cai suddenly wants to transfer to another operating room while you are performing Qin Yuanwen's surgery later, what will you do?
?”
Zhou Cheng slowly turned his head, his eyelids flickering up and down.
He replied decisively: "I will follow Director Cai's arrangements."
Luo Yun pursed his lips, but it was covered by the mask: "What if Tan Yuanwen died after you left? Then he moved to other operating rooms and no one survived?"
Luo Yun threw out another mean question!
Zhou Cheng opened his mouth and swallowed the words that reached his lips. He didn't know how to answer.
He had just thought carefully about Luo Yun's first question. One of the prerequisites given by Luo Yun was that he was in charge of Qin Yuanwen's surgery!
Cai Dongfan is the superior and the director of the team, that’s right!
But if medicine is compared to a performance, Cai Dongfan is the superior, but he is in the audience!
After getting on the operating table and arriving at the surgeon's position, Zhou Chengcheng was the temporary master of this operating room. As long as he was not deliberately killing people, not to mention Cai Dongfan, even if he was the dean, the leader of the health committee, no matter how powerful the expert and professor was, the operating table
His divine attributes gave Zhou Cheng arbitrary rights!
It’s totally okay not to be a bird.
Off the stage, there is nothing wrong with subordinates obeying their superiors, but on the operating table, between life and death, the one who can control the situation is the chief surgeon Zhou Cheng.
Seeing that Zhou Cheng didn't reply, Luo Yun didn't embarrass 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...
It’s still very thin.”
"This question is difficult for you to choose, so don't think about it."
Luo Yun stops as soon as he reaches the point.
To be a doctor, it is indeed very difficult and even torture to make such a choice. One thought leads to the gods and the other to hell!
Luo Yun’s teacher, Zeng Diwei, once made such a choice!
On one side is a pregnant woman, 31 weeks+ pregnant, who later went to the emergency room!
On one side was an acquaintance of the leader, who came to the emergency room first.
First come, first served? Or priority?
It is actually a very happy thing when you take questions with right and wrong options.
In that decision, Zeng Diwei missed the chance to be nominated as an academician...
The adult was not saved, and finally welcomed the new life of a little guy...
"I'm going to see the specific situation of Qin Yuanwen first. You call Du Yanjun and Zhang Zhengquan and ask them to come to the operating room immediately. I want to see them within fifteen minutes!" Luo Yun gave an order and ran away first.
go.
Previously, Cai Dongfan only considered Qin Yuanwen, so having three people in orthopedics would be more than enough.
but?
If an accident cannot exceed the expected scope, then it cannot be called an accident.
Zhou Cheng quickly called and after a few words, when he arrived at the door of the operating room, both of them had finished their calls.
As soon as he entered, Zhou Chengcheng discovered that the neurosurgery staff were already working non-stop to prepare for the "violent head shaving" of Tan Yuanwen -
It was a really violent type of shaving, and the scalp was so red that it was shaved.
"Hurry up! Hurry up!"
"There is intradural hematoma!~"
"Get your equipment ready!"
"Have you received anesthesia? I can't wait any longer."
"..."
A person from the anesthesiology department was complaining: "I'm having an injection, and my blood pressure can't be stabilized. I don't dare to give the drug casually..."
"I can't control it." Xie Cuizheng from the Department of Neurosurgery picked up the iodine complex and poured it on his head, not caring about disinfecting it slowly.
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...
People from the general surgery department were also anxiously watching movies with Luo Yun, looking for injuries in related departments——
The circulating nurse who was connecting the catheters of the suction device and other equipment suddenly noticed a little chill on her hand and forearm. When she pulled back and took a look, she was surprised to find blood dripping down.
"There's blood!"
Zhou Cheng happened to arrive at the operating table and immediately saw a large pile of simply wrapped gauze soaked in the direction of the patient's left upper arm where the circulating nurse was sitting. A large amount of blood seeped out, soaking the waterproof draping on the operating table.
Thick blood dripped onto the ground along the waterproof sheets.
At the same time, Qin Yuanwen's right hand and lower limbs on both sides had different open wounds.
This made Zhou Cheng feel certain that Tan Yuanwen was definitely not simply beaten, but chopped!
With a slight thought in his mind, Zhou Cheng shouted to Luo Yun: "Teacher Luo, there is still active bleeding in the left upper arm. It is probably due to a ruptured artery."
While shouting, Zhou Cheng quickly pressed his hand to the location of the brachial artery on his left upper arm, his thumb sunk deep into the skin, and pinched the lumen of the blood vessel forcefully.
Upper arm mobility appears, first hold down the brachial artery!
Luo Yun heard Zhou Cheng's words, took another quick glance, and then ran over. Seeing that Zhou Cheng was probably holding the brachial artery out of shape, he asked: "I raise my hand, can you survive it?"
When the patient's hands are on the table, when pressing to stop bleeding, the operating table can be used as a fixed side. It is easier to apply force and the force of pressing to stop bleeding is smaller.
But to cut and remove the gauze, you have to pick it up.
It's hard to find a focus, so you can only increase your efforts.
"Okay. Teacher Luo."
"Sterile gloves!" Luo Yun turned around and immediately shouted to the tour guide.
But he found that the circulating nurse was still helping the people in the neurosurgery department, so he had no choice but to run and get a pair of gloves. He violently took them apart and quickly put them on his hands. Then without thinking too much, he asked the instrument nurse for a sharp knife.
piece, and began to cut the gauze.
Using a knife to tear off the gauze is definitely not a formal procedure and may scratch the patient's skin, but in order to save time, this is definitely the fastest way.
After Luo Yun cut the gauze open, he immediately saw a pile of blood in the open wound!
The paste is as thick as porridge!
It feels slightly warm to the touch, but also like irregular, super-tender tofu puffs before they solidify, and they burst when touched!
Because Zhou Cheng pinched the proximal end of the brachial artery, the blood did not increase rapidly for the time being, but a small amount of small circulating blood slowly leaked out.
"Open another pair of gloves!" Luo Yun shouted to the others.
The circulating nurse really couldn't leave. She was so anxious that she was helping to hold a jar beside the operating table. When she heard Luo Yun's shouting, she raised her head in grievance and almost shed tears!
"Open another pair of gloves!" Luo Yun continued to shout.
Finally, a trainee anesthesiologist prescribed a pair of gloves to Luo Yun.
Luo Yun's hands were bloody. After violently tearing them apart, he put on a second layer of gloves, ignoring the blood in the interlayer, and then put his hand into the incision very neatly!
My hands violently crushed the blood tofu!
Pushing it outwards, regardless of where the blood paste would be pushed, after roughly clearing his field of vision, Luo Yun searched carefully with his eyes and hands, and finally found a half-broken blood vessel on the inside 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 compression to stop the bleeding is very accurate!
"Silk thread!" Luo Yun shouted again.
"The thread hasn't been opened yet," said the hand-washing nurse.
"Then just grab a piece of wire!" Luo Yun continued to shout without holding anyone accountable. He knew that everyone was busy with the rescue, but there were only too few manpower.
"The stitches haven't been opened yet!"
Luo Yun is about to curse!
Fortunately, a tall and thin nurse walked in from outside. The handwashing nurse quickly asked her to help, which temporarily stopped Luo Yun's rampage.
Started to take the initiative to help open sutures.
Luo Yun got the sutures, carefully tied them off, and then said: "Open the saline solution and kick the bucket over."
The liquid used to rinse wounds with physiological saline must be put into the trash can and cannot be drained in the operating room.
"We still need the bucket here. The hematoma will come out soon." Xie Cuizheng, from the Department of Neurosurgery, heard someone asking for the bucket and immediately refused.
"Then just bring a basin first. If it is polluted, it will be polluted." Luo Yun could only think of other ways.
Disputing at this moment is definitely not the key to solving the problem.
"Dee-dee-dee-dee-dee!"
The anesthesiologist's voice and the anesthesia machine's alarm sounded at the same time: "The patient's blood pressure has suddenly dropped sharply again. You may still need to stop the active blood loss quickly!"
The circulating nurse has brought the basin back.
When Luo Yun heard this, he immediately put down the patient's hand.
Then he continued to take off his gloves and threw them far away to the edge of the trash can. His shot was inaccurate!
However, Luo Yun didn't care and said to Zhou Cheng: "Stop the bleeding first."
When Zhou Cheng heard this, he immediately released his hand to stop the bleeding, then ran back immediately, poured some hand-free disinfectant foam, and then opened sterile gloves and put the gloves on behind the gloves!
He then ran to Qin Yuanwen's right hand, and then quickly followed the blood vessels with his fingertips in retrograde motion.
Because if the distal peripheral blood supply is normal, then the proximal blood vessels are most likely not ruptured. Even if they are ruptured, there will not be a lot of bleeding.
However, Zhou Cheng quickly discovered that the lateral dorsalis pedis artery of the left lower limb was weak.
So he quickly raised his head and said to Luo Yun: "Left peroneal artery. Apply a tourniquet to save time."
"Hit!" Luo Yun didn't hesitate at all and directly ordered someone to hand over the salt water pad.
The peroneal artery is located at the distal end of the femoral artery, and the bleeding can be stopped by directly 'tying off' the femoral artery with a tourniquet.
"Then I'll go to the right and take another look!" Zhou Chengcheng handed over the tourniquet application to Luo Yun to save time.
Luo Yun didn't reply. He looked up at the anesthesia machine and saw that the patient's high pressure had slightly increased, but whether it was due to the vasopressor medication or the reduction in blood loss, the increase in high pressure was not obvious!
After Zhou Cheng came to the right and took a look, his expression suddenly changed. The blood flow in the far end was very weak, and his scalp suddenly tightened.
The weak pulse of the artery is not as good as being blocked directly!
If it is weak, it means the artery is ruptured. If it is not, it means it is blocked. If it is blocked, there will be no bleeding.
Then I raised my head and went back to explore the right femoral artery, and found that the pulsation of the femoral artery was normal!
The right femoral artery is ruptured!
But at this moment Luo Yun was already applying a tourniquet, and Zhou Cheng immediately used his contaminated gloves to press hard on the buttocks!
Then raise your head and look in the direction of the anesthesia machine.
Five seconds later, it was discovered that the patient's blood pressure had jumped another 5mmHg!
"Teacher Luo, right femoral artery! Ignore the peroneal artery for now." Zhou Cheng raised his head and asked for help.
He could not complete the action of untying the femoral artery tied here with one hand.
Luo Yun heard this and looked at Zhou Cheng. Zhou Cheng's eyes were deep and there seemed to be an unquestionable look in his eyes.
Luo Yun immediately threw away the tourniquet in his hand!
A bit like a monkey going down a mountain, giving up halfway, but there are priorities!
I opened another pair of gloves and took a sharp knife to cut the gauze!
"Jingle Bell!"
"Jingle Bell!"
Luo Yun's phone rang.
Luo Yun knew that the call might be from Cai Dongfan, so he quickly said: "Answer the call for me, there is an emergency room 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 Zhengye said.
The new circulating nurse almost cried, she couldn’t stop from the moment she walked in the door!
In the end, she hesitated for a moment and chose to pick up Xie Cui Zheng first, and she seemed to be a little confused!
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 the chief physician!
"Teacher Luo, go answer the phone and I'll come find a blood vessel."
"You?" Luo Yun stared.
Zhou Cheng turned his right thumb in one direction and gestured to Luo Yun with his hand in the air, "My hand has never been contaminated!"
"The other side of the phone is also very important." Zhou Cheng said while breathing heavily, his right hand needed more strength!
Luo Yun immediately began to take off one of his gloves without any hesitation and moved out of the way!
Then while looking at Zhou Cheng, he walked sideways to the shelf, picked up the phone, listened, and looked at Zhou Cheng. At this moment, he was using an incredible movement to perform one-handed pressure to stop the bleeding and apply one-handed pressure to the traumatic wound.
Look for the action of the femoral artery.
And you must know that Zhou Cheng is right-handed. The patient's right femoral artery is injured at this moment. He needs to use his right hand to press, his left hand to explore, and his hands to cross on the upper abdomen!
It's even more difficult.
"Okay, I understand!" Luo Yun nodded immediately after hearing this.
Hang up the phone and throw it directly on the shelf.
When he walked to the operating table, he saw that Zhou Cheng's hands were stiff, so he said, "Let me do it."
But at this time, Zhou Cheng's left hand had already formed strange movements such as extreme shoulder joint elevation, half elbow joint, extreme flexion and external rotation of the wrist joint, extreme retroflexion of the metacarpophalangeal joint, and side bending of the body, as if digging for eels.
, his fingers dug into the hole!
His right hand actually let go of the pressure to stop the bleeding.
"Teacher Luo, the stump of the artery has retracted. I grabbed it. But I couldn't pull it out for fear of breaking the artery."
"Prepare to cut it open and pierce it!" Zhou Cheng raised his head and looked at Luo Yun and said.
Half of the palm of his left hand was inserted directly into the blood tofu, which looked particularly cruel.
"Director Cai wants you to go to the emergency department to participate in emergency on-board rescue!"
"I have to rescue the patient on the operating table and let you run over!" Luo Yun said expressionlessly.
Zhou Cheng was stunned and looked at his left hand: "This is the femoral artery, Teacher Luo!"
I finally found the ruptured femoral artery. When I applied pressure 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 incised, and the blood pressure is found and tied off, it is estimated that the blood pressure can be temporarily stabilized.
If you let go at this time, you don't know how much blood will rush out!
It is possible that Tan Yuanwen could be sent away in an instant.
When I left it alone before, there might still be blood clots around the lumen of the blood vessels to stop the blood from escaping!
Now that I have removed all the blood clots, letting go is bloodletting!
"Then if I leave, will you just keep holding on to me?"
"Or don't you and I leave? No matter!"
"The incision will take at least five minutes!" Luo Yun asked Zhou Cheng.
Zhou Cheng's eyes, expressions and expressions all changed rapidly!
What Luo Yun just said came true.
Let go, Qin Yuanwen may not die! But it is very likely that he will just disappear!
If you don't let go, then you are disobeying the order?
What the hell is going on?
Zhou Cheng just hesitated for five seconds without replying.
Luo Yun continued to ask: "You go or I go? If you don't say anything, I will leave!"
"Okay!" Zhou Cheng made a mental thought and made the final decision!
"Teacher Luo, go ahead." Zhou Cheng's tone was very tangled.
But just at this time, the circulating nurse said to Xie Cuizheng: "Dr. Mao in your department said that your director asked you to go to the emergency department immediately. A firefighter came over there. After performing the task, he is now in critical condition and will be alive soon."
Danger."
"Dr. Mao will rush back right away to take over your current operation!"
"Come as soon as he comes! How can I let go here!" Xie Cuizheng was not Zhou Cheng. He said politely and directly: "Stop talking! I'm going to incise the meninges soon, prepare the suction device!"
Xie Cuizheng had already cut open the skull quickly, as if he didn't even have time to cool down carefully.
Burnt smell!
Luo Yun continued to look at Zhou Cheng, but Zhou Cheng still had no intention of retracting his hand!
I walked directly to the operating room.
At the same time, Du Yanjun and Zhang Zhengquan arrived at the operating room!
Luo Yun hesitated for a moment and took Zhang Zhengquan away as he was about to enter: "Follow me to the emergency department. There must be a shortage of staff there!"
"Ah?" Zhang Zhengquan looked confused.
However, he had already been pushed away by Luo Yun's palm and walked some distance.
Du Yanjun was at the door of the operating room a little at a loss: "Teacher Luo, what about me?"
Luo Yun didn't reply.
When Zhou Cheng saw Du Yanjun coming, he was immediately overjoyed: "Yan Jun, you're here just in time, hurry up and wash your hands and put on clothes for the anatomy and exposure of the femoral artery!"
Du Yanjun was stunned on the spot: "Huh?"
Exploration of the femoral artery is not a level I surgery, it is a skip-level surgery.
Before Luo Yun had gone far, he remembered something and said quickly: "Du Yanjun, hurry in and do a femoral artery incision and exploration. Don't be verbose!"
Surgery authorization.
In emergencies, the attending may be granted at a higher level.
Du Yanjun was immediately frightened and ran to wash his hands and get dressed.
Zhou Cheng's right hand was free and he said: "Teacher, pour me a plate of complex iodine, put some more sterile gauze in it, and give me a pair of sterile gloves!"
He and Du Yanjun are the only ones in the operating room now.
Du Yanjun went to wash his hands first, so he could only wear gloves on one hand and disinfect it with one hand!
Manpower is limited and it is too late to call for help.
The circulating nurse looked at Zhou Cheng and hesitated, but the anesthesiologist said: "You should hurry up. This doctor finally stopped the bleeding and the blood pressure rose a little!"
"If his artery is loosened, our operation can be stopped immediately and we can go back to rest!"
He probably also saw Liu's thoughts. Zhou Cheng was young and a young doctor, so he didn't know whether he should listen to him or not.
Zhou Cheng completed the non-standard action of putting on gloves with some difficulty, and then immediately picked up the gauze to disinfect his thigh! In fact, it was almost like collecting blood mud.
Zhou Cheng didn't move quickly because his left hand was fixed in a strange position and he didn't dare to move it.
When Du Yanjun came forward, he had almost finished disinfecting a small circle.
Du Yanjun then asked: "Brother Zhou Cheng, do you want to pay for the bill?"
"Set the small orders and medium orders. We won't cover the large orders. Hurry up." Zhou Cheng said, twisting his butt in the direction he was facing and bending his body to turn left and right to make room for the sheets.
When ready.
Zhou Chengcheng said: "Yan Jun, cut it from here and 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 was very confused at the moment. Zhou Cheng's hand was still here, and it could be seen in this posture. Zhou Cheng's hand was probably still inside. What if Zhou Cheng was cut?
"Brother Zhou Cheng, what are your hands?" Du Yanjun held a round knife and did not dare to strike.
"Cut it, cut it slowly and be careful not to hurt me."
"Tourist, give me a pair of tweezers." After Zhou Cheng said this, he asked for a pair of tweezers and used his strength to draw out the line for incising the skin for Du Yanjun! Mark the range of the incision.
Only then did Du Yanjun tremble and draw the sword very nervously. Because of his nervousness and fear of hurting Zhou Cheng, his posture for cutting the sword was not standard.
But fortunately, he held the knife with his right hand, and Zhou Cheng used tweezers to separate his hand a little, letting Du Yanjun know roughly where the cut was.
"Use the electric knife to stop the bleeding first." Zhou Cheng told Du Yanjun to slow down.
If Luo Yunlai had been the surgeon, the bleeding would definitely have stopped, but Du Yanjun must not be familiar with these dissections, and if he didn't clean the surgical field, he was afraid that he would pick out the artery when it was exposed!
"Pull the hook!" Zhou Cheng said to Xunxing again.
Zhou Cheng wanted to teach Du Yanjun step by step how to expose the femoral artery, and it was the femoral artery exposure under this special situation.
"Stop the bleeding with a little click. It doesn't have to be so thorough, just don't affect the lowest surgical field." Zhou Cheng said while pulling the retractor.
Du Yanjun nodded nervously.
This scene, in the eyes of others, is quite strange. They are two people of the same age, but one is teaching the other as if he is a senior doctor.
However, all this seems to be natural.
From the beginning, the patient had massive bleeding in his limbs and his blood pressure dropped sharply.
After Zhou Cheng arrived, he quickly stopped the bleeding. Although there may still be bleeding, through blood transfusions, fluid rehydration, and medicine, the blood pressure has been stabilized!
If the input is greater than the output, that’s a good thing!
Xie Cuizheng from the Divine Surgery Department and the people from the General Surgery Department took one look at Zhou Cheng's teachings and immediately completed their own operations.
The Department of Orthopedics has stabilized the bleeding. If something happens again, it will not have much to do with the Department of Orthopedics. They must complete the problems of their own department.
"Chichichi!"
After Xie Cuizheng from the Department of Neurosurgery incised the meninges, he finally found the intradural hematoma. There was a strange sound in the suction device.
At the same time, dark red blood continued to gush out from the skull cavity!
The intracranial hypertension caused by intradural hematoma has been temporarily relieved, and the life danger caused by intracranial hypertension has also been reduced by one point, but this is far from over.
The patient was in critical condition and there was no time to do CTA and MRA, so we had to carefully search for other intracranial hemorrhages.
This is very time consuming...
The general surgery department has begun preparations for laparotomy. Abdominal CT shows that there is rupture in the intestinal tube, which is an absolute indication for laparotomy. The reason why violent laparotomy is not performed immediately is because intra-abdominal diseases are not fatal and intracranial hematoma and
Open bleeding is so strong...
About five or six minutes later, Mao Renjie and Xie Cuizheng from the Department of Neurosurgery completed the handover of the surgeon!
At this time, Du Yanjun exposed the middle layer of muscles in front of his thighs: "Can this be cut?"
Du Yanjun asked Zhou Cheng with some fear.
He is really not familiar with this place!
Orthopedic surgical practice generally starts with a simple fracture of the middle part of the tibia, then the fibula, and the middle and lower part of the femur!
The position of the femoral neck and femoral sheath was unfamiliar territory to him. No matter how courageous Cai Dongfan was, he would not dare to let him try it rashly.
But Zhou Cheng is different. Zhou Cheng has done all the leg preservation. Cai Dongfan has long known that Zhou Cheng has solid knowledge of anatomy and currently has 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, after another five minutes passed, stumbling and shrinking, Du Yanjun finally exposed the femoral artery. Du Yanjun immediately stopped moving and asked Zhou Cheng quickly: "Brother Zhou Cheng, didn't you cut your hand?"
He really didn't know where Zhou Cheng's hand was and didn't dare to move it rashly!
"No, very good. Now you use the vascular forceps to clamp out the femoral artery. I will let go and tie it off with silk thread. Then proceed with debridement, okay?"
After tying off the femoral artery here, Qin Yuanwen's life-threatening danger due to arterial bleeding was temporarily relieved. There is no need to be so urgent in the subsequent debridement and blood vessel suturing.
The operation of debridement is quite simple, and Du Yanjun can do it slowly by himself.
Du Yanjun first slowly used a vascular forceps to clamp out the proximal end of the femoral artery, then raised his head and asked Zhou Cheng: "Brother Zhou Cheng, are you leaving? Am I alone?"
A bit empty.
Although he usually likes to engage in debridement to gain opportunities, he was still quite panicked when such a large debridement was really handed over to him.
"Do it slowly. Remember that the brachial artery and femoral artery are tied. If you can't control the necrotic muscle level, wait until Director Cai or Teacher Luo comes back to debridement." Zhou Cheng let go of his hand and said to Du Yan
Military explanation.
After the aorta is tied, the necrotic muscle layer cannot be judged by bleeding, which is indeed a bit difficult.
"Okay!" 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 applied the tourniquet!
After instructing the circulating 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 that a lot of people rushed in at the door of the operating room!
Luo Yun and Cai Dongfan were among them, and Luo Yun was kneeling on the cart, performing cardiopulmonary resuscitation!
The patient's whole body was dark, his hair seemed a little burnt, and his face was unclear.
The trachea has been cut open, and the three branches are directly connected to the trachea!
Zhou Cheng's expression immediately changed, then he walked back and started running with the large group of green people who were pushing the bed quickly...
When I arrived at the operating room, while performing compressions, I immediately connected to the ECG monitor.
However, although the ECG monitoring is not a straight line and there are electrical fluctuations, these are interference fluctuations caused by the pressure on the person and are not sinus waveforms at all.
Luo Yun had already gotten off the bed and was replaced by another unknown doctor, kneeling on the bed...
"Teacher 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's heartbeat had stopped."
"Extensive burns all over the body, there were aftershocks from the explosion, and the diagnosis is still unclear..."
"Alas!~~" Luo Yun let out a long sigh.
"Why wasn't it sent directly to the operating room?" Zhou Cheng asked with a sudden thought.
"When I entered the emergency department, my vital signs were already very weak. Director Zeng of the anesthesiology department was present and said he did not dare to give me anesthesia!"
"I did an electrocardiogram, and I already had sinus tachycardia."
"A large area of the body was burned, the amount of blood loss was incalculable, and it was difficult to establish arterial and venous passages. We only asked the head nurse of the ICU to open venous passages..."
"In the end, it was only after Yang Yifeng arrived that he was told about anesthesia."
As he was 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 with his hands! There was a complicated look in his eyes!
But no one left, they just waited quietly for 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.
The timing!
Once there is a heartbeat, other aspects of rescue will be started as soon as possible...
…
Half an hour later.
Everyone in the operating room bowed deeply to the gurney.
Then Yang Yifeng was the first to quietly exit the operating room.
Looking at Yang Yifeng's back, Zhou Cheng's expression changed again. While walking out of the operating room with Cai Dongfan and Luo Yun, Zhou Cheng asked Luo Yun: "Isn't Yang Yifeng not here? Why is he here?"
"The explosion 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. He happened to see the second explosion."
"Because of his participation, several people were rescued urgently, but this fire fighter, although Yang Yifeng urgently performed a tracheotomy and took off his clothes."
"But the kind-hearted people came directly with a basin of cold water..."
"Yang Yifeng's scalp was so cold at that time!"
Zhou Cheng opened his mouth.
For small burns, flushing with plenty of water is the most correct first aid method, but for large and extensive burns, cold water is the life-saving talisman!
There is no absolutely correct way to do first aid...
"Later, the patient was transported to our hospital. Yang Yifeng took a taxi. After a while, when he saw the quarrel going on, he told Zeng Yi to rush to the operating room immediately."
"Just when I was passing by the imaging department, the patient's heartbeat stopped." Luo Yun said with emotion.
His eyes were extremely confused.
Zhou Cheng rubbed his eyes vigorously with both hands, feeling complicated!
If I had 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? If I went to Cai Dongfan's place when Luo Yun went there, would there be any other changes?
Zhou Cheng himself would definitely not be able to answer these questions.
Moreover, pursuing this issue now is of no use.
Seeing that Zhou Cheng's eyes were dim, his expression was dull, and he was a little absent-minded, Luo Yun walked away and said: "What you did and chose just now was right."
"The reason why I want to force you is to make you make a choice on your own!"
"Because no matter what choice you make, you will never leave the operating room in the end."
"Because, in this world, only your patients are your patients, and only the lives saved by you as the surgeon can be called life-saving! Only if you try every means to cure your patients first, can you be qualified to be greedy
Go see patients who are not yours."
Zhou Cheng slowly raised his head and closed his eyes slightly.
He took a deep breath and exhaled again.
Then he said: "Yes, this firefighter soldier is lucky to be able to meet Yang Yifeng in the first place. Otherwise, he might not even make it to the hospital, right?"
Luo Yun did not 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 today's orthopedic consultation, there was a death case and he needed to report and participate in communication with the patient's family.
The rest of Qin Yuanwen's orthopedic debridement surgery was actually not difficult.
Two hours later, under the chief surgeons of Zhou Cheng and Luo Yun, and with the help of Du Yanjun and Zhang Zhengquan, all operations were completed.
After stepping down, Shenwai was still carefully searching for the site of intracranial bleeding and carefully completing the hemostasis. The intestinal suturing in the general surgery department had come to an end and was about to be completed!
When leaving the operating room, Du Yanjun was still a little excited because he had just completed a debridement alone, although he had to learn from Zhou Cheng and Luo Yun how to judge ischemia after arterial tying.
But he also finished: "Teacher Luo, this patient's prognosis should be good, right?"
Luo Yun didn't reply, and neither did Zhou Cheng.
Zhang Zhengquan pulled Du Yanjun away and whispered in his ear for a while, mainly talking about the identity of Tan Yuanwen and the identity of the sacrificed firefighter. Du Yanjun immediately shut his mouth obediently.
After changing clothes, Luo Yun said: "You three, go back and rest. Remember to come early for ward rounds tomorrow."
Today is Friday and tomorrow is the weekend. Luo Yun has to go back to his mother's place early to stay with her.
Zhou Cheng and the three of them all nodded, although they were all in a slightly bad mood. This was one of the few incidents they had experienced that they had not been able to rescue, and the person who died was still the same.
"Teacher Luo, goodbye!" Zhou Cheng and the others waved to Luo Yun at the same time.
However, 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 could go home directly without going back to the department.
When Zhou Cheng returned home, it was already past one in the afternoon.
Just at this time, he received a call from Du Yanjun. It probably meant that everyone was having dinner together and he was treating him.
Cai Dongfan became director, and Du Yanjun benefited greatly.
Zhang Zhengquan had already agreed, so Zhou Cheng couldn't refuse. He said that he wanted to tidy up a little before going out, so Du Yanjun directly sent the location information to Zhou Cheng.
Then, Zhou Cheng changed into clean clothes and washed his face.
Just as he was about to go out, he received a call from Qin Min.
"Zhou Cheng, thank you!"
"I heard about my dad's matter from my former colleague. Her name is Li Xun, and she is today's traveling nurse. Thanks to you, otherwise my dad would never have been able to step down."
"Junior sister Li just called me 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 was playing solo opposite.
And after saying that, Tan Min cried, hung up the phone and sat at the door of the operating room with her eyes closed, her eyes were red, but no tears fell.
She has been crying a lot recently. Maybe her body is dehydrated from crying, so she has no tears.
Moreover, Tan Min quickly calmed down, wiped the corners of his eyes, turned his head, looked left and right, and looked at the patients and family members who were waiting with him for their families to come out. Everyone's faces seemed not to look good.
Tan Min sniffed and slowly collected her emotions, but her thoughts began to wander again.
How wonderful it would be if there weren't all of this...
When Zhou Cheng came to the place where he was eating, 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 uninvited guest-Yang Yifeng.
Yang Yifeng was telling Du Yanjun the general story of the fire incident and the scenes he saw at the scene without expression.
When Zhou Cheng arrived, he was sighing: "Actually, it's best to hope that this kind of thing won't happen again!"
"Simply improve your medical skills. No matter how good your medical skills are, they can't offset the unexpected accidents that may happen."
"When manpower is exhausted..."
Just as he was talking, Zhou Chengcheng approached and sat down, not disturbing Yang Yifeng's speech, but Yang Yifeng stopped on his own initiative, and then turned to look at Zhou Cheng.
"Brother Zhou Cheng, you're here, I'll be waiting for you."
Zhou Chengcheng asked Yang Yifeng: "I thought you weren't coming! 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 look——
No, brother, why are you here again?
You haven’t even gone over to understand your master’s affairs, have you?
Yang Yifeng said: "Yes, the journey of learning is over for the time being. But that happened this morning."
"I just went to my teacher again and told him my thoughts, and I'm coming back again. And I'm coming back to take care of the bed."
After saying that, Yang Yifeng poured himself a cup of tea, raised it, faced Zhou Cheng and others, and said: "I will try to take care of one or two beds in the future. Please take care of me!"