In the evening, after Zhou Cheng and Huang Xuanqi had a late-night snack, Huang Xuanqi went back to rest. Only Zhou Cheng still had to work.
But it could also be that I really touched the bad luck tonight.
Not only did three chief residents come on stage at the same time, but four chief residents, including Yang Yifeng, are still in the operating room.
Zhou Cheng still received the call for emergency consultation.
After arriving at the surgical clinic of the emergency department.
There was a trolley bed inside. On the trolley bed was a motionless person whose face could not be seen clearly. Judging from his clothes, he should be a man. There were blood scabs all over his body.
Next to him, several people were shouting angrily and emotionally: "What are you doing?"
"Save, save my brother?"
"I'm sorry. There's no way to save him. He's had a cardiac arrest for several hours. He can't be saved. Even if he continues to press the heart, it won't help." Liu Xuan, a newcomer to the surgical clinic, was helpless.
"There is no objection to any examination and operation if the cardiac arrest has lasted for more than half an hour."
Not all emergencies can be cured, and not all diseases can be cured. The rare moment between life and death is the meaning of life.
What is this if not the miracle of life?
"What kind of car ran over this? Is it a big truck? Does the patient have any other symptoms? Does the patient need to have his limb amputated quickly?" Zhou Cheng said immediately after reading it.
"3. It is recommended to perform a whole-body CT scan and then send to the operating room."
"Save him, he has two children who haven't grown up yet..."
"Open the instrument kit for me, the multi-vascular forceps, hurry up!" Zhou Cheng turned around and saw that she was still in a daze, and immediately shouted angrily because he was a little anxious.
"Have you called the chief on duty to authorize the surgery? If there are no problems with other departments, we..." Zhou Cheng didn't finish his words.
After that, Zhou Cheng wrote his opinions in the emergency medical record.
"If we hadn't gotten off the car, we might have died. We are still stabilizing vital signs and preparing for intubation, but the patient is in a coma." The nurse said as she ran.
Zhou Cheng directly threw the medical record next to Song Yu!
Said: "Teacher Song, when will this patient here be able to leave the emergency room and get in touch with the general on-duty staff, please contact me and I will start the operation immediately!"
"We must go to the operating room early to deal with the stump! Otherwise, no matter how much blood is transfused, it will be useless!"
God's cruelty and life-and-death joke are very understandable.
Regardless of the ugly posture, he said: "That's not it. Another patient has been sent to the emergency room. Come with me!"
Zhou Cheng quickly ran in and asked, "The patient needs amputation immediately. Can he be sent to the operating room?"
The first-diagnosis responsibility system, whoever receives the patient is responsible. This is a patient in the emergency department, not their orthopedic department!
After hearing this, he turned around and said calmly: "Teacher, this patient must be pushed to the operating room!"
Zhou Cheng pursed his lips at that time, and while squeezing his way into the crowd of onlookers, he asked the doctors in the surgical clinic: "I am the boss of the trauma center. Is this the patient you called me to see?"
This was the first time Zhou Cheng saw it.
"Yes, take a look!" Zhu Fang ran while holding her cell phone. Her heart beat unsteadily in her hand a few times. When she opened the screen, she saw a photo of the patient's general appearance!
Zhou Cheng looked at it at that time and found that he had seen at least hundreds of people with trauma!
Song Yu didn't know where his temper came from, or maybe he was eager to save people, so he asked anxiously.
Zhou Chengdao: "Mr. Song, let's not argue. The patient's condition is urgent. You should quickly find a way to stabilize his vital signs. I have already pushed all the operations outside the operating room of the orthopedics department to the limit."
The middle-aged man suddenly patted his head with both hands.
"If we don't go into the operating room, there's no way to deal with this situation, right?"
It was a great thing in itself, but now it’s like this!
The middle-aged man with messy hair still seemed unable to accept it: "When your ambulance came, my brother was not dead yet, he was still talking! How could he just say he was dead and just die?"
So he went up with his own hands and grabbed the stump of the blood vessel, then took off his gloves and knotted them.
My stomach started to churn...
"It won't work. The patient's blood pressure is not good. If we continue like this, it will be useless to transfuse too much blood!"
So the tone was not polite.
"The best option for patients now is to arrange surgery immediately to stop the bleeding and amputation, otherwise shock or even death will follow."
When the doctor surnamed Song heard Zhou Cheng's words, he didn't know what happened. He became a little angry: "Does your orthopedics department know nothing else except surgery?"
"I'm sorry, we're sorry."
The broken end of the femur is exposed!
The structures of the thighs and calves that originally existed further down are no longer visible, and the minced meat and bone fragments are mixed together like the stuffing of dumplings!
If that's the case, then it's meaningless, right?
He is performing tracheal intubation and is ready to perform tracheotomy at any time. At this moment, he is tilting the patient's head to reveal his field of vision:
"If I could get into the operating room, I would have sent him there long ago."
"The advice from our orthopedics department is to perform the surgery immediately and complete the pre-operative conversation and sign immediately! Otherwise, we can only perform temporary treatment."
Zhou Cheng is just a consulting doctor.
What’s even more amazing is that this patient could still be sent to the emergency department while still alive!
Zhou Cheng quickly put on examination gloves and then looked into the emergency room.
The two brothers agreed to go home to celebrate their old father's birthday. Now this birthday gift has left them with only their only son?
A car accident occurred on the highway without seat belts and airbags!
Zhou Cheng really felt amazing!
Song Yu can perform tracheal intubation here. This must have been reported to the chief on duty and authorized!
But he didn't report the surgery. What kind of brain is this?
For such an old person, no one has to treat you as a professor, right?
I thought to myself, you are such an old man, is there something wrong with you?
This leg definitely cannot be saved. If it were delayed a little longer, I don't know if my life could be saved.
Oh shit.
"Instead of our specialty trying to move the specialty to the critical care unit of the emergency department!"
"I jumped out of the car and my legs were caught under the wheels of the large truck."
Zhou Cheng was about to turn around and leave!
"Your emergency and intensive care unit is the place where you have to find a way to send patients to where they should go!"
Even a god has to encounter the kind of conjecture that can bring him back to life.
Zhou Cheng finished the phone call!
Whether surgery should be performed depends on whether it makes sense to the patient!
Song Yu continued to shout loudly and asked: "You don't need to ask, this patient's current condition cannot leave the intensive care unit!"
His brother was sitting in the back and thought he could lie down on the chair and feel comfortable.
Zhou Cheng listened to Song Yu's strange tone, took a deep breath and said, "I am the chief resident of the Department of Orthopedics! This is my badge."
"4. Invite other departments to join in the consultation during the operation."
"If you can't go to the CT room, it's also difficult to push to the operating room. People may die at any time."
"That's why I need you to think of a solution? This is your orthopedic department's problem, and you don't think of a solution!"
Pity is pity, but it is just pity!
There is no such thing as mercy in the face of life.
"What's more, his family members are not here. His mobile phone was crushed and damaged. No one can contact him. How can he perform the surgery if his family members are not here?"
Then he turned to look at Teacher Song: "Teacher, this kind of situation can only be handled in the operating room. Have you done any other CT scans before?"
"The temporary hemostasis has reached a limit, but it cannot be completely stopped. The trauma is too great and cannot be handled outside the operating room."
"It was said that when there was a car accident, he couldn't get out of the way!"
"Okay, I'll call first." Zhou Cheng listened!
Immediately, he called the medical department directly.
"If the patient can't go to the operating room now, is there nothing he can do?"
"This patient was crushed!"
"Have you called the general on-duty number?" Zhou Cheng did not ask Teacher Song. In such a situation, if you ask me to save lives outside the operating room, you must have a brain disease.
"Teacher Song, this is the boss of the orthopedics department." The nurse said next to him.
"There are still patients who need to be treated later. I hope you can understand and let them." Liu Xuan then looked at the door, saw a cart coming in, and walked over.
Sure enough, I saw the patient, and blood was still pouring out from the stump of his thigh.
"The diagnosis was immediate: 1. Crushing injury to the right lower limb: multiple fractures, multiple soft tissue defects and damage, multiple blood vessel ruptures, multiple nerve ruptures. 2. Hemorrhagic shock. 3. The remaining diagnoses are pending investigation."
Some of the soles of their feet are missing!
Some ankles collapsed directly. But in this way, the bones and flesh from the thigh down to the top of the ankle are almost mixed together and squeezed like juice.
Hearing Zhou Cheng's words, she immediately jumped back from a distance, and her posture was a bit awkward. In fact, she was dealing with another patient a few seconds ago.
Turning around, he said, "You have also seen that the person was unconscious after coming in, and his breathing is still suppressed now."
"There's nothing we can do. We came too late and the injuries were too serious."
The person named Teacher Song has already put in the tracheal tube and taken out the visual laryngoscope to assist intubation!
Ask your assistant to help fix the endotracheal tube and determine the remote position of the endotracheal tube.
"Do you want me to ask Ding Changle to come down in person and Lei Zhong to come in person?" Song Yu actually interrupted Zhou Cheng's speech!
Zhou Cheng couldn't make sense with the other party, so he didn't say anything and said, "Teacher Song, let me write the medical record."
Zhou Cheng opened his mouth and said: "The medical department? There is a teacher in the emergency department who wants to report to you that I, the general resident of the orthopedics department, can't be found!"
"I can only temporarily use hemostats to stop the important bleeding parts, but it won't last long. This is not a long-term solution."
"Who can think of a solution? Ah?" Song Yu said rather aggressively.
"Ok, I will wait for you!"
It was a prompt decision to stop the bleeding from two relatively large blood vessels.
Song Yu said angrily and said this.
"Who are you? What's your name? Who is your teacher? Is this how your teacher taught you to be a doctor?" After reading the opinions written by Zhou Cheng.
As Zhou Cheng said this, he quickly took the instrument package handed over by the nurse, then violently opened it, squatted down, and began to quickly use hemostatic forceps to temporarily clamp and stop the bleeding!
His mouth was deflated, he was choked with sobs, and he couldn't cry. He squatted down and patted the floor: "He is only thirty-seven, please save him..."
There is no resurrection after death.
The eyes of the patients and family members who were watching were also filled with distress.
The roaring person was probably in his forties, and his face was bloody!
He just broke his skin.
"Yes, this teacher and I are in the emergency department now. Then he said I'm not here, what should I do now?"
"It was crushed diagonally from the middle of the thigh to the ankle, and the lower limbs were damaged. Fortunately, it was just the leg. If it had been further up, the person would have been dead."
Zhou Cheng ignored the other party's weirdness!
"Do you have any photos?" Zhou Cheng asked.
Zhou Cheng nodded and said: "The femoral artery and its branches are very large arteries. Just tying them like this won't work. The blood that needs to flow will still flow, and a lot of body fluids will be lost through bleeding."
"I'm coming to your orthopedics department now. I just want to know how to deal with the bleeding on this leg. It's impossible to let it keep bleeding, right? If it continues to flow like this, it will die immediately. No one dares to bandage it."
"Amputations cannot be performed outside the operating room, nor can the bleeding be stopped, and the principle of asepsis cannot be achieved. If the delay continues, the patient will die!"
I’ve seen a lot of damage!
Song Yu, who was opposite him, seemed slightly stunned.
Zhou Cheng looked at this person in astonishment at that time!
"I can suggest."
"1. Our department has temporarily stopped the bleeding, but emergency surgery must be performed in the operating room. Otherwise, life is in danger. 2. The patient's vital signs are absolutely unstable and there is a risk of death at any time. Please consult the anesthesiology department, emergency department and ICU to see if it is possible.
Enter the operating room for surgery.”
Fortunately, the car he drove was protected by seat belts and airbags in the event of a car accident!
When she came out of the crowd, her voice was urgent and her steps were hurried. It could be seen that the heel of her shoe had been stepped on, but she had no time to deal with it.
After Zhou Cheng finished writing, the look of the little nurse next to him changed slightly.
"Are you from the Department of Orthopedics? Are you the general resident of the Department of Orthopedics? You have to find a way to assist. You can't enter the operating room."
This clever and fast scene did not allow anyone present to react.
"Have the people from the orthopedics department arrived yet? How should we deal with the injury on this leg?" The person doing the rescue was about fifty years old. He was a teacher whom Zhou Cheng didn't know. He was at least an associate professor or a professor. He had a hot temper.
There are also the remaining disabled shapes of blood vessels and nerves intertwined with muscle fibers, like fleshy yarn...
"I didn't call the general manager on duty. How are we going to deal with this orthopedic problem now?"
"If you dare to leave, I'll call the medical department right now and tell you that I can't find the chief resident of the orthopedics department!" Song Yu seemed to want to confront Zhou Cheng directly.
Send the person away directly.
"5. When the patient is waiting for surgery, please contact our department for follow-up care at any time."
"How can he go to the operating room in this condition? Is there no way to save people except surgery?"
Zhu Fang was dumbfounded. Zhou Cheng's temper was quite strong this time.
Zhou Cheng himself only has the right to assist in treatment, unless he is on the operating table and can specialize in treatment. Now, Zhou Cheng does not have any right to prescribe at all.
Such a patient can't get on the operating table. How can you feed him when so many other patients can get on the operating table?
Zhou Cheng was extremely anxious and asked him to find a way. If what I just did was not what I thought of, the patient might be dead now.
Operating room, operating room, can only be temporarily disposed outside of surgery? How many times should I say it?
I am still amputating my leg in the emergency department. If I dare to do it, someone will dare to come and arrest me later!