"Have the arterial gas analysis been done? Have the results come out?"

"Keep blood pressure and heart rate under control."

"Where's the CT report? Let me know when it comes out."

"Let's see if we can use the blood recovery machine."

Huo Congjun is the general person in charge of emergency care and does not solve the specific problems of medication and dosage. Of course, he is paying attention to the medication plans and methods prescribed by other doctors, but if there are no mistakes, he will not publish them.

Opinion.

Huo Congjun is mainly concerned about the rescue progress and the overall plan.

Rescue efforts are progressing.

Examinations such as arterial gas analysis and CT scans will take a while to obtain. If they are not arranged in advance, they will not be connected later. The doctor’s fluoroscopy eye is the image. A good doctor can see the difference in a CT film.

Eighty-eight years ago, injuries such as bleeding injuries were even more invisible under CT and other equipment.

Just need to arrange your time.

At the same time, if autologous blood transfusion is to be performed, it is also necessary to arrange the time for the blood recovery machine to intervene.

Huo Congjun is an advocate of autologous blood transfusion in Yunhua and even Changxi Province. This title is not meaningless. It also means that Huo Congjun is familiar with autologous blood transfusion, and it means that Yunnan Medical Emergency Department has complete related equipment.

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When patients are in ambulances and helicopters, they do not have the conditions to use autologous blood transfusions. After arriving at the hospital, hundreds or even more bags of blood products are transfused into their bodies, and the prognosis is bound to be a lot of trouble. Of course, autologous blood transfusions

It won’t reduce too much trouble, but at least you don’t have to worry about running out of blood products.

However, autologous blood transfusion has more restrictive requirements. Equipment is one of them. The blood recovery machine collects blood, then processes the blood through simple filtration or washing, and then infuses it back into the patient. The contamination of the blood needs to be controlled.

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Huo Congjun was busy doing these tasks while constantly giving authorizations.

Zhao Lele removed a large number of blood clots during abdominal exploration.

Director Du personally went into battle and gradually separated the various ligaments of the spleen to expose the splenic pedicle. After double ligation, the spleen was removed.

Dr. Zhou sutured the 2cm regular tear on the left side of the liver, and then used a large gauze pad to compress the diaphragm tear.

The attending doctor Zuo Liangcai treated the femoral vein alone.

After reaching this point, the golden moment has long passed, and the doctors around him are very tired.

In terms of time alone, the doctors could last much longer in the operating room, but during the rescue process, everyone's posture was really uncomfortable.

Ling Ran, for example, had to sit on a flat bed, half-kneeling with one leg and raising the other leg, using his hands to either stop bleeding with bare hands or work part-time as an assistant. From the moment Zhao Leyi stepped on the step stool, he

Without leaving the step stool, Huo Congjun only turned half of his body to the side to take command. That is to say, Dr. Zhou entered the battle early, and the right side was the machine arm, which gave him more space.

But no matter whether they are bigger or smaller, everyone seems to be standing still.

I was forced to stand for an hour, but I could still hold on, but my fatigue was already showing.

However, Huo Congjun could not give everyone time to rest. He breathed a sigh of relief and said to Ling Ran: "Examine your lungs with your hands to see if there is any rupture. If not, we will inflate the lungs and sew the diaphragm."

The latter sentence was said to the anesthesiologist.

The anesthesiologist agreed and quickly started moving.

Doctor Zhou asked for No. 7 silk thread and waited silently for Ling Ran's answer.

Manual exploration is a common operation for surgeons. When Huo Congjun was young, it could be said to be a basic operation. Most of the doctors present could do it, and Dr. Zhou was no exception.

However, Huo Congjun now trusts Ling Ran's bare-handed operation more.

None of the other doctors expressed any objections. It was okay to let them look for a break, but it would take a long time to confirm that there was no break. No one was confident that he could compare to Ling Ran.

Ling Ran had not been in Yunyi for a long time, and he didn't know many technologies. However, everyone still noticed the use of a certain technology.

For example, most doctors are good at stopping bleeding with bare hands, but if they are asked to stop bleeding with bare hands like Ling Ran, especially in the unskilled field, no one is really confident.

Exploring with bare hands is not as simple as imagined. Human lungs are not completely smooth, and different lung surfaces will behave differently. Exploring ruptures in the lungs with your hands is like touching the surface of mahjong tiles with your hands.

, you need special training to be able to figure out what's on it.

To ensure accuracy, considerable technology is required.

However, after Ling Ran was able to stop the bleeding with his bare hands, he had a very clear understanding of tissue rupture.

He checked it once at a very fast speed, then checked it again, and then said: "There is no rupture."

Huo Congjun gave the order without any doubt: "Insert the drainage tube and inflate the lungs."

After the patient's lungs were inflated, the diaphragm that had just been compressed to stop bleeding was fully exposed. Dr. Zhou went to battle again and used No. 7 silk sutures to close the diaphragm intermittently.

Huo Congjun breathed a sigh of relief. As a result, the bleeding in the liver, spleen and chest was under control. These are the organs with the richest blood supply in the human body besides the heart.

Huo Congjun then thought for a while, and after the chest drainage was completed, he said: "9-10 ribs will be sewn up, closed drainage, and Ling Ran will check his stomach again."

In a rescue operation of this scale, rib suturing is like a slide in a Disney park. Zhao Lele casually sewed it up and freed up the surgical field.

Ling Ran explored it with his bare hands and said, "There is a wound about one centimeter long."

This time it was Dr. Du who performed the inversion suturing, then placed hemostatic gauze, sprayed protein glue, placed a drainage tube, and then rinsed with saline...

Huo Congjun turned around again and asked, "How about the bleeding?"

The anesthetist who was simultaneously monitoring the situation gently shook his head.

"There are still bleeding spots, keep looking." Huo Congjun looked calm on the outside but cursed on the inside.

In this case of multiple stab wounds all over the body, the trouble lies in multiple places. Sometimes when the knife is thrust forward a little, it will cut an internal organ. If it is just a thin tip, it will be troublesome to find the bleeding point.

Blood transfusion maintenance cannot last long, especially in the case of massive internal bleeding. If the bleeding cannot be stopped by surgery, the patient will soon suffer from multiple organ dysfunction and then fall into more and more severe shock, making all rescue efforts meaningless.

Huo Congjun could only think on the positive side, at least he would not have discovered anything missing after the abdomen was closed. Otherwise, a second laparotomy would be even more troublesome.

"Can you find it?" Huo Congjun asked Ling Ran first.

"There is a hole in the lower right abdomen, but it shouldn't be." Ling Ran rummaged around, sweating profusely.

Perfect manual hemostasis cannot really solve all bleeding problems perfectly.

"How long will it take?" Huo Congjun's forehead was covered with sweat, and he didn't even bother to let anyone wipe it away.

"I don't know." Ling Ran replied softly.

"Let's suture what we just discovered first." Huo Congjun made a quick decision, then turned around and said: "Ask someone from the imaging department to come over and look at the film and look for possible locations."

The circulating nurse agreed, walked out, and found the imaging doctor who had been watching the film.

However, it cannot provide the location of blood vessels that cause massive bleeding.

"I'll look for it again." Ling Ran didn't know how to read a CT scan, so he still had to rely on his bare hands to stop the bleeding.

Huo Congjun frowned and nodded, thinking about it from the beginning.

"Uncle Jiang, come on!"

"Uncle policeman, come on!"

"Uncle Jiang, Uncle Jiang!"

A few childish voices came from behind, but at some unknown time, an ambulance had already brought the slightly injured student and teacher.

Most of the students were injured due to abnormal driving of vehicles. The serious injuries required six to seventy-eight stitches, while the minor injuries were just bruises and bruises.

Despite this, a group of second- and third-year-old primary school students, with their heads wrapped in gauze and their hands bandaged, still looked pitiful.

Normally, if these children were injured like this, they would have burst into tears. But today, I don’t know if they have cried enough or something else. They all had sullen faces, standing on tiptoes and looking at each other under the restraint of the teacher.

Look in the direction of the emergency room.

I don’t know who started it, but a child suddenly sang the national anthem, and then all the children sang along:

"Get up! People who don't want to be slaves!"

"Use our flesh and blood to build our new Great Wall!"

"The Chinese nation is at its most critical moment, and everyone is forced to make one last roar."

The children's childish voices always make people feel happy on weekdays, but at this moment, they made everyone present feel heavy.

Jiang Li's family members and colleagues, who were already extremely nervous, couldn't help but get up and started humming along.

The emergency room, which was originally very solemn, was now filled with a heavy air.

No one understands medicine, but everyone can tell something from the doctors' solemn expressions and the long time.

The blood stains on the ground had turned into greasy liquid, the scattered torn clothes were lifted aside, and the dense forest of infusion tubes dangled in the arms of the doctors.

Only the monitor kept making a monotonous sound.

"Get up! People who don't want to be slaves!"

"Use our flesh and blood to build our new Great Wall!"

The song was sung once, and again, and the children's voices became louder and louder, and their little faces turned redder and redder.

The nurses looked at the head nurse in embarrassment, wondering whether they should stop them.
To be continued...