325 Guarding with Life
Ambulance, just a simple mobile first aid station.
There are actually not many operations that can be done in an ambulance.
Zheng Ren left a simple closed chest drainage for the patient to ensure smooth breathing and not cause death due to pneumothorax. He also used a suction tube to continuously suck out the blood in the upper airway to avoid condensation into blood scabs and causing respiratory tract blockage.
No matter how much you have, it is to press the blade of Yang Lili’s chest and abdomen to avoid bleeding as much as possible.
Hurry up, hurry up!
Zheng Ren knocked on the partition three or five times and urged the driver to do so.
In fact, the First Hospital of the City is not far from the Ninth Primary School, but the strong smell of blood on the ambulance made Zheng Ren anxious.
If it were normal, the ambulance would not fly even if it sounded the flute to the maximum.
But today there was a traffic police car leading the way in front of the road, with different flute sounds mixed together, and the traffic between the First Hospital of the City and Jiuxiao was much slower. Everyone didn't know what was going on, so they all avoided the same way.
Even at traffic lights, there will be private cars taking the initiative to give way to the police car and the ambulance to make way... live.
In the ambulance, looking at the shocking numbers and unmeasurable blood pressure on the monitor, Zheng Ren calmed down.
Take off your bloody gloves and pick up your phone.
"I am Zheng Ren, preparing for emergency surgery."
"Yes, all preoperative preparations were not done."
"There are blood samples, and someone will send you special blood samples to urge blood."
"Call the thoracic surgery consultation on the table, and prepare two to open together."
"Call Yanran to prepare the double-lumen tube."
After hanging up the phone, Zheng Ren frowned, Yang Lili's breathing was extremely weak, and she suddenly experienced deep breathing.
The so-called deep breathing, in the words of the common people, means that the dying person is "indignant" before his death.
The condition is not good, especially bad. When the sugar and salt water are poured in, the blood pressure has not changed at all, and it is still not measured.
The police car and ambulance rushed to the emergency department of the First Hospital of the City.
Because it was a vicious incident of campus attack, the city notified the First Hospital of the City to attach great importance to it. President Xiao and a group of people rushed over. Director Pan stood on the edge of the ambulance lane with his hands on his back, and did not talk to the leaders of the hospital, and was making plans for rescue in his heart.
Although Zheng Ren is here, Director Pan still has no laziness.
The more comprehensive the rescue plan is, the more likely it is to check for some subtle points and make up for the rescue work successfully whenever possible.
Police cars and ambulances roared.
The loud and sharp sirens that made people's blood pressure suddenly rise mixed together, interrupting Director Pan's thoughts.
There was actually a police car leading the way? The front face of the ambulance was damaged on the side? Director Pan was very puzzled, but he didn't have time to pay attention to what was going on at this time.
The police car did not enter the first aid passage, and the ambulance slowed down slightly and parked steadily on the first aid passage.
The back door opened, and the flat car was pushed over. Yang Lili was transported to the flat car, and Zheng Ren ran to the operating room with the flat car.
Because the city attaches great importance to it, there are more people coming to the hospital.
Some people are used to getting together, and they seem to be more important.
Blocking the road of the flat car, Zheng Ren pushed away, and even Zheng Ren didn't see who was pushed away by himself.
There have been people guarding the elevator for a long time, and dark red blood drips all the way down on the marble floor of the emergency building of the First Hospital of the City, as if flowers blooming all the way.
120 The emergency nurse handed over several blood samples left in her hand to the doctor, and the doctor ran quickly to the blood transfusion department. The remaining blood samples were prepared to be sent to the emergency laboratory department.
Although emergency rescue is urgent, many procedures are still not missing, such as the examination of infectious diseases such as HIV and syphilis.
Two years ago, the National Taiwan University Affiliated Hospital ignored a certain point because of the emergency, which caused all patients with organ transplants to be infected with AIDS.
The necessary procedures must be passed, and those that can be omitted must be omitted.
Zheng Ren pulled the flat car and ran all the way to the operating room on the third floor.
Su Yun, Yang Lei, Xie Yiren, Chu Yanran, Chu Yanzhi, the head nurse of the operating room and others were on high alert, and the operating room door was rarely open.
It was quiet, only the wheels of the flat car crushed the marble floor and made a slight sound.
After changing hands, the car entered the operating room. Zheng Renze went directly to the locker room, changed clothes, and prepared for emergency surgery.
This time, it is completely different from the one in the imperial capital.
Last time, Fang Lin was injured and was treated as soon as possible. This time, the ambulance drove away and returned, and the prime time of emergency treatment was delayed on the road.
Zheng Ren was not sure whether he could save him.
If you are sure to save it, you must save it even if you are not sure!
she,
Protect the children with their bodies.
Own,
We must protect her harder.
As fast as possible, Zheng Ren strode to the operating room while wearing a hat and a mask.
When we arrived at the operating room, the patient had been carried to the operating table.
The patient was slightly lower on the operating table, and Su Yun had obviously realized that it was possible that the two units could be driven together and prepared in advance.
Su Yun was confined drainage of the patient's lower chest cavity. He did not choose the second intercostal line of the clavicle, but chose the sixth and seventh intercostal lines of the mid-axillary line.
The advantage of the former is that it can draw out gas, while the advantage of the latter is that it can draw out blood. In the ambulance, Zheng Ren dared not draw a large amount of blood. Hundreds and thousands of milliliters of blood will lead to negative pressure in the patient's chest cavity and produce more blood.
When you come to the operating room, it will be different.
"How to do it?" Su Yun asked.
"Where is the person outside the chest?" Zheng Ren frowned and began to brush his hands.
“Come now.”
"The chest and abdomen are opened together, and the position...the right side is raised by 45 degrees." Zheng Ren said.
General surgery requires a flat position. Thoracic surgery requires a side position.
If the two departments work together, everyone will be more accommodating and choose a central position. Although all kinds of vision are limited, it can save time after all.
Su Yun didn't say anything, and after suturing and fixing the closed chest drainage tube, he began to swing his body.
"Double lumen tube." Zheng Ren finished brushing his hands and came to the instrument table.
"Understand." Chu Yanzhi said.
Chu Yanran was fixing the tracheal intubation and adjusting the ventilator parameters, and had no time to speak.
Xie Yiren handed him the oval pliers and curved plates, and Zheng Ren clamped a lot of iodine gauze and began to disinfect.
After disinfection, I brushed my hands and wore sterile surgical gowns. At this time, the thoracic surgery department rushed over with the leaders of the hospital.
"How is the situation?" Director Pan walked behind Zheng Ren and asked.
"Not optimistic." Zheng Ren stretched out his hand and slapped the handle of the scalpel in his hand.
“Requires a joint incision?”
"The lung ruptures, and the artery is probably broken, so it must be treated. The abdomen is ruptured and the superior mesenteric artery is ruptured. I don't know how many intestines to be cut." After one knife, the blunt separation step was omitted and directly to the peritoneum.
Peritoneal protection, open the peritoneum, and the suction device draws out dark red bloody fluid with slightly lower temperatures.
Looking at the blood flowing out, Director Pan immediately called out the surgery to urge blood.
At this time, the continuous blood is the greatest hope for the injured to survive.
Chapter completed!