Great Doctor Ling Ran

"Did the arterial gas analysis be done? Did the results come out?"

"Blood pressure and rhythm are under control."

"What about the CT report? Notify me when it comes out."

"See if you can use a blood recovery machine."

Huo Congjun is the chief person in charge of emergency treatment, and does not address specific medication and dosage issues. Of course, he is paying attention to the medication schemes and methods prescribed by other doctors, but he will not publish them without errors. opinion.

Huo Congjun's main concern is the rescue progress and overall plan.

Rescue is progressing.

Examinations such as arterial gas analysis and CT will take some time to get. If you do n’t arrange it in advance, you will not be able to connect later. The doctor ’s perspective is the image. In the eighty-eighth, such as bleeding injuries, even under CT and other equipment.

Just need to arrange the time.

At the same time, to do autologous blood transfusion, we must arrange the time for the blood recovery machine to intervene.

Huo Congjun is an advocate of autotransfusion in Yunhua and even in Changxi Province. This title is not meaningless. It also represents that Huo Congjun is familiar with autologous blood transfusion, and that it has a complete set of related equipment in the emergency department of Yunyi.

When patients are in ambulances and helicopters, they have no condition to use autologous blood transfusion. After arriving at the hospital, they use hundreds of bags or even more blood products to enter their bodies. The prognosis must be a lot of trouble. Of course, autotransfusion will not reduce too much trouble, but at the very least, don't worry about running out of blood products.

However, autotransfusion has more restrictive requirements. Equipment is one of them. When the blood recovery machine collects blood, and then treats the blood by simply filtering or washing, and then returns it to the patient, the contamination of the blood needs to be controlled fairly.

Huo Congjun was busy doing these tasks, and at the same time continuously gave authorization.

Zhao Leyi cleared a lot of blood clots during the abdominal exploration.

Director Du personally entered the battlefield and gradually separated the ligaments of the spleen to reveal the spleen pedicle. After double ligation, the spleen was excised.

Dr. Zhou sutured a 2 cm regular slit on the left liver septum, and then compressed the diaphragm with a large gauze pad.

Zuo Liang treated the femoral vein separately.

To achieve this step, the golden hour has long passed, and the doctors around are tired enough.

Speaking of time alone, doctors can hold on for much longer in the operating room, but in the rescue process, the posture of the people is really uncomfortable.

Like Ling Ran, he had to ride on a flat bed, half-kneeed on one leg, with the other leg tilted, with both hands to stop bleeding with bare hands, or to work as an assistant. From the moment Zhao stepped on the step stool, Zhao never willing to leave the step stool. Huo Congjun only came to the side with half of his body and had the right to command. That is to say, Dr. Zhou entered the battle early, with the arm on the right, allowing him more space.

But whether it is bigger or smaller, everyone is like a penalty.

After being fined for an hour, he was able to persist, but fatigue was already revealed.

However, Huo Congjun was unable to give everyone a rest time, and he breathed a sigh of relief, and then said to Ling Ran: "You can explore the lungs with your hands to see if there is any rupture. If not, we will bulge the sacral muscles of the lungs."

In the latter sentence, he said to the anesthesiologist.

The anesthesia doctor agreed, and quickly moved.

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

Probing by hand is a common operation performed by surgeons. When Huo Congjun was young, it could be said to be a basic operation. The doctors present were basically the same, and Dr. Zhou was no exception.

However, Huo Congjun now trusts Ling Ran's bare hands.

Other doctors have also expressed no objection. It is no problem for them to find a breach, but to confirm that there is no break, it will take a long time, and no one is confident that Ling Ran can be compared.

Ling Ran hasn't been to Yunyi for a long time, and he doesn't know much about the technology. However, just talking about the use of a certain technology, everyone still sees it.

Generally, doctors will do things like stopping bleeding by hand, but really let them do the bleeding by hand like Ling Ran, especially the bleeding by hand without a field, no one is really confident.

Exploration by hand is not as simple as imagined. Human lungs are not completely smooth. Different lung surfaces will behave differently. Exploring the rupture of the lungs by hand is like touching the surface of a Mahjong card with your hands. You need to be trained to get the top. What is it.

To ensure accuracy, it is more technical.

However, Ling Ran's ability to stop bleeding with his bare hands made his understanding of tissue rupture very clear.

He checked it very fast, and then checked it again, and said, "No crack."

Huo Congjun ordered without doubt: "Drain the drainage tube and bulge the lungs."

After the patient's lungs were swollen, the diaphragm was fully exposed under the pressure of hemostasis, and Dr. Zhou entered the battlefield again, using a 7-gauge silk suture to close the diaphragm.

Huo Congjun breathed a sigh of relief. In this way, the bleeding of the liver, spleen and chest was controlled. These are the most abundant organs in the human body except the heart.

Huo Congjun then thought about it, and after the chest drainage was completed, he said, "9-10 ribs were sewn up, closed drainage, and Ling Ran checked his stomach again."

In a rescue operation of this scale, rib sutures are like slides in a Disney park, and Zhao is willing to sew them casually, giving up the surgical field.

Ling Ran explored with his bare hands and said, "One centimeter long wound."

This time, Dr. Du entered the battlefield and performed inversion suture, then put hemostatic gauze, sprayed protein glue, put the drainage tube, and rinsed with saline ...

Huo Congjun turned his head and asked, "How about bleeding?"

The anesthesiologist doing the monitoring synchronously shakes his head gently.

"There is still a bleeding point, keep looking." Huo Congjun was calm on the outside and scolded his mother inside.

In this case of multiple stab wounds in the whole body, the trouble is in many places. Sometimes the stab of the knife forward will cut an internal organ. If it is only a thin blade, it is troublesome to find the bleeding point.

The maintenance of blood transfusion can not be sustained, especially in the case of major internal organ bleeding, if the hemostasis cannot be performed surgically, the patient will soon have multiple organ dysfunction, then fall into increasingly severe shock, and then make all rescues meaningless.

Huo Congjun can only think of the benefits, at least not after the abdomen is closed, and there are omissions. Otherwise, the second laparotomy is even more troublesome.

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

"There is a hole in the right lower abdomen, but it should not be." Ling Ran rummaged, also with a lot of sweat.

Perfect level hemostasis with bare hands is not a perfect solution to all bleeding problems.

"How long will it take?" Huo Congjun's sweat was out of his mind.

"I don't know," Ling Ran answered softly.

"The suture was just discovered." Huo Congjun quickly made a decision, then turned his head and said, "Please ask the imaging staff to come and watch the film and find a possible location."

The circuit nurse promised, and as she made progress, she found the imaging doctor who had been watching the film.

However, he could not provide the location of a large amount of bleeding blood vessels.

"I'll look for it again." Ling Ran would not look at CT, but still had to rely on his bare hands to stop the bleeding.

Huo Congjun frowned and nodded, thinking from scratch.

"Uncle Jiang, come on!"

"Uncle police, come on!"

"Uncle Jiang, Uncle Jiang!"

Several immature child voices came from behind, but it was unknown at what time, the ambulance had already delivered the students and teachers with minor injuries.

Most of the students were injured because of abnormal driving of the vehicle. The injuries were severe. Sixty-eight stitches were sewn. The minor injuries were only scratching the skin, leaving bruises.

Nevertheless, a group of elementary school students in their second and third years with padded gauze on their heads and bandages in their hands still felt pathetic.

On weekdays, if these children are injured in this way, I am afraid they have already cried, but today I do n’t know whether it is enough to cry, or what, all with little faces, under the constraint of the teacher, stomping their feet, looking In the direction of the rescue room.

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

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

"Build our flesh and blood into our new Great Wall!"

"The Chinese nation has arrived. At the most dangerous time, everyone is forced to make a final roar."

The children's sounds of children always make people feel happy, but at this moment, it makes everyone in the audience feel heavy.

Jiang Li's family and colleagues were already terribly nervous, and at this time couldn't help getting up and humming.

The rescue room, which was already very serious, was covered with heavy air at this time.

Everyone does not understand medicine, but from the solemn expressions of doctors and for a long time, everyone can see something.

The blood on the ground had turned into a greasy liquid, and scattered and broken clothing was mentioned aside, and the dense infusion tube like a forest was swinging in the arms of doctors.

Only the monitor keeps making monotonous calls.

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

"Build our flesh and blood into our new Great Wall!"

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

The nurses looked embarrassed at the head nurse, wondering if they should stop everyone.

"Help me sweat." Ling Ran tilted her head to make it easier for the nurse.

From his perspective, I can see the children's scattered team, serious expressions, crystal tears.

Jiang Li's fiancée Wang Yi has cried.

The rescue lasted for two hours, and a pack of blood bags ~ www.wuxiaspot.com ~ the results were almost obvious.

"I want to change my gloves." Ling Ran suddenly changed his posture and jumped off the flat bed. Regardless of everyone's eyes, he took off the blood-stained gloves and threw them away, turned around, and washed his hands.

After brushing the entire arm clean, Ling Ran took out the blue vial that had been stored for a long time, and filled it with a potion of skill potions: all skills +1 for two hours.

In front of Ling Ran, a dense list of skills is displayed, and the most prominent ones are still the ones that have been mastered:

Butt stitching: perfect grade.

Epidural anastomosis: perfect grade.

Endometrial anastomosis: perfect grade

Medical Examination: Master

Behind the bare hands to stop bleeding, there is a light purple that Ling Ran has never seen: legendary.

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