Rebirth begins in the operating room

"Emergency! Now?"

Ye Li showed a serious expression, "Uncle Li, you didn't want me to go to work in the hospital, did you deliberately make it up?"

"Boy, I'm not kidding you. This injured person is in the same condition as the one brought in the day before yesterday, but this time it was a sashimi knife instead of a fruit knife. The left side of the abdomen was injured to an unknown depth... and the other person was unconscious.

"

Li Anjian told what happened, and then Ye Li realized that it was indeed a bit tricky.

"Okay, I'll come right away..."

Ye Li hung up the phone and felt sorry for Su Yiyi, "Yiyi, Uncle Li asked me to go to the hospital immediately. We will meet at the entrance of the hospital at ten o'clock..."

Seeing Ye Li leaving in a hurry, Su Yiyi thought that there was really an emergency in the hospital and Ye Li had to go.

"Aunt Lan, there is an emergency in the hospital. I will leave first. You can eat slowly..."

"Oh! Xiaoye, let's eat something before we go!"

Before leaving the door, Ye Li did not forget to wink at Su Yiyi.

The latter understood immediately.

Su Lanxin needs company most at this time.

Ye Li left the community, stopped a taxi, and rushed to the hospital.

The first hospital.

When Li Anjian heard the news, he was also very anxious. As soon as he arrived at the hospital, he went straight to the emergency area.

He didn't have time to change into a white coat.

As soon as I arrived not far from the door, I saw a 40-year-old woman outside the emergency area, pleading to the nurse: "Please save my husband!"

"I understand your current mood, and we will do our best to rescue you. The situation is urgent and we hope for your cooperation. You need to sign immediately."

The nurse said without delay.

Hand the pre-operative explanation form in your hand to your family members for signature.

The patient's family members picked up the pen, wiped their tears, and signed their names tremblingly.

Li Anjian noticed this scene and knew that the injured person was in an urgent condition.

He quickened his pace and entered the emergency area, asking several surgeons, "Tell me the details of the injured!"

"As the director said on the phone, the systolic blood pressure just tested was 60. I'm afraid it will be difficult to measure the blood pressure after a while..."

Hearing this result, Li Anjian frowned, as if he was carving a knife.

The situation is serious.

It was noticed that the compressed hemostatic gauze on the injured patient's abdominal wound was stained red.

It is not yet known whether the stab wound injured any internal organs.

It's early in the morning, it's the weekend again, and the radiologist hasn't come to work yet.

That's why he contacted Ye Li first.

Li Anjian was extremely worried.

He speculated that the incision on the left side of the abdomen might have injured the pancreas and large intestine.

He is currently unable to determine the cause of the injured person's coma. The last time the person was in coma was due to excessive blood loss.

But this time it was obviously different.

"What's the patient's blood volume?" Li Anjian asked seriously.

"67%...."

"Director, I think we should intubate the trachea and wait for the radiologist to arrive to take a CT scan."

Li Anjian did not respond, but looked serious, muttering in his heart, "Boy, what would you do if you were here!"

"It's too late, we need to operate immediately...if the CT is done, the injured person will die."

At this time, a stern voice sounded in the emergency area.

A nurse stopped Ye Li, "Who are you! Trespassing in the emergency area?"

"Boy, you're finally here," Li Anjian said, "Xiao Ru, let him in..."

"Uncle Li, this patient must be operated on quickly. I'm afraid it will kill him after the CT scan."

Ye Li repeated it again.

Another doctor responded with some doubts, "It's just a stab wound, it can't be that exaggerated!"

"Exaggeration! Do you think it was just a simple stab wound? As a doctor, don't take chances."

On the way Ye Li came, he had already made many conjectures about how he could stab someone without losing too much blood and fall into coma. There was only one.

But now, he doubted the quality of the doctors in the emergency department. He hurriedly walked to the injured person, pulled off his shirt, and pointed to his chest.

Everyone clearly saw that the injured man had extensive bruises on his chest.

The doctor just now turned red and felt ashamed.

"There are two ways in which a simple stab wound can cause a person to fall into coma and shock. One is excessive blood loss, and the other is..."

"It's cardiac tamponade! There may be effusion in the pericardium...

"

Li Anjian saw the reason. He was only thinking about stopping the bleeding, but ignored other things.

"Yes, it was cardiac tamponade that caused hypovolemic shock..." Ye Li's voice sounded again.

More certain of his judgment.

Li Anjian didn't know how Ye Li did it. If cardiac tamponade had occurred before, he could only notify the thoracic surgery department.

There was nothing he could do.

"Uncle Li helped me prepare the ultrasound puncture needle. Please contact the thoracic surgery department again..."

Ye Li said seriously.

Li Anjian was puzzled, "Now that I have you, why should I contact the thoracic surgery department!"

"It's different. It's better to abide by the hospital's system to avoid..."

"You little clever guy, okay..."

Li Anjian arranged for a nurse to get the puncture equipment, and he walked out of the emergency area and called Wang Hongbo.

During the break, Ye Li put on sterile gloves and observed the wound with his eyes.

Practice makes perfect and use sterilized tweezers to probe in.

The situation this time is different from last time. The wound was horizontal, and the pancreas may have been punctured, the large intestine was punctured, and the spleen was also injured.

Ye Li touched the surface of the wound with his hand and found that there was no blood on it anymore.

It's hypovolemic shock.

Can't be wrong.

Seeing this move, the medical staff in front of him rolled his throat. If it were him, he wouldn't dare to do it even if he had the courage to do so.

Moreover, the young man in front of me calls Director Li uncle.

Seems very close.

"My name is Ye Li, what do you call me?" Ye Li saw that the other party was similar in age.

"You are the Dr. Ye that Director Li is looking for! My...my name is Chen Ming..."

"Hello Dr. Chen!"

After the introduction, Ye Li focused on the injured person. The young man the day before yesterday was not so serious.

Is it not peaceful in Nishiki City recently?

Just as Ye Li was thinking, his consciousness entered the system space.

"Ding, the host can perform simulated surgery through the system space to increase proficiency. Every time the system space is used, 10 conflict points are consumed, regardless of the length of time..."

Simulated surgery!

Proficiency?

.....

"The puncture device you asked for is here!"

The nurse pushed the puncture instrument to the emergency area.

Ye Li thanked him and pointed the ultrasound instrument at the injured person's heart.

The location is the cartilage at the lower end of the sternum, and the needle body is at a 45-degree angle to the abdominal wall.

Puncture the pericardium with a puncture needle.

Inserting the needle in this way is foolproof.

The medical staff on the side saw Ye Li being so professional when doing the puncture.

In fact, it was also Ye Li's first time to practice piercing.

The reason why he acted in a standardized manner was to use the system space in a short period of time and did no less than 30 simulated puncture surgeries.

At first, he thought that the system space could not be used, but it turned out that he needed to simulate the copy of the surgical target.

Unexpectedly, the simulated surgery I just mastered last night would come in handy.

When the puncture needle draws out the fluid in the pericardium, the injured person's blood pressure rises.

Amazing!

Chen Ming and the nurse were amazed.

However, at this time, the wound was bleeding again, and everyone looked pale.

Only Ye Li was very calm and picked up the cotton cloth to apply pressure to stop the bleeding.

"Don't be stunned, quickly inject hemostatic agent into the injured person!"

As the fluid accumulated in the cardiothoracic tamponade is drained out, the blood output of major organs is restored.

so...

Use antifibrinolytic solvent to effectively and quickly stop bleeding.

Although the injured person's life is not in danger for the time being.

But the surgery needs to be done as soon as possible.

A few minutes later.

Li Anjian walked in and muttered, "That old guy Wang Hongbo didn't answer the phone."

Ye Li echoed: "It's normal not to answer. They took turns rescuing Chairman Zheng Xing last night."

"Uncle Li, prepare to contact the surgery team. The coefficient of this surgery is very high..."

"Chen Ming, go and notify..."

Li Anjian also just learned the news.

This time Wang Hongbo takes responsibility

Very big.

.....

Next, with the help of Chen Ming and others, the injured person was sent to the operating room.

Ye Li and Li Anjian had already changed into surgical clothes and walked towards the operating room.

"Boy, how sure are you this time?" Li Anjian asked.

Ye Li said modestly: "About 60%! To be honest, the doctors in our emergency department are really bad. If I had arrived a few minutes later, the seriously ill patient would have died."

Li Anjian told the truth, "There is no way. Now the emergency department needs new blood. They don't have the keen observation skills like you. Some of them are afraid of being suppressed by other department directors just like you encountered."

Ye Li nodded, it was true, some medical directors were headstrong.

Bully some capable juniors.

"Director, Dr. Ye, the surgical team is here, but we don't have an anesthesiologist!"

Chen Ming immediately reported the news to the two of them.

"Where are Zhu Xiaoyan and Huang Ning from the anesthesiology department?" Li Anjian frowned.

"Anesthesiologist Zhu Xiaoyan is in operating room No. 5. Huang Ning was on duty last night and will be off this afternoon..."

"It's not even before the afternoon break. You just call him and tell him what I said..."

Chen Ming called Huang Ning, who was sleeping in the lounge during duty hours.

Chen Ming was scolded on the phone.

"After so many years in the hospital, don't you know to call in advance for surgery? I'm almost off work, and Dr. Chen, you're still using Director Li to pressure me!"

"Give me the phone!"

Li Anjian answered the phone, "Huang Ning, you are too courageous. Now there are seriously ill patients who need to be rescued. You are sleeping in the lounge during duty hours! I didn't see you in the operating room for five minutes, so I voluntarily reported to the personnel department."

Depend on!

It’s really Director Li...

When Huang Ning heard Li Anjian's voice, he was so frightened that he immediately got up from the bed in the lounge.

He ran towards the operating room with a frown on his face.

five minutes!

Isn't this embarrassing?

"Director Li, here I come!"

The anesthesiologist named Huang Ning is a young man in his thirties.

Li Anjian said solemnly: "Huang Ning, he is the new supervisor of the emergency department. You follow his arrangements..."

Ye Li spoke first, "You need to do thoracotomy and anesthesia first, okay?"

"meeting...."

Huang Ning glanced at Ye Li, a little strange!

Is there a new director of the emergency department, so young?

Ye Li yelled at Huang Ning, "Don't wait around, hurry up... the anesthetic is etomidate, which is a short-term anesthetic."

Doesn't this guy know how to use anesthesia for open-heart surgery?

Huang Ning frowned. This new supervisor has a very bad temper.

He wanted to finish it quickly and go back to sleep.

"Dr. Chen, wipe the patient's chest and abdomen. The surgical membrane should expose the chest and abdomen."

Chen Ming did as Ye Li said. He knew that Ye Li was the new supervisor.

What I can't believe is that even Director Li listens to his arrangements.

After two years in the emergency department, this was the first time I saw Director Li not losing his temper.

Ye Li and Li Anjian came to the disinfection station and washed their hands, "Uncle Li, it's okay to leave the abdominal surgery to you!"

Li Anjian asked: "Do you have any good suggestions?"

Through simulated surgery, Ye Li discovered that one of the injured's splenic arteries was broken.

"My suggestion is to start with the spleen...I guess the splenic artery is broken."

"you sure!"

Li Anjian's voice trembled slightly, and he was a little surprised.

Ye Li nodded, "I'm sure. The pericardial effusion was extracted just now and the wound was bleeding again. I concluded that the splenic artery may have been severed."

Li Anjian, with his heart surging, praised: "I have to admire your judgment. If you continue like this, you will be able to sit in the position of an expert in less than two years."

"I still don't like experts..."

"You have such a soft tone! Haha..."

At this time, the operating team, Chen Ming, and Huang Ning in the operating room saw Ye Li and Li Anjian chatting and laughing.

Let their faces be filled with astonishment.

It is obvious that Li Anjian is very optimistic about this new supervisor.