novelslam Chapter 27 Role Playing!
Chapter 27 Role Playing!
After taking a few steps forward, Chen Zhuoan could see the person on the cart clearly.
He was a middle-aged man approaching forty, with a slightly overweight belly and angular fat.
At this moment, the skin and flesh of his lower abdomen and groin burst open, and the yellow-red fat layer and dark red muscle layer bounced like cauliflower rolls as the cart was pushed.
Qin Huai immediately went to the cart, helping to push it while quickly examining the situation and asking, "What's the situation here?"
Upon seeing Qin Huai's white coat, the ambulance doctor immediately transferred the case: "Car accident injury. After being pulled out, we performed basic compression and packing to stop the bleeding."
"Vascular signs are unstable."
"There is active bleeding inside."
Chen Zhuoan jogged alongside Qin Huai, also conducting a visual examination.
The patient's injuries involved the lower abdomen, groin, and the front of the left thigh.
Upon seeing this, the most important thing to pay attention to is the injury to the left femoral artery.
But Chen Zhuoan knew that if this patient could make it to the emergency room, there was no need to check his femoral artery; otherwise, he would definitely have died on the way.
It's more likely a hematoma in the lower abdomen and pelvis.
The trolley didn't stop, and the patient slid along with it quickly, so he couldn't see the specific details.
Half a minute later, the group arrived at the first emergency treatment area.
After the beds were arranged in a row, a group of people from the emergency surgery department surrounded them.
Without waiting for the doctor's orders, the nurse immediately began electrocardiographic monitoring and oxygen administration via face mask, while blood oxygen levels were also measured.
One person said, "Establish a rapid intravenous access, check electrolytes, liver and kidney function, and coagulation function."
"Measure your blood pressure."
"Reserved bed!"
As Qin Huai lowered his head to begin the examination, he briefly introduced himself: "I'm in trauma orthopedics. We met on the street."
This is the emergency room. You may be turned away if you don't identify yourself.
Sure enough, the emergency room doctor leading the team immediately said, "Please call for an urgent consultation with general surgery, neurosurgery, vascular surgery, hepatobiliary surgery, and urology!"
"Please request an urgent consultation with cardiology and respiratory medicine."
"Prepare epinephrine and norepinephrine for intravenous infusion!"
After the doctor leading the team finished speaking, the emergency room doctor immediately said, "Airway is clear, no obstruction, breathing rhythm is slightly fast."
The other person said, "No abnormalities were found on lung auscultation!"
"Bedside ultrasound..."
"Low blood pressure: 84/62 mmHg!"
"Colloid replacement therapy, call the blood bank..."
While the emergency room doctors were quickly taking basic vital signs, Qin Huai and Chen Zhuoan had already put on their examination gloves!
The emergency room nurses very experiencedly handed over an opened wound cleaning kit and prepared all the necessary instruments.
"Are there any family members?" Qin Huai's eyes were fixed on a blood vessel that was spurting blood.
"The traffic police are contacting them."
The ambulance doctor accompanying the patient was quickly exchanging medical history with a junior doctor in the emergency department.
He added a sentence upon hearing this.
Qin Huai's hand immediately stopped, and he looked at Professor Long, the deputy chief physician of the emergency department.
"save!"
The law, which was enacted 10 years ago, does not include an emergency avoidance provision; that applies to ordinary people!
The hospital's emergency department does have the authority to perform emergency resuscitation procedures.
Qin Huai then picked up the hemostat from the wound cleaning kit.
He instructed, "Chen Zhuoan, gently pull it on for me with the hook."
Chen Zhuoan nodded, his hands moving at a steady pace.
Based on the extent of the injury to the patient's lower abdomen and pelvis, it is an emergency, but for him, it is not a super emergency.
Qin Huai can operate it, and he will provide guidance.
In his previous life, after his mother died from damage to her chest and abdomen, Chen Zhuoan conducted research on damage for more than ten years.
This damage does not even meet the basic standard for destructive damage.
Chen Zhuoan skillfully opened the patient's skin laceration, and Qin Huai, upon seeing the bleeding point, attempted to stop the bleeding.
Chen Zhuoan suddenly asked, "Teacher Qin, is his internal iliac artery ruptured?"
Qin Huai originally intended to stop the bleeding as soon as he saw it.
Chen Zhuoan's question made him instinctively look deeper into the field of magic.
"It's probably broken!"
"This is a major blood vessel, we need to deal with it first." Qin Huai immediately turned around and picked up another pair of hemostats with his left hand.
Chen Zhuoan picked up the negative pressure suction device handed to him by the nurse, and while using his left hand to help suction the hematoma, he also spread open the soft tissue layer, just in time to expose Qin Huai's position.
Qin Huai found it strange that the internal iliac artery was so exposed!
As a trauma orthopedic surgeon, when he encountered a trauma patient with active bleeding and saw the source of the bleeding, his instinct was to stop the bleeding for the patient first.
After selecting a suitable location and precisely clamping it temporarily, the gushing point within the hematoma immediately dissipated.
But soon, a new problem arose. Deeper down, in the lower abdomen, new blood surged as the pool of blood receded.
Perhaps it always existed, but was previously hidden.
After reviewing the contents, Qin Huai made a decisive decision: "Professor Long, we need to get the general surgery and vascular surgery teams to handle the contents."
"We don't usually drive into the abdomen; I'm not familiar with it."
Professor Long also saw the bleeding point.
He also believed Qin Huai's words to be true; orthopedic surgery cannot be performed on the lower abdomen, as that is not a familiar area for orthopedics.
Before Professor Long could even reply, Chen Zhuoan asked another question: "Professor Long, are there generally only four arteries supplying the lower abdomen?"
Upon hearing this, Professor Long glanced at Chen Zhuoan.
Does that mean I have time to answer your question now?
Professor Long didn't reply; he was putting on his gloves!
He had to do what Qin Huai couldn't.
That's what the emergency department does.
Ideally, Qin Huai, as a professional orthopedic surgeon, should be able to handle all the bleeding.
Qin Huai: "Zhuo An, stop fooling around!"
Chen Zhuoan nodded, and his words went straight to the point: "It's either an artery or a vein."
As expected, Professor Long began his operation after listening to Chen Zhuoan's words.
He first examined the median sacral artery, then the submesenteric artery, and then the ureteral artery.
Finally, the rupture in the ureteral artery was spotted and precisely clamped.
After completing this operation, Professor Long gave Chen Zhuoan a strange look.
At this moment, Chen Zhuoan stared blankly at the surgical field, his hands holding the retractors motionless, showing no excitement or joy.
Professor Long then noted that even after the arteries were clamped, the hematoma still did not completely disappear.
So he began to examine the vein area again.
Compared to arterial bleeding, venous bleeding is generally slower.
Therefore, even though Professor Long did not find out the remaining venous bleeding before the general surgery consultant arrived, the patient's bleeding had already been largely controlled!
Professor Long would probe a spot and then stuff some gauze inside as a packing.
After the vascular surgeon approached the operating table, he gave up his spot.
When he looked at Chen Zhuoan again, Chen Zhuoan was already standing next to Qin Huai, being scolded by Qin Huai: "Next time, you shouldn't ask questions you shouldn't ask."
Chen Zhuoan nodded calmly: "Okay."
Qin Huai considered that Chen Zhuoan hadn't said much, so he didn't criticize him too much, while Chen Zhuoan nodded without refuting.
But in Professor Long's view, Chen Zhuoan didn't seem to be really listening to the lecture, but rather seemed to be confidently figuring out something.
Just as he was about to say something, the blood bank delivered the blood.
When it comes to a rescue, curiosity has to take a backseat!
The rescue is still ongoing…
But for Chen Zhuoan, the rescue was already over.
After being reprimanded by Qin Huai, Chen Zhuoan looked at Long Hongyuan and the others, thinking to himself: Their comprehension is quite good.