Chapter 977: Solemn

Ling Ran stepped into No. 3 operating room, and what he saw was a tense and solemn scene.

The No. 3 operating room in the emergency center is not big. At this time, more than 10 people were stuffed in one breath, which can be said to be a violation of the regulations. With so many people in it, first of all, the cleanliness cannot be guaranteed.

With the orthopedic department's efforts to control and emphasize infection, this is a scene that should not have happened.

However, whether it is the deputy chief physician of the orthopedics department or the patrolling nurse in charge of the operating room, they basically don't care about this.

The doctor holding the blood transfusion bag, the anesthetist who was struggling with the anesthesia, and the nurses who were dispatched around all silently hinted at one point: the arena is in chaos.

Without saying a word, Ling Ran covered his mouth and nose with a mask, and stepped forward to see the patient first.

The management in the operating room is simple, and with a loud yell, it is estimated that the chaotic crowd can be restored to a stable state. However, the problem now is not a problem of attitude or procedure of medical staff, but more likely a problem of pure technology.

A dozen medical staff who don't know what to do will not suddenly get a skill bonus just because someone yelled.

Strict discipline and good attitude mean nothing when they don't know what to do.

It's like the concern of a class of students can't cure a pregnant student's cold.

Ling Ran first focused on the patient.

The patient was probably a factory worker or an engineer. He had a face of a toiling public in his 40s. His face was pale and bloodless, his abdomen was high and protruding, and his right lower extremity had massive bruises...

"Six fragments the size of fingernails were injected into the patient's back. We were dealing with it when suddenly a gust of blood came out." The attending doctor did not feel much relieved when he saw Ling Ran coming. , said something vague.

The senior doctor standing next to him, Deputy Director Yao quickly added: "The blood pressure dropped rapidly, and the dorsalis pedis artery of the right lower extremity is no longer palpable. I have already invited the interventional department to do an angiography of the lower extremity to clarify the location of the bleeding. , However, the Intervention Department is a bit too busy..."

This is the state of imminent breakdown caused by the influx of a large number of patients.

Just looking at the patients right now, the dozen or so medical staff gathered around them will be divided into three patients with moderate and mild injuries, who will perform operations and care.

It's all fine.

However, because the current patients are serious and the doctors are unable to deal with them, they can only keep piling up medical staff, and they pile up all the way to Ling Ran and the interventional department.

If Ling Ran can't deal with it, or the interventional department can't give useful test results, then the patient can only give up, or get lucky.

No matter which method is used, it means that a life will be lost, and more than a dozen medical staff have done futile work when patients need it most.

Even a large institution like the Yunyi Emergency Center will be easily crushed if it cannot use all its strength in the face of emergencies.

Ling Ran, who had participated in emergency rescue and disaster relief many times, had a serious expression on his face.

"The patient is already in severe shock. The hemorrhage is so fast, it is very likely that there is a ruptured artery..." Ling Ran said his judgment slowly.

"Yes, I agree with Doctor Ling's judgment." Deputy Director Yao of the Department of Orthopedics repeatedly agreed.

He has lost control now, what he needs most is Ling Ran's participation.

Regardless of the outcome of the participation, the participation of one more senior doctor can solve his spiritual and practical difficulties.

If Zuo Cidian was here, he would actually only listen to the attending doctor's ambiguous words, and would take out a small notebook to make a record, and maybe he would have to perform an amputation to clarify responsibility.

However, Ling Ran didn't care about these things, his eyes stopped briefly on the patient's abdomen, and then turned to the patient's thighs.

"It's too late to do the radiography, and now we can only make an emergency judgment." Ling Ran didn't speak out after careful consideration like an ordinary doctor.

On the one hand, in the face of so many possibilities, he also hopes to be able to throw bricks and spark jade, bring discussions, or obtain more information. On the other hand, Ling Ran didn't care too much about things like responsibility.

He has always done things according to the rules, and it is impossible to say that there are rules to follow in everything, but Ling Ran has basically never suffered from this aspect, so naturally he will not pay so much attention to this aspect.

For Ling Ran now, increasing the probability of treatment is what he cares most about at the moment.

At the same time, the perfect level of manual hemostasis and more than 200 dissection experiences are enough for Ling Ran to speak out his thinking process confidently.

"Doctor Ling, what should we do?" Yao, the deputy director of the orthopedics department, was thinking even more.

There were nurses and anesthesiologists present who understood, and they all gave him a disgusted look, but they didn't say anything.

The doctors in the orthopedics department bowed their heads in unison, a little embarrassed, and also did not dare to resist.

The superior-subordinate relationship in a hospital is sometimes stricter than that of the military, and it is even more testing. Those who fail the test will be kicked out sooner or later. It is difficult to gain a foothold in a large hospital like Yunyi.

Deputy Director Yao is a full-time doctor who graduated with a Ph. Considering it from a different perspective, he didn't even want to take the blame for this emergency operation.

And Ling Ran is the conductor on the scene, every pot has his share.

The same young orthopedic surgeon involuntarily lowered his head. In order to reduce his responsibility, he was a little embarrassed and a little worried to blame Ling Ran so blatantly.

"Open the front abdominal wall directly." Ling Ran still had to consider the ambulance that would come later, but the order was issued quickly, which was equivalent to directly taking over the scene.

Deputy Director Yao of the Department of Orthopedics didn't hesitate anymore, he immediately took the scalpel and was ready to do it.

"Wait a moment." Ling Ran said again.

Deputy Director Yao sighed secretly, did he still wake up? Are you going to throw the pot back?

At this time, Ling Ran said: "After the abdominal cavity is opened, there will definitely be a lot of blood gushing out. The nurse will go to get the blood, and the assistant will prepare two suction devices, anesthetize and check the intubation...... When entering, you must immediately find the bleeding point, and the correct clamp is the key..."

Ling Ran's instructions were very detailed, and just as Director Yao hoped, he became the on-site commander.

However, following his detailed orders, when the nurses, assistants and anesthesiologists all moved in an orderly manner, the operating room suddenly became spacious and orderly.

An atmosphere of a successful operation spread unnaturally.

Director Yao couldn't help but glanced at Ling Ran, and a sense of understanding rose in his heart: Yes, as long as the operation is successful, there will be no problem of throwing the blame away, but...