Chapter 255: Legendary Level

"Have you done an arterial gas analysis? Have the results come out?"

"Blood pressure and heart rate under control."

"Where's the CT report? Come out and let me know."

"See if you can use the blood recycling machine."

Huo Congjun is the general person in charge of first aid, and he does not solve the specific problems of medication and dosage. Of course, he pays attention to the medication regimens and methods prescribed by other doctors, but if there is no mistake, he will not publish it. Opinion.

Huo Congjun is mainly concerned about the progress of the rescue and the overall plan.

Rescue is progressing.

Inspections such as arterial gas analysis and CT will take a while to get. If you don’t arrange it in advance, you won’t be able to connect later. The doctor’s fluoroscopy eye is the image, and a good doctor can see the seven or seven in the CT film Most likely, it looks like a bleeding injury, which is even more invisible under CT and other equipment.

Just need to schedule it well.

At the same time, for autologous blood transfusion, it is also necessary to arrange the time for the blood recycling machine to intervene.

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

When patients are in ambulances and helicopters, they have no conditions to use autologous blood transfusions. After arriving at the hospital, hundreds of bags or even more blood products are used to infuse their bodies. The prognosis is bound to be a lot of trouble. Of course, autologous blood transfusion will not reduce too much trouble, but at least, there is no need to worry about running out of blood products.

However, autologous blood transfusion has more restrictive requirements. Equipment is one of them. The blood recovery machine collects blood, and then processes the blood through simple filtration or washing, and then when it is returned to the patient, the contamination of the blood needs to be fairly controlled.

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

Zhao Lele cleared out a large number of blood clots during the abdomen exploration.

Director Du personally went into battle, and gradually separated the various ligaments of the spleen to reveal the pedicle of the spleen. After double ligation, the spleen was removed.

Dr. Zhou sutured the 2 cm regular gap on the left liver septum, and then used a large gauze pad to compress the gap in the diaphragm.

Attending Zuo Liang only dealt with the femoral vein.

After achieving this step, the golden hour has long passed, and the doctors around are even more exhausted.

In terms of time alone, the doctors can last much longer in the operating room, but during the rescue process, the postures of everyone are really uncomfortable.

Like Ling Ran, he had to ride on a flat bed, half-kneel on one leg and raise the other leg, and use both hands to stop the bleeding with bare hands, or work part-time as an assistant. From the moment Zhao Le stepped on the step stool, he never left the step stool. Huo Congjun only turned half of his body to his side, and had the right to command. That is to say, Dr. Zhou went into battle early, and the right side is the machine arm, so that he can have more space.

But no matter if it was a little bigger or a little bit smaller, everyone seemed to be punished to stand.

I was punished to stand for an hour, but I could still persist, but my fatigue was already showing.

Huo Congjun couldn't give everyone time to rest, so he let out a breath, and said to Ling Ran, "Explore the lungs with your hands to see if there is any rupture. If not, we will inflate the lungs and slit the diaphragm."

The last sentence, he said to the anesthesiologist.

The anesthetist agreed and quickly moved.

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

Probing by hand is a common operation for surgeons. When Huo Congjun was young, it could be said to be a basic operation. Most of the doctors present knew it, and Dr. Zhou was no exception.

However, Huo Congjun now trusts Ling Ran's bare-handed operation even more.

None of the other doctors expressed disapproval. It's okay to ask them to find a breach, but it will take a long time to confirm that there is no rupture, and no one is more confident than Ling Ran.

Ling Ran has not been in Yunyi for a long time, and he doesn't know many techniques, but when it comes to the use of a certain technique, everyone still pays attention to it.

General doctors are good at things like hemostasis with bare hands, but no one really has confidence in letting them do it like Ling Ran, especially in Wushu Field.

Unarmed detection is not as simple as imagined. Human lungs are not completely smooth, and different lung surfaces will behave differently. Exploring the rupture of the lungs with your hands is like touching the surface of a mahjong tile with your hands. Special training is required to feel the surface. what is it.

To ensure the accuracy rate, even more considerable technology.

However, Ling Ran managed to stop the bleeding with his bare hands, so he had a very clear understanding of tissue rupture.

He checked it at a very fast speed, and then checked it again, before saying: "It's not broken."

Huo Congjun gave the order without doubt: "Put the drainage tube and inflate the lungs."

After the patient's lungs were inflated, the diaphragm under compression and hemostasis just now was fully exposed. Dr. Zhou went into battle again and closed the diaphragm with intermittent sutures No. 7.

Huo Congjun breathed a sigh of relief. In this way, the bleeding from the liver, spleen and chest was under control. These are the organs with the richest blood supply in the human body except the heart.

Huo Congjun continued to think about it, and after the chest drainage was completed, he said, "9-10 ribs are sewn up and drained closed, Ling Ran will check his stomach again."

In a rescue of this scale, rib sutures are like sliding down a slide in a Disney park. Zhao Leyi sewed them casually and let the surgery field out.

Ling Ran probed with his bare hands, and said, "There is a centimeter-long wound."

This time it was Dr. Du who went into battle and performed an inversion suture, then put hemostatic gauze, sprayed protein glue, placed a drainage tube, and rinsed with saline...

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

The anesthetist who was monitoring at the same time shook his head slightly.

"There are still bleeding spots, keep looking." Huo Congjun was calm on the outside, but scolded his mother in his heart.

In this kind of case with multiple stab wounds all over the body, the trouble lies in multiple places. Sometimes the knife stabs forward a little, and one internal organ will be cut. If it is only a very thin tip of the knife, it will be troublesome to find the bleeding point.

The maintenance of blood transfusion is not sustainable, especially in the case of massive internal bleeding, if the bleeding cannot be stopped by surgery, the patient will soon have multiple organ dysfunction, and then fall into more and more severe shock, and then all rescues will be meaningless.

Huo Congjun could only think about the benefits, at least he didn't discover the omission after the abdomen was shut down, otherwise, the second laparotomy would be even more troublesome.

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

"There is a hole in the lower right abdomen, but it shouldn't be." Ling Ran rummaged through it, also sweating profusely.

The perfect level of manual hemostasis is not really a perfect solution to all bleeding problems.

"How long will it take?" Huo Congjun's brow was sweating, and he didn't even bother to wipe it off.

"I don't know." Ling Ran replied softly.

"Then sew up what was just discovered first." Huo Congjun quickly made a decision, then turned his head and said, "Please come over to watch the film and look for possible locations."

The itinerant nurse agreed, stepped forward, and found the radiologist who had been watching the film.

However, he also could not provide the location of the blood vessels of the massive hemorrhage.

"I'll look for it again." Ling Ran didn't know how to look at CT, and could only rely on bare hands to stop the bleeding.

Huo Congjun frowned and nodded, thinking again.

"Uncle Jiang, come on!"

"Uncle policeman, come on!"

"Uncle Jiang, Uncle Jiang!"

A few childish voices came from behind, but at some time, the ambulance had brought the slightly injured student and teacher over.

Most of the students were injured because of the abnormal driving of the vehicle. The serious ones required six or seven stitches, while the minor ones only scratched the skin and left bruises.

Even so, a group of elementary school students in the second and third grades, with gauze on their heads and bandages on their hands, still looked pitiful.

On weekdays, if these children were injured like this, they would have cried a lot, but today they don’t know whether they have cried enough, or what, all of them are sullen, under the restraint of the teacher, standing on tiptoe, looking In the direction of the rescue room.

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

"Arise! People who will not be slaves!"

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

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

The childish voice of the children always makes people feel happy on weekdays, but at this moment, it makes everyone present feel heavy.

Jiang Li's family members and colleagues were already extremely nervous, so they couldn't help getting up at this time, and started humming along.

The emergency room, which was already extremely serious, was covered with a heavy atmosphere at this time.

Everyone doesn't understand medicine, but from the solemn expressions of the doctors and the long time, everyone can see something.

The blood on the ground had turned into a slippery liquid, the scattered and broken clothes were lifted aside, and the thick forest of infusion tubes was dangling in the arms of the doctors.

Only the monitor kept making monotonous calls.

"Arise! People who will not be slaves!"

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

The singing was sung again and again, and the voices of the children became louder and louder, and their little faces became more and more red.

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

"Wipe my sweat." Ling Ran turned his head to the side for the convenience of the nurse.

From his point of view, he could just see the children's scattered lines, serious expressions, and crystal clear tears.

Jiang Li's fiancée, Wang Yi, was in tears.

The rescue lasted for two hours, with bags of blood, and the result was almost obvious.

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

After brushing his entire arm clean, Ling Ran took out the blue vial that had been stored for a long time, and poured the skill potion into his mouth in one gulp: All skills +1, lasting for two hours.

Before Ling Ran's eyes, there was a dense list of skills, the most conspicuous ones were still the skills he had mastered:

Butt Stitching: Perfect Grade.

Epineurium anastomosis: perfect level.

Endoneurial anastomosis: perfect

Physical Exam: Masters

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

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