Three Hundred and Twentieth Chapters Cut the Trachea

high speed rail.

First-class seat.

With a smile on his face, Huo Congjun sat down relieved, and greeted Ling Ran with a smile, and said, "I took a long detour this time, so I don't have the nerve to ask someone to book a business seat. You can sit casually. It's only a few hours. arrive."

Ling Ran put away the big and small bags he had brought back, and sat next to Huo Congjun. Yu Yuan sat down across the aisle, and felt a lot more relaxed. She was like a little squirrel shrunk into the seat, and said with a smile: " I just hope there won’t be a big guy sitting next to me.”

"Your side is Shao Jian, Boss Shao." Huo Congjun said.

"Huh? Boss Shao is here too? Why didn't you see him?" Yu Yuan was overwhelmed with surprise.

Huo Congjun nodded: "He's here to buy hairy crabs."

"Eh? Not seeing a doctor?" Yu Yuan was even more surprised.

Huo Congjun said seriously: "It is impossible for Boss Shao to see a doctor outside. Our Yun doctor is the most familiar with his physical condition. It is useless to seek medical treatment from an outside doctor. "

Yu Yuan let out a bewildered groan, and said silently in her heart: Isn't it like this for us?

After a while, Boss Shao entered the carriage with a smile. After greeting Huo Congjun, he shook hands with Ling Ran in a pleasant surprise, and said, "Director Huo finally brought you back from the Shanghai Stock Exchange."

Ling Ran inspected Boss Shao first, and saw that although he was not in good health, he looked like he was suffering from old problems, so he nodded without saying a word. Chatting was too exhausting. I got up to make rounds and received the last wave of heartfelt thanks, but I really didn't have much energy to chat with.

Boss Shao is also familiar with Ling Ran, so he smiled and said, "It's good to go back to Yunhua, and then go to my place to eat hairy crabs. I'm planning to introduce an experiential dining method recently, which may be interesting."

"What kind of experiential dining?"

"Catch the hairy crabs by yourself, and the waiter will re-tie the rope on the spot." Boss Shao replied very honestly.

Yu Yuan was stunned for a few seconds, then said disdainfully: "Boss Shao, you are too brash, Hema Xiansheng only picks king crabs, you are a hairy crab, and you are still promoting like this..."

"I can't be bolder than others." Boss Shao looked at Yu Yuan and said seriously: "I have one less kidney than others, so why am I arrogant? I pee slower than others."

Yu Yuan, who is 1.48 meters tall, stared: "Boss Shao, you are so disgusting!"

Boss Shao clutched his chest with heartache: "I was called disgusting by you... It's over, it's over..."

For Boss Shao, who is familiar with Yunyi, all the secrets are only known sooner or later.

Yu Yuan was also very relaxed when facing Boss Shao, and raised her small fist: "If you talk about it again, I'll punch out your dung impaction."

"I don't have that thing... Forget it, I'm afraid you'll make one for me... Forget it, let's change the subject." Boss Shao looked a little scared.

Huo Congjun breathed a sigh of relief. Although he was also a military doctor with a general education background, his tolerance for such topics was not very high when he was not wearing hand washing clothes.

"The enemy has 5 seconds to reach the battlefield..."

Ling Ran took out his phone, opened the game, and the high-speed rail was also jolted slightly, moving slowly.

When playing games on a high-speed train, the biggest problem that needs to be faced is the network delay, but this problem is not serious for Ling Ran, the final data is almost the same, if you want to write a paper on this, the conclusion can be that The difference is "not significant", which proves that network delay has no effect on Ling Ran.

Of course, if you want to write a good thesis, you have to study why the network delay has no effect on Ling Ran's game play. It will be a complex problem composed of multiple factors. It may be necessary to construct a formula A hugely complex mathematical model may not necessarily lead to correct results.

Huo Congjun looked at it with a slight smile. When young people play games or something, it is easy for people to feel the beauty of youth. Only young people will be full of vigor and want to win, want to win, and want to attract attention. age,

I just want to live, I hope that my old life is still alive and I can live well, I hope that I can work hard after passing the test, I hope that my family can be harmonious and beautiful, I hope that the patient can survive, I hope that my subordinates have a mature personality and can agree...

"Doctor Yu." As if thinking of something, Huo Congjun frowned and looked at Yu Yuan, who was tearing open a pack of snacks to grow taller, and said, "Doctor Ling still have some papers to write here? Hurry up, don't arrive in a day." It's too late..."

"Oh, I...I'll write now." Yu Yuan obediently put down her snacks and took out her laptop from her backpack.

The high-speed rail is moving at a constant speed, and the scenery outside the window is constantly changing...

Everything is normal.

Until the train announcement sounded again: "Passengers and friends, there is a seriously ill passenger on the high-speed rail. We urgently need the assistance of medical staff... The patient is currently in the No. 7 compartment..."

The tense Boss Shao suddenly breathed a sigh of relief.

Ling Ran, Yu Yuan and Huo Congjun all raised their heads abruptly.

Huo Congjun's heart was beating wildly with excitement, and with a kick of his legs, he... stood up!

"It's so rare." Huo Congjun said excitedly: "Go and see, we are professional."

Huo Congjun said while pulling Ling Ran and Yu Yuan away, and said, "Let me tell you, it's not uncommon to save people in the hospital, but it's amazing to be able to save people outside. You're lucky. , I’m afraid it took four or five years to meet someone who needed medical assistance, and he still had diarrhea.”

"Catch it back... No, have you been rescued?" Yu Yuan asked curiously.

"Diarrhea, fainting, what can't be saved..."

laugh--

The automatic door of the business car behind opened, and one person walked out with firm steps.

This person's eyes are tired, he wears casual sports pants on his lower body, and a stiff collar shirt on his upper body. He is holding the coat with one hand, and puts it on skillfully, without any intention of zipping or buttoning it. At the same time, he patted his chest with his right hand, astonished He lowered his head and glanced, then raised his head in relief...

Huo Congjun met his eyes and frowned: "He's also a doctor."

"Internal medicine." Boss Shao said later.

Huo Congjun nodded: "It's not a big threat."

The three continued to move forward.

Two more people stood up from the middle of the carriage.

These two people are old and young, the old one is about the age of Mo Huo joining the army, and the young one is about the age of Yu Yuan. They also have tired eyes, and their faces are full of excitement that the value of life (zhuang) life (B) is about to be realized.

Huo Congjun glanced at their hands and confirmed, "Surgery."

Yu Yuan gave a heavy "Yes".

Ling Ran continued to follow slowly, lowering his head to play the game again, so as not to be banned.

"Please let me go."

A middle-aged man sitting by the window squeezed out with an old briefcase in his hand.

Huo Congjun was in a hurry.

"It can't be done, we have to speed up. This is the high-speed train from the Shanghai stock market. There are too many people coming out for meetings and throwing knives." Huo Congjun's mind was full of emotion, and he pulled his hands forward, The pace quickened, and the image of strutting in the garden just now was sold.

Another doctor stood up from the second-class seat of the train ahead.

He only glanced at Huo Congjun, a smile appeared on the corner of his mouth, then he turned around and ran...

He ran!

Run fast!

There is a standing crowd in front of him!

He jumped high, he used a hurdling action to cross the crowd in the middle of the aisle, and he was in the mood to look back.

"These local hospitals are forensic doctors who graduated from sports schools." Huo Congjun muttered, and he could only run in small steps.

The carriage announcement continued to call: "Passengers with medical background, please come to carriage No. 7. We have a seriously ill passenger who urgently needs the assistance of medical staff..."

Passengers without medical background looked at seven or eight doctors passing by with eyes of admiration, enthusiasm, encouragement and admiration.

Some people carried white coats with them, and they couldn't help but put them on at this time.

If the sense of accomplishment of saving people in the hospital is set at -10 to 10, if you can save someone on the train and surrounded by crowds, then for the doctor, at least two more rounds of beatings can last, which is almost 12 years career.

When Huo Congjun, Ling Ran and Yu Yuan arrived at the No. 7 carriage, the patient was surrounded by five or six people.

With their arrival, the second half of the emptied compartment was already somewhat crowded.

"How about I let the passengers leave first?" the train conductor asked tentatively.

"Need not."

"fine."

"It doesn't matter."

The doctors refused.

Just kidding, all the passengers left, leaving a bunch of doctors? How is that different from teaching rounds or guiding surgery?

"In this case, let's ask a doctor with clinical experience to take a look at it first. I report my family name as Qu Shengzi, chief physician of the Nephrology Department of Ruijin Hospital."

"Lao Guateng, Chief Physician of Neurology Department of Huashan Hospital."

"I've seen it."

"Yes, last time in San Francisco, we also consulted with a patient."

"Nice to meet you."

After the two chief physicians of the top hospital had spoken, someone reported his family name with a little regret: "I am Chang Aida, the deputy chief physician of the Neonatology Department of Zhejiang Children's Hospital."

"Ge Ganzi, Deputy Chief Physician of Liver Surgery, Nanjing Drum Tower Hospital."

"Duan Youchao, deputy chief physician of the Department of Gynecology at West China Hospital."

Lao Huo didn't want to wait any longer. The deputy chief physician of a top hospital is also the deputy chief physician.

Huo Congjun coughed heavily: "I am Huo Congjun, director of the emergency department of Yunhua Hospital."

He is also a little regretful, it will take a few months, and if the emergency center is established, it will be crazy to say it again.

The doctors present also felt the threat. They were from the emergency department, so it was symptomatic.

As for the group of little doctors present, naturally there is no need to waste time by blatantly declaring their families.

Huo Congjun moved his hands forward, separated several people, and came to the patient.

The doctor who came earlier had already done a preliminary examination. At this time, he exchanged a few words with Huo Congjun in a low voice: "The heart rate is too fast, 96 has no signs of cerebral infarction, and the patient's breathing is weak..."

"It might be a throat obstruction caused by a tumor or trauma, is the patient's family here?" Lao Guateng, chief physician of the Department of Neurology, asked.

"No injury, tumor... I don't know..." The patient's family member is a middle-aged woman in her 40s, who dares to look at this side, looking a little confused.

"No matter what the cause is, first do a tracheotomy to solve the difficulty in breathing." Huo Congjun is used to the emergency department, and the way of doing things is completely different from that of doctors in professional departments. In a few sentences, he made a decision .

There was silence in the carriage for a few seconds, and someone spoke:

"agree."

"Can."

"Do you have a knife?"

It was early in the prime of life, and Chang Aida, the deputy chief physician of the neonatology department, squatted down and began to touch the patient's neck, taking advantage of the favorable terrain.

The train conductor hurriedly said, "I've sent someone to find a first-aid kit and a knife?"

"Alcohol is needed, and a thin hose is the best." Chang Aida explained to the patient's family: "The patient is out of breath now, we cut his throat to expose the trachea, and then intubated to assist He breathes, this is a very small operation, the risk is very small, the main reason is that the equipment is not complete..."

While talking, a conductor brought a knife and a first aid kit.

It is said to be a first aid kit, but it is more like a debridement kit, a check box, or a medicine kit. It is complete with blood pressure monitors, stethoscopes, etc. There are also some medicines and syringes for treating headaches and brain fever, as well as gauze, cotton balls, and disinfectant. But there is no intubation and so on.

"Give me a pen. I'll make a makeshift cannula, with a pen cap..."

Before Chang Aida finished speaking, several hands offered a handful of pens.

The patient's family members watched in horror.

"Can you make it to the hospital?" the patient's wife whispered.

"It's too late, the patient may stop breathing at any time." Chang Aida shook her head as she spoke, and picked out a thick pen tube for disinfection.

"How about I come." Seeing this place, Ling Ran squeezed in without hesitation, carrying his bag in one hand and Yu Yuan in the other.

Before anyone else could say anything more, Ling Ran half-kneeled on the floor, took out his own box, and unfolded it.

Inside the silver-white aluminum alloy box, from left to right, neatly placed (straight) mosquito hemostat, (curved) mosquito hemostat, 140 hookless hemostat, 140 hooked hemostat, 160 hookless Hemostatic forceps, fine-needle needle forceps, small dressing forceps, large dressing forceps, tissue forceps, tissue forceps, tissue scissors, tracheal dilation forceps, thyroid retractor, tracheal retractor and most needed at this time, No. 7 tracheal tube, 8 No. tracheal tube, No. 9 tracheal tube, No. 10 tracheal tube...

It can be said that, except that the scalpel handle does not have a blade, the whole set of equipment is there.

Huo Congjun couldn't help showing a smug smile.

Ling Ran then opened the second layer of the box, took out two masks from inside, handed one to Yu Yuan, put the other on by herself, and then put on gloves...

"Please make room." Ling Ran turned around and ordered, "Scrub."

When Yu Yuan heard the order, she began to clear up the affected area like a conditioned reflex.

She was too used to performing surgery with Ling Ran.

Using the theory of seeing pigs running without eating pork, assuming that a pig butcher who travels from village to town can kill more than 100 pigs a year, then Yu Yuan has seven or eight years of experience following Ling Ran.

"Drape." Ling Ran followed the procedures in the operating room.

Seeing that Ling Ran had even taken out the small hole towel, the doctors couldn't help backing away again and again to make room for more space.

"Keep it centered."

"knife."

"Vascular forceps."

"Small hook traction."

Under the watchful eyes of all the doctors and the most important crowd with mobile phones, Ling Ran silently performed the perfect tracheotomy, seeing all the doctors so excited that he couldn't help himself.