Chapter 416 Sober (415 Is Empty, the Previous Chapter Numbers Are Repeated)

When a new wave of ambulances arrived at Yunyi Emergency Center, Ling Ran appeared in front of the reception door on time.

Before Ling Ran could say anything, Huo Congjun had already waved his hands: "Doctor Ling, it's just in time, the patient will arrive soon, and we are short of manpower."

Theoretically, Ling Ran is now in a group of his own, and Huo Congjun's recruitment of him will be regarded as recruitment.

Ling Ran nodded without hesitation.

He just came out to get a job.

The attending Zuo Liangcai looked at Ling Ran enviously. He was the same age as Dr. Zhou, but he is a standard struggling doctor. He has been fighting in the front line of the emergency department for ten years, and now he is just following Director Huo as an assistant. Work—such a serious trauma is always handled by the deputy director and the chief physician.

Zuo Liangcai looked at Ling Ran who was standing on his left, and had to introduce the situation as usual: "The patient was dug out from the ground, suffered from prolonged hypoxia, hemorrhagic shock, fractures and crush injuries..."

"Where's the head?" Ling Ran asked.

"There were no apparent injuries to the head."

Ling Ran nodded slightly. It would be really difficult to revive a patient with so many injuries if he had severe intracranial injuries.

Huo Congjun glanced at Ling Ran appreciatively, and said again: "We will deal with the shock problem first, and then crush injuries and fractures. Ling Ran, follow me."

"OK."

While speaking, the ambulance had come to a complete stop and the flat car was rolled out.

The second group naturally stepped forward to take over, without much to say. Everyone has been tired all day, and just listening to the numerical report of the first responders, they are already tired.

"Cheer up, we're almost here." Huo Congjun clapped his hands and jumped again, looking as if he was ready at any time.

Ling Ran watched coldly, clearly seeing that Huo Congjun's hands were shaking from the wind.

"Don't you wear a coat?" Ling Ran asked Huo Congjun.

Huo Congjun looked relieved, and said softly: "No, there are reporters here today, wearing a coat looks informal and unprofessional, understand?"

"So...would rather be frozen?"

"You can't see the weather in the photos." Huo Congjun sighed, and said, "You have to pay attention to this in the future, the temperature you feel is useless, you have to let the photos show the temperature, so that everyone will agree with you and think you are It really paid off.”

"You can put a piece of ice on the collar, or pour water on your face and blow cold air." Ling Ran casually mentioned the shooting scenes he had seen before.

Huo Congjun was taken aback, and said cheerfully, "Good idea, let's try it next time."

"Why don't you wear a piece of cashmere yarn inside." Zuo Liangcai interjected along with the two of them.

Huo Congjun frowned, and looked at Zuo Liangcai: "Don't think about these things all day long, and be more careful when saving people."

"Ah... yes." Zuo Liangcai touched his nose, and could only back away in a dark mood, licking the wound quietly.

laugh.

An ambulance heard the reception door steadily.

When the door was opened, an emergency worker was kneeling on a flat bed, quickly pressing on the patient's chest.

"Shock, sudden cardiac arrest, use a defibrillator at 150 joules once, and chest compressions for three minutes." The first responder quickly explained while pressing.

"Go and call Lu Wenbin and Yu Yuan." Ling Ran said to Zuo Cidian, then stood in front and said, "I'll replace them."

"Okay." After pressing enough numbers, the first responder gave up his seat while his colleague was doing artificial respiration with a simple breathing bag.

Ling Ran immediately knelt on the flat bed and began to perform cardiopulmonary resuscitation.

"Go to the operating room." Huo Congjun looked calm.

This kind of pulmonary resuscitation is half of the hospital, and in the hospital, because the cardiac arrest in the hospital can always be rescued in time, the doctors in the emergency department are not nervous about it.

There's nothing wrong with being nervous.

Yu Yuan and Lu Wenbin quickly came to reinforce, and according to the previous training, they quickly took over Ling Ran's work.

Ling Ran moved his hands and feet a little, ready to enter the operation.

Huo Congjun looked at their cooperation and nodded slightly.

CPR in the emergency department,

It cannot be used more frequently, and most doctors can master it to a proficient level. However, it is extremely rare to cooperate with a good team.

After another defibrillation, the patient's heart rhythm returned.

Lu Wenbin and Yu Yuan withdrew, with some expressions of reluctance.

They were all residents, and it was the first time that they performed CPR so smoothly, especially the team CPR.

"The team is well organized." Huo Congjun was even more satisfied. He looked at the preparations again and said, "Go get some more blood bags and take a picture with one arm. Let's take a look inside..."

Huo Congjun watched the crowd operate, and waited until everything was in order before he came to the operating table and said, "Exploring the abdomen, stop the bleeding first, use a scalpel."

Snapped.

A scalpel was handed to Huo Congjun.

"Where do you think the bleeding is?" Huo Congjun suddenly brought up the topic.

Unlike Ling Ran, Huo Congjun, who has been in the operating room for many years, is like a lion king. He not only directs other lions to work, does team hunting and single-lion hunting, but the lion king also guards the territory and takes the cubs. They have fun.

The little lions are also happy to be teased by the lion king.

Zuo Liangcai immediately said: "The spleen is ruptured."

The spleen is most likely to be damaged in visceral trauma. If you guess with your head covered, you can guess correctly with almost half the probability.

"Liver." Another little doctor also joined the discussion.

"Where's Ling Ran?" Huo Congjun looked at Ling Ran.

"Liver." Ling Ran gave the same judgment.

"Not bad, not bad." Huo Congjun nodded with a smile: "Ling Ran is right. Looking at it now, if the spleen bleeds, the patient may not be able to survive until this time. Well, let's do an abdominal examination now and see specific situation……"

When he said this, everyone's attention was focused.

Of course, the little doctor's mood was even more ups and downs, but no one had the attention to allocate to him.

"Surgical methods for liver trauma, Ling Ran." Huo Congjun called the names again.

During the operation, the superior doctors test and teach the subordinate doctors, which can be regarded as both teaching and entertainment. Generally speaking, attending doctors and residents below senior level, and of course training doctors and interns, will be under the long-term fear of being named.

This can also be regarded as one of the motivations for doctors to strengthen their studies.

If you can't answer, or if the answer is not satisfactory, the roar of the superior doctor will often vent a lot of anger.

Ling Ran has long been used to being nominated, so he said casually: "Surgical methods for liver injuries should include debridement and hemostasis of liver wounds, usually through an incision through the right upper rectus abdominis muscle, or an incision in the middle of the upper abdomen... "

Similarly for abdominal exploration, there is always a sequential search direction. At this time, the choice of incision becomes more important.

Huo Congjun was very satisfied with what he heard, and his colleagues who were doing the surgery told him, "You must learn from Dr. Ling. Not only do you perform the surgery well, you have trained rare surgical skills, but you also don't forget to strengthen your theoretical study."

The little doctor huddled in the corner couldn't help muttering at this moment: "You ask us, we also know."

Huo Congjun raised his eyebrows when he heard it, turned his head and said, "Okay, let me ask you a question, who is it, you can answer it, assuming it is really a liver injury, where do you expect the injury to be in the liver, where is the tear? How long and deep?"

The little doctor was dumbfounded: Why didn't you ask me how much the patient's liver weighed?

However, the senior doctor had to answer the question, so the little doctor had no choice but to say cowardly: "I guess it might be the middle..."

"Nonsense, based on the current information, how can you judge a woolen thread? How can I say it, knowing it is knowing it, not knowing it is not knowing..." Huo Congjun's nozzle turned on the automatic mode, and it only took a few seconds to let everyone Everyone became more sober.

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