Chapter 513: Frontline
With the arrival of Comrade Dean, the atmosphere in the emergency center became tense, serious and lively.
Nervousness refers to the psychological and spiritual tension of the doctors, seriousness refers to the seriousness of expression, and lively refers to the lively action.
Especially the doctors at work, with focused expressions and professional movements, as if they were filming a movie.
The doctor in charge, Zhao Lele, faced a young man with a scraped arm, first put on gloves and a mask, then put on an eye mask, and when he picked up the needle for local anesthesia, he stood with his feet in a figure-splayed position. The hands were pressed, as if they were undergoing heart surgery.
Nurse Wang Jia not only asked the patient's name, allergies and other medical history information when putting on the IV drip, but also kept asking the patient how he felt about the speed of the liquid during the adjustment of the liquid, in order to adjust to an appropriate phase speed.
Dr. Zhou was busy jumping up and down. He checked the patient's fluid and medical records for a while, cared about the patient's physical condition for a while, and instructed the young doctor to perform debridement surgery—he didn't have any patients of his own. , I can't keep looking at the phone, even if the phone shows papers, Dr. Zhou is afraid that others will misunderstand.
"Director Huo, I'll leave the frontline command to you." The dean didn't say anything high-sounding. Nor did he think it was a good idea to rush the doctors now.
After clearly returning the command of the emergency department, the dean sat in the corner, like an ordinary family member of a patient.
Zuo Cidian couldn't help but heaved a sigh of relief, what he was most afraid of was that the dean would ask questions on the spot and ask for opinions.
With Ling Ran's habit, he might reject a certain doctor's opinion on the spot - Ling Ran often did this during consultations, which made several doctors unhappy.
However, the level of the doctors participating in the consultation was not too high, and Ling Ran's rank was too high.
But bullying people in the consultation room is completely different from bullying people in full view in the emergency department. Some people might resent it for a lifetime.
In addition, Zuo Cidian was also very afraid of asking questions, if he couldn't answer in front of everyone, it would be embarrassing.
Young people can't answer the questions, and by the way, they can satisfy the mood of the superior doctor who wants to be a teacher. Middle-aged people in their 40s are not suitable for such embarrassing scenes...
"Three ambulances, with a total of 5 people. The first one arrived three minutes later. The patient had open abdominal trauma and lost a lot of blood. He was still awake.
Blood pressure 110, heart rate 111..." In front of the reception desk, the head nurse directly took over the job, listening to the report and asking questions to the first responders in the ambulance.
The old nurse who has been in the emergency department for more than 20 years has better observation and understanding of the disease than the doctor, but lacks basic knowledge and knows what happened, but cannot propose a solution.
The doctors are thinking quickly after listening to the values.
"Has the identity information of the patients in each car been confirmed?" Huo Congjun asked one more question.
"It's confirmed. Jin Xuezhen, the patient in the first car, is 27 years old." The head nurse nodded imperceptibly to Huo Congjun.
Huo Congjun understood that this was the dean's nephew.
"Where are the other two cars?"
"In the second car was Jin Xuezhen's girlfriend, with multiple fractures all over her body, bleeding profusely, and in a coma. In the third car were two classmates of Jin Xuezhen, one with minor injuries and one with open fractures in both arms..."
"Okay, let's allocate the manpower first." Huo Congjun entered the working state, with his hands behind his back, counted people in the department, and then pulled each department up for consultation.
The Dean sat in a corner, not saying a word.
Doctors know best that caring can lead to chaos. Although I always want to give my family the best doctor, but sometimes, the best doctor is not necessarily the most suitable doctor. On weekdays, a doctor who is too good at making money may not be suitable for performing operations on the family members of the leader. Too much often delays the course of the disease.
Huo Congjun brought a group of people into the small talk room to talk, the interior was closed and anxious. However, Huo Congjun's tone at this time was soft and orderly, giving people a sense of elegance.
The Confucian general on the battlefield and Zhang Fei in the brothel are talking about old military doctors like Director Huo.
"Save lives first, then treat illnesses."
"The two priorities are first to control the bleeding and second to correct the shock."
"The main danger is resolved, and then the organ injuries and bone injuries are dealt with."
"Each department needs to allocate manpower, especially orthopedics and hand surgery. Your tasks are still relatively heavy."
Huo Congjun first talked about the sequence of diagnosis and treatment, then looked at the deputy director of the Department of Hepatobiliary Surgery, and said, "If liver resection is necessary, I will leave it to Dr. Ling Ranling."
At this time, there is no politeness. Ling Ran's liver resection is better and faster. If he is arranged for He Yuanzheng's face and Ling Ran is arranged, it will be disregarding the safety of the dean's nephew. He Yuanzheng didn't have such a big face yet.
Of course, He Yuanzheng himself knew the situation, so he didn't show up in the name of being operated on, but sent the deputy director.
Standing among a group of directors, the deputy director cooperated with Lu Xiao without saying a word of nonsense.
This is the embarrassment of doctors who engage in technology. Technology itself transcends qualifications.
In particular, a doctor with a certain specialty in a certain department must be number one in his field. Otherwise, even the director of the department will suffer if his skills are fully covered by other doctors.
Because of this, the department directors of some hospitals will hold back some major operations and absolutely do not allow other doctors to touch them.
No matter how awesome a doctor is, if he doesn't even have a chance to get started, he will naturally be unable to perform such operations, and the technological monopoly will form a technological leader.
However, once encountering foreign doctors, and now more and more doctors returning from overseas, such a technological monopoly becomes meaningless.
What He Yuanzheng encountered was actually such a situation.
He used to be Yun doctor's knife in liver resection, but if Ling Ran continued to squat, he might have to switch to pancreas surgery.
That is to say, Ling Ran is currently only doing surgery without paying any money, so He Yuanzheng can bear a little bit of facial damage, otherwise, he might as well jump up.
Huo Congjun looked around and saw that he had no objections, so he continued with the arrangement.
Three minutes passed in a flash.
Huo Congjun finished the consultation according to the timing, and then came out with everyone, changed his equipment, put on his gloves, and waited for the ambulance to arrive in the reception area.
Ling Ran followed behind Huo Congjun without saying a word.
Whether he has work or not depends on the condition of the patient's injury.
He is still unable to complete all the general surgeries independently. In fact, he is still far away from this goal.
Before the general surgery cannot be fully covered, the rescue of open abdominal wounds always requires teamwork for him.
After a while, the first ambulance arrived.
Two male nurses from the emergency department rushed up immediately.
Huo Congjun also walked up, shone a small flashlight on the patient's pupils, listened to the ambulanceman's report, arranged for medication, and followed to the emergency room.
The dean stood up involuntarily, walked to the emergency room, and did not go in again.
Rescue the interior.
Huo Congjun gave orders in an orderly manner, and everyone who was a little out of touch quickly adjusted their mood.
"Ruptured liver."
"Ruptured spleen."
"Ruptured bladder, fractured pelvis."
The two deputy directors checked and reported while processing, and their faces were not very good-looking.
Such an injury was much more complicated than expected.
"Ling Ran. You are here to deal with the ruptured liver." Huo Congjun shouted and gave up his seat.
Ling Ran squeezed in sideways, tied his hands together and looked at it for two seconds, before inserting his hands into the patient's abdominal cavity without hesitation.
The perfect manual hemostasis is suitable for handling such difficult cases.
Huo Congjun's eyelids twitched. In the presence of the dean, he didn't dare to call Ling Ran to go directly into battle to stop the bleeding with his bare hands. In his opinion, there were too many cases where he couldn't stop the bleeding with bare hands, if he gave an order but Ling Ran couldn't do it, it wouldn't be in vain to leave a bad impression. On the other hand, the applicability of manual hemostasis is indeed relatively narrow, and he is not sure whether it can be used.
What Huo Congjun didn't expect was that Ling Ran used it without any hesitation.
"How?" Huo Congjun couldn't help asking.
"It's within the controllable range. Hepatectomy and splenectomy are needed." Ling Ran replied extremely quickly.
"Control the amount of bleeding." Huo Congjun only ordered one sentence, and asked the others a few more questions before he took off his gloves, left the emergency room, and informed his family members.
Ling Ran nodded, and then outlined the patient's anatomical structure in his mind based on the touch of his fingers.