Back to 1999: From Operating Surgeon to Becoming a Top Doctor

Chapter 296

Han Xiaoxiao, who was originally short of breath and had abnormal chest movements, now had a somewhat improved breathing pattern.

The almost suffocating gasping sound disappeared.

There was a small gap between the fifth and sixth ribs on her right side, and a transparent plastic tube as thick as a little finger was inserted into it.

A gurgling stream of blood was flowing along the lumen of the tube and into the reserved drainage bottle.

In the blink of an eye, less than half of the blood poured into the drainage bottle. This was blood accumulated in the chest cavity due to pulmonary bleeding after trauma.

If chest drainage is not performed, the blood gradually compresses the space originally belonging to the lungs, resulting in impaired gas exchange, decreased oxygenation, and the fingers gradually turn blue and purple.

"This is using a blade to cut open the skin on the right side of the chest, blunt separation with fingers, and inserting the drainage tube directly into the patient's chest."

Although Qi Tiancheng didn't see his specific operations, he still understood the basic process.

Let him do the operation at this moment. At this juncture, he would choose the same operation as Xiao Chenguang.

However, the speed of this operation was too fast, and it was done on the spot in front of so many people.

Qi Tiancheng didn't think he had the strength to do this.

But what surprised him even more was the more difficult deep vein puncture technique, which the patient in front of him had also completed.

Just when Xiao Chenguang called for a stretcher and prepared to carry someone, he had just finished disinfecting the skin on Han Xiaoxiao's neck.

But when the stretcher was brought over, the puncture needle had already been inserted into the patient's neck, and the needle core was directly removed without even drawing blood, and the guide wire was started.

The pipeline is fixed, the film is attached, and the crystalline gel is hung up at the same time, and rapid and large-scale fluid replenishment is started.

The whole process went smoothly without any flaws, as if it had been practiced thousands of times and reached a state of perfection.

This is incredible.

Qi Tiancheng knows better than anyone present how difficult it is to get an injection for a patient in hemorrhagic shock.

Hypotension, insufficient perfusion, and drying of blood vessels.

The peripheral veins are as thin as blue hairs and almost disappear. The front and back walls of the deep veins are tightly attached to each other, and the diameter of the lumen is not as thick as the puncture needle.

Even the blood vessels of the aorta have lost their elasticity, and they no longer squeak or bleed when they are pricked.

Under such conditions, even Qi Tiancheng, as a new force in Yingcheng's emergency first aid profession, could only watch and sigh, unable to do anything.

But what's going on with this scene in front of me?

"Shengli Hospital Emergency Department, when did it become so strong?"

Qi Tiancheng was very frightened, with disbelief in his eyes.

Originally, he wanted to go over and help, but he didn't give you the chance at all.

As the deep venous catheter is opened, a large amount of liquid is poured into the patient's body like running water. The blood volume is expanded in a short period of time, giving the patient more time for rescue.

This patient can live!

Following Xiao Chenguang's operations, Qi Tiancheng subtly changed his thoughts.

"The blood pressure has risen to Hg, the heart rate has dropped to 180 beats/min, and the respiratory rate is 30 beats/min, but the vital signs are not stable and the condition may change at any time."

After a series of rescue measures were used, Han Xiaoxiao's originally critical health improved slightly. The emergency nurse took the opportunity to measure his vital signs and fed back to Xiao Chenguang, who was in the process of first aid.

"Go back to Victory Hospital!"

Xiao Chenguang was very calm at this time. He was always paying attention to Han Xiaoxiao's condition and asked to return to the hospital as soon as possible to get the chance to undergo surgery.

But just as he was carrying the person onto the stretcher and preparing to run to the ambulance, Han Xiaoxiao became restless and blood began to gush from his mouth.

"This man also has gastrointestinal problems. He may have a broken blood vessel."

Xiao Chenguang's heart sank, but he did not dare to turn the wounded man's head to one side immediately.

If the cervical spine is misaligned, the body must be in a straight line and the head should be turned rashly. Once the vertebral body slips and damages the spinal cord, it will cause secondary injury to the patient and may even lead to paralysis.

"For those from other hospitals present, please come to help, turn over axially, clean up oral secretions, and prevent the wounded from suffocating!"

It is an indisputable fact that pre-hospital first aid has limited manpower and lack of equipment.

As Xiao Chenguang shouted at the scene, almost all medical staff heard his voice.

But after seeing the miserable appearance of the patient, the slightest touch may cause the condition to change.

Such a sick patient.

Some were hesitant and some were frightened. They stopped moving forward, their expressions were tangled and struggling.

There was a moment of silence at the scene, as if someone had strangled the throat, just like Han Xiaoxiao on the stretcher, unable to make any sound.

"Help, please help, we must save her!"

"She was hit because of her children. Good people should not be treated like this..."

Street vendors, passers-by, teachers and students, everyone who saw Han Xiaoxiao saving people were praying and blessing him.

At this moment, a figure appeared next to Xiao Chenguang, holding Han Xiaoxiao's body firmly.

He didn't speak, just worked silently.

After seeing him take the initiative to step forward, the medical staff who were following him also followed closely and came to help.

"Thanks."

Xiao Chenguang lowered his head and concentrated on cleaning the blood in Han Xiaoxiao's mouth.

Seeing someone coming to help, I said thank you.

"We have a negative pressure suction device on the car that can clean the coagulated blood in the airway."

"There are also ventilators that can assist breathing."

"If you can, get in our car."

Qi Tiancheng did not respond to Xiao Chenguang's thanks. His phoenix eyes were looking at the large amount of blood clots cleaned from the wounded's mouth, and he directly proposed a plan.

As soon as these words came out, Xiao Chenguang paused, and the medical staff around him showed a look of astonishment.

"Doctor Qi, the hospital stipulates that ambulances cannot be borrowed."

The driver who followed Qi Tiancheng looked a little flustered.

"It's okay, let's go together. This patient has hope of survival. Let's all work hard."

Qi Tiancheng's unconventional approach was beyond everyone's expectations.

At that time, ambulances were not under the unified management of the emergency center, and their own ambulances only took patients to their own hospitals.

It was rare to take patients to other hospitals.

Although the Central Hospital and Shengli Hospital are brother units, they also have a competitive relationship.

It is common to compete with each other in technology and compare patients.

Now Qi Tiancheng actually asked the Central Hospital's car to take the patient to Shengli Hospital. If the Central Hospital's leaders knew about this...

Even if the hospital leaders knew about this, the director of the Central Hospital's emergency department would probably slam the table and curse.

"When a general is away from home, he may not obey the orders of the king."

"I am a doctor on duty. I have the final say on pre-hospital emergency care."

Qi Tiancheng knew that the accident site was closest to Shengli Hospital and the patient had the highest chance of survival.

At this moment, everyone's eyes were focused on Xiao Chenguang, who was clearing the blood clots from the patient's airway, waiting for his decision.

"Let's go, change cars!"

Seeing the patient's condition, Xiao Chenguang made a prompt decision and carried the stretcher directly to the Central Hospital's ambulance.

One person stayed behind.

He ordered the medical staff who went on duty with him to take other patients and drive behind the Central Hospital's ambulance and go back together.

Time is life, every second counts.

The traffic police who came with them, seeing that the ambulance was about to leave, immediately sounded the alarm, dispersed the onlookers on the road, led the way, left a life express behind, and drove quickly towards Shengli Hospital.

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Chapter 296/514
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