Chapter 297
The ambulance equipped by the Central Hospital is spacious and bright. The carriage is very high, and people standing in the car can't even reach their heads.
The full range of instruments and equipment are neatly arranged on both sides of the carriage, and the rescue medicines are readily available, just like a mobile emergency room.
If the car was not equipped with an operating table and an X-ray machine, Xiao Chenguang would even think that this ambulance came from the future.
The Central Hospital is indeed rich and powerful, and it is worthy of being the son of the Oilfield Administration.
Because of this, when the patient was lifted to the ambulance, Xiao Chenguang was finally able to let go.
"Prepare intravenous anesthesia, install and adjust the ventilator, laryngoscope, and perform tracheal intubation."
Xiao Chenguang urgently left a closed chest drainage for the injured on the spot.
Although the risk of hemothorax compressing the lungs was eliminated, as a large amount of blood gushed out and coagulated from the patient's mouth and nose, it would inevitably block the airway and cause suffocation.
Faced with the strange doctor's command, the nurses looked at each other and could only look at Qi Tiancheng with a look of help.
"Listen to his command."
Qi Tiancheng invited him to get in the car, naturally to rescue the patient.
After seeing Xiao Chenguang's operation during the rescue on the spot, he already had an instinctive trust in him.
"Okay, Doctor Qi."
With Qi Tiancheng's approval, the nurse stopped asking.
She took out the laryngoscope and tracheal tube from the drawer on the side.
Then she took out the ventilator tube from the plastic box on the other side and installed it.
The emergency nurse's operation was very comfortable and she was very familiar with every corner of the ambulance.
Seeing this, Xiao Chenguang began to focus on the operation in front of him.
The vehicle was driving at high speed, and the driver's driving level was very high. The bumpy road surface would be avoided in advance.
The police car cleared the way in front in advance, with sirens blaring and police lights shining.
The people on the road didn't know what happened, but seeing the emergency situation, they drove to avoid and make way.
But the deep pits and muddy water on the road caused by overloaded trucks still caused the ambulance to shake.
After all, the roads of this era are far from the smooth two-way four-lane roads of later generations.
The ambulance was shaking, and the shaking inside the car was even more violent.
Everyone was standing unsteadily.
The nurse supported Han Xiaoxiao's body and raised both sides with fixed baffles to prevent her from falling out of bed.
Qi Tiancheng's body shook with the car, but his hands pressed tightly on the bleeding area without relaxing.
But the patient's wound area was too large, and the blood soon soaked the entire sterile gauze.
The blood dripped and flowed down the edge of the bed.
Instantly dyed the ground red, and a faint smell of blood began to float in the car.
Xiao Chenguang took the tracheal tube and laryngoscope handed by the nurse and opened the airway.
The laryngoscope was lifted up, and the tube in his hand went in smoothly.
Qi Tiancheng, who was standing by, wanted to help, but he was powerless.
Seeing the nurse changing the fluid next to him, he was about to speak when he heard the patient choking.
The endotracheal tube in Xiao Chenguang's hand had been accurately and correctly inserted into the patient's airway.
"This..."
Qi Tiancheng was surprised.
If he had only relied on imagination to guess Xiao Chenguang's operation before.
Then in this shaking carriage, Qi Tiancheng saw Xiao Chenguang's operation for the first time.
Intubation.
Done in one go, fast and accurate.
From opening the airway to successful intubation, it was estimated that it took less than 10 seconds.
Even this was his conservative estimate.
"Connect the ventilator and start the lung protective ventilation strategy."
Xiao Chenguang was anxious and said a common invasive ventilation mode for lung contusion in later generations.
"What?"
Not only the nurse, but even Qi Tiancheng was stunned when he heard this term.
Xiao Chenguang came back to his senses and said quickly: "Adjust the ventilator mode to P-A/C, set F, pressure PC, positive end-expiratory pressure PEEP, trigger sensitivity V-TRIG..."
The ventilator parameters came out one by one, and the nurse woke up as if from a dream, and hurriedly set up the ventilator according to Xiao Chenguang's requirements.
At this time, Xiao Chenguang's hands did not slow down, holding the suction tube, and sucked the sputum from the newly inserted tracheal tube.
There was not much sputum, but a large amount of blood clots were sucked out of the patient's tube. Seeing this scene, everyone was frightened.
If it was delayed for a while, the coagulated blood in the airway would form a blood clot, and it would be difficult to rescue it.
Put on the anesthesia tube, connect it to the ventilator, and the air compressor hummed and began to deliver air to the patient in an orderly manner.
The patient's oxygen and chest problems were temporarily solved.
But the abdominal cavity continued to bleed, and the vital signs on the monitor were still not optimistic.
The ruptured internal organs made the blood pressure, which had fallen to the bottom, continue to fall.
Xiao Chenguang took off his bloody gloves, looked out the window, and after determining his position, he picked up his phone and called the emergency department nurse station.
"This is Xiao Chenguang. I am going to activate the emergency plan for the trauma center. The injured will arrive at the scene in three minutes. Be prepared."
After explaining the basic situation of the injured, Xiao Chenguang hung up the phone directly.
He stayed by Han Xiaoxiao's side and asked the nurse to give her another shot of adrenaline to maintain her vital signs.
"What did he just say?"
The trauma center mentioned by Xiao Chenguang on the phone made Qi Tiancheng full of confusion.
What is a trauma center?
Qi Tiancheng was puzzled.
Generally, when encountering patients with severe trauma, their doctors will call the relevant departments one by one.
Registration room, laboratory department, imaging department, blood transfusion department, anesthesiology department and departments requiring consultation.
Almost on the road, emergency doctors spend more than half of their time on the phone, contacting various departments and coordinating help.
But now, the young doctor in the emergency department of Shengli Hospital only explained the patient's condition and added that he would activate the trauma center's emergency plan.
Is this...done?
They did not notify the registration room of patient information, did not explain the blood drawing items to the laboratory department, and did not communicate with the imaging department to queue up.
How could it be summed up in one sentence?
Although Qi Tiancheng was puzzled, he couldn't think too much.
At this moment in the ambulance, even though Han Xiaoxiao was inserted into the tube and put on a ventilator, after stabilizing for a while, his breathing gradually became deeper and deeper, rising and falling like a tide.
The limbs are clammy and bloodless, like an old man whose body is about to die, slowly disappearing.
The situation is not good, it can even be described as terrible.
A large amount of vasopressors, vasoactive drugs, and inotropic drugs were continuously poured into Han Xiaoxiao's body.
The increase in blood pressure is of no avail, and may even plummet to the point where it can no longer be measured immediately.
At this time, the gate of Shengli Hospital appeared in front of everyone's eyes.
Police cars and ambulances rushed all the way and soon arrived in front of the emergency department.
Because it was a major accident involving children, some city leaders had already rushed to the emergency department.
But the one who arrived earlier than them was Dean Li.
After all, this was the first news he got, so he took the initiative to call Xiao Chenguang.
Li Guoyong was worried at the moment and was not in the mood to talk to the city leaders. Instead, he stood alone in the 120 reserved lane, waiting anxiously.
This incident happened on campus, and city leaders attached great importance to it, emphasizing the need to treat the injured at all costs.
According to the staff at the scene, the accident was very serious and some people were seriously injured. It can even be described as horrific.
Horrible...
This is how much trauma one has experienced before someone can use this word to summarize the scene of the car accident.
Ula Ula…
A sound broke Li Guoyong's thoughts.
Before the people arrive, the sound comes first.
The piercing sirens were still ringing, and at the end of the road, police cars and ambulances were approaching quickly from far to near, one behind the other.
Why is it a car from the Central Hospital?
Li Guoyong recognized at a glance that the ambulance driving behind the police car was the ambulance from the Central Hospital.
The huge car body, like a Big Mac, was driving toward the emergency room menacingly.
But, where is Xiao Chenguang?
Where has he gone!
Li Guoyong's heart suddenly lifted, as if Xiao Chenguang was missing from the emergency room, just like he had lost his soul.
But at this moment, a group of doctors in white coats appeared in the emergency corridor.
The crowd was huge and powerful, with bright eyes, and they were striding forward to the emergency department.
Li Guoyong took a closer look and his heart beat faster.
in the crowd.
Director of Thoracic and Cardiac Surgery, Director of Gastrointestinal Surgery, Director of Traumatology and Orthopedics, Director of Ophthalmology, Ear, Nose and Throat Department...
The surgical directors who had just held a meeting in the emergency department a few days ago actually gathered here again.
At this moment, their expressions were full of determination, their eyes flashed with sharp light, and they were looking at the approaching ambulance together.