Chapter 357

"Zhu Chao, Chen Ping'an, each of you is responsible for one wounded person. Liu Hua and I will do the surgery."

In the emergency room, three seriously injured people were squeezed into a small space, with at least ten medical staff busy around them.

The green channel is open.

Various examination results and imaging data were quickly sent over by dedicated personnel.

Of the other two injured, one injured his sternum and had pericardial effusion, and the other was hit in the abdomen and had liver bleeding.

The hemoglobin was still stable, and the imaging results on the CT film showed that the amount of bleeding was not large.

When dealing with a bruise, it is best to treat it conservatively first.

With two people suffering burns all over their bodies, dealing with skin infections was the top priority.

"Prepare for debridement."

Zhu Chao and Chen Ping'an looked at each other and already made a decision in their hearts.

The rescue room immediately turned into a debridement room, and the nurse immediately prepared all the debridement items such as saline solution, iodophor, and sterile gauze pads.

"Push the ventilator and take the patient to the emergency operating room."

Xiao Chenguang had seen the film of Liu Daqing in his hand. The very obvious high-density shadows on the CT were evenly distributed in the sulci on the surface of the skull.

This suggested that the patient had symptoms of subarachnoid hemorrhage.

Although the disease is not as fatal as brainstem hemorrhage, it will affect breathing and circulation in a short period of time.

However, subarachnoid hemorrhage is the most painful type among all types of cerebral hemorrhage.

To describe it as having a splitting headache is not an exaggeration at all.

"Call the operating room and ask Liu Tie to come down with the anesthetic."

Must be deeply calm!

The RASS score in the best sedation index is the highest -5 points.

Only by keeping the injured patient motionless can they prevent agitation and prepare for the next operation.

"Director Xiao, when are you going to remove the steel bars from the patient's arm?"

At this time, Liu Daqing was lying on the transfer bed. The steel bar inserted in his arm was nearly 80 centimeters long.

It has sharp ends and a thick body. The metal surface is stained with blood and is still bleeding.

If it is forcibly removed, it will not only damage the blood and tendons, but also cause secondary injury to the patient.

It won't do any good.

“Remove the steel and let the professionals do it.”

Xiao Chenguang had already seen the soldier getting off the fire truck not far away, holding a huge cutter in his hand.

"Director Xiao, where do you cut it?"

The young firefighter spoke very kindly when he saw Xiao Chenguang.

This made Xiao Chenguang startled for a moment, and he glanced at the fire fighter again. He always felt that he looked familiar, as if he had seen him before.

But now he couldn't let him think too much, but pointed to the steel bar on Liu Daqing's arm and said.

"From this, take it off and we go straight to surgical repair."

At this moment, the entire skin of Liu Daqing's palms had begun to turn white, and three or four of the most important blood supplying blood vessels were severed. The only remaining intact ulnar artery could not satisfy the blood supply of both arms and palms at the same time.

"Okay, I get it."

The fire fighters knew that time was tight and could not think too much. They began to use hand-held steel bar quick breakers to cut along the exposed steel bars.

In order to avoid secondary injury and unnecessary damage, the fire fighters did not use machines to fix it, but carefully clamped one side of the steel bar with their hands to prevent vibration.

Buzz buzz...

After connecting to the power supply, the cutter made a muffled sound, and the circular saw rotating at high speed made a harsh clang the moment it touched the steel bar.

Sparks flew everywhere.

Everyone in the emergency department was dumbfounded by this scene.

In the rescue room, they saw fire fighters cutting steel bars for the wounded. This was the first time they had seen such a scene.

Two minutes, heavy and long.

The rescue room was quiet except for the sound of the chainsaw turning.

No one dared to speak at the scene for fear of affecting the operations of the fire fighters.

With a soft bang. .

The steel bars hit the ground heavily. The cut steel bars had threads on the surface and solid steel inside.

Although the exposed steel bars have been cut off, there is still a section of about 20 centimeters long that cannot be removed from Liu Daqing's arm.

"Director Xiao, we can only do this."

The fire fighters were helpless when faced with the steel bars inside their arms.

They are fire fighters who ensure the safety of people's lives and property, but faced with the situation at hand, they still have to leave it to the doctor to complete the next operation.

"It's already good, leave the rest to us."

"By the way, you are a soldier under Director Yang before."

Xiao Chenguang pushed Liu Daqing to the emergency operating room next to him.

At this time, he had already recognized the fire fighter in front of him. He was the little soldier who got into the ambulance with Yang Chuang when the gas exploded last time.

His name is Jia Dong.

As for why I knew his name, it was because many of the surgical signatures at that time were signed by this little warrior in front of me.

"Director Xiao, you still remember me!"

Jia Dong felt excited. Director Yang was his captain and the master who brought him up.

At the last fire scene, Director Yang was in danger. It was Xiao Chenguang who saved the instructor and at the same time saved his organs from being discharged from the army.

Although Director Yang is no longer on the front line directing rescue operations, as long as he can continue to stay in the firefighting and armed police team, Jia Dong will never feel that Director Yang has left him.

At this time, Liu Tie from the anesthesiology department had already picked up a bag of things and hurried to the emergency room.

"Xiao Xiao, I have brought the things. Let's prepare for the operation."

Seeing that everything was ready, Xiao Chenguang called Liu Hua to start taking the stage.

The renovation of the emergency operating room is different from the old operating rooms in the 1970s and 1980s. It has a bit of the appearance of a modern operating room.

The lighting is bright, the facilities are complete, the planning is reasonable, and the intervals are clear.

The most important thing is that it is spacious and grand.

Xiao Chenguang naturally began to wash his hands and change clothes.

Liu Hua assisted and adjusted the pupil distance and angle of the optical microscope.

Because there are no special instrument nurses, the emergency double-post nurses will have a follow-up table, which not only serves as the instrument but also performs the duties of the patrol.

"Brother Liu, deep sedation, I am going to perform steel bar stripping plus vascular and nerve repair."

"I know." Liu Tie adjusted the parameters of the ventilator and began to prepare anesthetics.

I have to say that this operating room has been renovated very well, even the anesthesiologist has a special operating table.

"Finally, I don't have to squeeze on the same table with the patrol."

The more Liu Tie operated, the more comfortable he felt. Although he was doing emergency surgery, it was basically the same as when they were on the stage.

Even the conditions were better than the operating room of their anesthesia department.

"I've seen the film. The steel bar that fell from a high place penetrated the patient's arm."

"The median nerve and radial nerve that control the movement of the hand are obviously bruised, and several blood vessels are broken and need to be repaired."

"Start the operation, prepare to cut the skin of the arm and take out the steel bar first."

While explaining the patient's condition on the spot, Xiao Chenguang quickly disinfected the patient's arm skin with iodine.

When the skin was about to dry, the scalpel handed by Liu Hua was already tightly grasped in Xiao Chenguang's palm.

Hold the knife like a pen.

The sharp tip of the knife cuts a hole in the patient's arm along the surface of the skin, and cuts along the direction of the steel bar.