Chapter 1376: 1335 Driving the Rusty Machine (Alliance Leader Leng Ning Bonus Chapter 5)
"Why isn't the gastric tube prepared? Hurry up and get it out. When the patient arrives, we need to insert the gastric tube and urinary catheter while establishing venous access." Zheng Ren saw the preparations were rather rough, and his tone grew harsh.
The medical staff began to busy themselves like worker ants, fetching all the various items Zheng Ren had requested.
Actually, it would be fine to fetch them after the patient arrives, but that would waste several seconds, even tens of seconds.
Those brief tens of seconds could very well decide a child's life or death.
Prepare the endotracheal intubation kit!
Turn on the suction device! Have the suction tube ready, open a bottle of external saline!
Fluids! Have the crystalloids and colloids ready!
A string of medical orders roared in the Emergency Resuscitation Room until the wailing siren of the 120 emergency rescue vehicle sounded from afar, growing nearer, whereupon Zheng Ren dashed like a streak to the door.
Liu Xu zhi was dumbfounded, standing to the side, at a loss what to do.
Perhaps for Zheng Lao Ban, these are routine measures, but for Liu Xu zhi, this set is simply overly professional.
At this moment, Zheng Lao Ban looked like a true doctor.
Zheng Ren didn't think about much else; his entire focus was on the patient, while everything else became blurred, as if mosaicked.
Here's a troubling matter: the People's Hospital of Xilin Town lacks a hybrid surgery operating table.
Since the start of interventional surgery, whether in Hai Cheng or 912, hybrid surgery operating tables are plentiful; especially in 912, every operating room has one.
If my judgment is correct, the patient needs to go to the interventional surgery operating room for embolization, then rush to the major operating room for surgery.
In between, one must walk at least three minutes—a veritable gate of ghosts. Whether we can make it, Zheng Ren can't say for sure now.
Specifically, it's up to fate, Zheng Ren thought.
A 120 emergency rescue vehicle sped over, followed by a black Passat; apparently it was the patient's family.
The rescue vehicle began to slow down when it was 100 meters from the main gate, coming to a smooth stop.
The gurney was pushed forward, the patient received, and Zheng Ren saw the system panel glowing bright red, as if blood were about to drip from it.
The diagnosis showed several especially lethal findings: pelvic vascular plexus rupture, hemorrhagic shock, intestinal rupture, right kidney contusion, liver contusion, and traumatic wet lung.
This matches Zheng Ren's expectations; the only uncertainty is whether the kidney contusion is severe.
The child lay prone on the gurney, skin pallid, slightly damp, occasionally spasming. His father faced a tremendous shock, his whole person dazed, limbs weak, and he instinctively half‑lay atop her, stabilizing the patient's upper torso, trying to keep her from moving.
On the Passat behind, several women scrambled to help a person down; Zheng Ren didn't look closely, guessing it was the young patient's mother.
A metal rod about 5 cm thick was driven deep into the perineum, the exposed part having been sawn off. It seemed the chair and base couldn't be moved, so they first called firefighters to assist in cutting it.
The gurney was swiftly pulled into the Emergency Resuscitation Room.
Establish venous access, insert gastric tube and urinary catheter. If this were 912, with a critically urgent ER patient, all this could be done in the operating room. But here we are in a remote town, and Zheng Ren dares not take the risk.
The patient's blood pressure is extremely low; what if I go up to operate, but the nurse below can't insert the needle, can't draw blood, can't establish venous access—what then?
We can't transfuse immediately; no matter how skilled the surgery, the patient would have only a dead end.
Zheng Ren raced after the gurney back to the Emergency Resuscitation Room, shoving aside with one shoulder the nurse holding a syringe who wanted to draw blood.
"Deep venous puncture kit!" Zheng Ren said in a low voice.
Although they didn't know him, he gave off an aura of certain victory the moment he appeared, and with the director present yet behaving as humbly as a dog, the emergency staff still made the right choice.
The deep venous puncture kit was opened; Zheng Ren first disinfected, then put on sterile gloves.
One needle,
saw blood.
The first tube of blood was drawn, and Zheng Ren habitually withdrew his hand.
But no one took it.
Different habits—really a headache.
"Nurse, send blood!" Zheng Ren shouted.
"Oh, oh." A nurse beside him was stunned by the swift scene before her eyes; the vein looked as flat as two sheets of paper stuck together—how could the needle just go in like that?
"Saline!"
"The one sending blood, run! Fastest speed!"
"Director Wang, either you watch it yourself or find someone to watch— the blood bank's speed must be fast, fast!"
Zheng Ren could feel the background color of the patient's system panel beginning to fade, and his voice started to grow urgent.
A hoarse, strained shout inherently carries an effect that spikes adrenaline and dopamine.
The rust‑driven machine, under Zheng Ren's control, began to run frantically, emitting a creaking sound.
Fortunately, Zheng Ren is the finest mechanical worker, anticipating which component might fail ahead of time.
For example, the blood bank, the operating room, and so on…
He secured the deep venous puncture catheter, connected the fluids, Zheng Ren removed his sterile gloves and, with the patient, raced toward the interventional surgery operating room.
Director Wang glanced at the blood pressure—60/30 mmHg—and knew the chances of resuscitation were slim. He wanted to comfort the patient's father, an old acquaintance, but before he could utter a word, Zheng Ren shouted at him.
The disorganized, rule‑less emergency resuscitation staff were like a lone innocent lamb, being driven and urged by a male lion, until they all finally started to run.
Watching the gurney speed to the operating room, Director Wang followed, panting.
After several trips back and forth, though the distance wasn't long—altogether less than 200 meters of running—Director Wang felt all his strength drained.
He barely kept up behind, one hand running to the operating room, the other panting as he phoned the blood bank to arrange the fastest possible blood‑type matching.
Zheng Ren brought the patient to the interventional surgery operating room; the expert team there had not yet dispersed.
However, Zheng Ren only knew Zhou Chun Yong's level; the others were unclear to him. But it didn't matter—they couldn't get on the operating table. If they were to perform surgery, at least one in‑house doctor would have to be brought along.
Upon arriving here, manpower became sufficient.
The personnel of the Chinese‑foreign expert team were obviously far more professional than the emergency staff of the remote town. Although they were radiology doctors, one look at the patient's injuries told them it was grave.
They immediately helped lift the patient onto the operating table, handling gently and trying not to touch the segment of the pressure rod inserted into the body.
Suddenly, Zheng Ren realized he had forgotten something.
In this interventional surgery operating room, damn it, there's no ventilator.
!!!
End of Chapter
