Chapter 332: line with translation of chapter title

An ambulance is just a simple mobile emergency station.

There aren't many procedures that can be performed on an ambulance.

Zheng Ren placed a crude closed chest drainage for the patient, ensuring unobstructed breathing and preventing death from pneumothorax; he also continuously suctioned blood from the upper airway with a suction tube to avoid clotting into crusts that would block the airway.

All that could be done was to press on Yang Lili's chest-abdomen wound to try to stop the bleeding.

Hurry up, faster!

Zheng Ren knocked a few times on the partition, urging the driver.

Actually, City First Hospital is not far from Ninth Elementary School, but the overwhelming smell of blood in the ambulance made Zheng Ren anxious.

Normally, even with the siren at full blast, the ambulance can't go any faster.

But today a police car cleared the way ahead, the mixed sirens slowed traffic between City First Hospital and Ninth Elementary, nobody knew what happened, and everyone spontaneously made way.

Even at traffic lights, private cars would voluntarily yield to police and ambulances, clearing a path.

On the ambulance, seeing the alarming numbers on the monitor and the unmeasurable blood pressure, Zheng Ren calmed himself.

He peeled off the blood-soaked gloves and picked up his phone.

"I am Zheng Ren, preparing for emergency surgery."

"Yes, no preoperative preparations have been made."

"We have blood samples; send someone to deliver them and rush the blood."

"Call thoracic surgery for a consultation, prepare to open two operating tables together."

"Ask Yanran to prepare a double-lumen tube."

He hung up, Zheng Ren frowned tightly; Yang Lili's breathing was extremely weak, intermittently showing deep, labored breaths.

"Deep, labored breathing," in layman's terms, is what a dying person does before death — "exhaling backwards."

Her condition is poor, especially so. Even after infusing saline, her blood pressure shows no change and remains unmeasurable.

Police and ambulance sped, rushing all the way to the Emergency Department of City First Hospital.

Because it was a vicious campus attack, the city notified City First Hospital to give high priority. Director Xiao led a crowd rushing over; Director Pan stood with his hands behind his back at the emergency vehicle lane, not chatting with hospital leaders, mentally forming a rescue plan.

Although Zheng Ren was present, Director Pan still showed no laziness.

The more thorough the rescue plan, the more likely it is to catch and fill gaps in minor points, doing everything possible to successfully complete the rescue.

Police and ambulance came wailing.

The high-pitched, sharp sirens that spike blood pressure blared together, interrupting Director Pan's thoughts.

"A police car clearing the way? The ambulance's front and side are damaged?" Director Pan was puzzled, but he had no time to worry about what happened.

The police car didn't enter the emergency lane; the ambulance slowed slightly and stopped steadily in the emergency lane.

The rear door opened, a stretcher was pushed over, Yang Lili was transferred onto it, and Zheng Ren took the stretcher and ran toward the operating room.

Because the city attached great importance, many hospital administrators came.

Some people habitually crowd forward to appear more important.

They blocked the stretcher's path; Zheng Ren shoved them aside with one hand, not even looking to see who he had pushed.

The elevator had been guarded all along; dark red blood dripped drop by drop onto the marble floor of City First Hospital's Emergency Building, like a trail of blooming flowers.

The 120 emergency nurses handed over the few tubes of blood they had kept to the doctor, who sprinted to the blood bank; the remaining blood samples were prepared to be sent to the emergency lab.

Although emergency rescue is urgent, many procedures still cannot be omitted, such as HIV and syphilis tests.

Two years ago, NTU Hospital's attached hospital, due to the urgency of the incident, overlooked a point, causing all organ transplant patients to become infected with HIV.

Necessary procedures must be followed; those that can be omitted must be omitted.

Zheng Ren pulled the stretcher, sprinting all the way to the third-floor operating room.

Su Yun, Yang Lei, Xie Yiren, Chu Yanran, Chu Yan zhi, and the operating room head nurse, etc., were already ready; the operating room doors were unusually open.

It was silent, only the stretcher's wheels rolling over the marble floor made a slight sound.

After handing over, the stretcher entered the operating room; Zheng Ren went directly to the changing room, changed clothes, and prepared for emergency surgery.

This time, it was completely different from the incident in the capital.

Last time, Fang Lin was injured and received treatment immediately; this time, the ambulance went out and came back, wasting the golden time for emergency rescue on the road.

Whether the person could be saved, Zheng Ren truly had no confidence.

If we have confidence, we must save; if we don't, we must still save!

She,

She used her body to protect the children.

He,

He must strive harder to protect her.

He changed clothes as quickly as possible; Zheng Ren walked briskly toward the operating theater while putting on a cap and mask.

Upon arriving at the operating theater, the patient had already been lifted onto the operating table.

The patient's position on the operating table was slightly lower; Su Yun apparently realized they might need to open two tables simultaneously and had prepared in advance.

Su Yun was placing a closed chest drainage on the patient; he did not choose the second intercostal space at the midclavicular line, but chose the sixth and seventh intercostal spaces at the midaxillary line.

The former drains air; the latter drains blood. On the ambulance, Zheng Ren dared not drain large amounts of blood—draining several hundred to thousands of milliliters would cause negative pressure in the pleural cavity, leading to more bleeding.

Once in the operating room, it's different.

"How should we do it?" Su Yun asked.

"Where are the thoracic surgery people?" Zheng Ren frowned and began scrubbing.

"They're on their way."

"We'll do a thoracoabdominal combined approach; position... right side elevated 45 degrees." Zheng Ren said.

General surgery requires a supine position; thoracic surgery requires a lateral position.

If the two departments work together, everyone makes a little concession and picks a central position. Although all kinds of views are quite limited, after all, it does save time, doesn't it?

Su Yun remained silent; after suturing and securing the chest tube closed drainage, began to position the patient.

"Double-lumen tube." Zheng Ren finished scrubbing hands and came to the instrument table.

"Understood." Chu Yan zhi said.

Chu Yanran was fixing the endotracheal tube, adjusting the ventilator settings, and had no time to speak.

Xie Yiren handed him the oval forceps and the tray; Zheng Ren picked up a large pile of povidone-iodine gauze and began disinfecting.

After disinfection, Zheng Ren scrubbed hands again and put on the sterile surgical gown; at this moment, the leaders from the hospital's thoracic surgery department rushed over.

"How's the situation?" Director Pan walked up behind Zheng Ren and asked.

"Not optimistic." Zheng Renyi reached out and slapped the handle of the scalpel into his hand.

"Is a combined incision needed?"

"The lung is ruptured; I estimate an artery has been severed, which must be dealt with. In the abdomen, the intestine is ruptured, the superior mesenteric artery is ruptured; I don't know how much intestine will need to be removed." With one incision, they skipped the blunt dissection step and went straight to the peritoneum.

Protecting the peritoneum, they opened it, and the suction device drew out a slightly low-temperature dark red bloody fluid.

Watching the blood gush out, Director Pan immediately picked up the phone, left the operating room, and urged for blood.

At this moment, the continuous flow of fresh blood is the wounded person's greatest hope for survival.

"What's the condition of the chest? Is there a chest CT?" The thoracic department chief went up and asked.