Chapter 611: with translation of chapter title

Director Pan went up to meet him, seeing Section Chief Zhou in a sorry state, and asked: "Section Chief Zhou, how did this happen?"

"Director Pan, don't even mention it." Section Chief Zhou came to the emergency department, seeing the patient hadn't arrived yet, he finally relaxed, brushed snow off his clothes with his hand, and said: "My home isn't far; I figured in this damned weather driving wouldn't get me anywhere fast, so I walked here."

This road, walking slowly is barely manageable.

But if you go just a little faster, in this damned weather you'll definitely fall.

Section Chief Zhou was anxious inside, afraid that when the patient arrived, many legal procedures would need the Medical Department to step in; he walked a bit faster, and along the way he didn't know how many times he fell.

Zheng Ren glanced over, saw that Section Chief Zhou had no diagnosis on the system panel, knew he was just looking miserable, with no fracture or broken bone. He didn't go over, but instead directed the emergency surgery doctors and the accompanying orderly to push the stretcher to the entrance to wait.

"Hope it's not too serious; we have a flight tomorrow morning." Su Yun whispered to Zheng Ren.

This is a mission; we can't tell anyone, not even Director Pan or Xie Yiren.

Zheng Ren nodded; doing one's best is all that matters.

As for then…… Zheng Ren really didn't believe that if he left, Haicheng City First Hospital couldn't keep running.

The sound of the 120 ambulance approached from far to near, yet it still hadn't arrived.

The snow was heavy; the ambulance couldn't pick up speed, no matter how anxious the doctors, nurses, and driver felt inside.

After waiting a few minutes, a rundown ambulance appeared in the wind and snow, straining and stumbling to the front of the emergency building.

The side door opened, a young doctor jumped down and hurriedly said: "Two casualties, suspected abdominal organ injury; each received 1500 ml of saline on the way, and now their blood pressure is very low."

While he was speaking, the ambulance's rear door opened, the stretcher was pushed over, and the casualties were pulled down.

Two stretchers, one in front and one behind, raced toward the emergency resuscitation room.

The emergency surgery doctor beside Zheng Ren and the doctor from Yuandian County People's Hospital finished the follow-up handover, while Zheng Ren and Su Yun escorted the patients back running all the way.

The diagnosis on the system panel in the upper right of the field of view was clear: liver rupture, spleen rupture, colon rupture, multiple rib fractures, traumatic hemothorax, lung rupture.

This series of diagnoses made Zheng Ren's head feel like it would split.

Again a combined chest-abdominal injury, and again such a severe emergency.

The most severe part is that the patient was jolted for over two hours from the accident site before being brought to Haicheng City First Hospital.

Now the patient's internal environment is unknown how disordered; even if the surgery succeeds, the postoperative period may be hard to get through.

But no matter what, we must hurry the surgery to stop the source of bleeding before we can talk about anything else.

The stretcher ran all the way to the emergency resuscitation room; the bedside ultrasound doctor was already ready and waiting.

Cutting open the clothes, the staff under Section Chief Zhou began to record.

Medical work is difficult, one reason being the condition; but doctors don't mind the severity of the condition, after all it's their duty.

What's most heart-wrenching is all kinds of unexpected things.

For example, cutting the patient's clothes during emergency resuscitation might save time that could determine whether the rescue succeeds.

But afterwards, patients and their families demanding compensation for the clothes... is not uncommon.

So the role of the Medical Department becomes evident.

No wonder Section Chief Zhou dreams of transferring out of the Medical Department; all those petty details, while guarding doctors, exhaust people.

Zheng Ren didn't bother with the Medical Department's responsibilities; he took the deep venous puncture kit from the nurse, made room for the ultrasound doctor, and began the puncture with his body at an angle.

After disinfection, a single needle drew blood; Zheng Ren felt he could now perform this level of puncture blindly.

He drew 20 ml of blood with a syringe and handed it to the nurse to send for blood.

Various preoperative checks, preparing blood, etc., all need blood samples. But the patient is already in severe hemorrhagic shock; even an experienced senior nurse can't guarantee a needle will draw blood on the first try.

Saving time here is just saving time.

"Do a low-molecular-weight dextran skin test, first hang glucose." Zheng Ren said in a low voice.

The crystalloid saline the patient received in the ambulance, adding more crystalloid is meaningless. But low-molecular-weight dextran could cause an allergic reaction; clinically a skin test can be done or skipped. Zheng Ren feared that if an allergy occurred it would be hard to rescue the patient, so he requested a skin test first.

After also performing a deep venous puncture on another patient, Zheng Ren turned his head to look at the ultrasound screen.

The ultrasound doctor applied a large amount of coupling agent to the patient's chest and abdomen, then began scanning.

There was a large amount of fluid in the liver area, a large amount in the spleen recess, and large amounts could be seen in the costophrenic angle in the supine position.

"Director Cao, I'll take this patient to surgery first." Zheng Ren said: "If nothing comes up later, you come lend a hand."

Having said that, Zheng Ren grabbed the patient and sprinted all the way to the operating room.

Wang Zong Wang Liren and a doctor followed behind Zheng Ren; they calculated that with two patients total, four people would definitely need to split up for surgery.

Even if they're unfamiliar with the place, going up to help is still good.

Along the way, Zheng Ren handed the stretcher to Wang Liren, took out his phone to call the operating room, and notified them to prepare for emergency surgery.

Pushing the patient at breakneck speed to the operating room, Zheng Ren called out and took him to the hybrid operating table.

Wang Liren helped lift the patient onto the operating table; Chu Yanran began anesthesia, while Zheng Ren and Su Yun hurried to change clothes.

On that side, Wang Liren and another Doctor Han had just come out of the operating room; on this side, Zheng Ren and Su Yun were already striding out of the changing room while tying their masks.

This speed, really fast, well-trained, completely unlike a small hospital's style; Wang Liren remarked.

Brushing past each other without eye contact, Zheng Ren had entered a state of all-out rescue from the moment he stepped into the operating room.

In his eyes, there was nothing but the surgery and the patient.

Upon entering the operating room, Zheng Ren glanced: blood pressure unmeasurable, heart rate 162 beats per minute, oxygen saturation 85%.

"You insert the chest tube, I'll disinfect." Zheng Ren said, then went straight to scrub his hands.

Su Yun also said nothing, opened a small incision kit, and placed chest tubes in the patient's left and right chest walls between the 6th and 7th ribs.

As soon as the tubes went in, a stream of dark red blood flowed out.

Su Yun clamped the tubes shut with hemostatic forceps, shouting: "Chest bottles, hurry up, two of them!"

The circulating nurse had already rushed over, but her speed obviously couldn't keep up with this side. She was responsible for counting with Xie Yiren, checking surgical supplies to avoid omissions.

And also need to take care of this side...

At this moment, Wang Liren and Doctor Han walked in.

Seeing this situation, Wang Liren immediately picked up the chest bottle, tore open the packaging, Doctor Han found a bottle of external saline, opened the cap, and poured the 500ml saline into the closed chest drainage bottle.

After connecting the closed chest drainage bottle, Su Yun observed for a few seconds, then shouted: "Boss, the chest cavity also needs to be opened!"