Surgical artist
Chapter 29 Major car accident patient
Chapter 29 Major car accident patient
"Brother Zhao, which subject are you going to take?" Xiang Tan was still asking on the phone.
Which subject do you take?
Zhao Peiru was also thinking.
The sound of Marin talking on the phone happened to be heard next to him.
"Director Guo from the emergency department is looking for me?"
"Patient in a major car accident? Severe traumatic rupture of the liver? Okay, I'll get down right away!"
As soon as Zhao Peiru heard it, he remembered that there was such a topic title in the project list:
"Discussion of how to take into account the application of rapid hemostasis and avoiding damage during the removal of packing materials in the operation of severe traumatic liver rupture".
The patient Marin mentioned on the phone involves this topic.
Zhao Peiru's heart moved: "Since there are suitable patients, then I will do this subject."
"I happened to accept this serious car accident patient and used it as a support for the project."
The normal process of doing a medical project is...
First, there must be sufficient knowledge reserves and experience accumulation. From a large number of past patient surgeries, useful and improved theoretical results can be preliminarily summarized, and then targeted subject experiments can be done, that is, more targeted surgeries can be done. In order to continuously verify the versatility and rationality of this set of theories, and finally complete the project!
In short, it is to form a preliminary conjecture first, then verify it repeatedly, and finally bear fruit of the subject.
But Zhao Peiru did the opposite.
He can have the "results of the subject" first.
This is invincible.
When he has no restrictions, then he can do research projects for any patients, and complete the research tasks as quickly as possible.
Just save trouble!
If other doctors knew that the purpose of Zhao Peiru's project was to "save trouble", they would probably cry!
They are still stuck in the first step of "knowledge reserve"!Tears!
Zhao Peiru said to Xiang Tan on the phone: "Let's talk later."
After finishing speaking, Zhao Peiru hung up the phone directly and walked quickly towards Ma Lin.
"This, just hang up?"
Xiang Tan was stunned over there.
He couldn't laugh or cry: "Brother Zhao, you are not polite to me at all."
"However, when he comes back, I have to ask him how sure he is about the subject."
Being able to complete the project and having a solid level of ability is the most important thing, and it is also what Xiang Tan values most.
in the department.
"Director Ma, I'll go with you."
Just as Ma Lin was about to leave, Zhao Peiru quickly followed up from behind.
Seeing the situation, Meng Xiang and Mu Sisi hurried out of the room and ran to keep up.
Marin nodded, because the situation was urgent, and there was no time to say anything else.A group of people quickly went to the emergency department below.
Just came to the emergency department on the first floor.
I saw Jiang Lan, a female doctor in the emergency department, trembling all over. The blood of the injured was all over the first-aid suit. She was in grief and tears were streaming down her face.
Marin asked the intern female doctor next to her: "Shi Tong, what's the matter with Dr. Jiang Lan?"
Shi Tong sadly said: "The victim of a major car accident happened to be Jiang Lan's husband."
"This……"
Everyone looked at Dr. Jiang Lan sympathetically.
They can all imagine...
When Jiang Lan jumped off the ambulance and went to the scene to rescue the victim, and saw that the bloody wounded happened to be her husband, how uncomfortable she must have felt.
Ma Lin immediately said seriously: "Since it is a family member of our colleague, it should be treated well! How is the situation now? Where is your director Guo?"
"It's being rescued in the operating room."
Everyone nodded and immediately entered the operating room!
As soon as he entered, a strong smell of blood came to his face immediately!
Seeing the bloody, shattered mess of the liver, everyone's heart skipped a beat!
This hurt too much!
The violent impact in the car accident knocked out a huge bloody hole in the patient's abdomen!The organs were all crushed and deformed, and the liver, the most serious one, was constantly gurgling blood!
In such a situation, it is already quite rare for the patient to hang on and survive!
Everyone is a professional, and a piece of data immediately popped up in their minds:
Patients with severe hemorrhage with severe liver injury and fragmentation have a very high mortality rate!Even under sufficient emergency conditions, it is as high as 55%!
This is still in the case of many life-saving instruments hanging, there is more than half the chance of death!
Thinking of Jiang Lan who was trembling outside, everyone trembled in their hearts.Obviously, Jiang Lan must have known about this situation too!
On the operating table, Guo Jun, director of the emergency department, was leading several people to carry out emergency rescue quickly.
"Director Guo, what's the situation, what do we need to do?" Marin said hastily.
Guo Jun frowned and said, "Do you have any experience in finding blood spots?"
"The current patient's condition is that there is too much bleeding, and the vision is blocked! Several large bleeding spots cannot be found!"
"It's even possible that the bleeding point is hidden on the back of the organ!"
These few short sentences are the worst situation in the emergency department...
I can't stop bleeding!
To rescue patients, hemostasis is the most important preliminary step.
If the bleeding cannot be stopped, then everything else is for nothing!
Marin approached the operating table and looked at it carefully.
In the end, he shook his head dejectedly.
His vision for finding blood spots is not as good as Guo Jun, director of the emergency department. The situation is urgent and time is short. How can it be so easy to find the bleeding spots?
In severe liver injury, the bleeding must be controlled as soon as possible within one hour.
This is the so-called "golden hour"!The sooner the better!
If this hour is missed, the death rate will skyrocket!It will be difficult to rescue it again!
Guo Jun said quickly: "If it really doesn't work, I will simply ligate a few of the most likely bleeding points, and then directly use fillers to stop the bleeding."
This method is simple and rude, and can solve the urgent need.
However, there are endless troubles!
The stuffing will increase the late infection, and it will also cause secondary bleeding when it is removed, increasing the chance of necrosis and death.
Marin also subconsciously said: "The packing method is the next choice, and there will be many troubles."
Guo Jun sighed: "Can I not know? But there is no way, it's important to save your life first!"
This is a dilemma!
At this moment, Dr. Jiang Lan also adjusted his mood, and walked into the operating room, just in time to hear the conversation between the two.
She is also a doctor in the emergency department, so she naturally understands this dilemma.
She gritted her teeth and said, "Director Guo, save his life first! As for the rest, we can only talk about it later."
"The future result... I will bear it with him!"
Her husband's body will definitely leave many sequelae because of this.
But there is no way, what can be more important than saving one's life first?
Seeing that Jiang Lan had already made a decision, Guo Jun had no choice but to bite the bullet. He said to the equipment nurse next to him: "Take the ligation needle and stuffing, and prepare to forcefully stop the bleeding!"
At this time, Zhao Peiru said in his mind: "Use the blank skill card on the 'traumatic liver rupture operation'"
"Use advanced level cards to increase their level."
At this moment, countless experiences and knowledge of "rescue surgery for liver trauma" poured into Zhao Peiru's mind.
(End of this chapter)
"Brother Zhao, which subject are you going to take?" Xiang Tan was still asking on the phone.
Which subject do you take?
Zhao Peiru was also thinking.
The sound of Marin talking on the phone happened to be heard next to him.
"Director Guo from the emergency department is looking for me?"
"Patient in a major car accident? Severe traumatic rupture of the liver? Okay, I'll get down right away!"
As soon as Zhao Peiru heard it, he remembered that there was such a topic title in the project list:
"Discussion of how to take into account the application of rapid hemostasis and avoiding damage during the removal of packing materials in the operation of severe traumatic liver rupture".
The patient Marin mentioned on the phone involves this topic.
Zhao Peiru's heart moved: "Since there are suitable patients, then I will do this subject."
"I happened to accept this serious car accident patient and used it as a support for the project."
The normal process of doing a medical project is...
First, there must be sufficient knowledge reserves and experience accumulation. From a large number of past patient surgeries, useful and improved theoretical results can be preliminarily summarized, and then targeted subject experiments can be done, that is, more targeted surgeries can be done. In order to continuously verify the versatility and rationality of this set of theories, and finally complete the project!
In short, it is to form a preliminary conjecture first, then verify it repeatedly, and finally bear fruit of the subject.
But Zhao Peiru did the opposite.
He can have the "results of the subject" first.
This is invincible.
When he has no restrictions, then he can do research projects for any patients, and complete the research tasks as quickly as possible.
Just save trouble!
If other doctors knew that the purpose of Zhao Peiru's project was to "save trouble", they would probably cry!
They are still stuck in the first step of "knowledge reserve"!Tears!
Zhao Peiru said to Xiang Tan on the phone: "Let's talk later."
After finishing speaking, Zhao Peiru hung up the phone directly and walked quickly towards Ma Lin.
"This, just hang up?"
Xiang Tan was stunned over there.
He couldn't laugh or cry: "Brother Zhao, you are not polite to me at all."
"However, when he comes back, I have to ask him how sure he is about the subject."
Being able to complete the project and having a solid level of ability is the most important thing, and it is also what Xiang Tan values most.
in the department.
"Director Ma, I'll go with you."
Just as Ma Lin was about to leave, Zhao Peiru quickly followed up from behind.
Seeing the situation, Meng Xiang and Mu Sisi hurried out of the room and ran to keep up.
Marin nodded, because the situation was urgent, and there was no time to say anything else.A group of people quickly went to the emergency department below.
Just came to the emergency department on the first floor.
I saw Jiang Lan, a female doctor in the emergency department, trembling all over. The blood of the injured was all over the first-aid suit. She was in grief and tears were streaming down her face.
Marin asked the intern female doctor next to her: "Shi Tong, what's the matter with Dr. Jiang Lan?"
Shi Tong sadly said: "The victim of a major car accident happened to be Jiang Lan's husband."
"This……"
Everyone looked at Dr. Jiang Lan sympathetically.
They can all imagine...
When Jiang Lan jumped off the ambulance and went to the scene to rescue the victim, and saw that the bloody wounded happened to be her husband, how uncomfortable she must have felt.
Ma Lin immediately said seriously: "Since it is a family member of our colleague, it should be treated well! How is the situation now? Where is your director Guo?"
"It's being rescued in the operating room."
Everyone nodded and immediately entered the operating room!
As soon as he entered, a strong smell of blood came to his face immediately!
Seeing the bloody, shattered mess of the liver, everyone's heart skipped a beat!
This hurt too much!
The violent impact in the car accident knocked out a huge bloody hole in the patient's abdomen!The organs were all crushed and deformed, and the liver, the most serious one, was constantly gurgling blood!
In such a situation, it is already quite rare for the patient to hang on and survive!
Everyone is a professional, and a piece of data immediately popped up in their minds:
Patients with severe hemorrhage with severe liver injury and fragmentation have a very high mortality rate!Even under sufficient emergency conditions, it is as high as 55%!
This is still in the case of many life-saving instruments hanging, there is more than half the chance of death!
Thinking of Jiang Lan who was trembling outside, everyone trembled in their hearts.Obviously, Jiang Lan must have known about this situation too!
On the operating table, Guo Jun, director of the emergency department, was leading several people to carry out emergency rescue quickly.
"Director Guo, what's the situation, what do we need to do?" Marin said hastily.
Guo Jun frowned and said, "Do you have any experience in finding blood spots?"
"The current patient's condition is that there is too much bleeding, and the vision is blocked! Several large bleeding spots cannot be found!"
"It's even possible that the bleeding point is hidden on the back of the organ!"
These few short sentences are the worst situation in the emergency department...
I can't stop bleeding!
To rescue patients, hemostasis is the most important preliminary step.
If the bleeding cannot be stopped, then everything else is for nothing!
Marin approached the operating table and looked at it carefully.
In the end, he shook his head dejectedly.
His vision for finding blood spots is not as good as Guo Jun, director of the emergency department. The situation is urgent and time is short. How can it be so easy to find the bleeding spots?
In severe liver injury, the bleeding must be controlled as soon as possible within one hour.
This is the so-called "golden hour"!The sooner the better!
If this hour is missed, the death rate will skyrocket!It will be difficult to rescue it again!
Guo Jun said quickly: "If it really doesn't work, I will simply ligate a few of the most likely bleeding points, and then directly use fillers to stop the bleeding."
This method is simple and rude, and can solve the urgent need.
However, there are endless troubles!
The stuffing will increase the late infection, and it will also cause secondary bleeding when it is removed, increasing the chance of necrosis and death.
Marin also subconsciously said: "The packing method is the next choice, and there will be many troubles."
Guo Jun sighed: "Can I not know? But there is no way, it's important to save your life first!"
This is a dilemma!
At this moment, Dr. Jiang Lan also adjusted his mood, and walked into the operating room, just in time to hear the conversation between the two.
She is also a doctor in the emergency department, so she naturally understands this dilemma.
She gritted her teeth and said, "Director Guo, save his life first! As for the rest, we can only talk about it later."
"The future result... I will bear it with him!"
Her husband's body will definitely leave many sequelae because of this.
But there is no way, what can be more important than saving one's life first?
Seeing that Jiang Lan had already made a decision, Guo Jun had no choice but to bite the bullet. He said to the equipment nurse next to him: "Take the ligation needle and stuffing, and prepare to forcefully stop the bleeding!"
At this time, Zhao Peiru said in his mind: "Use the blank skill card on the 'traumatic liver rupture operation'"
"Use advanced level cards to increase their level."
At this moment, countless experiences and knowledge of "rescue surgery for liver trauma" poured into Zhao Peiru's mind.
(End of this chapter)
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