In the emergency room, a young man covered in blood was lying on the bed against the wall.
He was pale, weak, and limp, as if he had no bones.
The blood soaked the bed sheet, which was a bit dazzling red, and the blood dripped down the side of the bed.
Gradually gathered into a pool of blood on the ground.
At this moment, a newly placed drainage tube was hanging on the right chest of the young man.
The blood in the tube was surging, and soon, the chest bottle marked with 1000ml was about to be filled with blood.
"Doctor Xiao, I just put him on a closed chest drainage, and so much blood came out at once, I was scared and clamped the drainage tube."
"But after so much blood was released, his breathing still didn't improve, and it was even getting worse."
Lin Gaoyang completed the thoracentesis and drainage for the injured in the emergency room according to the process of traumatic lung injury.
It stands to reason that the wounded's breathlessness should have improved.
But reality made him stumble.
Hu... Hu... Hu!!
The young man, who had an indifferent expression, seemed to have noticed something and suddenly began to breathe heavily.
His eyes were bulging, his expression was tense, his breathing became faster and faster, and his lungs seemed to be burned, and he was in great pain.
Seeing this, Xiao Chenguang immediately came to the bedside.
Hissing... Hissing...
The very obvious sternal friction sound made his heart sink.
When he lifted the sheets, what came into view was the young man's collapsed sternum, which was constantly rising and falling in a strange arc.
"Prepare for intubation, contact the operating room, and push the patient to the operating room urgently."
"Send the cross-matching and blood type to the blood transfusion department, let them prepare blood urgently."
"8ml of propofol intravenous push, laryngoscope, tracheal intubation."
The moment Xiao Chenguang saw the young man's chest, he had already judged his condition.
Sternum compression, traumatic wet lung
After the closed chest drainage tube was placed, the lungs bled profusely and the patient continued to suffer from respiratory failure.
It is highly likely that the broken ribs pierced into the lungs, causing the lobes to rupture and damaging the blood vessels inside.
Judging from the color of the blood in the chest bottle, it is probably the pulmonary artery that is damaged.
Now the key to surgery is to open the chest for exploration and hemostasis.
"The ribs pierced into the lungs?"
Lin Gaoyang was obviously stunned after hearing the diagnosis.
Although he has roughly guessed the patient's condition now.
However, the probability of the ribs piercing the lungs is too small...
"Is it that you haven't had time to take a chest X-ray yet? Wait for the tube to be placed and go for an examination immediately."
Xiao Chenguang put on gloves, threw away the laryngoscope, and inserted the tracheal tube into the young man's airway with ease.
It took no more than 10 seconds.
It was even faster than the speed at which they prepared the oxygen cylinders.
"Okay, I'll arrange someone right away."
Before Lin Gaoyang finished speaking, the tracheal intubation here had been completed.
The terrifying speed of intubation scared Lin Gaoyang.
He knew Xiao Chenguang was very fast, but this speed was obviously beyond Lin Gaoyang's acceptance.
Then he used the stethoscope hanging around his neck to check the ventilation of the young man's lungs.
After confirming that the tracheal intubation was in the young man's main trachea, he stood up and greeted the medical staff, preparing to take the young man for examination.
But now, there is a problem in front of them.
"Who will do the operation?"
The medical staff involved in the emergency are all here. At least three people need to be assigned to the stage for the operation.
Even if Lin Gaoyang counted himself, he couldn't get enough people for the operation.
What's more, there were still wounded people sent to the emergency department.
At this moment, there was a commotion in the emergency corridor.
Middle-aged people in white clothes strode towards the emergency hall.
They looked resolute and moved quickly. They gathered together, as if a white curtain wall was moving.
"Senior brother!"
"Old Xie, Old Tian!"
"Director Xia, Director Wang, Director Sun..."
The people who were participating in the treatment looked at the white coats that were surging with great momentum.
A closer look revealed that they were the backbones of each department.
Chief resident, attending physician, deputy director, department director...
Their appearance was like a shot of cardiac stimulant injected into the exhausted bodies of the people.
"Xiao Xiao, Gao Yang, how is the situation?"
"Director, Director!"
Xiao Chenguang and Lin Gaoyang spoke almost at the same time.
In front of them, the middle-aged man who was panting was the director of general surgery and thoracic surgery.
"Fortunately, I didn't drink alcohol during dinner today, otherwise it would have delayed things."
Wang Jingang and Xia Tao, as well as Sun Chengwu who followed them, happened to have dinner together tonight.
Suddenly they received a notice and put down their chopsticks and rushed over.
After asking about the situation on the scene, Xia Tao asked the attending physician who came with him to take over the surgery.The young man.
Then the directors met and discussed, and said:
"Xiao Xiao, Gao Yang, we are responsible for the surgical patients, you should stay in the emergency department, you are familiar with the situation here."
"Okay, no problem."
With the strong participation of the department directors, the rescue work became much easier.
Beep beep...
Just when Xia Tao was about to take someone to the operation, the phone in his pocket suddenly rang.
After picking up the phone, there was a burst of noise, followed by an anxious voice.
"What? There are still a group of seriously injured patients with traumatic hemothorax. Dean Li is leading the team back?"
"Okay, okay, I'm in the emergency department. If you need to prepare anything, I will arrange for someone right away."
Xia Tao's face gradually became solemn, and he kept nodding in reply.
After hanging up the phone, Xia Tao glanced at the operation room that had not yet gone far.
"You go on stage first. There are still a lot of injured people coming to the emergency room. I'll take a look first."
"Ask someone to go to the department and bring all the chest bottles for backup. Hurry!"
After the order was issued, Xia Tao's face lost its usual casualness and looked a little irritable.
After all, the injured who can be led back by the dean in person are probably seriously injured.
"What's wrong?"
Seeing Xia Tao turn back again, Wang Jingang and others were puzzled.
Before Xia Tao opened his mouth to explain, a black car came speeding outside the emergency room and stopped in front of the emergency door.
Just when everyone thought there were new seriously injured people, the car door opened.
Dean Li shook his big belly, walked quickly, and ran all the way to the emergency hall without closing the car door.
Cough cough cough...
He was panting, pinching his waist with his hands, and suddenly coughed violently twice, almost coughing out his lungs.
But at this moment, he didn't care about his burning lungs, but was looking for someone first.
That's right, he was looking for someone.
"Who is in charge of the emergency department now?"
He asked loudly to a nurse who happened to come over.
"Xiao Chenguang..."
The nurse answered timidly.
"Xiao Xiao?!"
Li Guoyong was stunned.
As a member of the city's disaster relief team, he had received a notice from the city at the same time as the car accident occurred, and drove to the scene of the accident.
When he first arrived, the tragic scene was shocking.
The overturned bus, the bloody guardrails, the grass, and the road were full of wounded people.
The painful wails came one after another, which was chilling.
The air was filled with a strong smell of gasoline, making the rescue work extremely dangerous.
At that time, Secretary Hao was also on the scene directing the rescue.
Because the accident site was closest to Shengli Hospital, and because of Professor Zhuang's incident, the secretary had an instinctive trust in Shengli Hospital.
Therefore, in order to treat the seriously injured, the secretary instructed that Shengli Hospital should rescue the wounded at all costs.
Li Guoyong almost gritted his teeth and agreed.
But there were too many injured people, and each of them was seriously injured. With the emergency department's capacity, he was worried.
So he directed the rescue on the spot while calling to arrange the work in the hospital.
Even before the last seriously injured person arrived at the emergency department, he rushed back in advance to check the situation.
But he was stunned by the orderly rescue work and the properly placed injured.
All the worries in his heart disappeared at this moment.
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