Signing in at the hospital, the first operation shocked the whole country!

All of a sudden, everyone was in a mess and ran away like headless chickens.

Director Chen Yuanfang, who was running, also stopped suddenly, with a terrified expression.

I only felt a pain in my neck, followed by a burst of heat gushing out.

puff~

The blood spurted straight on the snow-white wall, spraying several meters away, and even the face of the old lady on the hospital bed was stained with blood.

Just when the man was about to move forward with a knife, several security guards rushed up with sticks and forced him to the corner to control him.

Behind him, Director Chen fell to the ground, clutching his neck tightly, his whole body twitching.

Blood gushed out from between the fingers like water.

shocking!

Chapter 3 Too late!I will do this operation

this moment,

All the nurses and doctors were dumbfounded by the scene before them.

No one thought that the patient's family would really kill Deputy Director Chen.

Deputy director Chen is the only female deputy director of the emergency department. She has worked diligently in the emergency department for more than ten years and has superb medical skills.

Everyone knows that the emergency department is not an easy place, but when there is an urgent need for leaders.

She resolutely came here from the gastroenterology department and has never complained of being tired for more than ten years.

Whether in work or life, everyone loves and respects her.

It is also their mentor and comrade-in-arms who fight together day and night!

Now he fell down in front of everyone, with blood gushing out, soaking the snow-white gown, so dazzling.

"Hurry up and save people!"

As the attending doctor Zhao Yitian yelled, everyone rushed up.

With rich experience in emergency department, he quickly stopped the bleeding with compression, and then put Deputy Director Chen on the stretcher.

Qin Feng looked at Chen Yuanfang with a pale face, and a judgment about the wound instantly appeared in his mind.

Even with compressive hemostasis, the amount of bleeding is still not small.

According to this amount of bleeding, if no operation is performed, it will enter ischemic shock within 3 minutes.

"Hurry up to the emergency room! Inform the director!"

Zhao Yitian was also an old man in the emergency department, so he yelled immediately.

Immediately, the hospital bed was pushed into the emergency room by a group of doctors and nurses, and the head nurse rushed to the doctor with several nurses.

Qin Feng and others waited anxiously outside the operation door.

Just as everyone was anxious and staring at the corridor at the end of the rescue room, Liu Juan came running out of breath.

"Head nurse, where is Director Zhou?"

Seeing that she was the only one, the doctor next to her hurriedly asked.

"Zhou...Director Zhou is undergoing...surgery and can't come down."

Liu Juan took a few breaths and said anxiously,

"I have already notified other departments and asked them to send someone over for the operation, which may take a few minutes."

Bang!

As soon as she finished speaking, the door of the emergency room was kicked open.

Zhao Yitian came out with his hands covered in blood, with an indescribable nervousness and impatience on his face.

"Where's Director Zhou? Deputy Director Chen has lost too much blood, and needs to be operated on immediately!"

"Director Zhou is rescuing a car accident operation, and he can't get away. I have already contacted the directors of other departments."

Liu Juan immediately explained again.

"Then what should we do now? Deputy Director Chen's situation is very dangerous!"

Zhao Yitian froze in place when he heard the words, and suddenly frowned, looking a little flustered.

He had just determined the extent of the injury, and the cut was too deep.

The carotid artery was completely severed, and the incision even opened the side muscles, almost hurting the trachea.

If you drag it on, it will definitely be dangerous!

Although they are residents, they have been on the operating table with Director Zhou and Deputy Director Chen.

But they are all doing first or second aid for them, and they have no experience in performing surgery independently at all.

What's more, the carotid artery cutting has reached the standard of tertiary surgery!

The risk is extremely high!

drop~~~~

"Not good! Director Chen is in shock!"

At this moment, a shout suddenly came from the emergency room.

The steady and sharp siren suddenly caused everyone's hearts to stop suddenly and their scalps to go numb.

"Quick! Rescue! Be sure to wait until the other directors arrive!"

Zhao Yitian only felt dizzy, with tears in his eyes, and roared desperately.

Chen Yuanfang is his mentor, and he has been with Deputy Director Chen for three or four years.

The two spend more time together than their family members, and they help him tirelessly no matter in life or work.

Zhao Yitian has always treated Chen Yuanfang as his godmother, and stood firmly by her side no matter what happened.

Now seeing his teacher lying on the hospital bed waiting to die like this, he was going crazy.

"Smile, Lingling, hurry up and find the directors of the cardiovascular and cerebrovascular departments in the inpatient department, and you must bring them here!"

The head nurse, Liu Juan, also burst into tears, and quickly directed the two fastest-running nurses.

Qin Feng, who was standing aside, glanced at the time, his eyes were extremely dignified.

'That's too late. '

Now it has been more than 3 minutes. After the right carotid artery is cut off, the pressure in the brain will drop to zero.

The nerve cells of the brain can only survive for about 6 minutes under hypoxic conditions.

Once the tolerance limit is exceeded, it will cause irreversible damage to the brain.

Even brain dead!

Even if the directors of other departments rushed over now, there might not be enough time.

The bleeding must be stopped immediately, the artery sutured, and the blood supply to the brain restored!

bang~

Qin Feng pushed open the door of the emergency room and strode in.

On the hospital bed, Zhao Tiantian and others were carrying out rescue operations. He walked to the bedside and reached out to touch Director Chen's skin.

The extremities were extremely cold, the skin of the whole body was obviously cyanotic, and petechiae appeared faintly.

It is clear that the ischemia has entered the decompensation period.

"Get out of the way, if you want to save Director Chen, just do as I say!"

Qin Feng didn't care about other things, he pulled away Zhao Yitian who was preparing for the second defibrillation, and said in a serious tone,

"Immediately establish two channels, one from the internal jugular vein and the other from the internal femoral vein.

quick! "

Qin Feng picked up povidone iodine and poured it on his hands, briefly disinfected it, and then disinfected Director Chen's two large veins.

"What are you doing in a daze? Hurry up!"

Zhao Yitian froze in place, because he was so flustered that he even forgot what to do.

He came back to his senses after hearing the scolding, and hurried to get the equipment. Seeing that he was shaking a little, Qin Feng immediately grabbed it and performed the puncture.

In one go, in place at one time!

In addition, the two first aid doctors were very surprised when they saw his movements, which was too skilled.

"What about the rehydration?"

After the piercing was completed, Qin Feng frowned slightly and looked at the two of them.

"It's ready."

The nurse next to him hurried over to bring the rehydration solution, and performed the infusion according to the principle of rehydration.

First crystal and then glue, first salt and then sugar, first fast and then slow, alternate liquid types.

First, 30% crystalloid solution (physiological saline, balanced salt solution, glucose solution) was injected to increase the amount of blood returned to the heart and cardiac output, and the shock was controlled.

Then infuse colloid (whole blood, plasma, albumin, etc.) to quickly reduce crystal blood leakage outside the blood vessel.

Because of the sufficient manpower, all the rehydration actions were completed in 2 minutes.

Looking at the data on the testing instrument, the rate of reduction of BP blood pressure and CVP has begun to slow down.

"Notify Head Nurse Liu to prepare for the operating room, and the situation of Deputy Director Chen cannot be delayed any longer."

Qin Feng breathed a sigh of relief, and quickly commanded.

The nurse ran out like lightning, and Zhao Yitian was dumbfounded watching his first aid actions.

"Which of you has had surgery?"

Qin Feng turned to look at the three and asked.

"We have all been on stage with Director Zhou and Director Chen, but we have never performed surgery independently."

They looked at each other, and Zhao Yitian said with an ugly face.

"The first assistant and the second assistant have always done it, right?"

Hearing Qin Feng's question, the three nodded,

"Okay, Doctor Zhao, don't go in, Doctor Xiao, Doctor Wang, you are in charge of the first and second assistants."

"Who will do the surgery?"

Zhao Yitian finally woke up, and hurriedly stepped forward and asked eagerly.

"It's too late to wait for the other directors to come over, so let me do it."

"What?! You do?!"

The three of them looked at him in shock, with expressions of disbelief.

Qin Feng is just a new intern, and he doesn't even have the qualifications for independent consultation, let alone surgery.

Moreover, the operation needs to be signed by the director of the department, the deputy director and the surgeon.

Now Deputy Director Chen is lying here, and Director Zhou is undergoing surgery again, even they are not qualified to be on the operating table.

Although when encountering some minor operations, such as appendicitis, they can do it first, and then the director will sign.

In the emergency department, it is normal to have some illegal operations in order to save people, but this must also be based on absolute certainty.

Once something happened, the whole department would be in bad luck!

"Why don't you come?"

Qin Feng sighed helplessly, looked at them and said.

The voice fell, and no one spoke.

"Don't worry, I have experience in arterial suturing before, at least the blood supply must be restored first to save my life."