[Comprehensive] First Love Trainee

After the abdominal cavity was actually opened, the situation was not optimistic.

The steel pipe was just on the other side of the lower colon, and the colon had to be removed entirely, passing through the kidneys.What's more unfortunate is that the patient's kidney is a horseshoe-shaped kidney.

The function of the kidneys with congenital malformations must be relatively weak, but fortunately, people have two kidneys. In this situation, the only priority is to save their lives. Regardless of the function of the remaining kidneys, they must be removed immediately and pierced by steel pipes. Lived kidney.

Due to the need to cooperate with the surgical field of view, Maki could only perform the operation in a half-kneeling position on the ground. She maintained the same position for more than 30 minutes, fine beads of sweat leaked from her forehead, and her leg muscles began to tremble.

But her hands were always steady, her eyes were focused and her expression was calm, and it was not at all obvious that this was the first time such a difficult operation was performed.

Riho Tokiwa watched from the side, and suddenly felt that Maki Asai was very similar to her world-renowned boyfriend.

When Tezuka Kunimitsu encountered a strong enemy, he also had such a calm and calm appearance. No matter how many difficulties and challenges he faced, he was able to deal with everything calmly and calmly, and finally took the advantage back to himself Beside, win the game.

On the face of it, Maki Asai, of course, is not the same type of person as her indifferent and taciturn boyfriend, but once she starts working, she enters a professional, calm and steady channel, able to come up with strategies to deal with any situation, no matter how difficult it is. Difficulties can be faced with the most stable state of mind and the most positive attitude, and make the best solution that one can make.

People like them are very similar.

Including Atobe Keigo, including herself.

With the tearing of the body organs, the steel pipe was finally removed, and the aortic clamping time was 40 minutes, which would have caught up with the danger line.

Maki propped up his sore legs and stood up from the ground, and explained to Tokiwa: "Mr. Ono, we will send you back to Tokyo University by helicopter. Miss Tokiwa, you are also injured yourself. Next, please follow the arrangements of the firefighters and the ambulance. Go back to the hospital. There are other injured patients who need me, so I will not accompany you first." After speaking, he nodded slightly at the other party, picked up the first aid kit and rushed into the tunnel.

Tokiwa Riho looked at Maki's staggering footsteps due to numb legs caused by kneeling on the ground for a long time, and couldn't help taking out his mobile phone to take a photo of Maki's back.

There are few people she admires from the bottom of her heart, even fewer of the same sex, and Maki Asai is one of them.

In fact, I seldom go to public hospitals to see a doctor.Her family conditions are good, and her career and income can fully support her to go to a private hospital with better conditions.But this time, no matter what, Xiaoye came out to work with her, and she was injured like this in an accident. As the boss, she couldn't just leave her subordinates aside.

The next job was impossible, so she called the client to explain the situation.Fortunately, when the other party heard that they had encountered a series of car accidents, they understood very well, and the two parties re-arranged the time, and nothing unpleasant happened.Ono's mobile phone was damaged in the accident. Tokiwa didn't know how to contact his family members. There was no family member's contact information on the office's personal information. She could only ask the ambulance to take her to Dongda Hospital and wait for the hospital to contact her. Check the contact information of the family members from the social security information and then talk about it.

For such a serious traffic accident, the emergency center of Dongda Hospital was crowded with people, and even the corridors were temporarily requisitioned and set up as treatment rooms. The patients with yellow and green labels who were not seriously injured were treated directly in the corridors. According to the classification principle, take the transfer certificate to the nearest secondary medical center for treatment.Helicopters transported the wounded, sick and medical staff back and forth again and again, and for the first time, Riho Tokiwa, who was pampered and pampered since childhood, did not find it unbearable in the crowded and busy environment.

She has consulted a nurse.After Xiaoye was sent back by helicopter, he was sent directly to the operating room. The nurse at the front desk contacted his wife through the information registered in social security, and the other party said that he would not be able to arrive until after work.

The radius of the left hand was fractured, the soft tissue of the left shoulder was contused, and the frontal corner was scratched by the broken glass. At this moment, the broken glass shards have been taken out and a medical adhesive tape has been pasted on it.Among the victims of these accidents, Tokiwa Riho's injuries were not serious, and he was not even ranked in the hospital.Originally, he could leave directly after obtaining the transfer certificate, but Ono's operation is still in progress, and his relatives have not yet arrived. Tokipan Risui feels emotionally and rationally that at least he should wait until the other party's operation has a result.

It has been more than an hour since the accident happened, and the trapped wounded have basically been moved to the open space outside, so that they can be gathered for diagnosis and treatment.Doctors also withdrew from the tunnel, racing against time to treat the injured before helicopters and ambulances took the patients away.

There were more patients with head injuries at the scene than imagined. Only Aizawa was able to deal with brain injuries in the emergency center, and he couldn't do it alone. As a last resort, he invited foreign aid from the brain surgery department, and even Ninjazu came to help.

He had come to the emergency consultation before, but this was the first time he appeared on the scene.Dozens of hundreds of wounded and injured were lying together, shouting and screaming endlessly, every doctor was covered in blood and dust, and even if knees and elbows were wearing protective gear, it was difficult because there were many times when they had to kneel down for diagnosis and treatment. Many small scratches.

When he came from the hospital, because the emergency scene needed to replenish medical supplies, he also brought a lot of them by the way, and after throwing them to Lan Ze, he immediately looked at the patients who needed his treatment.

"Waiting for the delivery process, the level of consciousness dropped, and convulsions and epilepsy symptoms appeared." Seeing Ninzu coming over, Maki immediately gave up the seat to him. Ninzu didn't talk nonsense, and didn't dislike the harsh environment of the scene, and immediately knelt down and started to take over.

"Did you lose consciousness a few minutes ago?"

"It dropped from 5 to 100 300 minutes ago." The breathing balloon is already hard to press into the air, and the liquid is already the last bag. The helicopter just flew away, and it will take at least 20 minutes to come back.

"There is a brain herniation, I can't wait to go back to the hospital, I have to open the craniotomy on the spot." Quickly began to put on the protective gear on the knees and elbows, and the patients were lying flat on the ground. Only by lying on the ground can the line of sight be at the same level as the patient's head. "Give me the scalpel and cranial drill."

"Doctor, the injured man's right leg was crushed under a motorcycle for 40 minutes. He was just rescued and was in shock." The rescue team brought out another patient, whose entire right leg was already pale.

"Go there, I'm fine here." Zhen Ji handed over the first aid kit to the emergency team who came up, and went to take over the new patient by himself.

Pelvic fracture, pale skin on the right foot, radial artery cannot be felt, the injury has been more than 40 minutes, and it will take at least 1 hour to enter the operating room. If the blood does not circulate for such a long time, more than [-]% of the leg will not be able to survive.

"Give me an infusion set connection." Circulation must be re-established in order to maintain the blood supply.Fortunately, at the case analysis exchange meeting a few days ago, Maki just learned FF bridging. Although the site conditions are limited and the connecting tube for hanging the IV is a little thin, it is better than nothing, and it can be temporarily used as a medium.

She cut the infusion tube about 60 centimeters, inserted one end into the groin of the left leg, and the other end into the right foot, leading the blood from the left femoral artery to the right foot to establish extracorporeal circulation.At the moment when the circulation was restarted, the patient did not experience VT unexpectedly. After giving 5 mg of epinephrine and [-] mg of atropine each according to the textbook dose, the heartbeat recovered, and the radial artery pulse of the foot was successfully touched.

Taking off his dirty gloves with a sigh of relief, Maki noticed a middle-aged man sitting on the ground looking in his direction several times.

He had additional injuries on his front, multiple bruises on his body, and a bone fracture in his right elbow, which had been treated and he was a yellow label patient.But he looked panic-stricken, hesitantly looked at the medical staff and rescuers at the scene many times, apparently hiding something.

"Mr. Ebina?" Maki walked over, picked up his injury triage sign and glanced at it, "May I help you?"

The man's eyes shrank for a moment, and he stepped back in a panic: "No, it's nothing..."

Maki thought that there was a change in his injury, and after checking it again, he found that there was nothing wrong, but this person's expression was obviously abnormal, and there was definitely something hiding.

"May I ask what method you used to travel? Do you remember the accident and the process before and after the injury?" Many patients with head injuries may not have a clear impression of the events before and after the accident. possibility of injury.

"I... I came out by the bus, one by one." The man did not speak coherently, but it is a blessing that he survived such a sudden accident miraculously and did not suffer serious injuries. Shock is inevitable, seeing that his thinking is still clear, and there is no sign of head injury during the conversation, Zhen Ji put it down for the time being.

There were still a lot of injuries to be dealt with. Since no problems were detected and the patients did not ask for help, she didn't ask any more questions.

According to the degree of injury, the patients with red labels were arranged to get on the helicopter one by one. The injured with yellow labels and green labels were requisitioned by civilian buses and sent to the secondary hospital. There were fewer and fewer patients left at the scene. It has been two hours since the accident.

Maki guides the last batch of patients who are going to take the bus to get on the bus. When Mr. Ebina, who made her doubtful, got on the bus, a piece of paper fell from his pocket.

"You lost your things." Moving faster than thinking, Maki stooped down to pick up the things reflexively. Just as he caught a glimpse of two bus tickets, Ebina snatched them away.

She glanced at the man who was overreacting strangely, then turned her head to guide the other patients into the car, feeling that this man's behavior was even weirder.

I travel alone by bus...

Ebina's words suddenly echoed in his ears, Maki was startled, and his footsteps paused.

Although she only glanced at the two tickets that fell on the ground just now, she remembered clearly that they were two consecutive seat numbers.

He is not traveling alone, he has company, and he is lying!

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Note:

1. A level of consciousness of 100 means that the patient still has a pain avoidance response, and a level of 300 means that the patient has no response to pain stimuli.

2. FF bypass: Femoro-FemoralBypass, femoral artery-femoral artery bypass surgery.