Start From Emergency Doctor

Chapter 17

Apart from anything else, He Jianyi rushed to the emergency department hall, and by the way called Zhou Yuan, who was in the rounds.

“Teacher, what happened?” Zhou Yuan asked after He Jianyi.

“There is a patient coming from the surgical department, and we need to take over from our emergency department.”

Zhou Yuan was as surprised as He Jianyi: “Is there a surgeon who sent patients to our emergency department? See you for the first time!”

He Jian glanced at Zhou Yuan and said, “I guess you can’t get rid of it. You are the first person in our hospital to successfully replant after squeezing severance.”

The two waited at the entrance of the emergency department hall, and it was estimated that they would be there in a few dozen seconds.

Jiang Xiaoqi also heard the wind and was a little puzzled.

“Are you saying that the surgery is going to transfer patients to our emergency department?” Jiang Xiaoqi was puzzled.

Wang Ziqiao: “It seems to be, I heard what Lin Wen said.”

“No, we always triage the patients. How come there is surgery to send patients to the emergency department?”

Jiang Xiaoqi finds it strange: “The surgeons all have solid professional skills. Our emergency department is mainly life-saving. It can’t be compared with their patients who specialize in one department. Can anyone in our emergency department treat their patients?”

Even if she is a PhD from Harvard Medical School, she can’t control it!

Wang Ziqiao: “Um… we still have an intern!”

Jiang Xiaoqi took off her breastplate and looked at the five words “Deputy Chief Physician” on it, feeling very heartbroken.

Oh oh oh!

At this moment, a rapid whistle sounded.

The high pitch is one second, the flat pitch is one second, and the interval is one second… Ambulance!

An ambulance rushed to the door of the emergency department, braked quickly, and pushed down two hospital beds on it.

The beds are a bit shocking, most of the beds have been stained red. The bed in the front is a patient, and the bed in the back is covered, but with the eyesight of Zhou Yuan and He Jianyi, it can be seen that there are three or four arms.

“Replantation of severed limbs!” Zhou Yuan instantly thought of the reason for surgery here.(Read more @ wuxiax.com)

“What’s the matter?” He Jianyi and Zhou Yuan rushed up immediately, took the armrest of the hospital bed, and quickly pushed to the rescue room.

“I came from the factory and dozed off when I was operating the punch, but I put my hand in, and the arm was cut into several segments. We don’t have enough staff in the surgery!” It was Wu Guohui, the deputy director of the surgery.

Originally, he could perform this operation alone, but the patient’s arm was not entirely a simple cutting detachment. After entering the punch, the detached arm was crushed at the same time.

In other words, this is not a simple disconnection, but a compound disconnection.

The squeezing severance makes the operation too difficult, and there are too many bones, blood vessels, and nerves that need to be connected. Wu Guohui dare not do it rashly.

In desperation, he thought of Zhou Yuan, who had had a successful case, and could only push people here.

“Is the operating room vacant?” Zhou Yuan asked as he ran wildly with the hospital bed.

“Operating Room One!” Lin Wen’s answer was short.

Soon, the bloody hospital bed was pushed into the operating room. Only Zhou Yuan, Haiyang and two deputy directors were left in the operating room.

Under the shadowless lamp, in addition to the operating table, there are three sterile tables. One holds the severed limbs, the other holds the instruments for debridement and severed limbs, and the other holds surgical instruments.

“It’s been three hours?”

Zhou Yuan is not hypocritical. Everyone knows why Wu Guohui sent people here, so he just started to check it out.

Wu Guohui was a little surprised, and nodded: “Yes, but we chose cryopreservation for the severed limbs for the first time, and we performed simple cleaning and disinfection, which can guarantee twelve hours of activity.”

The implication is that if it doesn’t work, you can only think of other ways.

Zhou Yuan asked again: “Does the patient have any contraindications for replantation of a severed limb?”

This is something that must be clarified in addition to various signatures before the operation.

The requirements for replantation of severed limbs are very high, and it also includes various contraindications. For example, the patient has systemic chronic diseases, so long-term surgery is not allowed. Or damage, long-term soaking in irritating liquid, disinfectant, etc.

“There are no contraindications!” Wu Guohui replied.

Zhou Yuan nodded and came to the patient, “Do you know where you are?”

The patient gritted his teeth, resisted the pain, and said, “In the hospital.”

Zhou Yuan breathed a sigh of relief.

Just be conscious.

In the replantation of severed limbs, once the patient is in a coma and shock, the situation becomes especially complicated.

“Quickly infusion, blood transfusion, placement and retention of urinary tube, let the blood bank prepare 2000cc of blood for spare.”

Wu Guohui immediately explained the patient’s blood type, etc., and the blood bank immediately became operational.

Zhou Yuan looked at the four squashed arms on the sterile table, and couldn’t help but become solemn.

This is still the hardest operation he has ever encountered!

“Cutting severance plus squeezing severance. Debridement begins immediately!” Zhou Yuan said.

Complete removal is an important measure to prevent infection, and it is also the key to the success or failure of replantation surgery. This step also requires rich experience. Zhou Yuan intends to do it himself.

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