(Thanks to my friend Xiang Zhuan, Empty and Lonely Cold 671112, and Lin Minglin's monthly ticket encouragement)

"5% sodium bicarbonate 250 ml. After glancing at Liu Banxia, Shi Lei said.

"Boss, what should I do next? Can I still push it to the operating room?" asked Liu Banxia with a frown.

"It's enough to choke, clean the abdominal cavity and find all the bleeding points as much as possible, then fill it with gauze, and transfer it to the ICU first. Shi Lei shook his head.

"The wound in the patient's bowel was too large and there were too many bleeding spots in the abdominal cavity, and I suspected that there would be sepsis. Now the blood cultures have not come out, and there is acidosis again. ”

"If he doesn't reverse the acidosis, even if he comes to power, he will be able to choke down. Now that my body temperature has dropped so much, I can only transfer to the ICU first. ”

"Hey...... Even if we are given half an hour, we can handle most of the situation. Liu Banxia sighed.

He also thought of what Shi Lei said, and the reason why he asked Shi Lei was to see if he could find a feasible solution with his experience.

As they spoke, the movements of their hands did not stop, at least the intestines with tears needed to be dealt with first. Otherwise, even if he is sent to the ICU, he will cause trouble when he turns back to this rift.

What can be done now is to repair, not heal. The patient is designated to undergo a second operation, and even whether he or she will have that opportunity or not is a matter of two words.

"The body temperature has dropped to 34.8 degrees, and the internal organs have been slightly edema, and now they are starting to stuff the gauze and not close the abdomen. After the blood vessel was repaired, Shi Lei said.

"Don't close your stomach?" Liu Banxia was stunned.

"The patient's vital signs were so poor that we didn't have a lot of time. Shi Lei nodded.

"Temporarily wrap it with plastic wrap, and when there is a situation, it can be dealt with in time, and it is faster to cut the plastic wrap than to cut the thread again. If he's lucky, he'll get better in three or two hours, and we'll be able to go straight to power. ”

"Good. Liu Banxia nodded vigorously.

He really didn't expect Shi Lei, who had always been square, to come up with such a radical method, but he had to say that this method was the most appropriate for this patient.

The purpose of filling the gauze is also to immobilize the abdominal organs and prevent missing bleeding points from being found.

And for the rest of the people who were involved in the emergency room, it was really scary. I always felt too weird to see that they actually started to wrap around the patient's abdomen with plastic wrap.

"Doctor, doctor, is my husband dead?" his wife couldn't stand it at the sight of the patient pushed out of the gurney.

"Now the patient's condition is not optimistic, and he can't go through the surgery. We can only send the patient to the ICU first to improve the patient's vital signs and then do further first aid. Liu Banxia said.

"Then you can't do this, why don't you wrap it up with plastic sheeting and don't even sew it. The patient's family who grabbed Liu Banxia's arm was very excited.

"This reduces the patient's injury and gives us more time to perform the surgery on the patient. Liu Banxia said patiently.

"Later the patient will be transferred to the ICU, I see that you also have abrasions on your forehead and arms, let's take care of it for you first. You can rest assured that we will always keep an eye on the patient's metrics and will go for the surgery as soon as the ideal value is reached. ”

"And this is Shi Lei, the senior attending doctor of our second hospital, who will accompany the patient in the ICU. Whenever we have the chance, we go into the operating room. ”

Liu Banxia said a lot of things, but the patient's wife didn't understand. I only understand and will try my best to rescue, but for her, it's almost the same as not saying it.

And for her, she will not think about treatment or not at all. She had to follow her to the ICU, and even if she couldn't get in, she had to stay at the door.

"Morita, I've called from the operating room to ask. At this time, Zhou Li raised the phone in her hand.

Liu Banxia hurriedly ran over, so busy that he didn't have time to notify the operating room.

"Hello, I'm Liu Banxia. There were some conditions, the patient was acidic, slightly edema of internal organs, and very low body temperature, and was sent to the ICU first, and may be on standby at any time. After answering the phone, Liu Banxia hurriedly said.

"It's done, just know what's going on. I'll tell you about the situation, don't worry. Li Liwei on the other side of the phone said.

"It turned out to be Brother Li, and it was the first time I had received such a patient. Intra-abdominal hemorrhage, laparotomy done in the emergency room. Splenic artery, superior mesenteric artery, spleen laceration, intestinal laceration, I don't know if the pancreas has been injured, so it's too late to check. Liu Banxia said.

"It's so thrilling, I've only encountered a situation where the tumor spread beyond cure and closed the abdomen after laparotomy. Li Liwei said.

"Alright, let's all hold on tonight. You can rest assured that you can be on duty at any time. Communicate with the ICU, right?"

Shi Lei was about to get off work, and he couldn't leave when he met this patient, so he followed him to the ICU in person. Liu Banxia said.

"Cheng, that's it, seize the time to rest. At least two hours of time is still available, hanging. After Li Liwei finished speaking, he hung up the phone.

Although he doesn't know what the specific situation of the patient is, he is an anesthesiologist, and he can make a rough judgment after listening to Liu Banxia's introduction.

After hanging up the phone, Liu Banxia also rubbed his face, although the whole rescue time was not very long, the physical consumption was nothing, mainly because of the mental pressure.

"Teacher, do you think there is still hope for the patient?" Miao Rui came to Liu Banxia's side.

"It's not good to say, depending on the situation of sepsis, acidosis should be corrected in time. Liu Banxia said.

"The key is to look at the patient himself, if he is in good physical condition, he can survive. The current situation is anyone's guess. ”

Miao Rui opened his mouth, wanting to say something but didn't say it.

Liu Banxia patted him on the shoulder, "Such a special situation, although it may not be the same every time, there are many similar ones. When encountering some critical patients, they find that they have no time to send them to the operating room, so they have to operate in the emergency room to gain time. ”

However, these should also be judged according to the individual's ability, and if you can't do it, you may get into a lawsuit. As for how to judge, this is up to you. ”

"Teacher, how do you judge?" asked Huang Bo.

"He, he's confident. Wei Yuan, who had finished cleaning up, also walked over.

"He is the one who can stop the bleeding with his bare hands in our second hospital, and he is the one who can find the bleeding point in the shortest possible time with the bleeding status, so he has this confidence. ”

"If it were just me and Dr. Shi, the process would be similar to that when the patient arrives at the hospital, he will be pushed directly to the operating room, and these will all happen in the operating room. ”

"The bigger possibility is that the patient may not be able to reach the operating room and die. The bleeding was really serious, I didn't see how big the bulge in my abdomen was after cutting my clothes, and it was bleeding along the gauze. ”

"Doctor Wei, don't praise me like that. I can only say that I am stunned and ignorant of the sky, and I must not let others learn the same as me. Liu Banxia said with a wry smile.

"If we boil through it a little more and get through it until the new building is put into use, we don't have to worry so much, how can we be sent directly to the operating room, and we can handle similar situations more safely and securely." ”

Xu Yinuo and Liu Yiqing, who were listening on the side, stuck out their tongues, and when they heard Liu Banxia say this, they felt the danger of today's first aid.

But even if they did, they didn't know what to do if they asked themselves what to do in a similar situation in the future. There is no one exact answer, and it can only be said when the time comes.

"How about it, do you have the confidence to learn Teacher Liu's ability to stop bleeding with his bare hands?" Xu Yinuo asked as he looked at his three friends.

"Don't expect it, it's a real skill. Huang Bo said with a wry smile.

"Although we are interns, we are not interns who don't know anything. Mr. Liu, this is a real ability and a talent. If you can't learn it, even if you can learn the ability to change medicines, we can learn a fur, and we can use it endlessly. ”

Miao Rui also nodded, "Teacher Liu's finger sensitivity is too high, this is talent." ”

Xu Yinuo was obviously disappointed, but he had to admit that his friends were telling the truth.

Stopping bleeding with bare hands may seem simple, and other doctors may have performed it, but it is only once in a while at most. Who can handle it as a routine operation like Liu Banxia? So this is a real skill.

When taking them with him, Liu Banxia also played the small game of "hand-in-hand teaching" with them. After really feeling the feeling of Liu Banxia wiping the cotton wool on the back of his hand, it was a completely different feeling from watching Liu Banxia change the dressing.

It has been a few days since they came to the emergency department, and then they found that the gap between them and Liu Banxia is definitely not as simple as an intern and a resident doctor.

Mr. Liu has real skills, I'm afraid that no matter how hard he tries, he may not be able to catch up.

Liu Banxia and Wei Yuan were supposed to take advantage of the current time to take a break, and then wait for the patient's condition to improve a little and go directly to the stage.

But who can really rest? His life and death are actually in the next few hours.

"Brother Wei, listening to Sister Li's chat, it was a drunk driver who hit them, right?" asked Liu Banxia.

Wei Yuan nodded, "It should be, the driver ran away after hitting someone and got out of the car to take a look, but some people said that he smelled wine." ”

At this time, Liu Banxia's mobile phone received a message from Shi Lei: There is no sign of improvement for the time being.

Liu Banxia glanced at Wei Yuan, "I have to stay up tonight." But I don't think I'm optimistic, my boss is such a character. If it weren't for the critical situation, he wouldn't have sent this message. ”

"Hey......" Wei Yuan also sighed.

If the patient had no rescue value when he was sent over, he would not have been so sad.

It really took about half an hour, and the three surgeons operated together, and the damaged organs in the body were almost able to be dealt with in half an hour.

When treated, the patient's chances of survival can definitely be improved a lot.

Today's night shift is destined to be difficult.