Chapter 226: Applying anesthesia and preparing for surgery (Wan Gengqiu Subscription)

Dean Lin just put down his mobile phone, and the brother on the left couldn't hold it back.

"You two, both doctors?"

Dean Lin let out a "hmm", then took out a lighter and lit a cigarette.

"You two rushed to Willow Springs Town in a hurry to save people?"

Dean Lin let out another "um" and puffed out a puff of smoke at the same time.

The brother hesitated for a moment, then picked up the three hundred-yuan bills that were placed on the driver's platform and threw them on Dean Lin's lap.

"I can't take this money!"

Dean Lin laughed and said, "What's wrong? This money is not counterfeit. ”

's brother sighed: "You two rushed back in a hurry to save people's lives, if I collect your money again, I'm afraid I will lose my life!"

Dean Lin said amusedly: "I don't pay for the car, and I have to lose my life, you say, how can this matter be rectified?"

Yang Xi teased in the back: "Give me the money, I'm not afraid of losing my life." ”

The brother laughed twice and continued: "My dad was also a coal miner when he was young, and when he first married my mother, he suffered a mining accident, but fortunately, the doctors at the General Hospital of the Mine did not give up and performed a seven-hour operation on my dad, and forcibly pulled my dad back from the ghost gate, otherwise, there would be no me in this world." The brother was aroused by Dean Lin's addiction to smoking, and then lit a cigarette. "Tell me, tell me, if my dad knows that I charge you two for the car, then he won't break one of my legs? ”

Dean Lin let out a long sigh and said, "There are still many sensible and reasonable people in this world!"

The brother car is skilled, knows the road conditions well, where the speed limit is to take pictures, where is the accident-prone area, remember that it is quite clear, slow down when you should slow down, and speed up when you should hurry, it only took thirty-five minutes to send Dean Lin and Yang Xi to Liuquan Town Hospital.

When he got off the bus, Dean Lin still left the three hundred-yuan bills on his seat.

......

After reporting to Dean Lin, the superb on duty immediately took on the responsibility that he should not bear, called one by one, and concentrated all the medical forces that could be mobilized in the hospital to the hospital. The surgical film is naturally ready for battle, and the medical technology is also fully prepared as much as possible, and the doctors and nurses of the internal medicine film take on the role of the reserve team, and they cannot intervene in the surgical operation, but they are by no means laymen in the management and care after the operation.

The first three wounded arrived.

The diagnosis was simple, with two combined thoracoabdominal injuries, one open fracture of the left lower extremity, and three patients with hemorrhagic shock of varying severity.

Complaints suddenly rang out in all corners of the operating room of Liuquan Town Hospital.

With such a serious injury, why didn't he send him to the county people's hospital?

Gao Chao was also puzzled, but he did not participate in the complaints. He already knew that the on-site commander of the mine disaster was Dong Junhui, the former mayor of Liuquan Town, and he would not make arrangements to deliberately embarrass the Liuquan Town Hospital.

"Okay, okay, let's say a few words, let's do not say a few words, hurry up and create deep venous access, one way is not enough to go on two roads, vasopressors and plasma substitutes are given first, and the shock state of the wounded is corrected. ”

In the operating room, there are not no people who are higher than Gao Chao, for example, Director Rong Liangqun of the Department of Orthopedics, although he is also the title of the attending doctor, he is a department director, and his position in the hospital is one level higher than Gao Chao. But at this time, the important thing is not the level, but whether you dare to take this responsibility.

But in the face of danger, Gao Chao bravely took a step forward, but Rong Liangqun timidly took a step back, so in the operating room, an emergency team with Gao Chao as the core was naturally formed.

Deep venous access is created in two ways, one is deep venipuncture and the other is phlebotomy. In patients in hemorrhagic shock, deep venipuncture is difficult, and the only reliable way is phlebotomy.

Phlebotomy is a minor operation, and a surgeon with a little talent only needs to see it once, and even an anesthesiologist like Li Ying, because he has seen too much, can rush up to expose the deep vein and insert an infusion catheter. Of course, there were two or three surgeons in each of the three operating rooms, so naturally it was not Li Ying's turn to make a move.

Li Ying's basic skills are still solid, but at this critical moment, she is still a little timid, so she dialed her cousin Yin Wei and reported the basic diagnosis of the patient to Yin Wei. The first aid for hemorrhagic shock caused by trauma is not too simple for Yin Wei, keep breathing smooth, quickly replenish fluids and blood substitutes, ensure effective circulating blood volume, do not pursue to restore blood pressure to normal levels, but ensure that blood pressure is maintained above the safety line, and at the same time closely observe the heart rate of the wounded, give cardiac drugs if necessary, monitor the acid-base balance of the injured at any time, and correct it in time.

After the establishment of intravenous access, all kinds of fluids were infused, all kinds of first-aid drugs were given, and the shock state of the three seriously injured people was relieved to varying degrees.

"Get on the anesthesia and prepare for surgery!" Gao Chao breathed a sigh of relief and gave the order for the second stage of first aid.

After the anesthesia was good, Li Ying and Yin Wei always maintained a phone call, and with Yin Wei's guidance, Li Ying's self-confidence also increased sharply. However, the problem is that the two wounded with combined thoracoabdominal injuries need to be opened and explored, and Gao Chao is very lacking in thoracic surgery ability, and in major surgery, only Dean Lin has experience in this area.

Fortunately, the medical personnel involved in the rescue at the scene of the accident were very professional, and when the wounded were carried out, they diagnosed the wounded with hemopneumothorax, so they first performed closed drainage for the wounded under the simple conditions at the scene, thereby delaying the progression of the wounded hemopneumothorax.

"Open the abdomen first, and when Dean Lin arrives, I will deal with the chest problem!" After the three wounded were sent to the operating room, Gao Chao did abdominal punctures, and dark red liquid was drawn in the abdomen of the two wounded who were diagnosed with combined thoracoabdominal injuries, which means that the two wounded must have ruptured and bleeding organs in their abdominal cavity.

In the No. 1 operating room, Gao Chao brought a doctor who had just entered the department to the stage, in the No. 2 operating room, Wu Weihua and Sheng Dajun were paired together, and in the No. 3 operating room, Rong Liangqun from the orthopedic department was preparing to amputate the wounded with his subordinates.

In principle, amputation should be the right choice for open fractures, comminuted fractures, very low scabbing rate of steel plate bone grafting, and high postoperative infection rate.

Just as Rong Liangqun washed his hands and was about to go on stage, Dean Lin and Yang Xi rushed into the operating room.