78%！

63%！

The oxygen saturation of the blood that was originally stable suddenly took a sharp turn.

The red light on the monitor made everyone's hearts rise again.

Liu Dongfang's eyes narrowed slightly, and there was a trace of solemnity in his eyes.

The patient's digestive tract is bleeding heavily, resulting in a decrease in hemoglobin and a disruption of the ability of red blood cells to transport oxygen, which leads to hypoxemia in the patient!

Although four units of red blood cells have been transfused into the patient's body, they are delivered at a rate far from the speed of bleeding!

"Activate the emergency plan for a large number of blood transfusions, notify the blood transfusion department, and prepare 10 units of red blood cells!"

"Existing blood products, pressurized rapid transfusion!"

"Prepare for endotracheal intubation, ventilator-assisted ventilation, and improve patient oxygenation!"

The patient's condition is like a roller coaster, making people go up and down!

Liu Dongfang didn't dare to delay any longer, and directly started the big rescue plan!

Although this will increase the pain of the patient, in order to save his life, Liu Dongfang can only make this decision!

Time!

All the medical staff in the entire emergency room moved.

I went to call the blood transfusion department to prepare blood!

There are people who go to get ventilator tubing and install the machine!

Only Sun Ruiqi stood in place with a sluggish face, at a loss!

This kind of large-scale rescue scene is the first time Sun Ruiqi has experienced it!

Although he has the experience of studying in a higher education institution, his clinical practice ability is too far behind!

Compared to these well-trained first responders in front of him, he is like a recruit who has just entered the battlefield, useless!

"Yes, is there anything I can do?"

In this tense environment, Sun Ruiqi stuttered a little when he spoke.

"Help me hold my head!"

"Good!"

Sun Ruiqi hurriedly came to the patient's bed and clasped the patient's head with his hand to prevent the head from swaying due to restlessness.

Liu Dongfang didn't look up at Sun Ruiqi, but took the tracheal intubation handed over and prepared to use it for the patient!

If the previous gastric tube implantation was just an appetizer!

Now the tracheal intubation in Liu Dongfang's hands is the most critical part of this tug-of-war of life!

"Negative pressure suction, clear the patient's oral secretions!"

After the words fell, the sputum suction tube that had been prepared next to it was connected to the negative pressure and handed it to Liu Dongfang.

Slender suction tube with a whooshing sound.

Liu Dongfang saw that the patient's teeth were tightly closed, and said again: "Prepare the opener!"

Immediately, a small opener exuding a metallic luster was handed to Liu Dongfang.

At this time, Liu Dongfang squatted at the head of the patient's bed, followed his breathing, and pressed the opener against the patient's front teeth.

This kind of opener works on a similar principle to a jack used for car repair.

As Liu Dongfang opened the wheel little by little, the patient's closed jaw opened a little bit.

Seeing the right time, Liu Dongfang quickly inserted the sputum suction tube into the patient's mouth.

As a piece of viscous dark red liquid was sucked out of it, Liu Dongfang drank loudly.

"Raise your head and expose the glottis!"

As soon as the words fell, Sun Ruiqi, who was already ready, put his hands on both sides of the patient's ears and lifted them vigorously.

In an instant, the patient's forehead, nose bridge, and throat form a straight line.

A white ring-shaped glottis comes into view.

Liu Dongfang's slightly narrowed black eyes suddenly bloomed with a gleam.

The endotracheal tube is homeopathically entered into the patient's glottis.

With a violent pumping sound, a white mist emerged from the caliber of the endotracheal intubation.

These are small droplets of water that condense when the patient breathes and the gas in the lungs is condensed.

"It's done!"

Liu Dongfang's eyes lit up, and he immediately picked up the dental pad next to him to block the patient's upper and lower incisors.

It does two things!

One is the fear that the patient will suddenly clench his teeth and block the catheter to prevent the occurrence of suffocation!

The second is to play the role of fixing the endotracheal intubation!

With the placement of the dental pad, Liu Dongfang secretly breathed a sigh of relief.

He used an empty needle to pump up the air bag, and at this time, the ventilator that had completed the self-test on the side was also connected to the patient.

"Director Liu, ventilator mode?"

Liu Dongfang glanced at the ventilator model, and then said: "Synchronous intermittent command ventilation!"

When the words fell, the nurse immediately pressed the screen and adjusted the ventilator mode to the SIMV mode.

"Director, how much is the respiratory rate, plateau pressure, and positive end-expiratory pressure?"

Hearing this, Liu Dongfang glanced at the patient who was struggling to breathe again, and said: "The patient has spontaneous breathing, but the diaphragm is laborious, in order to prevent atelectasis, the PEEP is increased and the PC is smaller!"

As Liu Dongfang adjusted the ventilator parameters step by step, the patient finally returned to normal breathing.

Seeing the oxygen saturation on the monitor return to normal, everyone breathed a sigh of relief.

"It's really dangerous just now, if it weren't for Director Liu presiding over the overall situation, I'm afraid this sick number would be difficult!"

Thinking of the bloody scene just now, the nurses' little hearts are still pounding.

Although they work in the emergency department, they are more or less exposed to rescue work on weekdays!

But the feeling of the aftermath of a catastrophe like today's is not something that can be encountered every day!

Fortunately!

They have brought this battle to the ground!

But just as they were about to cheer and celebrate, a basin of cold water poured them on their bodies.

"Don't be too happy!"

Liu Dongfang said in a deep voice: "Although the patient's condition is quite stable now, if he can't find the bleeding point, he will definitely die!"

For a while, the originally active atmosphere once again became solemn.

But this time, I don't blame Liu Dongfang for what he said seriously, after all, everyone present is a medical worker, and this medical common sense is still understood.

Seeing this, everyone also stabilized their minds and asked, "Then what should I do next?"

"I have to prepare for laryngoscopy to stop the bleeding urgently!"

As soon as these words came out, the medical staff present looked embarrassed!

Sun Ruiqi, who had been silent, also spoke: "Director Liu, although I haven't been in the emergency department for a long time, I'm afraid that the patient in front of me won't be able to do laryngoscopy!"

"Why?"

Liu Dongfang raised his eyebrows slightly, looked at Sun Ruiqi with interest, and waited for his explanation.

Seeing this, Sun Ruiqi did not hide it, but expressed his concerns.

"The patient has just undergone two rescues, and he is already weak, and if he is examined again, I am afraid that there will be a problem!"

"Furthermore!" Sun Ruiqi pointed to the patient and said, "Now he has a catheter in his mouth and nose, which is not conducive to laryngoscopy at all!"

"If there is another risk on the way, it is estimated that it will not be able to be saved!"

Sun Ruiqi looked at the video laryngoscope pushed by him next to him, and there was an indescribable feeling in his heart.

Although he wants to learn technology, he can't lose the patient's life for selfishness!

This contradiction between each other made Sun Ruiqi entangled in his heart.

"That's what you think. ”

Hearing this, Liu Dongfang suddenly raised a smile at the corner of his mouth.

He didn't expect Sun Ruiqi to have such an awareness at such an age!

After all, for Liu Dongfang, the quality of a doctor is definitely not just based on his medical skills!

What's more, it's about having a heart for the sake of the patient!

This is what people usually say, medical ethics!

Thinking of this, Liu Dongfang smiled even more, and looked at Sun Ruiqi's eyes again, full of strange eyes.

"Am I wrong?"

Seeing this, Sun Ruiqi lowered his head a little timidly.

After all, he was just a student who didn't even have a medical license.

He was able to come to the emergency department because of Liu Dongfang's recommendation.

However!

At this time, in front of everyone, he disagreed with Liu Dongfang.

Isn't this slapping Liu Dongfang's face naked!

For a while, Sun Ruiqi regretted saying what he just said.

If God gave him another chance, it is estimated that even he does not know whether he will do this!

But there is no regret medicine in the world!

Just when Sun Ruiqi was worried about his remarks, a hearty laugh rang out.