Chapter Ninety-Three: First Aid Outside the Hospital
"One for 19 minutes, impossible!" Wei Haiyang asked with an incredulous expression. That's a pregnant woman in the third trimester of pregnancy, and it is technically difficult to perform cholecystectomy for this kind of pregnant woman, and it can be done in 19 minutes, even if it is an ordinary patient, it is difficult to complete it in 19 minutes, right?
How fast are the hands? How accurate is the judgment, how many surgeries have been done to accumulate to reach this terrible point?
"To be honest, I couldn't believe it at the time, but when Ruan Bin finished it, I was completely convinced. He has several surgeries on the second and first level of surgery, and several of them are better than our director. Jiang Yurong said lightly.
The words "hiss......" came out of Jiang Yurong's mouth, and he couldn't help but be unconvinced. After all, that's not how to joke.
"Okay, if you want to ask about experience, go to Ruan Bin. ”
"Good. ”
Soon Wei Haiyang found Ruan Bin.
"Dr. Ruan, is it true that you only need 19 minutes to perform laparoscopic cholecystectomy on a pregnant woman in the third stage of pregnancy?"
"To be exact, it should be more than 19 minutes and 30 seconds, what's wrong?" Ruan Bin looked at Wei Haiyang and asked puzzled.
"I want to learn from you, can you tell me some of the experience and difficulties of surgery. Wei Haiyang did not despise Ruan Bin as a resident doctor at this time, but asked with a studious look.
"Yes. Ruan Bin nodded and said there was no problem.
Next, Wei Haiyang asked about the difficulties and doubts about cholecystectomy, and he answered them one by one, and when he asked what experience he had, he also answered them fluently. I can't help it, I have tens of thousands of surgeries in my mind, and I have a world-class level. Answering these things is not an easy thing to do.
At this time, Wei Haiyang listened to some of Ruan Bin's professional answers, which gave him a feeling of clearing the clouds and looking at the sunny sky.
"Doctor Ruan, why are you so powerful, you can complete this kind of surgery in 19 minutes, how did you do it? Is it because of the large amount of practice?" Wei Haiyang asked curiously.
"Actually, my practice volume is not very large, that is, about 20 sets, I guess the talent is relatively high. Ruan Bin said lightly.
"Twenty or so, the talent is relatively high...... Wei Haiyang's mouth was a little bitter after hearing this, is it human words to say so specially? Isn't the improvement of surgery dependent on a large number of exercises and the accumulation of the number of operating tables and learning from senior doctors?
He has performed hundreds of cholecystectomys, but he can't compare to a person who has only performed about 20 surgeries, is talent really so important?
Some of his three views began to collapse today......
The night shift was still busy, but fortunately, there were no emergency patients in the second half of the night.
At half past eight in the morning, Ruan Bin went to bed after having breakfast.
He slept in the dark.
I slept until 4 p.m. and didn't get up until 4 p.m., and since it was the night shift last night, I have to go to work tomorrow.
He's going to get out and about.
To be honest, he hasn't visited the magic capital yet, and he didn't have money before...... Although now it's just a little bit of money.
I went out and found a good restaurant and had a good time, then took a taxi to the Bund to take a stroll.
"I have to say that the big devil is blocked!"
Half an hour on the bus, ten minutes in traffic jam!
At this time, it was already more than five o'clock in the afternoon, and it was the rush hour after work, so the traffic jam was very serious.
"Master, how long is it until the Bund?" asked Ruan Bin.
"If you don't get stuck in traffic, it's twenty minutes, and if you get stuck in traffic, ......" The taxi driver looked at the front of him and saw that there were all kinds of long queues, and the second half of the sentence didn't need to be said, the ghost knows how long it would be stuffed.
At this moment, suddenly the taxi rang the communication of their driver's internal staff.
Rustling......
"Ladies and gentlemen, there was a series of car accidents three hundred meters in front of Huixin Mall on Longtan Road 1, who is in the vicinity of the detour. ”
After listening to the internal information sharing, the driver's face turned dark: "Ma Dan, we are now in the mall of Longtan Road, it should be a car accident three hundred meters ahead, no wonder the congestion here is so serious!"
"Just three hundred meters ahead?" Ruan Bin frowned after hearing this. He looked around and saw that all the six lanes were blocked by cars, and he didn't know if the ambulance was coming, and it was estimated that even if he did, it would be difficult to come here!
In fact, like this situation, even if it is a private car, it can't be polite, the front and back, the left, the left and the right are all cars, and you can't let it if you want to, unless you can fly.
"I can't turn around here. It seems that I don't know how long it will be blocked. The driver scolded.
"Master, I'll get out of the car. "As a doctor, he really wants to see what is going on, and if he can help, he can help.
"Okay!" Although the driver was helpless, he didn't say anything when he saw Ruan Bin paying.
After getting out of the car, he trotted all the way down the non-motorized lane.
After running for more than 100 meters, I saw a truck in front of me from a distance, and two small bridge cars collided in a row. The back half of one of the cars was crushed into compressed biscuits!
"The ambulance hasn't arrived yet!" Ruan Bin chuckled in his heart and rushed forward.
When he arrived at the scene, he saw four injured people covered in blood sitting on the ground, looking different in varying degrees of injury, but they looked like they were fine.
There were two more lying on the ground that were more serious, and one of them was a blur of flesh and blood, and he was already burping. The other was a man in his thirties with abrasions on his head and abdomen, and the victim was pale and his abdomen was visibly distended.
There were a lot of people around, and there were also some people who helped, but they didn't know what to do about the injured man who had passed out, and they were not doctors!
"Save my husband, save my husband!" a woman next to her cried in a hurry.
"I'm a doctor, I'll take a look. Ruan Bin said a word and squatted down to check the situation of the injured.
"Hemorrhagic shock, and continuous cardiac arrest!" After a simple examination, Ruan Bin chuckled in his heart and immediately had to be resuscitated.
While doing CPR, he said to the people around him: "Who will take artificial breaths!"
"I, I will. A young man next to him hurriedly raised his hand.
"Give him artificial respiration!"
"Good. ”
Ruan Bin was doing cardiopulmonary resuscitation while using general exploration techniques to investigate.
Patient: Zhou Xiaofu
Age: 36
Medical records: hemorrhagic shock caused by rupture and bleeding of abdominal trunk, abdominal aorta, inferior vena cava, rupture of diaphragm, liver laceration, giant posterior peritoneal hematoma.
"It's over!" he said to himself after finding out the condition of the injured man. The abdominal aorta and inferior vena cava ruptured and hemorrhage! The injured person was completely waiting to die outside the hospital!
If it is possible to save it in the hospital, once the abdominal aorta appears, it is necessary to immediately open the abdomen to stop the bleeding, or interventional surgery, but now outside the hospital, there is no condition and possibility of surgery at all!