Chapter 242: Attitude

S-, the highest critical illness rating seen by Monday so far.

The severity of the patient's condition does not need to be repeated, the hematoma caused by the rupture of the kidney and the adhesion of the veins, when the hematoma ruptures, it is a massive hemorrhage, and in a short period of time, a large amount of blood loss and abdominal pressure will cause the blood pressure and heart rate to soar to a terrible value.

Now.

There's no need to ask what to do.

Only rescue!

"Zhou, tracheostomy and intubation, just use the scalpel just now, it's too late to clean. At the same time, Delia had to throw her instruments into the clay pot of boiling water, and she had just experienced an open abdomen, which was bound to be contaminated with ascites contaminants.

As for the tracheostomy position, the degree of contamination is not high, Bo Yi, first restore ventilation, at least not let people suffocate before the abdomen is opened.

In the mess, but in the chaos in order.

In the face of the death of the injured, the two had long been mentally prepared.

【Precise Cut】, Lower the knife.

It can't be said that it is slow, it can only be said that it is stable, this situation and this scene can not be wrong, it is better to slow down the pace, and there can be no mistakes, once there is a mistake, it is irreversible.

What's more, the injured person is constantly convulsing because of choking on blood, and a slight shaking will have serious consequences.

By the time Monday was cut open, Delia had quickly fished out the instrument.

The women of the tribe who helped outside were all frightened, but they came back to their senses in her shouts—

"Quick, cloth, give it to me. ”

The women hurriedly fished out the cloth from the boiling water, put it in a clay pot and handed it over.

At the same time, the endotracheal intubation was already in place, and after ventilation, the injured person suddenly calmed down a lot, and the women outside were shocked and screamed, perhaps shouting 'he can live'.

Delia took two steps, and the last of the alcohol spilled onto the scalpel, slipped off the blade, and ran down the patient's waist.

"Turn him over. ”

On Monday, I will push the body and let the patient lie down on his or her side.

Delia took a deep breath, no longer hesitated, and the knife cut the skin on her lower back, and before she had time to wipe the blood, another muscle was opened, and a small mouth flare replaced by a retractor, which was held by Zhou Sheng.

And inside, on the red and tender waist, it seems that someone has installed a water valve shower for car washing, constantly spraying blood.

Monday holds a mouth brating in one hand and feels the patient's pulse in the other.

"The heart rate is over 200, the supply and demand of the heart is seriously insufficient, and the bleeding needs to be stopped immediately. ”

The heart is like an automatic pump, when the blood is insufficient, it will increase the power pumping, which is a physiological instinct, but it has a fatal impact on life, once the heart rate exceeds 230 or more, the heart will not be able to bear the load, and the blood vessels will burst.

Delia knew the gravity of the situation, but she didn't act.

She's judging where the bleeding spot is.

But Zhou Zhou ran out of patience: "The kidneys are necrotic in a large area, and there is no time to find out the blood spots, so let's remove them directly." ”

This is a systematic treatment recommendation.

In an emergency, it is reasonable to remove the hemorrhagic kidney.

"I'm afraid he won't be able to hold on. Delia took a deep breath, and in her opinion, removing the kidney was a last resort.

But he couldn't hold it anymore. ”

Delia glanced at Zhou Sheng, and finally acquiesced: "Okay, come on." ”

She suddenly handed out the scalpel: "You come." ”

Zhou Zhou was stunned, and his eyes were completely incredulous: "Me?"

Delia did not reply, but the movement of handing out the scalpel never moved.

When their eyes met, Zhou Zhou Deng had a little realization......

Delia, I should have given up.

Therefore, she chose another path, and when she got to the first step of the kidney incision, it was difficult to recover the water, and people were always going to die, but it was better to die more valuable......

Let Zhou Yi try the technique and accumulate experience.

From the doctor's point of view, such an act is clearly unethical.

The biggest difference between modern man and primitive man lies in morality and ethics, or in other words, the gap between man and animal lies in human nature.

From a moral and human point of view, Delia's actions seem to transcend these two points......

And the contrast with his personality also has a huge contrast.

Voluntary human donation is a contribution to medicine, but private decision-making is a violation of moral humanity.

Zhou Yi had mixed feelings in his heart, and it was difficult for him to choose.

Delia said: "Without blood support, no ventilator, no anesthetic, the operation is impossible to complete, you don't have to have a psychological burden, as the chief surgeon, I crossed the bottom line, and all the fault is mine." ”

"If you really have a bad conscience, you can also refuse. ”

Zhou Yi smiled bitterly, as if he had reacquainted himself with Delia.

A kind and respectable woman also hides a rough side, she doesn't care about ethics and morality, but puts the level of interests at the top, but Zhou Sheng has to show mercy, because she wants to help herself, if she doesn't have herself, she doesn't need to make reality so cruel.

Time is running out.

Monday made a decision, and he finally took the scalpel.

However, he does not intend to treat the current situation as a teaching exercise.

The injured in front of them are still patients who need to be rescued, not the general teachers of body donation.

Things are man-made, and a person's attitude can make things different.

System Interface——

Medical achievement point redemption screen.

[Kidney Extraction] - 100 medical achievement points.

Choose, Redeem!

Fourth-level surgery, high-difficulty surgical level, and the consumption of 100 points is not distressing.

As far as my current situation is concerned, the use rate of [kidney extraction] is very low, and after returning to China, it is impossible to start from the intern to start over, even if you are a second assistant or three assistants, you have no chance.

It is foreseeable that it will sit idle for the next few years.

In terms of benefits, it is clearly not a cost-effective deal.

However, Zhou Zhou still chose to exchange, and at the moment, nothing is more important than life.

It can also be said that he has kept that bottom line.

Meantime.

From the moment Zhou Sheng made his decision, he had a new understanding of life, and the result of his understanding was indescribable, but he had a vague idea of the future path.

Delia can give up the bottom line because her ideals are different from others, and she may dedicate her life to this mountain forest.

Everyone in the mountains and forests owes her.

On the other hand, the pursuit of Zhou Yi is the growth of the hospital system.

It can also be said that he can't accept himself to act recklessly and let himself go without limits.

Holding a sharp scalpel......

Monday begins.

After the exchange, the brief dizziness did not affect his spirit, because he would be the first to experience the process of a kidney extraction countless years ahead of his peers, and at this moment he was extremely excited, and the adrenaline secretion increased, like a soldier about to enter the battlefield.

in the mind.

The knowledge related to the kidneys suddenly swept away like a storm and gradually merged into a round one.

It's an innate feeling.

To summarize in gaming terms –

This should be a natal skill.

"Hemostats. "Monday stretched out another hand.

Delia was stunned for half a second, and hurriedly complied, she suddenly found that Zhou Yi's eyes suddenly brightened a lot, and her eyes seemed to bloom with infinite brilliance, as if she had traveled back to twenty years ago, when she had just been operated on, the picture when the doctor took her for the first time.

Deep, calm.

Energetic and strategic, everything seems to be under control.