Dr. Song hugged the patient and used his feet to find support, trying to increase the friction.

But the bridge deck was slippery, and there was nowhere to focus.

It is said that such rescue is absolutely violated, but it is a special case for special treatment. If you want to follow the ordinary process, it is estimated that it will be cold to rescue people.

The two stretcher brothers used their bodies as a fence underneath to block the momentum of the slide. However, sliding down from a high place, the force of the impact is similar to that of a hard kick on the body in normal times.

Ignoring the pain, Dr. Song was covered in blood, both patient and own, and carried the patient who had not suffered a second injury on a stretcher and moved back to the 120 ambulance step by step.

Oxygen was inhaled, blood pressure was measured, 80/40 mm Hg, and the patient was in hemorrhagic shock. Indwelling intravenous access, adding pressor drugs, the ambulance's siren sounded even more poignantly, and he turned around and rushed to the first hospital in the city.

As long as there are vehicles that can be evaded, no one will compete with the ambulance, because it is a green passage for life.

In the ambulance, fluids and vasopressors are administered to maintain the patient's vital signs. Regardless of the wounds on his body, Dr. Song began to check the location of the patient's trauma and kept in touch with the emergency department, constantly reporting the condition so that the person could prepare in advance.

Twelve minutes later, the ambulance finally returned to the emergency department of the city's first hospital.

A flat car had stopped at the door, and Zheng Ren had been waiting for a long time.

The patient moved to a flat cart, and the nurse who accompanied the car handed over several tubes of freshly drawn blood and sent it for laboratory tests. The most important laboratory tests are blood type and HIV syphilis testing, because patients with severe trauma need blood transfusions.

The flat car rushed to the emergency room, and Zheng Ren performed a subclavian vein puncture on the patient when the doctor in the B-ultrasound room did a B-ultrasound examination.

At the same time, the nurse placed a gastric tube and a urinary tube for the patient, and prepared the skin for the operation area.

The directors of the departments of surgery, orthopedic surgery, brain surgery, urology and other departments have long been on standby. They are all experienced doctors, and the patient's situation is in his eyes, and it is not difficult to do the next step.

The diagnosis is clear, considering hepatic rupture, splenic rupture, hemorrhagic shock.

Because the patient was tall and the car was smaller, it didn't hit the chest.

Director Sun was also at the scene, and he said solemnly: "Xiao Zheng, you are young and fast, go and do it." ”

Zheng Ren nodded, this was not the moment of modesty. The emergency operating room has been prepared for a long time. Emergency surgery here can save at least five to ten minutes.

The life or death of a patient may be decided in a few minutes.

"Push to the emergency operating room and get ready for surgery. Zheng Rendao.

"Director Pan, I'll go to the emergency surgery, and you can command the rescue below. Zheng Ren said to Director Pan when he was leaving.

"It is estimated that there will be a lot of injured. Director Pan's brows furrowed, "Go ahead, I'll call the operating room if you have something." ”

Without too much communication, it makes no sense to say anything at this time.

Director Zhou of the medical department had already arrived, and without Zheng Ren being present, he began to record the description of the situation and the right of the medical office to authorize the emergency doctor to operate on behalf of the hospital.

Zheng Ren walked upstairs briskly, and the voice of the system's mechanical woman sounded in his ears.

[Urgent Mission: Serial Car Accidents.]

Mission: Rescue patients injured in a series of car accidents.

Reward: Unknown.

Mission duration: 1 day. 】

Maybe it was because the incident happened suddenly, and the injured didn't know how many, so even the system didn't give a clear task reward.

Zheng Ren has gradually figured out the behavior of the system uncle, this is a big pig's trotter, he can predict a little bit of the future, but he is not very clear, or he is unwilling to explain it.

Liver surgery has my own systematic surgical experience, and it is completely enough to cope with emergency surgery. But I have only done splenectomy once, and I don't have much experience.

After calculating, there are still 14,920 points of experience, and if you buy surgical training time, there should be a little more than 4 hours.

Splenectomy is a relatively simple procedure compared to repairing the liver.

For Zheng Ren, who is an expert in general surgery, more than 4 hours of surgical training should be barely enough.

Having your spleen repaired may not work, but if you simply remove your spleen, you'll be fine.

Zheng Ren rushed all the way to the operating room, and saw that in the operating room, Xie Yiren was preparing surgical instruments, and Chu Yanran and Chu Yanzhi's sisters were preparing general anesthesia. The instructor of the two, who has always only appeared and rarely speaks, also appeared in the operating room, silently helping the two of them busy.

I was preparing for the surgery, and it was time for me to change my clothes and prepare.

Jung In went to the locker room and began to exchange the operation time for the surgical training for splenectomy.

In a sense, splenectomy is even simpler than appendectomy.

Because of the complex appendicitis resection, there is an ectopic appendix that is a headache for all surgeons. In the spleen, ectopic is rare.

It's not difficult to find, to dissociate, to clamp, to excision. As long as the anatomy of the arteries, veins, and ligaments is clear.

In 4. 14 hours, Zheng Ren practiced 43 splenectomys, with an average of less than 6 minutes.

If it were in the operating room, it wouldn't be so fast. But in the systematic training, Zheng Ren does not need to consider the finishing steps such as flushing and closing the abdomen, as long as he opens the abdomen, faces one after another various spleen ruptures, and then removes it.

The difficulty of surgery is that when dealing with the spleen and stomach ligaments, care should be taken to ensure that the short gastric arteries are abnormally developed so as not to cause negative damage or damage to the stomach wall. The second is to look for the splenic artery and vein, as long as the anatomy is clear enough, it is difficult for the operation to fail.

Zheng Ren even did a few cases of difficult splenic tuberculosis, and the overall process was smooth.

When the time came, Zheng Ren glanced at the skill tree.

According to Zheng Ren's idea, his general surgery skills should have increased from 2,044 points to about 2,200 points because of reading books and doing surgery, plus splenectomy training.

But when he noticed the skill tree, he was stunned.

The skill tree has grown directly from 2,044 points to 3,154 points!

What's going on?

Looking back on the experience of the past few days, Zheng Ren feels that perhaps the skills of the system have skyrocketed due to the experience of 300 liver surgeries given to him.

Either way, it's a good thing anyway.

Zheng Ren also kept an eye on it, he must take a look at the skill tree in the future, other skills have grown, and he doesn't know yet.

There are 1529 skill points accumulated, and there are still more than 300 points left to upgrade from expert level to master.

Zheng Ren has some regrets, if he can upgrade directly, he will definitely not be stingy. First of all, we must ensure the success rate of rescue, as for the skill points, can you still do the task again when you run out?

The main quest hint has been completed. Zheng Ren thought about it, it should be gangrenous appendectomy, which is a level 3 or 4 operation, giving more completion.

Claim the quest and get 1,000 more experience points and 10 skill points. Quest completion is 1 bar left.

This bit of experience and skill points is not of much use, and Zheng Ren directly ignores it.

Walking out of the system space, Zheng Ren began to change into isolation clothes, put on a hat and mask, and went directly to brush his hands.

Brushing his hands, disinfecting, and walking into the operating room, Shay handed over large sterile forceps and a curved plate, which contained iodophor gauze.

Beginning to disinfect the patient, Shay told Zheng Ren that the roving nurse had gone to collect blood, and the blood bank had prepared 16U of fresh frozen red blood cells for the patient, as well as 1000ml of fresh frozen plasma.

It didn't seem to be enough, Zheng Ren was thinking about it while disinfecting and laying out the list.

Putting on a surgical gown and standing under the shadowless lamp, the sharp handle of the scalpel was handed over.

Zheng Ren took it, and the operation began!