An ambulance is just a simple mobile first aid post.

There aren't many things that can be done in an ambulance.

Zheng Ren left the patient with a simple closed thoracostomy to ensure smooth breathing and no death due to pneumothorax. The sputum suction tube is used to continuously suck out the blood in the upper airway to prevent it from clotting into a blood crust and causing the airway to be blocked.

No matter how much, that is, to press the knife wound on Yang Lili's chest and abdomen, try to avoid bleeding.

Hurry up, hurry up!

Zheng Ren knocked on the partition three or five times, urging the driver.

In fact, the first hospital of the city is not far from the Ninth Primary School, but the smell of blood on the ambulance is so thick that it can't be dissolved, which makes Zheng Ren anxious.

If it were a normal day, the ambulance would not be able to fly even if it turned the whistle to the maximum.

But today, there are traffic police cars in front of them, different whistles are mixed together, the traffic flow between the first courtyard of the city and the nine elementary schools is much slower, everyone doesn't know what is happening, and they all avoid a road.

Even at traffic lights, there will be private cars that take the initiative to give way to police cars and ambulances...... Sheng.

In the ambulance, looking at the shocking numbers on the monitor and the undetectable blood pressure, Zheng Ren calmed down.

Take off your blood-soaked gloves and pick up your phone.

"I'm Jeong-in, preparing for emergency surgery. ”

"Yes, all the pre-operative preparations were not done. ”

"There are blood samples, and someone was sent to send blood samples to promote blood. ”

"Call the thoracic surgery desk for consultation, and prepare to open the two together. ”

"Tell Yanran to prepare a double-lumen tube. ”

Hanging up the phone, Zheng Ren's eyebrows frowned, Yang Lili's breathing was extremely weak, and there were deep breaths intermittently.

The so-called deep breathing, in the words of the common people, means that the dying person is "pouring out" before death.

The state is not good, especially bad. Sugar and salt water were poured in, and there was no change in blood pressure, and it was still undetectable.

Police cars and ambulances rushed all the way to the emergency department of the city's first hospital.

Because it was a vicious incident of campus attack, the city notified the first court of the city to attach great importance to it. Dean Xiao and a group of people had already hurried over, and Director Pan was standing on the edge of the emergency lane with his back hand, without talking to the leaders of the hospital, and was making a rescue plan in his heart.

Although Zheng Ren is here, Director Pan still has no inertia.

The more comprehensive the rescue plan is, the more likely it is to check and fill in the gaps in some subtle points and do everything possible to successfully complete the rescue work.

Police cars and ambulances roared in.

The high-pitched, high-pitched, and abruptly raised blood pressure sirens were mixed together, interrupting Director Pan's thoughts.

There was a police car driving the road, and the front face and side of the ambulance were damaged? Director Pan was very puzzled, but at this time he didn't have time to pay attention to what was going on.

The police car did not get into the emergency channel, and the ambulance slowed down slightly and stopped steadily on the emergency channel.

The back door opened, the flat car was pushed over, Yang Lili was carried to the flat car, and Zheng Ren ran to the operating room with the flat car.

Because the city attaches great importance to it, there are more people coming to the hospital.

Some people are used to getting up and appearing more important.

blocked the way of the flat car and was pushed away by Zheng Ren, and even Zheng Ren didn't look at who was pushed away by himself.

The elevator had long been guarded, and dark red blood was dripping on the marble floor of the emergency building of the city's first hospital, as if it were flowers blooming all the way.

The 120 emergency nurse handed over the several tubes of blood samples left in her hand to the doctor, and the doctor ran to the blood transfusion department as quickly as possible. The rest of the blood samples are ready to be sent to the emergency laboratory department.

Although the emergency rescue, 100,000 urgent. However, many procedures are still indispensable, such as the examination of infectious diseases such as AIDS and syphilis.

Two years ago, the Affiliated Hospital of National Taiwan University neglected a certain point because of the emergency, resulting in all organ transplant patients being infected with AIDS.

Necessary procedures must be followed, and those that can be omitted must also be omitted.

Zheng Ren pulled the flat car and ran all the way to the operating room on the third floor.

Su Yun, Yang Lei, Xie Yiren, Chu Yanran, Chu Yanzhi, the head nurse of the operating room and others have long been waiting for them, and the door of the operating room is rarely open.

There was silence, except for the slight sound of the wheels of the flat car crashing against the marble floor.

Changing hands, flat car into the operating room. Zheng Ren went directly to the locker room, changed clothes, and prepared for emergency surgery.

This time, it was completely different from the one in the imperial capital.

Last time, Fang Lin was injured and was treated as soon as possible. And this time, the ambulance drove and drove back, and the golden time of emergency first aid was delayed on the road.

Whether people can be rescued or not, Zheng Ren is really not sure.

If you are sure to save, if you are not sure, you must also be saved!

she

I guarded the children with my body.

Myself

You have to work harder to protect her.

After changing his clothes as quickly as he could, Zheng Ren strode towards the operating room, putting on a hat and a mask.

When they arrived at the operating room, the patient had been lifted onto the operating table.

The patient's body position was slightly lower on the operating table, and Su Yun had obviously realized that it was possible to open the two at the same time, and had prepared in advance.

Su Yun was giving the patient a closed thoracostal drainage, and he did not choose the second intercostal space of the midclavicle, but the sixth and seventh intercostal spaces of the midaxillary line.

The former has the advantage of being able to draw out the gas, and the latter has the advantage of being able to draw out the blood. In the ambulance, Zheng Ren did not dare to drain a large amount of blood, hundreds or thousands of milliliters of blood would lead to negative pressure in the patient's chest cavity and more blood.

When you come to the operating room, it's different.

"How?" asked Su Yun.

"What about the people outside the chest?" Zheng Ren frowned and began to brush his hands.

"Arrive right away. ”

"The chest and abdomen are jointly opened, and the position is ...... The right side is raised by 45 degrees. Zheng Rendao.

General surgery is performed in a supine position. Thoracic surgery is performed and requires a lateral decubitus position.

If the two departments do it together, everyone should be accommodating and choose a central position. Although the field of view is limited, it is not possible to save time after all.

Su Yun didn't speak, and after suturing and fixing the closed chest drain, he began to put himself in a position.

"Double-lumen tubes. Zheng Ren finished brushing his hands and came to the instrument table.

"Understood. Chu Yanzhi said.

Chu Yanran was fixing the tracheal intubation, adjusting the parameters of the ventilator, and had no time to speak.

Shay handed him the oval forceps and curved plate, and Zheng Ren took a large pile of iodophor gauze and began to disinfect it.

After the disinfection was completed, the hands were brushed again, and the sterile surgical gown was put on, and the leaders of the thoracic surgery department rushed over.

"How's the situation?" asked Director Pan as he walked up behind Zheng Ren.

"Not optimistic. Zheng Ren stretched out his hand, and the handle of the scalpel slapped into his hand.

"Need a joint incision?"

"The lung is ruptured, and it is estimated that an artery has been broken, and it must be treated. The abdomen is a ruptured intestine, the superior mesenteric artery is ruptured, and I don't know how much intestine to cut. "Go down with a knife, omit the step of blunt separation, and go directly to the peritoneum.

Peritoneal protection, which opens the peritoneum and the suction device draws out a slightly cooler, dark red bloody fluid.

Looking at the bubbling blood, Director Pan immediately called out of the operation room to promote blood.

At this time, the constant flow of blood is the best hope for the injured to survive.

"What's the condition of the chest, do you have a CT scan of the chest?" asked the head of the chest department.

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