In the case of the patient's critical injury, Wang Ge had no way to help, Liu Ya had already called Bai Nan, the nurse who had canceled the vacation, and Wang Ge could only wipe his hands and stand aside, honestly waiting for Liu Ya and Bai Nan to check.

Liu Ya's expression can be said to be very ugly. He examined the wound on the back of the patient's head, pressed his skull with a little force with his fingers, and then checked the patient's heartbeat, breathing, and pulse respectively.

In the end, Liu Ya changed a stethoscope with apprehension and listened to the fetal heartbeat of the fetus in the pregnant woman's womb.

"What is blood pressure?" he finally raised his head and asked Bai Nan.

"The blood pressure is very low, 40 or 60 millimeters of Hg, and it is estimated that it will not be measured in a while. Bai Nan also frowned, looking at the pregnant woman's belly, roughly estimating that the child in the belly should be more than thirty weeks old, although I don't know the specific pregnancy test results and the expected date of delivery given by the obstetrics and gynecology department of the hospital, but looking at this situation, the child should be mature and have the conditions for childbirth.

"The heart rate and pulse are relatively slow, estimated to be only about fifty, breathing is shallow and light, head trauma, open wound on the back of the head, bone friction in the skull, there is a skull fracture, bilateral pupils are unequal, the light reflex is weak, there is a slight visual gaze, and there should be bleeding in the skull. There were no other external injuries on the body, and there was no internal bleeding, and the fetal heart rate was temporarily stable and strong. "The child is fine, the adult is critically ill, Liu Ya will definitely not be happy.

The child has matured, and it will be born in a few weeks, and my mother actually encountered this kind of thing.

The key problem is that the child is still in the mother's womb, and any situation in the body of the injured pregnant woman will be directly fed back to the child.

The radiation produced by the examination, the damage caused by the illness to the body's environment, and even the use of medication can affect the fetus in the womb.

For Liu Ya, who has a lot of medical experience, this is still a big challenge, and the problem is quite thorny.

"This ...... Brain herniation, right?" Bai Nan exclaimed, she was not married yet, nor had she ever been a mother. But I have been doing this for a long time, and I have seen a lot of pregnant women.

The child is the heart of the mother, carrying the hope of the whole family, and nothing must happen.

"Oxygen, ECG monitoring, upper ventilator, open venous access, five milligrams of norepinephrine intramuscular injection, two hundred and five milliliters of mannitol intravenous injection, pay attention to the speed, slow down. Since the patient is a pregnant woman, Liu Ya is still very cautious in taking medicine, whether it is norepinephrine or mannitol, it will have an impact on the fetus in the patient's womb.

This effect cannot be avoided, but it must be the patient's life.

After all, in medicine, for pregnant patients, doctors will never ask their families stupid questions such as "protecting the adult or the child".

Any unborn fetus is not a natural person in the eyes of the law, and the hospital must give priority to adults.

However, in terms of treatment, doctors have to consider the child in the pregnant woman's womb, what kind of treatment method is carried out, and what kind of impact it may have on the fetus, and must explain it clearly to the patient's family, be fully informed, and in the case of no emergency, let the family decide for themselves whether to use more radical treatment or more conservative treatment.

"The amount of intracerebral hemorrhage should not be small, otherwise there will be no sudden cerebral edema in a short period of time. CT and MRI scans are now necessary to look at the bleeding point and the amount of bleeding. Liu Ya said.

Only through contrast examination and continuous observation to confirm the amount of intracranial hemorrhage, bleeding points, and whether there is continuous bleeding, whether the bleeding can stop on its own, and whether the blood mass formed is likely to dissipate on its own, can Liu Ya make a judgment and propose the most effective treatment methods.

If the amount of bleeding is not large and the bleeding does not continue, it is likely that there is no need for a craniotomy to stop the bleeding, as long as the onset of cerebral edema is suppressed, the patient can often recover on his own.

However, if the bleeding is heavy and continues to bleed, then the bleeding must be stopped by craniotomy, and it may even be possible to remove part of the brain to save life.

Of course, the latter treatment often requires general anesthesia, which has high requirements for the patient's physical fitness, whether it is for the fetus or for adults, the degree of danger is much higher than that of conservative treatment.

But now, Liu Ya can't do anything. A temporary operating room has been set up at the scene of the accident, but only some simple life-saving surgeries can be performed for initial treatment. Patients with head injuries and cerebral hemorrhage like this must go through a detailed examination to be able to judge the situation, and the surgical conditions here are far from enough to support a craniotomy.

"Wang Ge, this person is going to be sent to the hospital, go to the nearest hospital, Bai Nan, you come with me!" Liu Ya said.

Wang Ge nodded hurriedly, but he knew that the nearest hospital with brain surgery from here was the Xiangsha Armed Police Hospital, which could not be counted on in Xiangning County, and the Armed Police Hospital was not much closer than the Second Affiliated Hospital of Yaxiang.

Even if you drive wildly, it is estimated that it will take about half an hour, and after arriving at the hospital, you need to have a detailed examination, and the time is even longer, and Wang Ge can't judge whether this patient can hold up for so long.

He could even feel that death was slowly approaching him.

No matter what, there is still hope for trying, if you don't try, there will be nothing!" Without saying a word, he and Liu Ya and Bai Nan transferred the patient to the cart that was taken from the ambulance.

It was still raining heavily, and before pushing the patient out of the tent, the king pigeon took off his jacket and covered the patient's body, and covered the patient's head with his body to prevent the rain from falling on the patient's body.

Fortunately, the ambulance didn't stop too far, Wang Ge put the patient in the car, and Liu Ya and Bai Nan also jumped into the ambulance and closed the door.

At the moment when the king pigeon twisted the key and started the car, the front low beam of the ambulance turned on, and his pupils suddenly locked, because directly in front of him, he saw a figure in a suit with an umbrella.

There was still Grim Reaper "busy" at the scene of the landslide, and Grim Reaper appeared here, and the king pigeon knew that if nothing else, this Grim Reaper must be coming for the patient in his ambulance!

The king pigeon hung up the reverse gear, the clutch was slightly lifted and hit the accelerator, the steering wheel hit the right circle, and the rear wheel of the ambulance was idled a few times due to the slippery road, throwing off the muddy water stuck to the tires, which really made contact with the ground and had friction.

The ambulance suddenly reversed to the right rear, the king pigeon moved quickly, stepped on the clutch to change gears again, and the other hand killed the steering wheel in the opposite direction, and with one foot on the accelerator, the vehicle suddenly rushed out in the opposite direction of death!

Heavy rain, blurred vision, few vehicles, and the Grim Reaper behind him were chasing after him, which reminded Wang Ge of his experience of going to the Provincial Cancer Hospital to transport patients.

"Command center, this is the Second Affiliated Hospital of Yaxiang No. 0110, Xiang AGZ689, and a pregnant woman is being transferred from the landslide site to the Armed Police Hospital!" Wang Ge threw the intercom directly behind him, and Liu Ya picked it up directly.

"I am a doctor with Che, a female patient, pregnant, and the preliminary estimate is more than 30 weeks. The patient had head trauma, skull fracture, intracerebral hemorrhage, and symptoms of cerebral edema, and the fetal heart rate was normal. Request the hospital to prepare blood tests, blood routine, blood matching, head CT examination, head MRI examination, abdominal ultrasound examination, prepare the operating room, and request doctors above the director level of neurosurgery, brain surgery, orthopedics, obstetrics and gynecology for consultation!"

"The center understands that the emergency plan has been activated by the Armed Police Hospital, and all medical staff have canceled their vacations, and there should be sufficient manpower, please pay attention to safety on the road!"

After receiving a response, the king pigeon hung up the intercom, and the speed of the car had increased to 120 kilometers per hour. In the case of slippery roads at night, this speed is already an act of seeking death.

He glanced at the mirror on the left side of the car with his peripheral vision, and the Grim Reaper actually chased after the ambulance, not relaxing at all.

The speed is too fast, the speed of 120 kilometers per hour can not be shaken off? Is the patient doomed to death? No matter how much the king pigeon tries to put the throttle on the gas, the distance between the Grim Reaper and him has always been about twenty meters, and it has never been thrown off, and the distance has not been narrowed.

It's strange that the Grim Reaper doesn't adjust his speed according to the speed of the car, and the speed of the Grim Reaper can't be judged by common sense, unless the speed of the king pigeon is the same as the speed of the Grim Reaper, this will not happen!

It is almost impossible for the two to have the same speed.

Death either catches up or gets thrown off.

But what happened if they didn't catch up and didn't get thrown off?

The thought that once again came to the king's mind, the Grim Reaper did not approach the ambulance again, most likely due to some kind of restriction that prevented him from approaching the dying patient with supernatural abilities such as teleportation, and could only linger at a distance of about twenty meters. Once the car stops, the Grim Reaper also stops using supernatural powers, approaching the patient on foot and taking her soul with her.

This means that the distance of twenty meters is not the result of the king's efforts to accelerate, but the limit of death itself.

If the king's judgment is correct, then he can not take the risk to speed up, he just needs to maintain a safe speed to reach the hospital, and the Grim Reaper will not be able to catch up anyway.

However, this method is not feasible, the patient himself still needs to arrive at the hospital as quickly as possible, and after examination and treatment, out of danger, if the time is delayed, although the god of death cannot enter the car for the time being, the patient's own condition will get worse and worse, which can only make the patient after arriving at the hospital more dangerous, and the desire of the god of death to take the soul is stronger.

What's more, the king pigeon did not dare to use human life to practice his ideas.

The king pigeon was even more sure that as soon as he arrived at the hospital and stopped, the Grim Reaper would definitely walk a distance of twenty meters on foot and take away the patient's soul!

But now the Grim Reaper has not taken out the book of life and death, nor has he observed time, there is still hope for everything!

It is impossible for the Grim Reaper to teleport into the ambulance's compartment, as long as you maintain this speed and use the special ability of the Soul Suppression Card at the moment of getting off the train to achieve the effect of deceiving the Grim Reaper, at least you can buy the patient ten minutes!

In this way, the vehicle drove for thirty-three minutes under the high tension of the king pigeon, and finally arrived at the hospital. But the moment he got out of the car, the patient's heartbeat and breathing suddenly stopped.

Liu Ya suddenly became anxious, "Fuck it! Hurry up and send it to the rescue room!"

The medical staff waiting at the emergency door carried the patient with all hands and feet, and Wang Ge also took the soul suppression card into his mouth the moment he got out of the car.

But after three seconds, there was no reaction from the Soul Suppression card. Wang Ge was stunned, and turned around, but the grim reaper behind him was gone.

Looking at the cart that the group of people were pushing, the Grim Reaper was already standing next to the cart, holding the book of life and death, and pressing his hand on the forehead of the pregnant woman. In the next second, an ignorant soul appeared next to the Grim Reaper, although she still didn't understand what was happening, but she looked down at her stomach, but it was already flat and no different from ordinary people!

She was about to shout when Death pointed to the body that was lying on the cart and was moving forward, and the soul immediately understood what had happened.

No wonder the Soul Calming card didn't respond, it turned out that this patient had been touched by death!

Wang Ge was stunned, it was actually the end of his life! He turned his face away, and couldn't bear to look at the picture of death taking away his soul.

Isn't it an accident? Isn't it an accident? What about an accident that says a good accident can be saved? What about a good death that can't teleport to a dying person?

Soaked and soaking wet, he sat down on a bench outside the rescue room, covering his cheeks with his hands.

Is this the result of all the efforts?

After more than 30 minutes, Liu Ya, Bai Nan and a large number of doctors pushed the patient's body out of the rescue room, but they got into the emergency operating room not far away, Liu Ya stayed outside and did not go in.

He sat down next to the king pigeon, took off his hat and mask, took out the precious stethoscope with a slightly worn trademark, kept rubbing it in his hand, and sighed.

Wang Ge was even more surprised, his soul was separated from his body, and the person was already dead, so how could he still have surgery? However, when he asked Liu Ya, he did not say that he knew that the person was no longer there. "I haven't done the examination yet, so why do I have ...... surgery?"

"People are dead, there is no need to do a check-up. The exact cause of death will not be known until the autopsy. Intracranial hemorrhage is too large to be caused by trauma or fracture alone. The obstetrician and gynecologist said that the baby in her womb may still be alive, and she will have a laparotomy to see if she can save the child. ”

"So that's ......" Wang Ge nodded, and suddenly felt the soul suppression card on his chest be cold, and the number actually changed!

He looked up in surprise, and a figure holding a long-handled umbrella was turning away from the door of the emergency hall.