was chatting in the living room, and the phone rang urgently, it was the head nurse, "Head nurse, Happy New Year." ”

"Have you finished eating?" The head nurse spoke in a hurried tone.

"I'm done." The hurried tone made my heart tighten.

"Hurry up to the hospital after eating, there is a unit on the outskirts of the city where the boiler exploded, and a few explosion injury patients will be sent in a while, your home is close, you come first."

"Roger, okay." hung up the phone and quickly stood up, "Mom, I'll go first, there are explosion injuries in the hospital, you guys are at home, I'm going to have surgery." "We usually have a standby shift, and I called today to prove that these five standers are overwhelmed. I put on my clothes and prepared to rush out the door.

At this time, Lin Jia happened to enter the door with the child, saw me preparing to go out, and said to me, "Let's go, let's drive, let's go all the way." ”

"Called you?"

"Hmm."

We handed the child over to the mother and hurriedly got into the car.

The ground is very slippery, while ensuring safety, Lin Jia tried to drive as fast as possible, fortunately, because of the Chinese New Year, there were few people, so there was no traffic jam and came to the hospital smoothly.

As soon as I entered the department, I changed my clothes and rushed to the operating room. "How?" I asked Jing Xin.

"I also just arrived, and the person on duty is doing an emergency craniotomy, 1 and 2 are listening to an anastomosis operation for a child injured by a firecracker, 3 and 4 are listening to a perforation of the digestive tract, and 5 listening to Yuanyuan and we are waiting for the boiler explosion injury."

"Let's prepare things first." Jing Xin and I are in a group, so as long as I come, I basically have her.

With all the items ready, the three of us waited for the patient to enter in the emergency hall, the doorbell rang in the emergency hall, I opened the door, and a burning smell suddenly permeated.

"The skull was fractured, the scalp was torn, and he was going to open the craniotomy, and he was hit in the abdomen by the metal from the boiler explosion, and the CT scan showed a ruptured spleen, and the anesthesiologist was told that the patient should be double-opened."

"Double-open?"

"Craniotomy and abdomen, you hurry up and prepare."

"Are there any other patients?"

"Yes, we are still doing examination and treatment below, and this patient is in the most serious condition and will be sent in first." After speaking, the emergency doctor turned around and left, which shows how busy he is underneath.

The three of us sent the patient to the operating room, and the anesthesia was Haozi "Haozi, the patient is double-opened, you need to pay attention to the blood recovery machine ready." ”

"Double-open?"

"Double-open. Craniotomy and abdominal openy, and the patient also has a ruptured spleen. ”

"Okay, get over the bed then." We passed the patient from the transfer cart to the hospital bed, because the cotton clothes were very thick and could not be taken off, so we could only cut them one by one, and when we were cutting the clothes, the dressing on the patient's head was soaked in blood and directly loosened, and the horseshoe-shaped wound was instantly opened, and I directly covered the scalp back.

"Jingxin, get the gauze." I yelled at Jingxin.

Jing Xin rushed to me with the gauze and handed it to me, and I left my hands to pad the wound, but because the patient's condition was serious, the padded gauze was quickly soaked.

At this time, Dr. Zhao from the Department of Brain Surgery approached, "I'm here, but I'm anesthetized." ”

"Is the general surgeon here?"

"I'm coming." Lin Jia's voice rang out. I looked at Lin Jia and nodded at him.

Dr. Zhao replaced me, and I went to prick the patient with needles and prepare to start anesthesia.

Here, Jingxin and Yuanyuan have already gone to wash their hands.

"Lin Jia, you also go wash your hands, and you have to help Dr. Zhao disinfect later, he can't leave that head for the time being."

Lin Jia nodded, turned around and walked out of the operating room.

After I set the patient in place, I turned on the shadowless light, and today the battle with death began.

Disinfect the shop order, and soon the doctors are in place.

"Hand me the Jingxin suction tube." I took the tubing and connected it to the blood recovery machine, Lin Jia cut the skin, entered the abdominal cavity, and through the suction of the suction device, the blood recovery machine immediately sucked up a large amount of abdominal bleeding.

Through the blood recovery machine, we can collect the preoperative or intraoperative bleeding, and then return the concentrated blood to the patient through centrifugal filtration, which can not only save the patient's money, but most importantly, avoid many infections and hemolysis caused by blood transfusion.

"The patient's blood pressure has been dropping, and I'm raising it, but you both have to be fast."

At this time, the director of the Department of Neurosurgery and the Department of General Surgery arrived at the same time, washed their hands and went to the stage, and after having a helper, they were obviously faster.

"This spleen is really broken, it can't be broken anymore," Lin Jia said to himself while placing a gauze pad in the abdominal cavity, hoping to raise the spleen.

"It's no better than that." Dr. Zhao does not stop bleeding, "Cotton pads padded gelatin sponge, wet, hurry up, prepare ten for me." ”

Because the scalp was directly opened in a horseshoe shape, the time of cutting the scalp was saved, and Dr. Zhao had already removed the skull with an electric drill and a milling cutter.

"Do you want a skull?" Jing Xin asked on stage.

"Don't do it, wait for the wet gauze to be wrapped, and let the family finish reading it, and dispose of it as medical waste."

"Don't make it up?"

"You see what your brain is swollen into, how to make up for it? Prepare the pads again, the pads, and I'll stop the bleeding now. If it goes well today, the titanium Internet café will be replenished in the later stage. Dr. Zhao used bipolar electrocoagulation to stop the bleeding, while shaking his head and saying to us, "Move quickly, Jingxin hurry up, otherwise the brain edema will be severe, and we won't even be able to sew up the scalp." ”

"Xia Fei, let the blood transfusion department take blood, it is not possible to rely on autologous blood at all." Haozi said to me.

"How much?"

"Let's go for 4 units of red blood cells, 400 ml of plasma."

I picked up the phone and contacted the blood transfusion department, because the emergency department had already greeted the blood transfusion department in advance to prepare blood, so the blood was sent over quickly. Haozi said to me.

I opened the control valve to the maximum, and the speed was very fast, because there was too much blood loss, so the blood transfusion could not control the drip rate as usual, and this is how to come quickly, and replenish the blood volume for the patient at the fastest speed while ensuring safety.

Because there are two intravenous access, one is for blood transfusion and one is for pumping, so there is no delay.

"Xia Fei, put it in a specimen bag, and prepare your spleen."

I took out the pre-written specimen bag, put on my gloves, and took the treatment bowl from the table, which contained the spleen that had been smashed to pieces, and I poured the spleen into the specimen bag.

Quickly go to fixation, wait for the specimen to be sent for testing, and the isolated tissue taken out of the operating table is required to be sent to the pathology department for laboratory testing, so this spleen is no exception.

"The bleeding in the abdominal cavity has stopped now, the patient should be better, and I am now going to close the abdomen and count things." Lin Jia didn't stop what he was doing, and shouted at me in the audience without raising his head.

"Yuanyuan, let's order gauze."

"Small gauze 1,2,3,4......"

"The inventory is over, everything is enough." I said loudly to Lin Jia, for fear that he wouldn't be able to hear when he was concentrating on his abdomen.

"Xia Fei, give me the biggest hard membrane, I will put the hard membrane on it now, and I will also prepare for the pass."

I took out the largest dura, opened it and handed it to Dr. Zhao, the operation went well, everyone was still relatively fast, and the patient was racing against time to win time.

The bleeding stopped, and the directors on the stage took off their gloves and left to deal with the patients below, leaving two doctors and two nurses on the stage who were seriously closing the wounds.

"Really, the new year is not peaceful, and I met the first opening of the new year." The patient's condition stabilized, and Haozi finally had time to be poor.

"No, I just finished eating dumplings and came to have such a laborious operation, I feel like I have to eat some when I go home." Jing Xin also shouted on stage.

"Let's just get together after the operation, let's go eat outside," Lin Jia said to everyone, "It's rare to have to work today, let's get together, I'll treat you." Xia Fei, do you see if Vivien has come home for the New Year? Let's go together. ”

"Okay, I'll call her now, to be honest, I haven't seen each other for a long time."