Chapter 525: The Opening
The plane's route was farther than usual and needed to bypass the war zone and the no-fly zone.
It usually takes more than an hour to travel, but it took more than two hours.
The journey was safe, and the plane successfully landed at Aden International Airport.
As soon as he got off the plane, the staff of Hua'an Jindun received Yang Ping, and there was also an armed team responsible for escorting.
Yang Ping told them to carry the supplies they carried on the plane into the car, which were sterile instrument kits, sterile gauze, narcotic drugs, painkillers and antibiotics that Robert and Li Zehui had prepared improvise, which were more precious than gold in times of war.
A commercial vehicle brought Yang Pinghe's supplies to the hospital.
This hospital is the Republic Hospital in Aden, Yemen, similar to our People's Hospital or Central Hospital.
This hospital is the best hospital in Aden, but in terms of medical level and hardware equipment, it is not as good as our better county-level hospitals.
Now the hospital is in a tumultuous and crowded area, most of them with frightened eyes, and some of the wounded have just come from the war zone.
As soon as he got out of the car, Yang Ping saw Manager Qiu, who had been in contact with him, in his thirties, with a sturdy figure, bright eyes, and very capable, and he looked like a soldier.
"Professor Yang, thank you so much." Manager Qiu was really excited to see Yang Ping, and he was like seeing a savior.
Manager Qiu watched his comrades-in-arms lying on the hospital bed, unable to do anything, and felt very painful in his heart, now that Yang Ping flew over from Saudi Arabia overnight, how could he not be excited.
"Where's the patient? Take me to see it. ”
Yang Ping was eager to operate immediately, and did not dare to delay in the slightest.
Manager Qiu didn't say anything more, and immediately took Yang Ping to the observation ward of the emergency department.
Because the wounded were too seriously injured to know which department to admit, and the ability of each department to cooperate and coordinate was insufficient, the wounded remained in the emergency department.
The attending physician is also a Chinese doctor, Dr. Chow from Hong Kong, who was sent by the International Red Cross to provide medical support to the hospital.
"Dr Chow, our compatriot, is from Hong Kong. Prof. Yang, from Namsur Province, has extensive experience in trauma surgery. Manager Qiu introduced.
Dr. Chow was very tired, his hair was glued to his scalp due to excessive oil, and there was a thin layer of mist on his glasses.
He held Yang Ping's hand: "You came too timely."
Without half a sentence of nonsense, Dr. Zhou immediately got to the point:
"The wounded have a total of 27 shrapnel, distributed in the skull, chest, abdomen, pelvis, limbs, I am a trauma orthopedic surgeon, I can't do anything about the shrapnel of the head and chest and abdomen, and these places are precisely the most deadly, we lack excellent intracranial and thoracic and abdominal trauma surgeons here, so we dare not operate, can only rely on blood transfusion and fluid to maintain life."
The Hong Kong doctor, who often supports war-torn areas, has seen many seriously injured people, but there is nothing he can do about this case.
"It's hard work, I'll look at the wounded now." Yang Ping immediately underwent a full-body examination.
The wounded were lying on the bed, covered with two layers of life to keep warm, all the clothes had been cut off, and Yang Ping could still see the clothes of Xuehuhu Lake who were still in the corner of the ward.
Several infusion tubes, including deep vein catheters and peripheral vein catheters, were given blood and fluids into the casualty.
Dr. Zhou handed over the gloves, and Yang Ping put on the gloves, walked to the bedside, and began to examine the body.
The gloves were a little small, and Yang Ping put them on very tightly.
"Medical supplies are starting to run out of medical supplies here, and rubber gloves are only available in small sizes." Dr. Chow explained.
Yang Ping didn't pay attention to this, his attention was on the wounded, and even the other people in the room, he didn't pay attention at all.
The blood pressure is low, only 65/36mmg, which is a lot lower than a few hours ago.
The heart rate is fast, over 130 beats per minute.
The pulse is very faint and difficult to feel if you are not careful.
The body is covered with two layers of quilts, and it is still cold to the touch.
The paper medical records were sent over by the Yemeni doctor, Yang Ping quickly looked through them, and immediately judged that the hemodynamics were extremely unstable, and he would soon die of shock.
If the shrapnel in the skull is not removed, it will cause brain herniation; The "invisible" small triangular iron on the heart can make the heart burst at any time.
Three deadly ropes strangled the wounded man, and it was the most urgent.
Fortunately, the wounded should have been at a certain distance from the explosion at that time, and all the injuries were shrapnel mechanical injuries, not detonation injuries, so that if they could be rescued, the functional prognosis of the organs would be much better.
The family member guarding the bedside was the younger brother of the wounded, and he wanted to greet Yang Ping just now, but Yang Ping's attention was always on the wounded and he didn't notice the others at all.
This younger brother was very nervous, and he didn't know if Professor Yang could save his brother.
Yang Ping looked up, as if thinking.
The wounded's younger brother knelt down on the hand: "Professor Yang, you must save my brother." ”
Yang Ping didn't expect this guy who was more than one meter eight to suddenly kneel down and immediately helped him up: "I will do my best." ”
"The wounded man's name is Chen Dashun, this is his younger brother Chen Ershun, he should have been injured in the explosion, and my brother protected him with his body." Qiu Zhiqiang told Yang Ping.
Yang Ping nodded: "Arrange surgery immediately!" Manager Qiu, didn't you say that the medical plane in Oman could be transferred? After the operation, I was transferred to Saudi Arabia by medical plane to continue treatment, and I was randomly escorted during the transfer. ”
"Hemoglobin is only 40 grams!"
Dr. Chow received a lab test from the head of the emergency department, which was the result of a recent blood draw.
"No matter how much, surgery immediately, he won't last long, no matter how big the risk is, he has to operate, find me an assistant!"
Yang Ping was categorical.
"I'm coming!"
Dr. Zhou recommended himself, and he looked at this calm young colleague with admiration.
Before Yang Ping came, Dr. Zhou briefly searched for Yang Ping's papers, and sure enough, he was a top figure in trauma surgery, especially experienced in compound multiple trauma, among which half of the rescue surgery was the pinnacle of trauma surgery, and the treatment theory he founded was published in top medical journals with a high citation index.
I just didn't expect it to be so young.
Outside the window of the ward, a cannon fire snake pierced the night sky in the distance.
The atmosphere of the whole city is very depressing, dark clouds are overwhelming, and wind and rain are coming.
"Surgery is scheduled right away." Dr. Zhou ordered the Yemeni doctor next to him, who is also the head of the emergency department.
The director said anxiously: "The operating room is now fully occupied, and there is no room for three hours. ”
Originally, there were not many operating rooms in this hospital, and there were too many patients in the hospital during this time.
"Are there any surgeries that can be paused?" Dr. Chow is decisive.
The Yemeni director shook his head: "It's all emergency rescue surgery. ”
"Don't wait for the operating room, is there an operating room in the emergency department? Simple operating rooms are also available. ”
Yang Ping didn't want to waste any more time in the operating room.
"We also have an operating room in the emergency department, but we can only do simple debridement and suturing, the surgical instruments only have a debridement kit, there is no anesthesia machine, and there are not enough anesthesiologists." The Yemeni director was helpless.
This surgery requires a thoracotomy, abdomen, and craniotomy, and must be under general anesthesia.
If you don't have an anesthesia machine, how do you do surgery?
"Just do it in this emergency operating room, open a package of debridement and suture instruments, and then find a thoracotomy opener, two S-shaped retractors, two thyroid retractors, various types of silk threads, and start work immediately! Anesthesiologist and anesthesia machine, you can find a way to smoke it in the surrounding hospitals! ”
Yang Ping didn't plan to wait, he had already missed the best opportunity, and if he waited any longer, I was afraid that the gods would not be able to save him.
Special circumstances, special treatment, how can you ask for so much as usual.
"Are these devices enough?"
Dr. Zhou couldn't believe that the thoracotomy and abdomen were opened to remove shrapnel and explore and repair the damaged organs, which one was not a major operation, but only these simple instruments could complete the operation?
"Ali, go get ready! I see if the operation is being done in the operating room, whether the anesthesia can be paralleled, and as for the anesthesia machine, I immediately asked people to contact the surrounding hospitals. ”
The Yemeni director immediately cooperated and ordered his subordinates to split up.
In normal operations, it is absolutely not allowed for one anesthesiologist to see two surgeries, but now in this kind of emergency, as long as it can save lives.
This rule was originally set to ensure the safety of patients' lives, but now if it is done according to the regulations, many patients do not have time to go to the operating table.
The doctor who called Ali immediately ran back again, sweating profusely: "The debridement kit has been used up, is it okay to temporarily disinfect it now?" ”
I really want nothing, and now I don't even have a debridement kit, how to do surgery.
It's going to go into the skull.
Yang Ping immediately remembered that when Saudi Arabia was leaving, Li Zehui and Robert prepared a few boxes of equipment and medicines, which happened to come in handy at this time.
"Hurry up, there is a full set of surgical instruments for trauma surgery in the car that just picked me up, bring it over, call a doctor to follow, don't break the sterile packaging." Yang Ping breathed a sigh of relief.
The problem with the equipment was solved, and Robert and Li Zehui helped a lot.
The Yemeni director put down the phone and told Dr. Zhou: "The refinery staff hospital has a spare anesthesia machine, and it can be sent over immediately." ”
The shortage of manpower and equipment is complete, and work can finally be started.
Dr. Zhou brought two Yemeni doctors to the stage as assistants, and although Dr. Zhou did not understand chest and abdominal and cranial surgery, he had no problem helping to expose, tie knots, and cut threads.
"Manager Qiu, I'll operate on him right now, I can't wait any longer, just do it in the operating room of the emergency department, did Oman's medical plane take off? Let it take off quickly, and after the operation, it can't stay here and be transferred to Saudi Arabia, where the medical conditions are much better than this. ”
"Prepare more blood of the same type, which will be transfused during the operation and after the operation."
Blood transfusion is life extension.
"Ershun, go and call the brothers over and continue to draw blood."
Chen Dashun is blood type B, and all the blood type B in the company is on call to donate blood to Chen Dashun.
Their blood types are all prepared, and they have their own blood type on the sign inside their clothes, so in the event of an emergency, they can not only know their blood type as soon as possible, but also be able to quickly provide mutual blood donations.
The operating room in the emergency department was quickly vacated, and Chen Dashun was pushed to the operating room with the bed.
The first is the latest.