Chapter 250: I Will and I Can Too
Tao Le and Beibei went to the emergency room, but they didn't see the patient and Geng Hongwen, but they found the nurse Xiao Chen.
"Dr. Tao, are you looking for the patient who had hemorrhage in an ectopic pregnancy just now?" As soon as Xiao Chen saw them, he said:
"In operating room two, but." She looked at Beibei and hesitated.
"What's wrong?" Tao Le pulled her to the other side, estimating where Beibei couldn't hear.
"It's not going to be good right now. First, the blood supply is tight, the blood bank can only provide 500ML of whole blood, and more can only be supplemented by red blood cells, which is not good. And."
When Tao Le heard this, he knew that something big was not good.
HALF AN HOUR AGO, THE PATIENT'S BLOOD LOSS REACHED MORE THAN 2400ML, AND ONCE THE HEMOSTATIC EFFECT OF ACUPUNCTURE PASSED, THERE WAS A HIGH PROBABILITY THAT IT WOULD EXCEED 3000ML.
For such a large amount of blood loss, red blood cells and rehydration alone are not enough, and more than 2000 ml of whole blood must be replaced.
BUT AT THE MOMENT IT IS ONLY 500ML, WHICH IS A QUARTER OF THE MINIMUM REQUIREMENT.
Taure's brain spun at high speed. With such a large amount of bleeding, the best way is to recover autologous blood, but there is no such device in the first hospital - hey, no!
The last time I was on stage with Dave, it was really not. But now there is!
When she signed a tripartite contract with Ximu and the First Hospital, although she didn't pay attention to her treatment, she remembered the various equipment that the First Hospital would get.
Well, more importantly, at that time, Dean Lin and other leaders of the hospital repeatedly raised various questions, which made it difficult for her to think clearly.
As a condition for the cooperation between the first hospital and Miao Technology, the other party needs to deliver a batch of medical devices on the same day, including 20 blood recovery machines.
At that time, Simu's subordinates said: "The blood recovery machine produced by our Miao Technology is different from the one on the market.
No matter when, where, or what kind of contamination the blood is, as long as it is recycled and filtered, all the impurities, toxins, bacteria and viruses in it will disappear without a trace, and the blood will be as clean as new, and it can be returned to the human body immediately. ”
Thinking of this, Tao Le immediately asked, "What about the blood recovery machine?" I remember sending it to the operating rooms yesterday - I'm afraid it won't have whole blood? ”
"I don't think it's been activated yet. People don't know how to use it, and it is said that they have to be trained."
"When is it, human life is at stake!" Tao Le turned around and was about to leave.
"Wait a minute, Dr. Tao. It's useless for you to go now, that, the doctor from the obstetrics and gynecology department hasn't come down yet! ”
"What's going on? Isn't there a gynecologist in the emergency room? Tao Le stopped. She really didn't expect that the operation hadn't started yet!
She was familiar with the statutes of the First House. In this kind of comprehensive hospital, the division of labor between various departments is extremely fine.
The so-called surgery industry has a specialization, and surgery cannot do obstetrics and gynecology surgery.
Because of the special status of the emergency department, there is a gynecologist who can immediately go to the stage for surgery if you encounter heavy bleeding caused by this ectopic pregnancy.
So what Xiao Chen said, the obstetrics and gynecology doctor hasn't come down yet, what's going on?
"Dr. Yang from the emergency gynecology department of our hospital usually sees the patient, but the surgery is rarely done." Xiao Chen was a little embarrassed and said:
"When encountering incurable diseases, and heavy bleeding like today, I will consult with an obstetrician and gynecology department and operate together."
"But today, the obstetrics and gynecology department is also very busy, in addition to the normal elective surgery, there is a sudden shoulder dystocia, another postpartum hemorrhage, the director and deputy director and several attending patients are on the stage at the moment, and it will take a while to come down."
At this point, Xiao Chen lowered his head, feeling very sorry for the patient.
This is also a bad fate, how did you catch up with today.
Both sides are fate, no one is lighter than the other, and no one is heavier than the other.
But it will always be fate to make a choice, the first to arrive still has a chance of life, and the last to arrive is only a dead end.
Poor little girl, who is about to become a motherless child.
Then her phone rang suddenly. It's the patient's husband who is coming!
Xiao Chen came back to his senses: "Doctor Tao, I'll pick up the patient's family, what about Dr. Tao's people?"
Tao Le had already rushed into the second operating room.
"I'll use a blood recovery machine, and I can do this surgery!" She said to the head nurse.
"But." The head nurse Kang in the No. 2 emergency operating room was very difficult.
There are rules for surgery, so you can't just come to a doctor and let her go in to do it, right?
Someone inside heard her voice and asked in a loud voice, "Is it Tao Le?" Let her in! ”
This voice was not Geng Hongwen's, but Yuan Xiangqian, the director of the emergency room.
As soon as the patient has done the ultrasound, everyone knows the seriousness of the matter.
There is a lot of fluid around the liver and spleen, and there is also free fluid in the lower abdomen.
Although ultrasound results do not directly diagnose the bleeding, exploratory laparotomy is necessary.
He immediately reported to Director Yuan, and then Director Yuan personally contacted the Department of Obstetrics and Gynecology for consultation. It's just as useless.
Almost all the departments are on the stage, counting on who will come down to treat this patient.
"Open your stomach right away." Director Yuan made a quick decision.
First open the abdomen, maybe you will find the bleeding point, make up for the matter, and the rest depends on the patient's life.
The result of an open stomach is the worst that everyone thinks.
There is a large amount of blood and blood clots in the pelvis and abdomen, pregnancy in the left fallopian tube, the break is in the uterine horn, there are fresh villi in it, and the bleeding is still active.
It was really an ectopic pregnancy, ruptured and hemorrhaged, and there was no doubt about it.
Director Yuan is an old emergency and can do a lot of surgery, but he really hasn't done obstetrics and gynecology.
But when it comes to the end, he just has no bottom, and he has to do it.
Because the patient has been in hemorrhagic shock for a long time, it will not last long.
At this moment, he suddenly heard what Tao Le said.
Will use a blood recovery machine, will do this surgery!
It was like a shot in the arm that pierced him in the heart.
Geng Hongwen's heart is even more mixed. At this time, no matter how reluctant he was, he had already admitted in his heart that Dr. Tao was really a little capable.
Whether it was the needle that controlled the pulse and stopped the bleeding, or the final diagnosis, it proved that she was right.
Geng Hongwen believes in science, so naturally he doesn't believe in coincidences. Even if the first time is barely counted, what about the second time?
At this time, he didn't have any other thoughts in his heart, he just hoped that what Dr. Tao just said would be as reliable as before.
With the help of head nurse Kang, Tao Le quickly finished brushing his hands and changed into a surgical gown.
Then she saw the blood recovery machine that had been thrown in the corner of the operating room.
It has been unpacked, just never used.
Tao Le naturally saw it for the first time, and he didn't use it at all. But, she has a cheat!
When the patient on the operating table entered her field of vision, the hint of the golden finger hung out just as brightly.
"It has been tested that the current conditions support the implementation of a left salpingectomy. Do you need simulation instruction exercises? Yes/No. ”
"Yes."
(End of chapter)