Dr. Zhong Lao of the People's Hospital has been reset three times without a successful dislocation, and Fang Ziye has been successfully reset here before ten minutes?

A few hours versus less than ten minutes.

That's a bit too fast.

However, Shen Shao, as Shen Zihao's cousin, is also in a dark mood at the moment! ~

"Doctor Fang has worked hard, I don't know if Dr. Fang has time to have a light meal together in the evening?"

Shen Shao knew that the cost of inviting Fang Ziye to dinner might be higher than all the expenses of Shen Zihao's manual reset, but he was relieved, and the money was well spent.

Doctors look at technology, not who is more pro, who is more pro, who has a hair!

Doing good deeds also caused a commotion, if it weren't for the fact that the second uncle is his own uncle and Shen Dong is his cousin, who are you Han Xuemei?

"Teacher Shen, with a gesture, Teacher Shen doesn't have to be too polite, there is still something in my department, so I won't bother much, and when the results of the young man's review come out, you can just ask him to come to the department for my follow-up." Fang Ziye politely refused.

Don't speculate for more than half a sentence, Shen Shao's own pitiful experience is not a reason to dig a pit for himself.

"I still have to eat, Dr. Fang is not available today, so another day, Dr. Fang must appreciate his face."

"When the time comes, I will make an appointment with Kai Ye and Tao Ye to form a bureau together, and I hope that Doctor Fang can give him a chance......" Shen Shao didn't force him to stay, but just sent Fang Ziye away with a smile.

Young people who have the ability in this hospital don't want to be friends, but it's better not to make bad friends.

"Zihao, is it still painful?" The reset is completed, and Han Xuemei is still very concerned about her son.

"The doctor before looked not young, but?" She began to complain again.

Shen Zihao shook his head and moved his little hand mischievously, and the pain had been relieved to a large extent: "Mom, it doesn't hurt at all." ”

"Look."

Han Xuemei muttered to her husband again: "Doctor Zhong introduced by my uncle is the oldest in the people's orthopedics, and he can't be reset?" ”

"Say, what's going on with my uncle?"

Shen Dong covered his forehead, and his wife understood by herself: "You still want to do this?" You don't think about going to the People's Hospital to confront your uncle and that Dr. Zhong again, do you? ”

Although Han Xuemei didn't reply, the meaning was already very obvious.

Shen Dong's whole body was numb, and according to his temper, he really wanted to copy her.

But he couldn't bear to do it, and said, "Wife, are you uncomfortable?" ”

"Isn't what we should be thinking about now is how to get Zihao back to school as soon as possible?"

"Are you going to make trouble, do you plan to ask them to pay you money or apologize?"

"If you do this, don't the three of us have to go to your parents' house to pay New Year's greetings during the Chinese New Year?" Shen Dong asked rhetorically.

Han Xuemei was stunned.

Then she asked rhetorically: "If you are not fierce, others will think that you are a bully, before you were discharged from the army, you thought everyone was very good at talking, right?" ”

"You go and ask Zihao how much bullying he was at school. If you don't pay for it, others will think that you are a coward, an orphan without a father......"

When Shen Dong heard this, his eyes were bloodshot and his eyes were slightly red, and he looked at his son.

Shen Zihao approached Han Xuemei, took her hand, and signaled Han Xuemei to stop crying, her father is back now. And now that his classmates know about his father's work, he has more friends......

After a while, Han Xuemei and Shen Dong's family of three came to the orthopedic ward with the re-examination films, and by the way, they also brought some fruit plates and pennants to Fang Ziye's hands.

After Shen Zihao, a young man, apologized to Fang Ziye as a brave representative, Han Xuemei also apologized and thanked Fang Ziye, and at the same time, Shen Dong also compensated Fang Ziye for Shen Shao.

After learning from Fang Ziye that Shen Zihao could go home to recuperate for a few days before returning to school, Shen Dong left with his wife and children.

At this time, Han Xuemei's mood seemed to have become less weird.

……

After the family of three left, Mao Mao, who was on duty, pushed his black-framed glasses, and was stunned under the mirror.

Good guy, Fang Ziye went to the emergency department this time, and he directly picked up a pennant and came back, what did he do?

This is already the first pennant that Brother Fang Ziye has received?

Mao Mao wondered if Fang Ziye was secretly threatening the patient's family-

You have to send a pennant, otherwise you won't be treated.

But in fact, the reason why this Shen Dong sent the pennant was because Shen Zihao went to the People's Hospital many times and almost had surgery.

"Brother Ye, this family is quite polite, huh?"

"You're welcome?" Fang Ziye couldn't deny it, and the strawberries he had just picked up were put down again.

"Their relatives are not polite to each other, will they be polite to me, an outsider?"

"If I don't succeed in resetting, it could have turned into an accident. Not to put it mildly. Fang Ziye's whole face was not angry.

He felt strange how this woman could be so unreasonable, as if her mother's relatives were relatives, and her in-laws' relatives were as if they didn't exist.

If it weren't for the fact that the child was still sensible, it would be quite pitiful, and Shen Dong was willing to take care of things.

Go for it!

It's just that no one is perfect, and if the child himself is not a bastard, if one or two people in the family can still see it, then help.

Fang Ziye didn't want to die young, or there were other changes-

Senior Brother Wu Xuanqi is a living example in front of him.

Mao Mao said very sensibly:

"Brother Ye can ask for a pennant from the family of such a patient, which is a skill that ordinary people dare not think of?"

Mao Mao gave a sincere thumbs up.

Mao Mao can interpret this sentence in this way, and his thinking can be regarded as a pan of mind, but what Fang Ziye needs is not to blow each other in business: "Mao Mao, you can take some fruit bowls to the nurse's station." ”

"Let's eat together. We can't finish it. ”

Mao Mao immediately got up when he heard this: "I'll send it to the nurse's station first." ”

"But it is estimated that Sister Xuan has no time to eat, Brother Ye, during the time you left, I just accepted two patients in."

"Then the emergency department just called, saying that there was a special emergency consultation, and I had already called Brother Tao directly......"

Fang Ziye's expression froze when he heard this-

"There is an emergency consultation in the emergency department? How did I not know? "Fang Ziye just came back from the emergency department?

Mao Mao turned around again and explained: "It is estimated that the situation is very special, and when the emergency department called, I was specially asked to contact the director directly!" ”

"It's possible that you won't be able to go on stage, it's a relational household, and it's a related household with serious injuries......

After saying that, he walked in the direction of the nurse's station......

Fang Ziye immediately suddenly.

En's Central Hospital is a prefecture-level city hospital, and Fang Ziye has also been on duty several times, and found that there are many related households here, and every time he is on duty, there will be Director Zhang Mingcan or Director Wu Guonan who will call remotely.

It is said that the patient who came to the hospital today is a relative of the director of the bureau or a relative of a leader, and needs to be taken care of.

In fact, where there are so many things that need to be taken care of, it is to be cautious and careful when talking and signing.

And this is the normal medical situation in the central hospital of En.

The number of beds in the hospital is not as tight as in Zhongnan Hospital. However, the network is not big, but it is not small.

The director here is no better than the professors in Zhongnan Hospital, and some related households should still be greeted.

However, in Zhongnan Hospital, the general small leaders do not have the phone numbers of the professors, and the people who can get the phone calls of the professors will carefully cherish their feathers, and will only call to inform them unless there is a special emergency.

And such an emergency is generally the kind that can go directly to the emergency green channel, so there are not many similar things.

……

Emergency Department.

As soon as Shen Shao sent Fang Ziye away and returned to the emergency surgery room, he was very busy!

Quickly rotated between the two beds, and quickly carried out and guided the nurses of the department to carry out various rescue work.

Halfway through, his phone rang. It was Shen Dong who called.

I thought about it for a while and connected it, but replied briefly: "Brother, I'm busy, let's talk later." ”

Hang up directly.

"Chi cut bag, ready at any time!"

"Hemothorax, it is estimated that the chest cavity will be drained."

After the order, Shen Shao explained to the director of the emergency department, that is, his superior, Wang Dongshan.

"Director, my nephew was injured and just went to the orthopedic department from our emergency department for a review, and now he is back and called me back."

Wang Dongshan didn't care, just patted Shen Shao on the shoulder.

Doctors are human beings first, then doctors, and doctors cannot escape the world.

"Ordinary and Shenwai urge again, the condition of these two patients is not very good."

"I heard that there were originally four, but there was no one at the scene, and there was no one on the road, and the violent damage suffered was extremely great, and now we must find a way to save the only two left." Wang Dongshan shouted at the others.

"The call has been called!" One person raises his wrist to look at the time on his watch.

"It's only been six minutes." He didn't dare to waste a word of time.

"Director, do you want to be intubated?" A nurse looked up and asked, the nurse in charge of the emergency department.

"Hurry up and establish venous access first......"

Wang Dongshan stared at the unstable vital signs,

The allowed time for emergency consultation is 15 minutes!

Because it is impossible for all doctors to wait in the emergency department at any time 24 hours a day, even if it is an emergency consultation, Huaguo does not have such sufficient medical resources and the number of doctors.

But even so, looking at the patient's heart rate and blood pressure now: "Keep calling and urging." ”

"If you break your leg, you have to come as soon as possible."

"Then alternately push adrenaline, norenaline and norephrium......" Wang Dongshan began to command the rescue.

"Call and ask if the blood bank is asking for blood?!"

"Orthopedic, orthopedic ......"

The voices in the emergency surgery room were loud and chaotic, but all the words were short, and they were on point.

About a minute later, several white coats hurried in.

After seeing the patient on the two beds.

Everyone couldn't help but take a breath.

Xue Tao, who was called from home by the orthopedic department, changed his expression suddenly for a while,

asked, "Director Wang, how is this going on?" ”

Xue Tao's tone trembled slightly.

One of the patients had sharp injuries to his limbs, chest, abdomen, and head.

At this time, there were still four knives stuck in the body that did not dare to be removed, one in the chest and three in the abdomen!

The knife pierced the wound, and the blood scab was sticky, and the black blood scab was connected to the clothes and formed a crumpled cake.

It should have been hastily bandaged with gauze in the ambulance.

The original white gauze was penetrated by the whole layer of blood, and the black gauze was wrapped in bloodshot and blood scabs, like an old shroud.

The patient's eyes were closed, his face was expressionless, and he did not know whether he was in a state of shock or apathy......

Wang Dongshan did not explain: "It is not our duty to investigate the cause of the injury. ”

"Quickly assess the situation of each department, and take the stage when it is time to take the stage."

"Both patients had unstable blood pressure, persistent pumping of nail and adrenal glands, and high blood pressure was still lower than shock blood pressure."

"You surgeons have to find a way to stop the bleeding!"

"Blood transfusions and intravenous access alone are not enough."

As Wang Dongshan spoke, the neurosurgeon had already roughly scanned the patient and said, "The wound on the head is only a skin trauma, and the patient has no indications for intracranial hemorrhage, and is sensitive to light reflex. ”

"Is there a CT?"

For emergency consultation, one is to find the indication for emergency treatment, and then to find the evidence of exemption from liability from one's own department.

"I didn't dare to do any inspection, and I rescued all the way from 120."

"Vital signs fluctuate greatly, persistently unstable, and I have been on life support at present, and I didn't dare to do any tests, just did a blood draw......"

Fluids are given first, followed by surgery, and surgery is performed while fluids are given.

Where can I get the test?

These are the words that are written in textbooks.

Wang Dongshan's team didn't dare to push patients for examinations.

Of course, rehydration alone will not work.

At this time, Chen Liwei of the Department of General Surgery frowned: "There is obvious peritoneal irritation in the abdomen, there is fluid accumulation in it, there is active bleeding, if there is no examination, you can only go to the laparotomy for exploration as soon as possible!" ”

"I guess I'll have to call someone from the gastrointestinal surgeon." Chen Liwei suggested to Wang Dongshan.

The general surgery department of En'en Central Hospital is not very large, and it is divided into subspecialties such as hepatobiliary and pancreatic surgery, gastrointestinal breast nail surgery, and anorectal surgery.

Hepatobiliary and pancreatic surgery is also under the brand of vascular surgery.

"Call!" Wang Dongshan immediately ordered.

The consultation call made by the emergency department is higher than that of other departments, and no department dares to push back, which is much better than Chen Liwei's direct call.

And in this situation, even if Chen Liwei said that he wanted to invite the nutrition department for consultation, Wang Dongshan could only follow the advice.

Specialist treatment, specialist consultation opinion is extremely important!

A deputy director of the Department of Thoracic Surgery also said: "Let's open the thoracotomy, Director Wang, but it is best to scan a CT in advance, so as not to have no way to start during the exploration process." ”

"The patient can't turn around in this situation, and something will inevitably happen if he leaves."

"What about the patient's family? I'm going to talk to them. "The deputy director of the Department of Thoracic Surgery felt that there was little chance of this patient being treated.

"There are no family members, only the unit leaders of the two comrades, and we have contacted the general duty of the hospital, and the general duty has given authorization to deal with it."

"You go to the next office and talk to his colleagues."

Thoracic surgery is a special department, and the lungs are also special organs, so you can't go anywhere you want, like open exploration.

CT guidance is required.

However, if this patient can't get tested, then it can only be done by luck. There may also be omissions in the intraoperative exploration because no one has a clairvoyant eye.

The deputy director, who was writing the consultation opinion, also said, "If you do a CT scan, you can scan your head by the way." ”

"If you go into the operating room to do a plain film, you can also scan your head, and then ask our department for consultation."

The neurosurgical situation was less urgent, but he handled it well, preferring to make a few more trips than to be held accountable for an obscure neurosurgical injury.

But if you don't check, then you can't help it.

Xue Tao from the Department of Orthopedics followed behind the people in the Department of Thoracic Surgery: "Our Department of Orthopedics also needs surgery, so I happened to go over and talk with Director Liu." ”

……

A few minutes later, Xue Tao, like Liu Liming of cardiothoracic surgery, Chen Liwei of hepatobiliary surgery, and Zhang Dingkun of gastrointestinal surgery, ran into the corridor and called his superiors.

Xue Tao wanted to report to Wu Guonan: "Director Wu, I am now in the emergency department, and I have encountered two patients with special conditions, I have taken a look at the situation, the current vital signs are extremely unstable, and the trauma in our orthopedic department is not small. ”

"It was originally four, but only two made it to the hospital alive."

"It seems that it is because Jidu has made meritorious contributions, and he has found important clues and dens before, and now he is being killed by revenge......" Xue Tao's eyelids jumped when he spoke.

Although Enshi is only a poor area in Hubei Province, this kind of thing is not uncommon.

Drug does not exist completely because it is a poor area, but because the education here is underdeveloped, the corresponding awareness of prevention is not strong, and many people go astray.

In the past, it was more likely that the suspect was sent to the hospital by his uncle for surgery to take the needle because he broke the needle.

"The leadership of the hospital also attaches great importance to this matter, and a vice president has just come and given a death order for us to save the two heroes at all costs."

"The surgical authority is maximized, the hospital's subsidy for expenses is not capped, and the patient's arrears are currently responsible for the financial department, and even the leaders of the city have come over, and they are currently negotiating with Director Wang of the emergency department, and I heard that the leaders of the state are also on the way to ......"

The office buildings of Enshi and Enzhou are both in Enshi, but with two different systems.

"The patient is directly pushed to the operating room for a quick examination and then sent directly to the operating room, multi-department joint surgery, and at the same time thoracotomy and abdominal exploration, first stop the bleeding and save life."

"We must have femoral artery injury in our orthopedic department......"

"The patient's current blood pressure is extremely unstable."

"Okay, I got it." After Xue Tao got Wu Guonan's reply, he immediately rushed to the direction of the operating room, and on the way, he directly called Wang Zhongxing.

Without hesitation, Wang Zhongxing replied and took a taxi from the fishing place.

……

At the same time, the leaders of the hospital also began to call various departments.

The anesthesiology department and the operating department were immediately notified that they were going to urgently receive two emergency surgeries, and they must be ready to receive patients at any time.

The call from the anesthesiology department went directly to Huang Qiaoshan, director of the anesthesiology department.

Huang Qiaoshan was eating lunch with his wife and children outside at this time: "Director Wang, has anyone in our department seen it?" Is it suitable for anesthesia? ”

Wang Dongshan from the emergency department said directly: "Director Wang, this operation was personally ordered by the dean to be sent to the operating room, and it must be anesthetized regardless of whether it is suitable for anesthesia or not." ”

"If you don't have surgery, you will die, and the anesthesiology department must be prepared for the best it can be! ~”

"Good!" Huang Qiaoshan's brows jumped immediately.

"Okay, I'll immediately arrange for Nie Mingxian from our anesthesiology department to personally receive the patient's anesthesia work, and I will also rush to the hospital immediately!"

"Fifteen minutes to the operating room at most." Huang Qiaoshan replied without hesitation.

There's nothing embarrassing about eating out by yourself.

Although he is the director, the director also has compensatory leave and shifts.

No one can predict when an emergency room will come! If you can anticipate it, then the problem is even bigger.

Wang Dongshan lowered his voice again and said, "Director Huang." ”

"These two comrades are police officers in the system, and they were avenged after their meritorious service."

"There are four people in total, two of them are gone, and we can't avoid the harm, but what we can do is bring them back to life."

"And I heard that the two of them still have key information."

Huang Qiaoshan said: "No matter what information you have, you have to wait for someone to come back to life first." ”

"Do your best, obey the destiny of heaven!"

"Hang up first, Director Wang."

Huang Qiaoshan is an old fritter, and when he heard the word revenge, he understood the reason for the matter.

But no matter what the reason, we must also pay attention to objective facts, human life is not determined by heaven, nor by man.

Huang Qiaoshan directly left his wife and children.

The wife didn't say anything, and from Huang Qiaoshan's words, she knew that the situation was urgent: "I'll send the cub to school later, you can go back first." ”

"Well, if you don't go back, you'll probably die, wife." When Huang Qiaoshan pushed open the door of the box, he looked back apologetically.

It seems that he has not been with his wife and children for a long time since he became the director of the anesthesiology department, and today is the child's birthday, but Huang Qiaoshan has to be on duty at night, and he was thinking that he would celebrate his birthday early at noon.

But?

……

Fifteen minutes later, Huang Qiaoshan came to the door of the operating room.

But when he appeared, he was told that one of the patients, on the way to the operating room, lost his vital signs and is now being rescued in the operating room opposite.

When he heard the news, even if Huang Qiaoshan was used to seeing life and death, he couldn't help but tremble a little in his heart-

Don't good people live long?

"Rescue with all your might! ~ Everyone greets by themselves, I'll look at this side first. ”

People who have lost their vital signs, although it is also urgent, but Huang Qiaoshan must ensure that those who have not lost their vital signs must live well.

This is a favourite choice.

It is sad that a person is dead, but just because someone is dead, we should not ignore those who are still alive.

He ran straight to the 11th room in the operating room—

After entering, Nie Mingxian completed the induction nerve block anesthesia while performing tracheal intubation, and another deputy chief physician of the anesthesiology department cooperated with Nie Mingxian to do the corresponding operation of continuous anesthesia.

Huang Qiaoshan didn't bother Nie Mingxian, but looked at the clinicians who were running like a machine at the moment-

They are divided into divisions of labor to do disinfection and cleaning work in their respective departments.

Or wiping, or cutting the gauze and bandages before.

There are a lot of comrades in the nursing department, and the complex iodine and normal saline are directly poured bottle by bottle, as if they don't need money.

There are not so many garbage cans, and the complexed iodine is sprinkled directly on the cloth sheet on the ground, although it is difficult to clean, and may even leave stains on the ground, but at the moment, in order to save time, it can't be managed so much.

Three itinerant nurses, pushing out various instrumental surgical kits with carts, opened them one by one.

Just then!

When Xue Tao and Wu Guonan just uncovered the gauze on their thighs and upper arms, they suddenly-

Two blood flowers rushed out in an instant.

Phew.

sprayed the faces of the two directly, and the splattered blood spots were even spilled on the others.

Xue Tao immediately closed his eyes, and then immediately pressed down the gauze cover-

I didn't care about the blood beads on my face and pressed hard.

The tone was urgent: "Director Chen, there is a femoral artery injury, your department has to come and deal with it!" ”

The central hospital does not have a special specialty of vascular surgery, so it can only be the hepatobiliary and pancreatic surgery department to concurrently serve as the vascular surgery department.

If it was a small blood vessel injury, Wu Guonan and Xue Tao could still do it themselves, but now, this is a big injury to the femoral artery, and he doesn't dare to do it.

After pressing, Xue Tao continued to close his eyes tightly and turned around: "Come and help me wipe it." ”

In fact, a traveling nurse saw it and immediately came over with gauze and cotton pads.

Xue Tao pressed the femoral artery with his hand, not daring to unload the force at all, but scolded in his heart:

This is a place to chop, and it was stabbed directly to the femoral artery!

Chen Liwei of the Department of Hepatobiliary and Pancreatic Surgery also saw this scene just now.

Secretly complaining in his heart, Xue Tao's words obviously threw the task to their department again, but he didn't have any way.

Orthopedics is orthopedics, the central hospital has no vascular surgery, and the words cardiovascular surgery are written in their department!

He could only stubbornly agree: "Director Peng of our department will come down soon, I still have things to deal with here, and there is not enough manpower for the time being." ”

"Director Wu, you can stop the bleeding temporarily."

Chen Liwei didn't dare to refuse, but he didn't dare to be distracted.

is just one person, and splitting is not enough to do exploration and hemostasis operations in two places, so he can only wait for Director Peng Yuanming in his department to bring other people to help.

……

Soon, Director Peng Yuanming, the superior of Chen Liwei of the Department of Vascular Surgery and the director of the Department of Vascular Surgery, arrived in the operating room.

After listening to the report of the people in the operating room.

Wu Guonan said: "Director Peng, the trauma of our orthopedics is not fatal, but the problem of vascular damage is very urgent now." ”

"Really, Director Li?" Wu Guonan also specially asked the helper he had found, Li Junfeng, the director of the Second Department of Orthopedics, that is, the Joint Diagnosis and Treatment Center.

Director Zhang Mingcan went to the county hospital today for consultation and surgery, but he couldn't come, but the director of the orthopedic department must come.

"Director Peng, the trauma in our department is not very large, but in addition to bleeding, there are blood clots in the blood vessels." Li Junfeng explained.

Peng Yuanming sneered in his heart at this moment.

In emergency trauma patients, in addition to vascular injury, general nerve injury and simple soft tissue cutting can be fatal?

Peng Yuanming looked at Chen Liwei again at this time, and the situation was also a mess.

He simply said directly: "Director Wu, our department still has its own hepatobiliary injury to deal with, and now we have two problems with the arteries of the upper and lower limbs!" ”

"There is no auxiliary examination to confirm the diagnosis before the operation, and our department can't deal with such a problem for the time being, if you want to deal with the large blood vessels, and when the hepatobiliary artery system is ruptured, the situation will be even more dangerous."

"I've called someone to come and help, but the patient may not have waited that long."

"The problem of orthopedics can only be solved by you."

"Or just go out and talk to the family about amputation." Peng Yuanming was also ruthless at the moment.

No way, there are not enough people!

If your orthopedics can't solve the problem, then amputate it to save your life!

Peng Yuanming did not expect orthopedics to be able to deal with the injury of large arteries and concurrent thrombectomy, because he could not handle such an operation.

But his life was saved, not because he couldn't do it, but because the disease was too complicated and the operation was a bit high-end.

And he doesn't have time either!

Books are hated less when they are used.

……

(End of chapter)