"You go and ask the pharmacist to call Wen Youren and ask if the drug instructions will be handed over to him by hand tomorrow morning or to the doctor on duty tonight."

Luo Hao explained very seriously.

Chen Yong is also clever, Luo Hao knew why he did it at the beginning.

Avoid startling the snake, and judge whether this product is going to dig a pit through Wen Youren's reply.

Chen Yong sighed, "To cure a disease, you have to beware of this and that, you are tired." ”

"It's the same everywhere." Luo Hao didn't smile, and explained with a serious expression, "It's okay now, I heard the teachers say that it was even more excessive when there was chaos a few years ago." ”

"Oh? What's the matter? Chen Yong asked casually.

"For example, the old director of the thoracic surgery department of a hospital in the imperial capital is about to retire, and two young competitors fight each other very fiercely, and in the end, one of them kills the other person."

"Holy! Didn't you get a sentence? Chen Yong was surprised.

"Why do you have so many questions, go quickly." Luo Hao didn't bother to say anything more to Chen Yong.

When talking to himself, Chen Yong is like a piece of wood, not as vivid as when talking to a girl.

After Chen Yong left, Luo Hao didn't have the heart to eat, he found the drug instructions on the Internet and twisted his mobile phone to ponder.

The fact that the instructions for iodized oil do not mention that it is used in the interventional treatment of liver cancer, which is simply ridiculous.

Luo Hao is also new to interventional surgery, although the level of surgery has been forcibly improved by the system, but some detailed knowledge is still relatively lacking.

However, Luo Hao was exposed to interventional surgery when he was a student in school, whether it was the imperial capital, the magic capital or other hospitals, iodized oil was used for interventional surgery to treat liver cancer.

After thinking about it for a long time, Luo Hao didn't understand why there was such a ridiculous thing, and after straightening out his thoughts, he didn't make a phone call in a hurry, but quietly waited for Chen Yong to come back.

Half an hour later, Chen Yong was late.

This thing must have talked and laughed with the pharmacist, and he was very happy, Luo Hao thought to himself.

"Luo Hao, Wen Youren said that he would pick it up himself early tomorrow morning, and he didn't let it be sent to the department." Chen Yong said after he came back.

Sure enough, Luo Hao confirmed the guess in his heart.

"Luo Hao, what should I do? Stop the surgery first? Chen Yong suggested.

"There's no hurry." Luo Hao shook his head, "I'll try it." ”

Try ......

And I tried it again.

This word reminded Chen Yong of the moment when Luo Hao pretended to be forced in the first hospital of the Medical University.

"Can you change the manual? Don't talk nonsense, do you know how troublesome it is to modify the manual? It's harder than launching a new drug. Chen Yong felt uncomfortable when he saw Luo Hao pretending to be forced, and said directly.

"I said try it, but I didn't say to change the manual."

Luo Hao was not in a good mood, and his tone was very hard.

"Why are you like this, you won't say good words." Chen Yong despised.

Luo Hao suddenly remembered that in the corridor of the emergency department of the First Hospital of the Medical University, Chen Yong "cast a spell".

Chen Yong can be regarded as a magician from a professional class!

"Chen Yong, is it a big price for you to cast a spell once?" Luo Hao's tone was gentle and asked.

"That's ...... That's not spellcasting! How do you like to pretend to be a ghost? If you really like it, you can go for a master's degree in magic and occultism, I don't believe that your Ph.D. from a concord is not up to the mark. Chen Yong replied unhappily.

"Why don't you try again?" Luo Hao said with a smile.

Now Chen Yong can no longer look directly at the word "try".

"Try what?"

"Let's see what Director Wen is going to do, or look at the future."

"What are you kidding! How could I possibly do this. Chen Yong looked at Luo Hao like an idiot.

"Give it a try, I'll feel at ease. It feels bad to be coveted, and my heart is a little panicked. Luo Hao made an exaggerated move.

"I don't see what you're panicking about." Chen Yong said impatiently.

His attitude when talking to Luo Hao was completely different from that of talking to nurses and pharmacists.

Luo Hao gradually got used to it, and he was not surprised.

"Try it, try it. If you try it once, I'll take you to surgery if you don't succeed. If it's really accurate, I'll take you to make ten! If you are angry, you will be a sorcerer, and I will be your assistant. ”

Luo Hao threw out the killer move.

Chen Yong couldn't refuse, stared, took out the necklace and began to mumble something that Luo Hao didn't understand.

After a few minutes, Chen Yong sighed, "I don't know, I said that my level is not enough." ”

"You're a graduate student, a graduate student in magic and the occult." Luo Hao emphasized.

"Medical graduate students come to the clinic as little Karami, can they do level 4 surgery? Are you kidding. ”

Luo Hao thought about it.

"It's not that I don't feel it at all, I subconsciously feel that you asked the old director Guohua to go home and hug his grandson. Harm, I can't help it, you have to let me see it. ”

Chen Yong also knew that his "prediction" was not considered, so he hurriedly explained.

“！！！” Luo Hao felt that Chen Yong's goods were really unreliable.

[People say that a man is a teenager until he dies, but how can there be a teenager ......]

The mobile phone rang, and it was Lin Yuming calling.

"Director Lin, please instruct." Luo Hao picked up the phone and said with a smile.

"In the hospital!" Lin Yuming asked solemnly.

"Yes." Luo Hao also became serious.

"In the emergency department, there is an anonymous person who vomits blood, you go and take a look, if it can still be treated, you are responsible for presiding over the rescue."

"Great!"

The so-called presiding over the rescue is not that Luo Hao really rescues, but exempts the medical staff from responsibility in the name of the medical department, so that the clinic can let go of the rescue.

What Luo Hao has to do includes, but is not limited to, some operations must be signed, but Anonymous has no family members around, resulting in rescue delays and so on.

The last ten years have been chaotic, and people's hearts are not ancient.

After the emergency rescue was successful, the patient's family came to compensate for the broken clothes, and the family of the patient who failed to rescue came to cry and find someone to be responsible.

Even if the rescue fails, it is better to say that if it succeeds, it will be more troublesome, especially for those patients who are admitted to the ICU at a high cost, and are extremely prone to accidents.

At this time, it is necessary for the medical department to send someone to take charge.

Of course, not all hospitals are like this, the mine general manager has been in great decay in recent years, and Lin Yuming tried his best to make the medical staff not chill, so a lot of the responsibility was borne by the medical department.

Most hospitals are laissez-faire, and the responsibility is shifted to clinical care.

Luo Hao tidied up his white clothes and strode out.

"Hematemesis? Generally, there are family members of patients with hematemesis, will there be a wrong medical history, Luo Hao, do you guess it is a trauma? Chen Yong followed Luo Hao and chattered.

Young doctors, interested in emergency rescue, but if they have worked in the hospital for more than two years, as long as they have nothing to do with emergency rescue, they can hide as far as they can.

When encountering emergency first aid, Chen Yong obviously talked more to Luo Hao.

"Do you dare to be more unreliable."

"I'll just go and see if it's a general patient, it's not reliable." Chen Yong was puzzled.

"I said you just said - I told the old director Guohua to let him go home and hug his grandson. Dr. Chen, I have a lot of respect for the old director of Guohua, and I will never say such a thing. Luo Hao emphasized.

"The more something is missing, the more emphasis is on it." Chen Yong muttered in a low voice.

"What did you say?"

Chen Yong was silent and followed Luo Hao to the emergency department.

Around the corner, a strange smell came to my face.

It's the "special" smell of the emergency department – disinfectant mixed with vomit and the smell of blood is inexplicably irritating.

At a glance, there were a bunch of people piled up at the door of the emergency room, and it seemed that they were all lively, not like the patient's family.

After all, Lin Yuming has already said that the patient is anonymous.

Luo Hao strode over, separated the crowd, and before he saw the patient, he heard a "vomit" sound from inside the room.

The sound came first, followed by a strong smell of blood. The adrenaline in Luo Hao's body was secreted in an instant, and the whole person directly entered a tense rescue state.

An elderly male patient is lying on an emergency bed while a nurse "breaks" his head to one side.

This is to avoid vomit being poured into the airways that could lead to aspiration.

The rescue bed was full of black-red blood, which was shocking.

"Xiao Luo, the patient may not be able to do it." The emergency physician said hurriedly.

The blood pressure shown on the ECG monitor has been as low as 60/20 mm Hg, the heart rate is 160 beats per minute, and the oxygen saturation clip has no time clip, and the value cannot be seen.

"Why haven't you had an infusion yet?!" Luo Hao frowned and asked.

"If you can't get in, your blood vessels will be gone when you come." The emergency physician said helplessly.

Excessive blood loss, hypovolemia, blood vessels deflated like a piece of paper, and indwelling venous access is a problem.

It's hard to hit the nail on the head in this situation, and even the most experienced veteran nurse can't say it's 100% accurate.

Luo Hao saw that the patient's limbs were constantly twitching, his face was pale, and he saw that more than half of his body had already gone up to the Nai He Bridge.

An old nurse is hunched over to give the patient a needle, but as soon as the needle pierces the skin, the patient will twitch, making it exponentially more difficult to retain the needle.

Luo Hao saw that she tried to stay in the needle twice in a short period of time, but failed.

"I'll keep the needle, and you can hold the patient down for me." Luo Hao turned around and grabbed a pair of sterile gloves, tore open the outer packaging with a "sting", took out the gloves and put them on.

With a "snap", the glove rubber band collapsed on Luo Hao's wrist.

Unlike Chen Yong, Luo Hao just wants to be faster, even if it's only one second faster.

Take the needle from the nurse's hand and have the nurse and emergency physician hold the patient's arm.

Luo Hao held his breath and condensed, and first entered the system operating room to try.

Sure enough, the general teacher in the operating room of the system was the same as the patient in front of him.

After trying three times with very little surgical training time, Luo Hao fell to the bottom of his heart.

After the infusion needle punctured the skin at a 37° angle, the patient suddenly twitched, but the needle in Luo Hao's hand seemed to move with the patient's convulsions.

In the next second, Luo Hao's left thumb pressed the infusion needle, "Saline!" ”

"Got in?!" The old nurse asked in surprise.

What Luo Hao did just now, she understood a little, but she didn't understand it.

Despite compression, the patient's muscles twitched.

In addition, the condition of the blood vessels itself is extremely poor, if it is in a static state, it is possible to succeed with a few more stitches, but as soon as it is stimulated, the blood vessels are displaced, and it is impossible to hit the nail on the head in the eyes of the old nurse.

"Salt water!!" Luo Hao repeated again.

"Oooh." The old nurse hurriedly connected the infusion tube and opened the normal saline that had been hung up to the maximum.

The infusion is extremely fast and there is no sign of resistance to the fluid entering the subcutaneous as the needle punctures the blood vessels.

Is it really done?

It really happened!

"Connect the tee and prepare the deep venipuncture kit." Luo Hao said in a deep voice.

"Xiao Luo, there is no ...... in the emergency department of the deep venipuncture kit," the nurse whispered.

Md！

Luo Hao scolded in his heart.

High-value consumables have become a forbidden area in the medical field, and deep venipuncture kits are also a type of high-value consumables.

Although he was scolding his mother in his heart, Luo Hao was still calm.

If this road doesn't work, then go the next way.

"Ready to cut open the bag and take off the patient's pants."

Now the middle-aged attending doctors, that is, Jiang Wenming's age, basically do not know phlebotomy, which is a procedure that only exists in "legends".

Because there was a deep venipuncture kit more than ten years ago, it is simple, worry-free, and far more convenient and faster than venitomy.

But no one expected that one day the emergency department would not be able to find a deep venipuncture kit.

The emergency physician was stunned, "Xiao Luo, will you open the vein?" ”

"Don't talk nonsense, hurry up!" Luo Hao replied bluntly.

The smile that had been hanging on his face like sunshine had long since disappeared, and Luo Hao was as serious as a stone.

The emergency physician hurriedly beckoned the nurse to expose the patient's groin position, and when the nurse turned around to get the leather bag, Luo Hao had already installed the blade, disinfected it locally, and simply prepared the skin with a scalpel.

This is not a routine operation, but it can save a lot of time in the event of an emergency.

After simple skin preparation, Luo Hao pressed his hand on the patient's groin to determine the position of the femoral artery.

The incision was cut open, and there was no blood shedding, and it was as white as a blank piece of paper. The patient's blood pressure is extremely low, and the peripheral blood vessels have already contracted, supplying all the blood to the most important organs.

Separated layer by layer, Luo Hao separated the subcutaneous tissue with his left hand, and held the hemostat in his right hand and gently picked it up.

A piece of "connective tissue" was singled out by Luo Hao.

But in the next second, no one cooperated, and Luo Hao's expression was serious +1.

"Chen Yong, what are you doing!" Luo Hao scolded unhappily.

Chen Yong was still watching the excitement, but he didn't expect to stretch out his own hand. After being reprimanded by Luo Hao, he looked for gloves in a panic.

Luo Hao's expression is serious +2.

It didn't matter to Chen Yong, Luo Hao let go of his left hand and held the knife.

The tip of the knife is lightly touched on the "connective tissue" picked up by the hemostat.

"Infusion tubes."

At this time, even the nurse was a little confused.

Deep vein dissection in less than a minute? The piece of connective tissue that Luo Hao picked up was the femoral vein?!

Still no one cooperated, Luo Hao took a deep breath and suppressed all the anger.

Outside the door, there are patients and family members who come to the emergency department to watch the excitement, and they lose their temper badly.

The so-called family ugliness should not be publicized, Luo Hao was silent.

The emergency department of the emergency department should really be rectified, and the quality is much worse than that of the first hospital of the medical university.

After repeated urging, the nurse handed over the infusion tube.

Luo Hao asked the nurse to open the infusion valve, and the saline flowed out, and Luo Hao did not hesitate to directly stuff the infusion tube into the incised connective tissue.

There was no fluid spillage, and it was determined that the infusion line went into the femoral vein.

Open the infusion valve to the maximum, and Luo Hao kept sending the infusion tube in.

"Inserted in the lower cavity?" Chen Yong put on gloves to help at this time.

"Stitching." Luo Hao ignored Chen Yong and said coldly.

Chen Yong snorted.

This is atypical Luo Hao.

Usually Luo Hao is very gentle, no matter what he says, he will not get angry, as if he has never had a temper.

The emergency rescue in front of him was the first time that Chen Yong and Luo Hao had encountered, but he didn't expect Luo Hao to enter the state of a senior physician in an instant, and every word was like a whip on Chen Yong's back, crackling.

To fix the infusion tube, Luo Hao carefully fixed the two passages, and then began to suture the incision.

Two intravenous channels were established, and the fluid slipped into it, and the first step of rescue was successful.

But that's just the first step.

"How's the patient?"

A familiar voice came from the corridor, it was Wang Guohua!

How did he get here? Luo Hao was slightly surprised, but he was not distracted, and looked at the patient's state intently, ready to rescue at any time while pondering the next treatment plan.

"Director Guohua!" The emergency physician seemed to have a backbone, and hurriedly said, "Xiao Luo has established intravenous access and has begun to rehydrate, but the situation is not optimistic, and the patient may have to ......."

Heavy footsteps entered the house, and he didn't need to look at Luo Hao to know that it was Wang Guohua.

He stepped into battle like an ancient beast with a roaring footsteps.

It was as if the entire emergency room was trembling.

"Femoral vein dissection? What did Xiao Luo do? ”

"Well, epinephrine 1mg IV." Luo Hao answered, and then began to give the doctor's order, "200 mg of dopamine is dissolved in 250 ml of normal saline, 30 drops per minute." ”

"Prepare the defibrillator."

"Suction device, suck the blood out of the patient's mouth."

Luo Hao blurted out one doctor's order after another, commanding the rescue in an orderly manner.

This should be the biggest snub and the biggest disregard that Wang Guohua has encountered in the past 30 years.

Every time there was an emergency rescue before, Wang Guohua was in command.

Everyone in the medical staff felt like they had stepped on Hot Wheels, but whenever someone slowed down, Wang Guohua would scold him.

So much so that after a few years of retirement, the medical staff in the operating room and emergency department are still afraid of Wang Guohua.

However!

Unconsciously, Luo Hao had already stood in the C position.

Wang Guohua silently watched Luo Hao preside over the rescue, and did not have to return to his original position.

Luo Hao's medical instructions were strict and fast, and at this moment, he didn't look like a young man at all, but a battle-hardened old director.

"Director Guohua, why don't you speak? Who is that little doctor and why he keeps beeping. A person who came next to Wang Guohua asked in a low voice.

"Shut up." Wang Guohua reprimanded.

The person who came with him was stunned, and subconsciously closed his mouth and did not speak.

After more than ten minutes, the blood pressure slowly rises as the fluid slips into the blood vessels. The high pressure has returned to 75 mm Hg, which is not yet at the lower limit of normal, but it is still seeing the light of day.

But whether it was Luo Hao or Wang Guohua, their expressions did not relax at all.

Luo Hao had been staring at the ECG monitoring, and seeing that the situation had improved slightly, he turned around and asked, "Director Guohua, do you know the patient?" ”

"I know the head of their village, the patient has a history of hepatitis B and liver cirrhosis for 30 years, and the hematemesis is thought to be caused by gastric varices."

Wang Guohua knew what Luo Hao meant, and without saying a word of nonsense, he directly stated the medical history he knew.

"I want to do Menchi vein devastation, but you can see the patient's current state." Wang Guohua then said.

This sentence was said to the village chief beside him.

"Director Guohua, can you get off the stage alive?"

"You're blind." Wang Guohua pursed his lips and reprimanded unceremoniously.

The old director has the majesty of the old director, and Luo Hao and the doctors in the room were stopped by Wang Guohua with a word.

Wang Guohua: Is this reprimanding the patient's family?!

How daring!

"You didn't see him vomiting a mouthful of blood, in this state, I don't think anesthesia will be able to resist it." Wang Guohua immediately said, "After surgery, 99 percent died." If you don't have surgery, you'll die 100 percent, you choose. ”

The village chief looked embarrassed.

"Director Guohua, what kind of technique is that door, what does it mean?"

"I'm done telling you, will you go home and burn his first seven?" Wang Guohua continued to scold, "To do it or not to do it, give a word." ”

"Do!" The village chief seemed to accept this and agreed without hesitation.

Luo Hao knew that the reason why Wang Guohua could talk like this was because he had something to do with the person next to him, it was all a history book of the years, and others couldn't compare.

Maybe Wang Guohua lived in their village for a few years.

"Luo Hao, are you ready for blood?" Wang Guohua asked.

"Ready, Director Guohua." Luo Hao said, came to Wang Guohua's side, and whispered, "I have something to do, let's find a place where no one is around." ”

Luo Hao was also a little anxious, the patient looked stable now, but God knows when a mouthful of blood vomited out, and the person was gone.

So what Luo Hao said in this sentence is more direct.

Wang Guohua had a straight face, "Emergency First Aid, you are a representative sent by the medical department, if you have anything, just say to your face, I have to prepare for emergency surgery!" ”

"Director Guohua, Menqi venous deflow surgery can indeed be treated, and it used to be the first choice."

Once!

This keyword was captured by Wang Guohua.

"Now the first procedure is endoscopic banding."

Wang Guohua knew that there was this technique, but he hadn't done it, and he hadn't seen Luo Hao do it.

Emergency first aid, every inch of time and every inch of gold, Wang Guohua must have chosen to have undergone countless Menqi vein devascurations.

"Nope." Wang Guohua rejected Luo Hao's statement without hesitation, "I don't agree with your medical department's suggestion. ”

Luo Hao was also a little helpless, although Wang Guohua wanted to learn minimally invasive surgery, but at the most critical and urgent time, he still chose the surgical method that he was most sure of.

Wang Guohua said, came to the patient's side, reached out and lifted the patient's eyelids to look at the eyelids.

"Make preoperative preparations, notify the operating room, and let the anesthesiologist come down ......"

"Vomit~~~"

The patient was agitated without warning, and casually spurted out a mouthful of blood, and sprayed the blood on the roof in front of Wang Guohua.

The black-red blood rain crackled down.

In a rain of blood, the monitor's alarm sound, the central electrogram pulled out a straight line.

Cardiac arrest!!