Sign In: Going Back to Being a Surgeon 10 Years Ago

Frankly speaking, this is also a big test for Wu Yuan and Zhang Shuwei.

Although Zhang Hongwei also has a certain level of surgical treatment, her professional ability is more inclined to internal medicine.

The state of the other two seriously injured patients is not stable, and they may have to undergo emergency surgery immediately.

In this case, Wu Yuan's pressure will be even greater.

Zhang Hongwei glanced at Wu Yuan, hoping that he could withstand the pressure.

But at this time, Wu Yuan did not hesitate at all and was at a loss.

At least on the surface.

Wu Yuan's psychological quality is really not strong in general, so he doesn't worry that if something happens, he won't be able to handle it?

Of course, Zhang Hongwei has been working in the emergency department for some time, and of course is very strong in first aid.

In fact, in this very chaotic situation, it is only possible to see whether an emergency doctor is competent.

To put it badly, a doctor with a lower level was horrified when he saw such a scene.

Either you don't know what to do at all, or it's just a random operation that you don't know, not only can't save people, but it will also have the opposite effect.

At this time, the injured person with a head injury was in a very unstable condition, and his vital signs were hovering on the edge of critical illness.

Both Wu Yuan and Zhang Hongwei are nervously watching the changes in the injured person's situation, and try to use conservative means to maintain his state, hoping that he can rely on his own strength to survive the dangerous period, so as to minimize the damage to his body.

However, the situation is clearly not optimistic.

Zhang Hongwei quickly judged how serious the injury was.

In addition to the head injury, although there is no CT examination, it is obvious that there is a flail chest.

The so-called flail chest is actually caused by a fractured rib.

After multiple rib fractures, the local chest wall softens due to the loss of rib support, resulting in abnormal breathing movement.

In this case, when the injured person inhales, the thoracic wall of the softening area is retracted instead of expanding outward with the rest of the thorax, and the softening area bulges outwards when exhaling.

Look at the condition of the injured,

The head injury was not too serious, but the condition of the flail chest was very critical.

Wu Yuan looked solemn, as if thinking about how to deal with the current situation.

Zhang Hongwei couldn't help but said, Doctor Wu, why don't you do conservative treatment first to see the situation.

As mentioned earlier, the so-called conservative treatment is actually the use of drugs to stabilize the situation, and then further treatment.

The drugs to stabilize flail chest are high doses of glucocorticoids and broad-spectrum antibiotics!

Then use a chest strap to pressurize the ribs to fix the chest wall and stabilize the injury as much as possible.

Zhang Hongwei meant to stabilize the situation first, and then study what to do after Peng Shuhua completed the emergency operation.

Wu Yuan's face was sinking, and he glanced at Zhang Hongwei: There is a lot of blood in the left thoracic cavity, and the heart is about to stop. I can't wait anymore, intubate first!

Zhang Hongwei was stunned: Intubation? Intubation now?

Wu Yuan: Or else...

This is a throat intubation, but a thoracic intubation.

Thoracic intubation requires a hole to be pierced, and an electric drill is used to drill open the victim's chest cavity, then insert the tube, and then suck out the blood that accumulates in the chest cavity.

The whole process is very bloody and usually takes place in the operating room.

To tell the truth, even in the emergency department of Yanjiang Dongcheng Hospital, it is rare to see direct intubation in the consultation room, less than three or two times a year.

And it is usually injured by an old doctor like Peng Shuhua himself.

A surgeon as young as Wu Yuan made a puncture in the chest cavity of the injured person, and it felt magical to think about it.

Not to mention Zhang Hongwei, even other nurses including Lu Liwen looked panicked.

Wu Yuan: Bring me an electric drill.

Lv Liwen regained her senses first, then ran to the equipment room and finally found the medical open-chest drill that had accumulated dust.

In appearance, it is no different from an ordinary electric drill.

Thinking that this thing was going to drill a hole in a person's chest, Lu Liwen couldn't help shivering.

Dr. Wu, who is so handsome, can really do it?

However, Lu Liwen also knew that she was thinking too much. Surgeons are used to this kind of scene.

Of course, as a surgeon, Wu Yuan is still too young, so it makes people feel very inconsistent.

Lv Liwen immediately brought the medical open-chest electric drill to the consultation room.

Wu Yuan took the electric drill and found that everyone was looking at him.

Wu Yuan: What are you doing?

Zhang Hongwei shook her head: No, nothing.

Wu Yuan: That's okay, you help me clamp the artery.

Zhang Hongwei also behaved very professionally and immediately went to work first.

Wu Yuan took out the electric drill from the electric drill box, and then chose another drill bit and inserted it into the electric drill body.

He put the plug back into the strip and pressed the trigger.

Buzz... The voice came, which startled the nurses.

Lu Liwen is not bad. She is an instrument nurse and often enters the operating room. There are several other nurses who have seen such a scene before, and they all took two steps back, their faces full of fear.

Wu Yuan didn't care what others thought, he peeled off the wounded's shirt and exposed his chest.

Wu Yuan aimed the drill bit of the electric drill at the position of the injured person's left chest.

This position must be selected well, avoiding the position of the heart, otherwise the drill will go deep and injuring the heart will be a fatal medical accident.

Wu Yuan glanced at Zhang Hongwei and said lightly, Turn your head.

Zhang Hongwei was still nervous about the position of the drill bit, but when she heard Wu Yuan's words, she immediately turned her head away.

Immediately afterwards, a series of strange sounds came from the consultation room.

This is not drilling wood, it is drilling the human body.

Fortunately, Wu Yuan doesn't have to worry about these two aspects. The skills he has signed in, plus the ability to control his fingers and wrists, are completely sufficient.

Finally, with a thud, a stream of blood gushed out from the seriously injured person's chest, spraying Wu Yuan's face.

what!

Alas!

Oh my God! It's horrible!

Several nurses couldn't help screaming, and two even ran out, probably going to the bathroom to vomit.

This kind of situation is not acceptable to ordinary people.

Even Zhang Hongwei, who was already well-informed, couldn't bear to look directly.

When Zhang Hongwei turned around again and looked at the chest of the seriously injured person, she found that Wu Yuan had moved the electric drill away.

The thoracic perforation was successful.

Wu Yuan: Intubation!

Lv Liwen immediately brought the pressure pump and inserted one end of the pump tube into the seriously injured chest cavity.

Don't look at Lv Liwen's weak appearance, but in fact, her psychological quality is really good, and she is quite reliable in her work, otherwise she would not have been designated as an instrument nurse in the operating room by head nurse Liang Lan.

After the pump tube was inserted, other nurses found another bucket and sucked out the blood that had accumulated in the left chest of the seriously injured person.

Wu Yuan didn't bother to deal with the blood on his face, but stared at the data on the monitor and the state of heart waves.

At this time, I only heard Zhang Hongwei say: It's stable...

Wu Yuan nodded.

Of course, both Wu Yuan and Zhang Hongwei knew that the injured man's balance was temporary, and he had to reinforce the elbow bone he determined later, otherwise there would be danger in a while.

Seeing the blood on Wu Yuan's face, Lu Liwen immediately took a towel and planned to wipe him.

At this time, a bell rang from the nurse's station, and the 120 emergency contact number rang again.

Wu Yuan took the towel and said, Go and answer the phone first.

Lu Liwen hurried over and answered the phone.

The consultation room is connected to the nurse station, separated only by a glass door.

The glass door was open at this time, so Lv Liwen's voice could be heard here.

Lv Liwen: Hello, the emergency department of Yanjiang Dongcheng Hospital.

The voice of the liaison officer of the 120 dispatch center came from there: Another injured person was found at the construction collapse site of Wuchuan Road.

Lu Liwen was stunned: What's the condition of the injured?

The dispatcher replied: The injured person is in serious condition, with severe trauma to the abdomen and a puncture wound!

Lu Liwen looked up at the consultation room: But we have already treated three seriously injured people here, so we are too busy.

The dispatcher was also a little anxious: Five hospitals have refused to admit this patient. Your Dongcheng Hospital is a strong surgical hospital. Please help, or this person will definitely die!

Lu Liwen was stunned.

This is how to do ah! ?

There are only three doctors now. How can they be so busy to deal with three seriously injured patients?

But that is also a human life, and it is indeed very uncomfortable to see death.

In a hurry, Lu Liwen called to the consultation room, Wu, Dr. Wu, can you come here?

In fact, Wu Yuan had already roughly guessed what was going on. He turned his head to Zhang Hongwei and said, Doctor Zhang, I'll come over.

Zhang Hongwei nodded, thinking that the seriously wounded can no longer be treated here, and the minor injuries can still be dealt with.

The three seriously injured people are already very unstable. If the seriously injured people are collected again, it will be very difficult to keep people alive.

Wu Yuan walked to the nurse station.

Lu Liwen briefly introduced the matter.

Lv Liwen: Doctor Wu, what should we do? Can we no longer accept it?

Lv Liwen added: But five hospitals refused to admit him, and his condition is very critical...

Wu Yuan didn't hesitate too much and said, Give me the phone.

Lu Liwen handed the receiver to Wu Yuan.

Wu Yuan put the receiver to his ear and said, Admission, bring him here.

Lu Liwen's eyes widened in surprise.

Zhang Liwei and other nurses also looked at Wu Yuan.

This Doctor Wu is really... really dare to talk and do it!

But the others couldn't say that Wu Yuan was busy.

A life is about to be lost, and as a medical worker, there is really no way to stand idly by.

Although Wu Yuan wiped his face twice, his face was still covered in blood, a bit like a soldier who had just come off the battlefield.

The dispatcher over there seemed to be relieved and said loudly: Thank you, thank you very much, the injured will be sent in a few minutes later!

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