Director Shi's guess was not wrong at all, it was really a traffic accident.And because he went to the door to persuade him, he didn't receive a call.The emergency department was in a mess, and Director Liang had just taken over Dr.
Wang on duty in the emergency department and assumed the heavy responsibility of emergency rescue command.When he saw Director Shi coming, he hurriedly said: "Old Shi, Xiao Li took someone to the CT room for examination, there is a chest and abdomen injury, and another is suspected to be a skull fracture, you go and see if you want to open the stage immediately."
You yourself point the people who brought to the stage. ”"Okay, I'll go over here."
Director Shi didn't care if he didn't change his white coat, and hurriedly walked to the radiology department.......
"Lao Liang, do you have any patients with fractures?"
”Director Xiang's voice passed over the noisy hum of the emergency department and reached Director Liang's ears like a heavenly sound."
Suspected pelvic fracture next door.Xiao Wang, the hospitalized chief of your department, is taking people to deal with it. ”The arrival of Director Shi and Director Xiang made Director Liang breathe a sigh of relief.Not only can they share two-thirds of the casualties, but importantly, orthopedic and thoracic patients who need emergency surgery do not have to be distracted.The rest of the patients who continue to be sent over, with the help of Dr.
Yang and Dr.
Sun who rushed over, they can triage with ease.Director Liao, who was on the general duty, saw that Director Shi and Director Xiang were busy, and she was relieved when she lowered her shoulders.On this snowy day, what's the good thing about driving fast, one brake can't be missed, but it's not like now, more than twenty people went to the emergency room together.The vehicle that caused the accident is a private passenger car that people usually call a small passenger, which is on call and stops, which is both more convenient and faster than the bus.When the snow has not stopped, the snow on the roads has not been cleared, and the buses are lying in the yard, the light private passenger cars follow the ruts left behind in the night, becoming the main, or the only, means of transportation in heavy snowy weather.However, the minibuses that travel between the railway station and the bus terminal near the provincial hospital belong to different owners.These cars compete for passengers, and they are usually prone to small car accidents.In today's extreme weather, two small passenger cars that meet on a narrow road are still the result of driving fast, not driving, and grabbing the road, and not giving in to each other, and there is a new situation of snow skidding in the distance that is usually enough to brake the car, so it is inevitable that a car accident will occur.The two cars added up to more than 20 passengers, and the two ambulances of the provincial hospital ran several times with trepidation, and with the help of the police car, they were able to pull the injured back.Director Liang told Director Bian, Director Xu and others who rushed over one after another, and each brought the doctor who rushed to the emergency department to deal with the injured.Then he said to Director Liao, who was following him: "I'll leave it to you in the emergency department, these directors have taken the serious patient away for surgery, and the rest should be fine."
Lao Li should also be there soon, so I won't wait for him here, I'll go see the patient who is suspected of having a skull fracture.If I need a craniotomy, I have to help Xiao Li with surgery. ”"Okay, there you go."
Director Liao took over the command of emergency first aid.Fortunately, I called Director Liang as soon as possible, and Dean Chen and Dean Shu were not at home.After receiving a call from Dr.
Wang in the emergency department, she immediately asked Director Liang to preside over the rescue, which was correct.I just didn't expect Zhang Zhengjie of trauma surgery to be at home.* By the time Dean Shu and Chen Wenqiang rushed to the hospital, Director Liang had assisted Li Min in completing a craniotomy to stop bleeding.Director Shi led people to perform surgery on joint thoracic and abdominal trauma.Chen Wenqiang's arrival relieved both of them."
Lao Chen, what's going on in the emergency department?"
Director Liang came over to the platform after the operation."
Lao Li is presiding.Do you want to do this?
”Chen Wenqiang felt upset about seeing Dr.
Chen and Pan Zhi's surgery, and it was difficult for Director Shi.The cooperation between these two is too bad according to Xie Xun and Li Min."
I don't have to.You see, Lao Shi didn't do a good job with Xiao Pan and Xiao Chen.Did you open the stage over there?
”"The orthopedic department opened two, and he and Lao Wang presided over one by one.Lao Bian and Lao Xu also opened one each.Zhang Zhengjie didn't arrive?
”"I guess I went to his mother's house.With such a heavy snowfall, he should have come without notice. ”Chen Wenqiang walked around the operating room and saw that the six surgeries that had been done were being carried out in an orderly manner.He called Director Li, who was on guard in the emergency department."
Lao Li, Lao Liang and Xiao Li's surgery is done.Do you think there are any others who need emergency surgery?
We can do any surgery.If you need surgery, you can send it over. ”* The head nurse heard Chen Wenqiang shouting on the phone, and walked over from the other side of the corridor.After he put down the phone, he said, "Dean Chen, you are amazing, you can do anything."
Lao Zhou shouted that you should go to the sixth operating room, you should go to the rescue table. ”"What surgery?""
C-section.Twin pregnancies.As soon as the incision is made, there is a lot of bleeding under the skin. ”"Then where do you need me?
You just call Xiao Li to go. ”"She's gone early."
The head nurse emphasized: "It's Lao Zhou who wants to call you over." ”Chen Wenqiang confirmed that it was the anesthesia, and Director Zhou, who called him to go, immediately realized that there was something wrong with the patient.He hurriedly put the mask strap on his head and immediately turned around and went to the sixth operating room.But the slippers on his feet were too big and not so heeled, and he turned around so quickly that he almost tripped himself.The head nurse rushed up to help him and said, "Don't fall, you're going to fall, who are we all pointing at?"
When you come back to me, I'll prepare you separate slippers with double fits.What size do you wear?
”"40's will do.""
Then why did you pick out such a big pair of slippers!"
Although the head nurse slowed down her tone, she still couldn't help but speak in her habitual, cynical speaking pattern: "Tut, are you 42 or 43?"
You go and replace it for me.Don't wait a moment for those big-footed ones to come in and have no shoes to wear. ”Chen Wenqiang threw down the two slippers, ignored the head nurse's nagging, left a sentence of "I'll talk about it later", and went to the sixth operating room barefoot.The head nurse had no choice but to pick up the slippers that had been in front of her and sent them back to the shoe changing place at the door.Then she opened the locker in the small warehouse, found a new pair of 40-yard slippers, wrote two white characters with a marker, and carried the new slippers into the sixth operating room.The atmosphere in the operating room was very tense, and after the head nurse was looking for slippers for a while, Chen Wenqiang had already disinfected his hands and arms with iodine, and was putting on a surgical gown.Iodine dripping on the ground, swishing on the outside of the basin.In normal times, the head nurse does not scold, and the patrol nurse will not let go of such behavior.But the head nurse only glanced at Shuno and swallowed back the words that came to his lips.Like the nurse on patrol, she didn't see the iodophor dripping outside the basin."
Dean Chen, put on your shoes."
The head nurse put slippers under Chen Wenqiang's feet.Chen Wenqiang pulled the slippers to his feet.Then he shouted to the instrument nurse, "Wash your hands." ”The little nurse immediately grabbed the normal saline prepared on the instrument table and rinsed the talcum powder on the latex gloves for Chen Wenqiang, who was open-handed.The head nurse went to the small table by the windowsill, found the Alice pliers and the curved plate that had been used to disinfect the pregnant woman just now, and from the large glass cylinder of the disposal table, she used sterile tweezers to clip a few large cotton balls dipped in alcohol and put them in the curved tray, and then took the dirt basin to the edge, and squatted there to wipe the traces of iodophor.If you don't clean it up in time, when the operation is done, the color of iodophor will soak into the floor, and it will not be cleaned.Director Liang, who heard the news, saw that Chen Wenqiang had come to the stage, so he glanced at the operating table and went to soak his hands.
*This pregnant woman is also one of the passengers of the minivan, but she sits in the inner seat of the second row.At the time of the crash, her position protected her from visible trauma.Later, because she was pregnant, she was still in the ambulance in the first wave, but she walked into the hospital by herself, and Director Liang asked her if she was a twin pregnancy, and immediately sent her to the obstetrics and gynecology department for inpatient observation.After Dr.
Zhao, who was on duty in the obstetrics department today, examined her, he felt that although she was frightened, her mental state was acceptable, and the fetal heart rate was fine on auscultation, and there would be no problems for the time being, so he took her to the waiting side for observation.But before an hour had passed, the person who was in the same room with the pregnant woman helped to press the emergency bell, and the pregnant woman felt that □□ began to bleed.She hurried over to check the pregnant woman, and found that the fetal heart rate was irregular, one fetal heart rate was weak and the other was fast, and immediately did a B ultrasound examination in the emergency department, and detected the fetal intrauterine distress that had just occurred.After Dr.
Zhao assessed that conservative treatment might not be effective, she immediately discussed with Dr.
Zhang, who was looking for a gynaecologist.The two decided to have an emergency cesarean section and had to be operated on without family members.Let's save the adults first, and try to save the two children who have just passed 7 months as much as possible.Unexpectedly, the basic condition of the pregnant woman was very bad, so she cut under the skin, and the bleeding could not be stopped.Because of the emergency, Director Zhou came to the operating room without anyone shouting, and when he saw this, he took over the doctor on duty who had only been working for a short time, and called Li Min, who had just stepped down, to help, and asked the patrol nurse to call someone to find Chen Wenqiang and Director Liang to save the stage.* Chen Wenqiang came to power, and Dr.
Zhang of the gynecology department retired.She knows her level, and she is likely to get in the way on stage and will attract Chen Wenqiang's scolding.took advantage of Chen Wenqiang's position to slip off the stage, anyway, Director Liang had already soaked his hands and would be back soon.At the same time, the original surgeon on the stage, Dr.
Zhao, who had just been replaced by Li Min, was also slightly relieved at this time.She pressed the bleeding spot with the gauze in her hand, and then rubbed the sweat on Li Min's shoulder.I didn't want this action to immediately change back to Chen Wenqiang's scolding: "Go down."
I didn't see Dr.
Li stopping the bleeding. ”It was indeed unfortunate that Li Min was clamping the blood vessels, and she was hit on the shoulder like this, and the crooked tip of the pliers missed half of the blood vessels.The blood that snorted up suddenly rushed to Chen Wenqiang's glasses, who couldn't dodge.Dr.
Zhao stepped back from the operating table in a daze.The patrol nurse hurriedly went over and wiped the blood from Chen Wenqiang's eyes.Director Liang came back, and while wearing a surgical gown, he asked, "Lao Chen, is there anything wrong with the emergency department?"
”Chen Wenqiang was diverted by Director Liang, he no longer glared at Dr.
Zhao, who was red-eared, and replied casually: "Lao Li is looking at it."
Head nurse, did you call Director Li of the Department of Obstetrics and Gynecology?
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”"Hit.Call them first, and find you later.I also called Director Su and Director Chen just now.Until they arrive, you guys hold on for a while. ”When the head nurse saw him on the stage, she turned around and went out with a smile.If that doesn't work, then resign yourself to your fate.Li Min on the stage didn't stop his movements because Chen Wenqiang was wiping his glasses and Director Liang was wearing a surgical gown and washing his hands.She was operating alone, and kept reaching out to the instrument nurse: "Little bend."
Change the gauze.Small bends. ”The instrument nurse followed her instructions and patted the prepared hemostats and gauze into her palm.In this moment, Li Min's forehead was already slightly sweaty.- Because the pregnant woman's blood clotting status is very bad, Li Min even suspects that she may have a DIC tendency (extensive capillary hemorrhage).Looking at such a state of bleeding and coagulation, if you want to ignore the mother, take out the child first, and the mother may not wait for the child to come out and the mother will go into shock due to excessive blood loss.There were too many emergency surgeries today, and the amount of blood used for the pelvic fracture was restricted, so Director Zhou saw Li Min, who had just stepped down, and immediately called her here to help.On such a snowy day, it is not easy for the blood bank to take blood, which is the reason why Li Min was called to the stage by Director Zhou in a hurry, but he didn't have time to explain his whereabouts to Director Liang.Director Zhou, like everyone else, worries about pregnant women and is more nervous about the fetus.Twins, only 7 months old."
What is the blood pressure?
Old Zhou?
”Chen Wenqiang asked.Chen Wenqiang tilted his face and asked the nurse to bring his glasses.“130/80。”"
How much blood is on board?"
Dr.
Zhao immediately replied: "I have 400CC." ”Director Liang immediately said, "Hurry up and get it, and ask for another 1200."
M, such a coagulation state, let the blood bank prepare 10u of platelets. ”Director Zhou said coldly: "If you want platelets, you have to have a postoperative transfusion."
It's nice to have a whole blood that gives you 800.Lao Shi's big operation only gave 800 blood. ”"I don't care, you old boy showed me your blood pressure."
Chen Wenqiang put on his glasses and got started with Director Liang, Li Min suddenly felt a light pressure, and the patrol nurse took the opportunity to wipe the sweat on her forehead."
Little Bend is gone."
The instrument nurse yelled at Li Min, who was stretching out his hand, overshadowing the voices of Chen Wenqiang and Director Zhou."
Line Zero.Give me the spool. ”Li Min stretched out his hand over Director Liang, who was cooperating with Chen Wenqiang to tie knots and cut threads.A spool slapped into Li Min's palm, Chen Wenqiang held a small bend in each hand, and Li Min and Director Liang tied a knot at the same time.…… When Director Li came in, she saw this scene on the stage, and she immediately said, "Oh, Lao Liang and Lao Chen, you two are on stage."
If I had known you two were here, I wouldn't have come. ”"Lao Li, hurry up and brush your hands, these are twins.Your obstetrics and gynaecology department picks up the baby yourself. ”Director Liang rarely joked without smiling, and motioned to Director Li to look at the red operating table.In view of the fact that the mother was awake, he did not mention the bleeding.Director Li looked at Shuye on Chen Wenqiang's shoulder, and his expression immediately became serious."
Okay, I'll go brush my hands, you hold on a little longer."
The pregnant woman's lips were chapped and her breath was faint and she asked, "Is my baby okay?"
”"I'm about to get it for you.You're bleeding somewhere.Do you usually do the same?
”Director Zhou asked.The patient didn't come back for any tests, which was embarrassing.He knew that he was complaining about the inauthenticity of the laboratory today, but he still urged the patrol nurse: "You call the laboratory department and ask for her laboratory test results."
You just say that I need to use it to save my life. ”Looking at the patient's medical records, the temporary medical order was decent, and the long-term medical order was only half of it, but fortunately, the first journey was written.As for the other medical documents, there was nothing, and there were no family members to accompany them.That's it, the surgery!
Director Zhou understands the weight on his shoulders, and he must ensure the safety of the pregnant women on the stage, and it is best that the child is fine."
You said that you are not good at staying at home for the New Year on a snowy day, you pregnant woman, what are you doing out?"
Chen Wenqiang complained about the pregnant woman while working.It's really getting busier and more chaotic.There are a lot of injured people in the surgery, and the two people in the obstetrics and gynecology department just now can't cope with this kind of bleeding at all.M's, even the small blood vessels are snorting blood."
Lao Zhou, there is a problem with your blood pressure monitor.130 is definitely not so bleeding. ”Director Liang spoke his mind for Chen Wenqiang.Given that the pregnant woman was awake, he did not say that it had to be a blood pressure of 180."
I'm on a 10 o'clock shift, I have to go to work."
The pregnant woman replied weakly."
I'm usually a little anemic, and I'm more tired when I'm pregnant with these twins.""
Look at what you said, proofread it years ago.On my side, not only manual measurements, but also ECG monitoring. ”Director Zhou ignored Chen Wenqiang, who had goosebumps, and only answered what should be answered.Let him vent a few words and do his job.When he stepped down, he scolded him again and cleaned him up again.He put his hand on the pregnant woman's forehead to comfort her, "Now the best doctor in our provincial hospital is the best doctor in our provincial hospital who is operating on you, and there is Dean Chen, who is an expert in neurosurgery in our province; Director Liang, the chief director of the Department of General Surgery, and Dr.
Li, who has the most dexterous fingers in our provincial hospital.You heard it just now, Director Li of the Department of Obstetrics and Gynecology is also here, you can relax. ”Not only Director Li came, but Su Ying and Chen Liping also arrived.They came in the operating room to take a look at them, and then quietly went to brush their hands.Director Li was the first to return."
How are Lao Liang and Lao Chen?""
It's almost time to get to the critical step.It's waiting for you. ”Chen Wenqiang stepped aside and said, "Are you picking up the child here?"
”"I can do it all."
Director Li is also a person who can do things with both his left and right hands."
Suctifier."
Li Min didn't speak on the operating table except for asking for things."
Here you go, Dr.
Li, it's ready."
The instrument nurse handed over the hose and other items with the suction head attached."
Dr.
Li, try the suction device."
The patrol nurse reminded her."
Let's bend again."
Li Min passed the hose of the suction device through the pinching part of the small bend, fixed it on the sterile sheet, and then stepped on the suction device pedal: "New one?"
”"yes, it's the first time I've used it today.""
Knives."
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Director Li stretched out her hand, she was going to cut open the palace to take the child.
*The head nurse walked in again at this time, and she handed the piece of paper full of data in her hand to Director Zhou."
I just called, and this is the emergency blood test result reported by the laboratory department."
Director Zhou sighed and said, "Call the blood bank and ask the blood station to send a small version of blood to the emergency department."
They had an emergency surgery in the obstetrics department last night and ran out of platelets. ”Director Zhou knows the current situation of the blood bank better than Director Liang.Director Liang looked up and asked, "What's the situation?"
”"The hemoglobin before surgery was only 81g."
Everyone understands what he meant."
Blood pressure?"
Director Li asked with a knife."120/76."
Director Li decisively cut open the uterus, Chen Wenqiang and Director Liang immediately applied undamaged forceps, clamped the uterine wall, and Li Min inserted the probe of the suction device into the edge of the incision to suck the mixed fluid of amniotic fluid and blood.A fetal head immediately appeared under Director Li's hands.The hemostats prepared by Chen Wenqiang and Director Liang immediately and accurately clamped onto the umbilical cord of the fetus, Director Li clamped the fetal head with the index finger and middle finger of one hand, and held the fetal buttocks that slid out with the other hand, Li Min stretched out his hand: "Knife." ”The instrument nurse slapped the sharp handle of the knife into Li Min's palm, and Li Min's hand turned slightly in the direction to stick to the bottom of the small bend in Chen Wenqiang's hand, cutting off the connection between the fetus and the mother.Dr.
Zhao swaddled and smoothly picked up the fetus behind Director Li's side.The patrol nurse praised on the side: "Look at the cooperation of a few of you, it seems to have been rehearsed hundreds of times." ”"That's it."
Director Liang lowered his head to help Director Li stabilize the hook of the surgical field."
None of our eight hands are idle."
As they spoke, Su Ying and Chen Liping began to wear surgical gowns.But a complete transparent amniotic sac was held out by Director Li at this time, and the fetus was clearly visible inside."
Come, I'll show you.Look at how clear this amniotic fluid is. ”Director Li greeted everyone happily."
It's so beautiful!"
Li Min exclaimed in surprise: "It's the first time I've seen a complete amniotic sac. ”In the transparent and clear amniotic fluid, there is a fetus with thin fingers in it.The hair of the fetus is clearly visible, and he is separated from the world by this layer of amniotic sac.At this moment, a faint cry sounded on the small disposal table on the side.Doctor Zhao happily reported: "4 catties and 1 tael, not bad."5 points. ”Director Zhou said to the mother: "Your eldest son is 4 pounds and 1 tael, and he will wipe it clean and hold it for you in a while." ”"Thank you, thank you."
The mother was a little excited, and thanked her.Su Ying and Chen Liping came to power, and Chen Wenqiang and Director Liang immediately gave way and retired.Wait for Director Li to cut the amniotic sac...... handed over the fetus to Dr.
Zhang to take away, and the suction device in Li Min's hand also completed the current work, and she also stepped down from the operating table.The rest is up to the three directors of the Department of Obstetrics and Gynecology.This surgical field where the bleeding is difficult to stop, as well as the problem of uterine contraction after the delivery of the placenta, and whether there will be postpartum hemorrhage, are the most severe tests they have to face today."
Four and a half pounds.The second is heavier than the eldest one, 6 points.Boy. ”Dr.
Zhang loudly announced the good news to everyone in the weak cry of the newborn.Director Li and the others waited for the mother's placenta to be abrupt while checking the bleeding in the surgical field.After looking at it for a while, the arrogant Chen Liping said, "Dean Chen, they did a really good job. ”Chen Wenqiang and Director Liang untied the ties on the back of the surgical gown, and the patrol nurse came over to help Li Min untie it.Director Liang smiled and said, "Let's go, that represents the highest level of surgical skills in the provincial hospital. ”Director Zhou answered with a smile: "Your words are left for me to say for you, which is more effective than your own boasting." ”"We waited for you for a long time, and you didn't say a word useful."
Chen Wenqiang helped."
Let's go, let's go see the surgery."
The pregnant woman who was lying there didn't care about looking at her eldest son who was hugged by Dr.
Zhao, and said to Director Zhou with tears in her eyes: "Thank you, thank them for me." ”Director Zhou raised his voice and said to Chen Wenqiang and others who went out: "The mother said thank you." ”Then he bowed his head and said to the mother, "Look at your son, he will have to be sent to the neonatal ward in a while." ”"Thank you.Thank you. ”The mother was so excited that she burst into tears.She couldn't understand what the doctors were saying in the operating room, but she knew that her situation was dangerous.She understands the efforts of the dean, director, and doctor of surgery to save herself and her child.Even Dr.
Zhao, who was reprimanded by Dean Chen, also lost her decisive decision to operate on herself, and today she was able to pick up the three lives of the mother and child, all thanks to these people in the operating room.Director Li comforted her: "In the incubator sent to the neonatal ward in this weather, there are pediatricians watching it, which is safer and better than those brought to the mother by the full-term one."
Don't look at the child who is small now, and if you raise it for a few years, you can't tell that it is a premature baby. ”Twins were born prematurely, and although the two newborns were of low weight, they could have such a weight, which is considered to be the highest among the fetuses delivered in this month.After the two children were held by Dr.
Zhao and Dr.
Zhang and shown to the mother, they were about to be sent to the neonatal ward."
I understand, thank you, you all listened.""
Old Zhou, how much blood did you get in?""
800 is almost lost.Blood pressure 120/74, I'll keep you up here. ”"Thank you, with you, I will feel at ease when I come to the stage.""
That is, I have been your support all my life, and I will be there whenever you lean over."
Director Zhou joked.During the period of waiting for the delivery of the placenta, there was no pressure of bleeding wounds requiring emergency treatment for the time being, and the mother's vital signs were stable., Director Li also smiled and replied to him: "Why didn't you say it thirty years earlier, now my son is going to marry a daughter-in-law." ”Director Zhou shook his head: "You were one of the best cold beauties in our medical school at that time, how dare I come to you to talk."
But I'm your lifelong admirer and follower, and I'll always be waiting for you with open arms. ”Director Zhou's exaggerated actions and words amused the women in the room, and the pregnant women who didn't dry their tears also burst into tears and laughed.() The distance is a bit far