Sign In: Going Back to Being a Surgeon 10 Years Ago Chapter 152: Dare to speak and act, the pressure doubles

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 actually more inclined to internal medicine.

The condition of the other two seriously injured is not stable, and emergency surgery may be required immediately.

In this case, the pressure on Wu Yuan will be even greater.

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

But at this moment, Wu Yuan did not show hesitation or bewilderment at all.

At least on the surface.

Wu Yuan's psychological quality is really not ordinary. Isn't he worried that if something happens, he won't be able to handle it?

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

In fact, it is in this very chaotic situation that we can see whether an emergency doctor is competent.

To put it bluntly, a doctor with a lower level would have been terrified when he saw such a scene.

Either you don't know what to do at all, or you don't know what to do indiscriminately. Not only can you not save people, but it will also have the opposite effect.

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

Both Wu Yuan and Zhang Hongwei were nervously watching the changes in the injured man's condition, trying to maintain his condition as conservatively as possible, hoping that he could survive the dangerous period with his own strength, which would cause the least damage to his body.

However, the situation is obviously not optimistic.

Zhang Hongwei quickly judged how serious the problem of the injured person was.

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

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

After multiple rib fractures, the local chest wall softens due to the loss of rib support, and abnormal breathing movements appear.

In this case, when the injured person breathes in, the chest wall in the softened area is inward without expanding outward with the rest of the thorax, and the softened area bulges out when the injured person exhales.

Looking at the situation of the injured, the head injury is not too serious, but the flail chest is very critical.

Wu Yuan had a solemn expression on his face, as if he was 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 and see the situation."

As I said before, the so-called conservative treatment is to use drugs to stabilize the situation first, and then do further treatment later.

The drugs to stabilize the flail chest are high-dose glucocorticoids and broad-spectrum antibiotics!

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

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

Wu Yuan's face was sinking like water, and he took a look at Zhang Hongwei: "There is a lot of blood in the left chest, and the heart is about to stop. I can't wait, intubate first!"

Zhang Hongwei was stunned: "Intubation? Intubation now?"

Wu Yuan: "Or else..."

This is a throat tube, not a chest tube.

Chest intubation needs to be pierced. An electric drill is used to drill open the chest cavity of the injured person, and then the tube is inserted in, and then the accumulated blood in the chest cavity is sucked out.

The whole process is very **** and usually takes place in an operating room.

To be honest, even in the emergency department of Yanjiang Dongcheng Hospital, direct intubation in the consulting room is relatively rare, and it is less than three or two times a year.

Moreover, it is usually done by an old doctor like Peng Shuhua himself.

Thinking about a young surgeon like Wu Yuan stabbing the injured man's chest, it feels like magic.

Not to mention Zhang Hongwei, even the other nurses including Lu Liwen showed panicked expressions.

Wu Yuan: "Help me get the electric drill."

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

The appearance is no different from ordinary electric drills.

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

Can Dr. Wu, who is so handsome, really be able to 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 quite out of harmony.

Lv Liwen immediately took the electric chest 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: "Alright then, help me clamp the artery."

Zhang Hongwei also acted very professionally, and immediately went first.

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

He plugged the plug into the power strip again and pressed the trigger.

The sound of "buzzing..." startled the nurses.

Lv Liwen is not bad. She is an equipment nurse and often enters the operating room. Several other nurses have never seen such a scene before, and they all took two steps back with fear on their faces.

Wu Yuan didn't care what others thought, he took off the wounded man's shirt, exposing his chest.

Wu Yuan pointed the bit of the electric drill at the left chest of the injured.

This position must be chosen well, avoiding the position of the heart, otherwise the drill drills deep and hurts the heart, which is a fatal medical accident.

Wu Yuan took a look at Zhang Hongwei and said lightly, "Turn your head."

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

Then, a series of strange sounds came from the consulting room.

This is not drilling wood, it is drilling the human body, no matter how deep or shallow it is, it is especially a test of experience and heat.

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

Finally, with a "plop", a stream of plasma gushed out from the seriously injured man's chest, spraying Wu Yuan all over his face.

"Ah!"

"Alas!"

"My God! This is terrible!"

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

This kind of scene is not acceptable to ordinary people.

Even the well-informed Zhang Hongwei couldn't bear to look directly at her.

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

The chest punch was successful.

Wu Yuan: "Intubation!"

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

Don't look at the fragile appearance of this little nurse, Lu Liwen, but her psychological quality is really good, and she is quite reliable in her work. Otherwise, she would not have been designated by the head nurse Liang Lan as an equipment nurse in the operating room.

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

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

At this time, I only heard Zhang Hongwei say: "Stable..."

Wu Yuan nodded.

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

Lv Liwen saw the blood on Wu Yuan's face, and immediately took a towel to wipe him off.

At this time, a bell rang from the nurse's station, and it was the 120 emergency phone that rang again.

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

Lv Liwen hurried over and picked up the phone.

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

At this moment, the glass door is open, so Lu Liwen's voice can be heard here.

Lv Liwen: "Hello, Yanjiang Dongcheng Hospital Emergency Department."

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

Lv Liwen was startled: "What's the condition of the injured?"

The dispatcher responded: "The injured person is seriously injured, with severe abdominal trauma and a puncture wound!"

Lv Liwen looked up at the consultation room: "But we have already admitted three seriously injured patients here, and 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 hospital for surgery. Please help, or this person will definitely die!"

Lv Liwen was stunned.

How can this be done! ?

There are only three doctors now, how can they be busy with three seriously injured people?

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

In desperation, Lu Liwen yelled towards the consultation room: "Wu, Doctor Wu, can you come here?"

Wu Yuan had already roughly guessed what was going on, he turned to Zhang Hongwei and said, "Doctor Zhang, let me go over."

Zhang Hongwei nodded, thinking that it is really impossible to treat seriously wounded people here, but minor injuries can be dealt with.

The three seriously injured people are already very unstable. If they take in more seriously injured people, it will be difficult to keep them alive.

Wu Yuan walked to the nurse's station.

Lv Liwen briefly introduced the matter.

Lv Liwen: "Doctor Wu, what should we do? Can we not accept any more?"

Lv Liwen added: "But five hospitals refused to admit him. His condition is very critical..."

Wu Yuan didn't hesitate too much~IndoMTL.com~ said: "Give me the phone."

Lv Liwen handed over the receiver to Wu Yuan.

Wu Yuan put the receiver to his ear and said, "Take care, send him here."

Lv Liwen's eyes widened in surprise.

Zhang Liwei and other nurses also looked at Wu Yuan.

This Dr. Wu is really... dare to speak up!

But other people can't say that Wu Yuan is busy.

One life is about to die, as a medical worker, there is really no way to stand by and watch.

Although Wu Yuan wiped his face twice, his face was still covered with blood, a bit like a soldier who just came down from the battlefield.

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

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