Rebirth 90: I opened a hospital in Shencheng

Chapter 661: Skillful Unity of Departments!
Zhuang Zhiqiu turned to look at the other doctors and asked, "What do you think?"

A doctor nodded and said, "I think Dr. Nie is right. We will do what you say. We all agree."

Yu Zhongcai said: "Then let's see how to get the steel bars. What can you do?"

Everyone looked at each other in blank dismay, and did not give an answer for a while.

Nie Chen glanced at everyone and said, "This requires pliers, hacksaws, and welding guns. Of course, the best way is to leave professional work to professionals."

"We have tried all three of these things. Welding guns have sparks, steel pliers have control, and hacksaws have vibration..."

Nie Chen nodded: "That's why we need to find a professional."

"Then call." Yu Zhong didn't know what he meant.

Look for firefighters. Apart from their job of putting out fires, they can do almost anything else!

Nie Chen hurriedly called the fire brigade. He got acquainted with a team leader in the previous explosion in the restaurant.

In less than 15 minutes, the head of the fire brigade came with five or six people driving a fire truck.

Nie Chen and Ren Yue waited anxiously at the door of the emergency room.

The patient's injury is currently unknown, and it is not known which organ the steel bar in the body punctured. The situation is really critical.

After the fire chief got off the car, he saw Nie Chen and shook hands with him.

"When I received your call, I didn't dare to delay for a moment."

"Thank you. The patient's condition is critical. Let's go there quickly. I'll tell you about the patient's condition on the way."

"Ok."

The team leader turned to several team members and said, "Take the tools."

Nie Chen reminded: "Probably we can only use hydraulic pliers."

"Clearly, we have dealt with this situation once."

"That's great." Nie Chen thought calmly.

Since they have done it once, it means that they have experience. When the internal situation of the patient is not clear, this experience can greatly affect the survival and prognosis of the patient.

Nie Chen took them to the emergency room.

At this time, more than half of the doctors in the emergency room had dispersed.

There are only a few doctors left who will go to the operating table later. After all, other doctors can't help here and can only watch the excitement.

"It's probably like this. Now the wounded can only lie on his side, which is very unfavorable for surgery. We can only cut the steel bars on both sides first, and don't move the steel bar at the waist." Nie Chen reminded.

The chief of the fire brigade nodded and said, "Okay, okay."

The firefighters assembled the hydraulic tongs, and after commissioning, they started.

The team leader went into battle in person, and said to a team member, "Take over."

"Yes."

A firefighter takes the steel bar from a doctor's hand.

Having firefighters to support it can make the steel bar more stable and prevent the patient from suffering a second trauma.

The captain held the hydraulic pliers, aimed at the steel bars, and pulled the trigger.

After a while, a "clang!" was heard.

Yu Zhongcai's heart skipped a beat, he took a deep breath and asked, "Report the patient's vital signs!"

Ren Yue said: "The vital signs of the injured have stabilized, with a heart rate of 96, blood pressure of [-], and blood oxygen saturation of [-] percent."

The patient's condition is not bad.

The captain's hands were very steady and he had already started cutting the second steel bar.

The rebar became tighter and tighter, and there was another "clang!"

The rebar was caught by a firefighter and the patient remained fine.

Yu Zhongcai let out a breath and said, "Take the patient to the operating room quickly and prepare for the operation."

"Yes!"

Nie Chen turned to the captain and said, "Then I won't be polite to you. I am in charge of this patient, and I have to go to the operating room."

"Okay, you are busy with your work." The captain was not hypocritical.

operating room.

People in the anesthesiology department are adjusting the blood recovery machine, and the blood stains on the patient's body have been cleaned up, and medical cloths and cotton pads have been put on them to prevent blood from spraying out for a while.

Because it was too urgent, X-rays and B-ultrasound almost didn't have time to do it.

The patient is given general anesthesia and placed on the operating table.

The chief surgeon of the general department performed the operation. First, he made an incision on the patient. The incision was placed on the lower side of the patient's reinforcement to help the bone.

"Turn on blood recycling!"

"Yes!"

"Recycle!"

"Already activated."

The blood salvage machine started working.

The blood from the patient's abdomen is led to the blood recycling machine, and then transfused into the patient's body.

This thing is really good, it can save a lot of blood for the hospital.

"The steel bar pierced the left kidney... The location of the three steel bar injuries has been reported."

Kazusuke looked at the patient's injuries and said.

Nie Chen said, "Speed ​​up the blood recovery process."

The operator of the blood recovery machine replied: "The blood recovery machine has been adjusted to the fast processing mode, and the recovered blood volume is currently [-] milliliters."

The anesthesiologist said: "The patient's blood pressure is basically stable."

Nie Chen said: "I suggest that the urology department and the thoracic surgery department should be admitted at the same time, because the damage to the trachea should not take too long. The orthopedics department should be admitted last, and then the general external connection station will do the final suture."

"no problem."

Surgery is in progress.

The urology department needs to deal with the kidney and retroperitoneum and suture the bleeding point, while the thoracic surgery department needs to deal with the wound on the anterior chest wall, because there are many blood vessels on the anterior chest wall, which is also the reason for the large amount of bleeding.

"The blood vessels are sutured."

"My side is fine too," said the chest doctor.

Nie Chen was bandaging the patient's leg injury. He raised his head and took a look. Seeing that Yu Zhongcai was silent, he asked, "How much is the blood recovery?"

"A total of 96 ml of autologous blood was recovered during this operation, and [-] cans were processed. The recovery was smooth."

Yu Zhongcai nodded: "Okay, this is five times the patient's own blood volume. If such a large amount of blood transfusion is allogeneic blood transfusion, the patient's body will definitely not be able to handle it."

"The rescue this time was very successful. The operation is basically completed. Thank you for your cooperation."

All the doctors nodded and left quietly.

Their work has been done.

Now the next job is to suture the wound.

"Old Yu, let Ai Mingmei and the others come over for a visit."

Yu Zhongcai said happily, "Okay."

Then Ai Mingmei and the others put on sterile clothes and walked in.

Nie Chen said to them: "I just tell you what kind of suture is needed for which position. If you encounter a certain type of wound in the future, you need to use a certain kind of suture, which is conducive to the patient's self-healing. Do you understand?" ?”

"Understood!"

Nie Chen straightened up, exhaled and said, "The stitching is finished, send it to the ICU, Lao Yu has already vacated the bed over there."

"Ok!"

icu intensive care unit

After placing the patient.

Ren Yuecai looked up at Nie Chen and said, "It's not easy, isn't this the same as robbing someone from Lord Hades?"

"Let's keep an eye on this patient." Nie Chen said.

"Okay." Ren Yue nodded.

"Doctor Nie, how can I practice suturing skills like yours?" Ai Mingmei asked.

Nie Chen smiled: "Practice stitching with pig's trotters first, because it is very hard and requires high strength, and then practice stitching with chicken legs, which can exercise your stitching skills and control."

"Ah? Okay." Ai Meili stuck out her tongue.

Ren Yue smiled and said: "I didn't lie to you, it's true. When we first came to Aihua Hospital for internship, we followed Dr. Song Dongyang and Dr. Lin Ronghua. They just made us old bones start again from pig's trotters."

"oh oh."

(End of this chapter)