medical simulator

Then look at the other doctors on duty in the emergency department:

"Did you call the general surgery and neurology clinics? Let me remind you again. The situation of these patients may not be delayed for a long time."

"There is no one at the scene, and there is no one on the road. Now there are only two left. We must try our best to find a way." Du Haoran explained the seriousness of the matter.

"I called a long time ago and said that I will come right away. It will take time to come here." The person who answered looked at the time.

Then he said, "It's only been 6 minutes now."

The allowed time for emergency consultation is 15 minutes!It is impossible for the emergency consultation doctor to stay in the emergency department for 24 hours to prepare for the consultation. Huaguo currently does not have such ample medical resources, and can only divide one person into several people to order.

Du Haoran looked at his watch, then looked at the data changes on the monitor, and said, "Keep calling, tell them to hurry up!"

"Hurry up, open the intravenous line, exchange epinephrine, norepinephrine..." Du Haoran immediately directed the rescue.

"Call the blood bank and ask if the blood has arrived?!"

"Orthopedics, orthopedics..."

All the doctors and nurses began to be very busy.

Finally, 2 minutes later, several doctors rushed in from the emergency room. After seeing the scene in the consulting room, they couldn't help but pause.

Take a deep breath.

Dong Qiansheng from the second orthopedic ward was also among them. After a little mixed look, he asked, "Director Du, what happened?"

Then look at the patient again and confirm what I see!

Good guy, there are wounds on the abdomen, chest, limbs, and even the head, and they are obviously sharp wounds.

A total of four fruit knives were still inserted into the chest and did not dare to pull them out.

The blood scab on the wound was sticky, and the oozing blood stuck tightly to the clothes.

The gauze used in the emergency department had already been infiltrated, and it was completely unknown where the bleeding was more severe. The pitch-black gauze looked like an old shroud.

The wounds of these two patients are not the same, but the fruit knife inserted in it is obviously from the same batch.

His face was pale, and he seemed to be wearing a uniform...

Du Haoran said to the visitor: "It's not up to us to inquire about the reason."

"Hurry up to assess whether the patient needs emergency treatment in each department. If you have to go on stage, go on stage and deal with it. Time is running out."

"The blood pressure of both of them is extremely unstable now. I have pumped the thyroid and adrenal glands, and the high pressure is still less than 80mmHg."

"There must be active bleeding. In this case, you have to figure out a way."

"It's not enough to make ends meet, just relying on blood transfusions is not enough."

After Du Haoran said this, Mao Renjie from the neurosurgery department had already completed a simple physical examination, and said: "The pupils of the two people did not have any special dilation or contraction, and the wound on the head should only be a skin trauma."

"Have you taken a CT scan? Director Du?"

The emergency consultation at this time is equivalent to quickly looking for evidence of exemption from the relevant departments. However, although Mao Renjie's surname is Mao, he dare not rush to do a physical examination and draw a conclusion.

Only then did Du Haoran say: "I didn't do any checks, and I've been trying to rescue him since he got on 120. He was going to be sent to the Affiliated Hospital of Shonan University, but his vital signs failed halfway, so he was temporarily sent to our hospital."

"After entering the department, his vital signs were extremely unstable, and he has been giving life support..."

For any form of rescue, the first sentence written in the textbook is not to solve traumatic bleeding. Shock of any nature, even septic shock, should be rehydrated first.

If you don't make up and just lose, you will lose your life.

Du Haoran's team has achieved this.

Of course, just relying on fluid replacement is definitely not enough.

Chen Liwei from the General Surgery Department did a simple abdominal physical examination, and frowned fiercely: "There is fluid in the abdomen, there must be active bleeding. If there is no auxiliary examination now, we can only do laparotomy!"

"But to estimate the wound, we have to call the gastrointestinal surgeon." Chen Liwei looked at Du Haoran after finishing speaking.

There are only three major areas for the general surgery department of the eighth hospital.

Hepatobiliary and Pancreatic Surgery, Gastrointestinal Breast Surgery, Anorectal Surgery.

Among them, the liver, gallbladder and pancreas are also related to vascular surgery.

"Call!" Du Haoran immediately followed the advice of Chen Liwei from the Department of Hepatobiliary and Pancreatic Surgery.

At this time, even if Chen Liwei said that he would call someone from the nutrition department for consultation, he dared not have any opinions.

Specialist treatment, specialist consultation opinions are extremely important.

Although Du Haoran wanted to create something unique to the emergency department, the soldiers in his hands are getting greasy one by one.One is more cowardly than the other, and he has not yet decided on his final destination.

Then he looked at the person from the thoracic surgery department.

A deputy director of the Thoracic Surgery Department smiled wryly and said, "Director Du, our department will definitely open the chest for exploration, but it's best to have a CT scan before the operation, otherwise."

"This is completely impossible!"

"Where are the family members of the patient? Are you here? I want to talk to them."

Du Haoran replied: "The family members are not here. The units of these two comrades have directly contacted the general duty of the hospital, and the general duty has given authorization."

"If you want to talk, there are his colleagues in the office. You can talk to them, there is no time to waste."

Du Haoran can understand that Fu Liu, a thoracic surgeon, has special functions in his lungs, so he can't just do what he wants like laparotomy.

Explore wherever you want.

At the same time, the deputy director of neurosurgery also said: "Then just sweep the head."

Dong Qiansheng and Wang Yaoxiang from the Department of Orthopedics didn't make any fuss, they just said: "Our Department of Orthopedics must be undergoing surgery, so let's talk to the patient's colleagues together."

……

After Dong Qiansheng, Wang Yaoxiang and people from other departments finished discussing the condition with the patient's colleagues, all of them got into the place where no one was around at the same time, and then started making phone calls.

Dong Qiansheng reported directly to Yan Haihanhui: "Director Yan, yes, here are two very special patients who were injured on duty."

"They originally had four patients, but one was lost at the scene, and one was lost on the road. The remaining two were transferred to our hospital nearby. Now there are multiple stab wounds on both lower limbs!"

"Their unit attaches great importance to it. It seems that they found important clues and dens during the jidu and were silenced..."

"The leadership of the hospital also attaches great importance to it. I hope that all our departments will work together to save these two heroes."

"We don't know the situation in the Department of Orthopedics. The patient is now pushed to the operating room for a quick checkup, and then directly pushed to the operating room. In the emergency department, thoracotomy, laparotomy and debridement are performed at the same time."

"Our orthopedics department deals with the inner and outer sides of the thigh. There are deep knife cuts. I didn't dare to remove the gauze to see what was injured."

"The patient's blood pressure was only over 70 after pumping adrenaline and high pressure."

"I think, if it's just to be on the safe side, it's better to prepare for a consultative operation."

"Okay, I see." After Dong Qiansheng hung up the phone, he immediately began to notify the people in the group and began to prepare for emergency surgery.

Then I called Luo Yun and confessed that I would have two emergency surgeries with Director Yan at the same time, and if there were patients later, Luo Yun would help take care of them.

He didn't call Luo Yun to come to the operating room, not because he thought Luo Yun and the others were not qualified to participate!

Instead, they have been assigned long ago, and the routine emergency operations of each group are performed by their respective second-line consultation classes.

Luo Yun and Zhou Cheng are only in charge of the general duty of joint dislocation, and other patients will not help to deal with it.Otherwise, Luo Yuntie would be exhausted to death.

If it could be thrown to Luo Yun, Dong Qiansheng felt that it would be better to just throw it to Luo Yun.

……

Zhou Cheng didn't know all of this.

When Min Chaoshuo, who was on duty, received Dong Qiansheng's call, he was also taken aback for a moment, and then immediately said, "Okay, Director Dong, I understand the situation. If there are any special circumstances, I will call Teacher Luo directly."

"Did you tell Teacher Luo?"

"Okay, let's go." Min Chaoshuo immediately felt relieved.

The patient entered the operating room directly from the emergency department. Although it meant that the patient was extremely critical, but fortunately, if he didn't walk around the orthopedic ward, it would have little to do with him as the doctor on duty.

He doesn't need to do much, as long as he does his duty well.

……

At the same time, the Department of Anesthesiology and the Department of Surgery also received a notice to urgently receive two emergency surgeries, and must be ready to receive patients at any time.

The call was made directly to Zeng Yi, the director of the anesthesiology department.

Zeng Yi got off work early, and today he happened to be out having dinner with his wife and children. Hearing this, he asked, "Director Du, is the patient suitable for anesthesia? Has anyone in our department looked at it?"

Du Haoran said: "Director Zeng, the hospital attaches great importance to this operation. I hope that your anesthesiology department can perform at its best. It's too late to watch! It will be urgently sent to the operating room immediately."

"it is good!"

"I'll arrange for Director Wu Rui of our department to prepare for anesthesia for the patient first, and I'll come to the hospital right away!" Zeng Yi said without feeling embarrassed, and it was already past six o'clock.

And he has already done his own work, so no one will say anything about things that are not in the hospital.

Although Du Haoran felt that if Zeng Yi wasn't in the anesthesia department in person, the anesthesia time would be prolonged, but he couldn't care less.

No one can predict when an emergency will come, and naturally it is impossible to be ready 24 hours a day, waiting for the arrival of the patient!

Moreover, these two patients were in critical condition, unable to reach the destination hospital, and were temporarily dragged to the No. [-] Hospital, and they did not notify and negotiate in advance.

It is even more difficult to prepare in advance.

"That's the only way to go, Director Du."

Du Haoran immediately lowered his voice and said: "These two comrades were deliberately revenged. They are very respectable. We cannot avoid the harm. What we can do is to keep them as much as possible."

"And they also have critical information."

"But it doesn't matter now."

"Do your best and obey the destiny."

Du Haoran's unreasonable words are illogical and meaningless, they are purely emotional.

Zeng Yi only heard the word "revenge" and understood it.

The specific reasons for what happened are not important at this moment, and the injury has become an established fact.

Then, in today's rescue, rescuing people is the top priority.

Zeng Yi didn't even call his students, so he immediately took a taxi and rushed to the No. [-] Hospital...

Fifteen minutes later, Zeng Yi hurried to the operating room.

I was told that one of the patients lost his vital signs on the way to the operating room.

Now, although he is doing all he can to rescue him in the operating room, it is still unknown what the result will be.But certainly not too optimistic.

When he heard the news, even though Zeng Yi was used to seeing life and death, he couldn't help but tremble a little.

Then he ran directly to the operating room where there were still vital signs——

After entering, I saw Wu Rui. At this moment, the induction of anesthesia was quickly administered, the endotracheal intubation was completed, and another deputy director of the anesthesiology department had already started to maintain anesthesia for the patient.

Zeng Yi didn't bother Wu Rui, but looked at the surgeons in multiple departments, who were operating crazily like robots.

Before starting the disinfection, people from each department began to take out the temporary stuffing gauze within their respective areas.

Before debridement, thorough cleaning is extremely necessary.

However, just when Dong Qiansheng and Wang Yaoxiang just removed a corner of the gauze on their thighs and upper arms, suddenly.

Two sprays of blood rushed out, directly spraying the faces of the two of them, and the splashed blood even splashed on other people.

Dong Qiansheng and Wang Yaoxiang decisively pressed down the gauze cover with both hands——

Not caring about the blood dripping down his face, he changed his face and said, "Director Chen, these two patients have major arterial damage, and you need to send someone from your specialist to deal with it!"

The Eighth Hospital does not have a specialized vascular surgery department, and the Department of Hepatobiliary and Pancreatic Surgery of the General Surgery Department is part-time.

When encountering small vascular injuries on weekdays, the orthopedics department will deal with them accordingly, but for this type of major artery injury, to be honest, Dong Qiansheng and Wang Yaoxiang immediately panicked.

The TN hacker seemed to have spotted the right place to strike, and the wound he picked was so coincidentally located at the femoral and brachial arteries!

With such a large blood vessel injury, Dong Qiansheng immediately faltered, not daring to deal with it any further, pressing tightly on the wound.

Chen Liwei's expression also changed drastically at this moment.

He had already seen the scene just now, and although he secretly hated Dong Qiansheng for throwing the risk to their department at this moment, there was nothing he could do.

The Department of Orthopedics is the Department of Orthopedics, and the Eighth Hospital does not have a Department of Vascular Surgery, and the word Cardiovascular Surgery happened to be written in their department, so he could only bite the bullet and agree: "Our director will be in the operating room soon, and he will come to think about it later." Find a way."

Chen Liwei didn't dare to make a big deal out of it, and he didn't dare to deal with it by himself, so he could only hand over the pressure to his superiors.