Chapter 977： with distinction

Ling Ran stepped into Operation Room 3 and saw a scene of tension and calmness.

The operating room 3 of the emergency center is not large. At this time, more than 10 people were blocked in one breath, which can be said to be illegal-so many people are inside, and the cleanliness cannot be guaranteed first.

With orthopaedics' strong control and emphasis on infections, this is a scene that should not occur.

However, whether it is the deputy chief physician of the orthopaedics department or the nurse in charge of the operating room, this is basically ignored.

The doctor holding the blood transfusion bag, the suffocated anesthesia, and the nurses who were deployed in turn, all silently hinted that there was a mess in the field.

Ling Ran said, holding a mask, covering her mouth and nose, stepped forward and looked at the patient first.

The management in the operating room is simple, and a roar is expected to restore the messy people to a stable state. However, the problem is not the attitude or procedure of medical staff, but more likely to be purely technical.

Dozens of medical staff who don't know what to do, don't suddenly get a technical bonus because of who screamed.

When they do n’t know what to do, even strict discipline and a correct attitude are meaningless.

It is as if the concern of a class student does not cure a cold of a pregnant student.

Ling Ran first focused on the patient.

The patient is about a factory worker or engineer. He has a hard-working face of about 40 years old, his face is pale, bloodless, the abdomen is high and the right lower extremity has a blocky bruise ...

"Six fingernail-sized fragments were injected on the back of the patient, and we were processing it. Suddenly, a burst of blood came out." The attending doctor saw that Ling Ran was coming, but he was not relieved, and the situation was badly reported. Some of the words spoken are unknown.

The senior doctor standing next to him, Deputy Director Yao quickly added: "The blood pressure has dropped rapidly, and the dorsal foot artery of the right lower limb is no longer touchable. I have asked the interventional department to come and want to do an angiography of the lower limb to determine the location of the bleeding. , But the intervention department is a bit too busy ... "

This is the state of imminent breakdown caused by the influx of patients.

Just looking at the patients right now, there are dozens of medical staff gathered around them, who are slightly divided into one, and they have performed surgery and nursing on three patients with moderate or minor injuries.

However, due to the seriousness of the patients at present, doctors are unable to deal with them, so they can only pile up medical staff, and pile up all the way to Ling Ran and to the intervention department.

If Ling Ran can't handle it, or the interventional department can't give a useful test result, then the patient can only give up or be lucky.

No matter which method is adopted, it means that a life will be lost, and there are more than a dozen medical staff who do futile work when the patients need it most.

Even large institutions such as the Yunyi Emergency Center, if faced with emergencies, will be easily overwhelmed if they cannot use all their power.

Ling Ran, who has participated in rescue and disaster relief many times, has a serious expression.

"The patient is already showing severe shock. The rate of major bleeding is so fast, it is likely that there is an arterial rupture ..." Ling Ran slowly said his judgment.

"Yes, I agree with Dr. Ling." Deputy Director Yao of Orthopedics agreed.

He is now out of control, and the most needed thing is that Ling Ran can participate.

Regardless of the outcome of the participation, the participation of an additional senior doctor can solve his mental and practical dilemmas.

If Zuo Cidian is here, in fact, he only listens to the doctor's unexplained words, he will pull out a small copy and make a record. Maybe he will cut it to clarify his responsibilities.

However, Ling Ran didn't care about it. His gaze stayed briefly on the patient's abdomen, then turned to the patient's thigh.

"The angiography is too late, and now I can only make an emergency judgment." Ling Ran did not think about the nails and thoughts like a regular doctor, and then said it.

On the one hand, in the face of so many possibilities, he also hopes to be able to provoke discussion, or get more information. On the other hand, Ling Ran doesn't care too much about things like responsibility.

He always behaves in a regular way. It is impossible to say that there are rules to follow, but Ling Ran has basically not suffered in this regard, and naturally he will not pay so much attention to this situation.

For Ling Ran now, increasing the probability of treatment is his biggest concern at present.

At the same time, the perfect level of free-hand hemostasis and more than 200 anatomical experiences are enough for Ling Ran to speak his own thought process confidently.

"Doctor Ling, what should I do?" Deputy Director Yao of the Department of Orthopedics thought more. He secretly poked, and also suspected of throwing a pan.

The nurses and anesthesiologists who were understood at the scene gave him a disgusting glance, but couldn't say a word.

The orthopaedic doctors bowed their heads in a rush, a little embarrassed, and dare not resist.

The relationship between hospitals and subordinates is sometimes harsher than the military, and it is more difficult to test people. Those who fail the test will be kicked out sooner or later. It is difficult to establish a foothold in a large hospital like Yunyi.

Deputy Director Yao is a full-time doctoral doctor. He is young and capable, and he is under 40 years old. He has been an associate chief physician in orthopaedics and a treatment group. It can be said that it is a standard young man, regardless of which From a perspective point of view, he didn't want to carry over for this emergency operation.

And Ling Ran was the conductor at the scene, and every pot had his share.

The same young orthopaedic attendant, bowed his head involuntarily. In order to reduce his responsibility, he was so embarrassed and worried about Ling Ran.

"Open the front abdominal wall directly." Ling Ran also had to consider the subsequent ambulance, but the order was fast, which was equivalent to taking over the scene directly.

Deputy Director Yao of Orthopedics didn't hesitate anymore ~ ​​www.novelhall.com ~ immediately took the scalpel and was ready to start.

"Wait a moment," Ling Ran said again.

Deputy Director Yao sighed, did he wake up? Are you going to shake the pot?

At this time, I was listening to Ling Ran: "After a while, the abdominal cavity opens, there will be a lot of blood coming out, the nurse will go to get blood, the assistant prepares two suction devices, anesthesia and check the intubation ... When you go in, you need to find the bleeding point immediately. Correct clamping is the key ... "

Ling Ran's command was very detailed, and as Director Yao hoped, he became the on-site commander.

However, with his detailed orders, when the nurses, assistants, and anesthesiologists moved in an orderly manner, the operating room suddenly became spacious and orderly.

An atmosphere of successful surgery has spread unnaturally.

Director Yao couldn't help but take a look at Ling Ran, and there was a hint of enlightenment in his heart: Yeah, as long as the operation is successful, there will be no problem of throwing the pan, but ...