Chapter 91 Unconventional First Aid

Dr. Song hugged the patient tightly, constantly looking for support with his feet, trying to increase the friction.

But the bridge deck was slippery, and there was nowhere to focus.

It is said that this kind of rescue is absolutely illegal, but special circumstances are dealt with. If we had to follow the normal procedure, it would have been cold to save people.

The two stretcher workers made a fence with their bodies below, and finally blocked the downward momentum. However, sliding down from a high place, the force of the impact is similar to that of someone kicking him hard.

Regardless of the pain, Dr. Song was covered in blood, both his patients and his own. He put the patients who had not suffered secondary injuries on a stretcher and moved them back to the 120 ambulance step by step.

Oxygen inhalation, blood pressure measurement, 80/40 mm Hg, the patient is in hemorrhagic shock. Indwelling intravenous access, adding booster drugs, the ambulance siren sounded more shrill, turned around and rushed to the first hospital in the city.

As long as there are vehicles that can be avoided, no one will compete with the ambulance, because that is the green channel of life.

In the ambulance, fluids and vasopressors are given to maintain the patient's vital signs. Regardless of the wounds on his body, Dr. Song began to check the patient's trauma location, and kept in touch with the emergency department, constantly reporting the condition, so that the side could be prepared in advance.

Twelve minutes later, the ambulance finally returned to the emergency department of the city's first hospital.

A flat car has been parked at the door, and Zheng Ren has been waiting for a long time.

The patient was moved to a flat car, and the nurse who accompanied the car handed over a few tubes of freshly drawn blood and sent it for laboratory tests. The most important tests are blood type and HIV and syphilis tests, because patients with severe trauma need blood transfusions, there is no doubt about this.

The flat car ran to the emergency room. Zheng Ren performed a subclavian vein puncture on the patient while the doctor in the B-ultrasound room was doing the B-ultrasound examination.

At the same time, the nurse indwelled a gastric tube and a urinary tube for the patient, and prepared the skin for the operation area.

The directors of departments such as surgery, orthopedic surgery, brain surgery, and urology have long been ready to fight. They are all experienced and old doctors, and it is not difficult to do the next step based on the patient's situation.

The diagnosis is clear, consider liver rupture, spleen rupture, and hemorrhagic shock.

Because the patient is tall and the car is smaller, it did not hit the chest.

Director Sun was also present, and he said solemnly, "Xiao Zheng, you are young and quick, go ahead and do it."

Zheng Ren nodded, this is not the time to be humble. The emergency operating room has long been prepared, and it is time to wait. Emergency surgery here can save at least five to ten minutes of time.

The patient's life or death may be decided in a few minutes.

"Push to the emergency operating room and prepare for surgery." Zheng Ren said.

"Director Pan, I'm going to the emergency surgery. You can direct the rescue below." Zheng Ren said to Director Pan when he was leaving.

"It is estimated that there will be many injured." Director Pan frowned, "Go, I will call the operating room if I have anything."

Without too much communication, it is meaningless to say anything at this time.

Director Zhou of the Medical Department had already come, and without Zheng Ren being present, he began to record the description of the situation at that time and the right of the Medical Department to authorize the emergency doctor to operate on behalf of the hospital.

Zheng Ren walked upstairs quickly, and the mechanical female voice of the system sounded in his ears.

【Urgent Mission: Serial Car Accidents.

Mission content: Rescue the injured patients in the serial car accident.

Mission reward: unknown.

Mission time: 1 day. 】

Perhaps because of the sudden incident, the number of injured people is unknown, so even the system did not give a clear task reward.

Zheng Ren has gradually figured out the conduct of Uncle System. This is a big pig's hoof. He can predict a little bit of the future, but he is not very clear, or he is unwilling to explain it clearly.

Liver surgery itself has the surgical experience given by the system, and it is enough to cope with emergency surgery. But splenectomy has only been done once, so I don't have much experience.

After calculating, I still have 14,920 experience points. If I buy the surgery training time, it should be a little more than 4 hours.

Splenectomy is a relatively simple procedure compared to repairing the liver.

For Zheng Ren, who is an expert in general surgery, more than 4 hours of surgery training time should be barely enough.

Repairing the spleen may not work, but simply removing the spleen is absolutely fine.

Zheng Ren rushed to the operating room all the way, and saw that Xie Yiren was preparing surgical instruments in the operating room, and Chu Yanran and Chu Yanzhi were preparing for general anesthesia. Always appear only, and the teacher who taught the two of them, who rarely speak, also appeared in the operating room, silently helping the two busy.

The surgery is being prepared, and it is time to change and prepare.

Zheng Ren went to the locker room and began to exchange the operation time for the training of the splenectomy operation.

In a sense, splenectomy is even simpler than appendectomy.

Because of the complicated excision of appendicitis, it is a headache for all surgeons to face an ectopic appendix. The spleen is rarely ectopic.

Finding, dissociating, clamping, and excising is nothing difficult. As long as the anatomy of the arteries, veins and ligaments is clear, it will do.

In 4.14 hours, Zheng Ren practiced 43 splenectomy operations, each in less than 6 minutes on average.

If it was in the operating room, it would certainly not be so fast. However, in the systematic training, Zheng Ren did not need to consider the finishing steps such as flushing and abdominal closure, as long as the abdomen was opened, faced with one after another of various types of spleen ruptures, it was enough to remove it.

The difficulty of the operation is that when dealing with the splenogastric ligament, one should be careful about the abnormally developed short gastric artery, so as not to cause negative damage or damage the stomach wall. The second is to find the splenic artery and vein. As long as the anatomical structure is clear enough, it is difficult for the operation to fail.

Zheng Ren has even done a few cases of difficult splenic tuberculosis, and the overall process went very smoothly.

When the time came, Zheng Ren glanced at the skill tree.

According to Zheng Ren's idea, his general surgery skills should increase from 2044 points to about 2200 points due to reading books, performing surgery, and splenectomy training.

But when he noticed the skill tree, he was stunned.

The skill tree has grown directly from 2044 to 3154!

How is this going?

Looking back on the experience of the past few days, Zheng Ren felt that the system might have given him the experience of 300 liver surgeries due to the skyrocketing skills.

Anyway, it's a good thing anyway.

Zheng Ren also kept an eye on it, and he must look at the skill tree more in the future, because other skills have grown, and he still doesn't know it.

The accumulated skill points are 1529 points, and there are still more than 300 points to be upgraded from the expert level to the master.

Zheng Ren has some regrets. If he can upgrade directly, he will not be stingy. First of all, we must ensure the success rate of the rescue. As for the skill points, can we still do the task after running out.

The main quest prompt has been completed. Zheng Ren thought about it, it should be a gangrenous appendectomy, which is a grade 3 or 4 operation, giving more completion.

To receive the task, you will gain 1000 experience points and 10 more skill points. There is 1 grid left on the mission completion.

This experience and skill points are of little use, and Zheng Ren ignores them directly.

After walking out of the system space, Zheng Ren began to change into the isolation suit, put on a hat and mask, and went straight to brush his hands.

After brushing and sterilizing his hands, he walked into the operating room. Xie Yi handed over large sterile forceps and a curved plate. The curved plate was filled with iodophor gauze.

Beginning to disinfect the patient, Xie Yiren told Zheng Ren that the itinerant nurse had gone to collect blood, and the blood bank prepared 16U of fresh frozen red blood cells and 1000ml of fresh frozen plasma for the patient.

It seems that it is not enough, Zheng Ren is thinking about it, while disinfecting and laying out the list.

Putting on the surgical gown, standing under the shadowless lamp, the sharp scalpel handle was handed over.

Zheng Ren took it, and the operation began!

Thanks to book friends 160804173013607, yuemanxilou_, and fleeting flowers for their rewards. Thanks to book friend 131214012702401 for the 500 coin reward.