medical simulator

Page 146



Moreover, in fact, in their department, there are very few patients with vascular injuries, and most of them are mainly hepatobiliary and pancreatic injuries.

He is only alone now, if the abdominal examination is to be done, and the blood vessels of the upper and lower extremities must be continued, splitting is not enough.

Even if it was enough, Chen Liwei didn't dare to do it.

……

Soon, Yan Haihan and Li Changhong, chief physicians of the Orthopedics Department, and Huang Shinan, Chen Liwei's superior and director of the Vascular Surgery Department, arrived at the operating room.

Each pulled their own people and listened to the report.

The expressions of the three of them changed immediately.

Li Changhong was the first to bear the brunt and said: "Director Huang, in our orthopedic department, the trauma itself is not fatal, the main problem is blood vessels."

Yan Haihan also nodded: "Our second department of orthopedics is similar, the femoral artery is injured, it must be treated as soon as possible."

Huang Shinan's face was a little pale at the moment, and he scolded Yan Haihan and Li Changhong so much that they didn't even know each other.

But what Li Changhong and Yan Haihan said is correct. Emergency trauma patients, in addition to blood vessel injuries, can nerve injuries and simple soft tissue cutting injuries be fatal?

Huang Shinan also smiled wryly at this moment, and said to everyone: "Our department still has laparotomy to do, and now there are two problems in the upper and lower extremity arteries, and I can't handle it at all by myself."

"Furthermore, to be honest, the vascular surgery department of our department is a brand itself. Such a major artery injury cannot be diagnosed without any auxiliary examination before the operation. Our department cannot solve this problem."

"Or let's all wait for me to ask someone to come over for surgery."

"But patients certainly can't wait that long."

"Or just go out and talk to someone about amputation." Huang Shinan also became ruthless at this moment, and immediately admitted his cowardice.

The patient was not sent to the emergency operating room by vascular surgery, and now both of them are aortic injuries, which our department cannot handle, and there is no advance warning.

We are limited and this diagnosis is not one we intend to address.

You orthopedics don't even think about hiding like this.

Yan Haihan was stunned, with a strange look in his eyes, and looked at Huang Shinan: "Both legs have been amputated? Are you going to lose one?"

Huang Shinan said: "Look at the blood supply at the distal end of the affected limb?"

"The injury time of the large artery near the heart exceeds a certain time limit, and the artery far away from the wound will produce clotted emboli. This is also the body's self-protection response. Try to supply blood to the head and heart first, and speed up the blood coagulation system in the peripheral circulation. .”

"Even if I sew up the injured artery, it won't help!"

"This kind of embolism caused by emergency trauma, our department can't do this kind of operation. Either wait for someone who can do it, or take the risk of transferring the patient out. Or amputate the limb and tie the artery." Huang Shinan also decisively Confess directly.

As soon as Huang Shinan said this, the expressions of the others changed drastically.

The anesthesiologist Wu Rui was in a particularly irritable mood at the moment. She risked giving the patient enough anesthesia. The surgeon here said that the operation could not go on and she wanted to transfer the patient out.This hurt her a lot.

Under anesthesia, how should the patient be transferred out?She followed all the way?

How long will it take to wake up from the anesthesia to the point where it can be turned around?

Her original intention was to be sent directly to the intensive care unit after the operation.

"Your surgeon needs to deal with it as soon as possible. The patient's vital signs are extremely unstable now, and we managed to support it with great difficulty. If there is any delay, then I may not be able to keep the current vital signs." Wu Rui said Start urging.

Huang Shinan continued to shake his head: "There is no way, my suggestion is to amputate the limb directly, and save my life temporarily."

Throw the question directly to Yan Haihan and Li Changhong.

After hearing Huang Shinan's words, Yan Haihan and Li Changhong's expressions suddenly changed, and they secretly scolded Huang Shinan as an old fox, and immediately wanted to take them off and go into the water.

This amputation operation is quite simple, but after the amputation, the patient's life may not be saved, but the limbs will be severed. How will I explain to the patient's family?

"Okay! Director Huang, you are an expert in vascular surgery, we will listen to you." Yan Hanhan was very decisive.

Since Huang Shinan said he would amputate his limbs, and he couldn't solve the problem of blood vessels, he should amputate his limbs.As for whether his life can be saved, it is not up to Yan Haihan alone.

"Director Huang, let's talk to the patient's family..."

5 minute later.

In front of Huang Shinan, Yan Haihan and Li Changhong, a middle-aged man in uniform slapped the table with his face full of anger.

"You're going to amputate your hands and feet, don't you leave any of them?"

"After this amputation, even if his life is saved, how will he live in the future?" His eyes widened with anger, as if he could eat the three of Huang Shinan with one bite.

Huang Shinan explained: "There is no need to hesitate any longer. The patient's condition is very complicated now. The arteries in the extremities are injured, and the possibility of blood clots cannot be ruled out. I called a specialist in vascular surgery, but it may not be able to support until then. "

"Professor Shu from the Department of Vascular Surgery at the Second Affiliated Hospital of Shonan University said that it will take two hours at the fastest to leave."

"And he also said that he may not be able to come."

Huang Shinan's words immediately made the patient's leader feel his scalp numb with anger: "It will take two hours to leave? Who the hell are you looking for? What a big show!"

"Why didn't he wait for the person to die before coming to collect the body?"

Get angry at Yellowstone.

He took off his hat to reveal the Mediterranean Sea, and smashed it on the table to vent his inner anger.

After Huang Shinan took a deep breath, he patiently explained: "Professor Shu is the top professor of vascular surgery in Hunan Province. Even if he has a certain reputation all over the world, the level of cardiovascular surgery in Attachment [-] has always been at the forefront of the country. .”

"Professor Shu is currently on the operating table. We respectfully invite him to come to consult the operation, not ask him to come. Can Professor Shu leave his patient's operation alone?"

"Then there is no one in the whole Hunan province except him?"

"Do you have to ask for this famous professor?" the middle-aged Mediterranean on the opposite side pressed.

"There are people in the Department of Vascular Surgery, but I called, and almost none of them dared to come." Huang Shinan replied firmly with a flickering tone.

"If you can find someone who dares to come, you can call and ask in person. I have invited experts in vascular surgery from the Affiliated Hospital of Shonan University to the Third Hospital and Provincial People's Hospital. At present, only Professor Shu said he is willing to come and see it! "

"This is not just a play, just come to someone. The current situation is very dangerous, and patients may not be able to wait too long."

"If the limbs are not amputated, these big professors have no better way, so we have no better way."

Mediterranean's tone was stagnant, but his occupation determined his attention to be very sharp.

The professors at Shonan University were unwilling to come here. This was not something that could be made up casually. He could find out as soon as he inquired later.

Then he asked again: "What do you mean almost nothing? Tell me more clearly, besides Professor Shu, is there anyone else?"

Huang Shinan nodded: "Yes, Professor Jin from the Affiliated Hospital of Shonan University said that there is this person, but he can't find where the person is now, and he is helping to contact him."

"Then what are you still doing here? Find someone!"

"Do you know, my brothers, they hold very important clues now!"

Huang Shinan could only bite the bullet and say: "This leader, I don't understand or understand what you said. I only know that his current situation is very serious. No matter what important clues he has, now Still hanging by a thread!"

"If you don't deal with it as soon as possible, there will be no people, and everything will be empty. And the time will not be too long. I hope that you can get in touch with the patient's family and listen to their opinions."

The Mediterranean was on fire at that time, with red eyes, looking at Huang Shinan:

"How do I get in touch? He's just a grandma, who's [-] years old this year. His parents, who are also my comrades in arms, are lying on the ground now. Do you dare to go find them?"

"He is only 21 now, unmarried and has no children. His uncle is also dead, earlier than his father, and he has no aunt."

"Almost no contact with my uncle's house."

"A loyal family!~"

"I order you to rescue him no matter what."

The expressions of Huang Shinan, Yan Haihan and others changed immediately, and the pressure was put on Huang Shinan.Huang Shinan could only grit his teeth and say, "We can only do our best."

Just as he was talking, Huang Shinan received a call from Professor Jin from the Affiliated Hospital of Shonan University, and then he connected face to face without caring about anything else.

The tone was extremely respectful: "Hi, Professor Jin, I'm Huang Shinan, sorry to bother you."

"Oh, have you found your contact information? Did you send me your mobile phone?" Huang Shinan was immediately overjoyed.

"Is he unwilling to come?" But immediately, the tone became strange.

"Okay, I know."

After Huang Shinan hung up the phone, he said to Hai Hai with a somewhat unnatural expression: "There is no other way now, and the person recommended by Professor Jin also said that he was not sure, so he didn't dare to come, so he had to amputate."

What Huang Shinan heard was unwilling, but he could only bite the bullet and report to the Mediterranean Sea.

"What the fuck?" Mediterranean was furious at that time.

"Don't want to come? Don't want to come to him to be a doctor?"

Huang Shinan immediately said: "Doctor Yang is not unwilling, but feels unsure!"

The Mediterranean is unlucky for Yellow Heather: "What you just said is that you don't want to."

"Give me the phone. I heard everything you just said." Mediterranean was determined.

Huang Shinan's heart ached, the reason why he repeated loudly just now was to tell the patient's leader, but unexpectedly, he planted a thunderbolt on himself instead.

His expression changed sharply, but his heart was actually bitter.

I want to ask for help from others. It is love for others to come to help, and it is duty for them not to come. It is not a good thing for me to expose my contact information so casually.

Injure one's own character and entrap comrades.

"Why are you still hesitating? My man is still lying on the operating table, he is only 21 years old! What are you hesitating here?"

"You can't call someone, so give me the phone number, and I'll call for it!" Mediterranean asked Huang Shinan.

……

Yellow Heather eventually gave the call to the Mediterranean.

So Mediterranean tidied himself up and made a phone call. Before connecting, he asked Huang Shinan, "Is your surname Yang?"

Soon, the phone was connected, and Mediterranean Sea immediately became polite, without the rigidity just now: "Hi, hello, is this Professor Yang? I invite you to come to the Eighth Hospital for an operation. Director Huang here said that you .”

The phone was hung up immediately!

Mediterranean was so angry that he almost smashed his phone.

Calling again, it directly reminded the other party that he was on a call, probably his phone was blocked.

"Borrow your mobile phone, I want to call him again!" Hai Hai looked at the subordinate beside him.

The subordinate immediately handed over the mobile phone.

After connecting this time, Mediterranean only said three words, Professor Yang, and was hung up by the other party.

"What?!" Mediterranean Sea was so angry that the veins on his forehead were exposed.

However, even though he was angry, he still looked at Yan Haihan and others pleadingly, and said sincerely: "Doctors, can I trouble you to call Professor Yang again? Ask him what he wants? He won't answer my call."

"I just got angry and just wanted to save this child!"

"His parents are my comrades-in-arms, and entrusted him to me before he died, but this child is very stubborn, and he will follow his parents' old path."

"If all his limbs are amputated, I don't know how to face his parents, please."

Bu Chaodong revealed his true feelings, and the tenderness of a tough man.

Huang Shinan also sighed when he heard the words. To be honest, he could understand Bu Chaodong's mood from their respective perspectives, but Bu Chaodong couldn't understand his current mood.

It is really beyond the scope of ability. I came to the Eighth Hospital temporarily, and then I didn't have time to do any examinations. I didn't make any preparations. I would definitely be caught off guard.

Now that another 3 minutes had passed, the patient became more dangerous.

Huang Shinan called and reported himself, but was not hung up.

Then Huang Shinan immediately mentioned the identity of the patient. This time, Huang Shinan turned on the loudspeaker, so everyone heard it. A very young voice came from the other end of the phone.

"Director Huang, it's not that I don't want to come, but that I can't come. You'd better hire Gao Ming."

"But Professor Jin from the Affiliated Hospital of Shonan University said you can do it?" Before Huang Shinan could reply, Bu Chaodong answered the phone with a hoarse and helpless voice.

"Doctor Yang, Professor Yang, ancestor, I can call you grandpa, can you come and save my soldiers? I can kneel down for you." Bu Chaodong's words were rough, even a bit illogical.

The young man on the opposite side pondered for a while, then still took a deep breath, and said, "Sorry, what Professor Jin said was in the past, but now I really can't hold a knife anymore."

"I'm sorry, you should invite another professor."

"It's not that I don't want to help, it's that I really can't help."

"Hang up."

After speaking, Yang Yifeng was ready to hang up.

But Bu Chaodong and Huang Shinan both heard that Yang Yifeng admitted in a disguised form that he could do such an operation, and at the same time interrupted: "Professor Yang, wait a moment, I really want to ask you for a favor."

Bu Chaodong even took a step back and said: "Professor Yang, how about this? Where do you say you are? I can send someone to pick you up. Is there any way you can come and have a look? The way, let’s talk about it.”


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