The ambulance had already stopped at the entrance of the emergency department early.
Ye Lan originally thought that calling him over was to save people.
When he ran to the passenger seat, the driver pointed to the back, "Go to the back and help lift the patient later."
After saying that, he held a cigarette in his mouth and chatted and laughed with the doctor.
After being stunned for a moment, Ye Lan realized that the other party regarded him as a stretcher team.
However, now that he was in a hurry, he didn't say anything and climbed up numbly.
The ambulance roared onto the road. The driver was holding a cigarette, talking and laughing with the nurse next to him, and drove slowly.
The emergency doctor was also there, telling some dirty jokes from time to time.
In the eyes of the patient's family members, emergency doctors may look tense, but in fact, doctors who are used to seeing life and death cannot always keep their faces serious.
This situation is most common in the operating room.
If the surgeon talks and laughs, and even makes fun of the nurse, it means the operation went well.
But if the atmosphere in the operating room is dull and the surgeon is silent, the situation is definitely not optimistic.
The three of them were talking and laughing, while Ye Lan made a guest appearance as the stretcher team, leaning silently on the chair.
More than ten minutes later, the ambulance stopped at a construction site.
Outside the construction site wall, there were many workers standing, and a middle-aged man with gray hair was lying on the ground.
The crowd couldn't help but chant when they saw the ambulance.
"Okay, the ambulance is here."
"Get out of the way and let the doctor come!"
The co-workers talked a lot and hurriedly stayed away, for fear of affecting the treatment.
"Get the stretcher!"
The emergency nurse shouted to Ye Lan and then opened the car door slowly.
The three of them jumped out of the car, and finally it was Ye Lan's turn.
Although he was the last to get out of the car, he was the first to run to the man.
The man on the verge of coma saw the white coat and moved his left hand slightly, as if he wanted to say something, but his mouth moved but nothing came out.
Immediately afterwards, his eyes glanced down involuntarily, his gaze gradually straightened, his wriggling tongue retracted, and he began to fall into coma.
Ye Lan immediately squatted down, gently held the man's head to one side, then pinched it open in his mouth, and pulled out the fallen tongue again.
After doing all this, the nurse and driver rushed over.
"Don't move!"
The emergency doctor muttered unhappily, and then said: "Get into the car and give oxygen first. The specific condition will be known after going to the hospital for examination."
After saying that, he looked around and said, "Where are the family members? Are the family members there?"
A worker next to him immediately stood up and said, "His relatives are all in his hometown. I don't know the password of my mobile phone and can't contact my family."
The emergency doctor paused and said, "No family members? Then there must be someone who signs. We don't dare to rescue anyone without a signature."
The worker was a little embarrassed and seemed to be thinking about it.
Ye Lan squatted on the ground, rolled the man's eyes, and said in a deep voice: "Intracranial hemorrhage caused by high blood pressure is very large, and the craniotomy must be performed within thirty minutes."
Then he turned to the nurse on board and said, "Get ready to give oxygen and prepare mannitol injection."
The nurse was stunned and looked uncertainly at the emergency doctor next to her.
The latter was dissatisfied: "How can you confirm that a craniotomy is necessary without any examination? There are many reasons for coma. If you conclude that a craniotomy is necessary without doing any examination, do you know how much impact it will have?"
Ye Lan said calmly: "Do you listen? He is snoring!"
The emergency doctor said with a dark face, "Isn't it normal for you to snore when you're unconscious?"
Ye Lan muttered: "Snoring means that the cerebral hemorrhage has begun to compress the brainstem, vital signs have been affected, and the right hand cannot move. There is a high probability that the left basal ganglia is bleeding and rupturing into the ventricle. Moreover, the amount of bleeding is very large. If you delay, even if someone can save him, it may be difficult to recover."
As he spoke, he waved to the driver next to him and motioned for the patient to be carried onto a stretcher.
The emergency doctor frowned slightly and said with some humor: "Did you see multiple cerebral hemorrhages in the neurosurgery department? There are many reasons for coma. I swear, what if it is found to be caused by other reasons later?"
"It can't be any other reason."
Ye Lan shook his head, gently held the back of the man's head with his arms, and cooperated with the driver to gently put him on the stretcher.
He turned around and ordered: "Prepare oxygen infusion and mannitol injection. We must get in touch with the family members within half an hour. The craniotomy must be performed."
Seeing his skillful appearance, the nurse was doubtful, hesitated, and finally said: "Even if it's a cerebral hemorrhage, it doesn't necessarily require a craniotomy. Besides, there's no way to do the surgery within half an hour!"
The emergency doctor on the side chuckled and said seriously: "You have just entered the hospital. You have never seen life and death. When you see the patient, your head gets hot and you want to save people."
Ye Lan and the driver lifted the stretcher and said as they walked: "We should save patients when we see them. At least, this is our responsibility as doctors!"
The emergency doctor's tone was a bit colder and he said: "According to the hospital's regulations, except for routine oxygen administration and cardiopulmonary resuscitation, all other treatments must be approved by the family!"
"Besides, I am the emergency doctor, and I have the final say on how to deal with the situation!"
Ye Lan glanced at him with a frown, frowned slightly, and finally carried the patient into the car in silence.
According to the ancestral teachings of the Yan Medical lineage, in such situations, the person must be saved first.
If it were on the mountain, he would probably have taken action already.
But this is the capital after all, and we are in Xiehe Hospital after all, so we have to abide by other people's rules.
In addition to the patient, the worker also got into the car.
The ambulance started again.
While measuring blood pressure, Ye Lan gently opened the man's eyelids.
260/140, cerebral hemorrhage caused by severe hypertension.
The left pupil was dilated and the thalamus was severely damaged.
In this case, if the intracranial hypertension cannot be resolved as soon as possible, even if the person is rescued, he will probably remain in a vegetative state.
"Brain xenon has formed, and the left pupil has begun to dilate."
He said thoughtfully.
Hearing this, the three people in the cab were stunned.
In the past, dilated pupils meant brain death, that is, death in a physical sense.
Nowadays, although this is not regarded as a symbol of brain death, it also shows that the patient's life has begun to countdown.
If no action is taken, the patient will die within a few hours at most.
The emergency doctor frowned and said, "Trouble, I'm afraid it will be difficult to save him!"
At this moment, the coworker's cell phone suddenly rang.
The patient's family called.
In front of several people, he told the man's condition in detail.
The native dialect with a strong accent is difficult to understand.
After putting down the phone, he immediately said: "His wife is disabled and his son is still studying. My wife told you to save him first while she goes to borrow money!"
While he was talking, the ambulance had already arrived at the emergency door.
Opening the car door, Ye Lan immediately shouted: "Get ready for surgery!"
After saying that, he jumped down first.
