Tao Le and Beibei arrived at the emergency room and did not see the patient or Geng Hongwen, but found nurse Xiao Chen.
"Dr. Tao, are you looking for the patient with massive ectopic pregnancy bleeding just now?" Xiao Chen said as soon as he saw them:
"In operating room No. 2, but..." She looked at Beibei and hesitated.
"What's wrong?" Tao Le pulled her to the other side, trying to figure out where Beibei couldn't hear her.
"The situation is very bad now. First, the blood supply is tight. The blood bank can only provide 500ML of whole blood, and more can only be supplemented by red blood cells, which is not possible. Also..."
When Tao Le heard this, he knew something was wrong.
The patient's blood loss reached more than 2400ML half an hour ago. Once the hemostatic effect of acupuncture wears off, the blood loss will most likely exceed 3000ML.
With such a large amount of blood loss, red blood cells and fluid replacement alone are not enough. More than 2000ML of whole blood must be supplemented.
But now there is only 500ML, which is a quarter of the minimum demand.
Tao Le's brain was spinning at high speed. For such a large amount of bleeding, the best way is to recover autologous blood, but the first hospital does not have such a device - oh, that's not right!
The last time I was on stage with Dave, there really wasn’t one. But now we have it!
When she signed the tripartite contract with Ximu and the First Hospital, although she did not pay attention to her treatment, she remembered the various equipment that the First Hospital would receive.
Well, the more important thing is that at that time, Dean Lin and other leaders of the hospital repeatedly raised various questions, which made it difficult for her to think clearly.
As a condition for the cooperation between the first hospital and MIO Technology, the other party needs to deliver a batch of medical equipment on the same day, including 20 blood recovery machines.
At that time, Simu's staff said this: "The blood recovery machine produced by our Miao Technology is different from those on the market.
No matter when and where the blood is contaminated, as long as it is recycled and filtered, the impurities, toxins, bacteria, and viruses in it will disappear without a trace. The blood will be as clean as new and can be reinfused into the human body immediately. "
Thinking of this, Tao Le immediately asked: "Where is the blood recovery machine? I remember that it was sent to all operating rooms yesterday - with it, are you afraid that it will not be full of blood?"
"It seems that it hasn't been activated yet. No one knows how to use it. It is said that they need to be trained before they can use it."
"What time has it been? Human life is at stake!" Tao Le turned around and left.
"Wait a minute, Doctor Tao. It's useless for you to go now. Well, the obstetrics and gynecology doctor hasn't come down yet!"
"What's going on? Isn't there a gynecologist in the emergency room?" Tao Le stopped. She really didn't expect that the operation hadn't started yet!
She knows the regulations of the First Academy. In this kind of comprehensive hospital, the division of labor between departments is extremely detailed.
The so-called surgery profession has specialization, and surgery cannot perform obstetrics and gynecology surgeries.
Because of its special status, the emergency room is attended by a gynecologist. When encountering heavy bleeding caused by ectopic pregnancy, surgery can be performed immediately.
So what Xiao Chen said, the obstetrician and gynecologist hasn’t come down yet, what’s going on?
"Dr. Yang from the emergency department of gynecology in our hospital usually does a good job of seeing patients, but rarely does surgery." Xiao Chen said a little embarrassed:
"When it comes to difficult and complicated diseases, and heavy bleeding like today, we always consult the obstetrics and gynecology department for joint surgery."
"But the obstetrics and gynecology department is also very busy today. In addition to normal elective surgeries, there is also a patient suffering from sudden shoulder dystocia and another suffering from postpartum hemorrhage. The director, deputy director and several attending doctors are on the stage right now, and they still have to go through it. It will take a while to come down."
Having said this, Xiao Chen lowered his head and felt very sad for the patient.
This is also a bad fate. Why did it happen today?
Both sides are fate, no one is lighter than the other, and no one is heavier than the other.
But fate will always make choices. Those who arrive first will have a chance of survival, while those who arrive later will only have a dead end.
Poor that sensible little girl, she is about to become a motherless child.
At this moment, her cell phone suddenly rang. The patient's husband is here!
Xiao Chen came to his senses: "Doctor Tao, I'm going to pick up the patient's family. Where are Dr. Tao's people?"
Tao Le has already rushed into the second operating room.
"I know how to use a blood recovery machine, and I can also do this surgery!" she told the head nurse.
"But..." Nurse Kang, the nurse in emergency operating room No. 2, was in a dilemma.
There are rules for surgery. You can't just let a doctor come in and do it just because she wants to do it, right?
Someone inside heard her voice and asked loudly: "Is it Tao Le? Let her in!"
This voice did not belong to Geng Hongwen, but to Yuan Xiangqian, the director of the emergency room.
As soon as the patient finished the B-ultrasound, everyone knew the seriousness of the matter.
There was a lot of fluid around the liver and spleen, and there was also free fluid in the lower abdomen.
Although the B-ultrasound results cannot directly diagnose the location of the bleeding, laparotomy must be performed immediately.
He immediately reported to Director Yuan, and then Director Yuan personally contacted the obstetrics and gynecology department for consultation. It was also useless.
Almost all the doctors are on the stage, who are they expecting to come down and treat this patient?
"Open the abdomen immediately." Director Yuan made a quick decision.
First open the abdomen and explore, maybe you can find the bleeding point and fix the problem. The rest depends on the patient's life.
The result of abdominal dissection is the worst-case scenario that everyone imagines.
There was a large amount of blood and blood clots in the pelvic and abdominal cavities. There was a pregnancy in the left fallopian tube. The break was at the uterine horn. There were fresh villi inside and the bleeding was still very active.
It was definitely a ruptured ectopic pregnancy with massive bleeding.
Director Yuan is experienced in emergency medicine and can do many surgeries, but he has never done obstetrics and gynecology.
But when things came to a head, he had to take action no matter how unsure he was.
Because the patient has been in hemorrhagic shock for a long time and cannot last long.
At this moment, he suddenly heard what Tao Le said.
I know how to use a blood recovery machine and perform this surgery!
This was like a shot in the arm that hit his heart.
Geng Hongwen's heart was filled with mixed emotions. By this time, no matter how reluctant he was, he had already admitted in his heart that Dr. Xiao Tao was really quite capable.
Both the needle that controlled the pulse and stopped the bleeding and the final diagnosis proved that she was true to her word.
Geng Hongwen believes in science, so naturally he doesn't believe in coincidences. Even if it barely counts the first time, what about the second time?
At this moment, he didn't have any other thoughts in his mind. He just hoped that what Dr. Tao just said was as reliable as before.
With the help of Head Nurse Kang, Tao Le quickly finished brushing her hands and put on surgical clothes.
Then she caught a glimpse of the blood recovery machine thrown in the corner of the operating room.
It has been unpacked, just never used.
Naturally, this was the first time Tao Le saw it and he didn't know how to use it at all. But, she has a cheating device!
When the patient on the operating table came into her field of vision, the golden finger reminder also hung out clearly.
"After testing, the current conditions support left fallopian tube resection. Is simulation guidance practice required? Yes/No."
"yes."
(End of chapter)
