Zhao Xiaogang, Han Yue, Xie Yalun, An Shanshan... all rushed out immediately.
Jin Cheng stood up and did not rush out first. Instead, he closed his eyes and entered the simulated operating room with his conscious body.
"Eye of the Sky, simulate the environment!"
Jin Cheng gave an order, and the operating room instantly turned into an emergency department. Jin Cheng got up and ran all the way, surpassing the few people who ran out in front, roaring all the way, and rushing away from those who blocked the way.
The pediatric emergency department is another 3-story building, 20 meters away from the emergency building.
Just this distance of 20 meters could kill Director Tian.
Jin Cheng ran outside Director Tian's clinic and pulled away the patient's family members who were watching the excitement. After entering, he found Director Tian already lying in a pool of blood. The strong smell of blood rushed straight into her nose. Next to her, a nurse held a cotton pad tightly Pressing her neck, blood gurgled out from the cotton pad.
Two security guards were holding down a middle-aged man in the corner.
When Jin Cheng saw it, he was already in hemorrhagic shock. At least 2000 ml of blood was produced.
The carotid artery was ruptured and he could not stop the bleeding by pressing it with his bare hands, even if he pressed it himself.
Director Tian's current condition cannot support her to the operating room. In fact, Jin Cheng is certain that in ten seconds, her bleeding volume will reach 3,000 ml, because the more bleeding, the faster the heart rate and the faster the heart pumps blood. The faster the bleeding, the more malignant it will be, and the injured person will die within a minute or two at the earliest.
"No, try again!"
Jin Cheng muttered silently.
He returned to the emergency room.
This time, he quickly rushed to the debridement room, picked up a debridement bag, picked up the surgical blade, and went straight to Director Tian's clinic.
After arriving in the consulting room, Jin Cheng quickly opened the debridement bag, assembled the blade, pulled away the nurse's hand, took away the towel, poured complex iodine onto Director Tian's neck, started from the wound, followed the carotid artery, and moved toward the patient's neck. Cut the skin and subcutaneous tissue on both sides.
Because the carotid artery is very tough and elastic, after it is cut, it shrinks downward to the supraclavicular plane and upward to the base of the skull. This is also the reason why it is impossible to stop bleeding by pressing with bare hands, because the bleeding point cannot be pressed at all.
Jin Cheng opened his eyes, found the carotid artery that was retracted downward, and clamped it with curved forceps. He then found the jugular vein with its upper end cut off and clamped it with curved forceps.
In this way, both arterial and venous blood are stopped.
But when Jin Cheng saw Director Tian, his face turned pale, his breathing and heartbeat stopped.
At this time, any rescue measures such as extracardiac compression are in vain because there is no blood volume and the person is shriveled up.
"If you fail, try again!"
Jin Cheng returned to the emergency room again.
This time, he further increased his speed and became more skillful in his operations.
He has done every step to the extreme.
After he successfully clamped the arteries and veins, Director Tian was still breathing and heartbeating.
"Hang on!"
Just as Jin Cheng breathed a sigh of relief, Director Tian's heart stopped beating.
"Failed again, come again!"
Jin Cheng refused to give up. In the whole hospital, he was the only one who could save Director Tian.
He is an old director of the pediatric emergency department. He is about to retire. He has treated countless children in his life, but in the end he died at the hands of the relatives of the children he treated. It is unacceptable no matter what.
Jin Cheng rushed out of the office without hesitation. This time, he did not take the debridement bag, but directly took a No. 11 large blade, and his running speed even reached the speed of a national-level sprinter.
…
Returning to reality, Jin Cheng rushed out of the office immediately before he could relieve his dizziness.
Everyone else went straight to the pediatric emergency building. Jin Cheng went to the debridement room, opened the drawer of the treatment cart, took out an 11-large razor blade, and quickly rushed out.
"Get out of the way, get out of the way!" Jin Cheng shouted all the way, rushing away from the passers-by in front of him, running forward desperately, surpassing Xu Yang, An Shanshan, Han Yue and Zhao Xiaogang.
He was the first to rush to the consulting room, and the scene was already very familiar.
The nurse who compressed the carotid artery was shaking with fear. I probably never want to be a nurse again.
In order to save time, Jin Cheng didn't even have time to put on his gloves, so he directly disassembled the blade, pulled away the nurse's hand, and threw away the bright red, warm and heavy cotton pad.
Several other people also arrived. In their shocked eyes, Jin Cheng held the blade in his hand and cut open the neck with one knife, cutting directly to the bottom, cutting to the collarbone. He also cut upwards, cutting through the skin and subcutaneous fascia, exposing the jugular vein. .
The blood volume decreased sharply, and almost all the incisions were bleeding.
Jin Cheng clasped the retracted artery with one hand and pinched it tightly, and clasped the jugular vein with one hand and pinched it hard.
I glanced at Director Tian, my breathing and heartbeat were still there! However, the respiratory rate is at least 30 times/min, and the heart rate is at least 160 beats/min. The respiratory and cardiac arrest may occur at any time.
"Quickly, establish an intravenous channel!" Jin Cheng shouted.
Everyone was shocked speechless by his operation, and woke up instantly when they heard the roar.
The top priority is to quickly replenish fluids to expand blood volume and correct the shock state.
Everyone quickly split up.
Pushing carts, calling people.
The head nurse of the pediatric emergency department pushed the ambulance over, and everyone carried Director Tian onto the flat car.
"Subclavian vein puncture, head nurse, it's up to you!" Jin Cheng warned.
The head nurse nodded and performed the puncture calmly. As expected of a pediatrician, the puncture was successful the first time.
Turn on the fluid replenishment speed to the maximum.
"Go get a debridement bag! I can't hold on for long!" Jin Cheng shouted again.
If you pinch the artery with your fingers, you will become unbearable after a few minutes. I also have limited mobility and cannot be transferred to the operating room at all.
Zhao Xiaogang quickly went back and brought it within 20 seconds.
He quickly opened it and took out two curved pliers.
Clamping the relatively superficial vein first, Jin Cheng freed his hand, took the curved forceps, and then clamped the artery.
"Quick, go to the operating room!"
Everyone pushed the cart and rushed to the operating room.
Zhao Xiaogang ran ahead to clear the way, and the road was smooth. The elevator is already waiting.
Entering the operating room, Jin Cheng greeted Han Yue and Zhao Xiaogang to change clothes quickly.
Xu Yang is asked to notify the blood transfusion department to urgently distribute blood, and then notify the medical department and hospital office...
The hematology department has blood type files of all hospital employees, so blood can be produced quickly. But you still need to do cross-matching.
The medical staff in the operating room also acted quickly, cleaning Director Tian's blood-stained clothes and carrying them to the operating bed.
Jin Cheng and the other two quickly washed their hands.
Director Ding is already intubating and anesthetizing.
It only took 10 seconds for the intubation to be successful.
After the anesthesia was completed, they quickly disinfected the drapes.
"Are there any artificial blood vessels in stock?" Jin Cheng asked.
The head nurse of the operating room came over personally to participate in the rescue. She nodded and said, "It's always been there, but..."
"Just what?" Jin Cheng said coldly.
The arteries are retracted and cannot be forcibly closed and sutured. A blood vessel transplant must be performed. However, the pressure on the carotid artery is too high and the vein graft cannot withstand such a large arterial pressure. There is no suitable site for artery transplantation, so the femoral artery or other large arteries cannot be transplanted. , which will cause ischemia in the corresponding parts.
Therefore, artificial blood vessels are the most suitable.
