Chapter 53

A Mind Race!

It was hot outside, but the central air conditioning in the operating room kept the temperature extremely low, only 19 degrees Celsius.

The light from the large and small shadowless lamps is warm and angled in a peculiar way, dispelling the gloom and cold.

The blood-red color gradually became clearer.

Liu Chuntao snapped out of his waking state, caught Nie Zhudong's voice, and his ears perked up instantly as he quickly turned his head.

The angle was carefully controlled, and the neck wasn't twisted.

Guo Ziyuan stopped what he was doing.

Zheng Mengxian appeared calm on the surface, but his hands trembled slightly as he tried to hold his breath.

He forced himself to remain calm amid the unexpected events that occurred during the surgery.

He forcefully snatched the negative pressure suction device from Nie Zhudong's hand and stabbed it into the gushing pool of blood to clear his vision.

The objective is very clear.

Bleeding is not terrible; finding the bleeding point and effectively stopping the bleeding can save lives.

The bleeding started suddenly but didn't last long. If the bleeding could be stopped precisely, the surgery would still be a simple procedure.

The difficulty lies not in stopping the bleeding, but in making a diagnosis!

Locate the bleeding point.

Bright red blood gushed out, engulfing the negative pressure suction device with a hissing sound.

The blood-filled surface was continuously engulfing the metal rod of the negative pressure suction device...

Covering up more wounds also leads to a chaotic surgical procedure.

The glaringly bright red arterial blood brought Liu Chuntao back to his senses, and he immediately broke out of his "secluded" resting state.

He grabbed a cotton pad and covered the wound on his leg, giving Guo Ziyuan a quick glance.

Guo Ziyuan had already wisely stopped operating!

Although the amount of bleeding that may be caused by debridement is small.

However, this further exacerbates the patient's "shock" burden, becoming the last straw.

After confirming that the operation had stopped, Liu Chuntao slowly began to move towards his abdomen.

If the bleeding cannot be controlled even with a negative pressure suction device, continuing negative pressure suction will definitely be ineffective.

Change is imperative.

Zheng Mengxian quickly used gauze and cotton pads to start packing.

Packing is also a method of stopping bleeding.

You definitely can't run now.

Unlike his lackey Nie Zhudong, whose hands trembled slightly and whose eyes were filled with panic, Zheng Mengxian regained his composure.

What should you do in an emergency?

Go through the process —

Please inform your superiors.

The technique of "sweating people".

Have a talk with the family members and get them to sign the papers.

Large program techniques.

Zheng Mengxian began to speak: "Nie Zhudong, step down."

"Go print out the disease information sheet and shock risk document, and call Brother Qi..."

Liu Chuntao had already moved closer, but stopped 40 centimeters away from her abdomen and began to examine and think.

Liu Chuntao is not a general surgeon.

Even Zheng Mengxian couldn't detect the hematoma, so he was completely baffled.

The direction of their knowledge base is different. Zheng Mengxian isn't some idiot in general surgery; it's just that the current situation is beyond his capabilities...

The operating room fell silent.

The circulating nurse, who had been smiling while looking at her phone, slowly put down her phone like a numbed rabbit and stood up, gripping the ground tightly with both feet.

The anesthesiologist got up from the sofa chair he had slumped in and began to pay attention to the patient's specific signs.

If you bleed inexplicably during surgery, it's definitely not a good thing.

The atmosphere in the operating room has changed!

When Guo Ziyuan heard Zheng Mengxian's instructions, his mind was racing.

If the hematoma in the abdomen cannot be resolved, cleaning the wound on the leg is pointless and like taking off your pants to fart.

However, Guo Ziyuan has always been a pure orthopedic surgeon; general surgery is a completely different field for him.

Even after being reborn, general surgery remains an unfamiliar field.

Medicine is definitely not something you can do well just because you know a little about anatomy and theory.

This is especially true in surgery.

Guo Ziyuan didn't have time to supplement his knowledge of general surgery.

Hemostasis?

Without specialization, even Zheng Mengxian is inferior.

Skill points?

Everything has been cleared out; the remaining few are a drop in the ocean and meaningless.

So what should we do?

Just watch?

You can just watch!

He was just an orthopedic surgeon, and he was just Liu Chuntao's subordinate.

Whether the patient lives or dies has absolutely nothing to do with Guo Ziyuan.

Liu Chuntao bears no responsibility either.

Zheng Mengxian's responsibility is not great.

It's all too common for someone to die in the emergency room; people die every day in the emergency operating room.

There were just too many unexpected events...

After his thoughts became muddled, Guo Ziyuan's mind began to clear again.

Start a quick analysis—

In terms of professional knowledge and operation, he has no advantage over Zheng Mengxian.

The only advantage I have is my experience and knowledge as a senior attending physician in my previous life!

Are knowledge and experience alone useful?

After swallowing hard, Nie Zhudong hurriedly repeated, "Okay... call Brother Qi, the critical illness notification... right..."

When Nie Zhudong started to speak, Guo Ziyuan decisively interrupted, "I'll go type up the documents, Brother Zheng! I'll go print them out."

"Brother Liu is my superior, and this guy is from general surgery. They can help me more than I can."

"The visiting teachers will help make the call."

"I'm the most useless one, I'll go type the documents!!"

When the circulating nurse heard Zheng Mengxian say he was going to call Brother Qi, she knew that the situation was out of Zheng Mengxian's control.

She had already checked her phone and asked, "Should I call Yang Huanqi?"

"Yes!" Zheng Mengxian replied sparingly.

He did not abandon the patients, nor could he abandon them.

All we could do was try our best to pack the hematoma according to the principles for handling sudden hematomas, following the example of our superiors.

To extend the window of opportunity for patient resuscitation.

Liu Chuntao timely stretched out his foot and pressed down on Nie Zhudong's buttocks:

"You can't leave! You have to be my top assistant..."

"I can only be an assistant."

"Guo Ziyuan went to get the documents for the interview and signature."

Hematoma is an emergency, and there is no general surgeon in the operating room with better skills than Zheng Mengxian.

Even in general surgery, there were only two specialists: Zheng Mengxian and Nie Zhudong.

Although Nie Zhudong's skill level is not high, his departure would only make matters worse.

In the current situation, Guo Ziyuan is relatively useless, and it is most appropriate to have him step down and print documents!

An unexpected situation arose during the operation that could not be handled.

If you have a superior, please ask your superior.

At the same time, communicate with the patient's family to prepare for an impromptu conversation during the operation.

This is the standard procedure.

Guo Ziyuan doesn't understand general surgery, so he can only use his own experience to mediate and offer advice.

The number of emergency patients that Liu Chuntao and Zheng Mengxian combined had contact with was less than that of Guo Ziyuan.

As Guo Ziyuan stepped off the stage, he asked Nie Zhudong, "The hematoma is bright red, which most likely indicates that the aneurysm ruptured after stress."

"Dr. Nie, in your general surgery department, which small and medium-sized arteries are most prone to developing aneurysms?"

Frustrated, Zheng Mengxian snapped, "Why are you saying all this?"

"Go and print out the critical illness notification form and the shock notification form!"

Guo Ziyuan said calmly, "We won't argue... let's get down to business."

"If you have a goal, move towards it. If you don't have a direction, find the most likely direction."

"Even guessing in one direction is doing our best."

"I need a general direction for writing the interview notes!"

"I can't write down which arteries in our orthopedics department bleed!" Guo Ziyuan didn't use a rhetorical question to provoke Zheng Mengxian, but instead used a declarative sentence to state the facts.

Can arguing save a patient's life?

Zheng Mengxian didn't say anything more; he knew that Guo Ziyuan wanted to help.

Nie Zhudong was caught in the middle and at a loss: "The abdominal aorta, renal artery...splenic artery are all possibilities."

Guo Ziyuan's words were seasoned: "Small and medium-sized arteries!"

"If it were a ruptured abdominal aortic aneurysm, the hematoma wouldn't have formed so slowly!"

"Think about it again."