First-aid

The doctors in the emergency department are all experienced and quickly apply compression to stop the bleeding. Dr. Chen was then carried on a stretcher.

Qin Feng looked at Chen Yuanfang with a pale face, and a judgment about the wound instantly appeared in his mind.

Even with compressive hemostasis, the amount of bleeding is still not small.

According to this amount of bleeding, if no surgery is performed, ischemic shock will occur in 3 minutes.

"Send Dr. Chen to the emergency room! Notify the director!"

Zhao Yitian was also an old employee of the emergency department in the hospital, and he immediately shouted.

Immediately, the hospital bed was pushed into the emergency room by a group of medical nurses. The head nurse and several nurses rushed to find a doctor.

Qin Feng and others waited anxiously outside the surgery door.

Just when everyone was so anxious and stared at the corridor at the end of the emergency room, Liu Juan came running out panting.

"Head Nurse Liu, what about Director Zhou?"

Seeing that she was the only one, the doctor next to her hurriedly asked.

"Zhou... Director Zhou, he is in... surgery and can't get off."

Liu Juan took a few breaths and said anxiously,

"I have notified other departments and asked them to send someone over for the operation, which may take a few minutes."

Bang!

Just as she finished speaking, the door to the emergency room was kicked open.

Zhao Yitian walked out with blood on his hands, his face unspeakably nervous and impatient.

"Where's Director Zhou? Deputy Director Chen has lost too much blood. She needs to operate immediately!"

"Director Zhou is rescuing a car accident and cannot escape. I have already contacted the directors of other departments."

Liu Juan immediately explained it again.

"Then what to do now? Deputy Director Chen's situation is very dangerous!"

Zhao Yitian was stunned when he heard the words. He frowned suddenly, looking a little flustered.

He has just determined the injury, the knife is too deep.

The carotid artery was completely severed, and the incision even cut through the lateral muscles, almost injuring the trachea.

If it drags on, she will definitely be in danger!

Although several people often follow Director Zhou and Deputy Director Chen to perform difficult operations, they all provide first or second assistance to them. They have no experience doing it independently at all.

Carotid artery severing has reached the standard of tertiary surgery!

The risk is extremely high!

Ding!

"Not good! Dr. Chen is in shock!"

Just then, there was a sudden shout from the rescue room.

The steady and high-pitched alarm sound suddenly made everyone's heart stop and their scalps tingle.

"Quick! Quick rescue! Be sure to hold on until the other directors arrive!"

Zhao Yitian only felt dizzy, and with tears in his eyes, he shouted desperately.

Chen Yuanfang is his mentor, and he has been with Deputy Director Chen for three or four years.

The two spend even more time together than the family. No matter in life or work, Dr. Chen always helps him.

Zhao Yitian has always treated Chen Yuanfang as his godmother, standing by her side no matter what.

Now, he is going crazy watching his teacher lying on the hospital bed waiting to die.

"Xiaoxiao, Lingling, hurry up and inform the inpatient department, send someone to find some directors, and be sure to bring them here!"

The head nurse Liu Juan also burst into tears and hurriedly directed the two fastest nurses.

Qin Feng, who was standing aside, glanced at the time, his eyes were extremely solemn.

'That's too late. '

Now that it has been more than 3 minutes after the right carotid artery is cut, the pressure in the brain will plummet to zero.

Nerve cells in the brain normally only survive for about 6 minutes under hypoxic conditions.

Once the tolerance limit is exceeded, it will cause irreversible damage to the brain.

Even brain dead!

Even if the directors of other departments rush over now, there may not be enough time.

The bleeding must be stopped immediately, the arteries should be sutured, and the blood supply to the brain must be restored!

Bang!

Qin Feng pushed open the door of the rescue room and strode in.

On the hospital bed, Zhao Yitian and several people were carrying out rescue work. He went to the bed and reached out to touch Dr. Chen's skin.

The limbs were cold, the skin of the whole body was obviously cyanotic, and petechiae appeared vaguely.

It is clear that decompensated ischemia has been entered.

"Get out of the way, if you want to save Dr. Chen, just do as I say!"

Qin Feng didn't care about anything else, he pulled Zhao Yitian away, who was preparing for second defibrillation, and said in a serious tone.

"Two channels were established immediately, one from the internal jugular vein and the other through the internal femoral vein."

"Hurry up!"

Qin Feng picked up the iodophor and poured it on his hand, simply disinfected it, and then disinfected Dr. Chen's two large veins.

"What are you doing? Hurry up!"

Zhao Yitian froze in place because he was flustered and even forgot what to do.

When he heard the scolding, he recovered and hurried to get the equipment. Qin Feng saw that he was shaking, and immediately grabbed it for a puncture.

Once in place!

The other two doctors in the emergency department were very surprised when they saw his movements, which were too skilled.

"What about rehydration?"

After the puncture was completed, Qin Feng frowned slightly and looked at the two of them.

"It's ready."

The nurse next to her hurriedly ran over to get the rehydration solution and carried out the infusion according to the rehydration principle.

First crystal then glues, the first salt then sugar, first fast then slow, alternating liquid.

First enter 30 crystalloid solutions (normal saline, balanced salt solution, glucose solution) to increase the return of blood and cardiac output, and control the shock.

Then enter the colloid (whole blood, plasma, albumin, etc.) to rapidly reduce the extravasation of crystalloid blood.

Because of the sufficient manpower, all the rehydration actions were completed in two minutes.

Looking at the data on the glancing instrument, the rate of decrease in BP and CVP has begun to slow down.

"Notify Nurse Liu to prepare the operating room. The situation of Deputy Director Chen can't be delayed any longer."

Qin Feng breathed a sigh of relief and quickly commanded.

The nurse ran out like lightning, Zhao Yitian watched his first aid actions, and the whole person was dumbfounded.

"Which one of you has had surgery?"

Qin Feng turned to look at the three and asked.

"They have all been on stage with Director Zhou and Deputy Director Chen, but they have not done this kind of surgery independently."

They looked at each other, Zhao Yitian said with an ugly expression.

"Have the first assistant and the second assistant always done it?"

Hearing Qin Feng's question, the three nodded,

"Okay, Dr. Zhao, don't go in. Dr. Xiao and Dr. Wang, you are in charge of the first and second assistants."

"Who will do the surgery?"

Zhao Yitian finally woke up and hurriedly stepped forward and asked eagerly.

"It's too late to wait for the other directors to come, let me do it."

"What? You do!"

The three of them all looked at him in shock when they heard the words, their faces in disbelief.

"Can't!"

The next second, Zhao Yitian immediately sternly refused.

Qin Feng is just a new intern, and he is not even qualified for an independent consultation. He is not eligible for surgery.

Moreover, the operation requires the signature of the department director, deputy director and chief surgeon.

Now Deputy Director Chen is lying here, and Director Zhou is in the operation again, and even they are not qualified to go on the operating table.

Although there are some minor operations, such as appendicitis, they can do it first, and then the director will sign.

In the emergency department, some illegal operations are normal in order to save people, but this should also be based on absolute certainty.

Once something goes wrong, the entire department will be unlucky!

"Otherwise you will come?"

Qin Feng sighed helplessly, looked at them and said,

"Time is running out, trust me, if anything happens to Dr. Chen, I'm willing to bear all the consequences!"

The voice fell, and no one spoke.

"Don't worry, I have experience in arterial suturing before, at least I have to restore blood supply first to save her life."

After he finished speaking, he turned to look at the left-behind nurse.

"You have been compressing blood vessels just now, and you add aspirin and recombinant tissue plasminogen activator...to prevent thrombosis and cerebral infarction."

"Oh well."

The nurse heard the words and hurriedly obeyed.

Bang!

"The operating room is ready!"

At this time, the head nurse Liu Juan came in and said.

Qin Feng glanced at the two doctors in front of him with serious expressions.

"Prepare for surgery!"

A minute later, Dr. Chen YuanFang was pushed into the operating room next door.