As soon as he got out of the ambulance, the driver of the car rushed out.
"Brothers, are you guys alright? Hold on, you must hold on." He helped the nurse push the trolley and opened the door for her. His entire state was abnormally excited, which made Zhao Tian feel that something was wrong.
After all, both patients had different degrees of trauma. Under that kind of impact, it was impossible for the driver not to be injured at all.
"What's the patient's condition?" He Jianyi and Jiang Xiaoqi came over.
"Car accident. The truck ran a red light and overturned. I've made a preliminary diagnosis. This patient has multiple fractures and is conscious. He needs surgery as soon as possible.”
"The patient has lost consciousness. Hurry up and arrange for a CT scan to check if there is cerebral hemorrhage.”The patient beside Jiang Xiaoqi suddenly lost consciousness.
"Doctor, are my brothers alright? You, you must save my brother, doctor.”The only person who did not seem to be injured at all seemed to be getting more and more excited.
"Director He, I think we should do some tests on this person. He was also in the overturned training car, but there were no obvious external injuries. He's so excited, I'm afraid…"
"Your judgment is correct." He Jian pulled the person back." You should go with our nurse for a checkup now." There's no hurry to pay."
"Check? Why do we need to check? Aren't I fine? There was nothing wrong with him. Why did he need to do a checkup? I'll pay the bill."
Zhao Tian looked at Hai Yang and asked him to stop him. However, before the sea could cross, this person directly fell to the ground.
"Sir, sir." Zhao Tian quickly walked over and patted his face. The patient had already lost consciousness. " Bleeding shock."
Jiang Xiaoqi quickly went over and lifted the patient's shirt to check his condition. Meanwhile, Zhao Tian was checking if there were any shattered bones or other conditions on his body.
"100ml syringe." Jiang Xiaoqi looked at the triage desk. Zhang Ling quickly tore open one and sent it to Jiang Xiaoqi.
"There's abdominal bleeding." Zhao Tian looked at Jiang Xiaoqi, who nodded.
"Quick, a flat car. Arrange for a CT scan, inform the operating theater, and prepare for an open abdominal surgery.”He Jian waved his hand, and everyone quickly carried the patient onto the gurney.
"Also, inform the blood bank to prepare blood. The patient might suffer from massive bleeding during the surgery.”
"We must pay special attention to patients who look fine but are particularly excited. They are prone to major problems.”
Haiyang and Liu Kai were stunned. After all, this was the first time they had encountered such a situation.
"Zhao Tian, you will be the first assistant for the laparotomy. Second Ocean Assistant." In the past, even Hai Yang would attend Department Director He's surgeries. But now that Zhao Tian was here, Department Director He would usually call Zhao Tian along for this kind of surgery.
Fortunately, Haiyang did not refuse. Instead, she happily sat beside Zhao Tian as his second assistant and watched him perform the surgery.
"Supine position for surgery. Raise the left waist."
"Alright."
"Director, the CT scan is out. The spleen is ruptured.”Liu Kai entered the operating theater with a CT scan.
He Jian looked at the scan and nodded." Prepare for surgery and anesthesia."”
"Okay, push 10 milligrams of Propodol into the vein. Remifentanil 5 milligrams, IV push."
"Zhao Tian, how did you know that there would be a problem with this patient?”Hai Yang knew that Zhao Tian was talented in surgery, but he did not expect his observation and judgment to be on par with the two chief physicians.
"Didn't the director say just now that we need to pay special attention to this kind of mass trauma? It looks fine, but it's especially exciting. This kind of person will often cause big trouble."
"I know, but you had already determined it before that.”Haiyang's attitude of not giving up until he got to the bottom of it made Zhao Tian roll his eyes.
"I usually like to see some special emergency cases. I've seen this kind of situation before, so it's easy for me to judge.”Zhao Tian had more than 50 years of clinical experience. When this situation occurred, his brain naturally made corresponding countermeasures.
"Where did you read it? Is it convenient for you to lend it to me?”Hai Yang winked at Zhao Tian. Other than He Jianyi, Zhao Tian was also one of his idols.
It was not because of anything else, but because he, an intern who had just joined the department, already had the medical knowledge of a chief physician.
"The anesthesia is complete. We can start the surgery now.”
"Okay, the surgery time is 8:45 p. m.”
He Jianyi made an oblique incision under the patient's left rib. "Check the liver, spleen, and abdomen. Monitor the portal venous pressure."
"Yes." Zhao Tian and Hai Yang responded and began to inspect the area.
"The patient's liver is in good condition. There's no sign of atrophy or pathological changes.”
"Type IV and above spleen rupture, large area of abdominal bleeding. There are no abnormalities in the bile duct or the kidneys."
He Jian sighed." Prepare for splenectomy.”
Under normal circumstances, the patient would be treated conservatively during surgery. But now, the patient had already suffered from a hemorrhage shock, and the rupture of his spleen had reached type IV. There was a large area of bleeding in the abdominal cavity. In this situation, if the spleen was not removed, the patient would not be able to survive.
He Jianyi, lift the patient's spleen out of the incision.?Zhao Tian immediately inserted a large gauze pad into the spleen. This method could stop the bleeding and prevent the spleen from sliding back into the abdominal cavity.
"It seems that you and Director He are getting more and more tacit. Zhao Tian, you stole my position as the first assistant. How this bro performs in the future depends entirely on you.”
Hai Yang knew that his reaction speed and methods of handling the situation could not compare to Zhao Tian's. He was more and more convinced by the abdication.
He was a surgery maniac. As long as he could enter the operating theater to watch Department Director He and Zhao Tian perform surgery together, he would be willing to just observe the surgery.
Zhao Tian merely rolled his eyes at him and did not say anything.
"Clean up the tissue around the spleen and cut off the hepatic artery and vein. If it was a blood vessel at the near end that needed to be ligated, it would be sutured.”
"Yes." Zhao Tian nodded. He had mastered advanced suturing techniques, so he naturally had a basic understanding of removal.
"Three large hemostatic forceps." Zhao Tian looked at Hai Yang.
Hai Yang quickly handed him the hemostatic forceps. " Didn't I tell you to cut off the surrounding tissues?"”
This book comes from：m.funovel.com。