godfather of surgery

Chapter 525

The planes are taking longer than usual routes, needing to bypass combat zones and no-fly zones.

What usually took more than an hour took more than two hours.

The journey was safe and the plane successfully landed at Yading International Airport.

After getting off the plane, the staff of Hua'an Golden Shield picked up Yang Ping, and there was also an armed squad in charge of escorting him.

Yang Ping told them to also load the supplies on the plane into the car. These are the sterile equipment kits, sterile gauze, narcotics, painkillers and antibiotics temporarily prepared by Robert and Li Zehui. These things are more precious than gold in times of war. .

A commercial vehicle sent Yang Pinghe's supplies to the hospital.

This hospital is the Republic Hospital in Aden, Yemen, similar to our People's Hospital or Central Hospital.

This hospital is considered the best in Aden, but it is not as good as our better county-level hospitals in terms of medical level or hardware equipment.

Now the hospital is chaotic and full of people, most of them have panic-stricken eyes, and some injured people have just come from the war zone.

When he got out of the car, Yang Ping saw Manager Qiu who had been in touch with him all the time. He was in his 30s, with a strong figure and bright eyes.

"Professor Yang, I'm so grateful." Manager Qiu was really excited to see Yang Ping, as if he saw a savior.

Manager Qiu looked at his comrade lying on the hospital bed, helpless, and felt very painful. Now that Yang Ping flew over overnight from Saudi Arabia, how could he not be excited.

"Where is the patient? Take me there quickly."

Yang Ping wished to have an operation immediately, and dared not delay in the slightest.

Manager Qiu didn't say much anymore, and immediately took Yang Ping to the observation ward of the emergency department.

Because the wounded was too seriously injured, I didn't know which department to accept, and the ability to cooperate and coordinate among various departments was insufficient, so the wounded stayed in the emergency department all the time.

The attending doctor is also a Chinese doctor, Dr. Zhou from Hong Kong, who was sent by the International Red Cross to provide medical support to the hospital.

"Dr. Zhou, our compatriot, is from Hong Kong. Professor Yang, from Nandu Province, has rich experience in trauma surgery." Manager Qiu introduced.

Dr. Zhou was very tired, his hair was sticky in strands due to too much oil, and stuck to his scalp, and his glasses were covered with a thin layer of mist.

He held Yang Ping's hand: "You came too timely.

Without a word of nonsense, Dr. Zhou immediately got to the point:

"The wounded had a total of 27 shrapnel, distributed in the brain, chest, abdomen, pelvis, and limbs. I am a trauma orthopedic surgeon, and I can't do anything about the shrapnel in the head, chest and abdomen, and these are the most deadly. Intracranial and thoracoabdominal trauma surgeons, so he dare not operate for a long time, and can only rely on blood transfusions to maintain life."

This Hong Kong doctor often supports war-torn areas and has seen many seriously injured wounded, but he can do nothing for this case.

"Thanks for your hard work. I'll look at the wounded now." Yang Ping immediately conducted a physical examination.

The wounded were lying on the bed, covered with two layers of quilts to keep warm. All the clothes had been cut off, and Yang Ping could still see the bloody clothes thrown in the corner of the ward.

Several infusion tubes, including deep vein catheters and peripheral vein catheters, are used to infuse blood and fluids into the wounded at the same time.

Doctor Zhou handed over the gloves, Yang Ping put on the gloves, walked to the bedside, and started the physical examination.

The gloves are a bit small, and Yang Ping wears them very tightly.

"There is a shortage of medical supplies here, and only small rubber gloves are available," Dr. Zhou explained.

Yang Ping didn't pay attention to these, his attention was on the wounded, and he didn't even pay attention to other people in the room.

Low blood pressure, only 65/36mmg, much lower than a few hours ago.

Heart rate is fast, over 130 beats/min.

The pulse is very weak and difficult to feel without careful attention.

The body was covered with two layers of quilts, and it was still cold to the touch.

The paper medical records were sent over by a Yemeni doctor. Yang Ping looked through them quickly, and immediately judged that hemodynamics was extremely unstable, and he would die of shock soon.

If the shrapnel in the skull is not removed, it will cause brain herniation; the "invisible" small triangle on the heart can make the heart burst blood at any time.

Three deadly ropes strangled the wounded tightly, and it was at the most critical moment.

Fortunately, the wounded should have been a certain distance from the explosion at that time, and all the injuries were mechanical injuries from shrapnel, and there was no blast injury. In this way, if they can be rescued, the prognosis of organ function will be much better.

The family member guarding the bed was the younger brother of the wounded. He wanted to say hello to Yang Ping just now, but Yang Ping's attention had been on the wounded and he didn't notice anyone else at all.

The younger brother was very nervous, wondering if Professor Yang could save his older brother.

Yang Ping looked up, as if thinking.

The younger brother of the wounded plopped on his knees: "Professor Yang, you must save my brother."

Yang Ping didn't expect this 1.8-meter-long guy to kneel down suddenly, and immediately helped him up: "I will try my best."

"The wounded man is called Chen Dashun. This is his younger brother Chen Ershun. He should have been injured in the explosion. My brother protected him with his body." Qiu Zhiqiang told Yang Ping.

Yang Ping nodded: "Arrange the operation immediately! Manager Qiu, didn't you say that you can transfer the medical plane in Oman? Transfer the plane over, and use the medical plane to transfer to Saudi Arabia for further treatment after the operation. I will escort you at random during the transfer."

"Hemoglobin is only 40 grams!"

Dr. Zhou took a test sheet from the director of the emergency department, which was the result of a recent blood draw.

"No matter how much it is, operate immediately. He won't last long. No matter how risky it is, surgery is necessary. Find me an assistant!"

Yang Ping was decisive.

"I come!"

Dr. Zhou volunteered to recommend himself. Dr. Zhou cast admiring eyes on this calm young colleague.

Before Yang Ping came, Dr. Zhou simply searched Yang Ping's papers. Sure enough, he is a top figure in trauma surgery, especially experienced in compound multiple trauma. Among them, the rescue operation of half a person can be called the pinnacle of trauma surgery. The treatment theory he created was published in top medical journals, with a very high citation index.

I just didn't expect it to be so young.

Outside the window of the ward, a cannon fire snake pierced the night sky in the distance.

The atmosphere in the whole city is very depressing, dark clouds are overwhelming, and the wind and rain are about to come.

"Arrange surgery immediately." Dr. Zhou ordered the Yemeni doctor beside him, who is also the director of the emergency department.

The director said anxiously: "The operating room is all occupied now, and the operating room cannot be drawn within three hours."

Originally, there were not many operating rooms in this hospital, and there were too many patients squeezed in the hospital during this period.

"Is there any surgery that can be suspended?" Doctor Zhou was decisive.

The director of Yemen shook his head: "All of them are emergency operations."

"Don't wait for the operating room. Is there an operating room in the emergency department? A simple operating room is also fine."

Yang Ping didn't want to waste any more time in the operating room.

"We also have an operating room in the emergency department, but it can only do simple debridement and sutures. The surgical instruments are only debridement kits, there is no anesthesia machine, and there are not enough anesthetists." The director of Yemen was very helpless.

This kind of operation requires thoracotomy, laparotomy and craniotomy, and general anesthesia is required.

How to do surgery without an anesthesia machine.

"Just do it in this emergency operating room, order a pack of debridement and suture instruments, find a thoracotomy spreader, two S-shaped retractors, two thyroid retractors, various types of silk threads, a wire saw, An electric drill, and a chainsaw would be even better, start working immediately! Anesthesiologists and anesthesia machines, think of a way, go to the surrounding hospitals to pump it!"

Yang Ping didn't intend to wait any longer, he had already missed the best opportunity, and if he waited any longer, the gods might not be able to save him.

Special circumstances, special handling, how can we ask so much as usual.

"Are these devices enough?"

Dr. Zhou couldn't believe that, thoracotomy, laparotomy, craniotomy, shrapnel extraction, detection and repair of damaged organs, which one is not a major operation, can be completed with only these simple instruments?

"Ali, go prepare the equipment! I'll see if the surgery being performed in the operating room can be anesthetized together. As for the anesthesia machine, I'll send someone to contact the surrounding hospital immediately."

Director Yemen immediately cooperated and ordered his subordinates to act separately.

In normal operations, it is absolutely not allowed for one anesthesiologist to see two operations, but in this emergency situation, as long as it can save lives.

This rule was originally set to ensure the safety of patients' lives. Now if we follow the rules, many patients will not have time to go to the operating table.

The doctor named Ali ran back immediately, sweating profusely: "The debridement kits are all used up, can we disinfect them temporarily?"

I really don’t need anything, and now I don’t even have a debridement kit, how to do surgery.

This is going to be driven into the skull.

Yang Ping immediately remembered that before Saudi left, Li Zehui and Robert had prepared several boxes of equipment and medicines, which happened to be in use at this time.

"Hurry up, there is a full set of surgical instruments for trauma surgery in the car that picked me up just now, bring them here, and ask a doctor to follow, and don't break the sterile packaging." Yang Ping breathed a sigh of relief.

The equipment problem was solved, and Robert and Li Zehui were of great help.

The director of Yemen put down the phone and told Dr. Zhou: "There is an anesthesia machine available in the refinery worker's hospital, and it can be sent right away."

The missing manpower and equipment are gathered together, and the work can finally start.

Dr. Zhou brought two Yemeni doctors to the stage as assistants. Although Dr. Zhou did not understand thoracoabdominal and craniocerebral surgery, it was no problem to help with exposure, knotting, and thread cutting.

"Manager Qiu, I will operate on him right now. I can't wait any longer. I will do it in the operating room of the emergency department. Is the medical plane in Oman taking off? Let it take off as soon as possible. You can't stay here after the operation and transfer it to Saudi Arabia. The medical conditions are much better than that."

"Prepare more blood of the same type. It will be transfused during the operation and after the operation."

Blood transfusion is to continue life.

"Er Shun, call the brothers over and continue drawing blood."

Chen Dashun has type B blood, and all the type B blood in the company are on call to donate blood to Chen Dashun.

Their blood types are all recorded, and their blood types are on the tags inside their clothes, so in case of an emergency, not only will they know their blood types at the first time, but they can also quickly provide mutual aid blood donation.

The operating room in the emergency department was quickly vacated, and Chen Dashun pushed the bed into the operating room.

(End of this chapter)