This doctor is very stable

Chapter 64 First Aid ~ Li Min
Fan Jianye stared at the back of the ambulance, rushed forward to open the door, and said anxiously: "The call just received, two patients, explosive trauma."

The car door was opened, and the bloody patient lying in the car appeared in front of everyone.

Most of the abdomen had been cut open, and the intestines had leaked out.

After carrying the patient and the stretcher out of the car and putting them on the hospital bed, Li Min hurriedly asked, "The patient's condition."

The doctor following the car from the emergency center jumped out of the car and hurriedly said: "The patient has a 20cm open wound on the abdomen, active bleeding, the intestines and omentum are exposed, and the intestines have been protected with sterile dressings..."

Li Min heard half of what he said, and saw that the patient was bleeding profusely, and the blood had stained most of the hospital bed red in just a few seconds, so he hurriedly said, "Push to the emergency room."

As soon as the voice fell, Lin Ran and the doctors and nurses, who were getting ready, stepped forward and started pushing the cart with a trot and uniform rhythm.

Li Min followed the rhythm and hung behind the hospital bed. The doctor behind him continued to explain the situation while running, "The patient in the car has already gone into shock once. Milliliters of blood, type B blood..."

For the rescue of patients, the doctor must be aware of what drugs have been used.

If there is something unclear, it may affect the rescue!

…………

The patient was pushed into the emergency room, and Lin Ran checked the patient's condition immediately.

【V4 patients】

[The abdomen is dark red, the open wound is 21cm, and the blood loss rate is 0.2kg/min. 】

[The liver under the abdomen is red, open injury, and the blood loss rate is 0.3kg/min. 】

[The left abdomen is dark red, the spleen under the abdomen is ruptured, and the blood loss rate is 0.09kg/min. 】

…………

Liver and spleen rupture patients!
After the nurses finished checking the vital signs, they started beeping.

"Director, the patient is in shock again, blood pressure 60/80."

Li Min looked at the vital signs of the patient, "Don't panic, Lin Ran CPR."

"Adrenal glands, omeprazole 10ml, normal saline 10, push intravenously, and establish intravenous access."

When Lin Ran heard the order, he immediately started to perform CPR. Li Min also stretched out his hand and ordered again: "Open the abdomen, scalpel. The patient is bleeding too much, the nurse should hold the blood bag!"

If the bleeding cannot be stopped, the patient will definitely not be saved!

Lin Ran, who was sitting on the cardiopulmonary resuscitation, saw that Li Min was about to go under the knife, and immediately said, "Director Li, the patient's left lobe of liver and right lobe of spleen were injured, causing massive bleeding."

Without raising his head, Li Min waved the scalpel to replace the left abdomen along the large wound with the upper right abdomen, and made an incision of more than ten centimeters on the patient's tattered right abdomen with a single stroke.

Logically speaking, the wound is on the left abdomen, and the bleeding is naturally mostly on the left abdomen.

But the bleeding point seems to be born to fight against the doctor, and it never follows the rules!

First aid has always been a race against time.

If you make a wrong cut, you can start over.

It also makes the patient suffer an extra knife, but it is hard to say whether the patient can survive the knife and the time it takes for the probe.

Although Li Min's assistant, Wang Jianing, was a woman, her response was not inferior. When Li Min just picked up the knife, he grabbed the retractor to expand the incision.

The inside of the patient's abdominal cavity was exposed, and a thumb-sized piece of glass reflecting light was seen on the right lobe of the liver.

Goodbye to the bloody left spleen.

There was a hint of a smile on Li Min's mouth, and Lin Ran really showed it to him!
But he didn't stop talking about the operation, "Hemostatic forceps, non-invasive forceps."

Liver rupture, blocking the hepatic vein and artery.

Fissure of the spleen, blocking the ascending artery.

Just after finishing it, Li Min shouted, "Has the blood pressure recovered?"

"Blood pressure 70/90, blood pressure back up."

…………

Half a minute later, the patient's blood pressure rose and his heartbeat returned to normal.

"Change the operating room."

After all, the aseptic work in the emergency room is not as thorough as that in the operating room. Now that the patient's life has been saved, it is natural to switch to surgery for liver and spleen repair surgery!

Outside the emergency room, the family members of the two patients who had just arrived kept poking their heads.

There were tears streaming down his face, but also full of anxiety.

Lin Ran and the nurses pushed the hospital bed, followed by the vital sign detector.

The patient's mother cried anxiously, "Doctor, how is my son? He won't wait for a good university, so what kind of love does he run out in the middle of the night?"

Li Min greeted the two family members and said, "The patient has been rescued temporarily, but needs to be operated on immediately. Are you the patient's relatives? Tell the doctor about the patient's basic information, and then prepare the operation notice."

After Li Min finished speaking, he threw the patient's family to Wang Jianing. After taking a few steps, he looked right and shouted to Lin Ran who was pushing the hospital bed, "Lin Ran, come here."

Lin Ran turned around after hearing the sound, Li Min waved to him.

After handing the patient over to the doctor and nurse, Lin Ran trotted over and asked, "Director Li, what do you want?"

Before Li Min could speak, he took a step forward. .

"Lin Ran, you and I go change the surgical gown, and you will be my first aid later."

help?good!

Lin Ran kept up with Li Min's pace, and simply agreed.

"it is good."

In the locker room, brush hands and change into surgical gowns.

The two walked out of the changing room with their hands raised. Opposite the operating room, the patient's family and Fan Jianye were talking outside the door of the operating room.

Li Min walked in front, and Lin Ran followed behind.

The nurse opened the door of the operating room, and Li Min looked at Fan Jianye and urged, "Xiao Fan, are you alright? Hurry up and change your clothes."

After speaking, Li Min went straight into the operating room without waiting for Fan Jianye's response.

Entering the operating room, Li Min first checked the patient's vital signs.

"Anaesthetist, general anesthesia for three hours."

The patient is completely unconscious, does he need anesthesia?
The answer is yes!
The main function of anesthesia is to maintain the patient's vital signs.

Although comatose patients appear unconscious, this does not mean that such patients do not respond to stress responses to external adverse noxious stimuli.

Even comatose patients will have obvious stress reactions such as increased blood pressure and increased heart rate when receiving noxious stimuli.

In the medical industry, there is such a saying.

"Surgeons treat illnesses, anesthesiologists preserve lives."

The old anesthetist Li Canghai saw Lin Ran coming again, and walked forward with a smile, "Dr. Lin, we meet again! Why didn't we have your operation today!"

Having done several operations with Lin Ran, Li Canghai almost fell in love with Lin Ran.

Lin Ran's operation was done quickly, and the money came rushing into his account!
While he was talking, the work in hand did not fall.

Standing in the first assistant's position, Lin Ran nodded, "I'm in charge of a few special patients today, so there is no operation arrangement."

"Oh! That's good."

Li Min looked at Li Canghai with distaste on his face, and said, "Okay, I'll give you the medicine and go away."

Both of them are surnamed Li, and they have worked together for a long time, so they naturally have friendship.

Li Canghai blinked at Li Min, "Why are you so fierce at me, old man? If you have the ability to kill yourself and become the deputy director, go and eat!"

Speaking of Li Min, he was also a genius when he was young!

His mediastinal thoracoscopic surgery is well known in the whole hospital!
It's a pity that it may be that the talent is too good to make people jealous, and it has been mixed up to the point of being dominant.

I didn't know why, so Yang Xu, the chief of the thoracic surgery department, was transferred to the outpatient clinic.

It is too easy for the director of a department to target a doctor unless you leave the hospital.

Otherwise, don't even think about doing surgery, just sit in the outpatient clinic obediently!
Surgeons leave the operating table like fish out of water!

Later, Li Min was also a bachelor, and he couldn't get along in the thoracic surgery department, so he was directly transferred to the emergency department. But after he came to the emergency department, he seldom did thoracoscopic surgery.

His extrathoracic surgery skills were half useless.

What is hidden in the struggle in the thoracic surgery department, I guess even Li Min himself is not quite clear about it.

However, talents can be mixed anywhere, and Li Min was rated as the deputy chief physician not long after he came to the emergency department.

"You're all boring! Why mention something that happened a hundred and eighty years ago."

After speaking, Li Min stretched out his hand, "Tweezers, alcohol cotton, iodophor."

In the emergency room just now, there was no disinfection because of the emergency situation. Now the patient's vital signs are basically stable, so it is natural to carry out comprehensive disinfection.

Sitting back on his little bench, Li Canghai seemed not afraid of death, and said with a smile: "Don't you mention your bravery in the past?"

"You said that if you are still in the thoracic surgery department, you probably have luxury cars and mansions!"

Li Min was also an old doctor, and he was not influenced by Li Canghai at all.

While disinfecting, he smiled and said: "Compared with chest surgery, I prefer the atmosphere of the emergency department. Now that chest surgery invites me to go back, I won't go back!"

"What kind of surgery can be done in the emergency department? What kind of surgery can be done outside the chest? There is no minor disease outside the chest!"

"No matter how good the department is, what's the point if it can't stay? I don't want to be a puppet."

…………

The surgical opening is ready-made, so the step of marking the incision is naturally omitted.

But the pull hook is still needed, and wait for Li Min to finish the disinfection work.

Lin Ran immediately pulled the hook for him.

Li Min raised his head and put the tweezers back on the tray in the nurse's hand, and asked, "Lin Ran, what kind of doctor do you want to be in the future?"

"Me?" Lin Ran didn't expect Li Min to ask such a question.

After being silent for 2 minutes, Lin Ran smiled and said, "I don't know exactly what kind of doctor I want to be! But..."

Good doctor.

famous doctor.

Great doctor.

Lin Ran always felt that it was too far away to say that these things were too far away, and it was not as practical as honestly curing each of his patients.

The power of a doctor is too small, how many people can be cured after becoming a great doctor!

The ideal doctor in Lin Ran's mind is one who lives up to what he has learned, his patients, and his legacy.

"But what?"

While cooperating with the nurse to wash the patient's chest, Li Min asked with great interest, as if he wanted to find a way to practice medicine from Lin Ran.

Lin Ran firmed his expression, "I will live up to what I have learned, live up to my youth, live up to my patients, and live up to my inheritance."

As soon as this remark came out, Li Min was obviously taken aback, but Li Canghai immediately said, "Okay! It's a pity that according to Lin Ran's words, I, an old anesthetist, just sit on a small bench all day long and I'm wasting my time! Haha."

Lin Ran: "Uh..."

"Ms. Li, do I still need to recite the duties and importance of an anesthesiologist?"

(End of this chapter)