Chapter 252 I Can and I Can

When Tao Le and Beibei arrived at the emergency room, they didn't see the patient or Geng Hongwen, but they found the nurse Xiao Chen.

"Doctor Tao, are you looking for the patient with ectopic pregnancy bleeding just now?" Xiao Chen said as soon as he saw them:

"In the No. [-] operating room, but." She looked at Beibei, hesitated and stopped.

"What's the matter?" Tao Le pulled her to the other side, estimating where Beibei couldn't hear.

"The current situation is very bad. First, the blood supply is tight. The blood bank can only provide 500ML of whole blood, and the excess can only be supplemented by red blood cells. I am afraid that it is not good. There are also."

When Tao Le heard this, he knew that something was wrong.

The blood loss of the patient reached more than 2400ML half an hour ago. Now, once the hemostatic effect of acupuncture wears off, the blood loss will most likely exceed 3000ML.

For such a large amount of blood loss, it is not enough to rely on red blood cells and fluid replacement, and more than 2000ML of whole blood must be supplemented.

But right now there is only 500ML, which is a quarter of the minimum demand.

Tao Le's brain was spinning at high speed.For such a large amount of bleeding, the best way is autologous blood salvage, but there is no such device in the first hospital——ah, no!
When I was on stage with Dave last time, there really wasn't one.But now it's there!
When she signed the tripartite contract with Sim and the First Court, although she didn't pay attention to her own treatment, she remembered all the equipment that the First Court would get.

Well, the more important thing is that at that time, Dean Lin and other leaders of the hospital repeatedly raised various questions, making it difficult for her to figure it out clearly.

As a condition for the cooperation between the First Hospital and Mio Technology, the other party needs to deliver a batch of medical devices on the same day, including [-] blood recycling machines.

At that time, Simu's subordinates said: "The blood recovery machine produced by our Mio Technology is different from the ones on the market.

No matter when and where the blood is polluted, as long as it is recycled and filtered, the impurities, toxins, bacteria and viruses inside will all disappear without a trace, and the blood will be as clean as new and can be returned to the human body immediately. "

Thinking of this, Tao Le immediately asked, "Where's the blood recovery machine? I remember it was sent to the operating rooms yesterday—with it, I'm afraid there will be no whole blood?"

"It doesn't seem to be enabled yet. No one knows how to use it. It is said that training is required."

"What time is it? Human life is at stake!" Tao Le turned around and was about to leave.

"Wait a minute, Doctor Tao. It's useless if you go now, um, the obstetrics and gynecology doctor hasn't come down yet!"

"What's going on? Isn't there a gynecologist in the emergency room?" Tao Le stopped.She really didn't expect that the surgery hasn't started yet!

She knew the charter of the First House.In this kind of comprehensive large hospital, the division of labor among various departments is very fine.

The so-called surgery industry has specialization, and surgery cannot perform obstetrics and gynecology operations.

Because of the special status of the emergency department, there are gynecologists attending the consultation. When encountering the massive bleeding caused by this kind of ectopic pregnancy, the operation can be performed immediately.

So what Xiao Chen said, the obstetrician and gynecologist hasn't come down yet, what's going on?

"Dr. Yang from the emergency gynecology department of our hospital is usually okay to see patients, but he rarely does surgery." Xiao Chen said a little embarrassed:

"When encountering difficult and miscellaneous diseases, and bleeding like today, I always seek consultation from the obstetrics and gynecology department and perform joint operations."

"But the obstetrics and gynecology department is also very busy today. In addition to the normal elective surgery, there is also a sudden shoulder dystocia, and another postpartum hemorrhage. The director, deputy director and several attending doctors are all on stage right now, and they have to go through the process. It will take a while to come down."

Having said that, Xiao Chen lowered his head, feeling very sad for the patient.

This is also bad luck, why did it catch up with today.

Both sides are fate, no one is lighter than the other, and no one is heavier than the other.

But fate will always make a choice, those who come first still have a glimmer of life, and those who come later are left with a dead end.

Poor that sensible little girl, who is about to become a motherless child.

At this moment, her cell phone rang suddenly.It's the patient's husband!

Xiao Chen came back to his senses: "Dr. Tao, I'm going to pick up the family members of the patient. Hey, where are Dr. Tao's people?"

Tao Le has rushed into the No. [-] operating room.

"I can use a blood salvage machine, and I can do this operation too!" she said to the head nurse.

"But." The head nurse Kang in the No. [-] operating room of the emergency department was very embarrassed.

There are regulations for surgery. You can't just come in and let a doctor come in if you want to do it, right?
Someone inside heard her voice and asked loudly, "Is it Tao Le? Let her in!"

The voice did not belong to Geng Hongwen, but Yuan Xiangqian, the director of the emergency room.

As soon as the patient finished the B-ultrasound, everyone knew the seriousness of the matter.

There is a lot of effusion around the liver and spleen, and there is also free effusion in the lower abdomen.

Although the results of B-ultrasound cannot directly diagnose what part of the bleeding is, an exploratory laparotomy must be performed immediately.

He immediately reported to Director Yuan, and then Director Yuan personally contacted the obstetrics and gynecology department for consultation. It was also useless.

Almost all the departments are on the stage, who is expected to come down to treat this patient.

"Open the stomach immediately." Director Yuan made a decisive decision.

Open the abdomen first, maybe you will find the bleeding point and make up for it. The rest depends on the patient's life.

The result of laparotomy is the worst that everyone thinks.

There was a large amount of blood and blood clots in the pelvic cavity and abdominal cavity. The left fallopian tube was pregnant. The breach was at the uterine horn, and there were fresh villi in it. The bleeding was still very active.

It is undoubtedly a ruptured ectopic pregnancy with massive bleeding.

Director Yuan is an old emergency doctor and can do many surgical operations, but he has never done obstetrics and gynecology.

But when things come to an end, he has to do it even if he has no idea.

Because the patient has been in hemorrhagic shock for a long time, it will not last long.

At this moment, he suddenly heard what Tao Le said.

Know how to use a blood recycling machine, know how to do this operation!
It was like a shot in the arm that pierced into his heart.

Geng Hongwen had mixed feelings in his heart.By this time, no matter how reluctant he was, he had already admitted in his heart that Little Doctor Tao was really capable.

Whether it was the needle to control the pulse and stop the bleeding, or the final diagnosis, it proved that her words were true.

Geng Hongwen believes in science, so naturally he does not believe in coincidences.Even if the first time barely counts, what about the second time?

Right now, he didn't have any other thoughts in his mind, he just hoped that what Little Doctor Tao said just now was as reliable as before.

With the help of Head Nurse Kang, Tao Le quickly finished brushing his hands and put on the surgical gown.

Then she saw the blood recycling machine thrown in a corner of the operating room.

It's been unpacked, it's just never been used.

Tao Le is naturally seeing it for the first time, so he doesn't know how to use it at all.But, she has a cheat!
When the patient on the operating table came into her field of vision, the reminder of Goldfinger also hung out brightly.

"It has been tested that current conditions support left-side salpingectomy. Is simulation-guided exercise required? Yes/No."

"Yes."

(End of this chapter)

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