Start with an emergency physician

Without saying anything, He Jianyi rushed to the emergency department lobby and called Zhou Yuan who was doing his ward rounds.

"Teacher, what happened?" Zhou Yuan followed He Jianyi and asked

"A patient is coming from the surgery department, and we need to take over from the emergency department."

Zhou Yuan and He Jianyi were equally surprised:"Are there any patients sent to our emergency department from the surgery department? This is my first time seeing this!"

He Jianyi glanced at Zhou Yuan:"I guess it has something to do with you. You are the first person in our hospital to successfully replant a ruptured bone."

The two of them were waiting at the entrance of the emergency department hall, and it was estimated that they would arrive in a few dozen seconds.

Jiang Xiaoqi also heard the news and was a little puzzled.

"Are you saying that the surgery department wants to transfer the patient to our emergency department?" Jiang Xiaoqi was puzzled.

Wang Ziqiao:"It seems so. I heard from Lin Wen and the others."

"No, we have always been the ones to triage patients, how come there are still surgical departments sending patients to the emergency department?"

Jiang Xiaoqi felt very strange:"Surgical doctors have solid professional skills. Our emergency department is mainly responsible for saving lives. We can't compare with those who specialize in one department. Is there anyone in our emergency department who can treat their patients?"

Even she, a doctor from Harvard Medical School, can't handle it!

Wang Ziqiao:"Uh... don't we have an intern?" Jiang

Xiaoqi took off her badge and looked at the five words"Deputy Chief Physician" on it, feeling particularly heartbroken.

Woo woo woo!

At this moment, a burst of rapid whistle sounded.

One second of high pitch, one second of flat pitch, one second of interval... Ambulance!

An ambulance came to the door of the emergency department at lightning speed. After braking sharply, two beds were pushed down from it.

The beds were a bit shocking, and most of the beds were stained red. The bed in front was a patient, and the bed in the back was covered, but with Zhou Yuan and He Jianyi's eyesight, they could tell at a glance that they were three or four arms.

"Replantation of severed limbs!" Zhou Yuan immediately thought of the reason why the surgery department came here.

"What's going on?" He Jianyi and Zhou Yuan rushed over immediately, took the armrest of the bed, and quickly pushed it to the emergency room.

"He came from the factory. He dozed off while operating the punch press and ended up putting his hand into it. His arm was cut into several pieces. We don’t have enough staff in the surgery department!" The speaker was Wu Guohui, deputy director of the surgery department.

Originally, he could have done the operation alone, but the patient’s arm was not a simple cutting severance. After entering the punch press, the severance was also crushed.

In other words, this was not a simple severance, but a compound severance.

For a compressive severance, the operation was too difficult. There were too many bones, blood vessels, and nerves to be connected. Wu Guohui did not dare to act rashly.

In desperation, he thought of Zhou Yuan, who had a successful case once, and could only push the person here.

"Is the operating room vacant?" Zhou Yuan asked as he ran after the bed.

""Operating Room No. 1!" Lin Wen's answer was short.

Soon, the bloody bed was pushed into the operating room. Only Zhou Yuan, Haiyang and two deputy directors were left in the operating room.

Under the shadowless lamp, in addition to the operating table, there were three sterile tables. One was for the severed limbs, one was for the instruments for debridement of the severed limbs, and the other was for the surgical instruments.

"It's been three hours, right?"

Zhou Yuan was not pretentious. Everyone knew why Wu Guohui sent the person here, so he started to check it out directly.

Wu Guohui was a little surprised and nodded:"Yes, but we chose to preserve the severed limbs at low temperatures as soon as possible, and carried out simple cleaning and disinfection to ensure their activity for twelve hours."

The implication was that if it really didn't work, they would have to think of other ways.

Zhou Yuan asked again:"Does the patient have any contraindications to limb replantation?"

This is something that must be clarified before the operation in addition to various signatures.

The requirements for limb replantation are very high, and also include various contraindications. For example, if the patient has systemic chronic diseases, long-term surgery is not allowed. Or there is damage, soaking in irritating liquids or disinfectants for a long time, etc.

"There are no contraindications!" Wu Guohui replied.

Zhou Yuan nodded and came to the patient,"Do you know where you are?"

The patient gritted his teeth, endured the pain, and said,"In the hospital."

Zhou Yuan breathed a sigh of relief.

It's good to be conscious.

In the limb replantation surgery, once the patient is in a coma and shock, the situation will become particularly complicated

"Quickly infuse fluids, transfuse blood, place a urinary catheter, and have the blood bank prepare 2000cc of blood for backup."

Wu Guohui immediately explained the patient's blood type and other conditions, and the blood bank immediately started to operate.

Zhou Yuan looked at the four arms that were crushed on the sterile table, and he couldn't help but become solemn.

This was the most difficult operation he had ever encountered!

"Cutting detachment plus squeezing detachment. Start debridement immediately!"Zhou Yuan said.

Thorough debridement is an important measure to prevent infection and is also the key to the success of the replantation operation. This step also requires rich experience. Zhou Yuan plans to do it himself.

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