HPDBC Chapter 28 So that's how it is!
Chapter 28 So that's how it is!
Four minutes later, the vascular surgeons located all the bleeding points in the veins.
After thoroughly stopping the bleeding from major blood vessels, the next step is to stabilize vital signs and contact the family.
Ideally, the patient should be taken into the operating room only after obtaining the family's consent, or with the presence of a third party with public authority as a witness.
It was determined that the medical institution performed the surgery solely to save lives, not for the sake of the surgery fees.
……
While Long Hongyuan was having a further consultation with the internal medicine and surgery specialists after the bleeding was controlled, he took a few steps toward the Qinhuai River.
He patted Qin Huai on the shoulder: "Hey, kid, stop cursing."
"If you keep swearing, I'll get angry!"
Qin Huai turned slightly and said in a slightly obsequious tone, "Teacher Long, it's okay to be angry. But you don't know any manners in the emergency room and you're talking nonsense. You deserve to be scolded."
In hospitals, professional titles and ranks are strictly defined.
The idea that a chief resident could be superior to an associate professor in another department is completely impossible.
Why is it that someone at the same hospital with a senior professional level is worse than you, an attending physician, and a resident physician?
Those who rose through crooked means are well known to everyone in the department; they've all been given easier positions and won't be on the front lines of clinical care.
Long Hongyuan glanced at Chen Zhuoan, whose eyes and attitude were indifferent. He wasn't angry at being scolded; he just calmly pursed his lips.
"What did I say that was nosy? I only asked two questions."
"What's this young man's background?" Long Hongyuan asked.
Qin Huai: "Our department's eight-year program, Professor Dong's student."
Qin Huai then quickly introduced Chen Zhuoan to Professor Long from the emergency department, saying, "You'd better be careful in the future."
Qin Huai gave Chen Zhuoan a chance to introduce himself, and Chen Zhuoan didn't stand on ceremony: "Hello Professor Long, my name is Chen Zhuoan."
Why is it bleeding from the superior bladder artery?
"The superior bladder artery is almost located in the retroperitoneum," Long Hongyuan asked tentatively.
"Huh?" Chen Zhuoan was surprised.
"There are only a few main bleeding pathways in the lower abdomen."
In his previous life, Chen Zhuoan had also conducted in-depth research on the anatomical structure of the chest and abdomen.
Moreover, he specifically went to a military hospital for "advanced training" while performing emergency resuscitation.
That was truly about saving lives; what happened to the others, whether the situation was good or bad, and whether the plan was precise enough were all things to be considered later.
Long Hongyuan couldn't find any logical flaws; the arteries and veins in his lower abdomen were intertwined and complex.
But if you lift it up from the base, there really are only a few large arterial systems.
Internal iliac artery, submesentery artery, superior vesicle artery, and median sacral artery.
It turns out that Chen Zhuoan's analysis was based on theory, and his learning deviated a lot from the textbook.
"Good prospect, keep up the good work."
Long Hongyuan praised him and took a good look at Chen Zhuoan's appearance. He was sure he would remember Chen Zhuoan.
Chen Zhuoan didn't care.
Qin Huai then said, "It's fine that Professor Long didn't blame you, but don't say anything later, okay?"
Chen Zhuoan nodded: "Okay, Teacher Qin."
He was too lazy to argue.
This patient is simple; he doesn't need to personally intervene, nor does he need to directly instruct these people on what to do.
With just a little guidance, Long Hongyuan and his team could successfully save the patient, and Chen Zhuoan wouldn't need to waste his time.
After all, given his status, if he were to proactively instruct Qin Huai to investigate the superior bladder artery, he would need to memorize more theoretical knowledge.
This will waste time.
In emergency care, time is life; not a second can be wasted in order to seize the best opportunity for rescue.
Moreover, this guidance will allow Long Hongyuan and the others to gain a deeper understanding of the root cause of bleeding in the lower abdomen and pelvis.
……
Qin Huai approached the emergency bed again.
After the bleeding in the major blood vessels is stopped, there is still the management of bleeding points in the minor blood vessels. As the chief resident of trauma orthopedics, Qin Huai is duty-bound to take on this responsibility.
The operating field of the operating bed was only so wide, and Chen Zhuoan had no room to stand, so he didn't push forward.
Fortunately, Chen Zhuoan began to stand on the edge of the emergency room.
Then I started scanning—
In the first emergency ward, six resuscitation beds are in operation. Two resuscitation beds are empty.
Internal and surgical treatment are separated.
Patients in beds 1-4 all had no bloodstains, which most likely indicates a pulmonary infarction or something similar.
The bed was already surrounded by people taking care of the patient, but there were large blank spaces that allowed Chen Zhuoan to see the patient's appearance clearly.
The patient in bed 5 of the emergency surgery ward is a young man.
She looked to be in her early twenties.
He stared calmly at the ceiling, his hands flat against his abdomen, chatting with his nurse.
"Can I be discharged? I feel fine."
Today is my girlfriend's birthday.
"Wait a little longer! Your test results aren't out yet." The nurse was slowing down the IV drip rate as she advised him.
"You're injured, and you're still thinking about celebrating your girlfriend's birthday?"
"Call her right away and ask her to come and take care of you..."
The young man chuckled to himself: "She's shopping with her classmates right now. I've prepared a surprise for her, so I shouldn't disturb her."
Then, as if remembering something, he said, "Oh, right, nurse, I didn't lose my kimchi, did I?"
"I brought this from my hometown specially. It took me six hours to get here. It's her favorite food."
"There shouldn't have been any spillage, right?"
Upon hearing this, Chen Zhuoan moved towards the direction where the young man was.
Damn it!
No wonder, it's pure love!
For his girlfriend's birthday, he specially went from his hometown to buy her favorite pickled vegetables and then traveled all the way to Shashi to celebrate her birthday.
Are there any other surprises in store?
So, what happened when his girlfriend later learned from her classmates that the surprise had "disappeared," and then discovered that her boyfriend had turned into a corpse?
Did he just jump off the bridge?
Well, because of Su Xiheng, Chen Zhuoan is willing to believe in true love, especially love from his student days.
"Nothing was stolen. You told me as soon as you came in, so who would dare to steal anything?"
"What if you complain about us?"
Even the nurses were jealous: "Is your girlfriend an angel? You treat her so well."
The young man, with acne on his forehead, said, "She's not a celestial being, but she's a beautiful woman to my eye."
"Actually, I'm not as good-looking as you." The young man had a rather sweet tongue.
The nurses in the hospital are all experienced: "You've got a sweet tongue, I'll try my best to help you get what you want, okay?"
"I'll find a doctor to take a look at your CT scan beforehand!"
"If there's nothing else, I'll let you go see your girlfriend soon."
Chen Zhuoan had already arrived beside the young man.
When Chen Zhuoan was being reprimanded by Qin Huai, he was also wearing a white coat and a name tag. He decisively stretched out his right hand and reached towards the young man's upper left abdomen!
The young man appeared perfectly fine at the time, but suddenly died, most likely from a sudden massive hemorrhage.
Bleeding after an injury usually has only a few causes.
Delayed splenic rupture?
Aneurysm rupture?
Traumatic arterial dissection?
As soon as Chen Zhuoan pressed down, the young man's brows furrowed immediately, and he reached out to stop him: "Doctor, be gentle, it hurts a little."
"Okay, I won't use force."
Chen Zhuoan nodded, but his strength remained undiminished.
He needed to gather more physical signs and medical history as quickly as possible: "How did you get injured?"
"I was riding an electric bike when I was hit."
"I was completely knocked over and then brought here."
"But thankfully, everything's alright."
As the young man spoke, Chen Zhuoan suddenly paused with his right hand: "Lie still...don't move!"
Call your family, call your girlfriend.
"You need to sign the consent form for surgery soon."
The young man exclaimed, "Really? Doctor, I'm fine!"
As Chen Zhuoan walked toward Long Hongyuan, he said, "If you can figure out what's wrong with yourself, you're a god."
"Doctors cannot treat themselves!"
"Quickly, call your parents and your girlfriend, and tell them to come over right away!"
"Why don't you just put your fingerprint on it?"
After Chen Zhuoan finished speaking, he patted Long Hongyuan on the back of the shoulder and said in a low voice, "Professor Long, delayed splenic rupture with aneurysm rupture."