Chapter 127 Blood like a fountain, the first principle of surgery
I saw a stream of bright red blood rushing straight into the air, spraying several meters in the blink of an eye, and finally stabilized at a height of two or three meters.
There is also a wheezing sound in the trachea.
The expressions of Zhou Hua and others changed drastically.
With this amount of bleeding and such dangerous pressure, no hemostatic measures will work!
Hemostatic drug?
That thing took effect, and the patient squirted a pool of blood.
Bipolar electrocoagulation?
Forget about the electrocoagulator, let Pikachu come in, and it would have to be extinguished by such a large amount of bleeding!
Just at the critical moment,
Another figure rushed out. He directly pressed his hands on the patient's neck, and then used force suddenly.
Boom!
Boom!
Boom!
There was silence in the emergency room, except for the violent beating of the heart.
Everyone stared, not daring to breathe, and watched helplessly as the fountain-like column of blood was pressed down...
"Transfuse whole blood!"
Xu Qiu ordered.
In that second, the patient's blood loss definitely exceeded 1,500.
Adding in the previous blood loss, there are still two to three thousand.
Clinically,
In hemorrhagic shock, where the blood loss is less than 30%, whole blood is not transfused, usually crystalloid + colloid, and at most some concentrated red blood cells are added.
And the speed must be slow to avoid tissue perfusion damage.
To put it simply, it was that we entered too fast and every place was damaged!
Reach 30%, which is 1500ml, transfuse half of whole blood + half of concentrated red blood cells.
If the blood loss exceeds 50% and 2000ml, a large amount of whole blood rehydration is required.
At the moment,
This patient suffered a huge amount of blood loss and a rapid blood loss. If he wanted to survive, he had to rely on a large amount of whole blood to stay alive.
Over the venous channel, whole blood was quickly pumped into the patient's body.
Zhou Hua subconsciously grabbed the blood bag and said, "Doctor Xu, do you want us to go as fast as possible..."
Acute blood loss, without rapid rehydration, is a dead end.
Compared with paying the price of "tissue perfusion damage", life is the most important!
But Xu Qiu shook her head: "No need, take your time."
"this……"
Zhou Hua didn't understand.
With such a terrifying bleeding rate, he would die at any time if his blood volume was not replenished in the shortest possible time.
Xu Qiu said calmly: "Don't panic, he won't bleed."
Zhou Hua was stunned for a moment and immediately looked at the bleeding port of a large blood vessel in his neck.
The next moment, his eyes widened!
Before the crack was not so big, blood was still flowing out from between the fingers and the gauze. The pressure was extremely high and could not be stopped.
However at this moment,
The crack in the large blood vessel in the neck has been impacted 1.5 times as much as before, but...
As Xu Qiu's hand fell,
The perfect bare-handed hemostasis method takes effect.
The flood of blood, like a dam bursting, stopped abruptly and was forcefully pushed back into the blood vessels, forcibly returning to the cardiovascular circulation.
Under the pressure of those hands, no blood leaked out...
It was like a gate that was smashed down, completely blocking the rioting reservoir!
"Is this something a human can do to stop bleeding with bare hands?!"
Zhou Hua was dumbfounded.
He knew that Xu Qiu once saved Director Kong Huixia's life by stopping bleeding with her bare hands.
but……
This surge of blood, like a fountain, can be stopped?
Are you still human? !
…
Everyone in the emergency room, with dull expressions, followed Xu Qiu's doctor's instructions and completed the next rescue.
Ten minutes later, Wang Ping arrived with the directors of the Department of Thyroid and Neck Surgery and the Department of Otolaryngology.
As soon as they entered the door, they saw blood all over the floor, and their pupils couldn't help but shrink.
It's very dangerous...
But it’s okay, we are all directors, what kind of scene have we not seen before?
The moment they stepped into the rescue room, someone suddenly noticed the ceiling. Looking up, they saw on the white ceiling, like splattered mud spots, bits and pieces of blood that had not yet solidified exuded the smell of fresh rust.
"Fuck..."
"Is this sprayed by someone?"
Several directors immediately lost their composure and were shocked. They had never seen this scene before!
Wang Ping was the first to come to his senses.
He had long been immune, but he was still shocked for a moment by the blood stains on the ceiling.
Looking at Xu Qiu again, Wang Ping's eyes were full of incomprehension.
Such terrible bleeding could be reversed by those hands? !
The other directors also reacted and looked at Xu Qiu on the rescue table, their expressions slightly dull.
"Can you turn him into a humanoid hemostat? As a hospital device, whoever wants to use it will report..."
"I'm greedy too. With him here, the patient can't even think of dying from bleeding!"
"I wonder if he can also stop my aunt's bleeding..."
This way,
When Xu Qiu heard the discussion later, she turned around silently and said, "Arrange the surgery..."
"Oh-oh-ok!"
Wang Ping and others immediately calmed down their expressions.
He quickly assessed the situation.
The patient's current condition is more dangerous than aortic dissection. Let alone half an hour or an hour, he doesn't even have ten minutes!
I definitely can't go to the operating room.
For the current plan, we can only mobilize the entire hospital immediately and carry out the operation in the emergency room!
The principle of asepsis is indeed the first rule of surgery.
But behind it, or behind all surgical operations, is the truth called - the patient's life.
Now if you want to save your life, all principles can be compromised!
"Go get the family members to sign!"
"Call the director of anesthesiology immediately!"
"Ask the operating room to bring the surgical kit down, within five minutes!!"
...
At this moment, all preoperative examinations and preparations were abandoned.
The patient's condition was very clear - a ruptured carotid artery.
If it was Morimaeda, he might have been too cautious and finally didn't dare to operate, watching the patient die in a pool of blood.
But for Xu Qiu, Wang Ping and others, only emergency surgery within ten minutes could save the patient's life, so - perform emergency surgery!
Other principles?
Life is the first principle!
"Attention, wear an extra layer of mask, gloves, and goggles!"
"Exit if you have wounds! During the operation, remember not to scratch yourself!"
In a tense environment, Wang Ping remained calm.
This patient did not undergo infectious disease screening, etc. If he had AIDS, once infected, it would not only ruin the doctor's career, but also their lives...
Tap tap tap!
Outside the emergency room, dense footsteps sounded.
In three minutes, the surgical kit was ready, the anesthesia director was on standby, and the doctors changed into surgical gowns, etc., adhering to the last stubbornness of the aseptic principle.
Xu Qiu half-crouched in front of the patient's bed, pressed the patient's ruptured carotid artery with both hands, and stopped the bleeding at a tricky angle.
He probably couldn't hold the scalpel in this operation.
If he let go, no one and no way would have the chance to slow down the bleeding, and the patient would go into shock and die within a dozen seconds.
However,
before that, there was one more important thing.
Xu Qiu looked at Wang Ping, and his eyes gradually showed a strange color.
