(Thanks to the super handso Uncle Shan for the monthly ticket encouragent)
"Director Liu, we’ve just received a call. There’s been another car accident at the scene, and more injured will be sent over."
The dispatch nurse quickly reported to Liu Banxia after answering the call.
This matter is beyond what Qi Wentai can decide, and requires the decision of the leaders present. Actually, it should be Chen Xuehai, but habitually they asked Liu Banxia.
Liu Banxia adhered to the procedure and glanced at Chen Xuehai, who nodded.
"Attention everyone, We’ve just been notified, there’s been a secondary car accident at the scene, and more injured patients will be redirected here." Liu Banxia shouted.
"Notify the operating room to prepare in advance, everyone ready for battle. Contact Su Wenhao and Li Hao, along with other interns and nurses who are off-duty tonight, everyone needs to arrive at their posts."
"Also notify the imaging staff on duty to prepare for receiving patients. Bring more blood bags. If we’re lucky, we can use them today. If we notice a problem, we’ll call upon the inpatient departnt."
"Contact the lab quickly as well, so patients may need to go directly to surgery; preoperative blood tests and cross-matching must be quick to save plasma."
Upon hearing his words, everyone sprang into action, so went to the blood bank to retrieve more blood bags, others pulled out their phones to contact people.
They all knew that secondary car accidents had occurred, indicating a major traffic incident with surely many victims. Otherwise, they wouldn’t have called here, just to prepare in advance.
"How are you? Can you handle it?" Chen Xuehai asked.
Liu Banxia shook his head, "I can’t be the main surgeon, the ti is too short, tabolism doesn’t happen that fast. I could do it, but I’m afraid of problems arising in the future."
Chen Xuehai nodded in understanding.
If an issue arises, it wouldn’t just be Liu Banxia’s responsibility, but the entire ergency center’s problem, subject to dia and social criticism, making life unbearable.
"President Qi, leave triage to you, patients will arrive in a few minutes. If many need surgery, you handle it, I’ll supervise below." Liu Banxia continued.
Qi Wentai nodded, slightly easing his tension.
He hadn’t dealt with such a large number of patients’ triage before, and today many patients were likely in critical condition.
At this ti, Xu Yino also rushed down, dressed in surgical attire and wearing gloves. The sound of ambulance sirens outside grew louder, slightly abrasive.
Everyone’s spirits lifted; patients were arriving.
"Blood pressure 60/90, heart rate 120, multiple injuries, abdominal swelling," said the paradic pushing the patient down.
"Rescue Room 1, Dr. Wei will receive," said Qi Wentai.
"Blood pressure 80/100, heart rate 110, left-sided sternum fracture, head laceration," reported the paradic from the second vehicle.
"Rescue Room 2, Liang Xiaolin will receive," said Qi Wentai.
Liu Banxia frowned; the condition of the first two patients was already difficult, and seeing several more vehicles arriving outside, things were likely about to escalate.
"Reception at the door, Xu Yino, Liu Yiqing, Huang Bo, Miao Rui in that order. Wang Chao and I are last, Director Chen and Director Liu will be on standby," said Qi Wentai.
"Move!" shouted Chen Xuehai.
With the concentrated influx of patients, individual triage was no longer feasible; quick allocation was necessary.
No matter the condition of the patients, with general surgery handling trauma admission, there should be no mistake, and subsequent specialist consultations will be requested as needed.
The previously quiet ergency center reception hall quickly beca chaotic.
Despite the chaos, operations were orderly. All five ergency rooms were in use, and several adjacent treatnt beds were occupied.
In just this short period, nine patients had been brought in, none lightly injured.
"Teacher Liu, my patient has an open fracture in the right arm affecting circulation," shouted Huang Bo.
Liu Banxia quickly removed the needle in his hand and ran to Huang Bo.
The patient’s condition was not good; the radial bone was protruding, and the blood pressure shown on the ECG monitor was very low.
"Make a judgnt."
After correcting the patient’s fracture and restoring circulation, Liu Banxia spoke.
Beep beep—
Just as Liu Banxia finished speaking, the ECG monitor emitted a long beep, indicating the patient’s cardiac arrest.
"1 unit of adrenaline, defibrillator ready at 150J," Huang Bo said while administering compressions.
"Charged."
"Clear."
"Zap."
"200J," Huang Bo continued CPR.
"Charged."
"Clear."
"Zap."
Liu Banxia walked to the patient’s side, lifted the eyelid to check the pupils, and shook his head at Huang Bo.
Huang Bo, in the midst of compressions, stiffened, glanced at the clock in the ergency room, and said, "Ti of death, 2:09 AM."
This was the first patient lost by the ergency center today, but both Liu Banxia and Huang Bo knew it would not be the last.
"Teacher Liu, we are here." Just ran out of the ergency room, Su Wenhao and Li Hao rushed to him.
"Prepare for admission, more patients will be sent over." Liu Banxia said.
"Director Liu, three patients need to go into surgery imdiately, both Linlin and I need to go in, you keep watch below." Xuehai shouted.
"Okay, leave it to ."
Liu Banxia responded.
Actually, he was anxious inside; originally, he should be doing significant work, but now he could only do simple tasks.
"Any other patients need attention? My patient has no more chances." Wei Yuan also ca running over at this mont.
"Pick any, the injuries are all severe." Liu Banxia said with a bitter smile.
"Teacher Liu, the patient has severe abdominal bleeding, the blood pressure dropped too quickly, and the blood replenishnt couldn’t keep up."
Before Wei Yuan could choose a target, Liu Yiqing ran out from ergency room three and shouted.
Liu Banxia hurriedly ran toward ergency room three.
"Teacher Liu, the abdon is severely swollen, probably won’t wait for the operating room." Liu Yiqing said.
"Disinfection, scalpel, rapid blood transfusion, operating room ready." Liu Banxia said, starting to put on gloves.
After Liu Yiqing finished the disinfection, Liu Banxia took a deep breath and steadily cut open the patient’s abdon with the scalpel.
The blood in the abdominal cavity rushed out, mixed with so dark red solid substances.
"There is coagulation, and the spleen is shattered too, I’ll give it a try." Liu Banxia said, reaching his hand in while his right hand took the vascular clamp Liu Yiqing handed over.
Although there’s no surgical field to operate now, Liu Banxia still managed to touch the splenic artery and clamped it with the vascular clamp.
"Teacher Liu, blood pressure is stabilized and is rising." Liu Yiqing shouted just as Liu Banxia finished clamping.
"Because no isolation was done, the vascular clamp is not stable. Stretch your hand, use your fingers to press, and I’ll call Wei Yuan to go up with you when going out." Liu Banxia said.
Liu Yiqing hesitated but still put her hand into the patient’s abdon, under Liu Banxia’s finger guidance, pressed the place where the hemostatic clamp was.
"Dr. Wei, there’s a ruptured spleen that needs direct surgery, the one you’re working on is mine."
Coming out of the ergency room, Liu Banxia said while pulling off the blood-stained gloves.
"Okay, currently auscultation shows normal heart sounds, left lung sounds are not good, recheck it. Pelvic fracture needs reinforcent. There is free fluid in the abdominal cavity, can’t tell if it’s bleeding yet."
Wei Yuan explained, then followed Liu Yiqing as they pushed the stretcher hurriedly towards the operating room.
Liu Banxia ran to this patient’s side, listened carefully with the stethoscope.
"Weak breath sounds on the left lung, upper chest percussion sound, lower chest turbid, rapid breathing, hemothorax, intubation package." After auscultation, Liu Banxia said.
The nearby nurse quickly fetched the intubation package, there wasn’t ti to provide local anesthesia to the patient. Although forcefully cutting open the chest would be very painful, it could save a life.
Upon the completion of intubation, the patient’s breathing finally improved.
"Li Tianyang, take the patient for chest, abdon, and pelvic CT scans, if they need surgery, call an orthopedic surgeon, and call soone who can lead from another operating room."
After fixing the pelvis for the patient, Liu Banxia said.
"Director Liu, here’s another injured person insisting on coming to the ergency center at Second Hospital."
Before Liu Banxia could look at the next injured person, another ergency team pushed one in through the door.
"What a headache."
Seeing the patient with a face full of blood, Liu Banxia muttered.
He was stunned when he got closer, "Everyone pay attention, clear the way, send this patient directly to the treatnt room."
"Director Liu, do you know them?" The ergency team mber asked.
"Yes, did you get contaminated by blood during admission? HIV carrier." Liu Banxia said softly.
This patient is none other than soone he had treated before. It’s the one who created trouble at Lang Tao Sha and was sent by Qiaoqiao.
He had treated only this one HIV carrier before, so he rembered it clearly. Just now, being far away and seeing a face full of blood did not recognize imdiately.
This is adding chaos to chaos, just this one tied him up.
His words also startled the ergency team mber, who, after checking their hands carefully, shook their head.
"Then also do a process later, notify the scene and check if there was any possible contact with other injured people." Liu Banxia said.
"Initial diagnosis showed no other injuries, just a laceration to the head. When we rescued him, he just said this one sentence to us." The ergency team mber said.
"Don’t worry, leave it to , also check yourselves well, especially disinfect the ambulance thoroughly." Liu Banxia said.
The ergency team mber quickly nodded.
Feeling greatly relieved in their heart, thankful for Liu Banxia’s reminder, otherwise, they might have unfortunately been exposed.
"Shi Lei, Shi Lei, temporarily take over the scene, I have a patient to handle here." Liu Banxia happened to see Shi Lei rushing in from outside, and quickly shouted.
Shi Lei nodded and imdiately started working.
Liu Banxia let out a breath of relief, luckily Shi Lei ca, otherwise the scene would be unattended. Having treated this patient, he couldn’t free himself.
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