Chapter 379 The world is dangerous!

Lu Chengrao had been in the Department of Orthopedics for a long time, and he had seen a lot of injuries. Some of the soles of the feet were missing, and some of the ankles simply collapsed. But in this way, it starts from the thigh down, all the way to the top of the ankle.

The bones and flesh are almost mixed together.

This is really the first time I really see it.

What's even more amazing is that this patient can still be sent to the emergency department while still alive. What is this if not a miracle of life?

"What kind of car ran over this? A big truck? Does the patient have any other symptoms? Now he needs to have his limb amputated as soon as possible." Lu Cheng said immediately after reading it.

Looking at the photo again, the broken bone end of the femur is exposed, and the existing thigh and calf structures further down are no longer visible. The meat paste and bone fragments are mixed with what looks like dumpling fillings, as well as the remains of blood vessels and nerves.

The remaining deformity is intertwined with muscle fibers, like a ball of fleshy yarn.

This leg definitely cannot be saved. If it were delayed a little longer, I don't know if my life could be saved.

This should be the first amputation performed by Lu Cheng.

"It was said that when there was a car accident, he couldn't get out of the way and jumped out of the car. His leg was caught under the wheel of the large truck and fell down."

"If we didn't get out of the car, we might have died. We are still stabilizing vital signs and preparing for intubation, but the patient is in a coma." Zhu Fang said as he spoke.

Lu Cheng quickly put on examination gloves and then looked into the emergency room.

Sure enough, I saw the patient, and blood was still pouring out from the stump of his thigh.

"It's not going to work. The patient's blood pressure is not good. It will be useless to transfuse too much blood if we continue like this. Is the orthopedic person here yet? How to deal with the injury on this leg?" The person who is doing the rescue is about fifty years old.

He was a teacher that Lu Cheng didn't know, and Lu Cheng couldn't pay attention to his department and major.

After entering the door, he heard someone calling someone from the orthopedics department. Lu Cheng asked, "The patient needs amputation immediately. Can he be sent to the operating room?"

Zhu Fang immediately said: "Teacher Qin, this is the boss of the orthopedics department."

He is performing tracheal intubation and is ready to perform tracheotomy at any time. At this moment, he is tilting the patient's head to reveal his field of vision: "If I could enter the operating room, I would have entered it long ago. Now I come to your orthopedics department just because I want to

Do you know how to cause bleeding on this leg? It’s impossible to keep it bleeding, right?”

Without going into the operating room, I can handle it with my thoughts, right?

Lu Cheng went up with his own hands and grabbed the stumps of the blood vessels, then took off his gloves and knotted them. This stopped the bleeding from the two larger blood vessels.

Zhu Fang hadn't even reacted to this clever and fast scene.

"That can only be done in the operating room. Have you done any CT scans on other parts of the body before?" Lu Cheng took a deep breath and asked.

The person named Teacher Qin had already put in the tracheal tube, took out the visual laryngoscope for assisting intubation, and asked his assistant to help fix the tracheal tube while confirming the far position of the tracheal tube.

Turning around, he said: "You have also seen that the person was unconscious after coming in, and his breathing is still suppressed. It is difficult to go to the CT room, and it is difficult to push to the operating room. The person may die at any time. Not to mention the family members.

No, his mobile phone was crushed and he couldn't be contacted. No one agreed to the operation. The key is."

"If we don't go into the operating room, there's no way to deal with this situation, right?"

Lu Cheng nodded and did not argue with him: "The femoral artery and its branches are both very large arteries. Just tying them like this is not enough. The blood that should flow will still flow, and a lot of body fluids will be lost through bleeding. It is necessary.

You need to go to the operating room as soon as possible to deal with the stump! Otherwise, no matter how much blood you transfuse, it will be useless."

"Have you ever called the general manager on duty?" Lu Cheng asked.

When the doctor surnamed Qin heard what Lu Cheng said, he didn't know what happened. He became a little angry: "Does your orthopedics department know nothing more than surgery? How can he go to the operating room like this? Isn't it something other than surgery?"

Surgery can’t save people?”

Lu Cheng looked at this person in shock at that time, thinking there was something wrong with you, right?

"Brother Zhu Fang, have you called the general on-duty number? Has this patient been authorized for surgery?" Lu Cheng knew that the patient's current condition could not be delayed, so he didn't bother to compete with him.

Zhu Fang was from the outpatient clinic, and Qin Guohuai was from the emergency and intensive care unit. Although they knew each other and were very familiar with each other, they were responsible for different things.

Qin Guohuai continued to shout loudly and asked: "You don't have to ask. This patient's current condition cannot be discharged from the intensive care unit. I didn't call the general manager on duty. How should we deal with this orthopedic problem now?"

"Are you from the Department of Orthopedics? Are you the general resident of the Department of Orthopedics?"

Qin Guohuai didn't know where his temper came from, or maybe he was eager to save people, so he asked anxiously.

Lu Cheng listened to Qin Guohuai's strange tone, took a deep breath and said, "I am the chief resident of the Department of Orthopedics. Now the patient must arrange an operation immediately to stop the bleeding and amputation, otherwise he will go into shock."

"The patient can't go to the operating room now, is there nothing we can do? Do you want me to call Li Dongshan to come down in person, and call Min Hong to come in person?" Qin Guohuai actually interrupted Lu Cheng's speech and wanted to shake him off.

Lu Cheng ignored him and said to Qin Guohuai: "Teacher Qin, I only want the patient's emergency medical records. I don't care about the rest. Call whomever you like. If you want to call Professor Li or Professor Min, that's your business."

“Our orthopedic department’s advice is to perform surgery immediately and complete the pre-operative conversation and signature immediately.”

As Lu Cheng spoke, he wrote his opinions in the emergency medical record.

After briefly explaining the condition, he wrote truthfully: "1. Our department recommends immediate emergency surgery! Otherwise, it will be life-threatening. Your department assesses that the patient's vital signs are absolutely unstable, and temporarily rejects the surgical treatment recommendation. 2. It is recommended to undergo systemic surgery.

The CT scan will be sent to the operating room. 3. Please ask other departments for joint consultation during the operation. 4. After your doctor assesses that the patient’s vital signs are basically stable, contact our department for follow-up at any time.”

After Lu Chengshuashuashua finished writing, Zhu Fang's expression changed slightly.

Lu Cheng directly threw the medical record to Qin Guohuai and said, "Teacher Qin, when will this patient here be able to leave the emergency room and get in touch with the general on-duty, please contact me and I will start the operation immediately!"

Lu Cheng was really convinced that Qin Guohuai could perform tracheal intubation. This must have been reported to the general manager and authorized, but he did not report the operation. What kind of brain is this.

When Qin Guohuai saw what Lu Cheng had written, he directly put all the blame on him. At that time, he stretched out his hand and said, "Wait a minute, when did I refuse the surgery?"

Lu Cheng's words were quite precise, so he said: "I refuse for now, just now. You said that the patient cannot be pushed out of the emergency room now. We orthopedic surgeons cannot perform amputation surgery in the ward."

"Then do you want to find a way?"

"Who are you? What's your name? Who is your teacher? Is this how your teacher taught you to be a doctor?" Qin Guohuai said angrily.

Lu Cheng really found it hard to believe that such a person could actually appear among the doctors of the Second Xiangya Hospital, and could actually appear in front of him.

Lu Cheng was about to turn around and leave. After hearing this, he turned around and said calmly: "Teacher, this patient must be pushed to the operating room. Amputation cannot be done outside the operating room, the bleeding cannot be stopped, and it cannot be sterile."

Principle. If we delay any longer, the patient will die!"

"That's why I need you to think of a solution? This is a problem for your orthopedics department. If you don't think of a solution, who will think of a solution? Ah?" Qin Guohuai said a little aggressively.

"If you dare to leave, I'll call the medical department right now and tell you that I can't find the chief resident of the orthopedics department." Qin Guohuai seemed to want to confront Lu Cheng directly.

After Lu Cheng heard this, he immediately called the medical department directly.

Lu Cheng said: "Chief Xiang, are you free? Isn't it in the hospital now? There is a teacher in the emergency department who wants to report me to you. Yes, I am in the emergency department now."

"Okay, I'll wait for you!"

After Lu Cheng finished the call, Qin Guohuai on the other side seemed a little stunned.

Zhu Fang was also dumbfounded. Lu Cheng's temper was quite strong.

Then Lu Cheng said: "Teacher Qin, your emergency and intensive care unit is the one who needs to find a way to send the patients to where they should go, not our specialty who needs to find a way to move the specialty to your emergency department!"

After saying that, Lu Chengcheng became helpless. Seeing the patient being wasted by Qin Guohuai in the emergency and critical care room, he, as the consultant doctor invited, was really helpless.

Under the first-diagnosis responsibility system, whoever sees the patient is responsible to the end. This is a patient in the emergency department, not their orthopedics department. Lu Cheng only has the right to assist in treatment, unless he is on the operating table, where he can be treated by a specialist. Now, Lu Cheng has no rights at all.

Any right to prescribe.

This is also the reason why Lu Cheng wants to take matters forward.

Although it was his first day as a general resident, there was no need for him to exchange special greetings with other people for the sake of his own life. They were all just to give him face.

Xiang Xuewen arrived at the hospital by chance and did not go to a meeting, so he rushed to the emergency department quickly, which only took two or three minutes.

After entering the door, they saw Qin Guohuai and Lu Cheng confronting each other. Lu Cheng looked anxious.

When Qin Guohuai saw Xiang Xuewen coming in, he complained first: "Section Chief Xiang, the orthopedics department is always interesting. I invited him for consultation just to find a solution to the specialist problem. He told me that besides

Apart from surgery, there was no other option. Even the most basic hemostasis operation was not performed. I just wrote the consultation opinion and left."

Lu Cheng said: "Chief Xiang, please take a look at this patient's condition. Apart from amputation, there is no other option. Temporary hemostasis, how long can temporary hemostasis last? Just tell Section Chief Xiang that the patient cannot

Launch the emergency room! Then I could only write my own opinion, and then specifically said that once the patient’s vital signs are assessed and the patient can be discharged from the emergency room, he can contact me at any time.”

Xiang Xuewen glanced at Qin Guohuai and thought he looked familiar, but couldn't remember it for a moment, but looking at the badge Qin Guohuai wore, he was from the Second Hospital.

Xiang Xuewen politely acted as a peacemaker and said: "Teacher Qin, Doctor Xiao Lu, don't be angry or angry. Let's not talk about right or wrong. Let's see the patient first, okay? There's no need to argue here."

After Xiang Xuewen saw the patient, he looked at Qin Guohuai with an ugly face: "Teacher Qin, did you just say that this patient cannot be pushed out of the emergency room?"

Qin Guohuai's expression actually changed slightly when Xiang Xuewen arrived.

"No, how could I say such a thing? What I mean is, call the orthopedics department to help and think of other ways to stop the bleeding." Qin Guohuai said with a twinkle in his eyes.

"So what? After Dr. Xiao Lu used sterile gloves to tie the blood vessels? Can the patient still not be sent to the emergency operating room? Is this your decision?" Xiang Xuewen continued to look at Qin Guohuai.

Qin Guohuai's face looked a little ugly at that time, and he stood there, uneasiness flashing in his expression.

He quickly said: "Section Chief Xiang, no, it was Dr. Xiao Lu who misunderstood what I meant. What I meant was."

Zhu Fang said: "Chief Xiang, Dr. Qin is a doctor who came from Guizhou Province to study. This is the second month, so he may not be so familiar with our business processes."

Xiang Xuewen asked: "Then why is there no sign of training as a doctor?"

“Who is the director of the emergency department now?”

"Can this patient be scheduled for surgery? When will it be scheduled? Where is the person?"

When Xiang Xuewen asked this, Qin Guohuai's expression changed drastically. Then the people at the nurse station called Yu Youlin out of the director's office, saying that all the chiefs of the medical department had come to the critical care room.
To be continued...