When Lu Cheng came to the emergency department, it was finally the first time he saw patients and their families present.

The patient is a middle-aged man in his forties. He is lying on the hospital bed with a tube inserted. There are other people in white coats who arrived before Lu Cheng and are doing physical examinations.

But visible to the naked eye, there were severe signs of trauma on his thighs, calves, and both upper limbs, with blood stains soaking through his clothes and the gauze bandaged by the ambulance.

Next to the hospital bed, there was a woman, who should be his wife. She was covering her mouth and looking at her husband's injuries with red eyes. Then finally a call came. She turned around and covered her mouth to answer it, but was reminded by a nurse:

"This is the emergency room. You can't make phone calls. If you want to make a call, please go outside."

Maybe the caller was important, so she walked out and said, "Yes, Chen Wen was injured. We are now at the Second Xiangya Hospital, and the doctor said the situation is not good..."

In addition to the middle-aged woman, there is also a fat man who is not very tall, about less than 1.6 meters tall, with a short head and a bald forehead. He is swallowing saliva at the moment while looking at the injured person nervously.

, asked in a low voice: "Doctor, can I still be saved? Will I be disabled if I am saved?"

"Don't talk, don't you see the doctor is auscultating?"

"Please step out, please. Thank you." The nurse who spoke before rudely dismissed her again.

"Eh. Me." The middle-aged man seemed to have something to say, but he was pushed out by the nurse.

After this, several people in white coats in the emergency room made a sound: "Let's push to the CT room first, and then send it to the emergency operating room. The bilateral pupils have slow light reflexes and the pupils are constricted. I guess there is intracranial hemorrhage. I don't know.

Is it intraventricular hemorrhage or something else?"

This is the boss of the neurosurgery department. Although he said this, his face was full of helplessness. It is estimated that even if this patient has a craniotomy, the final effect will not be very good, and it may even be difficult to operate.

Gotta come to Taiwan.

"How is the patient's blood pressure?" asked a man in a white coat near the patient's right chest.

"104/67mmHg! Blood oxygen saturation 95%."

"The blood pressure and blood oxygen are okay. I suggest you push to the CT room first, and then check the CT results. If the blood oxygen is really not good, I will put a tube here." People from the thoracic surgery department basically take the patient's blood pressure.

After coming down, the direction has been determined.

"..."

About ten minutes later, the patient was pushed out of the emergency CT room, and then Lu Cheng and other bosses from several different departments each found the patient's family members, that is, after his wife signed the plan to undergo emergency surgery.

Only then did she plead sincerely: "Doctor, must you save my husband? Thank you. Please."

The person closest to her was the boss of the thoracic surgery department. He replied: "We will definitely try our best."

In this case, no one will give her an accurate answer. It is very likely that the person will die soon after she takes the stage. After all, it is a trauma to multiple places and multiple organs. Sometimes human life is very strong, but sometimes it is not.

is very fragile.

"You must save him, please." But the middle-aged woman was still holding her hands, reluctantly watching Lu Cheng and others leave.

When we arrived at the emergency operating room, the patient chose general anesthesia, so he was quickly knocked down by the anesthesiologist. The junior doctor in the neurosurgery department immediately started shaving his hair, and then the chief resident went to check the CT results in the reading system.

Already.

"There are both epidural and intracranial blood masses, which is a bit troublesome. It would be great if it was a simple epidural." He cursed as he said.

"Brother Chu, come here, let me give it to you." The boss of the neurosurgery department has changed. The current boss is the new Zhuo Zhigang.

The boss of the thoracic surgery department is called Chu Lin. He said: "There is pleural effusion, but it's not a lot. I can put a tube here and you can step down, so you don't have to be so anxious. Brother Lin, why don't you take a look first?"

Zheng Xianlin is the chief resident of general surgery and has been in office for the third year. Chu Lin and others knew Zheng Xianlin when they were still doctors.

Zheng Xianlin saw that Chu Lin was being polite and said, "Chu Lin, you are very confident. It seems that you have practiced your basic skills well. I have to take a closer look. I guess our department will have to call the professor to come on stage."

As Zheng Xianlin spoke, he began to move the CT layers, then rolled his eyes and said in shock: "Okay, the spleen is severely bruised. The kidneys are bruised, the pancreas is bruised, and the liver is bruised. Isn't this person's injuries too serious?"

"

"Can this be saved?"

"It's time to go around and call the boss of the urology department for an emergency consultation."

"Okay, Brother Lin." Xianyou is also an old acquaintance with Zheng Xianlin.

When Zheng Xianlin then looked at the lower level, Lu Cheng's eyes narrowed slightly. Alas, it seems that the vascular surgery department still has to be called!

There is bleeding in the pelvic cavity and abdominal cavity. I need to see if the vascular surgery here has a better solution.

Zheng Xianlin glanced around, then looked back about two or three times before turning his head. Then he saw the very young Lu Cheng and asked: "Which discipline are you studying for training or a graduate student?"

?Still hanging out here?”

This patient was sent to several other operating rooms in the emergency operating room, so neither the patrol nor the washroom recognized Lu Cheng. They were surgical nurses other than orthopedics.

Lu Chengcheng said: "Brother Lin, thank you for complimenting me on my youth. I am the chief resident of the Department of Orthopedics, and my name is Lu Cheng."

As he spoke, he stretched out his hand.

Zheng Xianlin's pupils shrank slightly at that time, and then he quickly apologized, and then immediately said something like apologizing for a treat next time, which resolved the embarrassment at that time.

And because of such an embarrassment, Chu Lin was too embarrassed to compete with Lu Cheng, so he asked Lu Cheng to see the orthopedic problem first. Then he saw that there were three or four open fractures.

Chu Lin said with emotion: "Brother Lu, the amount of projects you do is quite large."

Lu Cheng nodded: "It's not small. It has fractures in three places and debridement in four places."

But what Lu Cheng didn't say was that the amount of work in your department is not as simple as you think.

As Lu Cheng stepped away, he made a call to the surgical team at the trauma center and several other departments in the orthopedics department.

In addition to the emergency trauma center, which has a surgical class, all orthopedics departments have surgical classes. Otherwise, the people in the emergency trauma center would die from exhaustion. After Lu Cheng only called three people, he went directly to the operating table and began to look at the patients.

.

"Multiple traumas throughout the body: intracranial hematoma, epidural hematoma, pleural hemorrhage, severe lung contusion, hemopericardium (minor), severe abdominal contusion, multiple abdominal contusions, precursor to splenic rupture, multiple open fractures of the limbs and multiple

Trauma, multiple vascular injuries and multiple embolisms; lv1

39! (Life Terminator): Characteristics, fatality rate 99.6%! Characteristics: Critical hit, each attack can reduce the host's health by 25%! Attack frequency is fast. Characteristics: The probability of multiple sequelae is 0. Evaluation: Life Terminator is parasitic

The monster has no sequelae."

This was a more horrific injury than the one Lin Hui suffered at the time, and the current situation was almost certain to lead to death.

And now Lu Cheng doesn't have battle scene skills for him to derive.

However, to sum up, the difference between the current condition and Lin Hui's is that the vascular injuries in this patient's limbs are not as serious as Lin Hui's before. The injuries to the chest and abdomen, as well as the brain, are even more troublesome.

However, Lu Cheng didn't have too much fear. Firstly, it might be because the relationship between this patient and him was not that close. Secondly, Lu Cheng had experience in rescuing patients with multiple traumas, so he didn't seem so confused.

Well, at least I know a way to treat him.

Lu Cheng hesitated for a moment and then said: "Have you called the boss of the vascular surgery department? This patient's limbs were so seriously injured, but the amount of bleeding was not much. It is estimated that the arteries in the limbs are all embolized. Otherwise, the blood pressure would not be high."

Maybe it’s as stable as it is now.”

"Moreover, there are multiple organ contusions in the chest and abdomen, which makes it even more suspicious. You see, the high pressure now is more than 100."

Everyone glanced at the monitors and roughly understood what Lu Cheng meant. But the problem is that they haven't done any corresponding examinations now. What's the use of calling the vascular surgery department? Although I heard that the vascular surgery department is doing something recently.

The issue of blind thrombus removal surgery, but isn’t that just the beginning?

Although I thought so, I still called the CEO of the vascular surgery department directly.

When the boss of the vascular surgery department came and saw that the blood vessels in the limbs were damaged but not bleeding a lot, he frowned and said, "It seems like it's an embolism. The damage to the limbs is probably concentrated in the calves and calves."

In the forearm, even if the aorta is not damaged, the amount of blood oozing will not be very small."

"What should I say about debridement in orthopedics? Once we figure out the thrombus, the amount of bleeding will be huge by then?"

At this time, Lu Cheng had already led four subordinates from the Department of Orthopedics to start debridement. He roughly assessed the wound and the extent of the fracture, and said: "The fractures in our Department of Orthopedics are in pretty good condition. There are no such comminuted fractures."

, these are all simple fractures, so the time for debridement and blood vessel exploration will not be very long."

"Furthermore, if our department debrides a place, you can do a blood vessel exploration in that place, and there is no conflict. You can prepare for minimally invasive exploration first and make a vascular sheath." Lu Cheng was kindly giving this to the boss of the vascular surgery department.

suggestion.

But the boss of the vascular surgery department was a girl. Her surname was Yang and her first name was Zi. She had the same name as the celebrity, but she was definitely not the same person. She glanced at Lu Cheng and muttered to herself that the debridement and external fixation would not take long.

.

That’s what you think, if I call the professor to wait with me, I won’t be scolded to death?

She said: "Then let's wait until you have finished the debridement. It will take time. I have to call the professor then. I can't ask him to come and wait with me. You are almost done here and continue to call me."

My phone number. I also need to go for a consultation, which is at Jingwei Building."

After Yang Zi finished speaking, he left the operating room directly.

Others didn't think there was anything wrong.

Although Lu Cheng knew that vascular surgery actually required a lot of preliminary preparations, he also felt that people in vascular surgery should be prepared now to explore whether there are embolisms and other problems in blood vessels in other places. After all, orthopedics involves

, but the arteries of the limbs and the blood vessels and arteries of the pelvis.

However, since the boss didn't want to do this, Lu Cheng couldn't force it.

He is just the CEO of the Orthopedics Department, and the other person is the CEO of the Vascular Surgery Department. They are all colleagues and have a cooperative relationship. There is no superior-subordinate relationship, so naturally there are no instructions or orders.

The patient's injuries were serious, but there were not too many skin lesions. Although there were foreign bodies, it was not a big problem for Lu Cheng now.

Moreover, this time Lu Cheng still applied what he had discussed with Zhou Linli and others before, to strictly debridement and debridement of the suspicious muscle gaps that could be detected.
To be continued...