YM778.TV Chapter 280: 281: At This Moment, We Need a Backbone
On one side, there’s the life-and-death urgency of emergency medicine, cardiac surgery, orthopedics, radiology, and thoracic surgery!
On the other side, there’s the concerted efforts and tacit cooperation of the critical care unit, operating room, anesthesiology, blood transfusion department, and laboratory science!
What they’re about to face is a battle that could last for over a dozen hours!
In the operating room!
The emergency physician Chen Cang, thoracic surgeon Jing Ran, emergency medic Wang Qian, and orthopedic surgeon Zhang Xueliang wait anxiously for the surgery to begin!
This is a young resuscitation team with an average age of no more than 31 years old!
This is a life-or-death race against time!
The incident happened suddenly; second-tier doctors are on their way, and department heads will arrive shortly!
But this emergency team, hastily assembled, must have someone step forward to lead the operation.
Jing Ran is slightly timid!
But among all those present, he is the only associate chief physician—he must step forward!
Flee?
Your hesitation is undoubtedly a cowardice before the reaper!
Your cowardice will not earn the reaper’s mercy, only his mockery!
With this thought, Jing Ran clenched his teeth and psyched himself up!
“Come on, Jing Ran!”
At this moment, whether it’s about responsibility or anything else, this inter-hospital rescue must be carried out with full effort.
Right now, at this very moment!
In the operating room, all the surgical nurses, anesthesiologists, blood transfusion physicians, and laboratory doctors need someone with a commanding presence to step forward.
Someone to unify and coordinate this operation!
Just as Jing Ran was about to speak, he suddenly noticed Chen Cang taking a step forward!
Chen Cang turned around and said:
“Prepare for intubation!”
“Prepare the venous access!”
Upon hearing Chen Cang’s words, the nurses hurriedly got up to prepare, and Jing Ran, without any hesitation, began his subsequent tasks.
A few minutes later!
“Intubation successful, venous access established.”
Chen Cang nodded, then said sternly, “Prepare the extracorporeal circulation.”
“The extracorporeal circulation machine is ready.”
Chen Cang continued to arrange the next steps methodically!
“Prepare plasma!”
“Plasma urgently dispatched and in place.”
“Artificial blood vessels transported in place.”
……
The medical team’s repeated urgent calls!
The medical crew’s repeated and well-coordinated actions!
One safety measure after another is continuously perfected!
One rescue plan after another effectively goes into action!
Time after time, they pull victims back from the brink of death….
Chen Cang took a deep breath; at this moment, he knew that now was the least opportune time to let down his guard; what lay ahead could be the most severe resuscitation task he had ever faced!
A rescue team centered around him, ready to execute any command he might give at any moment!
No one doubted Chen Cang, because now was not the time for doubt.
Anesthesiologist Liu Jian looked astonished at the familiar face before him, in which he saw an unfamiliar expression!
Is this Chen Cang?
Even Wang Qian felt that Chen Cang emanated an unfamiliar aura, a far cry from the sometimes cheeky young doctor of the past.
All the nurses noticed that at this moment, Chen Cang carried a certain commanding presence about him!
Confidence!
Meticulousness!
Somber!
Imperious!
That’s right, the soul deep within Chen Cang was not his alone!
A doctor named Bai Qiuen was using all his lifelong knowledge, all his experience in emergency response to assist Chen Cang in this rescue operation!
Under the shadowless lamp, an intense, smokeless battle was under way.
At the operating table, several young doctors with little worldly experience were giving their all with everything they’d learned!
Inside the operating room, seven or eight medical staff from various departments were ready for anything, at any moment.
The first step of the surgery was to ascertain the extent of the injuries!
Even with imaging data to rely on, many things could not be captured by the machines.
Therefore, the next step had to involve opening the chest to explore.
However, this brought a grave issue before everyone: how to choose the incision!
At this moment, the design of the surgical incision was crucial—it had to ensure absolute patient safety, not increasing blood loss or harming surrounding tissue; it also needed to allow for the repair of all major injuries, and at the same time facilitate the removal of a nearly 50 centimeter-long threaded steel rod from the thoracic cavity.
An incision had to meet all three conditions at once.
Jing Ran was beginning to hesitate.
What to do…
If it were his mentor, Academician Liu Jian, what would he do at such a time?
This was Jing Ran’s habitual way of thinking.
Whenever he encountered a problem he couldn’t solve, he would start to think: if his teacher encountered this situation, how would he calmly face it!
Chen Cang turned to look at the radiologist beside him, saying, “Turn on the backlight, let me see the films.”
The radiologist nodded quickly.
At this time, Chen Cang began to analyze all the possibilities continuously, gradually forming an approach in his mind.
Every second was precious!
But there was no regret medicine for cutting!
A cut for life!
A cut for death!
Chen Cang had to be cautious.
The sounds from the equipment kept fluctuating, the circulation noise from the heart-lung machine rose and fell incessantly, even the tense breathing of those around was pervasive.
1 minute and 21 seconds later, Chen Cang turned to look at Jing Ran, Wang Qian, Zhang Xueliang.
He began to explain the situation word by word, outlining his planned approach, communicating everything that could be considered, to everyone, including anesthetist Liu Jian, and even every instrument nurse!
Chen Cang had to ensure this rescue was foolproof!
No boss!
I’ll be the boss!
According to Chen Cang’s plan, the surgery was divided into three phases: first step, open the chest to explore and ligate vessels, and remove the steel rebar; second step, repair the damaged organs; third step, change positions to repair the bone trauma.
Chen Cang picked up a scalpel and began his operation!
That moment, time froze at 11:10 AM.
The patient’s vital signs were stable, breathing even, blood pressure rising, blood oxygen saturation returning to normal levels—this was the moment the surgery would officially begin.
As the knife slid through the skin, he quickly grabbed a haemostatic gauze, ready for anything.
Jing Ran watched Chen Cang’s choice, frowning in thought!
This position… he hadn’t considered that!
Jing Ran’s eyes brightened; this way, they could effectively avoid the aorta and could ligate the thoracic vessels!
But… this position was really exhausting!
How long could Chen Cang last?
This surgery was definitely a grueling battle, sure to last a long time.
Chen Cang’s choice of incision site made Jing Ran feel awkward standing in any position, all uncomfortable, needing to lean in at an angle, skillfully making the cut.
This would hasten the depletion of his stamina.
Soon, with the thoracic cavity opened, everyone saw the severely damaged chest, and witnessed a gruesomely bloody scene!
And in Chen Cang’s eyes appeared all sorts of red names.