Woo~ woo~ woo~
About ten minutes later,
two ambulances roared in and stopped at the entrance of the emergency building.
The doors opened, and two stretchers were pushed out.
"What's the situation?"
Qin Feng and Xiao Jing hurried forward with the nurse, asking in a deep voice.
"Car accident, this one is in shock and unconscious, the legs, chest, and head were all impacted, internal bleeding, the brain condition is unclear now."
Zhao Yitian, panting, pointed at one of the unconscious middle-aged women and said,
"This one was hit by a big truck and flew, but is conscious, with multiple fractures. The internal condition is uncertain for now, needs a CT scan."
"Ah~ it hurts!"
Just then, they heard the fat man on the stretcher groaning in pain.
Ho!
This face is very familiar!
It's the arrogant BMW guy from the other day who nearly hit the female teacher and Qiao Yiyi with some kids, and then got locked in his car by him.
Unexpectedly, he was the one in a car accident?
Karma really comes too fast!
"Doctor, save me, I don't want to die."
The man, regardless of who it was, grabbed Qin Feng's sleeve, crying out in pain.
He looked at the BMW man lightly, lifted his hand, and broke free.
"Push them inside first, bedside ultrasound, CT, electrocardiogram, confirm the injury status immediately."
Qin Feng waved his hand and immediately began to arrange,
"Notify the on-duty anesthetist, orthopedic, cardiothoracic, neurosurgery, and ICU, all to come for a consultation, prepare for surgery!"
"Okay!"
Behind the ambulances, a police car followed, and two officers got out of the car.
"Doctor, please save them."
One of the elderly police officers pointed at the man and said,
"This guy is the hit-and-run driver; he drank and drove, hit someone and tried to escape, but ended up getting knocked by a big truck.
If he dies, we can't explain it to the victim's family!"
"Understood, don't worry, we'll conduct an immediate consultation and surgery for both."
Qin Feng nodded upon hearing this, speaking with a serious expression.
After saying that, he turned and entered the emergency room.
"Qin Feng, the patient is in shock!"
Xiao Jing was rescuing the middle-aged woman when the heart rate on the equipment suddenly dropped to zero.
Ventricular fibrillation!
"1mg adrenaline intravenous push, defibrillator ready! Quick!"
Qin Feng immediately reacted, taking the defibrillator from the nurse,
"200 joules, charging, clear!"
Z~
Bam!
After one shock, Xiao Jing immediately started CPR, but the monitor remained a flat line.
"Step aside."
One minute later, Qin Feng picked up the defibrillator again.
"300 joules, charging, clear!"
Z~
Bam!
The woman's body bounced again, continuing CPR.
After three consecutive defibrillations, a heartbeat finally appeared on the monitor.
Beep~ Beep~ Beep~
The heart slowly returned to a weak state; the person was brought back.
"Whew~ Quickly check and confirm the condition, don't delay."
After Qin Feng finished speaking to Xiao Jing, the head nurse Liu Juan rushed in.
"Dr. Xiao, the people from other departments have arrived."
"Okay, let's go, did the report for that man come out?"
"Yes, it came out."
Liu Juan handed the report to him, but before Qin Feng had time to look, the alarm for a cardiac arrest rang again nearby.
Beeeeeep~~~~
"Damn!"
He wasn't doing well at all; another one in shock.
Rushing into the adjacent emergency, he saw the BMW man's face pale, eyes shut, and unconscious.
Qin Feng's expression changed, rushing over in strides, bending down to feel.
"Hiss~"
The whole body was icy cold!
The instrument showed blood pressure rapidly falling to 50/20.
Qin Feng glanced at the CT scan in a flash; the abdomen was already filled with blood, likely due to an organ rupture.
"Dr. Zhao, stabilize the blood pressure first, prepare for surgery immediately."
"Okay!"
He walked out with furrowed brows.
After a brief consultation confirming the surgical plan, the middle-aged woman had a ruptured lung, multiple fractures, and a skull fracture.
Joint surgery by orthopedics and internal medicine!
The BMW man had a ruptured spleen, arterial bleeding, and multiple fractures, with Qin Feng as the lead surgeon, assisted by orthopedics.
After confirming the surgery, everyone treated it as a dire battle.
They all got up and headed to the operating room; seven or eight doctors in white coats with serious expressions exuded an unusual aura of authority and solemnity.
As they passed through the emergency hall, those receiving infusions all turned their heads.
Their eyes filled with wonder and admiration!
"Wow! Look, that young doctor in the front is so handsome!"
"Yes! He's so handsome with that aloof and restrained charm, I really want to get his contact information!"
"I wonder which department he's from. It'd be great if someone as handsome as he is were my husband! He must give a great sense of security!"
"I know, I know! I saw him last time I was here, he's in emergency!"
...
For critically ill patients, the protocol is to save lives first and settle bills later, so they didn't think much about it.
However, the police had already contacted the patient's family through other means and notified them.
Wash hands, wear sterilized gown, put on gloves and hat, and finally the mask....
Everyone remained silent, ceasing to speak.
Entering the operating room,
Qin Feng stood in the primary surgeon position, with Zhao Yitian as the first assistant, and Xiao Jing as the second assistant.
The orthopedic attending doctor stood by on the opposite side, ready to handle the fractures.
Meanwhile, in the monitoring room, several remaining emergency interns were squeezed to the back, looking nonplussed.
Because the front positions were completely occupied by doctors from cardiology, orthopedics, and neurosurgery!
Each of them looked exhilarated, their eyes fixed on the big screen.
It's infuriating to lose your spot even in your own department.
But they dared not complain as those people were full-time residents!
The emergency interns were on the verge of tears ~o(╥﹏╥)o
Qin Feng saw the patient's blood pressure had been raised to 92, and the anesthesiologist signaled to him.
Zhao Yitian swiftly handed him the scalpel, eyes full of excitement and anticipation.
(Handing the scalpel to the master!!!!)
"It's now 2:45 AM, beginning splenectomy and femoral complex surgery.
Starting now!"
With these words, Qin Feng held the scalpel, without hesitation made an incision diagonally along the left rib edge, facing the spleen and stomach.
In one stroke, the abdomen was opened!
A cut appeared, exposing a partial view inside.
The blood in the abdominal cavity was mixed with solid tissues, which was clearly visible.
The spleen was shattered!
The entire spleen was broken into small pieces, it was completely ruined.
And the bright red blood continued gushing, flowing throughout the thoracoabdominal cavity.
Qin Feng shook his head, the spleen is a low-pain organ, even when shattered, it hardly causes any sensation.
So the patient, even when arriving at the hospital, only felt pain from the thigh and femur fracture, without realizing his organs were shattered.
Qin Feng opened the view, under the spleen there was a large artery as thick as a pinky finger, and at this moment the blood was spurting out from there.
He reached in, accurately feeling the artery, using compression to stop the bleeding.
The massive hemorrhage stopped instantly.
Though some broken small blood vessels were still bleeding, they no longer posed much problem.
"Hemostatic clamp, please."
Zhao Yitian swiftly handed over the hemostatic clamp, Qin Feng clamped the arterial end, stopping the bleeding.
"Number 7 suture..."
Qin Feng took the needle and suture; although the rib gaps were small, they hardly mattered before him, he swiftly probed in with a hook needle and ligated in a flash.
In just two minutes, the vascular ligation was completed successfully.
Released the hemostatic clamp, the artery no longer bled.
Everyone breathed a sigh of relief, the operation became simpler from here.
Remove the shattered spleen.
The patient's spleen was beyond salvageable, even Qin Feng's world-class suturing technique would be futile.
It was just too shattered!
The spleen is a network-like organ, the largest lymphatic organ in the body, with a structure similar to lymph nodes.
But unlike other lymph nodes, the spleen doesn't have lymph sinuses, rather it contains many blood sinuses.
You can say, the spleen is the body's 'blood reservoir', storing a large amount of blood when the body is at rest.
When the body is under stress like exercise, hemorrhage, or hypoxia, it rapidly transfers blood into circulation, increasing blood volume.
That's why once injured, the bleeding from the spleen can be so profuse!
Although the spleen was removed, life was saved, and normal life poses no major issues.
Just that the spleen is the body's most powerful immune organ, comprising over 25% of lymph tissue, it's the center of cellular and humoral immunity.
Without the spleen, a person's immune system decreases significantly, reducing resistance.
You basically don't get major diseases, but minor illnesses happen often.
"Let's begin."
Qin Feng glanced at Zhao Yitian and Xiao Jing, reminding them to watch closely.
They nodded, and he began detaching the ligaments and tissues surrounding the spleen.
Severing the gastrosplenic ligament, splenophrenic ligament, etc., performing suturing and occlusive ligation.
These ligaments contain numerous important blood vessels and veins, demanding suture.
As the destroyed spleen was progressively isolated, Qin Feng's hand movements were swift and frighteningly precise.
Everyone watching felt delighted and absorbed.
Even the orthopedic attending doctor on the other side couldn't help exclaiming secretly!
The long-standing myths surrounding Qin Feng, the intern, were utterly conquered today.
This suturing and excision technique is something one could study for a lifetime!
After ligating all the blood vessels and ligaments, he officially started severing and suturing the splenic pedicle.
By this stage, the bleeding had significantly reduced, most blood vessels had been sealed off.
Qin Feng looked at the time, 35 minutes in.
Faster than he expected, speeding up again.
He removed the shattered spleen piece by piece, laying them crowding beside, in a basin.
Finally, suturing and bleeding control on the splenic bed, rinsing with saline began.
"Whew~"
Upon completion, Qin Feng exhaled slowly, the most dangerous part was over.
He lifted his head, looking towards the orthopedic doctors, speaking quietly.
"I need another 10 minutes, you can start preparing."