When the Doctor Uses A Hack

Wang Xiangjun, a seasoned veteran of the emergency room, immediately recognized this as pericardial tamponade and timely stopped the cardiopulmonary resuscitation!

In cases of pericardial tamponade, even if cardiac arrest occurs, one cannot use chest compressions, because not only will it not be successful in resuscitation, but it will also worsen the progression of the condition!

Wang Xiangjun quickly organized the rescue efforts.

"Ultrasound guidance!"

"Prepare the operating room!"

Wang Xiangjun issued orders methodically!

At this moment, one could see the high efficiency and teamwork of the emergency department, with all examinations promptly in place.

Chen Cang’s pericardiocentesis was even more precise than Meng Xi’s, who stepped forward to assist in aspirating the fluid.

Under precise ultrasound guidance, Chen Cang performed the puncture directly, and Meng Xi began to draw blood!

After nearly 150 ml of blood had been drawn out, the process took less than a minute, Chen Cang then turned to Wang Xiangjun and said, "Director Wang, it won’t do, the estimated blood loss is still substantial, there might be injury to the aorta, prepare for a thoracotomy!"

Upon hearing this, Wang Xiangjun’s expression changed at once:

"Prepare for emergency resuscitation room surgery!"

No sooner had he spoken than three nurses hurriedly set off to ready the instruments.

And just at that moment, a sudden intense wail rose from bed five.

"Ah, it’s killing me! It hurts so much!"

Wang Xiangjun immediately hurried over, at this time, pain was a good sign, indicating that shock had not yet set in.

Meanwhile, Chen Cang, undistracted, was already prepared for thoracotomy!

Even amid the surrounding chaos, not a minute of the resuscitation work could be delayed!

Chen Cang expertly opened the chest, with Meng Xi assisting at his side!

As soon as the thorax was opened, both their expressions changed!

So much blood.

How much blood had been lost!

And not only that, but a stream of arterial blood suddenly sprayed out, directly covering the face of a young nurse with blood!

Yet the nurse remained poised and calm, wiped her face with her sleeve, leaving streaks of blood on her face, but without a hint of panic or unease, she calmly handed instruments to Chen Cang.

At that moment, in the blink of an eye, Chen Cang’s expression changed, and he saw a red name flash before his eyes, and without a second thought, he grasped it with his hand!

The blood flow ceased instantly.

Everyone was stunned, impressed by the show of bare-handed hemostasis, wondering how he found the bleeding point!

In the meantime, Meng Xi took advantage of this and began opening the pericardium, while another doctor started washing out with a syringe.

It couldn’t be helped!

This was the resuscitation room, not an operating theatre, and there was no irrigation equipment!

There was no extracorporeal circulation machine either.

At that moment, the patient’s heart had stopped!

For them, every minute was incredibly precious!

They had to carry out pericardial decompression within a few minutes, and then proceed with cardiac massage!

Otherwise, compressions at this time would only aggravate the already fragile wound.

There was no time to get to the operating room, a few minutes of preparation could cost the patient their life.

Now, for every one of them, it was a race against the clock.

The patient’s time was running out...

Anxiety and nervousness were written on everyone’s faces.

The young nurse had no time to care for herself, her busy sweat mixing with the bloodstains on her face.

Meng Xi skillfully opened the pericardium, and blood immediately began to flow out!

Chen Cang wore a look of relief!

He turned to the emergency room doctor at his side and said, "Start cardiopulmonary resuscitation!"

This kind of cardiac massage after opening the chest was, in everyone’s eyes, a different kind of spectacle.

Chen Cang’s hands gripped the blood vessel, cautious and careful!

The doctor, without any hesitation, began the cardiopulmonary resuscitation.

Fear?

Nonexistent!

There was no time for fear.

Fear was for after the patient was truly beyond saving, or for worrying about it after they had been resuscitated!

Now there was no time.

Cardiopulmonary resuscitation was only performed twice when the patient’s heart resumed beating.

Initially, the main cause of the abrupt cessation was likely due to the immense pressure from a massive cardiac tamponade.

After the pericardium was opened, the resistance in the heart was gone, and with the help of cardiopulmonary resuscitation, the heart gradually began to beat.

However, due to a significant amount of ischemia, the blood pressure was still very low.

At this time, after the blood bank completed the blood type matching, the crossmatched blood was finally delivered.

And now, it was necessary to get the patient to the operating room!

The on-call cardiothoracic surgeon hurried down, joining Chen Cang, and the three of them were just about to head to the operating room!

At this moment, a violent bout of vomiting erupted from the resuscitation room, and Chen Cang’s face changed instantly. He said to Meng Xi, "Meng teacher, you go ahead to the surgery, I’ll check what else is happening!"

Meng Xi nodded without any argument!

Three critical patients were brought in, each one in grave danger.

At this time, in the early hours of the morning, many doctors could not arrive immediately.

And the emergency department’s manpower was ultimately limited.

The cardiothoracic surgery for major vascular repair was sufficient with Meng Xi and Ge Huai!

But unknown dangers, unknown diseases, and unknown challenges were all waiting for each doctor in the emergency department!

At this moment, the optimal allocation of resources was the important choice.

Chen Cang didn’t think twice before turning around and heading over.

"He’s in shock!"

At this moment, Wang Xiangjun was truly anxious.

The ultrasound physician looked at the images, his heart sinking, "Director! The liver is ruptured, and there’s also massive abdominal bleeding. Prepare for surgery immediately!"

Wang Xiangjun nodded hurriedly, "Prepare the operating room!"

At this time, Wang Xiangjun felt a surge of weariness. The surgery to repair a ruptured liver was major surgery. Looking at the anxious hepatobiliary surgeon beside him, he couldn’t help but ask, "When will Dean Qian arrive?"

The hepatobiliary surgeon said, "Soon, about seven or eight minutes, I guess!"

Upon hearing this, Wang Xiangjun became impatient, "Prepare for the surgery, blood bank, get the crossmatched blood ready!"

Chen Cang quickly said, "Director, I can perform the liver rupture surgery!"

Hearing this, those around cast their eyes on him in observation.

For this was the very person who had just led the pre-resuscitation work for patient number one.

And now, he claimed he could perform a liver rupture repair surgery!

Liver repair surgery was a complex procedure, a level-four surgery!

Chen Cang’s training was in an incomplete version!

But at this time, even an incomplete, or even a disabled version had to be put to use!

Wang Xiangjun, upon hearing Chen Cang’s words, felt like he had heard the gospel from God, and looked up instantly.

It seemed that this young man was not helping him for the first time.

Wang Xiangjun was elated beyond belief, marveling whether the emergency department at Provincial Hospital No. 2 was really that remarkable?

But now was not the time to think about that!

Wang Xiangjun looked at Chen Cang with a delighted expression, repeating three times, "Good! Good! Good!"

After saying this, he addressed the emergency and hepatobiliary surgeons, "All of you, fully cooperate with Dr. Chen, and do the resuscitation work well!"

The two immediately nodded!

Now was not the time to dilly-dally.

The mortality rate for liver rupture was extremely high!

Because the liver received a dual blood supply and had abundant blood flow, as well as the ability to produce and drain bile, any damage to the liver could have severe consequences!

Bleeding could directly lead to hemorrhagic shock.

And bile leakage could cause severe biliary peritonitis.

Bleeding + infection + unknown complications = what?

It’s obvious!

Any of these could endanger the patient’s life.

Therefore, at this time, the eyes of the two looking at Chen Cang were filled with the hope one would have for a savior.

They hoped that Chen Cang could hold out until Qian Liang got back!

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ps: Cough cough, that’s three chapters for now, more coming at noon tomorrow.

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