Chapter 668 Medical Records From the Front Line

Provincial Second Hospital, operating room.

Everyone flew up.

The old director of the Department of Orthopedics, who is about to retire, has been in the operating room for nearly 24 hours. During this period, he only ate one meal and stood on the operating table the rest of the time.

The number of wounded is so many that it will never end.

The equipment nurse was doing it, her eyes were red, and one of them couldn't help crying directly on the stage.

As a person in the operating room, what kind of things have you never seen? No matter how tragic and sad things are, you can look at them as an outsider.

But this time, they didn't do it.

Director Lao Jing remained silent, but stubbornly refused all requests for him to step down and take a rest, even requests from the medical department.

Amputation, finishing a batch of patients, sending another batch, as if the courage is endless.

What is going on ahead, Director Jing doesn't want to see it. I am old and my legs are inconvenient. If I have to go to the front line, I have to drag at least two or three people to take care of myself.

He makes the most of it in his own way.

only……

There are simply too many amputation patients, and amputations performed in a lifetime are not as many as those performed in 24 hours.

This is under the premise that most of the serious patients are sent to Huaxi for treatment.

The Second Provincial Hospital, in Rongcheng, is not ranked in the top five in terms of comprehensive medical strength.

But just like that, countless seriously injured people were still sent over.

Director Jing boiled for nearly 24 hours, and his body was overdrawn. He used to joke on the operating table and introduce his boyfriend to the nurses without saying a word.

The atmosphere in the entire operating room was compressed, and the pressure was at least 5 Pascals higher.

He carefully devotes all his energy to the patients - those seriously injured limbs were smashed and crushed by heavy objects, they did not receive treatment in a short period of time, they developed compartment syndrome, and the scope of amputation was larger than expected. a lot.

Trying to save as many limbs as possible for the injured person, but he couldn't.

Compartment syndrome is often caused by the hematoma and tissue edema of traumatic fractures, which increase the volume of the contents in the room or the outer packing is too tight.

When the pressure reaches a certain level [forearm 8.7kpa (65mmHg), calf 7.3kpa (55mmHg)], the small arteries supplying muscles can be closed, forming a vicious cycle of ischemia-edema-ischemia.

This is a common acute symptom in clinical practice.

Usually, incision and decompression are enough, and there is no need for amputation at all.

However, in the face of natural disasters, almost all the wounded were not treated immediately, which was the opposite of Song Wusheng's usual situation. Even most patients still have a heavy object on their limbs, and the huge pressure directly leads to ischemic necrosis of the limbs.

The edema surface gradually spread upward, spread, and spread continuously. Leading to avascular necrosis, compartment syndrome continues to develop over the already blackened limb.

The scope of amputation has expanded, and many limbs that do not need to be amputated are amputated by Director Jing, who believes that he is committing a crime.

But not doing so will inevitably lead to more and more complications, which will make the injured fall into more difficult infections and poisoning.

Under the huge pressure and self-blame, Director Jing performed silent operations, one after another.

He knew that the three or five operating rooms next door were all orthopedic operations; the others were mainly neurosurgery.

However, there are not many patients in general surgery and thoracic surgery. Because of organ hemorrhage or pneumothorax, it is difficult for seriously injured patients to persist for more than 48 hours.

A middle-aged male seriously wounded was carried down, and his right thigh was amputated.

If it is normal, the injured only need to do fracture fixation, and it can be done by incision and decompression.

But now, a thigh has to be amputated...

"Next." Director Jing's voice was completely hoarse, and the voice he tried so hard to squeeze out was not even he could hear what he just said.

Another patient was sent to the operating table, and Director Jing sat on the stool in the operating room with his eyes closed. The little doctor under his command is responsible for the preparations such as transporting patients and pre-operative disinfection.

There was a tight plastic bag on the patient's chest with medical tape. The orthopaedic doctor removed the tape without hesitation and threw the plastic bag into the red trash can.

The itinerant nurse saw this scene, she had just slept for a few hours, and she was still full of energy.

Yes, from only two or three hours of sleep the day before, and the rest of the time is working, it can already make people collapse.

But in the current situation, she is the most energetic person here.

The itinerant nurses are aware of what may be important in the plastic bag, such as the patient's identity, so that the patient's family can find it.

She took the plastic bag out of the red trash can with oval pliers and opened it for a look.

"This patient's limb edema is not severe, Director. Sister Su, prepare..." The orthopaedic doctor was interrupted by the visiting nurse halfway through his words.

"This is the medical record left by the front-line doctor." The itinerant nurse said in a deep voice.

"What?" The orthopaedic doctor didn't understand, Frontline? doctor? medical records?

The front lines lacked everything, and some places even had to be airdropped. An airdrop of pure water costs at least 100 yuan per bottle.

Even so, because of the weather, most of the water and food could not fall into the hands of the victims. And the front-line headquarters is constantly airdropping regardless of cost.

The lack of everything is so lacking, and there are doctors who leave medical records on the front line?

Director Jing's eyes suddenly opened, he stretched out his hand and said, "Show me."

A piece of facial tissue was handed over to Director Jing. The whole piece of paper was wet, and in his hand, it was very heavy, very heavy.

He looked at the messy writing on it, his nose sour.

What kind of difficult conditions is this medical treatment carried out...

Although he didn't experience it personally, Director Jing could imagine it.

After watching it for nearly three minutes, Director Jing was silent and said nothing. The hand that was carefully holding the facial tissue trembled slightly, the more it trembled, the worse it became.

"Director?" The itinerant nurse just glanced at it and handed the tissue to Director Jing. Seeing that something was wrong with Director Jing, she immediately asked.

Director Jing didn't say a word. He wiped his face with his big hands, and then said after he calmed down a bit, "This patient had a thrombectomy on the front line. The time was 6 hours ago."

"..." The itinerant nurse was stunned.

"..." The orthopedic doctor who was sterilizing was also stunned.

Under the conditions of the front line, can thrombectomy be performed?

Severe trauma, the difficulty of thrombectomy is more difficult than that of general cardiovascular and cerebrovascular diseases.

Because the original normal physiological and anatomical structure is destroyed, the emboli are numerous and dense, and it is difficult to remove them.

This kind of surgery is rarely done in the Second Provincial Hospital, but someone on the front line actually does it?