The emergency room is not a general clinic. Facing critically ill patients with complex and severe trauma, their duty is to stabilize vital signs and then transfer them to specialized clinics for treatment.

If the bleeding cannot be stopped, it cannot be said to be stable anyway.

Furthermore, the fact that the bleeding was not limited to itself also indicated severe trauma.

"What did you use?" Huo Congjun stood still calmly.

There are so many strange symptoms in the emergency room, and rushing to get angry won't solve the problem.

Under his influence, the attending Zhao Lele also calmed down and said: "I injected intramuscularly to stop the bleeding, used iced saline and norepinephrine, urgently applied for the same type of red blood cells and plasma, and also used a dopamine injection... The patient is now

A total of 1,400 ml of infusion was administered.”

Huo Congjun listened to him, first used a flashlight to shine on the patient's pupils, and said decisively: "Prepare for emergency surgery, open the abdomen for exploration, and increase the amount of fluid replacement..."

"Should we open the abdomen for exploration now?" Zhao Lehe was hesitant. He still couldn't confirm whether the bleeding point was in the abdomen. If the operation was wrong, the patient would have to undergo two stabs.

"First save lives and then treat illnesses!" Huo Congjun said through gritted teeth.

"The patient is in shock." the nurse shouted.

In the emergency room, there are many patients with shock, but shock during the emergency is often not good news.

Ling Ran had been staring at the patient, but now he turned around and left, going to the cubicle and starting to wash his hands.

"Borrow some space." A group of ordinary residents squeezed over and brushed their paws under the faucet next to them.

Ling Ran gave up some positions and continued to brush his hands meticulously.

Seeing that Ling Ran was brushing his hands so seriously, the general resident doctor kindly reminded him: "The emergency room is very busy. I don't know how many patients I have to contact in a day. I usually wipe my hands with alcohol gel and let them air dry. Otherwise, washing hands will be too much."

The skin will peel off more often."

"Get ready for the operation." Ling Ran replied and began to rub his hands together, rubbing them fiercely without stopping.

The few days he spent in the treatment room not only allowed him to suture hundreds of patients, but also made him familiar with the hospital's operations.

The resident doctor looked around and was extremely surprised: "What kind of surgery?"

The departments of the hospital are divided into groups. Different treatment groups are led by a chief physician or deputy chief physician and are responsible for one or more patients.

The same is true during rescue. The doctors a patient comes into contact with usually belong to the same treatment team.

The division of interns is not too strict, but Ling Ran is following Director Huo today. If he wants to undergo surgery, he will naturally follow Huo Congjun's treatment team.

Resident doctor Pu Chou only saw Director Huo busy with the critically ill patient.

I couldn't help curling my lips and thinking: This kind of rescue would be great if I could do some errands, but how could I get an operation?

The patient's shock means that the classification has changed from Level 2 critical to Level 1 endangered.

Endangered patients are the most troublesome in the emergency room, and ordinary attending doctors may not be able to participate.

To put it in a more fashionable way, this is called rising to a level.

Ling Ran left the sink, tied his hands, returned to the emergency room, and put on latex gloves.

The serious state of the operating room is actually relatively rare in the emergency department. Ling Ran's serious look with his paws raised and gloves on attracted the attention of many doctors.

"What a young man." Resident Puchou couldn't help laughing when he returned to his post: "No matter how much Director Huo values ​​him, he will never let him try his hand on endangered patients. What are you thinking?"

"Xiao Ling has just started his internship, and he will understand later." Dr. Zhou looked back and said smoothly.

"It would be nice if Director Huo doesn't drive him down. He's suffering from blood loss and shock, so he needs a laparotomy for examination. Why is he trying so hard...I'm going to kill him!"

As he spoke, he started shouting.

"What the hell is your name?" Dr. Zhou was startled. He followed the other person's gaze and was stunned.

I saw Ling Ran standing between the attending doctor and Director Huo, and actually stretched one hand directly into the open wound on the patient's abdomen.

The emergency doctors who saw this scene were shocked.

You dare to operate directly without any technical field. Is this a murder scene?

Not to mention that he didn't have any warning, even if he was doing surgery normally, he wouldn't behave like this.

The furious figure of Huo Congjun instantly popped into the mind of the resident doctor Pu Chou. He was shocked with empathy and said: "This is the most desperate intern I have ever seen."

Although Dr. Zhou wanted to defend Ling Ran, he couldn't say a word.

Compared to the doctors who were watching, Huo Congjun ranked first in terms of shock index.

Judging from his contacts in the past two days, Ling Ran was a careful and cautious young man. No matter how much imagination he gave, he would never have imagined that Ling Ran would dare to suddenly reach out during a life-threatening rescue operation.

"Ling Ran... let go!" Huo Congjun couldn't reach out and pull it out, otherwise it would cause secondary trauma to the patient.

"The patient is bleeding under the liver capsule. The location is not good and it is difficult to suture. If it is not stopped quickly, the blood loss will be too much." In one sentence, Ling Ran explained what he was doing and the work he was doing.

What he said was so convincing that both Huo Congjun and the chief physician Zhao Lele were forced to look at the monitor.

"Director, the bleeding has stopped." Zhao Le's expression was so unbelievable.

Huo Congjun was even more shocked inside.

He knew that Ling Ran used bare hands to stop bleeding. This method is widely used in emergency rooms, especially during on-site first aid.

The most commonly used acupressure method is to compress the ipsilateral artery for bleeding on the head and face. For bleeding on the neck, it can compress the carotid artery on the same side. Compression of the axillary artery is also useful for bleeding in the upper arm.

However, the liver capsule was bleeding—if Ling Ran was right, how did he confirm the location? How did he press it?

In Huo Congjun's impression, people who can stop bleeding with bare hands to this extent are extremely rare in military hospitals.

How can a medical intern do it without corresponding practical experience?

How dare you be so bold?

"Director?" Zhao Lele urged.

Time waits for no one, and the patient's condition may change in minutes.

Huo Congjun took a deep look at Ling Ran, checked the numbers for a few seconds again, and finally nodded and said: "Ling Ran gets on the flat bed and doesn't touch the patient. Xiao Zhao and I go into the operating room."

Manual hemostasis can only temporarily control heavy bleeding, and surgery will still be necessary next.

Two resident doctors were called over, and under Huo Congjun's command, they placed Ling Ran on the flat bed.
Chapter completed!