Surgery Godfather -
Chapter 515 - 469: Saving one is saving one. Part 2
Chapter 515: Chapter 469: Saving one is saving one. Part 2
The operating room door opened, Director Han, Dean Sun, Director Zhao came out, standing at the doorway, no names having yet been called.
A woman rushed up: "What happened to my daughter?"
"Her heartbeat and respiration have stopped, we’re trying to resuscitate her, but hope is slim." Director Zhao said with a sigh.
The woman immediately grabbed Director Zhao’s shirt front, sobbing uncontrollably, questioning how it had come to this, why it had come to this.
A man put down his mobile phone, pulled the woman’s hand away. Security also rushed up, separated the woman, and Director Zhao straightened his collar.
"The injuries are severe; we’re doing our utmost. Be prepared mentally."
Medical science is as cold as iron in its objectivity. Director Zhao could only objectively inform them of the patient’s condition.
As a father, the man felt dizzy. His precious daughter, who had caused numerous troubles that he had smoothed over one by one, made him feel fear for the first time, real fear.
A stopped heartbeat signifies death.
The man shuddered, touched his forehead, struggled to steady his mind, and nearly dropped the burning hot phone he was holding.
"Please, doctor, save her, she’s still young." The man pleaded.
"We’re doing our maximum, the injuries are severe." Director Zhao was very composed.
With years of experience as the head of medical affairs, he was accustomed to such scenes.
The male student who was just rescued by Yang Ping was pushed out, transferred to the Trauma ICU.
His family hadn’t arrived yet, the principal and the teacher followed: "How is he?"
"The operation was successful, and his vital signs are stable for now. But he’s not out of danger yet, he needs to be transferred to the Intensive Care Unit for continued treatment." Little Five and Zhang Lin escorted the patient.
Another student was pushed out of the operating room, his right calf destroyed, underwent an amputation.
With the gurney being pushed out, seeing the empty side of the limb, the student’s mother cried out heartrendingly. The father hugged her, constantly comforting her.
A few hours ago, he was fine, but now he’s missing a leg due to sudden misfortune. No matter what, they couldn’t face it.
In comparison to the student who died on the spot due to cranial injury, he is relatively lucky, at least he’s alive.
Students still undergoing surgery, their families, and teachers anxiously stared at the door, nervous and apprehensive.
The third student was pushed out. This one had undergone a splenectomy, partial hepatotomy, and partial enterectomy.
At the emergency surgery room door, it’s chaotic. Government personnel in charge of comforting had to constantly reassure the families.
The woman driver’s parents sat back down on the blue plastic chairs. Her father picked up his mobile phone several times, but didn’t know who to call, and was at a complete loss.
As one after another these students were brought out, the parents of the woman driver didn’t even bat an eyelash, let alone ask about their condition. It seemed as if the whole incident had nothing to do with them.
When the mother of the student who had had his leg amputated learned they were the parents of the female driver, she lost control and rushed over to demand an explanation.
The personnel stopped the grieving mother three meters away.
The well-dressed lady instinctively stood up and stepped back, pulling at her clothes disdainfully, as if fearing the person rushing over would dirty or mess up her clothes.
The disdain and scorn on her face were enough to incite anyone’s anger.
——
Yang Ping had taken over the female driver’s surgery, and Song Zimo had also stepped into the assistant’s position.
Director Ouyang, Dr. Jin, along with the associate chief physicians of the General Surgery and Thoracic Surgery departments, voluntarily made way.
"Defibrillate!"
Direct defibrillation was performed on the heart inside the thoracic cavity.
Under the stimulation of the electric current, the heart finally showed weak pulsations. The sound of the urgent rubbing of the cart wheels against the floor echoed in the corridor, and the urgently collected AB-type blood finally arrived.
There was a glimmer of hope as long as the heart could pulse. This was their last chance.
The cart rushed into the operating room, the nurse delivering the blood gasping for breath. The patrolling nurse immediately checked the blood type, hung the blood bag on the infusion stand, and the blood transfusion device with a heating and pressurizing device rapidly injected suspended red cells into the body.
The operation must continue! It must continue!
From the thoracic cavity to the abdominal cavity, then to the pelvic fractures, the femoral head inserted into the pelvic cavity was repositioned, and lastly were the limb fractures.
Methodical, step by step.
In trauma treatment, the principle is to deal in steps, first save the life, then preserve the limb, and only then consider function.
As per conventional doctrine, such patients should have their torso and pelvic injuries treated first, eliminating life-threatening dangers. The pulverized bone fractures in the limbs could be dealt with in subsequent surgeries.
However, this rule is typically set for average people, Yang Ping had his own principles.
Given Yang Ping’s speed, limb fractures wouldn’t take much time and could be taken care of along the way. Moreover, these pulverized fractures were bleeding profusely, leading to significant blood loss.
Generally, the blood loss from a pelvic fracture ranges from 500 to 5000 milliliters, whereas blood loss from a femoral fracture ranges from 200 to 2000 milliliters.
Such high-energy pulverized fractures typically result in excessive bleeding.
Blood accounts for 7%-8% of body weight. An adult weighing 50-60 kilograms has a total blood volume of only 4000 to 5000 milliliters.
If there is no blood transfusion supplement, severe pelvic fractures can deplete all the blood in the body.
Acute blood loss reaching 30% of the total blood volume is already at the human body’s compensatory limit, thus posing a risk to life.
30%, that is around 1200 to 1500 milliliters; if not resuscitated in time, it could cause death.
If the speed of the operation permits it, it is best to address all of these fractures at once. Each one is a leak of blood.
The step-by-step method is adopted because ordinary people cannot complete the operation in one go.
However, Yang Ping didn’t adopt this step-by-step approach, instead, he completed the entire surgery at once.
The two deputy chief physicians from the thoracic and general surgery departments stood on the sideline, watching admiringly.
They silently observed this young man’s cross-disciplinary surgical prowess. His skill in thoracic and abdominal trauma surgery was far superior to theirs. They had only heard about him or seen his operations before but had never truly worked with him on the same platform.
Now, being able to observe the surgery up close, they wholeheartedly admired him and were in awe of his skills.
The supplemental type-matched blood carried oxygen, circulating throughout the body. The cells were revitalized while some others died due to lack of oxygen.
This patient, even if saved, would be left with some sequelae, such as brain function impairment.
Professor Huang Zhong from the Trauma Orthopedics Department, along with the directors of Thoracic and General Surgery Departments arrived at Sanbo Hospital in a helicopter. They rushed to the emergency room.
The female driver’s father finally saw their saviors. "Professor Huang, thanks for your hard work. I’m afraid they can’t handle it."
Professor Huang waved his hand, signaling them not to interrupt his speech.
The greeting Dean Han said, "Is Xiao Yang busy inside?"
Huang Zhong, being very respectful to Dean Han, turned to the female driver’s family and said, "Dr. Yang represents the highest surgical level in the medical field. My presence here is also for learning and observation."
His tone was sincere, without a hint of casualness.
"Professor Huang—" The female driver’s father wanted to say something.
Huang Zhong gestured again, "If even Dr. Yang couldn’t save her, we’d just have to resign ourselves to fate."
Huang Zhong was always this blunt and straightforward.
Upon hearing this, the wealthy woman, leaning back, was about to faint but was held up by two people beside her.
The heart of the female driver maintained faint pulsations; it had already offloaded all its work.
The ECMO - Extracorporeal Membrane Oxygenation - beside her was functioning continuously, replacing the work of her heart and lungs.
Murmuring weak heartbeats, continue with ECMO.
The last vascular forceps were thrown into the tray.
The monitor showed a steady lifeline.
Saving one life is as good as saving all.
This one, for now, had also been pulled back from death.
"How is it?"
Dean Han came closer again.
"Should be back!"
Yang Ping was staring at the data on the monitor.
Then he turned to Song Zimo and said, "Close the chest!"
They had not dared to close the chest until now, for fear that the heart would stop beating again.
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