When the Doctor Uses A Hack

Cutting the rebar was by no means completely safe; any danger could jeopardize the patient’s life at this moment!

Compared to appearances, the scene might look extremely bloody and violent, but the patient was conscious and lucid.

That is to say, the patient’s condition was stable!

At this time, one must avoid any arbitrary movements that could cause or exacerbate vascular injury.

Fortunately, the steel rebar had pierced the right side of the thoracic cavity, and not the left front or sternum, or otherwise… it would have been over.

At the moment, the only worry was whether the aorta had been damaged and whether the steel rebar had injured the trachea—just don’t let any blood get into the respiratory tract…

Thinking this, Chen Cang could only slightly adjust the patient’s position, then try his best to keep the patient more conscious, facilitating the upcoming transport and rescue!

Chen Cang comforted, “How do you feel?”

The man bit down hard on his teeth, his eyes shut, sweat persistently breaking out on his forehead!

Hearing Chen Cang’s words, the man struggled to open his eyes, “Not too bad!”

Chen Cang nodded, feeling less tense than before, “Mmm, don’t be so tense right now, relax a bit, we’ll need to cut the rebar soon, try to keep your breathing steady.”

Chen Cang spoke to the man, hoping to keep him more alert.

At 9:35 in the morning:

The 120 ambulance raced to the scene like a runaway horse, speeding over!

After receiving Chen Cang’s call, Old Yang, the driver, floored it to the construction site!

As soon as the car stopped, Nurse Xiao Lin immediately grabbed the first aid kit and ran over, while Wang Qian, carrying the oxygen bag and other items, came charging!

At this moment, Chen Cang felt at ease!

The rescue could begin now.

Chen Cang turned to the surrounding workers, “Has the boss been contacted?”

One of the workers quickly replied, “Yes, yes, he will be here soon!”

At 9:40 in the morning:

The rescue work began!

Under the guidance of Chen Cang and others, the firefighters used their equipment to lift the patient, then had to cut the rebar connected to the stone slab on the ground!

This process required extreme caution!

Because the injury to the patient was quite special, any violent vibration could damage the internal organs!

And because the threaded rebar was rough and uneven, every slight lift required significant effort from the patient!

The man’s temples bulged with exposed blue veins, his hands clasped and shaking!

What a strong man!

The capillaries around his tightly clenched teeth burst, blood flowing out mixed with saliva.

It really hurt!

But from beginning to end, he hadn’t made a sound.

A will of steel was holding up his life.

Just as they were about to lift him, the patient’s situation no longer allowed it.

Chen Cang hastily stopped them!

“Alright, firefighter comrades, do you think this distance is okay?”

Wei Hong lowered his head, judging the distance.

“It should be close enough!”

Chen Cang quickly motioned all medical staff to support the patient, waiting for the rebar to be cut.

Every second ticked by!

The first violent motion would bring a surge of heavy bleeding!

So very carefully!

At 9:50 a.m.!

The steel rebar behind the patient was successfully cut!

Chen Cang looked at the nearly one-and-a-half-meter-long rebar stick protruding from the neck.

There was no way to perform a CT in this condition.

It had to be cut!

With this thought, the firefighters began their work once more!

Chen Cang tightly gripped the rebar with both hands, fearing that cutting it would damage the blood vessels in the patient’s neck!

The neck was far more dangerous than the lungs!

So they had to be extremely careful.

Feeling the intense vibrations, Chen Cang wanted to stabilize them a bit.

At ten o’clock, the sun was already scorching hot.

And there under the big sun, Chen Cang with his bare arms, let the sweat drip down.

The anxious, tense work was already exhausting and mentally draining.

Chen Cang couldn’t afford to slacken even a little bit!

He had been in the scorching sun for nearly an hour.

Yet Chen Cang seemed to feel nothing at all.

Finally!

With a crisp sound,

under the close supervision of the medical staff, the firefighters made two cuts to the rebar.

At this moment!

The time was locked in at 10:03 AM.

With Old Yang’s help, the patient was successfully transferred onto the gurney and into the ambulance!

By this time, due to a significant blood loss, the patient was starting to turn pale, and even though he hadn’t lost consciousness, the color of his lips was also showing changes!

The patient’s condition was not looking good!

This was only the simplest part.

The real danger was slowly baring its bloody maw, ready to devour this resilient soul!

Bleeding was no longer the greatest danger!

Such a penetrating injury could cause tension pneumothorax, even leading to hypoxia,

and the heart could be facing the danger of sudden stoppage at any time.

No one dared to relax even for a moment!

The numbers on the cardiac monitor were like a death knell.

The beeping sound began.

Chen Cang felt his own breathing become somewhat labored.

The long exposure to the sun, coupled with profuse sweating, meant that Chen Cang wasn’t in the best shape.

On the monitor, the patient’s blood pressure: 90/50mmHg, heart rate began to slow, breathing as well, and the blood oxygen saturation was less than 85.

All the medical staff in the vehicle remained silent.

Time: 10:10 AM.

The ambulance stopped at the emergency room entrance of the Second Provincial Hospital.

The patient was quickly wheeled into the emergency room.

And at this moment, the man, resolute and strong, who had not uttered a sound from the beginning, like a mountain, went into hypovolemic shock!

The color of his lips had already started to turn purple!

Chen Cang quickly began emergency resuscitation treatment on the patient!

Chen Cang hurriedly called for fluid replenishment, a vasopressor!

Check the blood rapidly!

Prepare for a blood transfusion.

…

Everything had to be done quickly.

At this time, a competent colleague was particularly important!

And just as Chen Cang was frantically resuscitating, Jing Ran quickly took on this responsibility.

“Chest drain! Get me a thoracic drainage tube!”

Hearing Jing Ran’s urgent voice, the nurse hastened to prepare.

Jing Ran, a postdoctoral fellow in thoracic surgery, performed a smooth closed thoracic drainage tube placement.

At this moment, closed thoracic drainage could completely alleviate her hypoxia caused by the tension pneumothorax, even reducing the risk of cardiac arrest.

No one was idle!

The resuscitation was proceeding in an orderly manner.

Time: 10:35 AM.

The patient’s blood pressure began to rise, and gradually, the vital signs finally started to stabilize.

Full green channel through the Second Provincial Hospital emergency room!

Examinations proceeded rapidly!

Chest X-rays!

Chest CT

…

Wait, all kinds of examinations were completed within ten minutes!

The examination results showed: the patient had a penetrating chest injury, tension pneumothorax, severe esophageal damage!

Time: 10:50 AM!

In just a few minutes, all the preoperative preparations were ready!

The patient was finally wheeled into the operating room!

The emergency surgery was about to begin.

ps: Today will be limited to five updates.

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