When the Doctor Uses A Hack

Upon seeing Xia Gaofeng enter, Wu Peng immediately breathed a sigh of relief. This man was their pillar of strength, and he hastily explained, “Director, we’ve already started fluid resuscitation, and a blood transfusion is underway, but the blood pressure just isn’t rising – it either barely climbs before dropping again!”

Wu Peng’s words made everyone’s heart skip a beat.

This was a sign of active bleeding within the thoracic cavity.

In other words, it was the so-called progressive hemothorax!

With Wu Peng’s words, everyone immediately understood that the patient’s condition had become even more perilous.

What is progressive bleeding? It means that there must be a rupture of a major blood vessel in the chest cavity, otherwise, the bleeding would not continue unabated like this.

Moreover, this type of progressive bleeding required immediate thoracotomy to explore and stop the bleeding.

In such situations, someone must stabilize the morale of the troops.

And the chief director of cardiac surgery, Xia Gaofeng, stepped forward!

Xia Gaofeng remained calm and collected, his face grave, but he showed not a hint of panic. After meticulously assessing the patient’s condition, he systematically made a series of arrangements and said to Wu Peng, “How much thoracic drainage? Show me the chest X-ray.”

As Wu Peng was retrieving the chest X-ray from its envelope, he answered Xia Gaofeng, “The thoracic drainage has already exceeded three hundred milliliters!”

“But after extracting blood via thoracentesis, the accumulated blood in the chest cavity is increasing rapidly!”

Xia Gaofeng, looking at the X-ray with a grave expression, noticed the shadow in the pleural cavity continuing to grow!

“It hasn’t clotted, has it?”

Wu Peng nodded: “No.”

Xia Gaofeng knew what to do: “Prepare for surgery immediately, thoracotomy to explore and stop the bleeding!”

Wu Peng was taken aback, “Director Xia… Shouldn’t we wait for the thoracic surgeons?”

Xia Gaofeng, pointing at the patient in the resuscitation room, retorted, “Who’s waiting for them?”

The phrase “Who’s waiting for them” sent a shiver through Chen Cang’s heart.

…

…

At this critical moment, a thoracotomy to explore and stop the bleeding, timely blood volume replacement, and shock correction were necessary!

The handling of emergency patients truly showcased the capability and level of a hospital.

Shortly after finishing the consultation call, specialists from cardiac surgery, orthopedics, cardiology, pulmonology, and thoracic surgery were all on standby!

“Establish the intravenous access!”

“Fluid resuscitation complete!”

…

All tasks were being carried out in an orderly manner.

At this moment, a sudden piece of news threw everyone into disarray.

“The patient is choking!” a nurse who was monitoring the patient’s condition suddenly exclaimed.

Accompanied by that slightly trembling voice, everyone present couldn’t help feeling a chill in their hearts.

Choking…

This was hardly good news.

Choking for an extended period can cause anoxia in the body, and a few minutes of brain hypoxia can lead to irreversible brain damage, or even anoxic manifestation in various organs.

The human body is as if made up of countless living entities, and oxygen is their nourishment. Their frail bodies can starve to death in just a few minutes without it.

In terms of the body, this manifests as tissue and organ necrosis.

Choking?

Why would this happen?

Could it be an airway obstruction from foreign matter in the mouth?

Such as secretions?

Or phlegm?

A blocked airway?

Or maybe…

A terrifying thought arose in everyone’s minds.

Tracheal rupture?

Accompanied by thoracic cavity bleeding.

Causing blood to obstruct the airway!

If it were the latter, that would be dreadful.

Xia Gaofeng’s face changed suddenly:

“Suction sputum, clear the oral airway obstructions!”

“Open the chest for hemostasis immediately!”

“Repair the ruptured airway!”

…

A series of orders were issued methodically, and everyone was busy working tensely.

The most critical part of this surgery was the thoracotomy to explore and stop the bleeding!

The thoracotomy must be completed within the set time to quickly control the bleeding vessel.

And to suture the damaged airway!

At this moment, a wad of phlegm was suctioned out.

The patient’s breathing once again resumed, and everyone couldn’t help but breathe a sigh of relief.

However, Xia Gaofeng furrowed his brows.

No, this isn’t right!

There must be another reason, not just the phlegm!

Moreover, the patient’s blood oxygen saturation was continually decreasing.

Xia Gaofeng rapidly issued instructions.

Although it wasn’t blood entering the trachea, but… one can’t rule out this possibility.

Now it’s a wad of phlegm, but what if it’s a large volume of blood next time?

The thoracic surgeon was cooperating with Xia Gaofeng in performing an open chest surgery, with Meng Xi assisting and helping.

The thoracic surgeon was a senior attending physician in his mid-thirties.

Soon, the chest was opened!

Countless pieces of gauze had been used, piling on the side on top of surgical towels, while the blood inside the chest cavity even had to be aspirated with a syringe.

Soon, the source of bleeding was found!

An aortic arch had a contusion fracture wound; blood was continuously spurting out, the jetting blood just able to reach the damaged tracheal opening. It was likely that in conjunction with the phlegm, asphyxiation had occurred.

Next, the main focus was on the damaged aortic arch!

The suturing had to be completed in a very short time.

Dealing with such ruptured blood vessels was extremely troublesome.

Xia Gaofeng’s eyes and hands were quick; he swiftly used his hands to block the vessel, and immediately the bleeding was much better.

An open-handed hemostasis method.

What followed was the suture of the blood vessel.

But… there was too little time for aortic repair and suturing.

Xia Gaofeng was already having a difficult time with it now.

It’s true that surgeons get richer in experience with age, but similarly, with age comes an array of problems brought about by aging.

But who to do it?

Who should do the suturing?

This was a difficult question.

Glancing at Meng Xi, he saw that she seriously shook her head, saying, “I can’t do it! In such a short time… I won’t be able to suture well.”

Xia Gaofeng looked at Ge Huai but, seeing Ge Huai’s hesitant gaze, Xia Gaofeng immediately shook his head in negation before even asking him.

Turning to look at Chen Cang, he solemnly said word by word, “Chen! You do the suturing!”

The moment these words were uttered, the surroundings immediately went silent.

Chen Cang to suture the aorta!?

Who is this person?

His clothes were clearly those of a medical intern.

Director Xia… actually asking a student to suture, this was too risky!

At this thought, everyone’s expressions changed.

This was no ordinary surgery; this was a medical emergency, where every second was critical.

It was the aortic suturing, where a slight mistake could mean life or death.

And you’re actually getting a student to perform such surgery, is this not too hasty!?

But… this was Xia Gaofeng’s order!

As the person responsible for this operation, on the operating table, this was the supreme command.

Chen Cang had no hesitation, his eyes already started forming various red names.

There were multiple bleeding points!

But the largest was on the aorta, which was the main cause.

Chen Cang was extremely calm and, without any hesitation, confidently took over the suture thread, looking at Xia Gaofeng: “Director, I will count 1… 2… 3, and you’ll do the ligation!”

Xia Gaofeng nodded!

At that moment, everyone nervously focused on this surgery!

Nervousness!

Asphyxiation!

Everyone took a deep breath, waiting for the surgery to begin.

They were eager to know what it was that made Director Xia favor a young man so highly.

Trusting a student to suture the aorta defect.

Because… suturing the aorta needs to be done as quickly as possible!

There’s no fastest, only faster!

But at the same time, the suturing of the aorta also needs to be as tight as possible.

As the body’s largest hub of blood circulation, one of the most active sites for blood, it must be guarded closely, the suturing has to be secure!

So, the suturing this time, exceptionally meaningful, was full of difficulty!