Chapter 134: Technology Management!
Emergency rescue is a systematic procedure, not an individual performance. Handling two or three emergency trauma cases at once is enough to keep us busy.
Long County People’s Hospital’s Emergency Department is short-staffed. Eight to nine emergency trauma cases require personnel from specialized departments and coordinated arrangements!
One group is needed for patient reception, another for medical orders, another for rescue, and then some staff for preparing for surgery in the operating room.
Lu Cheng has handled many types of surgeries in the surgery ward, but he hasn’t had experience with emergency rescues yet, which is why Lin Qianlong didn’t have Lu Cheng stay in the emergency department but instead had him wait in the operating room for reception duties.
Not only Lu Cheng, but Tian Zhuang was also called to the department and instructed to follow Lu Cheng.
After quickly washing his hands, Tian Zhuang followed Lu Cheng and asked, “Brother Lu, what kind of surgery will we likely be performing?”
“We don’t know for sure yet. There are many tendon ruptures today, so Director Lin will probably send over quite a few tendon sutures.”
“For life-saving situations, Professor Chen will likely still be called out of the operating room… Otherwise, with just Director Lin and the others, they might not be able to ensure the safety of everyone outside.”
When people fight with blood in their eyes, anything can happen.
A stab wound is secondary; indiscriminate stabbing is what’s truly life-threatening.
For now, we can only assume the abdominal aorta wasn’t hit, or perhaps it was, but the person died and never made it to the hospital.
Lu Cheng then asked again, “Tian Zhuang, how has your improved Kessler suturing technique been? If it’s still good, you’ll take people to operate on the wounds individually later.”
“For a scene like today, Professor Tong Yuan’an from Orthopedics is unlikely to come. It will just be me and Peng Kun, and we won’t be able to handle so many tendon ruptures in a short time.”
“Even with Director Peng, it will take a lot of time. Tendon rupture is a time-sensitive surgery; those that can be handled must be handled as soon as possible.”
Before Tian Zhuang could reply, Professor Chen Song called. The gist was that he was going outside and instructed Lu Cheng not to go on the general surgery operating table because his current skill level wasn’t sufficient to handle it completely.
“Okay, Teacher Chen, I understand.” Lu Cheng immediately responded, hung up the phone, and then Lu Cheng canceled the poison and began washing his hands again.
Tian Zhuang’s reply was honest and simple: “I’m still not very proficient…”
After speaking, Tian Zhuang added, “I’m sorry, Brother Lu. Regarding my brother and sister-in-law’s situation last time, I caused you trouble.”
Lu Cheng smiled and didn’t reply.
It’s hard for even an honest official to settle family disputes. Lu Cheng didn’t want to get involved with Tian Zhuang’s family. If Tian Zhuang could handle it himself, that was fine; if not, Lu Cheng couldn’t do anything.
Soon, patients with simple trauma and tendon injuries were pushed in from outside.
The person handing them over was Brother Zhang Tiesheng: “Xiao Lu, this patient has multiple tendon injuries, multiple muscle injuries, and multiple superficial tissue traumas. You and Tian Zhuang will handle this first.”
“It’s best to get the tendon suturing and debridement done first. Director Lin will arrange for others to assist you later.”
“According to Vice President Zeng Long’an’s instructions, you will be primarily responsible for all tendon rupture rescues in the emergency response this time.”
“Professor Chen Song will be responsible for the life-saving surgeries in the rescue room. For routine other traumas, Director Peng of Orthopedics, Director Liu, and Director Lin from our department will be in charge.”
“General surgery-related diseases will be handled by Director Du and Director Ding of General Surgery, who will report directly to Professor Chen Song. You should not overstep.”
“In emergencies, act decisively! Follow orders strictly.”
Lu Cheng nodded and said, “Understood, Brother Zhang.”
“Then this patient is yours for now. You start with the tendon suturing. According to Professor Chen Song, tendon rupture isn’t fatal, but it significantly affects postoperative function.”
“Professor Chen and the others outside are assessing the severity of the life-threatening conditions. After screening, you will go out to assess the severity of tendon injuries and assign chief surgeons based on the actual situation. You will be responsible for the review of surgery quality.”
“This is also a very important task,” Zhang Tiesheng said before leaving.
While Zhang Tiesheng was speaking, the patient had already been transferred to the operating table by Lu Cheng, the anesthesiologist, and others.
The patient’s hair was dyed a rooster red, and he was wearing a surgical cap. As he officially entered the operating room and his vision became distorted under the shadowless lamp, he frantically asked, “Doctor, my hand, it’s not going to be useless, is it?”
His pre-surgery consent form was signed very violently.
“One, surgery is necessary. Two, the hand might be useless. Sign, enter the operating room, that’s it!”
Without his informed consent or informed refusal, the on-duty supervisor, the hospital’s medical department, and the police directly determined the treatment process.
During the emergency rescue, they didn’t say much to him.
“You know to be scared now? You weren’t this concerned when you were wielding a knife?”
The anesthesiologist rolled his eyes and retorted, “Whether your hand is useless or not is another matter. After your surgery, you won’t even have a ward to stay in.”
The young man wasn’t old, probably under twenty, and his voice was choked with emotion, “I was called by my buddies to show support, I didn’t expect the other side to actually use knives.”
“If you hadn’t gone, none of this would have happened. Your buddies, the ones who brought you to the police station, are they still your buddies?”
“With this one act, not only have you ruined yourself, but your children, and even your nephews, will have no chance of attending military school or becoming civil servants in the future.”
“And they call themselves brothers…” The anesthesiologist grumbled and then scolded, “Lie down properly, we’re going to give you anesthesia.”
“General anesthesia, it’ll be quick!~” Because it was multiple injuries, the anesthesiology department couldn’t gather enough anesthesiologists at once, so he had to cover three operating rooms alone.
But he couldn’t perform detailed brachial plexus nerve block anesthesia, so it was straight general anesthesia!
The medication was prepared in advance. After a rough estimate of the young man’s height and weight, the medication was administered.
Lu Cheng and Tian Zhuang began the routine pre-operative procedures such as disinfection and flushing.
After the two finished disinfecting and draping, Lu Cheng began a more detailed examination of the patient’s injuries.
“There are stab wounds on the palmar side of the left forearm, the outer side of the right upper arm, and the front of the left thigh.”
“The wound on the thigh side is the smallest, and the depth of injury is only to the muscle layer, which is easy to handle.”
“There are muscle and tendon injuries in the left forearm. This is a flexor tendon rupture in Zone V, which I will suture later.”
“The outer side of the right upper arm has a half-layer rupture of strong muscle, which can be directly sutured.”
“Tian Zhuang, you won’t operate on the tendons for this patient first. After I finish the tendon suturing and debridement, you can slowly do the muscle suturing and skin suturing.” Lu Cheng quickly performed a preliminary assessment of the patient’s condition.
Because the assessment was brief and there were many wounds, they entered the operating room early.
“Okay, Brother Lu.” Tian Zhuang didn’t suspect anything.
Although he wasn’t good with words, he learned diligently. The materials Lu Cheng sent him were clearly remembered. For flexor tendons in Zone V, the techniques required were the encircling burial method and Pulvertaft braiding, both of which he didn’t know.
Tian Zhuang also knew that his current tendon suturing skills, even if capable of performing tendon sutures, had a very narrow range of application.
Tian Zhuang sat diligently in the assistant’s position, meticulously assisting Lu Cheng with the debridement, his gaze filled with admiration.
