Chapter 87 The whole hospital organizes a large-scale rescue
Outside the operating room.
Jiang Meilan and her husband Sun Shu were nervously watching the big screen, where their son's condition was shown as "under anesthesia."
Jiang Meilan was a little worried:
"Why didn't our son's surgery move at all? I saw that the other patients nearby had already been transferred from anesthesia to surgery. Look, this patient entered the operating room later than our son and has already been operated on."
Sun Shu didn't take it seriously. He looked at the big screen and said:
"You don't understand. The reason this patient was able to jump the queue must have been because he gave the doctor a red envelope. This was an emergency surgery, and we don't know who the surgeon was, and he didn't give a red envelope, so of course he put our son in line behind us."
Jiang Meilan agreed when she heard this. It was said that giving a red envelope to a surgeon would result in completely different treatments, so she convinced herself in her heart.
Just as she was daydreaming, several doctors suddenly rushed out of the elevator. They all looked like experts in age.
The doctors rushed to the door of the operating room with grim faces, taking off their outer white coats as they walked.
As soon as I arrived at the door, the electric door of the operating room opened and several doctors came out, holding surgical gowns in their hands to help me change into them.
Then the door of the operating room was closed, leaving a group of patients' families looking at each other in bewilderment outside the waiting area of the operating room.
At this time, someone asked: "What's going on? Why did several experts suddenly come in?..."
"You guys don't understand, do you? It's obvious that a patient in the operating room had an accident, and the surgeon is calling for help..."
"Yes, yes, yes, and it must be urgent. Didn't you see the doctor changing clothes while walking? It's obvious that he has to race against time and can't delay even a moment..."
"Oh my! I hope nothing happens to my dad! God bless me..."
The patient's family members began to discuss the matter. Jiang Meilan became nervous again. She almost cried when she thought about the abnormality of her son's process.
"Could it be my son? My poor Xiao Ming~~~"
Sun Shu was also a little annoyed, but he didn't want to show it in front of his wife:
"Don't worry, Xiao Ming just has a minor case of appendicitis. What's the big deal? There are so many major surgeries going on in this operating room. It's definitely not our turn."
Just as the patients were talking, the elevator door opened again.
An elderly doctor walked in front, followed by an even larger group, with another doctor at the front leading the way:
"Come on, everyone, make way, make way~~~"
As the second group of doctors hurried past, the family members' discussions became louder.
"Why are there so many people? It seems something serious has happened in the operating room..."
"Let me tell you, the person who just arrived is the director of this hospital, his last name is He. Following him are the experts and professors from the first hospital, and they are very high-ranking..."
"I don't know whose patient is in trouble. It's so frustrating..."
The patient outside is in a hurry, and the doctor in the operating room is even more anxious.
Xu Huanghui changed into surgical gown as she walked, and at the same time did not forget to ask about the operation process, her steps almost flying.
There are 30 operating rooms in the operating area of Huadu First Hospital, arranged in a long row. The distance that seemed very short before felt particularly long today.
Lv Shengwen trotted to catch up with Director Xu while reporting the patient's condition:
"This is what happened. Less than two minutes after the anesthesia was administered, I noticed my jaw was clenched and my masseter muscles were tense while I was intubating. Then my heart rate spiked, followed by a rapid rise in body temperature, and finally, I had a seizure..."
Director Xu gritted his teeth, snatched the medical record and began to read:
"Did you meet with the patient before surgery? Did you carefully inquire about the relevant medical history, paying special attention to personal and family history of muscle disease, post-anesthetic fever, etc.?"
Lv Shengwen blushed, but he didn't dare to lie:
"Director, you also know that this is an appendectomy, so I, I didn't go to see the patient..."
"Look, look, look, I always emphasize in department meetings that we must follow procedures and that everything must comply with diagnosis and treatment standards. You're lucky nothing happened, but if something does, you'll be the one taking the blame. Lv Shengwen, let me tell you, if the patient can't be saved today, you'll be the first person responsible!"
Lu Shengwen was almost crying.
It is true that they will not be fired, but according to the rules of Huadu First Hospital, doctors who have committed medical accidents cannot be promoted within five years, which is equivalent to wasting five years of time.
Moreover, if you are slow to take one step, you will be slow to take every step. Others will be promoted before you, and all the benefits in the future will be ahead of you, which means your career in the workplace will be over. (This is also the main reason why Lin Sanqi's internship instructor let the students take the blame)
The door of the operating room was opened with a bang, and Xu Huanghui and the chief of surgery, Jin Liming, rushed in.
Xu Huanghui saw at a glance the little patient who had fallen into a coma on the operating table, with a tube inserted in his trachea and the ventilator working hard.
"How is the patient now? Report his temperature and end-tidal CO2!"
Doctor Qi saw that the directors all looked like they were ready to kill, so he stammered and reported:
"Report, the patient's temperature is now 40.1°C and still rising. The end-tidal CO2 value is 85%. We have just injected the sedative..."
Director Jin asked Xu Huanghui next to him:
"Old Xu, how is it? Can you diagnose malignant hyperthermia?"
Xu Huanghui already had a general understanding of the condition, and combined with the current body temperature and end-tidal CO2, she had a rough idea in her mind.
"It's almost certain, but we still need to do a lanidine contraction test and a dynamic halothane test to confirm it."
Director Xu gave medical advice to the young doctor in the operating room:
"1. Immediately stop all anesthetics, replace the anesthesia breathing circuit and soda lime to prevent inhaled anesthetics from further aggravating the condition.
2. Use a temperature-controlled water bed, ethanol baths on the aorta, ice packs, and large amounts of cold balance fluid to control the patient's body temperature. 3. Provide adequate oxygenation and hyperventilation.
3. Repeated use of furosemide to maintain urine volume, large amounts of fluid replacement to dilute the concentration of myoglobin in the blood, infusion of 5% sodium bicarbonate to alkalinize the urine to prevent myoglobin from blocking the renal tubules, and other measures to protect renal function.
4. Check blood gas and electrolytes every hour, and check blood and urine myoglobin and creatine kinase every 4 hours.
"receive!"
"receive!"
Several young doctors and nurses immediately prepared themselves and started working.
At this time, Vice President He also came in with someone, "Director Xu, how is the patient?"
Xu Huanghui touched the patient's forehead and looked at the young face with pity:
"The patient is only 14 years old, a little boy. If his body temperature rises above 41 degrees Celsius and remains blocked, it will be dangerous and there is a high probability that he will not be able to be saved."
Vice President He also had a headache and turned to Director Jin of the Surgery Department next to him and said:
"It's already happened. Now, your surgery department must notify the patient's family immediately. Every treatment step must be explained clearly to the family and they must have their signatures and consent. Don't escalate the conflict!"
The problem is that some things won't happen unless you're afraid of them...
(End of this chapter)
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