Check-in at the Hospital: The First Surgery Shocked the Nation!
Chapter 418 - 299: Harsh Conditions, Desperate Rescue
Immediately after,
four men, covered in mud and water, kept slipping in the heavy rain, leaving a trail on the ground.
They were carrying a makeshift stretcher made of branches and bedsheets, desperately pushing through the crowd into the hall.
"Doctor! Doctor!"
Qin Feng, who was doing patient triage, quickly stood up upon hearing the call and looked towards the door.
A villager was being carried in with glaring bloodstains on his head.
"What happened?"
He hurried forward, and upon seeing the patient’s condition, felt a jolt in his heart.
Head bleeding, severe coma!
The most critical thing was a substance similar to mucus, tinged with blood, coming from the patient’s nasal area.
Cerebrospinal fluid!
"After we arranged for an emergency evacuation, he realized he hadn’t grabbed the bank book at home, went back to get it, and as a result, the house collapsed on him. A beam struck his head, and he passed out immediately."
One of the villagers explained, panting.
Hearing this, Qin Feng’s thoughts became even clearer.
Brain injury!
No doubt, what’s flowing from the nose is cerebrospinal fluid.
Normally, cerebrospinal fluid is a clear, viscous liquid, but if disease or injury occurs, it changes and can flow out through the nose.
This condition usually occurs in meningitis, where the cerebrospinal fluid becomes diluted and appears like rice soup after bacterial infection. 𝕗𝐫𝚎𝗲𝘄𝐞𝕓𝐧𝕠𝘃𝕖𝐥.𝐜𝚘𝚖
If it’s due to traumatic brain injury causing subarachnoid hemorrhage, or a brain tumor rupture, then it would appear tinged with blood like this.
Clearly, the patient in front of us is suffering from intracranial injury.
"Doctor! My brother, will he be alright?"
The man carrying the stretcher at the back was full of anxiety.
"It’s serious, get him to the emergency room immediately!"
Qin Feng’s expression changed, and he said sternly.
"Dr. Qin, our emergency room is already full."
The assisting doctor beside them quickly lowered his voice and said,
"Right now, not just the emergency room and wards, even the infusion and ultrasound rooms are crowded, packed with patients, and we’re running low on medicine."
Hearing this, Qin Feng frowned deeply, looking at the room filled with light to severe injuries, almost leaving no space to step.
What should we do now?
The situation is too dire!
"Follow my instructions, move all the mild to moderately injured and fracture patients out of the wards!
Clear the emergency room immediately, transfer all critical patients to the wards, focus on saving lives first!"
Time can’t wait, delaying even one second could mean a critically injured patient faces the risk of death,
"Director! Can we contact the township leaders?"
"Yes, yes."
The director nodded repeatedly.
"Ask them to clear a larger place for us, preferably a one-story building!
Then transfer all those who have received treatment and are waiting, all with minor injuries, so when our medical aid arrives, they can work directly there.
The medical equipment here is somewhat complete, only leave severely injured patients."
Qin Feng quickly shared his plan,
"At the same time, have the leaders organize the community to help set up beds, use everything that can be used, ensure all patients are off the ground.
Deliver the emergency medicine and equipment I brought to the emergency room, I need to save lives immediately!"
"Alright, alright, I’ll arrange what you said, the place is already in preparation, we also want to share the burden as soon as possible."
The director also explained, in fact, he had been arranging this earlier, just that there were too many tasks, and more villagers and patients were being evacuated from various villages.
The pressure is really immense!
Not just him, but all the township leaders too.
This isn’t simply evacuating people and treating the wounded, it’s a battle!
"Take him to the emergency room!"
The patient was carried into the emergency room.
There’s no operating room here, no MRI, and no way to detect brain conditions, not even a sterile environment, let alone an operation.
Keep everything simple!
Yet even so, they must try their best to achieve the goal of resuscitation.
Debridement, first clean the exposed wound with iodine, then suture the skin layer.
Then, based on the patient’s current condition, start fluid therapy. Qin Feng checked the pulse, and the patient definitely had a severe open skull injury, accompanied by intracranial hypertension, potentially leading to hypotensive shock at any time.
However, fortunately, there is no severe brain compression at the moment, it seems that the blood vessels haven’t suffered massive bleeding.
"Add a dose of mannitol."
Qin Feng instructed the nurse to adjust the infusion, then put away the instruments and iodine.
At this moment, iodine is absolutely life-saving!
Because a lot of external wounds cannot be disinfected with alcohol or hydrogen peroxide!
Alcohol has strong penetrating power, meaning it can penetrate the bacterial membrane and kill it internally.
Alcohol reacts with the proteins inside bacteria, quickly coagulating and inactivating them.
While this is effective in sterilizing, using it on lacerations or large wounds after debridement would coagulate proteins, killing the vital tissue in the wound, affecting subsequent suturing and healing.
So alcohol is generally only used for disinfecting surfaces like hands and skin, creating a continual sterilization effect for a certain time.
Additionally, alcohol disinfection is also a torment for patients!
Therefore, unless absolutely necessary, alcohol disinfection must be avoided.
"How many monitors do you have in your hospital?"
"Two."
Qin Feng asked the doctor beside him and didn’t ask further upon hearing the reply.
Although this is in a township, better than villages down in the ditch, with a street and a small hospital.
But forget about comparing to Beijing, even Jiangcheng is a world apart.
Even a township hospital in Jiangcheng would be multiple times better than here, the one commendable thing is that the hospital and the office building of township leaders here, all have two floors.
...
"This one with a knee abrasion, tibia fracture, process him, and send him away immediately!"
"Pneumothorax! Scalpel, tube!"
A quick incision from the side of the chest, inserting a sterile tube, instantly relieving and saving a life,
"Send to ward 2 for monitoring, any issues, come to me anytime."
From discovery to completion, not even a full minute, the speed was simply astonishing.
At this moment,
the small hospital, including check-ups and pharmacy, with a total of 5 doctors, 8 nurses, finally regained some order under Qin Feng’s allocation, unlike the previous chaos with countless injured patients.
Each of the 8 nurses was in charge of one ward, two doctors followed Qin Feng for injury assessment, the other two handled minor injuries and arranged transfers.
Qin Feng’s rapid emergency handling left the four doctors dumbstruck.
This is the skill of big hospital doctors!
This is the prowess of doctors from Beijing Peking Union Medical College Hospital!
At this moment,
Qin Feng’s white coat, almost soaked with mud and water, with the hospital’s insignia on his chest, was the backbone of this small hospital!
...
The sky was oppressive and pitch black under the torrential rain.
"Qin Feng! We’re here!"
It was unclear how much time had passed, while busy receiving new patients for initial assessment and triage.
A familiar voice finally rang out; it was Director Gao Sheng from the emergency department.
"Director Gao, you finally made it."
Qin Feng looked up upon hearing the voice, seeing Gao Sheng and a few other doctors rushing over, he finally breathed a sigh of relief.
Reinforcements had finally arrived!