The Enhanced Doctor-Chapter 765: The function of the ice blanket

"Banxia, can you hold on until we move him to the surgical bed to ligate the blood vessel?"

After arriving in the operating room and with preparations complete, Shi Lei asked.

"Should be no problem. The blood pressure has dropped now, and the pressure in the blood vessels isn't that high," Liu Banxia said.

"Good, hang in there a little longer. Move him to the bed. Doctor Li, we don't have much information right now, so the anesthesia is up to you," Shi Lei said.

"Okay, the emergency is the priority," Li Liwei said.

After moving the patient to the surgical bed, while others began treating him, Liu Banxia kept the blood vessel firmly pinched.

"Everyone, push harder! The brain hasn't been deprived of oxygen for too long yet," Liu Banxia said.

"Almost done. I've just isolated it. Okay, hemostatic forceps," Shi Lei said.

"Alright, Banxia, scrub in quickly. I'll suture the blood vessel and irrigate with saline. Remove the ice blanket. Wang Chao, begin the exploratory laparotomy. Try to finish before Banxia returns."

Watching as the blood vessel was clamped, Liu Banxia also let out a long breath, then ran out.

He could pinch the patient's carotid artery with his hands in the emergency room to delay bleeding, but he couldn't operate under those conditions on the operating table. The operating table is a sterile field; every participating medical staff member must be meticulously sterilized before joining.

"Teacher Shi, did Teacher Liu use the ice blanket to lower the patient's body temperature in order to lower blood pressure?" Su Wenhao asked.

"Yes, this method isn't generally recommended because the patient's blood pressure was quite low at the time. However, the carotid artery was bleeding severely, and pressure hemostasis wasn't very effective, so he had to resort to this method," Shi Lei said.

"Moreover, the abdominal situation is still unknown; we're relying on massive blood transfusions to keep him stable. Another problem we need to face is that if the blood pressure drops too low, it could easily affect the patient's cardiac function."

"Wang Chao, you need to work faster so Doctor Li can stabilize the patient's vitals. He's been bleeding for quite a while."

"I've finished the laparotomy and am suctioning now," Wang Chao said.

"I see it. There's an approximately three-centimeter laceration in the small intestine. The mesenteric artery is damaged. Forceps... Good. Doctor Li, you can proceed."

At this point, everyone could finally breathe a sigh of relief. All possible emergency measures had been taken. Next, it all depended on how quickly Shi Lei could suture the blood vessels and whether they could minimize damage to the patient's brain and nerves.

"How's the situation?"

Liu Banxia, having finished scrubbing his hands, walked in.

"That nearly killed me! The carotid artery has been sutured, and blood flow is restored. Blood pressure is also up. Wang Chao is working on the intestine now," Shi Lei said.

"The abdominal injuries aren't very severe; only the intestine was damaged, and other organs were unaffected. However, there's been some contamination due to fecal spillage."

"Not bad. Then I won't scrub in; Wang Chao can handle it. I was terrified, thinking that impaled section had already wreaked havoc inside."

"President Liu, you can trust me with this," Wang Chao said.

"But next time there's a patient like this, can you assign someone else? Seeing the blood spurt out in the emergency room just now gave me quite a shock."

"What choice did we have? We didn't know how severe the damage was at the time. He suddenly woke up, and his head wouldn't stay still," Liu Banxia said with a bitter smile.

"Although the abdominal injury wasn't very severe, he certainly dodged a bullet today. The carotid artery isn't that easy to handle. Banxia, how did you develop that skill?" Li Liwei asked curiously.

"How could I have developed it? It was just fumbling around and practicing. I acted on instinct at the time; maybe it was luck," Liu Banxia said.

"The timely cooling from the ice blanket, coupled with the minor abdominal bleeding, gave us that slim chance. Blood vessels are very slippery, and I didn't dare apply too much pressure."

"Wang Chao's skills have also improved a lot, it seems. The intestinal suture is quite good. You need to keep working hard, strive to reach new heights."

"President Liu, please be merciful with your words. Where else can I climb? If I climb any further, I'd have to surpass you," Wang Chao said helplessly.

In his heart, Liu Banxia was a peak he could never surmount.

Don't be fooled by Liu Banxia's casual tone. Is the carotid artery really that easy to handle? For a patient in that condition, ordinary pressure hemostasis was already insufficient.

"Alright, suturing complete. Let's irrigate again, then restore blood flow," Wang Chao said after cutting the suture.

Sometimes, that's how it is with emergency surgeries. The first few minutes are the most crucial. If you can manage them well, you can buy the patient more time for rescue.

"Okay, no leakage. Place the drainage tube and close the abdomen," Wang Chao said after careful observation.

This task fell to Su Wenhao, one he performed regularly.

DING! Emergency surgery task completed.

Obtained 200 experience points, +2 Glory Points.

This task is rated Flawless. Obtained 400 experience points, +5 Glory Points, and +4 Glory Points.

Even though no other task rewards were given, Liu Banxia was quite content. This was more than enough; after all, a life had been saved.

After being awakened, the patient slowly opened his eyes.

"Don't worry, you've been rescued. If you can hear me, blink your eyes. Good... Yes. From what I can see, there are no problems now. You'll be sent to the ward shortly. The issue isn't severe, and the surgery was successful," Liu Banxia said to the patient.

His biggest worry was that the patient might have suffered some degree of brain damage, leading to sequelae. For now, it seemed there wasn't much to worry about, but the patient would still need a CT scan after leaving the operating room.

"Doctor, how is he? Has he been rescued?"

As soon as Liu Banxia stepped out of the operating room, a man rushed up to him.

"The emergency surgery was very successful, but he still needs further examinations. Are you a family member of the patient?" Liu Banxia asked.

"I was the one driving. He was riding an electric bicycle right in front of me. It's a huge relief he was saved." The man visibly relaxed after hearing this.

"Don't worry, we've also retrieved the footage from your dashcam," a traffic officer standing nearby said.

"It would have been terrible luck if he'd died. Kids these days, why can't they just ride their electric bikes properly?" the driver complained.

But complaining was useless now. Even if he wasn't primarily responsible, he would still have to bear some costs for secondary liability. Even with insurance, an accident is just bad luck.

Back in the Emergency Center lobby, the nurses had finished cleaning up the blood that had dripped in the trauma room and the hallway.

"The surgery was very successful. That was quite an episode for us," Liu Banxia said.

"That was amazing, Teacher Liu, very impressive," Liu Yiqing said with a smile.

"Playful, are we? Next time, I'll let you handle the admissions. We'll see how flustered you get," Liu Banxia retorted.

"Teacher Liu, we were just discussing it here. How did you come up with the idea of controlling blood pressure through cooling?" Liu Yiqing asked curiously.

"It was a quick-witted solution born out of necessity. A better method is actually using chilled saline solution; that works faster. However, hypothermia therapy is quite controversial. If not performed correctly, it can cause irreversible damage to the patient, even threatening their life."

"Often, we only resort to such measures when there are no other options. Don't always believe what you see in TV dramas and movies; the success rates aren't that high in reality."

"It's like that cardiac myxoma surgery Old Chen and I performed. We were lucky to succeed. The next time, the probability of failure would be very high. Don't pin your hopes on things like that."

"Actually, this is a common problem we face in emergency medicine. We often need to use unconventional methods."

"But such methods must be used with extreme caution. One wrong move could lead to a major incident. At that point, you wouldn't be able to justify your actions, even in the name of an emergency."

"Teacher Liu, what you're saying is scaring us," Xu Yino said.

"There's no helping it; that's the life of an emergency doctor. Some situations are unavoidable. As long as your conscience is clear, that's what matters," Liu Banxia remarked.

"Today's patient could very well have gone into shock from the cooling and low blood pressure. If that had happened, the surgical risk would have been even greater."

"The surgery can only be considered a temporary success for now. We still need to determine if the brain was damaged and whether that damage is temporary or irreversible. After all, he lost blood for a significant amount of time."

"Hmm... Actually, I misjudged the situation with today's patient to some extent. Otherwise, we could have performed the carotid artery suture and laparotomy right here in the trauma room."

"The situation was critical, and I assumed that section of railing had caused extensive damage in the abdomen. I was worried that attempting the repair in the trauma room wouldn't allow for proper management if things were chaotic inside, posing even greater risks."

"Banxia, don't be so hard on yourself. Your decisions were perfectly reasonable. In that situation, with the railing and feces, even an ultrasound wouldn't have shown if there were other damaged blood vessels," Shi Lei interjected.

"Hey, let me have my moment and be a bit dramatic. Besides, it's a good way to scare them a little, so they won't dare to try such risky things in the future. They absolutely shouldn't mess around like that," Liu Banxia responded.

The interns were speechless. The surgery was a success, and now he was back to his usual playful self.

However, Liu Banxia's warning was indeed impactful. Just moments ago, some of them had been fantasizing about leading such a dramatic rescue themselves one day. Now, they had to consider the immense risks involved if they lacked the necessary skill and strength. In the entire Second Affiliated Hospital, who else but Liu Banxia could perform hemostasis with their bare hands?

Who else could there be?

Today's procedure, from the initial rescue to the surgery itself, might have seemed straightforward. But if any single step had been delayed, the patient could have been lost.

Forget it. No point arguing with the Great Devil Liu. Let's just happily eat our fruit. It's still early; we can rest a bit later.