My Medical Skills Give Me Experience Points

Chapter 1147: Chapter 453: Ten Thousand Experience Points Reward, Finally Seeing Hope

The first thing to do is to locate the major blood vessel punctured by the sharp object.

It must be noted that when a ruptured blood vessel is large enough, whether artery or vein, it poses a fatal threat to a person’s life.

It’s just that the blood pressure inside the veins is lower, and the bleeding is not as fierce as arterial bleeding.

In comparison, venous rupture is easier to stop.

The chest and abdominal cavity of this nurse have eight wounds in total, each extremely vicious, penetrating deep into the cavity.

"Abdominal aortic rupture discovered!"

After clearing the accumulated blood in the abdominal cavity, the major source of bleeding is now clearly visible.

This kind of spraying hemorrhage is extremely terrifying and can sharply decrease the patient’s blood volume in a very short time, eventually leading to shock and death from hemorrhage.

"It should be the superior mesenteric artery in the upper abdomen; we can only first ligate then repair,"

Zhou Can muttered to himself, providing a hemostasis plan while searching.

"Hemostatic forceps!"

"Here!"

Qiao Yu quickly handed the hemostatic forceps to him.

Zhou Can located the vascular end near the heart at the bleeding point and clamped it with the hemostatic forceps.

"Yang Zhi, help me hold the hemostatic forceps, the force shouldn’t be too strong nor too weak."

In this deep artery within the abdominal cavity, during the hemostasis process, if clamped too harshly, it can easily cause thrombosis or rupture. The probability of necrosis is low but still possible.

Hemostasis is absolutely a technical job.

Zhou Can’s operation of locating the vascular end near the heart seemed to be accomplished in a few simple seconds. That’s because his hemostasis skill is already at a very high level.

His profound understanding of human anatomical structure, coupled with rich hemostasis experience, makes him incredibly proficient.

Otherwise, if replaced by someone else, just witnessing the continuous spray of fresh blood would already leave them panicking, trembling.

After Yang Zhi freed a hand to grasp the hemostatic forceps, Zhou Can began the emergency debridement.

Repairing arterial blood vessels is far more challenging than imagined.

Actually, with so many deep wounds in the patient’s chest and abdominal cavity, the bleeding points are certainly more than just one.

But Zhou Can can only proceed one step at a time.

First, repair the most visible, the fiercest bleeding superior mesenteric artery.

"Dr. Zhou, the patient’s blood pressure is still dropping, heart rate is decreasing, and blood foam is coming out when she breathes. Check if there’s trauma to the lungs?" the anesthetist reminded Zhou Can.

"Okay!"

Currently, Zhou Can has opened the abdominal cavity, and to access the lungs, the best method is to open the chest.

Given the patient’s current condition, he doesn’t dare to open the chest.

Estimating that before he finishes opening the chest, she might be gone.

This is no exaggeration; with such severe injuries, the patient’s life has become extremely fragile.

"Damn, the portal vein is punctured too! How should this be managed?"

Upon inspection, he quickly discovered another major bleeding point.

The intestines are also pierced, and the intestinal contents have directly spilled out, contaminating the abdominal cavity. At this moment, Zhou Can especially hopes there could be two or three principal surgeons to join in the surgical rescue of Hee Juan.

Alone, no matter how strong his surgical capability or how fast his speed, his limits are inevitable.

An overwhelming sense of helplessness continuously impacts his heart.

"Immediately request Director Xue Yan from Cardiothoracic Surgery to bring a surgical team over to help save the patient, as per my request. The faster, the better."

In order to save lives, Zhou Can directly uses his personal connections.

The Emergency Department requests the Cardiothoracic Surgery team to come over and rescue the patient; they wouldn’t refuse. But it could be handled bureaucratically.

If Zhou Can personally requests them to come over to help, the treatment would be completely different.

The rescue continues.

Blood foam surges out of Hee Juan’s mouth and nostrils, and her blood pressure remains low.

Four bags of blood have been used in a short time.

At 250ml per bag, 1000ml of blood has already been transfused.

"If the pulmonary artery is ruptured, it will be very tricky! The blood vessels and intestines inside the abdominal cavity, given some time, can all be repaired one by one, but the lungs are very troublesome. Without knowing where the bleeding is."

Zhou Can rapidly repairs the blood vessels while explaining the situation.

The anesthetist is responsible for stabilizing the patient’s life, while Zhou Can is responsible for surgically repairing the blood vessels, intestines, and so on.

There is no time to tend to the ruptured intestines; they can only be left to leak.

Repairing the blood vessels first is the correct path.

Soon, Director Xue Yan indeed arrived with an entire surgical team. This is the extent of Zhou Can’s influence. Mentioning his name can prompt Director Xue Yan to provide full assistance.

"I already heard about the incident where a family member wielding a knife attacked in your Emergency Department, injuring several medical staff. It’s truly infuriating."

Xue Yan expressed sympathies for the Emergency Department’s plight upon entering.

"She is coughing blood foam, is this... lung injuries?"

"Sister Yan, asking you over is precisely to seek your help to assess whether the patient can undergo thoracotomy? The wound is on the right chest, this location. Based on experience and sensation, it’s likely a diagonal stab injury."

Zhou Can pointed to the patient’s right chest.

The chest has obviously been pierced. But due to wearing a bra, combined with the female’s unique physique, the depth of the wound is probably not particularly deep.

"Her condition suggests almost certain death with thoracotomy. I suggest opening two small windows for endoscopic surgery, perhaps leaving a chance for survival."

Vice Director Hee from Cardiothoracic Surgery also came over.

He owes Zhou Can several favors; now, as Zhou Can calls upon him, he surely comes over to repay one favor first.

Speaking of thoracic surgery, Vice Director Hee is probably the most experienced among everyone present.

"Anesthesia, can her condition be transitioned to the endoscopic surgery room?"

Zhou Can directly asked the anesthetist.

"Without transition, it’s surely death, whereas transitioning may offer a sliver of hope, so it’s worth trying."