Chapter 25 - Emergency Consultation Before Surgery

Chapter 25: Emergency Consultation Before Surgery“This is a sign of a ruptured aortic dissection!” Li Yuan was extremely nervous.

Before rupturing an aortic dissection, it often causes severe chest pain that can radiate to the neck, jaw, shoulder blade area, left arm, or upper abdomen. However, with the patient in Bed 4 currently curled up in severe pain, asking them about their symptoms was impossible.

Li Yuan quickly observed the patient in bed 4:

Pale complexion, profuse sweating, cold and clammy skin, with a sense of impending doom.The monitor displayed that the patient’s blood pressure hadn’t decreased; instead, it remained stable or slightly increased.On palpation, there was no pulsation in the patient’s bilateral brachial and femoral arteries, but pulsatile masses could be felt in the suprasternal notch and abdomen.

All of these were signs of aortic dissection rupture.

Suddenly, the instrument beeped! S~ᴇaʀᴄh the ɴ0velFɪre.nᴇt website on Gøøglᴇ to access chapters of nøvels early and in the highest quality.

The blood pressure began to continuously drop.

“Oh no!”

It had ruptured!

It must be a rupture of the aortic dissection, causing massive blood loss, and leading to a significant drop in blood pressure. At this moment, resident doctors, interns, and nurses rushed over.

“Administer dopamine to increase blood pressure!”

“Give saline solution first, then glucose, for fluid resuscitation to prevent shock!”

“Administer intravenous analgesics and oxygen!”

Li Yuan was dumbfounded.

It had ruptured!

These were all signs of a ruptured aortic dissection. Li Yuan was drenched in cold sweat. He was a second-year resident on night duty, with a third-year resident and an associate chief physician.

At this moment, he knew he couldn’t handle it alone. A rupture of the aortic dissection could claim the patient’s life at any moment. He could manage ordinary cases, but for such a serious condition requiring surgery, he couldn’t operate.

“Director Zhao Wangyang is off today, and Vice Director Liang Guomin is on duty…” Li Yuan quickly called Liang Guomin, the deputy director of the department.

Soon, Dr. Liang Guomin arrived quickly, made a diagnosis, and immediately called for consultations from various departments.

“Descending aortic dissection, excessive blood loss!”

“Shock is setting in!”

“We must perform surgery immediately!”

“The surgical plan is descending aorta replacement with an artificial graft!”

“Call doctors from the anesthesiology department, imaging department, ICU… to come over right away…”

Soon, doctors from various departments on duty arrived in a hurry. Consultation began, presenting all the patient’s conditions to the attending physicians.

At this moment, Dr. Qian, the director of the ICU, suddenly asked, “Lao Liang, this surgery is highly difficult. Various complications can arise during the artificial graft replacement, especially regarding the urgent demand for spinal ischemia time, which is only 20 minutes. If it exceeds this time, it can lead to spinal necrosis and paralysis of the lower or entire body. And now, it’s the night shift, with most doctors unavailable. Lao Liang, you alone performing the surgery, is it possible?”

Liang Guomin’s expression turned unpleasant. “I have already called Director Liu for this matter, but he went to a meeting in the provincial capital yesterday and can’t rush back. Given the patient’s condition, we cannot afford any delays. We cannot wait for Director Liu to return and perform the surgery.”

Director Qian nodded, “I understand what you mean. I wanted to ask, Liang, who will be your first assistant during the surgery?”

Liang Guomin replied, “It’s Li Yuan, he’s an experienced doctor.”

Li Yuan faced the appreciative gaze from Director Liang and straightened his chest.

Director Qian said, “Dr. Li will do… Liang, you know me, I focus on the work, not the person. I know there’s a promising intern in the emergency department. Last time, when Dr. Zhou was stabbed in the emergency, that intern saved him with a timely intervention. He has good skills in this area. I think we can call him and ask him to come over.”

Liang Guomin became even more displeased.

Liang Guomin had also heard about this intern, and it was said that he had good abilities.

Liang Guomin couldn’t accept it.

Director Qian, on the other hand, focused on the work, not the person. “Just ask him to come over first. Let him observe and learn. We’re not asking him to perform the surgery, right, Liang?”

Liang Guomin was initially annoyed, but then he realized that their expertise was a bit thin in his team, as a deputy chief physician, with two attending physicians as first and second assistants.

Director Zhao Wangyang couldn’t help them from a distance if there was an error during the surgery.

“Fine, let’s call that emergency intern, Lin Feng, and have him participate in the consultation.”

The nurse made a call to the emergency department.

In the emergency department.

Ring, ring, ring…

“Hello, Emergency Department.”

“Hello, I’m calling from the Cardiovascular Disease Ward in the Inpatient Department. We have an urgent consultation for a ruptured descending aortic dissection and would like Lin Feng to come up immediately. The location is XXXX…”

“Okay, I’ll inform Dr. Lin right away.”

In the hospital dormitory…

At this moment, Lin Feng was lying on his bed, sleeping. The weather in February had begun to turn slightly cool. Lin Feng was enjoying his sleep, covered by a thin blanket.

Ring, ring, ring…

A ringtone startled Lin Feng awake.

“Urgent consultation? Cardiovascular Disease Ward? Ruptured descending aortic dissection… Alright, I’ll go right away!”

Although Lin Feng was puzzled about why it was related to cardiovascular disease and why he had to go himself, he quickly put on his clothes and rushed out. Several interns were having a party and playing cards in the adjacent dormitory. They heard the commotion from Lin Feng’s room.

“Did you hear that? Dr. Lin is going to attend a consultation.”

“Ruptured descending aortic dissection…”

“Ummm… Dr. Lin has already started the consultation, and we haven’t even participated in a single surgery!”

“Forget about performing surgery. We don’t even qualify to attend the consultation…”

“Ummm~~~”

Confidence -1-1-1-1-1…

Tears +1+1+1+1+1+1…

“Let’s flip the table. Why are we still playing cards!”

“Yeah, I want to study!”

“Hehe~~~ You talk as if studying can catch up with Dr. Lin…”

“………………”