Path of Medicine With a System
chapter-187

Chapter 187: Multiple severe injuries

Translator: imperfectluck Editor: Kurisu

“Hurry! This patient is bleeding from both the chest and abdomen! He’s already unconscious!” This was the most seriously injured patient of the six injured border security patients! He had serious injuries in both his chest and abdomen. Having multiple injuries like this would be incredibly dangerous. Even a few minutes might be enough for multiple different organs to start failing.

Only the neurosurgery director Yu Bing and urology director Li Jianguo from Chasu City Hospital still didn’t have patients yet. Zhang Fan unhesitatingly rushed over to this patient. Yu Bing and Li Jianguo both stopped going over when they saw Zhang Fan running first. Both of them had realized that Zhang Fan was more skilled than them at this type of surgery!

The disadvantage of Zhang Fan still being young now showed itself. He had no subordinates of his own. The other leading surgeons for each of the military patients were all either directors or vice directors. They would have their own personnel as the elites of their respective department would definitely follow after and assist them. Originally, Zhang Fan had been standing at the forefront of the orthopedic department doctors, but Superintendent Ouyang instead summoned him over to the expert doctor team at the last minute. This made things a little awkward!

Although Zhang Fan had left Kuake City Hospital for almost one year already, his legend was still resounding here! Never underestimate the influence that someone truly skilled would have on a hospital! Additionally, Zhang Fan seemed to be shining even more brilliantly now. He was even skilled enough to be named a member of Chasu City Hospital’s expert doctor team! Zhang Fan’s former coworkers who recognized him all felt really proud!

“Tu Xun! Ye Bo! Ainur! Hurry over!” Tu Xun had been his coworker in surgical department #2 of Kuake City Hospital, while Ye Bo and Ainur were doctors in surgical department #1. Although Zhang Fan was no longer an employee of Kuake City Hospital, his words were still effective. The three swiftly went over to him.

For such an emergency surgery, just one expert doctor would be sufficient. However, the doctor would need many assistants. Otherwise, the doctor wouldn’t be able to deal with all of the work by themselves. Zhang Fan had summoned the three over with the thought that these three would act as his surgical assistants when the surgery to save the emergency military patient began.

The injured patient was very young. Zhang Fan estimated that he was only about 20 years old. His eyes were tightly closed, and his face was incredibly pale. Although Sumu City Hospital had already given him preliminary treatment, Zhang Fan knew that things were really bad because the patient’s clothes were incredibly tattered, and his body was covered in blood! Zhang Fan checked the patient’s neck pulse. Luckily, the patient was still alive and had a pulse.

“Is the patient’s blood type known for blood transfusion?” Zhang Fan asked in a loud voice.

“Yes!” A military doctor handed the patient’s information over to Zhang Fan. However, Zhang Fan didn’t have the time to go through it right now, so he immediately declared, “Start blood transfusion. Dexamethasone IV drip. Open the vein channels.”

For the border security members, it was common that their blood type would be on file already. This was precisely in case such an incident occurred.

Zhang Fan swiftly checked the patient’s injuries as he issued his commands. The nurse from Sumu City Hospital who was in the medical car with this patient was so nervous that her teeth were chattering. Zhang Fan immediately could tell that he wouldn’t be able to learn anything from her.

As he swiftly checked the patient’s condition, Zhang Fan’s heart only felt heavier and heavier. The patient’s chest bleeding was due to pneumothorax, or a collapsed lung. Zhang Fan couldn’t even sense any signs of breathing from the left lung anymore! Things were even worse in the patient’s abdomen. The blood oozing there had a really light color. This meant that digestive fluid had started leaking out in a significant amount.

“Hurry to the operating room!” Right after the blood transfusion began for this young warrior, four of his fellow border security comrades lifted up the stretcher and swiftly dashed into Kuake City Hospital, running towards the elevator. These four were a small team whose actions were all highly coordinated. They were so swift while carrying the stretcher that no patient gurney was needed to wheel the patient.

Apart from the doctors’ voices, there wasn’t even a single other bit of sound in this entire area. The military police who didn’t have specific tasks to carry out simply silently watched and observed everything with serious expressions. The entire atmosphere seemed so solemn!

Shi Lei’s preparations for the emergency patients had been quite complete. He had brought out all usable medical equipment, no matter if it was new or old. Although the atmosphere was tense, it wasn’t chaotic at all. Each surgical director from Chasu City Hospital led a medical team. For such a high-level emergency treatment operation, it really would have been far too difficult for Kuake City Hospital to do anything by themselves at all.

Kuake City Hospital only had three operating rooms. Luckily, the operating rooms were rather large, so there was more than enough space for two operating tables per operating room. They just needed their own astral lamps.

The operating room and medical equipment nurses began to prepare. There was no helping it, as Kuake City Hospital was a small city hospital. In fact, things had already improved in this decade. Just less than 10 years ago, Kuake City Hospital only had one operating room.

The patient had already fallen unconscious due to severe pain. Zhang Fan shared an operating room with Director Zhao Quanping as they both worked on their respective patients. There was no helping this. Zhang Fan immediately started his surgery.

“What’s the blood pressure, pulse, and breathing rate?” The anesthesiologist was from Kuake City Hospital. He and Zhang Fan were quite familiar with each other. Since this patient and situation had been rather special, the doctor from Sumu City Hospital had thickly covered the patient’s injuries in many layers of gauze. Even so, blood was already beginning to soak through the gauze.

“Doctor Zhang, um, could you do the disinfecting? I, I don’t think I can!” Tu Xun spoke up even though he really hated losing face! This was because he was afraid! Normal doctors really wouldn’t dare to disinfect such injuries. That was because they wouldn’t know if there were arteries or veins underneath the gauze bandages. If there was a major artery underneath the gauze and the doctor did anything incorrectly, then there wouldn’t even be any need to perform surgery on the patient, as the patient could immediately die just from this.

Zhang Fan finished disinfecting, and then asked the anesthesiologist, “Blood pressure?”

“Doctor Zhang, I can’t detect the patient’s blood pressure. His heartbeat is incredibly weak.”

“Administer cardiac stimulant!”

This surgery was far too dangerous. It was a classical example of serious injuries in both the chest and abdomen. Both those areas had been penetrated by a bullet. Judging from the patient’s situation, it seemed that the abdomen injury was more serious. Gun injuries needed to be dealt with as quickly as possible. This would be just like a race against the god of death to see who was quicker! This was why Zhang Fan had immediately ordered that the patient needed to be brought to the operating room without even performing anything more than a cursory checkup on him. There was no time. Checkups would only waste precious time for the patient.

Zhang Fan took the primary surgeon position. He didn’t need to discuss anything with others as he immediately opened up the patient’s chest to search for the bullet’s trajectory in the body. Luckily, he was able to discover it right away. The bullet had penetrated the left lung, and then gone right past the heart and major arteries to enter the abdomen. Had the bullet lodged just slightly more to the left, this border security military policeman wouldn’t have even been alive right now. Zhang Fan had to immediately stop the bleeding!

“Hemostats, wound packing gauze.” Zhang Fan then used hemostats to pinch the injured lung. With this, the patient’s lung finally started to show signs of breathing again. For a patient with multiple severe injuries, the doctor would need to determine the nature of the injuries, and then choose the most important one to work on first. If the injuries weren’t identified clearly, performing surgery would be far too reckless. Not only would that not save the patient, surgery might only make the patient die even faster if the injuries weren’t identified clearly.

Zhang Fan continued searching in the patient’s body along the trajectory of the bullet. He made an especially large incision in the patient’s body. When looking under the astral lamp, it seemed as if he had sliced open the patient’s entire chest! Zhang Fan’s heart skipped a beat when he entered the abdomen, because he discovered that the patient’s spleen, left kidney, and a portion of the small intestine had also been penetrated by the bullet!

The patient’s kidney would be unsalvageable. It would have to be surgically removed. Zhang Fan directly inserted a hemostat at the point of bleeding. After some slight calculation, he pinched a very large group of tissue. Approximately 10 seconds later, the abdomen no longer bled so much. Since this kidney had to be given up on regardless, Zhang Fan didn’t hesitate. “Make a large gauze bundle for wound packing and stopping the bleeding.”

There was far too much damage to the abdomen. It would be no exaggeration to say that the patient’s organs were in utter chaos. Modern-day weapons were far too powerful. All the body’s tissue that this single bullet touched would need to be surgically removed. That was because this tissue had already died. Not cutting the tissue out would mean that it would become a source of infection.

After the wound packing and stopping the bleeding, Zhang Fan began to deal with the chest injury. The heart and lungs were connected. If something happened to the lungs, problems would soon appear in the heart. It would only be a matter of time. Zhang Fan changed his gloves as he began to surgically operate on the patient’s chest.

“Properly hold the retractors! Provide me with more vision. Ainur, if you can’t do it, then get out!” Zhang Fan was so anxious that he became angry. This was his first time ever to get angry at one of his surgical assistants.

At such a time, nobody cared about his tone. Even if they did care or resent him for it, it could only be dealt with after the surgery as things were too critical right now!

Zhang Fan needed to cut off the left inferior lung lobe. He made his movements as swift as possible. He didn’t dare to take things slowly, and had to use maximum concentration. The atmosphere in the operating room was so suffocating that people felt actual physical pressure. Even the nurses in the operating room were fully tense!

Zhang Fan was able to calm down slightly after he successfully removed the part of the lung that had already died.