Chapter 305 (1/2)
Chapter 305
Xiao Lou didn’t dare stop for a moment .
Yu Hanjiang’s heart hadn’t recovered yet . If Xiao Lou failed to rescue him, Yu Hanjiang would die directly in front of him . This was the first challenge mission released by A of Clubs and Xiao Lou couldn’t bear the result of failure!
The golden time for patients with cardiac arrest was ‘4 minutes’ . If the heartbeat wasn’t restored within this time then the patient was likely to suffer irreversible damage . The moment Xiao Lou walked into the operating room, he saw Yu Hanjiang’s cardiac arrest begin . It was still in the golden time and he had to grasp every second .
After a round of CPR, he saw that Yu Hanjiang’s heartbeat hadn’t shown signs of recovery and immediately turned to shout at the nurse . “0 . 5mg epinephrine intravenous injection, quickly!”
The ambulance was close to this room and epinephrine was a common rescue medicine . Every ambulance would prepare it . Hearing Xiao Lou’s words, the nurse quickly opened the package of a brand new syringe, took out the syringe, and diluted the epinephrine with normal saline . Then the nurse injected it decisively along the infusion channel in Yu Hanjiang’s arm .
After epinephrine was injected into the vein, it could quickly reach the heart through the blood circulation, excite the heart receptors and increase the cardiac output . Xiao Lou might not be a professional emergency doctor but he repeatedly memorized this first aid knowledge during the exam . He wouldn’t remember incorrectly .
After the epinephrine injection, he continued to do CPR while observing the data on the ECG monitor . In this life or death moment, Xiao Lou didn’t dare relax for even a second . He didn’t feel tired at all . The only thing left in his mind was the idea of ‘save Yu Hanjiang . ’
Time became extraordinarily long and every second was a type of torture .
……
He didn’t know how long it took but the heart rate curve on the ECG monitor suddenly jumped . Xiao Lou’s eyes lit up and he continued to press against Yu Hanjiang’s solid chest . As he moved, the heart rate curve changed from a typical ventricular fibrillation waveform to a normal waveform .
One after another, the green ECG waveforms slid across the monitor like running water . The blood pressure data gradually stabilized from the warning threshold just now .
Xiao Lou’s eyes were hot as he withdrew his sore hands . Yu Hanjiang was alive! He had saved the dying man! At this moment, he even had the impulse to shed tears .
Professor Zhu’s surprised voice sounded in his ears . “The heartbeat is recovered and he is ready for emergency surgery . Dr Xiao, help me . ”
Xiao Lou stepped aside and closed his eyes . He forced back the emotions in his eyes and calmed himself down . By the time he opened his eyes, he had regained his calm expression . He didn’t dare look at Yu Hanjiang’s pale face . He moved to Professor Zhu’s side and put on sterile gloves .
The two nurses quickly covered Yu Hanjiang’s body with a green cloth, exposing only the wound on his abdomen . The anesthesiologist stepped forward to a.s.sess the patient’s vital signs followed by the administration of a general anesthesia .
Everyone in the operating room was busy . The equipment nurse pushed the cart and the clean sterile cloth was covered with silver surgical instruments . Xiao Lou stood next to the operating table and carefully observed the exposed wound on Yu Hanjiang’s right lower abdomen .
The wound was b.l.o.o.d.y and looked shocking . A bullet had hit this spot .
The bleeding was most serious . Yu Hanjiang’s s.h.i.+rt was stained red with blood and was stuck to his body . It couldn’t be removed and had been cut open by scissors long ago . The moment Yu Hanjiang entered the operating room, he had been given a blood transfusion by the nurse . The cardiac arrest just now was probably caused by hypovolemic shock .
The blood in the bag had almost finished and the nurse changed it with a new bag . Xiao Lou nervously asked, “Is there enough blood prepared?”
The nurse replied, “It is enough . This police officer has B type blood and I’ve brought enough B type blood from the blood bank . ”
Professor Zhu put on gloves and looked at the anesthesiologist . “How is the situation?”
The anesthesiologist answered, “He is stable . Take out the bullet as soon as possible . ”
The bullet hit the right lower abdomen . Once the abdomen cavity was broken, intestinal perforation would cause abdominal infection and the condition would be difficult to deal with . Now that the heartbeat was restored and the blood transfusion was continuing, the top priority was to take out the bullet, explore possible bleeding points in the abdomen and quickly stop the bleeding to prevent infection .
Professor Zhu’s voice was heard . “Doctor Xiao, get ready to disinfect . ”
Xiao Lou nodded . He took the iodine and cotton swab to disinfect the wound . After disinfection, Professor Zhu picked up a scalpel and cut open the right lower abdomen . Xiao Lou couldn’t bear to look at this b.l.o.o.d.y image but he had to keep his focus .
Professor Zhu soon found the bullet, pulled it out with a tweezer and placed it in a sterile dish . Immediately afterward, he looked for bleeding points in the abdominal cavity and quickly ligated a bleeding blood vessel .
The middle-aged doctor performed the operation proficiently while saying, “The bullet stuck in a bend of the intestinal tract and didn’t cause intestinal perforation . It is really fortunate . The risk of large-scale infection isn’t high . If we closely observe after an operation then it shouldn’t be a big problem . ”
Hearing this, Xiao Lou sighed with relief . Professor Zhu was a professional emergency doctor and Xiao Lou believed in his expert judgment .
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He took off his surgical gown and turned away . Surgical sutures were usually done by trainees and residents . It was very common for the surgeon to leave after surgery . Xiao Lou had to bite the bullet and st.i.tch it up layer by layer .
On the last layer of skin, Xiao Lou used the ‘interrupted suture method’ that was commonly used in surgery . This method was suitable for incisions that might be infected . Each st.i.tch was tied separately and it was more convenient to remove the st.i.tches .
After the st.i.tching was done, the instrument nurse next to him spoke with a smile, “Dr Xiao, your st.i.tches were very beautiful . Every st.i.tch is neat like it is done with a stapler . ”
Xiao Lou, “……”
After all, he was a forensic doctor . He often sewed up the corpses after autopsy and his technique was natural and skilled . However, it was hard to tell the nurse ‘I’ve sewn a lot of bodies . ’ Asking a forensic doctor to rescue a patient and sew up the wound for Yu Hanjiang… the secret room this time was so thrilling . He didn’t know what would happen next .
Xiao Lou smiled politely at the nurse and asked the anesthesiologist, “Is the patient okay?”
The anesthesiologist said, “His vital signs are still stable . He should be able to wake up tomorrow . ”
Then the head nurse with two bars on her hat came in and asked the anesthesiologist to sign the book . She said, “Once the operation is over, send the patient to the ward . The operating room must be vacated as soon as possible . There are more patients waiting . ”
Xiao Lou asked, “Head nurse, which ward is the patient going to?”
The head nurse said, “This is a police officer with a special status . He suffered a work-related injury while performing his duties . The dean specifically told me to send him to the VIP ward of general surgery . His condition needs to be kept confidential . Dr Xiao, please take care of him . ”
General surgery—this happened to be the ward where Xiao Lou was currently located .
Xiao Lou nodded . “Yes, I’ll take him back . ”
It would be great to send Yu Hanjiang to the VIP ward under his eyes . Xiao Lou could follow Yu Hanjiang’s situation at any time . After changing out of the surgical gown, he and the anesthesiologist sent Yu Hanjiang to the VIP ward of the general surgery department on the 7th floor of the inpatient department .
The nurse on duty in the ward immediately came over for an infusion, giving Yu Hanjiang an anti-infection medicine prescribed by Professor Zhu .
Xiao Lou observed Yu Hanjiang’s ECG monitor . His heart rate, blood pressure and breathing were normal but the effect of the anesthesia hadn’t pa.s.sed and he hadn’t woken up yet . The night after surgery was critical . If there was a sudden infection during the night then measures had to be taken immediately . Therefore, Xiao Lou decided to guard Yu Hanjiang tonight .
It was 3 a . m . and most of the hospital wards had turned off their lights . Xiao Lou sat next to Yu Hanjiang, gently held Yu Hanjiang’s hand and let out a long breath . There was no danger . This was definitely the most stressful night he had ever experienced since he studied medicine .
Seeing Yu Hanjiang unconscious on the operating table with his heart stopped, Xiao Lou felt that his heart was also going to stop . He couldn’t imagine the consequences if he couldn’t save Yu Hanjiang in those dangerous minutes .
Xiao Lou gripped Yu Hanjiang’s hand and muttered in a low voice . “Fortunately, you are fine… just fine . ”
The unconscious Yu Hanjiang naturally couldn’t hear him . Xiao Lou didn’t speak any longer and quietly guarded his side .
***
Yu Hanjiang woke up and saw Xiao Lou napping by his bed . His hand was gently held and the warmth of the other person was transmitted to him .
Yu Hanjiang tried to move his body . The anesthesia effect had pa.s.sed and a sharp pain came from his right lower abdomen, causing Yu Hanjiang to suck in a cold breath . However, his heart was warm when he saw Xiao Lou’s face and held Xiao Lou’s right hand . This caused the pain in his body to be weakened .
Yu Hanjiang gently held Xiao Lou’s slender fingers .
Xiao Lou wasn’t deeply asleep . He was just so sleepy that he took a nap . Yu Hanjiang’s slight movement immediately woke him up . Xiao Lou saw the man’s deep eyes and couldn’t help smiling . “You’re awake . ”
“Did you guard me all night?” Yu Hanjiang’s voice was hoa.r.s.e .
“I happened to be on the night s.h.i.+ft . ” Xiao Lou looked down and found that their two hands were held together . He couldn’t help his ears becoming hot and he pulled his hand back quietly . “How do you feel?”