When the Doctor Uses A Hack-Chapter 927 - 928 The Means to Save a Life (Extra 3 for

The two firefighters watched as Tao Jun was loaded into the ambulance and said to Chen Cang, “Doctor, this man is a hero. You must treat him well. I will report the situation to our leaders.”

Chen Cang nodded, “Mhm.”

Meanwhile, Tao Jun’s pale face heard the firefighter’s words and couldn’t help but smirk, “Damn hero, it’s you guys. I’m just worried about not having enough money to pay if the car explodes.”

After speaking, Tao Jun closed his eyes, the pain in his abdomen intensifying with each breath.

The firefighters said nothing more but saluted Tao Jun.

Today, if not for Tao Jun, perhaps they all would have perished here.

Once a blast sets off a series of chain reactions, it’s impossible to prevent the unpredictable and potentially immeasurable damage!

At this point, Tao Jun closed his eyes!

His strong will allowed him to stay calm in the face of pain and make the most accurate judgment.

It kept him incredibly alert in the face of agony!

At that moment, he clenched his teeth, tightened his eyes, and stayed silent.

“Hang in there!” Xiao Ke couldn’t help but say when he saw the big man.

With his eyes closed, Tao Jun said, “I really want to give up, just close my eyes and go to sleep…”

His pale face and cyanotic lips made the big man look even more intimidating.

“But if I fall asleep now, then no one will remember me.”

After saying that, Tao Jun opened his eyes and took a glance at Xiao Ke, “My daughter is about your age.”

“She went with her mother. It’s all my fault…”

Lying there, Tao Jun felt his life slipping away, as if he was at the countdown of his existence.

A book puts it well: when a person is bleeding out, less and less crosses their mind. But what comes to mind might be the most precious memories of a lifetime!

Because in your last moments, with your final blood and energy, you remember this person, definitely the one you love the most, miss the most…

Tao Jun had been a soldier, a good person, fought floods, assisted in disasters, and been a hero.

He had settled accounts, been in fights, committed crimes, served time in prison, and been a bad man.

He had been married, had a wife, had a daughter…

He had divorced, had an empty room, a few doors and windows…

Closing his eyes, Tao Jun felt that this was his life.

As he mused, Tao Jun passed out!

On this side, Chen Cang had already quickly begun the various emergency treatments!

An alarm from the cardiac monitor began to sound incessantly, just like an alarm clock.

Blood pressure: 80/45mmHg.

Heart rate: 90 beats per minute.

…

Chen Cang looked at Tao Jun, looking at this man in his fifties with a scruffy beard, wearing a vest with tattoos visible on his body.

In the culture of tattoos, a tattoo is a person’s story.

Whether it’s the wolf head on his arm or the word “endurance” on the back of his left hand, they could not cover the name of the girl on his chest.

They also couldn’t obscure the flag and the troop’s number above his heart.

This was a man with a story…

Xiao Ke hurriedly contacted the emergency center, arranged for an operating room, and prepared the surgical team.

Chen Cang was already starting all kinds of resuscitation measures!

Maximize oxygen delivery!

Rapidly establish three intravenous access points to ensure the smooth transfusion of blood and fluids, preventing vital organ perfusion deficiency.

Replenish fluids to increase blood volume!

Insert a urinary catheter!

The patient was already in shock.

Chen Cang continually adjusted the rate of infusion according to the central venous pressure.

Inside his body, he was also thinking about how to save Tao Jun based on his condition.

But!

The capital’s traffic congestion suddenly appeared at this moment.

Old He cursed vehemently in anger.

But at this moment, Tao Jun’s condition was deteriorating rapidly.

What to do?

What to do?

A significant amount of internal bleeding in the abdominal cavity had led to severe hemorrhagic shock.

Chen Cang was also furious!

And at this time, the patient’s blood pressure was dropping lower and lower, and even fluid resuscitation was hardly effective.

What to do?

Now, Xiao Ke was nearly frantic with urgency, while Chen Cang was clenching his fists, continuously considering all possible options.

Chen Cang was sweating profusely at this moment; he was in a race against the Grim Reaper, who was gaining the upper hand!

He took a deep breath, forcing himself to calm down a bit. Images and simulations began to appear in the four-dimensional model in his mind.

It was then that Chen Cang suddenly thought of an emergency method!

Autotransfusion!

Yes!

That’s what he would do!

With this thought, Chen Cang hurriedly said to Xiao Ke, “Xiao Ke, prepare for laparotomy!”

His words startled Xiao Ke!

Chen Cang turned to look at the driver, Master He, and said, “Master He, please drive steadily.”

Old He nodded!

As the driver, he was well aware of his responsibility!

There was a simple surgical kit on the ambulance, and Xiao Ke quickly prepared to disinfect, spread the drapes…

Chen Cang also put on his gloves, donned a disposable surgical gown, and picked up the scalpel.

Chen Cang looked at Xiao Ke: “Prepare for autotransfusion. Remember to collect the blood later!”

Upon hearing this, Xiao Ke nodded urgently.

She was nervous: such a situation was something she had not encountered in over three years of being there.

Chen Cang quickly performed the laparotomy!

He needed to check for any concomitant intra-abdominal hollow viscus injuries, urological injuries with extraneous urinary seepage, or pancreatic damage!

If any were found, autotransfusion would not be possible.

But!

Even if autotransfusion were not an option, laparotomy could still control the bleeding.

Chen Cang was adept at manual hemostasis techniques.

In truth, there weren’t many options left by now.

Laparotomy had even become the only choice.

After opening the abdomen, Chen Cang hurriedly examined the organs.

His eyes, at that moment, were like scanners, ceaselessly searching for hollow organ injuries…

None!

No pancreatic damage!

And no gallbladder rupture!

The more Chen Cang inspected, the more exhilarated he became.

There was hope!

Indeed, research had shown that the mortality rate for autotransfusion was 10.9% lower than for bank blood transfusion.

Intraperitoneal free blood can be used if it hasn’t clotted after 1 hour; provided there is no active bleeding during surgery, it can be used without adding anticoagulants.

Blood collection was complete!

Chen Cang asked Xiao Ke to carefully filter the blood through several layers of gauze.

Finally, successful collection!

The transfusion began!

Xiao Ke now looked extremely anxious, saying to Chen Cang, “Can this… really work?”

Chen Cang smiled, “It will work! If you now add 10% calcium gluconate 10ml, the patient will fare even better!”

To compensate for the Ca2+ consumption due to massive blood loss, 10ml of 10% calcium gluconate should be infused for every 500ml transfused.

Indeed!

Autotransfusion was becoming much less common, as most people were not willing to take the risk. But in critical moments, during wartime, and in many car accidents or trauma cases where there’s no time for transfer, it’s a lifesaving technique!

Moreover, it must be done without open wounds.

Autotransfusion could be a life-saving miracle at critical times!

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