At this moment,
all the nurses and doctors were shocked by the scene before them.
No one expected the patient's family member to actually stab Deputy Director Chen.
Deputy Director Chen is the only female deputy director in the emergency department, who has worked diligently for over a decade, with exceptional medical skills.
Everyone knows the emergency department is a tough place, but when it needed a leader.
She resolutely transferred from the gastroenterology department to here, never complaining about fatigue all these years.
Both in work and in life, everyone admired and respected her.
She was also their mentor and comrade with whom they fought day and night!
Now she had fallen in front of everyone, blood gushing, staining the white coat, so glaring.
"Quick, save her!"
With Dr. Zhao Yitian's shout, everyone rushed forward.
Experienced in emergency response, they swiftly applied pressure to stop the bleeding and then lifted Deputy Director Chen onto a stretcher.
Qin Feng, looking at the pallid Chen Yuanfang, immediately made a judgment about the wound in his mind.
Even with compressive hemostasis, the blood loss was still significant.
With this level of bleeding, if surgery isn't performed, ischemic shock would occur in 3 minutes.
"Quick, take her to the resuscitation room! Notify the director!"
Zhao Yitian, also a veteran of the emergency department, shouted immediately.
In a flash, the hospital bed was pushed into the resuscitation room by a team of medical staff, with the nurse chief leading a few nurses to fetch the doctors urgently.
Qin Feng and others anxiously waited outside the operating room door.
Just as everyone was anxious, staring down the corridor at the end of the resuscitation room, Liu Juan came running, gasping for breath.
"Nurse Chief, where is Director Zhou?"
The doctor next to her asked quickly, seeing she was alone.
"Director Zhou... Director Zhou is in... surgery, can't come down."
Liu Juan panted heavily, speaking anxiously,
"I've already notified other departments to send people over for surgery, it might take a few minutes."
Bang!
As she finished speaking, the door of the resuscitation room was forcefully kicked open.
Zhao Yitian came out, hands covered in blood, face filled with unspoken tension and anxiety.
"Where is Director Zhou? Deputy Director Chen has lost too much blood, she needs surgery immediately!"
"Director Zhou is rescuing a car accident surgery, cannot break away, I've contacted other department directors."
Liu Juan immediately explained again.
"Then what do we do now? Deputy Director Chen's condition is dangerous!"
Zhao Yitian stood there stunned, instantly frowning deeply, appearing somewhat panicked.
He had just confirmed the severity of the injury, this cut was too deep.
The carotid artery was completely severed, the blade even slicing through the lateral muscle, nearly injuring the trachea.
If delayed further, it would definitely be dangerous!
Although they were inpatient doctors, they had followed Director Zhou and Deputy Director Chen to the operating table.
But only as first or second assistant, with no independent surgery experience.
Moreover, severed carotid artery had reached the level of a third-degree surgery!
Extremely high risk!
Beep~~~~
"Not good! Director Chen is in shock!"
At this moment, a shout came from inside the resuscitation room.
The steady, piercing alarm instantly made everyone's hearts stop and sent shivers down their spines.
"Quick! Quick, resuscitate! We must hold on until the other directors arrive!"
Zhao Yitian felt dizzy, eyes welling up with tears, shouting desperately.
Chen Yuanfang was his mentor, he had been by Deputy Director Chen's side for three or four years.
Their time together was even more than with his family, always tirelessly helping him in both life and work.
Zhao Yitian always treated Chen Yuanfang as his godmother, steadfastly standing by her no matter the issue.
Now he watched as his teacher lay on the hospital bed awaiting death, he was about to lose his mind.
"Xiaoxiao, Lingling, hurry to the inpatient department and get the cardiovascular directors, you must bring them over!"
Nurse Chief Liu Juan, tears flowing uncontrollably, hurriedly directed the two fastest nurses.
Standing beside, Qin Feng glanced at the time, his gaze extremely grave.
'It's too late.'
Time had already exceeded 3 minutes, with the right carotid artery severed, the brain pressure would plummet to zero.
Under anoxic conditions, nerve cells in the brain can generally survive for only about 6 minutes.
Once past the limit, irreparable damage to the brain would occur.
Even brain death!
Even if other department directors rushed here now, time was likely insufficient.
Immediate hemostasis and artery suturing were necessary to restore cerebral blood flow!
Bang~
Qin Feng pushed open the door to the resuscitation room, striding in.
On the hospital bed, Zhao Yitian and the group were resuscitating, he walked to the bedside, reaching out to feel Director Chen's skin.
The limbs are cold, the entire body shows obvious cyanosis, and petechiae are faintly appearing.
It is obvious that he has entered the decompensated phase of ischemia.
"Move aside, if you want to save Director Chen, do as I say!"
Qin Feng, without caring about anything else, pulled Zhao Yitian, who was preparing for a second defibrillation, aside, speaking solemnly,
"Immediately establish two channels, one from the internal jugular vein, and the other from the femoral vein.
Quickly!"
Qin Feng poured iodine onto his own hand, did a simple disinfection, and then disinfected Director Chen's two major veins.
"Why are you standing there? Hurry up!"
Zhao Yitian was frozen in place, so panicked that he even forgot what to do.
At the reprimand, he snapped back to reality and quickly went to get the instruments. Seeing him trembling, Qin Feng immediately took over the task of puncture.
It was done in one go, completed in one attempt!
The two other rescue doctors were utterly amazed by his actions, his skills were incredibly proficient.
"What about the infusion?"
After the puncture was completed, Qin Feng frowned slightly, looking at the two.
"It's already prepared."
The nurse hurriedly ran over with the infusion, administering it per infusion protocols.
First crystalloid, then colloid, first saline, then glucose, first fast, then slow, alternating fluid types.
First, 30 of crystalloid fluids (normal saline, balanced salt solution, glucose solution) are administered to increase venous return and cardiac output, to control the shock.
Then, colloids (whole blood, plasma, albumin, etc.) are administered to quickly reduce extravasation of the crystalloids from the vessels.
With sufficient personnel, all infusion actions were completed in two minutes.
Seeing the monitoring instrument's data, the decreasing speed of BP and CVP has begun to slow down.
"Notify Nurse Chief Liu to prepare the operating room, Deputy Director Chen's condition can't be delayed any longer."
Qin Feng slightly let out a breath and quickly commanded.
The nurse dashed out like a flash, and Zhao Yitian was dumbfounded by his emergency actions.
"Who among you has performed surgery?"
Qin Feng then looked at the three of them and asked.
"We've all been to the operating table with Director Zhou and Director Chen, but we've never performed surgery independently."
They glanced at each other, Zhao Yitian said with a rather unpleasant expression.
"The first and second assistants must have done it, right?"
Hearing Qin Feng's question, the three nodded,
"Okay, Dr. Zhao, you stay out, Dr. Xiao, Dr. Wang, you'll be the first and second assistants."
"Then who will perform the surgery?"
Zhao Yitian finally regained his composure, stepping forward anxiously to ask.
"There's no time to wait for other directors, I'll do it."
"What?! You?!"
Upon hearing this, the three were all shocked, staring at him in disbelief.
Qin Feng was just an intern who recently joined, without even the qualifications to independently consult patients, let alone perform surgery.
Moreover, the surgery requires signatures from the department director, deputy director, and the chief surgeon.
Now Deputy Director Chen is lying here, and Director Zhou is in surgery, even they aren't qualified to step onto the operating table.
Although they've handled some minor surgeries, like appendicitis, where they could start and have the director sign off afterward.
In the emergency department, some irregular operations to save lives are quite normal, but this must be based on absolute certainty.
If anything goes wrong, the entire department would face consequences!
"Otherwise, would any of you do it?"
Qin Feng sighed helplessly, looked at them and said.
As his words trailed off, no one spoke up.
"Rest assured, I've had arterial suture experience before, at the very least, I need to restore blood flow to preserve life."
After speaking, he turned to the nurse on standby.
"You've been compressing the vessel, go and increase aspirin and recombinant plasminogen activator to... prevent thrombosis and cerebral infarction."
"Oh, alright."
The nurse listened and quickly followed his instructions.
Bam!
"The operating room is ready!"
At this moment, Nurse Chief Liu Juan rushed in and said.
Qin Feng glanced at the two doctors in front of him, his expression serious.
"Prepare for surgery!"
A minute later, Chen Fang was pushed into the adjacent operating room.
Qin Feng, Xiao Jing, Wang Xiaohui, and the anesthesiologist, and all the nurses,
all washed their hands, disinfected, put on sterile gowns, gloves, and masks, and walked into the operating room.
At this time, Deputy Director Chen Yuanfang had already been anesthetized.
Qin Feng stood at the operating table, with First Assistant Xiao Jing and Second Assistant Wang Xiaohui on either side behind him.
He glanced at the clock, speaking in a deep voice.
"It is now 15:37 in the afternoon, patient Chen Yuanfang, carotid artery rupture suture surgery.
Now, begin!"