Chapter 978 - Solemn

Chapter 978: Solemn
Ling Ran walked into Operating Theater 3 and saw that the atmosphere there was tense and solemn.
Operating Theater 3 was quite small, and there were more than ten people inside there right now. This could be said to be against the rule, as with so many people inside, sanitization could not be guaranteed.
Given how much the Orthopedics Department placed an emphasis on infection control, this was extremely out of character for them, and this scene should not even appear among them.
However, no one from the Orthopedics Department in the operating theater, from the associate chief physician to the circulating nurse, had any time to care about this.
The doctor was holding a blood bag, the anesthetist looked flustered, and the nurses were walking around in a flurry. All of this silently signaled one thing—chaos had ensued.
Ling Ran said nothing as he put on a mouth face mask. He then walked forward and took a look at the patient.
It was easy to maintain order in the operating theater. A person merely needed to shout loudly for all the people in a flurry to return to a state of order. However, the problem right now did not lie in the medical staff members’ attitude or the protocol. It was more possible that the problem was caused by their skills.
There were more than ten medical staff members inside the operating theater, and none of them knew what to do. Shouting at them would not make them gain superb skills all of a sudden as if they had been blessed by God.
Since they did not know what they should do, no matter how much Ling Ran disciplined them and asked them to act in a proper manner, it would be meaningless.
It was just like how a student would not recover from a cold just because everyone in his class was concerned about him.
Ling Ran decided to focus on the patient first and foremost.
The patient was probably a factory or construction worker. He looked around forty years old, and his face was worn down by years of hard work, typical of those who worked hard for years. His face was deathly pale, and his belly was protruded. There was a bruise on his right leg.

Six fragments the size of a fingernail had pierced through the patient’s back. We were dealing with that when blood started surging out.
The attending physician did not seem more at ease even though Ling Ran was here. He reported the situation in a flustered manner, and he was not quite able to make things clear.
Associate Chief Physician Yao, the senior doctor who was standing beside Ling Ran, quickly added.
His BP is decreasing rapidly, and we can no longer find the pulse of the dorsal plantar artery of his right leg. I’ve already asked people from the Department of Interventional Services to come over because I’m thinking of doing an angiography for his right leg to determine the bleeding point. But the people there are a little too busy…

The hospital was obviously hit hard by the massive influx of patients, and they were about to break down.
More than ten medical staff members were trying to treat this patient. These medical staff members could have treated three patients with minor to moderate injuries with no problems.
However, because of how severe the condition of this patient was, the doctors were unable to handle it. They had no choice but to call more and more medical staff members over, including Ling Ran and the people from the Department of Interventional Services.
In the event of Ling Ran not being capable of stopping the hemorrhage or the Department of Interventional Services not being able to produce useful examination results, they would have no choice but to give up on the patient or leave things up to luck.
No matter which choice they decided to go with, it would mean that a life would be lost. It would also mean that more than ten medical staff members worked hard to no avail to save a patient who needed them the most.
Even though Yun Hua Medical Emergency Center was a large institution, when unforeseen circumstances arose, if they were unable to mobilize all their forces, they could easily be defeated.
Ling Ran had participated in many disaster relief efforts before, but his expression still turned solemn.

The patient is already in severe circulatory shock. With the speed in which he’s losing blood, there’s a huge possibility that his artery is ruptured…
Ling Ran slowly articulated his judgment.

Yes, I agree with Doctor Ling.
Associate Chief Physician Yao from the Orthopedics Department voiced his agreement.
Right now, he had already lost control of the situation, and he really needed Ling Ran to join them in their efforts.
No matter how things turned out, with another senior doctor working together with them to save the patient, Associate Chief Physician Yao could be relieved of his mental burden as well as responsibility toward the situation.
If Zuo Cidian were here, after hearing the attending physician’s ambiguous words, he would have whipped out his notebook to make some notes. He might even draw a line and state Ling Ran’s scope of responsibility.
However, Ling Ran did not care about all this. He looked at the patient’s abdomen for a moment before shifting his gaze toward the patient’s thigh.

It’s already too late to perform angiography. All we can do now is to make an emergency judgment.
Ling Ran was not like ordinary doctors, who would think things through again and again until they were extremely certain that they were right before speaking out.
On one hand, it was because the possibilities were endless, and Ling Ran hoped that by saying something, even if it was just a common remark, other doctors could brainstorm together with him and come up with more information. On the other hand, Ling Ran did not care about things like whether he would be held responsible for something or not.
He had always been a person of order, but it was impossible for him to abide by the unspoken rules of society in everything he did. He had basically never been put at a disadvantage when it came to this, so he naturally did not care as much.
Right then, Ling Ran cared the most about increasing the probability of the patient surviving.
He possessed Perfect Level Barehanded Bleeding Control and more than two hundred times of lower limb anatomical dissection experience. Hence, he was confident enough to voice his thoughts.

Doctor Ling, what should we do now?
Associate Chief Physician Yao from the Orthopedics Department had put more thought into this, and he was stealthily trying to avert responsibility.
Some of the nurses, as well as the anesthetist, managed to read between the lines. They looked at Associate Chief Physician Yao in disdain but did not say anything.
Meanwhile, all the doctors from the Orthopedics Department lowered their heads in unison. They were a little embarrassed but did not dare to say anything about it.
The relationship between high-ranking doctors and their subordinates in the hospital was sometimes even more demanding than how things were like in the military. It was also a greater test. Those who were unable to pass the test would get kicked out sooner or later. It would be very hard for those doctors to survive in a large hospital like Yun Hua Hospital.
Associate Chief Physician Yao was a PhD holder who did his studies full time. He was young and capable, plus he had already become an associate chief physician in the Orthopedics Department even though he was not even forty years old yet. He also led a treatment group. He could be considered a young and successful doctor. No matter how he looked at things, he was unwilling to bear the responsibility that came with this surgery.
Now that Ling Ran was the one giving the orders, he had to bear full responsibility.
The attending physician from the Orthopedics Department was also young, and he could not help but lower his head. He was a little embarrassed by the fact that he so brazenly handed over the responsibility to Ling Ran just to avoid blame. He was also a little worried.

Make an incision on the abdominal wall.
Even though Ling Ran still had to take the ambulances that would be coming later into consideration, he quickly made an order. This meant that he had taken over the responsibility that came with this surgery.
Associate Chief Physician Yao from the Orthopedics Department did not hesitate. He grabbed a scalpel and was ready to make the incision.

Wait a moment,
Ling Ran said.
Associate Chief Physician Yao sighed internally. Had Ling Ran regained his senses and decided not to take on this responsibility?
However, this was not the case. Ling Ran said,
When the incision is made on the abdominal wall, a lot of blood would definitely flow out. Nurses, go and get more blood bags. Assistants, get two aspirators ready. As for the anesthetist, can you check the tube…? What’s going to happen next is that the moment the incision is made, I’ll immediately look for the bleeding point. Using the right forceps is very important in this case…

Ling Ran ordered the medical staff members around in detail. Like what Associate Chief Physician Yao was hoping, he had taken command of the situation.
After Ling Ran spoke, the nurses and assistants, as well as the anesthetists, started moving about in an orderly fashion. The operating theater suddenly looked spacious and orderly.
This was the kind of atmosphere that foreshadowed a successful surgery, and it naturally spread out in the operating theater.
Associate Chief Physician Yao could not help but look at Ling Ran, and he had a realization. ‘Yes. As long as this surgery is successful, he won’t have to deal with bearing the responsibility that comes with this surgery. But…’