Free Web NovelChapter 1096: Chapter 1096: Saving Both
"The patient is 29 years old, seven to eight weeks pregnant. Blood pressure 90/60, heart rate 110. There is an opening on the left side of the neck and a laceration on the head, bandaged on the scene with fluid replenishment."
Reported the rescuer pushing the patient down.
"Rescue room two, any underlying conditions? No accompanying personnel?" Liu Banxia asked.
"Is my baby okay?" The patient responded with a question.
"We’ve already called for an obstetrician. How did your neck get injured? I can still see some blood seeping out." Liu Banxia asked.
"I don’t know, it just hurt and then I fell, it hurts a lot now." The patient said.
"Come on, one, two, three, transfer to the bed." Liu Banxia called out.
"ECG monitor, replenish blood and fluids, the neck wound is bleeding quite a bit, call Director Chen. Quick blood test, cross-match, I’ll do a physical exam."
Through the stethoscope, the patient’s heart and lung sounds are passable, and upon hearing the baby’s heartbeat, Liu Banxia let out a long breath.
"Doctor, how’s the baby?" The patient asked.
"Currently stable, don’t worry, let us examine you properly." Liu Banxia softly comforted her.
"Director Liu, how is the baby’s condition?" Huang Ying was the first to arrive.
"Currently stable, but the patient’s vital signs aren’t looking good, there’s a wound on the neck." Liu Banxia said.
He then also revealed the gauze on the patient’s neck, although the bleeding isn’t particularly severe, no major blood vessels were hurt, yet the blood amount is considerable.
"The wound is very small, seems like some tiny object pierced it? Let’s get an X-ray first." Liu Banxia said after examining.
"No, no, doctor, you can’t do that." The patient became anxious.
As the patient’s emotions heightened, the neck wound’s bleeding increased.
"Don’t get excited, we’ll use a lead blanket over your abdomen, it won’t affect the baby." Liu Banxia reassured once more.
"The obstetrician has also arrived, and we can treat any situation immediately. Right now, your injury is the most important, the baby is okay." Hearing this, the patient’s emotions somewhat calmed.
Liu Banxia frowned.
The neck wound isn’t very large, but the situation is still worrisome.
This takes more effort than taking an X-ray for other trauma patients, needing proper shielding to protect the fetus.
After seeing the displayed image, everyone couldn’t help but take a sharp breath, deeply admiring Liu Banxia’s judgment—there’s a foreign object in the patient’s neck, very small, looking like metal.
The neck has lots of blood vessels, which is why thyroid surgeries are done with caution. Additionally, there are many major blood vessels in the neck, which could indeed sustain damage to some extent.
"Director Chen, we need you here." Liu Banxia looked towards the arriving Chen Xuehai.
Chen Xuehai nodded, "All blood taken? Directly to the operating room. Have the family members arrived yet?"
"Not yet, should Sister Huang accompany?" Liu Banxia asked.
"Yes, accompany. First, do an urgent CT, then hang a bag of blood." Chen Xuehai instructed.
"Doctor, using anesthesia won’t harm the baby, right?" The patient spoke again.
"Don’t worry, the effect is minimal. If you don’t remove the object from your neck, it won’t be good for the baby either." Liu Banxia reassured.
"And this object is very small, seems like a fragment. If we don’t handle it, it might later harm your blood vessels."
"Don’t worry, you’re in the hospital, and we have a team to serve you. Don’t worry about the baby, the obstetrics team will be on standby."
"But my belly hurts a bit." The patient’s expression became grim.
Upon hearing this, Huang Ying hurriedly approached to examine her.
"What do we do? The patient’s bleeding increases when she’s in pain." Chen Xuehai whispered.
"Let’s see Sister Huang’s examination results." Liu Banxia whispered back.
Both knew that if the patient were to deliver now, it would be extremely dangerous—not just for the baby, but also for the patient.
The baby isn’t full-term, needing a lung maturation shot. Although survival rates are high, they aren’t like full-term infants.
Furthermore, the patient’s situation—her neck wound’s bleeding increases with her pain. When her neck muscles contract, it might make the foreign object cut the blood vessels.
"Teacher Liu, blood oxygen is at 96." Liu Yiqing shouted.
"Push to the operating room, delivery has begun. How do we control the patient’s bleeding?" Huang Ying, after checking, asked.
"Baby, baby, save the baby." The patient shouted.
Liu Banxia also turned to look at Chen Xuehai.
He is the deputy director in charge of operations; Zhou Shuwen hasn’t returned from the meeting, so he’s directing the scene here.
"Intubate to protect the airway, push to the operating room for a cesarean section first, administer some sedatives to prevent the foreign body from injuring the blood vessels," Chen Xuehai said gravely.
The patient’s family isn’t present, so he has to make the decision. It’s also risky, the key is to see what the situation with the foreign body is.
This is the daily routine at the emergency center, only today this routine involves choosing whether to prioritize the mother or the child, and Chen Xuehai chooses both.
The child is in labor, if we don’t hurry, the child won’t have a chance. It’s a gamble now, gambling that the foreign body won’t harm the major blood vessels in the patient’s neck.
Otherwise, the adult might not survive, and even in the hospital, rescue might not be successful.
After Liu Yiqing finished intubating the patient, everyone rushed her to the operating room without any pause. Everyone knows it’s a race against time; the faster the cesarean is performed, the higher the patient’s survival rate.
"President Qi, I’m still a bit uneasy, I’m going over there to take a look. Call me if anything comes up, and urge the patient’s family to hurry and come over," Liu Banxia said.
Qi Wentai nodded, "You go ahead, we’ve got things covered here."
Even though Chen Xuehai and Huang Ying are the lead surgeons, what if? What if there’s a situation where Liu Banxia is needed?
He’s still very skilled in stopping bleeding, with such a small foreign object, if a blood vessel is indeed cut, perhaps in a critical moment, Liu Banxia could seal it.
"It’s been a long time since I’ve felt this tense," Chen Xuehai said while scrubbing.
"I’ll do my best to deliver the child, Director Liu, be my first assistant. Director Chen, keep an eye on the patient’s neck and be ready to adapt," Huang Ying said.
"I thought I could have a quiet day, but now I feel the situation is better than expected. The patient’s bleeding isn’t too severe; perhaps a hematoma is affecting the breathing," Liu Banxia said.
"That’s why it’s dangerous, I’m afraid the blood vessel might already be injured," Chen Xuehai said with a bitter smile.
"It’s been a long time since I’ve faced such a decision, it’s really tough to make. Next time, Director Liu should make the decision, I almost froze,"
"It’s the same for everyone; such decisions are hard for anybody, let’s give our best effort," Liu Banxia reassured.
"If, hypothetically, the patient’s blood vessel ruptures, there would certainly be a massive hemorrhage. At that time, it will depend on you. Do you think I should also operate during the cesarean?"
"I’m worried about greater risks, and we still don’t know the situation with the cesarean. If the bleeding is severe, I’m afraid transfusions won’t suffice," Huang Ying said.
"Alright, let’s follow what Sister Huang just said. Director Liu should be more flexible, so we can handle it comprehensively. What’s your assessment of the object in her neck?" Chen Xuehai asked.
Liu Banxia shook his head, "I can’t judge it well, but it’s not very large. I’m really curious how this thing jumped into the patient’s neck."
No one else could provide an answer to this question, only after the surgery would they find out what it actually was.
After scrubbing, they donned gowns and stepped onto the stage. The patient was already prepared by the operating room staff, and Huang Ying wasted no time, proceeding directly with the cesarean section.
"The patient’s vital signs are stable at the moment; although the blood pressure isn’t very high, she’s holding up," Wang Lei said.
"There’s a bit of hemorrhage; the abdominal cavity might have been affected during the fall. Increase the blood and fluid replenishment, what’s the situation with the neck?" Huang Ying asked.
"It’s manageable for now; the bleeding has intensified slightly, but you can see a hematoma protruding from the neck. Let’s increase our efforts," Chen Xuehai said.
Now the problem becomes more severe; the hematoma might rupture at any moment, but for now, they can only watch.
"Director Liu, push."
After fully opening, Huang Ying reached in and supported the baby.
Liu Banxia also didn’t hesitate, carefully feeling the position of the fetus, and gently pushed.
The baby was delivered; it’s a boy, but not in good condition, the skin cyanotic, without breathing.
"Immediate intubation, connect the ventilator," Huang Ying’s volume increased.
No waiting for nurses to act, Huang Ying directly performed the procedure after shouting, while the nurses began to connect the monitor to the baby.
Once intubation succeeded, the monitor finally showed the baby’s vital signs, lightening the atmosphere somewhat.
The recent efforts were not in vain, at least currently it’s successful.
"I’ll handle the baby; Director Liu, take care of the rest," Huang Ying said.
Liu Banxia nodded; premature birth has significant impact, and this baby will likely need to be on a ventilator in an incubator for a while.
Chen Xuehai wasn’t idle either, this is the second task of the surgery.
"Thankfully, the hemorrhage isn’t severe, and the hematoma isn’t large," after cutting the neck skin, Chen Xuehai carefully observed.
However, as he slowly freed the blood vessel, his brows furrowed deeper.
Liu Banxia, assisting beside him, showed the same expression.
The X-ray taken in the resuscitation room was displayed nearby, normally in this position, the foreign object should have been found by now, but nothing is visible.
A foreign object can’t vanish into thin air; where has the object gone?
Sweat started to appear on Chen Xuehai’s forehead, as he considered a terrifying possibility.
