Chapter 239 - 238: Emergency Blood Transfusion

Chapter 239: Chapter 238: Emergency Blood Transfusion

At 1:25 in the morning, Yan Feifan walked out of the surgical area’s isolation doors, and a group of seven or eight people immediately swarmed him.

Yan Feifan also noticed someone shouldering a camera and filming, and his gaze fell upon Xiao Man, who was standing outside the crowd.

’Is an accident like this even newsworthy?’

Finding it a bit strange, Yan Feifan began to brief the patient’s family members gathered around him on the surgery.

"The patient’s left hand has been reattached. The radial fracture in her right arm, the laceration on her left leg, and several other minor wounds have all been properly treated."

"Currently, the patient’s vital signs are stable..."

"Doctor, does my daughter need to go to the ICU?"

Yan Feifan looked at the middle-aged man who had interrupted him and said simply and directly, "In her current condition, your daughter does not need to be in the ICU."

The man insisted, "Doctor, I think it would be safer for my daughter to be in the ICU."

"Her hand was completely severed, and she has a fracture and several other injuries."

"Aren’t these injuries serious enough?"

"What if she gets an infection? That would be a disaster."

"My daughter must be under intensive monitoring."

Yan Feifan explained patiently, "The ICU isn’t a place you can just enter at will. There are specific criteria for admitting patients."

"For instance, a patient might have failing organ functions involving the respiratory, circulatory, digestive, coagulation, or nervous systems."

"Patients who have undergone major cardiac, pulmonary, abdominal, or neurosurgical procedures may also be admitted if there’s a risk of complications that could threaten organ function or their life, either before or after surgery."

"Your daughter is no longer in life-threatening danger, so there’s no need to spend money unnecessarily on the ICU."

With the ICU costing a minimum of eight thousand a day, Yan Feifan felt he was being very considerate of the family’s finances.

"Doctor, we’re not afraid of the cost! Put my daughter in the ICU!"

The man’s persistence annoyed Yan Feifan.

’How can someone be so ungrateful?’

He said coolly, "The ICU isn’t a place you can get into just by asking. It needs to be reserved for the patients who need it most."

Just then, in his peripheral vision, Yan Feifan saw Dr. Chen Yu emerge from the stairwell, accompanying a middle-aged woman.

At the same time, a young man in a conspicuous racing suit standing outside the circle of people also caught Yan Feifan’s eye.

Yan Feifan pointed to the young man and asked, "Are you feeling unwell?"

The young man’s face was terrifyingly pale, like a sheet of white paper, completely drained of color.

A condition like his was usually caused by either excessive blood loss or extreme panic and fear.

A muscle in the young man’s face twitched. In a very weak voice, he said, "Doctor, my abdomen hurts a little..."

As he said this, his body began to sway.

Seeing that something was wrong, Yan Feifan pushed through the people in front of him, rushed to the young man’s side, and helped him lie flat on the ground.

Just then, Chen Yu also hurried over.

"Feifan, what’s wrong with him?"

Yan Feifan palpated the young man’s abdomen a few times, his expression darkening. "Massive abdominal bleeding. Hemorrhagic shock."

The moment Chen Yu heard this, she became anxious.

"Quick, get him to an operating room! We need to save him!"

Without even stopping to call for a gurney, she and Yan Feifan each grabbed the young man’s shoulders and legs.

With a heave, the two of them lifted the young man and rushed into the surgical area just a few steps away.

As soon as they passed through the isolation doors marked "Family Not Permitted," Chen Yu shouted loudly.

"Anyone not on an urgent task, get out here now!"

In response to her piercing voice, five people ran out from the three lit operating rooms.

Among them were Zhang Yunshan, the circulating nurse, and the anesthesiologist who had just assisted Yan Feifan in his surgery.

Under Chen Yu’s direction, the group worked together to carry the young man in the racing suit into an empty operating room, and everyone began their tasks in a tense but orderly fashion.

Someone drew a blood sample for an emergency cross-match.

Someone else wheeled over a portable CT scanner to perform a scan on the young man.

At the same time, they initiated an emergency blood transfusion, bringing over the O-type packed red blood cells stored in the surgical area.

This was an emergency protocol.

Because the patient was in hemorrhagic shock, his life would be in grave danger if his blood volume wasn’t replenished immediately.

Without knowing the patient’s blood type, the only option was to administer O-type blood as an emergency measure.

This kind of transfusion was only for emergencies.

Although O-type blood can be given to anyone, a rapid, large-volume transfusion of a mismatched blood type carries a significant risk of adverse reactions, such as coagulation, which could have serious consequences.

While Zhang Yunshan and the others were busy with the young man, Chen Yu and Yan Feifan were already in the surgical scrub area, disinfecting their hands in preparation for the upcoming emergency surgery.

"Director, didn’t you have a drink?" Yan Feifan reminded her.

Chen Yu glared at him and snapped, "It’s been four hours. The little bit of alcohol I had has long since been metabolized."

Yan Feifan said in a low voice, "According to hospital regulations, you’re not allowed to enter an operating theater within six hours of drinking alcohol."

He added, "Under normal circumstances, it takes ten to twelve hours for the body to metabolize most of the alcohol.

"Complete metabolization takes twenty-four hours."

Chen Yu glared at Yan Feifan again, saying with displeasure, "I’m well aware of that, more so than you."

"However, I know my own body better. I am perfectly sober and completely capable of performing surgery."

Yan Feifan suggested, "Director, let me do it."

"The patient has abdominal bleeding. When I was an intern in general surgery, I performed plenty of minor abdominal procedures."

"And during that one disaster relief effort for the earthquake, I witnessed all kinds of injuries to abdominal organs."

"Besides, I have a detailed understanding of human anatomy..."

Yan Feifan met Chen Yu’s gaze and said, "Director, I can do this. Please, trust me."

Chen Yu was silent for a moment, then said slowly, "This kid’s name is We Qing. He’s the one who was riding his motorcycle at high speed and caused Jiaojiao’s accident."

"Four hours ago, when I saw him, I told him to go to the first-floor lobby to get checked out."

"He said it was just some scrapes and that he wanted to wait for Jiaojiao to get out of surgery."

"I saw that his speech, complexion, and gaze were all normal, so I didn’t think much of it."

"And now, he has internal abdominal bleeding to the point of shock..."

Yan Feifan said softly, "With this type of internal organ injury, it’s very difficult for us to diagnose by visual inspection if the patient isn’t showing clear symptoms."

"Director, you don’t need to blame yourself."

He emphasized, "Director, the fact that he held on for four or five hours means the source of the internal bleeding isn’t that large."

"I think I can handle it."

Chen Yu took a deep breath and nodded slightly. "You’ve always brought us surprises and never once let us down."

"This time, I’ll trust you too."

"You’ll take the lead..."

Nearly ten minutes later, fully prepped for the procedure, Chen Yu and Yan Feifan returned to the operating room.

"What’s his status?"

"Teacher, his blood pressure has recovered to 100 over 70, and his heart rate is 110."

Zhang Yunshan reported, "The CT scan shows the hematoma is concentrated in the abdominal cavity. No other significant injuries or bleeding were found in other areas."

"We have twenty units of A-type plasma ready. We’ve already opened two IV lines for rapid transfusion."

Chen Yu nodded. "Open another IV line as a backup."

Seeing Yan Feifan take the chief surgeon’s position at the operating table, Zhang Yunshan’s eyelid twitched. He suggested, "Teacher, the patient’s condition doesn’t seem quite as critical anymore."

"Should we call the general surgeon on duty?"

Chen Yu shot him a sideways glance. "If they send an attending from their department over, will he be as skilled as I am?"

"What are you afraid of when I’m here?"

Zhang Yunshan immediately fell silent.

At that moment, Yan Feifan had already picked up the scalpel.

He made the incision.

Blood from the patient’s lower abdomen gushed out like a fountain, spraying all over Yan Feifan...