Chapter 405 - 251: No One Would Refuse a Superpower
Chapter 405: Chapter 251: No One Would Refuse a Superpower
After Director Shen, Director Shao, and Director Zhou arrived in the resuscitation room,
Director Shao impatiently rushed forward.
"Xiao Yan, has the echocardiogram been done? What’s the patient’s current condition?"
"The cardiac monitor, the defibrillator—how are the preparations coming along?"
Director Shao was quite experienced with pericardial injuries, especially those from stab wounds.
Pericardial injuries can be divided into pleuropericardial and phrenopericardial injuries, both of which can cause acute cardiac tamponade.
When conditions permitted, a preoperative echocardiogram was always required. It helps determine the site of injury, as well as the needle’s insertion angle and depth.
It also measured the distance from the puncture site to the pericardium, which determined the needle depth. A surgeon would only dare to perform a blind procedure without imaging in an extreme emergency, and only if they were exceptionally experienced. They would have to rely solely on their own expertise and intimate knowledge of cardiac anatomy to perform the puncture.
As for needle depth, it could only be judged by the tactile feedback, the faint impact of the heartbeat against the needle tip, and finally confirmed by the successful aspiration of pericardial fluid.
But this blind procedure was incredibly difficult. Even Director Shao wouldn’t dare attempt it unless the situation was dire.
In response to Director Shao’s questions, Dr. Qian simply shook his head.
Seeing Dr. Qian shake his head, and realizing that neither the echocardiogram nor the pericardiocentesis equipment had been prepared, Director Shao’s temper flared.
"What about the emergency pericardiocentesis kit? It’s not ready?"
Director Shao looked over at the scrub nurse, who looked back with an innocent expression:
"Dr. Qian didn’t order it!"
Director Shao was, after all, from Cardiothoracic Surgery, so it wasn’t his place to lose his temper. Instead, he shot a look of displeasure at Shen Guofeng. ’I really don’t know how the emergency department trains its people these days.’
’For cardiac tamponade, you immediately perform a Pericardiocentesis. You prepare a preoperative echocardiogram to determine the insertion site and depth. That’s basic procedure, isn’t it?’
’Besides, is it really that hard for the emergency department to keep pericardiocentesis kits in stock?’
Seeing Director Shao was about to lose it, Dr. Qian immediately explained:
"Director Shao, it’s a misunderstanding. We already performed a pericardiocentesis on the patient in the ambulance. The cardiac tamponade has been relieved."
At that moment, Wu Ting submitted the collected fluid specimen and wrote orders for the subsequent vascular repair.
With his perfect vascular Suturing Skill, Wu Ting could still play a major role in this emergency.
Shao Yuqiao and Shen Guofeng were a little surprised to see Wu Ting.
"I happened to be eating on the food street and ran into Dr. Qian, so I joined the emergency call. In the ambulance, I saw the patient’s condition was too poor to wait until we reached the resuscitation room, so I performed a blind pericardiocentesis!"
Wu Ting explained calmly.
"Dr. Wu even improvised a pericardiocentesis kit on the spot using supplies from our medical bag. And he managed to fully record the volume of fluid and preserve the specimen," Dr. Qian added.
Hearing the two young doctors’ accounts, the three directors listened with a mixture of surprise and astonishment.
Shao Yuqiao and Shen Guofeng both stepped forward to examine the patient. His vitals on the monitor—heart rhythm, blood pressure, and so on—had indeed stabilized.
"To improvise a pericardiocentesis kit in the ambulance on the way from the food street, and to calmly record the fluid volume and preserve the specimen bag... You’d be hard-pressed to find even a few doctors in the entire Emergency or Cardiothoracic Surgery departments at Haijin Port who could do that!"
’Even I wouldn’t dare to attempt that so lightly. The crucial part was that Wu Ting nailed it in one go—a successful puncture on the first attempt, immediately aspirating the fluid.’
Such proficiency, such control.
’He really is a clinical genius!’
’A genius in the field of emergency medicine!’
With the stable foundation Wu Ting had established, the three directors began the subsequent procedures: repairing the blood vessels and other damaged internal organs.
With Shen Guofeng and the other two directors taking charge, Wu Ting and Dr. Qian stepped back, yielding their positions.
’I have to admit, the top surgeons at Haijin Port are in a completely different league from the ones at City First Hospital.’
’Even with all my skills from the system, my overall competence is still miles behind these three top-tier doctors from Jin Province.’
’My advantage only lies in specific Surgical Techniques and a few innovative approaches. I still have so much to learn!’
An hour later, the patient’s condition finally stabilized.
Physical exam: Temperature 36.5°C, pulse 75/min, respiration 18/min, blood pressure 110/65 mmHg.
Jugular veins not significantly distended, hepatojugular reflux negative, pulsus paradoxus negative, heart rate 75/min, heart sounds strong!
He would only need another two weeks of recovery before he could be discharged.
As soon as the surgery was over, the female professor rushed to the hospital room to be with her student.
[Ding! Congratulations, Host, on completing a blind Pericardiocentesis and earning widespread acclaim. You have gained the respect of the senior directors at Haijin Port Hospital on multiple fronts. Reward Acquired: The Entry from Shao Yuqiao: Pericardial Hernia Diagnosis and Treatment (Purple). This contains Director Shao’s years of experience in the diagnosis and treatment of pericardial hernias, including both pericardial hernias and intrapericardial diaphragmatic hernias.]
[Note: Pericardial Hernia: Dislocation of the heart and herniation into the pleural cavity.]
[Note: Intrapericardial Diaphragmatic Hernia: When a phrenopericardial laceration occurs, abdominal organs herniate into the pericardial sac.]
[Reward Acquired: General Surgery Director Zhou Bo’s Entry: Gastrointestinal Perforation Repair (Purple). Gastrointestinal perforation is a relatively common surgical emergency (acute abdomen), with severe consequences if not treated promptly. You have gained Director Zhou’s decades of expertise in gastrointestinal perforation repair techniques.]
Seeing these two new skills, Wu Ting was ecstatic. ’The top surgeons at Haijin Port Hospital are no joke! Just like that, I’ve gained new subspecialty skills in surgery.’