I'm just a veterinarian! You've unlocked the Great Physician System!

"?"

What was that sound?

"What's going on??"

After all, it's a provincial television station.

Aside from things related to childbirth that cannot be photographed, many other things can still be photographed.

After all, this program is meant to be authentic, and patients' privacy certainly cannot be violated casually.

However, some of the inherent scenarios in hospitals and the conversations between doctors are actually fine.

Even when privacy is involved, the TV station has a dedicated team to handle it.

So when Zhao Lingyun ran over, Sun Peng from the provincial TV station filmed her.

Yes.

Previously, Huang Xiaoqiao and her group were only in the preparatory group.

The actual filming was done by Sun Peng.

So when Li Tinglan and Dr. Zhao Wan took a taxi to the hospital, the camera switched to Sun Peng's side.

The footage showed the two of them running inside.

That sense of tension.

The camera work makes it seem as if everyone is involved in saving Li Xiaoxiao's life during childbirth.

"As a doctor, I feel something must have happened!"

"Yes, my intuition tells me that under normal circumstances, my senior sister would never rush over like this, and did you notice that Dr. Ogawa isn't here either!"

Because in the live stream room.

Zhang Lingchuan calls Zhao Lingyun "senior sister".

Some netizens also started calling her "senior sister" just like Zhang Lingchuan.

After all, it's just a name, nothing special.

Some netizens even directly call Director Li Tinglan "Sister Lan".

"Holy crap?"

"It's true! Dr. Ogawa still hasn't come out!"

"Our live stream has been filming the whole time, and we all know best whether Dr. Xiao Chuan has eaten or not. Normally, you should eat after surgery because you're really hungry, but we've noticed that Zhang Lingchuan still hasn't come out!"

"Why do I feel like the King of Hell hasn't left yet...?"

"I think the King of Hell is definitely going to make a name for himself this time, and give Veterinarian Zhang a good slap in the face!"

A sense of foreboding.

The viewers all felt the same way.

After watching multiple live streams, the scene appeared very abnormal.

"What's wrong, Xiaoyun? Why are you in such a panic? Hasn't Xiaochuan come out yet?"

Li Tinglan asked with a puzzled expression.

Zhao Wan was also surprised.

Xiao Chuan was waiting for his senior sister, so why did she come out first while he hadn't?

"Amniotic fluid embolism! The mother has experienced amniotic fluid embolism!!!"

Zhao Lingyun shouted directly.

"Ah! Amniotic fluid embolism! Holy crap—"

Li Tinglan panicked!

He sprinted towards the operating room like a rocket!

"my God!!"

crazy!

Dr. Zhao Wan has also gone mad.

Even without eating, they ran with all their might!

The distance from the operating room door to the operating table is only 100 meters, but at this moment it's like a progress bar for life, representing speed and survival rate.

At this moment, at the Provincial People's Hospital!

"Amniotic fluid embolism!!"

Sun Jianguo's pupils constricted!
"Quickly! Contact the blood bank and prepare as much blood as you have! Get a vehicle ready and send it to the First Affiliated Hospital of Chongqing Medical University immediately!!"

Then he directly addressed the arrangements.

If it's amniotic fluid embolism, not only the provincial hospital, but the entire city should lend a hand!

Once they survive.

This is big news for the entire academic community.

"Xuelan! Did you watch the live stream?"

Huang Xiangning quickly picked up the phone.

He fired at Xia Xuelan.

Because Xiaochuan is my student, I watch his live streams whenever I have time.

Furthermore, he doesn't broadcast live very often.

I only log on occasionally, and it doesn't bother me to check it out after finishing my work.

It's still uncertain whether it's amniotic fluid embolism.

If that's true, then experts like Xue Lan definitely need to go and provide support.

"I'm watching, I'm waiting for a call!"

"What are you waiting for? Get out here right now! We're going to the First Affiliated Hospital of Jilin University together!"

Huang Xiangning is an emergency medical expert, although she is not an obstetrician.

But she is skilled in CPR, which can be helpful in critical situations.

Because of amniotic fluid embolism, either the patient will die within an hour if they cannot be saved, or if they are saved, it will take a bloody battle of ten or twenty hours!
"it is good!"

Xia Xuelan didn't say much.

Let's set off immediately.

It takes about ten minutes to get to the affiliated hospital from here.

Amniotic fluid embolism is extremely dangerous.

At the same time, the Blood Transfusion Department of the First Affiliated Hospital of Peking University.

"Phew—that woman in labor was in real danger, losing over 5,000 milliliters of blood. In the end, Dr. Xiaochuan and Director Li managed to save her uterus! They're amazing!"

A doctor said, sounding both tired and somewhat sentimental.

Be someone else.

Let alone the fact that the uterus is definitely not going to be saved, the situation is extremely dangerous for both the child and the adult.

"Stop talking! The head doctor was just complaining to us that Dr. Xiaochuan is performing so many surgeries today that our blood bank is about to be emptied!"

Another doctor on duty chimed in.

A report is required for normal blood use.

However, pregnant women in obstetrics and gynecology departments do not need to use blood.

Send as many as you can.

There's no need to wait for approval at all.

Because in the hospital, the obstetrics and gynecology department is truly VVVVVVVIP.

Of course, it's not their fault.

The state has very strict requirements regarding the death of pregnant women.

According to their regulations, each city has a quota of one or two maternal deaths per year.

This limit means that no matter what, you can't die on the operating table.

They must save him on the operating table!
Otherwise, everyone involved in the line, from the director and deputy director to the doctors, nurses, and midwives, would have to go through a lot of hardship.

The blood transfusion department is a key support department.

We must provide the greatest possible support.

From this morning until now, their blood transfusion department has been completely drained by Dr. Xiao Chuan and Director Li Tinglan's team!
"What are you babbling about? Come on, have some coffee!"

Just at this time.

A man with a receding hairline and wearing dark glasses walked over.

He was carrying several cups of Luckin Coffee.

"Thank you, Director. We were just talking about Dr. Xiao Chuan. Our blood transfusion department's blood bank is almost empty."

This is Zhou Chi, the director of the blood transfusion department.

"Oh, him? He's off work, he's off work. I'm off work too... It's the same every day!"

When Zhou Chi heard that Zhang Lingchuan was being mentioned, he immediately shrugged.

"Have a nice day off, sir! Thanks for the coffee!"

The blood transfusion department is mainly responsible for the hospital's clinical blood use planning application, blood storage, blood matching and distribution, technical guidance and implementation of scientific and rational blood use measures, and in reality, there are not many people in it.

Because there were so few people, everyone knew each other very well.

The director was also very kind to them.

If he's around, he often orders coffee for everyone on the night shift.

Although the coffee wasn't expensive, it didn't cost much, but it was a real treat to have the coffee the director ordered!
"it's okay no problem."

Zhou Chi waved his hand.

Then I walked to the elevator.

I pressed the down elevator button.

Because the blood transfusion department is on the fourth floor.

When you get home, you'll definitely need to press the elevator button.

"Holy crap, teacher—"

Suddenly a nurse shouted!
Everyone looked up.

Even Zhou Chi, who was about to get off the elevator, frowned.

As everyone could see, the nurse was holding a cell phone, and her expression was one of unprecedented shock!
Amniotic fluid embolism!!!

The next moment.

Zhou Chi and his group were about to speak.

After all, it's past 9 pm, is it appropriate for you to yell "Holy crap!" like that?

This is clearly inappropriate!

However, the four words that came out of her mouth the next instant made everyone present tense up.

"Ding--"

The elevator doors opened.

"Who did you say had amniotic fluid embolism?! Who?! Who?! Don't tell me it was Li Xiaoxiao!!!"

Zhou Chi did not go in.

Instead, they shouted excitedly.

It shouldn't be Li Xiaoxiao.

It would explode if it were Li Xiaoxiao!!
"It's Li Xiaoxiao. In the live stream, Zhao Lingyun came over and said she had amniotic fluid embolism. Director Li and Dr. Zhao Wan have already rushed over!"

The nurse said.

"Clang-"

The elevator doors closed.

Zhou Chi's head slammed against the wall.

Department of Anesthesiology.

"Director, I'm completely exhausted for today. I'm never doing surgeries with Dr. Xiaochuan again. He's a fucking freak!!"

Ma Lin slumped in the chair.

Yes.

Starting this morning.

Guo Fei, the critically ill patient with eclampsia, hypertension, and advanced maternal age, worked from morning until afternoon. She also worked until 999 pm on a cesarean section for pelvic adhesions. Just now, she had another case of placental abruption.

Actually, the man who had placental abruption was about to leave work.

The result requires an experienced anesthesiologist.

He had to rush up there.

Fortunately, the surgery is now complete. The head doctor happens to be here too, and he's complaining to him.

It has truly burned out.

"Haha~, now we can go back first."

Xu Wei, the director of the anesthesiology department, smiled.

"Let's go back, let's go back! We don't care if the sky falls or not!"

Ma Lin nodded.

However, the next second, an anesthesiology nurse pointed to the live broadcast and said, "Li Xiaoxiao in operating room number 1 has amniotic fluid embolism!"
"Holy shit—, this is fucking amazing—"

Ma Lin, who was just about to go home, was startled by this cry of "amniotic fluid embolism," and her soul seemed to leave her body.

He ran straight to the operating room.

Amniotic fluid embolism seems to be a gynecological issue.

But in reality, anesthesiologists play an extremely important role in emergency treatment.

This isn't him trying to inflate his own value; it's clearly stated in the Expert Consensus on Clinical Diagnosis and Management of Amniotic Fluid Embolism (2018 version).

1. Amniotic fluid embolism is a clinical diagnosis.

2. It is recommended that a multidisciplinary team be involved in the rescue and treatment, especially experienced anesthesiologists.

3. High-quality cardiopulmonary resuscitation is of utmost importance. Initial treatment mainly involves assisted breathing and vasopressors to strengthen the heart; excessive fluid administration should be avoided.

4. Use drugs such as prostacyclin and sildenafil to relieve pulmonary hypertension, or administer papaverine.

5. Based on clinical trial experience, early use of high-dose glucocorticoids may be valuable.

It is clearly stated above that an experienced anesthesiologist was involved in the rescue.

Some papers also provide conclusions regarding the successful rescue of amniotic fluid embolism.

Amniotic fluid embolism is rare, dangerous, and difficult to prevent. Rapid diagnosis and treatment, especially the timely arrival of an experienced anesthesiologist for life support, are key to improving the outcomes for pregnant women and mothers.

The hospital made this clear during the meeting.

That's why he runs so fast.

Operating room number 1 was the operating room he was just in.

This is Li Xiaoxiao, the patient he was in charge of.

Don't do it!

The person who was just pulled back from the brink of death after being burned out is now being told that he has amniotic fluid embolism!

You're killing him!
Come back home?

Go home my ass!
Today, either she'll fail to recover and end up lying down, or she'll collapse from exhaustion and end up lying down too!
"Oops!!"

Xu Wei stopped laughing!

He immediately followed and ran to the operating room.

"Xiao Chuan, what's the patient's condition now?"

At that moment, Li Tinglan and Zhao Wan rushed into the operating room and began to question them.

"Sister Lan, the patient experienced a drop in blood pressure and blood oxygen saturation after delivery, suggesting amniotic fluid embolism. Currently, her blood oxygen saturation is 78%, blood pressure is 80/42 mmHg, and heart rate is 140 beats/min. She has been given 40 mg of dexamethasone intravenously. Vaginal bleeding has started to increase, amounting to approximately 1000 ml!"

Zhang Lingchuan answered immediately.

"Dr. Zhong, the patient suddenly experienced difficulty breathing, decreased blood pressure and blood oxygen levels, and increased vaginal bleeding after natural childbirth. Amniotic fluid embolism is highly suspected. You go and explain the condition to the patient's family. Xiaoyun, make a record and observe all vital signs and test results. Continue the resuscitation. Administer 40mg of methylprednisolone in 100ml of normal saline intravenously, and 60mg of papaverine in 100ml of 5% glucose intravenously."

Li Tinglan's breathing became rapid.

"understand!"

Zhong Lin immediately accepted the order.

Then quickly go out to find the family members and explain the situation.

And sign it.

outside.

"Squeak—"

The operating room doors opened.

"Doctor! What happened?! What's wrong with my wife?! Didn't you say the surgery was successful?!"

Ding Zhenyu's mind was buzzing.

"Family member, the patient's blood pressure and blood oxygen levels are currently low, heart rate is soaring, and respiratory failure is suspected. Amniotic fluid embolism is highly suspected, which is an obstetric symptom with an extremely high mortality rate. The hospital is currently conducting a hospital-wide emergency treatment. Leaders and experts at all levels are present. To prevent further massive bleeding, a hysterectomy is now necessary to prevent further bleeding from the uterus, cut off the source of bleeding, and also prevent amniotic fluid from seeping into the whole body through the blood vessels of the uterus. We hope you can sign this document."

Zhong Lin explained to the family.

"Sheep, amniotic fluid embolism..."

Ding Zhenyu's hands were trembling.

He had browsed the news.

There was once a very wealthy e-commerce tycoon whose sister died from a sudden amniotic fluid embolism.

In other words, no amount of money will help in this situation.

"Doctor! Please do everything you can to save him! I beg you! I'll do anything to save him!!"

The child just saw it.

In the incubator.

They need to be sent to the pediatric ICU.

My wife had just said everything was fine when the amniotic fluid embolism occurred.

"Doctor! You must save my daughter! She's only twenty-three years old!!"

Zhou Liqiong was also in tears.

Why would someone come to the hospital to give birth when they're perfectly healthy?

It suddenly turned out like this.

Her husband is still on his way.

He hasn't even seen his daughter yet!
"Don't worry, we will do our best to save him/her, and we will keep you informed of any changes."

Zhong Lin left.

In the operating room.

“甲强龙40mg加生理盐水100ml静滴，罂粟碱60mg加5%糖100ml静滴。”

The emergency team nurses repeated the instructions and began to verify the medication.

The situation was urgent during the rescue.

However, the necessary medication verification should also be carried out.

Because they are already in the process of emergency treatment, if the medication is given incorrectly, their life will truly be hanging by a thread.

"Low molecular weight heparin 5000u subcutaneous injection!"

The drops are complete.

Li Tinglan said.

The nurse in charge quickly began administering the subcutaneous injection.

"Prepare 4 vials of fibrinogen and 2 vials of prothrombin complex concentrate for later use!"

Li Tinglan said to Nurse No. 2.

"understand!"

Nurse Number Two accepted the order.

"Xiaoyun, prepare blood: 4 units of suspended red blood cells, 400 ml of fresh frozen plasma, 10 units of platelets, and 10 units of cryoprecipitate. Inform them that this is an emergency rescue and blood needs to be prepared immediately!"

Li Tinglan looked at Zhao Lingyun.

"understand!"

Zhao Lingyun was very anxious.

But the person's speed was also very fast.

The time available for saving someone from amniotic fluid embolism is measured in seconds.

"Teacher Zhao, please notify the blood transfusion department and inform them that there is an emergency and blood needs to be prepared immediately! Also, notify the hospital director, medical affairs department, anesthesiology department, and contact the ECMO team, cardiology department, neurology department, ICU, general surgery department, cardiothoracic surgery department, ultrasound diagnostics department, and other relevant departments to assist in the rescue!!"

Li Tinglan is, after all, the director of the obstetrics and gynecology department.

I also have experience in rescuing amniotic fluid embolism.

In all her years of professional experience, she has encountered a total of four such cases.

Both cases disappeared within half an hour; there was simply no time to react.

Both cases were successfully rescued.

One case involved her and teacher Qiu Yinghe, who worked tirelessly for seven hours, using 30,000 milliliters of blood, and successfully saved her life, but she suffered aftereffects and became a vegetable.

Why did this patient leave such a deep impression on her?

Firstly, despite all the efforts to save him, he ended up in a vegetative state.

Secondly, after the mothers became vegetative, they originally thought they would be abandoned by their husbands' families or something else. However, they did not expect that their husbands would be so loyal and affectionate, and would make it clear that since their wives had given birth to two children for them, they would definitely take care of them to the end now that they were in a vegetative state.

Later, he actually put it into practice.

He continued to pay for his wife's subsequent treatment and rehabilitation expenses.

She is still alive, her two children are adults, and her husband is still unmarried.

So she was very impressed.

Some might think that her career is already very impressive.

After all, besides the case of the person in a vegetative state, they also successfully rescued a patient with amniotic fluid embolism.

Unfortunately, many cases of amniotic fluid embolism are misdiagnosed or are just symptoms that look similar.

In the capital, there is an official organization that reviews cases of amniotic fluid embolism. 90% of the initial diagnoses of amniotic fluid embolism are ruled out, including their initial case.

Because at the time, there was a key factor: the use of adrenaline helped maintain blood pressure, which is normally difficult to maintain. Adrenaline also has a significant effect on allergies.

Perhaps some people have already said that.

Blood pressure contains amniotic fluid components; doesn't that prove something?

No!

There are also cases in clinical practice where the amniotic fluid composition in the blood is normal during a cesarean section!

That case was identified by official authorities as HELLP combined with anaphylactic shock.

In fact, more than 90% of the cases reported so far that were saved were not actually amniotic fluid embolism.

A true amniotic fluid embolism is like a torrent of mudslides!
Like a mountain range, it collapsed in an instant!
Or like an avalanche, burying everything in an instant!
To be honest, she felt that oppressive feeling, like an avalanche or a mudslide, all over again!
Can another miracle be created?

She has absolutely no confidence now.

However, judging from the current situation, the uterus that was just saved is definitely beyond saving now.

"Xiaochuan! His heart has stopped! Start CPR immediately!!"

quickly!

Really fast.

It's only been a minute.

"understand!"

Zhang Lingchuan quickly performed CPR.

A 10% success rate is too low!
Is there any way to increase the success rate?

What's it like inside the system?

"Director! The patient is cyanotic! He's bleeding all over his body, especially from below!!"

Before Zhang Lingchuan could even think, the nurse in charge shouted at the same time.

These are typical symptoms of amniotic fluid embolism.

"Xiaochuan, continue resuscitation. I will immediately perform a hysterectomy to control the bleeding as much as possible and stop the coagulation disorder. At the same time, I will continue to administer emergency pressurized blood products and fluids to the patient!"

Li Tinglan was in charge of the procedure.

"Deputy Director Ma Lin and Director Xu Wei of the Anesthesiology Department are on their way!"

Dr. Zhao Wan is busy.

……

"Hello! This is the blood transfusion department! Okay! We are already preparing blood and actively contacting blood banks throughout the city to send blood over as soon as possible."

Zhou Chi, who was preparing to leave work, found himself unable to do so.

……

"What! Amniotic fluid embolism! Dr. Zhao! You must spare no effort, exhaust all resources, and everyone must do their utmost to save the patient's life! What do you need? Just let me coordinate!"

Jiao Bo, the president of the affiliated hospital, also received a call.

He had just arrived home when he immediately issued instructions.

He put on his coat and rushed straight to the hospital!
This is a massive battle for all doctors in the hospital and even the entire city!!
...(End of chapter)