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

"Contact the teachers in the teaching and research office to record the entire surgical procedure, regardless of whether it is successful or not."

On his way to the hospital, Jiao Bo contacted his assistant directly.

"Dean, our blood bank is in dire need of blood. The bleeding in operating room number 1 is unstoppable, and we anticipate needing a large amount of blood!"

The phone rang again very quickly.

"It's alright, I'll handle this!"

"Dududu-"

Soon, he also dialed the phone number of the provincial people's hospital next door.

"Dean Sun, it's me, Jiao Bo... Ah, you've already sent the people over, and even mobilized the blood bank for reinforcements! How much? Ten thousand milliliters of blood have all been sent over! That's wonderful! That's wonderful!!"

Dean Jiao Bo contacted Sun Jianguo, the president of the Provincial People's Hospital, of course.

Unexpectedly, when the call connected, the provincial hospital had prepared blood in time and even sent two emergency experts, Huang Xiangning and Xia Xuelan, to the hospital.

Besides blood, relevant experts are also the most important.

In particular, obstetrics and gynecology experts and emergency department experts.

Xia Xuelan and Huang Xiangning, especially Huang Xiangning, are top emergency medical experts in China. It can be said that the best resources have been directly allocated to their affiliated hospital.

"Dean Jiao, we share the same goal: to save this pregnant woman who is already on the verge of death. We are willing to pay any price for it. Please contact the city's blood bank immediately. I feel that this woman may have amniotic fluid embolism and needs a lot of blood to stay alive!"

Sun Jianguo's tone remained very solemn.

Many cases of amniotic fluid embolism are not actually amniotic fluid embolism.

But for cases like this, where very typical symptoms have appeared, various medications, including adrenaline, have had absolutely no effect.

He felt it was 99% true.

Of course, there is another key factor: the amniotic fluid embolism was deduced by Ogawa.

This kid isn't exactly weird, but he's just very strange.

So far, none of his diagnoses have been wrong.

Therefore, if he can give the diagnosis of amniotic fluid embolism, there is a 90% chance that it is indeed amniotic fluid embolism.

In addition, there's the current condition of the mother.

It's no longer 90%, but 99%.

“I know, I’ll arrange to contact the city’s blood bank right now.”

The phone hangs up.

Zhou Chi, Department of Blood Transfusion.

"Dududu-"

The phone rang again.

"Hello, Dean, this is Zhou Chi. I have already contacted a blood bank and two central blood stations, and they are sending over type O blood as quickly as possible. I am also in contacting others."

Zhou Chi is incredibly busy.

get off work?

This is busier than going to work!!
The entire blood transfusion department wishes everyone had four legs.

"Okay, expedite the contact with other blood banks. If you encounter any difficulties, just contact me for coordination. Coordinate with the 10,000 milliliters of type O blood sent from the provincial hospital and give it to the No. 1 operating room first. Anyway, I only have one requirement for your blood transfusion department, and that is that you absolutely cannot hold back on blood supplies!"

After learning about the situation, Jiao Bo felt that the blood transfusion department responded very quickly.

Perhaps it's because of the live stream.

Everyone heard about amniotic fluid embolism.

For this, it's almost a muscle reaction.

All I can say is that everyone hopes it's fake, and that all that effort was for nothing.

I don't hope it's true either.

Because it's entirely possible that all the effort will be in vain, and the person might not even be saved.

"Understood, Dean! Our blood transfusion department will definitely ensure a sufficient blood supply!"

Zhou Chi hung up the phone, and his confidence instantly returned.

After all, the dean said so.

If you encounter any difficulties, just contact him for assistance.

The dean also attaches great importance to this matter.

In the operating room.

Zhang Lingchuan is still undergoing CPR.

Li Xiaoxiao's condition deteriorated rapidly. Her heartbeat and breathing stopped, she became cyanotic all over her body, her blood pressure could not be measured with a cuff, and her pupils were dilated. Her life was hanging by a thread.

It's safe to say that the King of Hell is about to drag Li Xiaoxiao, this 23-year-old pregnant woman, away!
The baby, who was just born in the operating room and hadn't even had a chance to see his mother, was about to lose her.

Zhang Lingchuan was covered in sweat.

[Ding! Host has successfully used the fifth stamina potion!]

For an instant.

The fatigue I felt earlier disappeared again.

"what?"

Dr. Zhong Lin has been involved in the rescue efforts.

She had just seen Dr. Ogawa looking troubled.

He seemed extremely tired.

Thinking to myself, it's true.

Dr. Ogawa hasn't eaten yet.

And we've been doing this kind of high-intensity recovery work all day.

Or should we hold off and let myself take the lead?

However, I simply cannot perform CPR like Dr. Ogawa does.

That feeling, as described by my colleagues, is like my heart beating on its own.

The result was that in a moment of distraction for her.

Zhong Lin wanted to rub her eyes.

Of course, it was just a thought; I didn't actually knead it.

Because she noticed that in just a short while, Dr. Ogawa seemed to have returned to normal.

He seemed to be in a very energetic state.

How outrageous!!

I read it wrong?
Perhaps I misread it!
Actually, Zhao Lingyun also felt this way.

Because she was also busy in the operating room, even right next to Zhang Lingchuan.

I could see that my junior brother was a bit exhausted.

But with a quick shake, the other person perked up again.

I really don't know where my junior's limits are.

This stamina is just outrageous.

Zhao Lingyun has been with the patient since the very first surgery.

She felt like her whole body was about to split apart.

The problem is, she was just doing odd jobs.

Although he is a doctoral student, he is still a student and his main job in front of his teachers is to do odd jobs and study.

Someone like my junior brother is one in a million.

After all, he is still a graduate student and has not even officially enrolled in a doctoral program, yet his technical skills have already reached the level of chief expert.

You tell me how terrifying this is.

That's why he was able to go to the operating table.

Sometimes they can even act as the chief surgeon, a front-line doctor, or a first assistant.

The frontline doctors in the operating room are very tired.

My junior brother is really strong to have been able to persist for so long.

However, they were unaware that Zhang Lingchuan had actually used up his fifth stamina potion.

This was the day he used the most medicine.

[Warning: Today is the day the host has used the most stamina potions, approaching the critical limit. The system warns that the host's daily stamina potion limit is 5 bottles. If more than 5 bottles are used, the body will exceed its limits, causing some damage. In accordance with the principle of a perfect healer who prioritizes self-preservation before saving others, the system will currently lock stamina potion usage!]

And I also received an unprecedented notification.

"???"

He frowned.

What the hell?
You can use a maximum of five stamina potions.

Okay, actually he can understand.

Because stamina potions only restore physical strength, while the damage to the body is real.

He felt extremely tired after each use.

But the mother is now in the dying stage.

And it's the type where, even while you're performing CPR, the countdown continues to decrease.

Continuous, perfect-level CPR, starting from the previous near-death countdown [60...50...40...30...].

Half an hour.

The countdown has not returned to normal.

The new mother did not respond to the red label.

On the contrary, it has been declining.

It dropped by about 30 points in half an hour, and now the countdown has reached 30...

He had never seen anything like it before; it was a perfect resurrection.

None of this worked!
But he can understand the principles.

The previous cardiopulmonary resuscitation was performed when the person had not lost blood, or even if the blood loss was not severe, and their blood clotting function was normal.

At this point, normal treatment can be provided, and the countdown can gradually be raised back up.

But what about now!

Blood is being transfused here, while massive bleeding is occurring there. Cardiopulmonary resuscitation can only provide a tiny amount of irrigation. Once the bleeding cannot be stopped, and the countdown ends, the person will essentially die on the operating table.

Even if the ECMO team is brought in later, the chances of survival are greater if disseminated intravascular coagulation (DIC) is at least somewhat controlled.

The key issue is that we don't know when we can control it. Half an hour has passed, and we've lost a total of 30 points. The countdown is at 30, which means it will only take another half hour for the countdown to reset.

This one bottle of medicine can sustain him for half an hour, maintaining absolutely high-quality CPR, but what he needs is resuscitation, he needs to get his red label back!
[Special Items: Special Stamina Potion *29, System Simulation Space Single Training Card *2, Precision Detection *1, Hidden Item Card Fragment *2.]

[Ding! The host is performing the fifth precision scan on the same patient, consuming the last precision scan card...]

Zhang Lingchuan eventually underwent a fifth scan.

They also used up their last precision scanning card.

He wanted to know exactly what he needed to do to save the patient.

Are you going to practice your skills in the system space?

According to his understanding, this is not a technical matter.

The techniques involved include hysterectomy and controlling disseminated intravascular coagulation.

But Sister Lan's excision surgery is very advanced, she's already at the master level, and she's good at controlling disseminated intravascular coagulation.

However, there were also many top experts present.

Of course, he'll scan it now.

If you really want to do specialized training in the system space, two cards can shorten the time to thirty seconds, so you can give it a try.

As long as we can save Li Xiaoxiao's life.

[Five precise scans completed.]

The patient currently has no carotid pulse, has stopped breathing and has a heart attack, and has been suffering from ischemia and hypoxia for a long time, which has led to hypoxic-ischemic encephalopathy, cardiogenic shock, extensive pelvic and abdominal bleeding caused by disseminated intravascular coagulation (DIC), diffuse intra-abdominal bleeding, pulmonary hemorrhage, extensive subcutaneous bleeding and other systemic bleeding... Even if the host has perfect cardiopulmonary resuscitation, the treatment is still very difficult.

The most important thing now is to control the coagulation disorder and continue cardiopulmonary resuscitation. Only when the countdown stops and positive feedback appears will there be a chance of resuscitation... The specific resuscitation time is unknown. After the mother's death, the system will calculate the rewards the host received for this emergency rescue.

The fifth, and final, precise scan has ended.

Seeing the pop-up notification that the specific recovery time was unknown, Zhang Lingchuan's heart tightened.

“主任，患者李笑笑血小板仅26×10/L（正常100-300×10/L），纤维蛋白原<0.5g/L（正常2-4g/L）！”

The doctor in charge of the examination reports the data.

"Continue the blood transfusion! Administer medication!"

Li Tinglan, who had just undergone a hysterectomy, frowned deeply.

This meant that Li Xiaoxiao's blood clotting function had almost collapsed. The blood transfusion department had already started a mass transfusion program, continuously infusing blood products such as red blood cell suspension, fresh frozen plasma, cryoprecipitate, fibrinogen, platelets, albumin, and clotting factors into Li Xiaoxiao's body.

Since the rescue began, she has received a total of more than 8000 milliliters of blood products.

Under normal circumstances, an adult's total blood volume is about 7%-8% of their body weight, with men averaging 5-6 liters and women 4-5 liters. Li Xiaoxiao's 8000 milliliters of blood is equivalent to twice her total blood volume, meaning her body "replaced blood twice".

The situation is extremely critical.

In the hospital's teaching and research office.

In front of a huge screen.

"How is the ECMO team's preparation going?"

Jiao Bo inquired.

Generally speaking, the standard target for ECMO from call to infusion time in these top-tier hospitals is 30 to 60 minutes.

Many top ECMO centers aim for <30 minutes.

It is also known as the golden half hour.

Half an hour has passed now, and I wonder how well the team is prepared.

Because beyond this timeframe, the risk of brain damage and multiple organ failure in patients increases exponentially, and the success rate of ECMO treatment drops significantly.

"We have just completed the air expulsion and self-check, and are about to arrive at the operating room for puncture and catheter placement."

"That's what the doctor in charge said."

Starting ECMO is not as simple as pressing a switch; it is a complex team collaboration process that typically consists of the following stages.

Initiate the procedure and talk to the family. After all, this machine is very expensive. The cost of starting it once is usually around 10 yuan, depending on the severity of the illness and the duration of use. The daily cost of consumables and treatment is between 1 and 3 yuan. In most cases, the total cost needs to be prepared to be more than 20 yuan, or even 30 to 40 yuan.

Therefore, communicating with family members is a necessary step.

Even after spending so much money, there's no guarantee the person can be saved.

The family members need to be informed of all of these things.

Only after this step is completed can we proceed to the team assembly and equipment preparation phase.

First, the equipment is prepared. Nurses and technicians take out the ECMO machine, membrane lung, tubing, intubation kit, etc. from the warehouse.

Then comes pre-filling, which requires filling the entire tubing and membrane lung with saline, albumin, or blood products and purging all air bubbles. This purging is a life-or-death step in the process, as air bubbles entering the body can cause fatal air embolism.

At that point, it won't be about saving lives, but about becoming the murderer of the patient.

After completing this step, the equipment performs a self-test, connecting the power supply and oxygen source to test whether the centrifugal pump is operating normally.

We have just completed this phase.

The entire conversation with the family members took about 25 minutes.

The next step is puncture and catheter placement. The basic steps are to puncture the femoral vein and femoral artery or internal jugular vein under ultrasound guidance and insert a large-diameter ECMO-specific 15Fr-21Fr catheter.

Secure the conduit and connect it to the pre-filled tubing.

Then connect the tubing, start the centrifugal pump, gradually increase the flow rate, and adjust the oxygen concentration and speed. Only when the patient's blood pressure and blood oxygen levels are confirmed to rise, and the electrocardiogram shows changes, is the pump truly activated.

Therefore, it usually takes about an hour to start up.

In some hospitals, it can take as long as seventy or eighty minutes.

Under normal circumstances, their hospital can typically complete equipment operation in 50-60 minutes.

"It's still a bit slow. Have you managed to contact Professor Qiu? Would he be willing to come and offer some guidance?"

At this moment, Jiao Bo's expression was solemn; it was too slow.

The rapid deployment of ECMO equipment is crucial for saving lives.

Professor Qiu is naturally Qiu Yinghe.

She is also a top expert in the field of obstetrics and gynecology.

The streets offer a constantly changing nighttime view.

Qiu Yinghe was frowning.

"Why didn't you tell me before she died? At this rate, this pregnant woman is definitely going to die. Xiao He, drive faster, get to the hospital quickly, or she won't make it!"

Qiu Yinghe looked at the data that had been sent to her and took a deep breath.

Xiao Chuan was desperately trying to revive her, but there was no sign of the mother returning to normal.

Ultimately, she decided to go to the hospital herself.

"Understood. We should be at the hospital in about twenty minutes, Teacher Qiu."

The driver, Xiao He, clearly stepped on the gas.

hospital.

"Professor Qiu has already sent someone to drive over directly; it should take about twenty minutes!"

The responsible doctor informed Jiao Bo.

"Twenty minutes, now our chances of winning should be more than ten percent!"

Jiao Bo was delighted to hear that the old professor was willing to come in person.

I was overjoyed!

After all, this is a highly experienced gynecologist.

In a blink of an eye.

Twenty minutes passed again.

Follow the normal process.

ECMO has now officially started operating.

But in the operating room, everyone's hearts sank to the bottom.

Zhang Lingchuan was still performing manual CPR, his body covered in sweat.

No one can replace him.

Huang Xiangning can only manage to get about 30 seconds.

Was it because the ECMO team didn't come? Actually, they did come and are on site.

However, a problem arose during the puncture process.

Because Li Xiaoxiao was rather thin, her blood vessels were too thin, which directly led to the failure of the puncture.

Logically speaking.

She originally wanted Xiaochuan to try puncture.

Zhang Lingchuan did indeed give it a try.

But even with his perfect puncture, it still wouldn't budge.

Why?
Because the physical diameters don't match!
Because ECMO is not a regular IV infusion, it requires a large-diameter catheter, usually 15Fr-21Fr. Converted, 15Fr is about 5 millimeters and 21Fr is about 7 millimeters. To give a simple example, this thing is about as thick as a child's finger, used to ensure a blood flow of 3-5 liters per minute.

The diameter of the femoral artery in an adult is usually around 6-8 millimeters, which is barely enough to accommodate a large catheter.

However, Li Xiaoxiao is currently very thin, and due to shock, her blood vessels have spasmed and contracted, so the inner diameter of her blood vessels may only be 3-4 mm, which is too small to fit even the smallest 5 mm catheter.

Forcibly pushing can cause blood vessels to rupture, dissect the inner lining of blood vessels to tear, or even puncture the blood vessel.

Zhang Lingchuan was able to get in using a perfect-level piercing technique.

But that's too much of a stretch.

Moreover, in this situation, the huge catheter would occupy most of the space in the blood vessel, causing severe ischemia or even necrosis in the distal part of the limb, such as the foot, which is not allowed in medicine.

Therefore, Zhang Lingchuan also gave up on puncture.

Surgical incision and catheter placement is the only option.

Simply put, it involves making an incision in the groin or neck, locating the blood vessel under direct vision, cutting a small opening, and sewing the catheter in. This method has the highest success rate, almost 100% of the time, and can accurately assess the condition of the blood vessel, avoiding damage.

The only downside is that this procedure is very time-consuming; it's a minor surgery that requires a vascular surgeon or cardiothoracic surgeon to perform.

This surgery is being performed right now.

It is estimated to take about 20 minutes.

In this case, their original plan to start ECMO within an hour will be delayed to 80 minutes.

In addition, there is now a significant blood loss.

The patient is very likely not going to make it through.

All the rescue efforts will be in vain!

"Oops, Oops..."

However, they only judged it as a possibility, while Zhang Lingchuan saw the absolute.

[5...4...]

Because there are only 4 points left in the countdown.

Normally, after four seconds, the patient becomes unresponsive and resuscitation becomes pointless.

No machine can bring the dead back to life.

A perfect cardiopulmonary resuscitation (CPR) technique can delay the onset of the disease by up to four minutes.

But four minutes didn't help.

The bleeding won't stop!
The machine can't get up either.

"Xiao Chuan... if you're tired, let me take over!"

Huang Xiangning noticed Zhang Lingchuan's dimmed eyes and immediately asked him a question.

She felt she could maintain his CPR for three to five minutes without any problem, but for some reason, even during the last puncture, Xiao Chuan only gave her thirty seconds, and immediately switched back when the time was up.

“Teacher’s wife, I can still hold on. You continue to take care of breathing and circulation and help Sister Lan withstand the impact of DIC.”

Zhang Lingchuan did not hand it over to Huang Xiangning.

Because I only have four countdowns left, I can hold on for four minutes, or even a little bit longer.

He had just observed that the teacher's CPR countdown could only last for a maximum of four seconds.

In other words, when a teacher goes on stage, the label above their head turns gray after 16 seconds.

He should hold on a little longer.

Let's see if a miracle happens in four minutes!
As long as the teacher's wife and Sister Lan can control DIC and the blood clotting is restored even a little bit, then there is hope!
"it is good!"

Huang Xiangning nodded.

Compared to the previous operating room.

The atmosphere in the operating room was extremely heavy at that moment.

During the rescue, Li Xiaoxiao received more than 20,000 milliliters of blood products, which is equivalent to more than five times her total blood volume. In other words, she had five blood transfusions. The blood banks of the affiliated hospital, the provincial hospital, and the two blood banks have been emptied.

In the city.

The ambulance carrying blood was speeding along.

outside.

Professor Qiu Yinghe, an 80-year-old veteran, arrived at the scene.

The doors to Surgery No. 1 were opened.

Because the rescue was broadcast live, although viewers couldn't see what was happening inside, they could see the doctors entering the operating room one by one.

"The director of the gynecology department and the emergency department of the Provincial People's Hospital, the director of the obstetrics and gynecology department of the First Municipal Hospital, and an expert in obstetrics and gynecology at the Second Municipal Hospital... Good heavens! Who is this! Isn't this Professor Qiu Yinghe! She's here too!"

The total rescue time has reached fifty minutes.

Viewers watching on screens were counting the people being taken into the emergency room.

Suddenly, a group of medical students watching the live stream late at night were startled.

Because they saw the characters in the book.

Professor Qiu Yinghe.

He has rescued several patients with amniotic fluid embolism during his career.

Three patients were successfully rescued, one of whom was confirmed through testing in the capital to be a true case of amniotic fluid embolism.

This time, it's her!
Can it create miracles?!
"They've been trying to resuscitate me for an hour!"

"Professor Qiu's arrival proves that there is still hope for the patient."

"This is truly a bloody battle against the Grim Reaper! Experts from every department have come, and they're all top-notch!"

"With the old professor joining forces with Dr. Ogawa, can they create a miracle? Everyone?"

"I think everyone hopes to create a miracle!"

……

Wait until that door closes.

Everyone's heart was in their throat.

Zhang Lingchuan, who was covered in sweat and still pushing his body to its limits with CPR, was also sweating profusely.

Because the countdown has reached [2...].

Is this really going to be a failure?

...(End of chapter)