"Okay, give it a try!"
Song Siming looked at Li Yang, then at Zhao Heng, and said in a weak yet resolute voice.
"Director, this isn’t possible!"
Upon hearing Song Siming’s words, Li Yang immediately became anxious.
"Not possible?! Then do you have a solution now?"
Song Siming replied irritably.
Li Yang fell silent, wanting to say more, but Song Siming directly looked at Zhao Heng and said, "It’s up to you, young man."
Honestly, Song Siming absolutely didn’t believe that a surgical instrument assistant could find a bleeding point that even the experienced attending physician Li Yang couldn’t identify. But since Zhao Heng thought about the iliac artery anomaly, it indicated there was still a chance. In the current situation, one could only treat a dead horse as if it were alive and give it a try.
If the hospital is a battlefield of life and death, then inside the operating room, it’s the fiercest frontline of this battlefield, where not even a moment of hesitation is allowed at the brink of life and death.
"Scalpel, vascular clamp, aspirator!"
With Song Siming’s permission, Zhao Heng did not hesitate for a moment and immediately spoke up.
The instrument nurse, circulating nurse, and anesthesiologist were all a bit stunned. Just a moment ago, he was a surgical instrument assistant, and now he’s allowed to perform surgery?!
Moreover, not even the experienced attending physician Li Yang could manage it; what confidence could this surgical instrument assistant, whose name no one even knew, have?
However, after a brief moment of disbelief, everyone followed Song Siming’s decision and immediately cooperated.
Zhao Heng steadied himself. In the past, he definitely wouldn’t have had this confidence, but the emergency abdominal trauma surgery experience he just picked up and fused from the Emergency Department Director Song Siming made him feel like he had been immersed in the field of emergency abdominal trauma surgery for decades.
Note that at Eastern Hospital, in terms of emergency surgery, Song Siming is an absolute authority, even nationwide, he is one of the top experts in emergency surgery.
Zhao Heng only picked up the related experience of emergency abdominal trauma surgery, and it can be said that now Zhao Heng, in the actual experience and emergency handling of emergency abdominal trauma surgery, is already quite proficient and highly skilled.
If not, he couldn’t have discovered so quickly that the bleeding site might be an anomaly of the external iliac artery.
Zhao Heng took a deep breath and looked down. The patient’s abdominal cavity now had fresh bleeding accumulated to the depth of a finger, and the accumulating blood was still pulsating continually, indicating that the bleeding vessel was indeed an artery, and the rupture was not small.
At this moment, the anesthesiologist urgently said again, "Patient’s blood pressure is 50/30 mmHg!"
Everyone, including Li Yang, who was somewhat resentful about losing the main operating position, looked at Zhao Heng. They all wanted to see whether he could create a miracle at this moment.
"Vascular clamp!"
Zhao Heng said urgently to the instrument nurse.
Instrument nurse Xu Man Ni immediately handed the vascular clamp to Zhao Heng, but at this moment, Xu Man Ni thought the patient’s abdominal cavity was full of accumulated blood, practically leaving no visibility. It was impossible to accurately locate the vessel to stop the bleeding unless one had extremely rich experience with hemostatic handling. Otherwise, it was a task impossible to complete.
Zhao Heng took the vascular clamp, took a deep breath, and reached into the accumulating blood of the abdominal cavity with his left hand, searching around while holding the vascular clamp in his right hand, ready at any time.
Beep beep beep!
The alarm of the life monitor continued to sound, the patient’s complexion grew increasingly pale, and their breathing became weaker.
Everyone in the operating room watched Zhao Heng, hoping he could create a miracle to save a life!
Relying on the immensely rich experience obtained through fusion, Zhao Heng promptly and adeptly found the ruptured external iliac artery in the sea of blood, clamped one side of the broken end with his left hand, and directly clamped it with the vascular clamp with his right hand.
"Vessel clip!"
Zhao Heng said to the instrument nurse Xu Man Ni on the opposite side.
What?!
He found the bleeding site already?
Xu Man Ni was full of amazement, and others in the operating room were also shocked.
The difficulty of handling this bleeding was evident from the performance of the experienced attending physician Li Yang earlier, and everyone in the operating room had prepared for the worst-case scenario.
Yet Zhao Heng, who started as a surgical instrument assistant, accurately located the ruptured bleeding vessel—is that possible?
However, after just a moment of astonishment, professional proficiency led Xu Man Ni to quickly find the vessel clip and hand it over to Zhao Heng.
Next, Zhao Heng proceeded to clamp the broken ends of the vessels on both sides in succession, then said to Xu Man Ni, "You can apply pressure and suction to clear the accumulated blood now."
Xu Man Ni saw that the accumulation in the abdominal cavity no longer had that pulsating sensation indicative of arterial bleeding. She knew the ruptured artery was truly located, and the bleeding was indeed stopped.
As the aspirator emitted a hiss, the accumulation of blood was gradually cleared from the abdominal cavity.
Watching the continuously diminishing blood accumulation, the ruptured anomalous external iliac artery was exposed.
The bleeding stopped!
Everyone in the operating room felt as if a huge stone had been lifted from their hearts.
"Help me over."
Song Siming could no longer sit still. Despite his dizziness, he stood up holding the wall, and the circulating nurse immediately supported him to the edge of the operating table.
"Indeed, it’s an anomaly of the external iliac artery."
Song Siming took just one glance to identify the culprit behind the bleeding.
"Young man, you’re quite impressive. Can you handle the upcoming vascular suturing?"
Seeing Zhao Heng stepping up at the crucial moment and saving a life in the nick of time, Song Siming thought highly of Zhao Heng at this moment.
However, he was still a bit concerned, as arterial suturing requires a high level of skill and proficiency. Can this young man before him, who could identify the extremely rare rupture of the external iliac artery, truly perform the suturing that demands very strong basic skills and proficiency?
"Director, I can do it."
Zhao Heng looked up at Song Siming, nodding confidently.
If it were before, he might have felt apprehensive about arterial suturing, but judging by his handling of the current abdominal emergency surgery, his level was undoubtedly on par with Song Siming, a top-notch expert in the country.
"Great, it’s in your hands."
Song Siming nodded.
Standing nearby, Li Yang felt somewhat frustrated. Since when did a main surgeon at Eastern Hospital find himself unable to handle arterial suturing?
But then again, who could blame the young man who had precisely pinpointed the bleeding site that Li Yang had struggled to locate?
Moreover, observing his technique in clamping the artery, he had clearly mastered precision. At this level, it couldn’t be attributed to mere chance.
Nobody would gamble with their job. If Zhao Heng stepped forward and failed to identify the bleeding location, his best outcome would be losing his job.
"Six-zero suturing thread."
Zhao Heng nodded to the instrument nurse, Xu Man Ni.
"Okay."
Xu Man Ni quickly found the six-zero needle-thread for suturing and handed it to Zhao Heng.
Initially, during the preparation for this surgery, her impression of Zhao Heng, aside from his handsome appearance, was nothing special.
After all, being handsome was hardly in short supply among the male doctors at Eastern Hospital.
Besides, can being handsome provide a living?
As good-looking as he was, he was merely an instrument technician, not even a doctor, and with his monthly salary, aside from paying rent, even affording meals would be a problem.
Such is the reality of modern society.
But now, Xu Man Ni had a newfound appreciation for Zhao Heng.
Zhao Heng quickly finished trimming the artery, set down his scissors, and took the threaded needle, starting the arterial suturing. His actions were swift yet precise, with each stitch perfectly aligned. Each gap between stitches looked as though measured with a ruler, displaying a machine-like precision and a fluid grace like flowing clouds and waters.
Oh my!
Witnessing this scene, Li Yang stood to the side, mouth agape.
Such fluidity in arterial suturing was something he himself could only achieve occasionally when in his best state.
"Dude, with skills this good, why are you working as an instrument technician?"
Li Yang couldn’t help but mentally grumble.
He was certain that with such fine arterial suturing skills and techniques, earning a living would be no problem, and certainly wouldn’t reduce to a completely non-technical role as an instrument technician.
Little did he know that prior to this surgery, Zhao Heng had none of these skills.
Moreover, Zhao Heng was merely borrowing the experience related to trauma emergency abdominal surgery from Song Siming. As for other facets, he was only at an ordinary level.
"Not bad, basic skills are solid."
Song Siming watched Zhao Heng’s arterial suturing from the side, nodding with satisfaction.
As an older generation doctor, he highly valued basic skills.
From his perspective, young doctors nowadays often aspired to perform major surgeries, yet tended to slack on practicing basic skills.
Society is restless, and sometimes even the medical field is affected by this restlessness.
Soon, the suturing was completed.
The bleeding stopped, and the patient’s blood pressure rose.
"Director, the patient’s blood pressure is up, 120/70mmHg."
The anesthesiologist glanced at the life monitor, exhaling deeply as he spoke.
Everyone in the operating room witnessing this can’t help but feel a surge of joy in their hearts. For medical personnel, what they most hope to see is the moment a patient’s life is saved.
This achievement and sense of pride derived from saving a life through personal effort and operation is incomparable to anything else.