Chapter 282: No one is available now Chapter 282: No one is available now “`
Beep, beep, the ECG on the monitor fluctuated with the sound.
The patient’s blood pressure was somewhat low. The ECG was mostly normal, but it was uncertain what would happen if there was further bleeding.
Luo Yanfen bit her lip, deciding to take a risk. She said to the nurse, “Hurry and prepare the triple-lumen dual-balloon tube.”
Once the doctor’s orders were confirmed, the nurse dashed off to fetch the items.
Turning back, Luo Yanfen picked up her cell phone and called the doctor on duty in her department that evening, informing them of the patient’s situation and her own treatment plan, “Doctor Chen, I’m worried that his bleeding will increase and his blood pressure is low.”
“Has the blood test report come out yet?”
“I’ve sent someone to the laboratory to get it. He had his blood taken for testing in the emergency room, but the report isn’t out yet, and the emergency room has already sent the patient up,” Luo Yanfen reported.
Doctor Chen, in the operating room, was not pleased and his complaining voice came through the phone that the nurse was holding for him, “Why rush to send him up here? I haven’t finished the surgery on this side.”
The surgery that Doctor Chen was performing at the moment had been urgently transferred from the internal medicine ward when he took over the shift; it was an emergency major operation.
An emergency surgery typically required at least two attending doctors from the hospital, along with one or two interns or residents. This meant that in addition to Doctor Chen, other attending doctors were also performing surgery in the operating room. If there were complications during surgery, additional backup would be called in from the second or third line. Now, it appeared that the second line had already come to provide support in the operating room.
“You figure it out, we’re short on people! If it doesn’t work out, you directly call the third line or ask your own teacher to come back!” Doctor Chen shouted from the other end.
Being on first-line duty in the department meant that for the next while, they shouldn’t expect anyone from the first-line to come and help guide them.
Luo Yanfen scratched her head. Although she had worked at other hospitals and was a doctoral student who had resigned to study, she already had her medical practitioner’s license and could write medical orders on her own, it was still best to listen to her teacher’s instructions here.
Her work and study were specialized in urology, not gastrointestinal surgery. Therefore, during her rotation period, she had not been as serious as Xie Wanying, the newcomer. Luo Yanfen later realized that this was why.
Did she need to call her teacher back? Luo Yanfen turned back around, frowning as she contemplated the consequences.
If she called her teacher and he came back to find the patient’s condition was not serious, she would lose favor in his eyes. It was better to have almost handled the situation and then report to her teacher so he could rest assured. That’s what made the best student, especially because she already had her medical license and could no longer be defined as a clinical novice.
She had no choice but to turn back and take another look at the patient.
For acute upper gastrointestinal bleeding, the most important things were to stop the bleeding and to observe.
As long as the bleeding wasn’t massive and uncontrollable, and the patient wasn’t on the verge of shock, there was no need to rush them into the operating room.
Now, the key was to figure out how to further stop the bleeding.
In fact, such patients could also be treated in gastroenterology, as gastroenterologists had endoscopic hemostasis techniques. It was probably because gastroenterology had no beds available, so they sent the patient to their surgery department.
The patient had been given tranexamic acid, a common clinical hemostatic agent commonly known as antifibrinolytic acid. But administering a hemostatic agent alone was not enough; for severe bleeding, more aggressive measures had to be taken.
The nurse came in pushing the treatment cart, ready with the triple-lumen dual-balloon tube insertion items.
If there were no surprises, the nurse could perform this procedure on her own, with the doctor watching on the side just in case.