Chapter 583: [(583)] Preoperative mobilization Chapter 583: [(583)] Preoperative mobilization “There could be someone else there,” Ren Chongda insisted, as if determined to counter Cao Yong’s remark.
“You’ve just come back, who else could have come to pick you up besides her? Didn’t you just have an incident with her that you wanted to address?” Cao Yong said.
The two exchanged words as if they were chatting about everyday matters.
To others listening, the conversation might seem puzzling–wasn’t it the most critical moment for surgery?
Seeing the counselor’s facial expression, Xie Wanying didn’t dare to relax, thinking to herself that she had guessed correctly that Senior Cao was intentionally using other topics to lessen Teacher Ren’s preoperative stress.
While Ren Chongda and Cao Yong spoke, their hands never stopped moving, disinfecting the child patient’s skin, draping sheets.
The surgery was about to begin immediately.
The tense air instantly filled the small makeshift operation room inside the treatment area.
As for Mother Dongzi, who had also been seriously injured, she had been given an injection and was continuously sleeping on the bed by the wall inside the room.
Next to her, another older nurse held a blood pressure monitor, constantly watching over her bedside and monitoring her vital signs, as the outpatient building lacked monitoring equipment. Even after a blood transfusion, Mother Dongzi’s condition was temporarily stable, but she was in a comatose state.
Despite this, the nurse drew the curtain to prevent her from seeing the bloody scene of her son’s emergency surgery next door.
On the other side of the curtain, everyone involved in the surgery listened quietly to Cao Yong speaking through the phone.
Keeping pace with the surgery steps, Cao Yong said, “Without an X-ray, we don’t know if it’s an epidural or subdural hematoma, or bleeding from another location. The only certainty is that brain herniation has formed, being acute, the condition is very dangerous.”
There is a layer of membrane under the skull called the dura mater, and as its name suggests, an epidural hematoma is located between the skull and the dura, and a subdural hematoma under the dura.
Xie Wanying thought, now Senior Cao’s voice was clearly that of the Chief Surgeon, directing all members of the surgical team, like a commander rallying troops before surgery.
“The patient is a child, and the condition develops faster,” Cao Yong pointed out the critical aspects of the patient’s condition to the surgical staff on-site, “Considering the child’s recent car accident history, initially, we can determine that skull fractures, epidural, and subdural hematomas are all possibilities.”
The neurosurgical classmate was right–Ren Chongda’s face was stern, his brows knitted together, and his forehead seemed about to sweat again.
“If we had the resources now, we could take the patient directly to the OR for a craniotomy. After all, in cases like a child with an epidural hematoma, arterial bleeding is highly likely, and hemostasis is needed. To decompress, the effect is also better by removing a bone flap. But we don’t have the resources now, the only thing we can do for this patient is to buy some time to get to the OR to perform a craniotomy. So, without overthinking it, touch the thickest part of the hematoma and directly cut and drill,” Cao Yong said with a tone matching a command.
Feeling around, fingertips searching on the scalp of the child, with such severe injuries, and as colleague Cao Yong mentioned, if there was an epidural hematoma with skull fractures, one should be able to feel it. Ren Chongda’s breathing under his mask gradually grew heavy, tension uncontrollably spreading across his mind. After all, it had been a long time since he had held a scalpel.
Hearing his breathing, Cao Yong expressed a hint of dissatisfaction, saying, “After you feel it, let Yingying have a try. If you’re not confident, let her feel it first.”