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Chapter 4 - Chapter 4: Nonsense! Can You Even Perform Carotid Artery Suturing?

On the operating table,

Dr. Xiao Jing took over from the nurse and pressed down, her fingers moved two centimeters from the back end of the wound, exposing the wound's view.

"Thank you!"

Qin Feng smiled at her and nodded.

Xiao Jing is from Jinling Medical University, and after entering the city's First Hospital, she actively requested to join the emergency department.

Later, she was noticed by Director Zhou and stayed by his side, and she got on the operating table just after being officially affirmed.

It only took a short six months to move from observation to first assistant, and now she's considered quite experienced in the emergency area as an attending physician.

Xiao Jing did not speak, she just stared blankly at Qin Feng in front of her.

She didn't know why, from the moment they appeared in the emergency room to now stepping onto the operating table,

Every word he said, she found herself unable to refute or resist!

Originally, Qin Feng was handsome and approachable, but in the emergency room, he pushed Zhao Yitian aside and personally performed the venous access puncture.

The technique he used was something she still couldn't understand, it was like how she usually inserts a straw, so relaxed and precise!

It's important to know, although Qin Feng chose the two largest veins in the neck and groin.

Even though she's been in the emergency department for several years, quite experienced, she often encounters situations needing venous access puncture but admits she couldn't do it so effortlessly and gracefully.

In front of the operating table,

Qin Feng was fully focused, quickly cleaned the wound with iodine, the neatly cut wound appearing in view.

After disinfecting, he used surgical forceps to find the location of the severed artery.

When Deputy Director Chen was injured, he was also present, and the image of the fruit knife cutting the depth across her neck appeared in his mind.

So he had a general assessment of the injury.

With such a large amount of bleeding, it had to be an artery that was injured, but surely there were other arteries or veins severed as well.

The human neck has many arteries: the common carotid artery, the superior thyroid artery, etc., more than a dozen.

Among them, the common carotid artery and the superior thyroid artery are the two largest arteries in the neck.

Peel open the wound and explore.

"Phew~ Indeed, truly fortunate!"

Qin Feng let out a breath, showing a satisfied look, his judgment was correct.

Carotid artery rupture!

Superior thyroid artery rupture!

Following the wound down for checking, besides muscle tears, the other arteries were surprisingly unharmed.

They were fortunate that the hurried slash didn't go too deep.

Otherwise, Chen Yuanfang might not have even managed to withstand reaching the operating table.

Now Qin Feng's confidence increased; he just needed to suture these two arteries to restore blood supply, and the danger should be over.

"Report data."

"BP has returned to normal, CVP is still somewhat low."

Hearing Qin Feng's voice, the nurse quickly reported the information on the instruments.

"The blood volume has recovered almost completely; we can reduce the infusion, control the speed.

Heparin 10mg, papaverine 30mg, push via IV, I am about to start the surgery."

Qin Feng nodded in response, looking at the circulating nurse.

"Yes." replied the circulating nurse.

"Qin Feng, are you really going to do it? This is against regulations!"

He had just prepared to pick up the suction device when the second assistant, Wang Xiaohui, hurriedly held him back, her eyes filled with tension and concern.

"You're just an intern doctor, Director Chen's condition reaches at least a third-level surgery standard.

Even in our city's First Hospital, only a few directors can perform, if anything goes wrong, we'll all be in big trouble!

This is too dangerous, don't show off, Director Chen is already stable, you've done well enough.

Let's wait for other department directors to perform the surgery!"

"Sister, don't you think it's too late to say these things now?"

Qin Feng listened to her rapid words of anxious advice, shook his head, and smiled helplessly.

"Moreover, Deputy Director Chen's situation is not optimistic, delaying even one more minute is increasingly dangerous."

"This way, if you're really worried, we'll start first, and once other directors arrive, we'll let them continue, is that okay?"

Dr. Wang and Dr. Xiao shared the same expression and gave a few words of polite advice.

Seeing they no longer opposed, Wang Xiaohui reluctantly nodded and loosened her grip.

Qin Feng picked up the suction device again, regaining a serious look.

"Suction..."

The suction device quickly cleared the subcutaneous blood accumulation, revealing a clear surgical view.

"Vascular clamp."

"Okay."

Seeing him extend his hand, Wang Xiaohui quickly handed him the instrument.

Qin Feng first used large vascular clamps to block both ends of the ruptured carotid artery, then completely blocked both ends of the superior thyroid artery.

One...

Two...

Three...

Four...

4 seconds!

All done, extremely fast!

After confirming the blocking was complete, he signaled the first assistant.

At this moment, Xiao Jing slowly released the grip she tightly held on the blood vessels, her eyes couldn't help showing some nervousness.

"Phew~"

Finally, when he completely removed his hands, not a drop of blood seeped from both ends of the arteries.

Perfect blockage!

In an instant, everyone looked at Qin Feng with extreme surprise.

Especially Xiao Jing and Wang Xiaohui on both sides, their hearts couldn't help but be greatly astonished!

The technique and speed, it was like textbook fast and accurate.

They both had followed the director into the operating room several times and had seen aortic ruptures caused by various accidents that required clamping.

But Qin Feng's hand speed was even faster than those experienced directors!

Is he really an intern?

Could he be some hidden expert?!

"1% lidocaine, 50ml to flush the vessel."

Qin Feng said, not taking his eyes off the task.

The nurse next to him swiftly prepared it and handed it over.

Because it was cut open with a sharp blade, the ends of the ruptured vessel were still very smooth.

He simply removed 1mm, trimmed it neatly, then used warm saline to soften it.

Preparing to connect the vessel.

"3-0 non-damaging suture."

Qin Feng took a deep breath and held out his hand.

The first assistant, Xiao Jing, passed the needle prepped with the suture to him, and everyone became tense.

The next step was the most crucial, connecting the vessel.

Qin Feng hesitated no more; the moment he got the needle, it seemed as if he had undergone countless surgeries before, showing no sign of nervousness.

Full of confidence!

Time waits for no one, so he had to hurry.

The needle then pierced through the vessel, and he began suturing quickly.

...

At this moment, outside the operating room,

"How is Deputy Director Chen? Where is she?"

A doctor wearing a white coat, about fifty or sixty years old, hurried over with another person.

He looked gravely at Zhao Yitian, who was still dazed at the door, and the others nearby, and asked in a deep voice.

"Director Zhang, Director Cao, Deputy Director Chen is already in surgery."

The head nurse, Liu Juan, quickly said upon seeing them.

Both of them were directors and deputy directors of the cardiovascular department and rushed over as soon as they got the message.

The carotid artery was severed, which is a life-threatening injury!

However, because the cardiovascular inpatient department was a bit far from the emergency building, and with the increase of family members in the hospital now,

it took them two or three minutes just to wait for the elevator, and it was almost ten minutes by the time they arrived.

But hearing that Chen Yuanfang was already in surgery, they both sighed in relief.

"That's good, that's good, it scared us to death."

Deputy Director Cao, wearing gold-rimmed glasses and about forty years old, patted his chest, relieved.

"I heard Deputy Director Chen was injured by a patient's family member, was the person controlled?"

Director Zhang nodded, his brows furrowed.

"The person has been taken away by the security department, and the police will arrive soon."

Liu Juan briefly explained, and the two of them were extremely angry.

What kind of patient's family member could do such a thing to a doctor?

It's simply outrageous!

"Such people must be severely punished! Otherwise, how can we continue being doctors in the future?"

Deputy Director Cao couldn't help but curse angrily.

"Alright, since Director Zhou is doing the surgery, let's head back."

Director Zhang sighed, waved to them, and was about to leave.

"It's not Director Zhou performing the surgery."

At this moment, Zhao Yitian, who was standing aside, suddenly said in a low voice.

Hmm?

Hmm?

Director Chen and Deputy Director Cao immediately stopped, looking at him in confusion.

"Then who is it?"

"It's the intern Qin Feng, just assigned to our emergency department, along with Xiao Jing and Wang Xiaohui."

Zhao Yitian looked at them with a bitter smile, his eyes red.

Crack!

Upon hearing his words, Director Chen and Deputy Director Cao were struck as if by lightning!

After being stunned for a long time, they exchanged glances, both filled with disbelief in their eyes.

"Nonsense!"

Director Chen's expression changed dramatically, shouting angrily, pointing at them with anger,

"A surgery involving carotid artery suturing, can you handle it?

This is simply outrageous!

I'm telling you, if anything happens to Deputy Director Chen, all of you, and those inside, will be stripped of your positions and fired!

The city hospital can't afford irresponsible doctors like you!"

Having said that, the two of them rushed into the operating room, quickly washing their hands and disinfecting themselves in a flash.

They changed into sterile gowns, put on masks and gloves, and walked to the door of the sterile room.

Through the glass, they saw a similarly dressed young man standing in the middle of the operating table, his tweezers continuously rising and falling as he sutured.

Beside him stood Xiao Jing, Wang Xiaohui, and other nurses, all motionless.

The two exchanged a glance, both seeing the anger in each other's eyes.

Carotid artery suturing is a delicate task; how could it have such a fast suturing speed?

Are they stitching a quilt at home?

If they had arrived any later, Director Chen Yuanfang might not have survived.

Crack~

Director Chen pushed open the operating room's isolation door, and the two rushed in with their faces so gloomy they could drip water, walking to the operating table.

"What are you doing, stop immediately!

Who allowed you, an intern, to perform surgery on your own?!"

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