21st Century Necromancer-Chapter 434 - 431: Severely Injured (Please Subscribe, Asking for Monthly Tickets)

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When the patient was brought in, the hospital’s medical staff had already prepared to treat the casualties.

With three casualties involved, the hospital had dispatched several surgeons, divided into three groups, to get ready for emergency surgery on the patients.

In such a serious incident, Professor Kube, as the Chief of Surgery, naturally took the lead, taking charge of the surgery for the most seriously injured adult male; Chen Yu, as Professor Kube’s proud disciple and one of the best surgeons in General Surgery, was responsible for the youngest casualty; as for the other casualty, it was handed over to Daimon Michiko to lead the operation.

Other professors and associate professors from General Surgery, Thoracic Surgery, and Hepatobiliary Surgery were responsible for assisting them.

Having taken over the casualty he was to treat, Chen Yu immediately had the nurses apply EKG pads to the patient, because no matter the type of patient or whatever the injury or disease, the first priority is to ensure their heart rate and breathing, only then could there be time to think about treating their other injuries.

Luckily, the casualty had already received head stabilization and preliminary hemostasis en route, as well as intubation, so although they were covered in blood, the external bleeding wasn’t too severe. Chen Yu checked the pupilary response and, seeing no sign of dilation, instructed a nurse pushing the stretcher, "Directly to the operating room, prepare for emergency surgery, tell the examination room to get the mobile CT ready, send it directly to the operating room!"

"Understood!" The nurse didn’t say much, focusing on pushing the stretcher faster while keeping it stable. Although Tokyo University Medical School Hospital usually doesn’t take emergency cases, the quality of these nurses was not to be doubted, understanding that even one second could greatly increase the chances of the patient’s survival in such a situation.

Three stretchers were pushed into the operating room almost simultaneously, with a large group of doctors scrubbing their hands at the sinks. For Tokyo University Medical School Hospital, such a scene was quite extraordinary, as it was rare to see so many professors performing surgery together, if not for an incident such as this.

However, neither Professor Kube nor Chen Yu, nor Daimon Michiko and the other doctors, had any intention of commenting on this so-called "grand occasion." On the contrary, they were each preoccupied with the details of the patients they were accountable for, which they had just heard.

The casualty that Chen Yu was in charge of was the youngest, only nine years old. Since Chen Yu was not familiar with pediatrics, another associate professor from Pediatrics was assigned to assist him.

Chen Yu didn’t feel comfortable letting Nakagawa Susumu assist him during such a life-saving surgery. In addition to the Pediatric associate professor, he directly chose Glasses Doctor and Doctor Higashiyama to be his second and third assistants, while Jounouchi Hiromi, unfazed by the situation, was the Anesthesiologist.

Originally, Daimon Michiko had wanted Jounouchi Hiromi to be her anesthesiologist, but since Chen Yu and Jounouchi Hiromi were together when they received the casualty and the hospital wasn’t short on anesthesiologists that day, Jounouchi Hiromi ended up in the operating room with her fiancé, while another anesthesiologist took care of Daimon Michiko’s operation.

When Chen Yu and his three assistants entered the operating room, the nine-year-old casualty had already been anesthetized and was lying on the operating table.

Chen Yu frowned at the sight of the young child and his clothes, almost soaked through with blood, and said, "Surgical scissors, let’s cut open the patient’s clothes first!"

The instrument nurse hurriedly handed over the surgical scissors, and Chen Yu quickly cut open the child’s clothes, as there was no time to undress the clothes piece by piece. Using scissors was the fastest method, and the Pediatric associate professor opposite him was doing the same.

"Higashiyama, Glasses, don’t just stand there, deal with the casualty’s pants!" Chen Yu glanced at Doctor Higashiyama and Glasses Doctor, urging them to handle the child’s pants, worried that there might also be wounds on his legs given the bloodstains he saw there.

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As the four doctors were busy cutting off clothes, Chen Yu also did not forget to ask Jounouchi Hiromi beside him, "Life signs?"

"Blood pressure 90/55 mm Hg, heart rate 110, and it’s rising," Jounouchi Hiromi said, looking at the monitor in front of her with an unprecedented level of focus, "We’re already transfusing blood."

While Jounouchi Hiromi was reporting the patient’s life signs, Chen Yu and the three assistants had also cut off all of the child’s clothes, revealing a small body covered in wounds.

However, Chen Yu did not immediately begin attending to the injuries but instead asked the doctor operating the diagnostic equipment, "What about the CT scan results?"

"The patient has a ruptured spleen and liver. The liver is almost split in half, severely shattered, lungs are damaged as well, and there is blood accumulation in both the chest and abdominal cavities, pericardial tamponade, and severe contusions and lacerations in the lower abdomen and limbs," the diagnostician hurriedly reported the CT scan results to Chen Yu, which they had just conducted while the patient was being anesthetized.

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"Professor Chen Yu, what should we do now?" The pediatric associate professor was encountering such a difficult situation for the first time and, looking at the child on the operating table whose blood was staining the table red, asked Chen Yu anxiously.

Chen Yu closed his eyes to think for a few seconds before quickly delegating tasks, "Higashiyama, you and Glasses take care of the wounds on the child’s lower body, stop the bleeding first!"

"Yes! Hemostats!" Doctor Higashiyama responded and took over the hemostats with Glasses Doctor, starting to deal with the child’s leg wounds.

While Doctor Higashiyama and Glasses Doctor were getting to work, Chen Yu also looked up at the display screen hanging next to the operating table, which was showing the child’s CT images.

"The liver damage is too severe, it might be necessary to remove the organ. With the liver and spleen shattered to this extent, it’s very difficult to suture and stop the bleeding," the pediatric associate professor said, looking at the image with a tone filled with helpless resignation.

However, Chen Yu did not want to simply remove the child’s liver. Indeed, when he first heard about the child’s injuries, he had already had some ideas in mind. So he said to the pediatric associate professor in front of him, "Don’t consider removing someone’s organs until you’ve exhausted all other options. This child is only nine years old!

First, draw the blood from the pericardial tamponade, then open up the chest to deal with bleeding in the lungs and the accumulation of blood in the thoracic and abdominal cavities, after which, employ cryotherapy for damage control and temporarily suture the abdominal cavity. We’ll suture the liver tomorrow."

"But the difficulty of the surgery is very high!" the pediatric associate professor said, looking at Chen Yu. Suturing a shattered liver was already an extremely difficult operation, even more so for a nine-year-old child who was much smaller than an adult.

However, Chen Yu just looked up at him and said, "So we don’t operate just because it’s difficult?"

Without saying anything further, he simply asked the scrub nurse for a "scalpel" and began the emergency treatment of the child.