Telephone Weakness (5)
“The patient’s temperature continues to drop. “The pulse is 160 beats per minute, the systolic blood pressure is 100 mmHg, and the diastolic blood pressure is 30 mmHg.”
The atmosphere in the operating room became cold as the anesthesiologist reported.
A reef suddenly appeared in an operation that seemed to be sailing with a favorable wind.
Even Choi Ki-seok looked at the patient monitoring device and the patient alternately, as if he couldn’t understand.
“Did we make a mistake?”
“It can’t be. “There have been no problems so far.”
Emma shook her head as if Charles’ words made no sense.
Today’s surgery was going as smoothly as previously simulated, or even easier than that.
“If you just look at the vitals, isn’t this a typical finding of bleeding?”
“that’s right.”
Choi Ki-seok nodded at Jeremy’s words and examined the left ventricle.
Since there was no bleeding at the surgical site, I focused my gaze a little higher.
There was no problem in the upper part, so while examining the left ventricle, I finally discovered the bleeding area.
There was a small scratch on the left ventricle wall.
Red blood is slowly flowing through it.
“Why are they suddenly saying that my left ventricle is ruptured?”
“Let’s take action first. 3-0 Prolene.”
Ki-Seok Choi tightened the sutures with a needle holder and sewed up the ruptured left ventricle.
A simple interrupted suture unfolded quickly.
“….”
“….”
Even though the suturing was completed, the atmosphere in the operating room was still dark.
The knot was neatly tied, but blood continued to flow through the gap.
The staff stiffened like stones due to the non-stop bleeding.
Jeremy even looked up at the surgical observation room as if asking for help.
“This is my first experience like this. Even though the sutures were successfully sutured, the bleeding continues…”
“What are you going to do? Should I call the observation room?”
“no. Just give me a moment. “Emma suctions the stagnant blood, and Charles changes the blood pack.”
Choi Ki-seok gave instructions firmly and glared at the bleeding area.
There are several ways to stop bleeding.
Usually, direct pressure is applied to the upper part of the bleeding area and stitching the area is used. For bleeding caused by rupture like now, it is standard to choose the latter.
‘There is a way. For sure.’
Choi Ki-seok’s head rotated at high speed.
Isn’t today the day when Team CPR staff stand alone?
If you receive help from an advisor, the meaning becomes blurred.
‘Think about it. Think.’
Choi Ki-seok bit his lip and squeezed his head.
“Mr. Choi. I don’t think it’s time to be stubborn. “The patient’s vitals keep dropping.”
“I know. But…”
“The case was too difficult to solve on our own in the first place. Even if you ask for help, Professor Katarina will fully understand.”
“no. “I am against it.”
Charles drew a line at Jeremy’s comments.
“You can’t come all the way here and get help. “We have to solve it somehow with our own hands.”
“The patient is in critical condition. “This is not the time to be stubborn.”
“That’s what I’m saying! The role of a doctor is to do his best to save the patient. I can’t do surgery anymore. Someone please operate on this patient for me. Do you want to become a doctor who says things like that later?”
“Don’t misunderstand what I say.”
“perversion? “It must have been embarrassing because my sincerity was revealed.”
“Are you done talking now?”
As Charles and Jeremy growled, the Rosette atmosphere became even more hostile.
‘Kkkkkkk. Then yes.’
Benson, who was watching the surgery, smiled broadly.
He thought the surgery had gone very smoothly so far.
The case difficulty of team CPR was three times higher than that of team heartbeat. In short, it is far beyond what a first-year resident can handle.
It’s surprising that there haven’t been any problems so far.
Meanwhile, there was a lot of talk in the observation room about the sudden emergency situation and conflict between team staff.
Opinions were divided over whether or not to help residents undergoing surgery.
From Benson’s perspective, it was a bittersweet situation.
‘Things might turn out easier than expected.’
If the bleeding cannot be stopped like this, the patient dies.
The shock breaks the mentality of Choi Ki-seok and team CPR personnel.
If you do that, you can create a fantastic picture of blowing your nose without using your hands.
Just right. Just right. Just right.
I heard a strange sound and looked to the side to see Katarina biting her nails.
An action that sergeants intentionally avoid.
Doing this showed that her nervousness had reached its peak.
“Katarina. Don’t you actually hate your disciples?”
“What do you mean?”
“If you don’t hate your students, how could you give them a patient like that as your first case?”
“….”
Benson felt a thrill of pleasure as he watched Katarina become mute.
“Head Chief. “I’ll go to the operating room.”
Eventually, Katarina stood up.
“Sit down and don’t talk nonsense. “This is Team CPR’s surgery, not yours.”
“So are you saying we should just watch this situation? “If we continue like this, I will lose patients and my team members.”
“That’s something that can’t be helped.”
“Head Chief!”
“I told you to stay still. This is an order. “We must not step forward until they ask for help.”
Katarina sat down again at Yasada’s firm tone.
“Katarina. “You don’t have to worry too much.”
“Deputy Medical Director.”
“Teacher Choi is never one to back down from this. “Look into Mr. Choi’s eyes.”
Song Myeong-jin pointed to the monitor.
“Eyes?”
“is it so. Are those eyes the look of giving up on the patient?”
“….”
“If the doctor does not give up on the patient, a way will definitely come out. “You will learn something good today.”
Katarina couldn’t help but nod to Song Myeong-jin’s calm voice.
At that time, Rosette still felt like a powder keg.
The patient’s bleeding continued, and the confrontation between the staff became increasingly sharp.
But it is that moment.
“wait for a sec!”
The staff’s eyes were fixed on Choi Ki-seok’s low voice.
“This bleeding. “We can solve it ourselves.”
“By what means?”
“I’ll show you now.”
There was a strange look in Choi Ki-seok’s eyes.
The moment when my heart to open my hands to my teacher was rising like a chimney.
As if by a miracle, a solution flashed through my head.
[Special effects insight: 30% chance of coming up with a solution to an emergency situation. The specific methods and diversity of solutions are proportional to the papers you have read. The number of activations is once per day.]
The insight effect of the Heart Conductor skill was activated at the right time.
“Everyone settle back down. hurry!”
His shouting cleared up the messy situation.
“Meth.”
Choi Ki-seok cut the pericardium using a scalpel given to him by a disinfection nurse.
As a result, the pericardium was reborn into a 2×2 gauze size.
“Mr. Choi, no way….”
“That’s right. It will seal off the bleeding area. Please fix it well.”
“yes!”
Emma grabbed the pericardial gauze with forceps and placed it on the bleeding site, and Choi Ki-seok sewed the outer part of the pericardial gauze with continuous sutures.
“Charles. glue.”
“okay.”
I applied the adhesive I received from Charles to the suture area. Then I covered it with gel-covered foam.
And that too in triplicate.
After first aid was completed, the staff’s gaze was fixed on the suture area.
Will Choi Ki-seok’s wit be effective?
Or will it just be a useless struggle?
The results will be revealed in a moment.
After such an anxious time, the staff all collectively breathed a sigh of relief.
The ruptured left ventricle, which had been pouring out blood steadily, has calmed down.
“wow. “The bleeding really stopped!”
“It’s a success!”
Charles and Emma screamed in joy, but Ki-Seok Choi calmly looked down at the patient.
Stopping the bleeding does not mean the surgery is over.
There is still a long way to go.
“I know you’re excited, but calm down. “The replacement surgery continues.”
Ki-Seok Choi began work on connecting the mechanical valve with the sutures fixed to the valve annulus.
Time was lost due to unexpected bleeding.
To compensate for this, the suturing speed was increased to the maximum.
Faster than anyone else.
More accurately than anyone else.
With a burst of well-honed concentration and dexterity, the mechanical valve connection surgery was completed in 10 minutes.
Ki-Seok Choi touched the valve with forceps and used saline solution to see if regurgitation occurred.
Fortunately, the mechanical valve was firmly blocking the blood.
“With this, we have overcome a big hurdle. “Would Emma like to try tricuspid valvuloplasty?”
“My… me?”
Emma stuttered at Choi Ki-seok’s surprise proposal.
“I know Emma spends time practicing surgery every day. If there was a problem with me, you were going to pinch hit, right?”
“…It was just in case. But that’s not the case now…”
“Ah! Suddenly my arm hurts so much. I can’t do the surgery. Uh… what should I do?”
Charles burst into laughter at Choi Ki-seok’s acting.
“hey. “Isn’t the pain so obvious?”
“….”
“What. By the way, I also want Emma to do the tricuspid valvuloplasty. It’s because it’s covered by Kiseok, but Emma doesn’t go anywhere and kneel down. “When I came to MHC, I even took second place.”
“That’s true, but…”
“You can do it. “Because we all trust Emma.”
Emma’s eyes wavered at Choi Ki-seok’s words.
“I will do it if everyone believes in me. “I will succeed with great success.”
“That’s how it’s like Emma.”
Jeremy, who had been silent, added a word.
Soon, Choi Ki-seok and Emma switched places and the tricuspid valve plasty was performed.
Emma held the scalpel in her hand and took a deep breath.
The weight of the position of the master was definitely different.
Suddenly, it felt like a rebar had been placed on my shoulder and my arms became heavy.
‘Let’s just do it like we did during practice. Just like during practice.’
Her determined eyes calmed down.
“Meth.”
Emma slashed the valley between the right atrium and the right ventricle with the scalpel given to her by the sterilizing nurse. When the incision was slightly opened, the thickened tricuspid valve was revealed.
The condition of the tricuspid valve was better than that of the mitral valve.
If the mitral valve was generally unrecoverable, the tricuspid valve had a partial problem.
“The valve leaflets are slightly opened. “I think we just need to fix the valve annulus.”
“I agree.”
Emma nodded at Choi Ki-seok’s words.
“Artificial valve annulus.”
She covered the artificial valve annulus over the existing valve annulus and attempted to suture it.
By doing this, the artificial valve annulus can have the effect of tightening the loose valve annulus.
It was also possible to naturally prevent blood from flowing back.
‘amazing.’
Emma was once again surprised by Choi Ki-seok’s assistance while sewing the artificial valve annulus. He gently pressed the artificial valve annulus with forceps, but there was no movement as small as a fingernail.
As a result, I felt comfortable as if I was sewing a model together.
That’s not the only thing that’s admirable.
The suction and sutures were organized at perfect timing, so there was nothing to worry about except the sutures.
‘then… Let’s do it faster.’
Emma trusted in Choi Ki-seok’s seamless assistance and accelerated the stitching process.
The artificial valve annulus surgery was completed in 30 minutes.
She also showed off potential just like Choi Ki-seok.
Drurr.
The heart-lung machine was removed and the vital signs were normal.
After many twists and turns, Team CPR’s first surgery ended successfully.
Jiyiing.
The door opened and the patient and four people came out of the rosette.
A proud smile appeared on their lips.
