Chapter 16: Taking seconds

Even though Jiang Xu had decided to give the antidote before the blood test results came back, he felt that it might still be too late.

Two minutes later, the patient’s blood oxygen saturation suddenly began to drop dramatically. The emergency nurse looked at Jiang Xu with a nervous expression, but before Jiang Xu could respond, Chen Qi suddenly spoke out, “Mr. Jiang, the baseline fetal heart rate is too fast with reduced variability!”

–The fetus was most likely in intrauterine distress.

Liu Ran was full of shock. “How could that be?”

Jiang Xu gave him a look and said, “Midafilen is used for muscle relaxation with vecuronium inositol.”

Shen Fangyu continued for him, “Prepare the tracheal intubation.”

The door was abruptly pushed open, and a nurse came in with a test sheet. She gave it to Liu Ran, who was the nearest, and reported to Jiang Xu, “The cholinesterase activity dropped below normal; the organophosphorus pesticide concentration is 135 ng/ml.”

It was indeed organophosphorus pesticide poisoning!

Liu Ran, who had finished the stomach lavage, took the blood test sheet in disbelief and read it over and over several times, asking, “How could this be?” He handed the test sheet to Jiang Xu with a shocked expression; in his eyes was a subtle look of admiration in addition to incredulity. “How did you know?”

“I don’t have time to give you a lesson now,” Jiang Xu said. “The patient’s symptoms are not obvious, so she was probably taking small doses.” He took the second test sheet from the nurse and read it with a sinking expression.

Even after the stomach lavage and administration of the antidote, Zhang Yun’s indicators were still unsatisfactory.

“The treatment was delayed.” Although the amount of pesticide was small, it had already entered the blood circulation, and because of the previous delay, both the gastric lavage and the shot of atropine seemed late.

“What did the family say?” Jiang Xu asked the nurse.

“They are still insisting that the patient doesn’t take pesticides.”

“Understood.” Jiang Xu agrees indifferently, his face unreadable.

He kept his eyes on Zhang Yun’s oxygen saturation level on the monitor, but the situation he wanted to see never occurred.

The tracheal intubation did not save the mother’s precarious oxygen levels, and Shen Fangyu sighed, “Contact the ICU to prepare for hemoperfusion; we can only pray that the fetal heart rate will return.”

No one would want the baby to be born prematurely if the conditions for a full-term delivery were met, and if the fetal heart rate returned to normal, the baby should be able to stay safely in the mother’s belly for another two months.

However, perhaps it was because Dr. Shen spoke too much, but the moment he finished speaking, Xiao Chen exclaimed, “The fetal heart rate baseline is 150 beats per minute, and there’s extremely poor variability!”

Jiang Xu glanced at Shen Fangyu helplessly. The other party defended himself with a depressed look on his face, “I’m really not a crow’s mouth.”

However, just as he finished his sentence, he suddenly remembered that while eating fried skewers earlier, he mouthed off about whether Jiang Xiu was glaring at him because he had gotten him pregnant ……

“I’ll go practice closed-mouth meditation after the surgery.” Dr. Shen quickly reassured.

With the fetal heart monitor in this condition, Jiang Xu knew that there was no other option.

To save the mother, hemoerfusion was the last hope.

If the baby is taken out, the mother’s blood perfusion would have to be postponed. According to Zhang Yun’s condition, every second missed could be a fatal blow, but if the baby was not taken out, this eight-month-old fetus would become stillborn in a very short time, dealing a second blow to the mother, who was not in a good condition, and affecting the blood perfusion.

Furthermore, hemoerfusion affects the hemodynamic changes and is very likely to cause early contractions or rupture of membranes, which would then force the termination of hemoerfusion and also increase the risk of fetal asphyxia.

In fact, there was no such thing as a bloodbath in a real maternity ward, as shown in TV dramas, but as long as they are still connected by an umbilical cord, their lives are tied together.

And doctors never do multiple choice questions, or ask the patient’s family to make a choice; all doctors will do their best to ensure that a mother and child are safe.

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Jiang Xu and Shen Fangyu had only one choice before them.

–Race against time to remove the fetus as quickly as possible, and then send the mother for hemoerfusion.

And this choice was undoubtedly a huge challenge to the mindset and ability of the operators, and it was so demanding that it was frightening.

“Transfer to the operating theater.”

“Make it quick!”

As soon as the two doctors gave the word, all the medical and nursing staff involved in the resuscitation began to move to the operating room in an instant, pushing instruments and delivery beds. Jiang Xu spoke extremely fast all the way to the operating room, barely pausing: “Continue to check the condition of the fetus, prepare for a cesarean section, monitor the blood oxygen indicators in real time – ”

The rapid pace made him gasp for breath, and Shen Fangyu took over without hesitation: “Please ask for a neonatal consultation, inform the ICU to prepare for hemoerfusion, and tell them we’ll be done here soon!”

Every second in the ICU was a race against death, but death in the obstetrics department was so greedy that it always wanted to take two people at a time.

While the group of people supported the hospital bed and rushed to the door of the operating room, a strong man suddenly stopped in front of Jiang Xu and grabbed his arm. Jiang Xu looked down at him inexplicably, and the big man said, “Doctor, that’s my wife you’re operating on; remember, if something happens, you must protect the little one! Protect the little one!

Jiang Xiu didn’t say a word and shook off his arm.

“Protect your mother!” Shen Fangyu, following behind Jiang Xu, faced the man with fury, “Next time you come to the hospital, remember to bring your face with you. If you really don’t have one, turn left to the plastic surgery department on the eighth floor.”

He was usually smiling, but his sudden cold face was especially scary. The man shivered and avoided Shen Fangyu’s gaze.

Hospitals were the best place to witness the true face of humanity, and in the obstetrics and gynecology department, there were not only lovers that all the doctors and nurses envied, but also scum that one wished they could curse at.

The man with the stubble saw the doors of the operating theatre close in front of him, and he spat viciously and muttered, “Are all doctors like this? Do you have any medical ethics? I’m going to fucking complain about you!” After he finished, he grabbed the nurse who was passing by and said fiercely, “What are the names of those two white faces who just went in?”

The nurse gave him a blank look and raised her voice in disgust: “Security—”

Jiang Xu and Shen Fangyu quickly washed their hands to sterilize them. The sterile water flowed down as the two stood side by side, and Jiang Xu said bluntly, “I’ll take the lead.” He inclined his head toward Shen Fangyu, “You’ll be my first assistant.”

“You’re asking me, a deputy chief physician, to be your first assistant?”

“Didn’t you just say in the office that you would take responsibility?” Jiang Xu didn’t stop moving his hands and asked nonchalantly.

The conversation in the office was about the baby, and Shen Fangyu was full of shock: “You switch moods too quickly.”

However, Jiang Xu didn’t pay him any more attention, he turned and asked the young doctor beside him, “What’s your surname?”

The young Chen Qi was trained at another hospital and wasn’t in his group so Jiang Xu didn’t know him.

“Teacher Jiang, my surname is Chen.”

Jiang Xu nodded, “You come too.”

Inside the operating room, the doctors from the anesthesia department had already set up the instruments and ECG monitoring. Two shadowless lights were turned on at the same time, and the patient on the operating table was illuminated brightly.

The nurse helped Jiang Xu put on a sterile gown, and when he walked over to the operating table with his hands raised, Shen Fangyu was naturally already standing in the position of first assistant.

Jiang Xu glanced at him, and the latter looked up at the ceiling, saying, “It’s important to save lives; I’ll allow it once.”

He lowered his eyes, his glasses blocking the slight fluctuation in his eyes.

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