Famous Among Top Surgeons in the 90s

The back of the head is where the life center is located.

What to do? Yue Wentong turned his head, looking at Xuanwu Emergency Department, and involuntarily shivered, as if the north wind at the door had made him tremble.

"Doctor Xin, send them to the hospital's emergency department. Fortunately, we are right in front of the emergency department." Master Zhang suggested to Xin Yanjun.

"You go inside and call someone to push out the stretcher." Xin Yanjun nodded and instructed Master Zhang.

Master Zhang quickly ran back to the emergency department, not forgetting to point at the young man driving the van and say, "Don't you dare run!"

If anything happens to the person, the perpetrator absolutely cannot escape.

Hearing this, the young man seemed to come to his senses, shakily stepped out of the van, and looked at the person lying motionless on the ground. His legs felt as weak as noodles, and he said, "No, why was the ambulance parked here, I couldn't see—"

How could such a big vehicle not be seen? Is this person blind? It could only be that he was driving too fast, and by the time he saw it, it was too late to brake. Furthermore, the van was originally meant to deliver goods to the hospital, took the wrong turn after entering, and ran straight into the parked ambulance at the emergency entrance.

At this moment, there's no time to blame anyone; the doctors only thought of saving the person quickly.

"Sister Seo, Sister Seo!" Xin Yanjun patted the injured person's face, but it was completely impossible to wake her.

Xie Wanying knew Teacher Xin was extremely anxious, she pulled out a doctor's flashlight to check the pupils on both sides of the injured person, and saw that the pupils were slightly constricted and sometimes seemed to be dilated.

Acute brain herniation, the internal bleeding in the brain must be extensive to form herniation symptoms so quickly. Moreover, the pupils on both sides sometimes constrict and sometimes dilate, which is not a good sign; it's the worst situation, likely a cerebellar tonsillar herniation or occipital foramen herniation, much more serious than the boy she and Teacher Ren saved last time.

Brain herniation varies by location, and undoubtedly, herniation near the life center is the most dangerous. The little boy just had a right-sided parietal-temporal epidural hematoma. Sister Seo's is a posterior fossa hematoma. It reminds me of the high-altitude fall injured worker we just rescued. At that time, just like the squad leader, I was very worried the other party had a posterior fossa fracture.

The posterior fossa area is smaller in size compared to other parts of the cranium, which means once a hematoma forms, there isn't enough space to accommodate it. Therefore, patients who die from cranial injuries, it's often not due to a large amount of bleeding, but because the hematoma compresses the normal brain tissue, killing it. Under such lethal and disabling principles, the primary principle of neurosurgery is, by all means, to decompress and release the compressed brain tissue first.

Fortunately, for the high-altitude fall injured worker, even though cerebrospinal fluid leaked from the nose, intracranial pressure didn't rise quickly, and the hematoma didn't rapidly compress the normal brain tissue to the point of suffocation, giving emergency and neurosurgery doctors time to rescue.

But it seems that Sister Seo's trauma is not the same. It is a completely closed brain injury with no communication between the contents of the cranium and the outside, leaving no space for the hematoma inside to be released, thereby causing very rapid brain herniation. It shows how unexpected that crash was when Sister Seo was thrown out without any defensive preparation, landing with violent force on the back of her head.

"Just as expected."

Xie Wanying lifted her head and saw the squad leader speaking.

Yue Wentong's dark eyes seemed to glow eerily in the night, a bit frightening. He glanced at Master Zhang who was running into Xuanwu Emergency Department, his face was grim and his eyes even darker.