Febuwhump 2k25 - Day 23 - Emergency Surgery (Alt Prompt)
What if, not long after Yue Qi was locked inside the Caves, Shen Jiu got accepted as a disiple by the sect. And then a couple months later he finds out where Yue Qi is. And no one can hold him.
hey y'all, i had emergency surgery earlier this week and my wonderful amazing job denied me paid sick leave so i literally have no money until im able to go back and that won't be till another 4-6 weeks 🙃 so please check out my store, buy some prints. literally anything helps. if you cant afford a lot there's 10% off and i'm more than happy to give out codes for up to an extra 25% off ! even just liking and sharing helps a lot 💜
Hello. My name is Amber. I'm raising funds to help pay for fu… Amber Richardson needs your support for Please help Amber with funeral expens
Hello. I'm asking for help to recover a great financial loss due to some large unexpected expenses. The main ones are from a funeral we paid for (my father-in-law passed away) and an emergency surgery we had to get on our puppy, Maxine. Both of these were several thousands of dollars. We were not financially ready for such large expenses. We are only asking for help from people who can afford to give. We do not expect anything from anyone, especially for those who are also struggling financially. However, anything anyone can do is immensely appreciated. Even a share and getting word out is extremely helpful. Thank you all so much for anything and everything.
Reposting about my kitty who needs immediate surgery to fix a fracture to her hind leg. Any donation, even a dollar helps. If you can’t donate please share. She is everything to me 💙
Meet Venus. An affectionate and playful kitten who was a street cat mere weeks ago. In unforseen circu… Sydney Klause needs your support for
I'm back with another instalment in this writing guide since I've been working in emergency surgery for long enough to be confident writing about it. As usual, this is all based on my experiences in a hospital in the UK. Hospitals in other parts of the world may do things differently.
TW: mentions of death
What is an emergency surgery
This seems obvious, but it's not always clear. There are some surgeries that have no "time limit". This doesn't mean the patient will get better, but there's no threat to life or limb (they won't die or lose a limb/get brain damage).
Then there are surgeries that need to be done sooner rather than later or the patient could die. Many cancer surgeries are in this categories, along with some hernias, gallbladder removal, stents etc. But they still aren't emergencies. If they have surgery this week or next week it doesn't matter (clinically, it sucks if you're the patient).
When an operation is put on the emergency list it is because it needs to happen in the next couple of days at most.
Emergency surgery categories
Different countries probably use different levels of category but we use this one:
Level 3 - needs to be done within 48 hours (roughly)
Level 2 - needs to be done within 24 hours
Level 1 - needs to be done ASAP, usually within the hour
The vast majority of surgeries are level 2 or 3. This includes all the most common surgeries.
Within these categories operations are prioritised. The sicker patient within the same category will be done first*
*exclusions apply, to see more please contact the anaesthetist who is watching a fist fight between the urology surgeon and the gynae surgeon
So... how does it work?
You've come into the emergency department with appendicitis, sent for labs and scans and reviewed by a surgeon and they've decided you need surgery.
From there your name gets booked onto the emergency list. This is a list of all the emergency surgeries waiting to get done.
Next we look at which patient is the sickest and try to prioritise them. Unfortunately for you, you're not very sick right now. Off you go to a ward to wait your turn. In the mean time the surgeon will consent you for surgery and the anaesthetist will talk to you about any pre-existing conditions you have.
Bad news, you've taken a turn for the worse and are getting septic. Good news, you've been bumped up the list and are up next! You're collected from the ward and brought straight to surgery, they take out your appendix and you're good to go :)
Common emergency surgeries
Some of the most common surgeries I see:
appendicectomies (removing an appendix)
removing kidney stones and placing ureteric stents
fixing hernias and bowel obstructions (sometimes leading to stomas)
surgical management of miscarriage
draining abscesses
amputations (usually for diabetic or necrotic feet)
pain management (epidurals and nerve catheters, which are epidurals for your leg/arm)
Trauma surgery usually has its own dedicated operating room and mostly deal with fixing broken bones
The big stuff
While level 1 emergencies are rare, they do exist. In my hospital this is nearly always because of a large bleed of some kind, either in the intestines or a major blood vessel.
For the most severe emergencies the patient is prepped and draped while they are being anaesthetised. This is so that as soon as the patient is asleep the surgeon can begin. The only surgery we do this for in my hospital is an abdominal aortic rupture, which has a death rate of 100% without surgery - and 75% with surgery.
Organ retrievals are also level 1 but work differently. I won't go into that here but if anyone is interested let me know.
The sad stuff
I don't want to make out like emergency surgery is all heart wrenching and adrenaline pumping because it's not. I am fortunate to work in a great team and most days are pretty routine, but just like working in any emergency service there is a toll it takes.
There is a physical and mental cost to healthcare, especially in acute settings. The hours are hard, you spend all day on your feet doing a lot of physical labour, and workplace injuries are common. And when something tragic happens, you often don't get time to process it.
I will make a dedicated post about this talking about my experiences because it doesn't fit here, but it's too important not to at least mention.
If anyone had to carve his side open—back open—to find the delightful little tracker-explosive combo Bishop’s people had planted, Mikey would rather it be his brothers.
No time to reach Don’s lab. Mikey couldn’t risk leading their pursuers to invade another lair or worse, triggering detonation somehow on the way there. No anesthesia, no painkillers—only Raph’s arms, hugging him tighter than he had in years against every uncontrollable shudder and jolt as Donnie probed Leo’s perfectly even incision, and one of their belts ground between his teeth with jaw-popping force as he screamed and screamed and screamed.