Blood pressure drops.
Heart rate increases.
The dorsalis pedis artery... disappears.
Su Jie originally had a sense of luck, thinking that maybe he was just too nervous.
The blood pressure decreases and the heart rate increases, and it is still very slight. For a patient who is still on the verge of life and death, it is really not a big problem.
but……
The dorsalis pedis artery disappears...
When Su Jie's fingers touched the instep of Wei Qiang, he didn't feel the familiar strong fluctuations. The touch of his fingers was cold and dead.
At that moment, all his luck disappeared instantly, and there was only one thought in his mind:
Patient, something happened!
Arteriosclerosis, aneurysm, hypertension, aortic aneurysm, athetosis, giant cell arteritis, polyarteritis nodosa, uveitis associated with polyarteritis nodosa... these diseases may all cause
Causes the dorsalis pedis artery to disappear.
The incident happened suddenly, and Su Jie was unable to determine the cause of the disease in a short period of time, but for the patient Wei Qiang, any sudden illness may be the straw that breaks the camel's back!
The cause must be determined immediately and resolved as soon as possible!
Otherwise...danger!!!
"Don't be stunned, go to the emergency room quickly and let Dr. Hu Wei come in person!"
Su Jie shouted again, and the old couple who were stunned finally came to their senses. The old man's legs and feet were quite nimble, so he immediately walked back, while the old woman stayed where she was, a little confused.
"Qiangzi, what happened to Qiangzi?" the old lady asked tremblingly.
"It's not clear yet." Su Jie said expressionlessly, picking up the blade in his hand. The bright blade looked particularly cold in the early morning, making people shudder to see it.
"What are you going to do?" The old woman's voice became even more trembling.
"Find out why the patient is like this." Su Jie replied extremely calmly.
He was seen holding a blade and quickly slashed Wei Qiang's calf. The trouser leg was instantly cut open by the sharp blade, revealing the plastic splint inside.
Su Jie suddenly remembered that when Hu Wei introduced Wei Qiang's condition before, he said that he had a severe fracture, and this plastic splint seemed to be used to fix the fracture.
Without any hesitation, Su Jie continued to cut open the plastic splint, completely 'untying' Wei Qiang's calf.
Put your fingers on the dorsalis pedis artery again...
However, the dorsalis pedis artery still has not recovered!
Wei Qiang's calf was cold and swollen, his dorsalis pedis artery was silent, his blood pressure dropped, and his heart rate increased. This was definitely not a normal symptom, but what was the cause of all this?
The incident happened so suddenly that Su Jie had no thoughts for a moment.
Confused.
He subconsciously looked up and glanced behind him. That was the direction of the emergency room. It was not far away, but now there was only him and an old woman who could no longer walk.
Su Jie pinched his sore and swollen wrist and estimated that even if he rushed back as quickly as possible, it would take at least a quarter of an hour, or even more.
Then he looked in front of him again. The distance to the intensive care unit was almost the same, but he still had to go up two hills, which took longer. Even Su Jie was not confident that he could walk this distance alone.
It has been almost five minutes since the old man went back to move the reinforcements, but there was not even a sound in the corridor. I don't know if the old man took the wrong route in panic.
Although Su Jie didn't want to think about it.
However, the place where I am now seems to have become...an isolated island.
Isolated……
Su Jie felt that the scene before him seemed familiar, except that last time it was at the entrance of the hospital corridor, and it was also on a Monday morning, and it was surrounded by patients watching the excitement.
Today, in the hospital corridor late at night, everything was silent.
I was alone, facing an emergency patient.
No, there are more differences than just that...
Su Jie suddenly looked down at the white coat he was wearing.
After two weeks of internship in the emergency department, this white coat is no longer as clean and tidy as it was before. It is stained with unknown liquid, and the sleeves and collar are wrinkled.
But these are precious medals, proving that I have fought together with the medical staff in the emergency department and that we are all comrades-in-arms.
Compared to two weeks ago…
I am no longer alone!
Thoughts were swirling, but in fact, only a few seconds had passed, and Su Jie had already made a decision.
He took out his cell phone, dialed Li Minghui's number, pressed the loudspeaker button, and placed the phone directly at Wei Qiang's feet.
Toot toot…
The ringing sound was particularly harsh in the quiet hospital corridor.
Su Jie did not waste time waiting, but put his hand on Wei Qiang's calf, carefully inspecting every aspect like appreciating a precious antique.
fracture.
External fixation lasted for more than three hours.
pale.
swelling.
The dorsalis pedis artery disappears...what kind of emergency is this?
Under [Eagle Eye], one can see through the surface, and all clues cannot be escaped.
All kinds of knowledge in his mind were chaotic. Su Jie had been running his brain at high speed all night. At this time, it was difficult to maintain clear logic, let alone find the corresponding content in the memory palace by category.
But fortunately, in addition to logical thinking, he also has instinct.
There is no need to think, no need to recall, no need to deliberately search for specific memories.
Completely rely on instinct to...guess!
Overcoming instinct can lead people to greatness, and taming instinct can do the same!
Su Jie gave up thinking and just kept checking Wei Qiang's calf, providing all the information to his brain and letting it take the initiative to hand over an answer sheet...
A few moments.
Su Jie suddenly had an idea in his mind and thought of a possibility.
At the same time, Li Minghui's phone was also connected.
"Hey, what's wrong Su Jie? Have you found the patient?"
The voice was mellow and deep. It was Director Li Jianguo who answered the phone.
Hearing the director's voice, Su Jie inexplicably felt a sense of peace of mind, but the next second, he regained his composure and said quickly:
"Director, I was sending the patient to the intensive care unit. On the way, the patient suddenly developed symptoms of accelerated heart rate, decreased blood pressure, and disappearance of the dorsalis pedis artery."
This chapter is not over yet, please click on the next page to continue reading! "I have asked the family members to go to the emergency room to call Dr. Hu Wei, but he has not arrived yet."
"The patient's blood pressure is still falling further, his heart rate is also continuing to rise, and he is about to go into shock."
On the other side of the phone, Li Jianguo's voice suddenly became nervous: "Please tell me carefully what other symptoms the patient has!"
Time was running out, so Su Jie directly expressed his judgment: "It's compartment syndrome!"
"This patient suffered a fracture at the fire scene. The ambulance doctor arrived at the scene and used plastic external fixation on him. The tightness at that time was just right, which can effectively prevent limb displacement and aggravate the fracture."
"But more than three hours later, the patient's calf developed severe hematoma and tissue swelling, but the plastic external fixation was not loosened accordingly."
"The pressure on the calf is too great, causing acute ischemia and hypoxia in the muscles and nerves in the fascial compartment formed by bones, interosseous membranes, intermuscular septum and deep fascia, and the muscles begin to necrosis, and vital signs also change accordingly."
"Director, I am going to incise him immediately to decompress him. Please tell me where is the safest place to incision!"
Su Jie took out a sterile blade again, held it firmly with his thumb and index finger, and hung it above Wei Qiang's swollen and cold calf, ready to strike at any time.
He firmly believed in his instinctive judgment and knew very well that the best treatment for compartment syndrome was immediate incision and decompression.
Release the pressure within the osteofascial compartment and prevent further muscle necrosis.
But because he lacked clinical experience, he didn't know where was the safest place to make an incision.
There are many blood vessels and nerves in the calf. If you choose the wrong place to attack, the consequences will be disastrous.
Su Jie needs the help of an experienced professional... Li Jianguo, director of the emergency department of Southeast Hospital, is his best choice.
As long as Li Jianguo gives the order, Su Jie will not hesitate at all, he will cut it with a knife immediately!
But the phone suddenly became quiet, and Director Li Jianguo fell silent...
The last ray of moonlight in the early morning spilled in through the corridor window and fell on the blade raised by Su Jie. The cold moonlight and the cold blade formed a harmony.
Time seemed to be frozen by the cold in the early morning. Su Jie's raised arms began to feel sore. He understood what Director Li Jianguo was hesitating about. He had the patience to wait, but did the patient still have time?
Fortunately.
Soon, Director Li Jianguo's voice came over the phone again.
Mellow and deep, with a firm tone.
"Incisions are made on the anterolateral side of the calf and the posteromedial side of the calf, longitudinally, and about 2cm in front of the fibular shaft, avoiding the common peroneal nerve!"
"Understood." Su Jie spoke concisely and immediately cut off the blade with his hand.
Pfft——
The blood was like a fountain, squeezed out of the body by high pressure.
Su Jie was on guard and turned sideways to avoid the jet of black blood.
judge.
Chapter completed!