"How is the situation?" Qin Chuan asked the doctor at 120 as soon as the ambulance stopped and the door opened.
"It's not good. The injured person was blinded by an oncoming car and hit the store directly opposite. The airbag did not deploy in time, and his head hit the steering wheel. Fortunately, he was wearing a seat belt, otherwise he would fly out directly.
The speed of the car must be a bit fast. The person is unconscious and has lost consciousness. We are performing cardiopulmonary resuscitation on him, and his spontaneous heartbeat is restored, and his spontaneous breathing is weak. He is slow to respond to light. It is best to give him a brain CT immediately to see
Did you damage your brain?" the doctor said.
"Hey, I understand." Qin Chuan said.
"I'll leave the person to you," said the doctor who received the call at 120.
120 The medical staff who received the call were handled quite well. However, from Qin Chuan's current perspective, there are still some areas that can be improved. However, Qiuquan cannot be blamed. After all, the conditions on the ambulance are limited. After the treatment, they arrived.
The hospital still needs to process it again.
"Doctor Qin, are you sending me to CT now?" Fang Ping asked.
"It's not possible now. The injured person's physical signs are not very good. Let's stabilize the physical signs first and establish an intravenous channel immediately. I think the injured person's condition is not that simple. You should hurry up and prepare a blood bag for the blood test." Qin Chuan said.
After sending the patient to the observation room of the emergency department, the patient's heart stopped and his blood pressure suddenly dropped.
"Fortunately, we didn't send a CT scan, otherwise we would have been in trouble." Fang Ping was shocked.
Qin Chuan calmly began to give first aid to the patient. However, some of his methods were somewhat different from those used by ordinary doctors. Fang Ping could not understand why Qin Chuan was so weird. But Qin Chuan was a doctor, she was just a nurse
, nurses cannot interfere with doctors' treatment of patients. Under normal circumstances, nurses must obey doctors.
However, Qin Chuan's techniques seemed to be very effective. After only a short period of cardiopulmonary resuscitation, the injured person's heart started beating again and spontaneous breathing resumed.
"I think the patient's head injury is not very serious, but there may be bleeding in the abdominal cavity. Look for the contact information of the injured family members. You must contact the injured family members. If surgery is needed, the family members must be contacted.
Signed. I will contact the thoracic surgery department for consultation." Qin Chuan said.
Fang Ping glanced at Qin Chuan in surprise, feeling that Qin Chuan had become a little different.
"What's wrong?" Qin Chuan asked.
"No, it's nothing. I found his mobile phone." Fang Ping found the injured person's mobile phone from his pocket. Fortunately, the injured person did not put the mobile phone in the car. Fang Ping found it from the injured person's mobile phone and wanted to save it as
Wife’s phone number.
"Hey, why aren't you back at this time? If you don't come back, what are you calling? I know you are fooling around outside every day!" The woman on the phone was not polite at all, which showed that she was very resentful about being woken up in the middle of the night.
"Hey." Fang Ping said, but was immediately interrupted by the woman.
"Who are you? You can't be so shameless, right? I've turned a blind eye to you, are you ready to step on me and get the upper hand now?" the woman exploded.
Fang Ping quickly took the phone away, and then quickly said into the phone: "This is the emergency department of the Central Hospital. Your husband has just been sent to the hospital by 120. He is now in a crisis situation. Come to the hospital quickly."
After Fang Ping finished speaking, she ignored the woman on the phone who kept asking what was going on and immediately hung up the phone.
Qin Chuan kept snickering beside him. The department at the chest department had already been contacted, and the second line at the chest department immediately rushed over for consultation.
"While the injured person's condition is now stable, take the injured person for a comprehensive examination immediately, including a head examination to see if he is damaged. I will write down the case now," Qin Chuan said.
Nowadays, writing medical records has become a very important thing, because once an accident occurs and the patient goes to the hospital to make trouble, he has a certificate that can protect his own interests. You must not only be a good doctor, but also protect your own interests. This is
This is Qin Chuan's consistent principle. Therefore, no matter how busy or tired you are, you must write down the medical records well.
After a while, the patient's various examination results came out, and the second line of extrathoracic surgery also rushed over.
Chest X-ray and CT showed heart shadow, rightward transposition of pulmonary artery and aorta, transposition of two atria, and transposition of two ventricles. Left-sided tension pneumothorax and multiple rib fractures, bilateral lung contusion, and splenic rupture.
Pan Jieyun, the director of the thoracic surgery department, happened to be working the evening shift and rushed over. When he saw the results, he frowned.
"This patient is not doing well. Have you contacted his family?" Pan Jieyun asked.
Fang Ping said: "We have contacted him and his family members are on their way."
"Do you do cardiopulmonary resuscitation?" Pan Jieyun asked.
"I did 120 first aid once, but it stopped again when I got here. I also did it once, but I found something was wrong with the injured, so I used a more special technique." Qin Chuan explained the technique he had just used.
.
"Xiao Qin, fortunately, you are right. If you recklessly perform CPR according to the conventional method, it will be a big problem. The patient has multiple rib fractures. It is estimated that the emergency doctor's treatment aggravated the patient's injuries. But that's
There is no way to do it. Due to the limited conditions at the scene, we can only stabilize the physical signs of the injured first. After the patient's family members arrive and sign, the operation will be performed immediately," Pan Jieyun said.
The injured man's wife rushed over, running and crying all the way. Fortunately, someone accompanied her to help her handle the affairs.
"Hello, your husband's current condition is not very good and he needs to sign for surgery immediately." Fang Ping quickly took the surgery consent form and asked the family members to sign it.
"Where is he? Where is he? I want to see my husband!" The injured wife's emotions were a bit difficult to control. A woman with her quickly comforted her.
"Hello. Your husband's condition is very critical now. He must undergo surgery immediately, otherwise he may be in danger at any time. Please sign the name first, otherwise the surgery will not be possible," Fang Ping said.
"Okay, okay, I sign, you must rescue my husband!" said the injured man's wife.
After signing, Fang Ping immediately went over to Pan Jieyun and said, "Director Pan, the surgery is ready."
"Okay. Xiao Qin, you should be my assistant." Pan Jieyun had a very good impression of Qin Chuan.
"Okay." Qin Chuan agreed. He walked around the chest and learned a lot from participating in such an operation.
Pan Jieyun was the first surgeon to perform surgery outside the chest, and his skills were naturally excellent. Although the operation was a bit complicated, it did not take long and was completed in more than an hour. Qin Chuan was responsible for the final sutures.
"The skills are good. Have you worked in surgery before?" Pan Jieyun asked.
"When I was an intern in the First Affiliated Hospital of Nanya, I spent some time hanging out in various surgical departments." Qin Chuan said.
"No wonder. It's so hard. So that's how it is. How about it? Are you interested in going to our chest?" Pan Jieyun asked.
"I would like to go. But I can't go even if I want to," Qin Chuan said.
Pan Jieyun also frowned: "Let's talk about it when we have a chance."
