First aid seems to be just two simple words, but it represents so much.
The process alone can be divided into on-site first aid, transport first aid, and in-hospital first aid.
In-hospital first aid can be divided into emergency department treatment and specialist treatment!
After the patient arrives at the hospital, there are enough specialists to conduct specialist consultations in various subspecialties, and only then can he be able to receive the best medical conditions.
Before in-hospital emergency treatment, whether on site or in transit, medical resources were limited.
Just like now, even if the expert medical team is formed with the efforts of the entire province, there is no guarantee that every patient will have the most official and authoritative doctors in all specialties to deal with it immediately.
It’s not that there aren’t so many people, it’s not that we can’t find so many people temporarily, but.
The space is limited and if there are too many people, it will be very crowded, which will affect and delay the first aid process!
However, all kinds of first aid have only one purpose.
Save your life, save your life, save your life!
Save lives first, then treat the disease, this is an eternal topic in emergency and first aid.
Before the patient reaches subspecialty, all efforts are made to save life.
In first aid, one of the biggest life threats is shock, especially hemorrhagic shock!
Hemorrhagic shock, strictly speaking, is a process of cumulative and continuous blood loss over time. That is to say, for every extra second of delay, your heart will pump out circulating blood, and then in the process of rupture.
At the mouth, blood leaves your body, gradually reducing the amount of blood circulating throughout the body.
If a little adds up to a lot, it will kill you.
Therefore, time is also life and is an eternal topic.
However, if the bleeding can be stopped during on-site first aid, the risk of shock will be greatly reduced. The 120 ambulance for transfer can complete the replenishment process of circulating blood volume, which can maximize the risk of shock.
Wait until you go to the hospital and receive treatment from a specialist.
Save a life.
Life is the most precious thing.
After Yang Yifeng heard Zhou Cheng's words, he took a small step back and asked, "What are you going to do?"
What Zhou Cheng wants to do is actually blood vessel exploration + hemostasis.
To stop bleeding, there are physical hemostasis, electrocoagulation, and other methods to stop bleeding, but what Zhou Cheng wants to do is even more extreme, directly tying off the blood vessels to stop the bleeding!
This is a very effective mechanical coping factor. It may seem violent, but it is also one of the charms of modern medicine.
The most simple and intuitive expression is——
In ancient times, giving birth was a hurdle for women to overcome with their lives. There were two main risks: amniotic fluid embolism and postpartum hemorrhage.
The probability of embolism is not high. Even if it occurs, the size of the embolism must be considered, and then PCI and other measures will be taken.
However, for massive postpartum hemorrhage, with the help of intervention, the corresponding arteries can be embolized, which greatly reduces the maternal mortality rate. This is the most intuitive manifestation.
Zhou Cheng now wants to tie off the brachial artery, which is actually the same idea.
However, if blood vessel exploration is done in the operating room, any orthopedic graduate student can do it, but this is on site!
The conditions are simple and various factors are mixed. There is not even an electrocoagulation knife used to stop bleeding. And when doing arterial exploration, one of the risks you need to face is cutting the aorta and veins, accelerating bleeding and accelerating shock!
Zhou Cheng had already put on gloves at this moment, pointed to the small bottle of iodine complex next to him, and said: "Disinfection, small incision, blunt penetration of the muscle gap, and clamping. If the whole process goes well, it may only take more than a minute.
time."
"Without the intervention of sharp knives and round knives, the risk of vascular forceps breaking blood vessels is smaller!" Zhou Cheng said this to Piden Shan.
Pidenden is now the leader of this team, and Zhou Cheng is the assistant called by Yang Yifeng. Therefore, if he wants to operate, he must first obtain Pidenden's consent.
When Pideng heard that it only took more than a minute, he immediately said: "Doctor Zhou, hurry up and do it. If you can buy more time, then the fire department will have enough time to save the hand."
After hearing this, several firefighters nearby said: "If we have enough time, we can still take out our hands if we give us twenty minutes."
It's not impossible, I just heard that if this person is not rescued in time, he will die.
Over twenty minutes, who knows how much more blood he will bleed?
What's the point of saving the person's hand after he's dead? They then asked their superiors for instructions and sent a team of experts over. They originally said they were going to amputate the limb and drag the person away, but the scene of the amputation on the spot was still quite disturbing.
Although they have seen it before, they don't want to see it again.
Yang Yifeng didn't say anything. After hearing Pidenden's words, he silently poured iodine complex near the deltoid muscle. The patient's clothes had been cut open, and the purple-red iodine complex instantly stained the tear in the clothes.
Strange colors.
After finishing, Yang Yifeng used sterile gloves and sterile gauze to wipe it and disinfected it roughly three times.
He took a half step back and stretched out his head to see how Zhou Cheng was operating.
Zhou Cheng's words were simple, and Pidenden's reply was also simple, but only Yang Yifeng was brainstorming at the moment.
How to bluntly open the muscle gap under a small opening to reach the arteries and veins, and how to separate the arteries and veins without clamping the nerves, are all key points.
More than a minute?
In five minutes, if Zhou Cheng can complete all this, it will be.
While Yang Yifeng was still making calculations, Zhou Cheng quickly found the positioning mark with his hands rather rudely, and then made a two-centimeter incision, cutting into the fat layer under the skin, and then.
Blood seeped out and soon covered the wound.
Zhou Cheng didn't hesitate, and immediately used the vascular forceps to dig around the lower layer of fat. After taking out a certain gap, he saw that the vascular forceps in his hand seemed to have eyes, and the tip penetrated deeply!
Then Zhou Cheng swung his tail a few times again, then swung it left and right in the direction of the incision, seemingly breaking the fascia between the muscle layers!
Zhou Cheng's left hand inserted a vascular forceps again, close to the position of the vascular forceps on his right hand. After also sending the vascular forceps in, he opened the vascular forceps with one hand and opened the gap inside.
It's the vascular forceps that are sent in later.
"Click!" The clamp closed with a sound.
After doing this, Zhou Cheng took a deep breath!
Just now, the axillary vein was clamped with assistance!
However, if there is another vascular clamp, there will be no assistance.
There are only two pairs of pliers in one bag, not much.
Under the mask, he licked his lips with his tongue, then moved it slightly outward and behind along the clamped blood vessel forceps!
Veins are outside and behind arteries.
After carefully opening the head of the vascular forceps, he carefully poked inside. Because there is a layer of axillary sheath outside the axillary artery and axillary vein, this tough sheath must be broken open to accurately clamp it.
This is due to the fact that Zhou Cheng is relatively comprehensive in II and surgery. He is very familiar with all the soft tissues of the upper limbs, so he has a good handle on it.
After clamping it shut again, Zhou Chengcai slowly breathed a sigh of relief.
Then he opened the previous wound position and tore off a small part of the gauze. After seeing that the bleeding was almost non-existent, and the small amount of bleeding was just residual blood, he said: "It's okay, the bleeding has stopped temporarily.
Already."
Zhou Cheng said this to Yang Yifeng and also to Pideng Shanshan.
"Take your blood pressure! Continuously monitor it. If the blood pressure is wrong, report it immediately." Pideng Shanshan immediately said to a nurse in green clothes next to him.
"Okay." The female nurse didn't hesitate. The electronic measuring instrument for measuring blood pressure was always connected to the opposite side.
At the same time, several firefighters looked at the pliers placed on the patient's arms and asked, "Is this enough? It may take more than twenty minutes here!"
Are you kidding me? This metal thing is put inside the human body and cannot be removed?
Isn't this equivalent to stabbing him directly?
Hey, it really looks like two pairs of pliers were used to stab this man's arm.
However, doctors are the only profession among all professions that can directly operate on the human body for normal therapeutic purposes without being charged with intentional harm or injury.
Yes and only, apart from this, any other profession, including forensic medicine, as long as the knife is used on a living person, it is intentional harm!
Forensic doctors can only operate on dead people.
"If the bleeding stops, it should be fine in more than 20 minutes." Although Pideng is not an orthopedic surgeon, he is still a surgeon. After the artery is clamped and the blood loss is limited, it is equivalent to only the blood vessels in the hand being blocked.
Living.
The most likely outcome is amputation, but you can gamble on the chance of saving the limb and make a profit.
Now we can't do it perfectly, so we have to do this.
"Thank you for your hard work. When people come out later, you must contact the stretcher in advance and tell the doctor who is transferring you that these two pair of forceps must not be moved until you enter the operating room!" Pideng Shanshan participated in the scene more than once.
rescue work, so he is also a very brave person.
"We have other tasks, please excuse me. Xiao Zhou, you stay here, the others follow me and continue to rescue other seriously ill patients." Pideng said hurriedly.
"Okay." Zhou Cheng replied, thinking that he could only shoulder the task of watching and paying attention to the patient's vital signs.
"Okay, Professor Pi." The nurse actually replied.
Pidenden had already turned around and heard Zhou Cheng's response, but in order to save time, he said: "Yang Yifeng, take Zhou Cheng with you. The one I asked to stay here is Zhou Juan, not him."
Zhou Cheng then raised his head and followed behind with a slightly red face. At this time, Yang Yifeng turned around and called Zhou Cheng: "Brother Zhou Cheng, let's go together. There are quite a few patients here. There are only eight medical teams on site."
Zhou Juan, the nurse behind her, smiled at Zhou Cheng and said, "Handsome, you can do it. Our family. Professor Pi just asked me to stay."
Zhou Cheng also smiled back, and then followed Yang Yifeng.
Soon, several people arrived in front of a patient. This man's upper abdomen was penetrated by a steel bar from front to back. For some time, no one had dared to remove it.
Because the location of the penetration happened to be right near the liver, the previous doctor's assessment was that it was not suitable to cut off the steel bars on site.
It can only be knocked off.
If you use an electric saw to cut it, the slight vibration of the steel bar will kill the person directly, and the liver will burst!
There are many firefighters, and several experts are designing rescue plans here.
However, the good news at present is that the steel bar did not break the aorta. Otherwise, there would be no worries about death due to liver rupture.
At the same time, he also sustained injuries such as shoulder dislocation.
It was a dislocation visible to the naked eye. When Yang Yifeng approached, Pidenden and others went to discuss how to rescue him. Yang Yifeng took a breath and said to Zhou Cheng: "Brother Zhou Cheng, this is a dislocation technique.
Reset, can you do it?"
Zhou Cheng frowned: "There's no point in doing this. His dislocation was caused by a smash. It's conservatively estimated that there are fractures. It's better to wait for the open reduction and not worry about it."
"Hey, weren't you kicked out before? Why did you come in again?" Zhou Chengcai asked his curious question.
Although he died in the hands of Yang Yifeng in the simulation just now, it was all his own doing. Moreover, Yang Yifeng, a wonderful man, is really not easy. One person can hold up the scene.
First aid tasks.
If he had performed the surgery in the hospital before he had any heart knot, how pleasing would it have been? How extensive would the surgery be?
Big fingers.
Yang Yifeng said: "I was nearby, and Professor Lei recognized me and pulled me out of the crowd."
"Professor Lei's name is Lei Zhong. He is the chief director of our Department of Orthopedics and the current dean. He is also the leader of this medical expert team. He asked me to participate in the first aid work with Professor Pi."
"Oh, your card, wear this." Yang Yifeng said, remembering the brand hanging around his neck, he quickly took one out of his pocket, handed it to Zhou Cheng, and asked Zhou Cheng to hang it.
While Zhou Cheng and Yang Yifeng were chatting, the firefighter over there had already used big scissors to "clip off" the steel bars, making a loud and clear click.
At the same time, a slight shaking caused the person who was penetrated to let out a violent cry of pain.
"Ah~~~~"
"Holy shit, shit, shit!"
“Oh my god~~~~”
"Hiss~~~~" The sound of gasping for air is obviously contributing to global warming.
But no one laughed at him. Even if he cried at this moment, no one would laugh at him. This kind of pain, not to mention deep into the bone marrow, was definitely real pain.
Sweat was breaking out on his forehead.
After the steel bars collapsed, another big problem arose.
It's hard to put a person down. When placed flat, it's like a steel bar without cracking, and it has to bear the weight of the whole person. It's like a sword that is constantly being pulled out from inside.
It's not easy to put a stretcher on.
At the same time, Zhou Cheng and Yang Yifeng also noticed that this middle-aged buddy's leg was broken.
His big belly was covered in blood and flesh at the moment, and black-red blood clots were covered with scabs on his belly. His left shoulder was dislocated and fractured, and his right hand was stretched tightly on the ground, hoping to support himself.
weight.
But the right foot was broken, and only the left foot and right hand were exerting force, like a shrimp with its back hunched over, which was a bit miserable.
Although Pideng and others were assisting in the lifting, there was a fracture, and the patient screamed as soon as he touched it, and the pain was unbearable. As soon as Pideng and others released it, the patient's affected limb was stressed, and the patient screamed in even more pain.
stand up.
"I'm going to die, I'm going to die!"
"The steel bars are no longer tight!"
"It hurts! It hurts!"
This is not a coquettish cry like it hurts, but a weird cry like someone is in pain and numb.
Pidenden and others immediately had no idea how to start. The traditional three-stage emergency transport method was not effective at this time.
Upon seeing this, Zhou Cheng and Yang Yifeng hurried forward to help: "Stand sideways!"
"To the right! His right arm is good."
"My right foot is broken." Pidenden was so anxious that he was sweating profusely, and the stretcher was not easy to use at the moment.
"Professor Pi, you have to turn sideways first. I'm going to do traction on the left lower limb. It won't be very painful. Let's lie down sideways first." As Zhou Cheng said, everyone knelt directly on the ground.
Traction, there is no traction bed now, the person is hanging on the ground, he can only use both hands at the same time to complete the traction!
Then he immediately said to the firefighters: "Cut the middle of the stretcher! Then cut off a section of the front and rear steel bars to make them as close to the flesh as possible. Then let the steel bars go into the broken opening and hold it flat for transfer."
"
"How do you do it in the car?" the emergency doctor who transported the patient hurriedly asked.
The only thing on the car is the kind of stroller that can lie flat. You can't remove the bed. It's easy to remove, but it loses stability.
"When you get to the transfer vehicle, put something in the air in front and behind it. There is no other better way." Zhou Cheng continued to think of a solution.
People always have to be sent to the hospital first.
Pidenden immediately said: "When we get to the hospital, we should open the abdomen immediately to explore, mainly to explore the area between the liver and pancreas. Don't remove it casually."
Zhou Cheng was still pulling, but the tonnage of this elder brother was not light and it was a bit laborious, so he hurriedly told Yang Yifeng: "Yang Yifeng, bring a small plywood to fix it."
Yang Yifeng had long realized that he did not go to where Zhou Cheng had run before, but instead used a section of steel bar that he had just cut off as a fixture. With Zhou Cheng's traction, part of his lower limbs lifted off the ground.
, emergency bandage with gauze.
Zhou Cheng continued for four minutes before the firefighters finally carefully cut off both sides and removed a piece of stretcher cloth. Just in time, Yang Yifeng completed the temporary fixation.
Only then did everyone transfer the person to the stretcher with all their strength.
"Thank you." The patient's pain eased slightly and he began to thank Zhou Cheng and others. The emergency personnel immediately took the patient away.
Zhou Cheng sat on the ground, breathing heavily, and he was extremely happy. No matter what, it was good to be able to temporarily relieve this elder brother's pain and give him a chance to be transferred to another hospital.
In on-site first aid, the operations that can be performed are limited.
It's just that Zhou Cheng was almost lying on the ground before, his whole body was covered with dust, and his work clothes were all stained.
When Yang Yifeng saw this, he just said: "Go over there and change to another one. The dust is not good for the patients behind you. It's time to take a little rest."
Zhou Cheng nodded, adjusted his badge, and walked in the direction of Yang Yifeng. This time, because he had hung up his badge, Zhou Cheng got on the bus directly, and no one stopped him along the way, so he changed it.
After taking off my clothes, I jumped off again.
Then Zhou Chengcheng saw a direction and shot a stream of blood into the air.
Tsk tsk tsk tsk!
It's still spraying like water drops.
However, the splash is man-made, and the subsequent amount of water is relatively unlimited. The maximum blood volume in the human body is about 8000ml. If the blood loss exceeds 20%, which is about 1500ml, shock can be achieved.
That is the amount of three bottles of ordinary mineral water.
The blood bloom gradually decreases.
A group of people next to them had blood stains on their heads and faces. After the blood was sprayed against gravity, it dripped along with gravity.
Tick-tick-tick, like the sound of water dripping.
But the silence was soon broken.
"Stop the bleeding, stop the bleeding, hurry up!" Someone forcefully covered the ruptured artery.
People nearby also rushed up to help!
Everyone was crowded together, and Zhou Cheng wanted to run over to see the situation, but after taking two steps away, he retracted and ran in the direction of Yang Yifeng and others.
Follow orders!
He is now following Piden Mountain, not a free man.
However, when Zhou Cheng arrived at Yang Yifeng and others, a very decisive voice sounded over there: "The people are gone! This place cannot be saved."
"Go and see the next one."
There are no people left.
Zhou Cheng's heart trembled.
Although I had come into contact with many dead people in the hospital, this was the first time that a human life disappeared in front of me in this situation.
Death is cruel and cold.
When Zhou Cheng arrived again, Yang Yifeng and Pidenden asked him, "What's going on over there? I think I heard someone shouting that they were gone."
The distance is a bit far, and there are a large number of onlookers shouting "come on, so the sound is actually a bit messy and I can't hear it clearly."
"Teacher Pi, I don't know. When I changed clothes and came out, I only saw arterial bleeding, and then I rushed over." Zhou Cheng explained to Pidenden.
Pidenden was currently treating an open wound on the abdomen of a patient. When he heard Zhou Cheng's reply, he turned back and glanced at Zhou Cheng: "Which hospital are you from? Are you a student of the First Annex?"
Pidenden thought that Zhou Cheng was called here by Yang Yifeng, or at least he was Yang Yifeng's classmate or something.
Zhou Cheng's sense of discipline is a bit strong. He didn't even eat such a big melon. This is not what Zhou Cheng should do at his age.
His xinxing is too good and too stable.
"Teacher Pi, I'm from the Eighth Hospital, regular training." Zhou Cheng replied.
After Pidenden originally asked, he continued to his own operations. After hearing Zhou Cheng's words, he interrupted his operations again, and then looked back at Zhou Cheng with complicated eyes!
Pidenden didn't speak anymore. After dealing with it for a while, he shouted to the distance: "Bring a stretcher!~"
Someone had already been waiting nearby, waiting for Pideng to order the patient to be transferred away. However, the first aid treatment on site was still very important. If an expert team like Pideng could handle it, the chance of saving his life would be greatly improved.
After transferring the patient to the stretcher, Pidenden clapped his hands and looked around. The seriously injured patients were being treated in turn by eight on-site emergency medical teams, and the treatment was almost finished. There were no more patients waiting for treatment.
Yes, it was just the people who were still besieged inside. Pidenden stretched out his hand and said: "Let's go find a place nearby to sit and have a rest. There will definitely be a fierce battle to be fought later!"
Pidenden did not intervene in other people's rescue efforts.
Zhou Cheng, Yang Yifeng and others followed closely behind.
Beside the group of people, I also saw people starting to transport the dead. Most of them were young people, probably students. Their expressions varied, some were frightened, some were scared, and some might not be responding.
When I came over, there were no people left, and there were still people with painful expressions on their faces, probably because they had not waited for treatment!
Soldiers are very fast and they race against time. The injured must be properly handled and treated as soon as possible.
Therefore, after dividing the number of patients who needed emergency treatment at the scene, there were not particularly many. There were still some injured people who could walk, and they began to be helped out.
The current transport pressure is further reduced.
Pidenden quickly came to a place where stools were set up, as well as mineral water and food! Most of them were bread and instant noodles.
However, Zhou Cheng took a casual glance and saw that there were marshmallows in the snack pile, and even a toy excavator sent by that careless and kind person!
It should have been donated by nearby residents.
When Zhou Cheng saw this thing, Pidenden also saw it. He picked it up and played with it, then put it down again, unscrewed a mineral water bottle, and searched for it like a hawk.
It seemed that he was looking for help from a doctor and started drinking water.
Yang Yifeng adjusted his neck a little. Among the people present, he was probably the only one who worked the longest. He was the one who rushed to the scene as soon as possible.
He also played with the digger, and then took out a fruit stand's outer packaging from the shovel of the digger, which was sticky.
"Are these sent by people next to you?" Yang Yifeng asked.
However, no one responded to him. It seemed that everyone else was looking elsewhere and had no intention of responding to this topic.
Zhou Cheng took a deep breath and said, "Yes."
Zhou Cheng was still talking, and a crowd of people standing nearby on the second floor, an aunt, asked: "Doctor, eh, doctor, are you hungry? Do you want to cook you a bowl of noodles?"
"I cook a lot here."
Pideng raised his head and waved to her: "Thank you, Yao, we are not hungry."
She seemed a little regretful and walked into the house. You could see that there was still hot steam coming out of her house. She didn't know if the noodles had been cooked in the pot, but she couldn't find the person who delivered them.
Zhou Cheng also finished drinking the water at this time. When he looked at the ruins, he saw many people wearing safety helmets, doing measurements, commanding, reading drawings, searching for trapped persons and other tasks at the site.
And they, after the existing patients have recovered, can only watch the show here!
Although surgeons also do some physical work, if they really have to go into battle to do the work of firefighters, they really can't do it. They can't make on-site measurements and arrange first aid work.
Industry specializing in surgery.
While Pideng was still thinking, his walkie-talkie rang again: "Are there any free vascular surgeons? If so, come to Medical Car No. 11!"
The emergency vehicle that ordinary people come into contact with the most is the emergency vehicle, the ordinary 120 type. But in fact, emergency vehicles also have surgical vehicles, which can perform surgeries at the scene.
It is mainly aimed at patients who are too late to be sent to the hospital. However, this kind of medical surgical vehicle will only appear at the scene of large accidents. When the medical surgical vehicle arrives at small scenes, people may be gone.
It also moves slowly and has poor maneuverability. It usually stops wherever it stops.
When Pidenden heard this, he glanced at Yang Yifeng: "Xiao Yang, are you going?"
The strength of the Cardiovascular Surgery Department of Shonan University Affiliated Hospital is slightly weaker, but this weakness is relative. Compared with other hospitals, it is still better. However, compared with the top strength in the country, it is average.
First class.
However, Pidenden knew Yang Yifeng and knew that Yang Yifeng was involved in many departments.
After hearing this, Yang Yifeng pursed his lips and said, "Professor Pi, I can take a look."
After getting a positive reply from Yang Yifeng, Pidenden made a return.
"We have one here, is it No. 11? Pidenden." Pidenden announced his name.
"Received, please come over as soon as possible. Thank you!" After the other party rang, the conversation immediately stopped.
Yang Yifeng immediately ran in the direction Pideng pointed.
Zhou Cheng watched Yang Yifeng leave, his eyes moving slightly.
Pidenden explained to others: "President Lei explained to me before that Xiao Yang was at the scene to provide first aid as soon as the accident occurred. He was probably very tired and should go to the operating room to rest.
"
"Now, even if someone is rescued later, the current medical team is still capable."
However, just when Pideng was talking.
Suddenly, a firefighter was startled because one of the people who passed by and was judged to be black dead moved his hand!
When he saw it, he first said "Huh?" in fright, then quickly turned around and shouted: "There is someone here who seems to be alive, doctor!"
Before Zhou Cheng could react, he saw Pidenden seemingly middle-aged, but running away with great speed.
Sitting and running means changing from sitting directly to running, rushing towards the direction of the source of the sound.
Zhou Cheng and others quickly started running away!
It was only a few seconds behind Pideng Shan. Of course, because Zhou Cheng was young and in good health, he eventually tied with Pideng Shan.
When Piden reached the fireman's side, several of his companions had already gathered around him, trying to get him out.
Then he ordered: "Go and carefully check the vital signs of all those who are determined to be dead! Make sure there are no mistakes."
At the same time, Pidden Mountain began to call on the call machine: "Reporting to the team leader, I am Pideng Mountain. I found vital signs in the deceased!"
"I am Pidenden. All members of the medical team, all members of the medical team, and those who transported the deceased need to confirm the vital signs of all personnel again."
"All personnel's vital signs need to be confirmed again!"
After Pidengshan finished sending the voice message, he immediately remembered the clicking sound. It was estimated that many people started to panic.
This scene was completely unexpected by Zhou Cheng.
At the first aid scene, when a person is determined to be dead, they will be carefully reviewed, and no one will be given a black label casually!
Thinking of this, Zhou Cheng immediately began to carefully check other people wearing black cuffs!
Vital signs, respiration, pulse, heartbeat, blood pressure, body temperature.
Blood pressure is difficult to measure directly, but other things can be measured.
Zhou Cheng turned on his mobile phone, and after measuring his pulse and body temperature, he also checked his light reflex!
However, after checking them one by one, he found that he thought too well. Except for the person Pideng was dealing with, everyone else had lost their vital signs!
However, when several people returned to Pideng's location, Pideng immediately said: "Pericardial tamponade!"
"Hurry up and get a cardiac puncture, it may still be possible!"
"Liu asked!"
Someone immediately sent the nearest first aid kit!
"exist!"
"Can you do pericardiocentesis?" Pi Tiaoshan is from the general surgery department, and Liu Wen is from the thoracic surgery department.
Some people may misunderstand thoracic surgery and cardiac surgery. In some small hospitals, cardiothoracic surgery is integrated, but in fact, thoracic surgery deals with the lungs and esophagus, not the heart.
"I've never done it, Professor Pi," Liu Wen said.
Pericardiocentesis is not a thoracentesis. Everyone has learned it. Even epidural puncture, most people have learned it. However, pericardiocentesis is extremely professional.
"What about you, has anyone done this?"
"I'll call someone if there's no one there." Pideng Shan was already looking around. If no one responded, he would call someone.
This person had been confirmed dead before, but in fact he had pericardial tamponade, which caused the pulse to be invisible. He also heard the low dull heart sound through a stethoscope, and maybe there was excessive bleeding, so he was mistakenly diagnosed.
The patient was pronounced dead.
The best way at this time is pericardiocentesis, but this technique is not difficult for those who know it, but not for those who are difficult!
Call someone over, but it's not clear whether the patient can survive.
Zhou Chengcheng said: "Professor Pi, I can try."
Pidenden gave up his position without saying a word: "Hurry up and put it on!"
"Liu Wen, check to see if there is any lung contusion or hemopneumothorax!" Pidenden said to Liu Wen.
Cardiac tamponade may be caused by a blunt blow to the chest, pericardial effusion, or effusion or blood accumulation in the chest.
The patient's current breathing is very weak and may cease at any time.
After all, I don’t know how long he was delayed!
Zhou Cheng didn't hesitate. He had just received a "gift package" for emergency care at the proficiency level. Pericardiocentesis was a commonly used skill. Although it was not perfect, the proficiency level was enough.
After finding the puncture point, put on gloves and quickly disinfect it with the iodine complex cotton ball that comes with it.
He punctured it directly.
Soon, after the drainage bag was connected, a large amount of bright red blood seeped out. At the same time, after the cardiac tamponade came into contact, the preload became lower and the amount of blood returned to the heart increased. The skin on the other side climbed up.
While looking at Zhou Cheng in surprise.
While saying: "The pulse has picked up!"
"But the patient is still short of breath, so he probably has a pneumothorax. I need to do a closed chest drainage and transfer him to the operating vehicle immediately. He may need to open the chest for exploration."
"Can the family members be contacted now?" Liu asked.
"I can't even confirm my identity, let alone my family members. If you need surgery, just do it!"
"There is no other way. If we wait any longer, we will be gone."
At this moment, Zhou Chengcheng closed the drainage bag and said, "Teacher Liu, there is a single valve here, I will close it first."
For pericardial effusion or hemorrhage, too much blood cannot be released at one time, and it needs to be released slowly! I believe that a professional doctor should know how to do it.
Liu Wen nodded and followed the transport team to the direction of the medical vehicle with the patient.
This patient definitely needs emergency thoracotomy.
"Huh!" After this, Pideng took a long breath, looked at Zhou Cheng, and said, "Xiao Zhou, you can do it. You can use any skill. Why haven't you thought about going to graduate school?
"
"Thank you, Teacher Liu, for the compliment. Maybe I was unlucky when taking exams before." Zhou Cheng just replied, without mentioning the fact that he had failed many exams.
Before, when Zhou Cheng didn't stop to watch the bloody scene, Pidenden felt that Zhou Cheng had a good character.
At this moment, when Zhou Cheng said this again, he also said with a thought: "If you have the opportunity, you should improve your academic qualifications."
"Let's go over there and see if there's anything else we can help with!"
However, only a few people on Pideng Mountain stood up, and even the firefighters watching nearby applauded: "You have saved everything? You are indeed a professor."
"No, the professors at Shonan University Affiliated Hospital are still very powerful."
After a while it became.
"Ah? The professor brought the dead back to life?"
"Yes, he has been dead for more than ten minutes."
"Amazing."
At the same time, there were also nearby onlookers cheering, they were nearby residents, either taking photos or filming videos.
However, even if they want to publish it, it is impossible. Many media platforms now only allow official media to report such things, and all scenes require manual review.
But no matter what, Zhou Cheng's ability has been recognized by Piden Mountain.
And while waiting for the injured to be rescued, they were still chatting with Zhou Cheng. Several other people also encouraged him to go to graduate school or something after learning that Zhou Cheng was just a junior intern.
, don’t limit your vision and vision.
The charm of the platform can give you a high starting point, but the charm of the individual is that you can bloom across the platform!
Having a good platform is extremely beneficial to future development.
Zhou Cheng just nodded in agreement and did not give any affirmative reply, but he did not refuse the good intentions of these professors and teachers.
However, during the chat, Ambulance No. 11 once again sent for help!
"Is there a vascular surgeon? Call the medical car No. 11!"
This voice was shouted by Lei Zhong himself.
"Is Professor Pidenden here? Is Zhou Cheng from your team free?" Lei Zhong also directly called Zhou Cheng's name.
Pidenden glanced at Zhou Cheng unexpectedly, his thoughts moved slightly, and then said: "Xiao Zhou, I've called you, Medical Car No. 11, please go over."
"Okay, Teacher Pi! Then I'll go over there first." Zhou Cheng nodded, stood up first, and didn't get entangled. Now is not the time to get entangled.
After Zhou Cheng left, Pidenden let out a long sigh and cursed: "He is a talent, but it's a pity that he has bad luck. He went to Guipei. It is probably difficult for him to be willing to study anymore. He is also old."
Others also sighed slightly: "Yes, his knowledge and outlook are good, but his academic qualifications are a bit lacking. He is a good young man, which is a pity."
And when Zhou Cheng was walking towards the medical car, a little girl, with the encouragement of her mother, handed Zhou Cheng a piece of bread.
Zhou Cheng had eaten a lot while sitting before, but he hadn't actually filled his stomach yet.
"Uncle, let me eat for you!" she said. She was about five or six years old, probably in kindergarten, and was wearing a plush coat.
With a thought, Zhou Cheng accepted her kindness, bowed slightly to her and said, "Thank you."
Then he took it and left. He was indeed a little hungry.
"Goodbye, uncle!" The little girl waved to her from behind. She held onto the railing of the security window with one hand, and only a little head popped out, shaking it with one hand.
"Boom, boom!~" And at this moment, a second collapse suddenly occurred at the collapse site!
"Hurry and save people!"
"This way..."
It's a mess in the back.
Zhou Cheng's heart was twitching and he turned around.
Looking at a group of people gathered there, it seemed that a firefighter was injured.
And at the window, the little girl was also captured by her mother...
One is salvation in heaven, and the other is salvation in hell.
Zhou Cheng insisted on turning back and heading towards the location of the medical vehicle, which was his battlefield and mission place.