Zhang Wenhao naturally knows what Li Changyun is worried about. As an emergency doctor, he should have a lot of common sense, but the most important one is to judge whether a patient is really worthy of in-situ emergency treatment. If so, then he will be treated as soon as possible.
Take action so that the other person's life can be sustained for a while, and they can go to the hospital for more professional treatment. However, if there is no value in on-site first aid, then the other person should be sent to the ambulance as soon as possible, and then tell the driver to step on the accelerator.
Rush to the hospital. In this way, whether the other person dies in the ambulance or in the hospital's emergency banquet, it has nothing to do with the emergency doctor, and no one will blame them.
In Li Changyun's view, this woman no longer had any value for on-site first aid. Her injuries were too severe. Even excessive blood loss was nothing compared to her injuries. Her cranial cavity injury could be fatal, and her abdominal cavity was even more severe.
There were many serious injuries that could lead to her death in a short period of time. With so many fatal injuries, not to mention a woman, even a strong man would probably die before she could be sustained in the hospital. Even if she could be sustained until
In the hospital, the emergency doctor used a scalpel to open his chest before he died.
This nose man was different from Chen Feng that day. Chen Feng was shot once, and the wound was single and obvious. Therefore, Zhang Wenhao was able to find the most critical injury in the shortest time, and then relied on his superb first aid medical skills to treat him.
I was brought back from the gate of hell, but the injury of the woman in front of me was too complicated and too serious!
"Wen Hao!" Li Changyun was really anxious when he saw that Zhang Wenhao was still carefully testing the woman's ribs. Although he was amazed by Zhang Wenhao's medical skills and wanted to make friends with him, he was definitely not risking his own efforts.
Zhang Wenhao broke the rules when he went to the emergency room. If the injured person died because of him, he would probably be doomed for the rest of his life!
Li Changyun tried his best to restrain his voice and said in Zhang Wenhao's ear: "Give up, she can't be saved! Send her to the car and let's go back to the hospital." Zhang Wenhao shook his head, without raising his head, and looked at Li Changyun extremely seriously.
Said: "I can't say whether she can be saved, at least not until I know the extent of her injuries. But one thing I can say is: if I send her to the ambulance now, she won't be able to survive.
Go back to the hospital!”
"But" Li Changyun was so frightened that he lowered his voice and shouted: "If she dies, my life will be over!"
Only then did Zhang Wenhao look at Li Changyun... Seeing that he finally knew what Li Changyun was worried about, he nodded with understanding and said: "Give me another thirty seconds! If you can't determine where the fatal injury is in thirty seconds, send her to the hospital."
car."
Only then did Li Changyun nod his head, letting go of half of his mental arithmetic. He silently counted thirty seconds in his heart and prayed that this woman would survive these last thirty seconds, get through it, get in the car, and everything would be fine.
There is still room for maneuver.
Zhang Wenhao followed the abdominal skin and groped little by little where the broken rib was inserted into the body. He vaguely felt that the woman could still be saved. The reason was that the rib that was broken and inserted into the woman's body would not be longer than ten.
The distance of centimeters, ten centimeters is not enough to penetrate the left side of her heart from the right rib. As long as her heart is not fatally injured, she still has a little room to turn. If the heart is damaged, then unless it is within one minute
He had to prepare the operating table for himself within a short period of time, otherwise, even if he was a god, he would not be able to save her life.
Time passed by second by second. Li Changyun was shocked and nervous to the extreme, and his suspenseful heart rose again. Ten seconds, twenty seconds, twenty-five seconds. The woman didn't seem to be dead yet. For him, it was a big deal.
It's not the worst yet.
At this moment, Zhang Wenhao suddenly raised his head and shouted: "lìlì, go get the oxygen bag!"
Chen lìlì was holding the young girl in his arms at the moment, and it was difficult to get away for a while. When Li Changyun saw Zhang Wenhao being so anxious, he couldn't help but speculate that Zhang Wenhao must be certain that he could save this woman. He didn't know why, but he had an unreasonable feeling for him in his heart.
A kind of trust, he immediately blurted out: "I'll get it, I want more jars"
Zhang Wenhao said: "Get the oxygen bag first, her right lung was stabbed by the ribs, and the oxygen supply is seriously insufficient!"
Li Changyun also didn't expect that the woman had a punctured lung. He thought that he thought the woman was about to lose consciousness, but he didn't expect that her lungs had a severe lack of oxygen supply. If it was just lung damage, then this person could still be saved.
Li Changyun immediately ran back to the car, took the already filled oxygen bag, ran back, skillfully covered the oxygen supply end of the oxygen bag on the woman's face, and then began to press the oxygen bag with his hands to fill the woman's face.
oxygen.
When Zhang Wenhao saw that Li Changyun actually did what a nurse should do, he couldn't help blurting out: "Let someone else do the pressure. You can help me find a drainage device. She has internal bleeding and is forming a hydropneumothorax!"
When Li Changyun heard the words "hydropneumothorax," all the hopes he had had were almost dashed. He was bleeding internally.
Visceral damage can lead to hydropneumothorax. Once this occurs, it proves that the patient's abdominal organs have been severely damaged. If top surgeons do not perform surgery in time, the survival rate is very low, and hydropneumothorax can also cause a
A series of complications, including a stab wound to the patient's right lung, were almost irreversible with oxygen alone.
Zhang Wenhao saw that Li Changyun was standing there without any movement, so he immediately pushed him and shouted to Chen lìlì: "Lìlì, leave that girl alone, come here and give her oxygen!"
Chen lìlì hurriedly threw the girl aside and handed it over to Liu Hengshan. He quickly ran forward, pushed away Li Changyun, who was still stunned, and said: "Doctor Li, do what you should do!"
Only then did Li Changyun react. He knew that he was probably going to be left here today, so he simply took heart and ran back to the car in two or two steps, taking out all the things that Zhang Wenhao might use.
The right lung was damaged, the body lost too much blood, and there was internal bleeding and hydropneumothorax. Even Liu Hengshan thought that this series of injuries would definitely not save her. The girl gradually calmed down a little, and he treated more
His attention was focused on Zhang Wenhao and Li Changyun. Traditional Chinese medicine practitioners usually sit in hospitals or go to major pharmacies for consultation, and have never been exposed to first aid. Today, it can be regarded as the closest time to first aid that I have been practicing for many years.
However, even as a layman in Western medicine and first aid, Liu Hengshan knew that this woman's injuries were extremely serious and there was almost no hope of resuscitating her. He sighed in his heart that these two young doctors would probably end up trying in vain to see this woman's life.
Dissipate and finally withdraw from the world.
Zhang Wenhao didn't think so. The first thing he did when he got the drainage device was to gently press on the woman's abdomen to find the location where the fluid accumulation was the most serious. Then he carefully searched for the needle location. The needle of the drainage device was very small.
It was thick, but extremely sharp. Zhang Wenhao just pressed the tip of the needle against the woman's abdomen and applied slight force. The tip of the needle penetrated the skin, and then a large amount of red liquid flowed out of the catheter.
Draining the fluid is only the first step in the first aid of hydropneumothorax, because a large amount of mixture of body fluid and blood has accumulated in the body and must be released as soon as possible, but the release will only provide temporary relief. If the patient's internal bleeding cannot be stopped, then the blood
It will just keep accumulating.
Zhang Wenhao was at a loss as to how to stop the woman's bleeding. In just twenty seconds, Li Changyun broke into a cold sweat when he saw that Zhang Wenhao didn't make any next move. At this time, Liu Hengshan grabbed the girl's hands with one hand and reached out with the other hand.
He came over, felt the injured woman's pulse with difficulty, and exclaimed, "She has no pulse!"
Zhang Wenhao was thinking about how to stop her bleeding as soon as possible. He was shocked when he suddenly heard that she had no pulse. According to his speculation, it was impossible for this woman to lose her pulse so quickly. At least she could hold on for a few more minutes.
Moreover, he asked Chen lìlì to manually inject oxygen to her, which relieved the pressure of the abdominal effusion. Her condition should be better. Why did she suddenly lose her pulse?
Zhang Wenhao blurted out: "Brother Li, listen to your heartbeat!"
Li Changyun hurriedly took out the stethoscope from the first aid kit, placed one end of the stethoscope above the woman's heart, listened carefully for about five seconds, and then said to Zhang Wenhao with a pale face: "The heartbeat is so weak that it is inaudible!"
"No reason!" Zhang Wenhao felt that all this had exceeded the knowledge he had learned from the top medical skills package. It was like a scale that was kept level. If he removed some weights on the left and placed them on the right,
It is necessary to press the left side up, but there is no reason why the left side should press up the right side after a weight is removed. This is completely contrary to common sense.
Her blood loss was not enough to cause her to lose her pulse so quickly, so Zhang Wenhao couldn't figure out what went wrong. Could it be that this woman had other major injuries that he had not grasped?
Immediately, Zhang Wenhao suddenly woke up, turned around and stared at the slumped young girl and asked: "Does your mother have a heart problem?"
After the girl went crazy just now, she completely collapsed. She fell down on the road with her eyes wandering. She had obviously temporarily lost consciousness. She was startled by Zhang Wenhao's roar and looked at Zhang Wenhao unconsciously.
He looked confused.
"Speak!" Zhang Wenhao raised his voice and asked, "Does your mother have a heart problem?!"
"Yes." The girl came back to her senses, nodded vigorously and said, "My mother has congenital heart disease. She has been to the United States for treatment, but the doctor there said that her problem is relatively minor and she can just pay attention to it every day, and it is not recommended.
Surgical treatment” (To be continued.
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