The dark green bus turned over, and the front of the bus was dented in a large area. The green paint left traces on the highway, some were green, some were white, and some were black.
There were strange traces. There was a smell of diesel in the air, and all the glass on both sides of the bus had basically turned into particles, scattered on the asphalt surface of the highway.
When Sun Lien rushed to the bus, he happened to see a little boy climb out of the window. He looked about five or six years old. His face was scratched several times by the glass. The wounds were not deep, but his face was a little shaky.
Bai. A middle-aged man was lifting the little boy's butt hard, trying to lift him out of the window.
Sun Lien used his hands to test a steel pipe in the chassis of the car that he didn't know what it was used for. The pipe was quite strong and the temperature was not high. It felt a little warm to the touch. With the help of the steel pipe, he reluctantly climbed up the side of the car and became a middle-aged man.
The man took the little boy into his hands.
There was no time to diagnose, or even take a closer look. Sun Lien turned around and handed the child into Hu Jia's hands, then turned around and climbed onto the bus. He believed that Hu Jia could handle the situation. The number of casualties in the car was still high.
Not sure, the child looked like he needed help, but he didn't have time to comfort an injured child right now.
"Help..." Waves of wailing began to come from the car, some crying, some shouting in pain. After observing by the window, Sun Lien lay on the side of the car, reached down and grabbed a
The middle-aged woman's hands tried hard to pull her out.
There was no way to go on like this, the speed was too slow. Sun Lien started to get a little anxious. He was on the left side of the bus. The wide bus was lying directly on the highway, and the body of the bus turned sideways.
A cliff about two meters high. Although the seats in the car body can be used as stair treads, it is too time-consuming to drag people out one by one. And more importantly, if someone has a fracture or other situation, such
Not only will the evacuation method become extremely difficult, but it may also cause the injured to suffer more serious injuries during the climb.
Sun Lien walked around the broken window, stepped on the emergency exit door next to the car body, walked to a position near the roof of the car, and then jumped out of the car.
There were two roof escape windows on the roof of the car. Sun Lien twisted the handle above hard and pulled the escape window open.
Several young people who were not seriously injured got out of the escape window. As soon as they got out of the car, they were grabbed by Sun Lien.
"How many people are in the car?" Sun Lien couldn't care less about attitude issues now. He was almost shouting at the young people in desperation. "Are there any serious injuries?"
"About a dozen." The young man who was grabbed by Sun Lien seemed to have a cut on his eyebrow bone, but the bleeding speed was not too fast. The dark red blood dripped down his face, which looked a little bit...
It’s scary. “I don’t know the extent of the injuries. It seemed like a few people were lying in the car just now and there was no movement!”
"Wait outside the guardrail!" Sun Lien pointed to the highway guardrail behind him. "There is a doctor on the black car behind. You go to the black car!" As soon as he finished speaking, he lowered his head and got into the car.
The situation in the bus was in a mess. Those young people must have been wearing seat belts and had only minor injuries. As soon as Sun Lien climbed into the bus, he was shocked by the tragic scene in front of him.
At a glance, the status bar directly filled Sun Lien's field of vision. The three injured people lying on the right side of the car window were no longer moving. The status bar simply displayed three people above their heads.
The word, "Dead". Sun Lien took a quick look and realized that these three people probably hit the ground directly when the vehicle rolled over. The victim who died in the worst condition, started from the head to about the third thoracic vertebrae.
All positions had disappeared. Combined with the black marks that Sun Lien saw at the beginning... I am afraid that when the bus rolled over, his upper body was thrown out of the bus. Then it was ground into pulp by the body of the bus and the asphalt road.
The other injured people in the car who were still able to move began to gradually resume their movements. They pushed open the safety door on the left side of the bus with difficulty and slowly. Unfortunately, due to the height, only one person climbed out. And the remaining people were in Sun Lien's cabin.
With shouts and guidance, he climbed out through the already opened escape door on the roof.
There was still a middle-aged man lying by the window with his eyes wide open and silent, and a young woman with an obvious fracture of the femur of her left leg. The woman seemed to be in good condition, and Sun Lien scanned her status bar.
At one glance, the femur of the left leg was fractured, the left foot was degloved, the left arm was fractured, the fourth, fifth, and sixth ribs were fractured, and there was also an open pneumothorax.
Even if these injuries were placed in the emergency room, they would be first-level serious injuries, but compared with that middle-aged man, her injuries were really considered "okay".
"Song Hualin, male, 49 years old, fractured axis, fractured thoracic vertebra, and dislocated lumbar vertebrae." Three symptoms flashed above the middle-aged man's head. Sun Lien only glanced at it and felt a cold air coming out of his back.
Any thoracic fracture or lumbar dislocation in a car accident victim will attract the attention of almost all doctors in the emergency room. If there are two complications, Director Liu Tangchun of the Fourth Central Hospital will personally come to the scene to direct the rescue. But
That's all. Such an injury is very serious, and high paraplegia is almost certain. But as long as the patient's vital signs are stabilized, saving his life is not a big problem.
But Song Hualin also suffered from the symptom of a spinal fracture.
The axis is the second vertebra of the human spine. The axis is connected through the odontoid process and the odontoid concave surface of the atlas, connecting the base of the skull and the rest of the spine. It is responsible for connecting the odontoid process of the axis and the atlas.
In fact, it was originally supposed to be the vertebral body part of the atlas. However, during the development process, it separated from the atlas and fused with the axis.
As the hardest spinal bone in the human body, the axis is of great significance to the human body. This section plays the role of "connecting the upper and lower" and at the same time protects the vertebrae at the tail end of the medulla oblongata. Once a fracture occurs, most patients will die at the moment of the fracture.
The medical community generally believes that according to current clinical statistics, the mortality rate of axis fracture is only 15%, which is seriously underestimated. These patients who can come to the hospital to receive imaging examinations and are finally diagnosed with axis fracture are actually lucky to survive.
By.
During Sun Lien's 14 months of internship and training at the Fourth Central Hospital, he only saw one patient with a spinal fracture who was sent to the hospital for rescue. The patient at that time was sent to the Fourth Central Hospital because of an accidental fall.
Within five minutes after the imaging department diagnosed the patient with a spinal burst fracture combined with intraspinal dural hematoma, Zheng Guoyou and Liu Pingchuan both rushed to the emergency room. At the same time, they also brought almost all the key doctors in their departments with them.
A comprehensive consultation was conducted. Within fifteen minutes, the chief directors of the emergency department, imaging department, anesthesiology department, critical care medicine department, neurosurgery, and orthopedics were all in place. The final conclusion of the consultation was that emergency surgery must be performed immediately. Zheng Guoyou and
Yanagi Pingchuan is pessimistic about the success rate of emergency surgery. Both believe that this kind of surgery is too dangerous for patients with a near-death situation, and the possibility of death due to compression of the tail end of the medulla oblongata on the operating table is too high.
As a result... in the end, the patient was not able to go to the operating table to gamble on whether his life would be good or bad. When the medical staff in the emergency room were preparing to transport him, his breathing and heartbeat suddenly stopped. After the ventilator and the
With the assistance of the automatic chest massage autopulse device, after an hour and a half of rescue, the patient was confirmed dead.
With the assistance of six department directors, the rescue still failed. But in a place with almost no rescue resources, Sun Lien saw such a patient again. This made him feel cold, and there were almost beads of sweat on his back.
The clothes he was wearing were instantly wet.
"Doctor Sun!" While Sun Lien was thinking about the solution, Dr. Pascal shouted from outside the car. "Are you still in the car?"
"Dr. Pascal!" Sun Lien finally realized that he was not fighting alone now. Among the seven people on the MPV, there were three doctors and a nurse. "I found two wounded people, both of whom are in serious condition. You call the police.
Are you done?" After saying that, Sun Lien walked towards Song Hualin. "I am a doctor and I am here to save you. Now please follow my instructions, stay relaxed and never move."
Song Hualin said "Okay" with a groan. Sun Lien walked to the position above his head, squatted down, took off his down jacket, picked up a few pieces of clothes and plastic water bottles scattered in the car, and put the plastic water bottles away
The parallel tape was placed between Song Hualin's jaw and collarbone, and he carefully moved Song Hualin's neck in a "head lock" according to the operating procedures. He put the down jacket underneath, and then tied it up with the plastic water bottle.
"Your situation is not clear. I'm worried that there may be a problem with your cervical spine." Sun Li'en was doing the treatment and comforted him, "In order to prevent the injury from changing, we have to wait until the fire brigade arrives before we can move you out."
When rescuing in an emergency, it is easier to gain the injured's cooperation by explaining the current situation and how you will handle it. If you just keep working in silence, the injured may become agitated again.
After briefly dealing with Song Hualin's cervical spine problem, Sun Lien did not deal with his remaining thoracic and lumbar spine injuries for the time being. The middle-aged woman behind him had a degloving injury. If the unbearable pain and continuous blood loss were not treated, it might kill her. Moreover,
Compared with blood loss, her open pneumothorax is now a bigger problem.
Sun Lien approached the middle-aged woman and said, "I am a doctor. Please lie down flat and don't make any movements." He glanced at the middle-aged woman's neck and saw that the trachea was obviously deviated to the left, indicating that the pneumothorax occurred in the right lung.
position, and the right lung is currently unable to work.
Sun Lien tore off the middle-aged woman's clothes and soon saw an exposed bone on her right side of the ribs. There was a constant "hissing" sound from the wound.