If you are dealing with an open pneumothorax in the hospital, you need to seal the wound as soon as possible to allow the lungs to regain pressure. Then perform closed chest drainage in the chest cavity. Insert one section of the drainage tube into the chest cavity, and insert the other end into a lower water-sealed bottle.
In the process, air, blood, pus, etc. are gradually discharged.
But now the environment that Sun Lien and the patient are in is a bus that overturned on the road, not the Fourth Central Hospital with sufficient medical equipment and medical staff. Sun Lien searched around and found a medical device.
It looked like a plastic raincoat worn by a child. After tearing off a large piece of plastic cloth from it, he used the electrical tape that had fallen beside him to firmly stick the plastic cloth to the young woman's wound.
According to conventional treatment methods, thick Vaseline gauze should be used for covering, and then supportive treatment should be performed. After the patient's signs are corrected, thoracotomy should be performed, the chest cavity should be closed after debridement, and closed chest drainage should be performed. But in this place
, let alone gauze, I'm afraid I can't even find Vaseline. Sun Lien can only secretly pray that the quality of these electrical tapes is high enough, and the material of the plastic raincoat is strong enough. Otherwise, she may not be able to hold on for long.
Closing the wound does not actually completely reverse the patient's condition. Open pneumothorax is generally accompanied by lung tissue damage. With breathing, air will continue to seep out from the damaged lung tissue and re-enter the chest cavity. In this case,
She was just artificially converted from an open pneumothorax to a tension pneumothorax. During this conversion process, the patient's condition would gradually change from bad to better, and then worsen again.
If she could not be transferred as soon as possible, Sun Lien would have to find another syringe needle or something like that and make a small hole in her chest to release the pressure.
"The fire brigade and ambulance are already on the way!" Rachel shouted outside the bus, "Doctor Sun, are you okay?"
Sun Lien quickly checked the young woman's injuries. After he twisted the electrical tape into a rope, Sun Lien quickly tied the makeshift tourniquet to her left thigh where the tourniquet was tied to the fractured femur.
Above. "I have no problem, but there are two wounded here!" He glanced at the young woman with some embarrassment, "A man is still conscious, but may have cervical spine injury, and the specific condition is unknown. A woman,
There was an open pneumothorax, as well as lower limb fractures and degloving.”
Rachel shouted loudly, "you keeping deal with it! I'm going to find Dr. Pascal!" In desperation, the American, who spoke Chinese with a Beijing accent, began to mix Chinese and English. Sun Lien understood what Rachel meant and continued
He lowered his head to do the processing. The combination of umbrella and cloth strips allowed him to fix the young woman's severed femur, and the skin with only a trace of flesh still connected to the foot was wrapped by Sun Lien in his long-sleeved underwear. Wait until
After he finished processing, Sun Lien discovered that he was wearing only a short-sleeved shirt on his upper body on the Capital Airport Expressway in December.
The smell of diesel around was getting stronger and stronger, and other vehicles passing by stopped one by one behind the bus. The overturned bus almost blocked the entire highway, and its lying body occupied the entire emergency lane.
, and two and a half driving lanes. Only half of the passing lane is left, which can only barely allow cars to pass. Enthusiastic drivers in the capital simply parked their cars in the slow lane on the side of the road, leaving an emergency lane for
The rescuers then pulled the bus passengers who had escaped into their own cars. In this freezing weather, there was no shelter on the highway. The cold wind blew for an hour or two, and those who had just escaped were afraid that
The poor people who were born got sick.
Several drivers who had served in the military got out of the car and rushed to help. However, due to the lack of stretchers and corresponding first aid equipment, Song Hualin, who suffered a fractured axis, could only continue to lie in the bus. The young woman was carefully lifted by several people.
Delivered the bus compartment.
Sun Lien opened the car window, told Hu Jia outside to pay attention to the situation of tension pneumothorax, and then returned to the car.
He felt that he was very cold. The main structure of the vehicle was metal. In order to save fuel and prevent fire, vehicles of the size of buses basically did not install any heat-insulating parts in the body. The temperature inside the vehicle was controlled by the air conditioner.
The overturned bus had obviously lost the ability to adjust the internal temperature of the vehicle. Sun Lien was determined to find some clothes to wear, so he just wandered around in a T-shirt. He really didn't take the coldness of the north seriously.
Inside.
But looking at Song Hualin who was lying on the ground unable to move, and might even be crying due to the combination of fear and pain, Sun Lien shook his head and sighed. He held the seat and walked to sit next to him.
"Can you still talk?" Sun Lien pulled a fallen seat cushion and put it under his butt. "Where are you from? Are you on a business trip to the capital?"
"I am... from Shanghai." Song Hualin opened his mouth with difficulty, his voice was very low. "I came to the capital this time to see an old friend."
"Shanghai market?" Sun Lien became interested, "I haven't been to Shanghai market yet. I heard from my friends that everything eaten there has sugar in it. Is it true?"
Song Hualin replied, "No..." He gradually understood why the doctor was sitting in the carriage talking to him. "Doctor, am I going to die?"
"Ah?" Sun Lien deliberately made his voice exaggerated, "Are you going to die? Why can't I tell?" He tried hard to make the middle-aged man in front of him relax a little. "Don't worry, the ambulance will be here soon.
We're here. As long as I'm here to keep an eye on you, you'll be fine."
"I... hurt a lot now." Song Hualin sighed, "It doesn't matter that my whole body hurts. I feel like my neck is about to break."
Of course, Sun Lien couldn't say that his neck was broken. This did nothing except make him nervous. He could only smile and said, "Then you are better than us doctors. We have to let the patient take an X-ray to find out."
Is his neck broken?"
"Doctor, what's your name?" Song Hualin suddenly asked, "I think you look very young. Have you just graduated?"
"My name is Sun Lien." Sun Lien introduced himself. "I am twenty-five years old and I am a doctor who has just started working."
Song Hualin whispered, "My name is Song Hualin." He paused and suddenly asked, "Dr. Sun, can you take out my mobile phone? It's in my right pants pocket. I want to call my family.
"
Sun Lien took out his mobile phone. Diesel is not flammable. He learned this bit of knowledge in high school. It probably doesn't matter if he makes a phone call.
"Do you want to call your family?" Sun Lien asked, "Do you have their phone numbers saved in your phone? I'll dial them for you."
"First... call my lawyer first." Song Hualin was silent for a while and replied, "There is lawyer Zhao Song in the phone address book, call him."
Instead of reporting to his family that he was safe, he called a lawyer first? Sun Lien was a little confused, but since this was the patient's request, he naturally couldn't say anything. He dialed the phone and reminded, "You can't move your neck. I'll
Put the phone on speakerphone and put it next to your ear."
The call was connected quickly, and a cheerful voice came from the other side, "Mr. Song, has your plane landed?"
"Lawyer Zhao, I might be dying." Song Hualin's voice was very stable, and he didn't sound like someone who was making funeral arrangements. "Have you finished notarizing my will?"
"Ah?" Lawyer Zhao on the other end of the phone was startled, "Mr. Song, what's wrong with you?"
"I was on the bus at the Capital Airport." Song Hualin explained calmly, "The vehicle had an accident, and several people may have died. I was injured and my neck couldn't move. Although the doctor next to me said I wouldn't die yet,
I think he is lying to me."
Sun Lien was a little embarrassed. He had never seen someone so...unconventional.
"Your will has been notarized." Although Lawyer Zhao found it incredible, he still fulfilled his obligations faithfully. "Do you need to make any changes?"
"No need." Song Hualin rejected the suggestion, "Please inform my ex-wife... and the children." He was silent for a long time, so long that Sun Lien thought he had finished speaking. Just when Sun Lien was about to help hang up the phone.
, he suddenly said, "Tell them... I'm sorry. Tell my current girlfriend, I'm sorry."