Puze's emergency department is the emergency center of Kyoto City, and ambulances are always on call at the door.
Similarly, the emergency department is very busy. It can be said that there are three shifts every day, which makes the doctors a little breathless.
Liu Xiaogang walked down the stairs calmly and said to Bai Ye, "Don't be nervous. Since we are asking for urgent consultation, it is definitely not life-threatening."
"If someone's life is in danger, don't call us for orthopedic consultation."
Indeed, if the patient's life is in danger, he will probably be sent to departments such as cardiac surgery, neurosurgery, ICU, etc.
Liu Xiaogang continued: "We may be asked to judge the patient's condition and formulate the following next treatment plan..."
Indeed, it was Bai Ye's first time encountering such an emergency consultation situation, so he was a little curious and nervous.
Because of emergency consultations and so on, in his impression, they were always critical patients.
However, Bai Ye is not afraid. It is said that people with advanced skills are bold. At this time, Bai Ye has lv6 critical and severe clinical skills, and he can basically deal with many common critical and severe diseases in clinical practice.
I just had this opportunity today to go to the emergency room.
When Bai Ye followed Liu Xiaogang into the emergency department on the first floor, he was dumbfounded. He saw twenty or thirty people sitting on makeshift beds, stretchers, and wheelchairs, some of whom were wearing police uniforms.
And standing next to it was a group of police officers!
This made Bai Ye a little confused. What is going on?
At this time, Liu Baoshe, director of the emergency department, saw Liu Xiaogang coming in and hurriedly came to greet him: "Doctor Liu is here. Come in and I will give you a general introduction to the patient's condition."
Liu Baoshe pulled Liu Xiaogang into the doctor's office. There was a man who looked like a police officer sitting inside. However, the man's arms were fixed and he could not move. Sweat was dripping down his face. He was obviously in severe pain!
The three police officers around him also looked at the man nervously.
Liu Baoshe said: "This is Zhao Bo, the captain of the criminal police team of the Kyoto City Criminal Investigation Bureau. When I was on duty today, I had an accident. Now the right upper limb may be dislocated due to trauma. When we got to the emergency room, we went to take a film."
Having said this, Liu Baoshe handed over the X-ray film. Several pictures were taken from several angles. When Liu Xiaogang took the film and looked at it, he was stunned for a moment.
A dislocation is a dislocation, yes, but...this dislocation is a bit difficult...
To put it bluntly, it’s not easy even to look like this!
Bai Ye waited for Liu Xiaogang to finish watching it, then he also took the film over, looked at it against the light, and raised his eyebrows.
There is a problem with the elbow joint, but there are many problems. What does it mean?
The only place where the upper arm and forearm are connected is called the elbow joint, which is mainly formed by the lower end of the humerus, the ulna, and the upper part of the radius. There are three main joints: the humeroulnar joint, the humeroradial joint, and the proximal radioulnar joint.
Normally, the humeroulnar joint is mainly composed of the humeral pulley and the ulnar semilunar notch, but now, the two places are now inserted aside by the humerus and are stretched apart.
The humeroradial joint was originally the concave union of the humeral head and the radial head, but now the humeral head is on the outside, that is, between the humeral and ulnar joints in the hospital!
The current situation is not very optimistic.
Dislocations generally occur in the shoulders, elbows, jaws, fingers and other parts, but the phenomenon of multiple joint slippages like this is really rare.
The common cause of dislocation may be direct violence, or it may be caused by a fall or improper force.
That is, when a damaging external force acts on a joint, the external force is conducted along the bones, forcing the bones to shift and collide with other bones, ligaments, and muscle tissues, thus causing a series of sequential injuries.
Watching this video, Bai Ye felt numb for a while, wondering how much force it would take to cause such severe deformation.
Liu Xiaogang walked up to the patient, looked at the fixed joints, and said: "Expose the wound and let me see what the situation is like now. Please bear with me and I will remove the gauze for you now."
The man's forehead was covered with beads of sweat, dripping down. It was winter. It had just snowed in Kyoto, and the biting wind was no exaggeration.
But it is no joke to make a man in his thirties or forties hurt like this!
The man endured the pain and smiled: "Yeah! Okay, doctor, you don't have to worry about me."
When the fixed cloth straps and gauze were untied, everyone was shocked. The elbow joint was now as swollen as a wine jar.
So red!
Liu Xiaogang then checked the arteries in the wrist one by one to see if the circulation was affected. He touched the patient's fingers and gently pinched the muscles to observe his reaction to pain.
Bai Ye knew that these were judgments on the patient's neurological function.
Dislocation is not like what is shown in the TV series. It clicks, twists, turns, pulls, and then resets.
This is not the case in reality, because joint dislocation can cause damage to surrounding tissues, blood vessels, and nerves. If performed improperly, it will not only fail to help the patient, but may also cause secondary damage to nerves and blood vessels, with more serious consequences.
After the examination, Liu Xiaogang frowned and thought for a while, and said: "I recommend surgery, because there are many slippages in the joint cavity, causing... Although there is no bone damage on the film, such a complicated reduction is difficult, maybe you can
Contact Director Li Jianwei."
Li Jianwei is well-known in the Kyoto orthopedics circle, and he is particularly good at repositioning. It is said that the ancestors of the old Li family were military doctors in the past. They went on expeditions with the army during the Qing Dynasty, and their resetting techniques were very good.
Later, it was passed down from generation to generation until now. Not only has it not been lost, but it has been carried forward.
Liu Xiaogang took out his mobile phone and dialed Li Jianwei's number. It took him a long time to get through.
Liu Xiaogang felt like he said: "Director, I am in the emergency department now, and there is a patient. The situation is like this..."
After Liu Xiaogang finished speaking in detail, there was silence for a moment and he said: "I am in Singapore..."
"However, in this way, I now have a general understanding of the patient's condition. Manual reduction is indeed the best choice, but even I cannot guarantee that this situation can be recovered intact. Let's organize the surgery and restore it as soon as possible. Please contact me.
The director of the second-line class, see who is there and proceed as soon as possible..."
Li Jianwei went to Singapore to attend an academic conference on the weekend and was not in Kyoto, but his professionalism still allowed him to give him the most suitable plan instantly.
Because, after dislocation, if the joint can be restored within 2 to 3 hours, the prognosis is generally good.
If the dislocation lasts for too long, the surrounding tissue will swell and deform, making direct reduction more difficult. If it continues to develop, it is likely to affect future joint function!