431 Don't cut horizontally, cut vertically

(Thank you for your encouragement, thank you for your friends' food safety in the world, and lazy people for your monthly ticket encouragement)

Sometimes things are so wonderful, when you want to do it, you feel that it is so difficult and that you can't do it. But when you're done, you think that's what it's all about.

This is the case with Liu Banxia now, the operation is also done, and after a brief video call with Qiao Qiao, this matter is over.

When I ate in the cafeteria at noon, I didn't politely bring chicken legs, which was invited by the dean, and I had to eat it.

In fact, it's not just Liu Banxia, even after the other people in the second courtyard discussed it for a round, no one in the courtyard was too worried about this matter anymore.

But this is only in the second courtyard itself, and the movement caused outside the hospital is not small.

Liu Banxia's foolish statement is just to drive a few more sheep, how can it be as simple as driving a few more sheep. Even if you drive sheep, it's not easy to drive if there are too many sheep, right?

The medical staff were also listened to by the hospitalized patients and their families when they were discussing, and they were bored when they were in bed, so they chattered.

This is terrible, and the final unified statement is that the child's stomach is emptied, and then it is settled back one by one. Isn't this all the people being torn apart? Are all the doctors so good now?

In the eyes of ordinary people, transplanting an organ is already very remarkable, and now it is a whole empty stomach, which is a bit sensational, and then they are very happy to spread the matter.

By the time Liu Banxia returned to the emergency center after lunch, there were already several groups of people waiting for an interview. These are all self-media personnel, and the official media will communicate with the hospital to determine the interview time.

Liu Banxia frowned and called the security guards, "Find them a special place to go, so that they don't get in the way here." I told them that I had to wait for the unified arrangement in the hospital, and it was inconvenient to be interviewed. ”

The security guard nodded and quickly put it in.

Even if they don't know the details, they know that Liu Banxia participated in this operation. Regardless of the security guards' obstruction, they rushed to Liu Banxia's side.

"I know you'd all like to get first-hand, but we're sorting out the situation, so we can't be interviewed. Liu Banxia said.

"You're reporting this to make money, but we have to make money too. If we deduct our wages because we say the wrong thing, it's not fun. ”

"Let's be patient a little longer, see who needs help, and help those people quickly. What are you doing here, it's enough to specify today. ”

"Dr. Liu, this operation costs a lot, right? I heard that the child's family conditions are not very good, so how can the problem of surgery fees be solved?" a reporter asked.

"That's what you want to ask, it's so easy, I don't know. Liu Banxia said beautifully.

The reporters who had been listening intently looked at him and suddenly became very resentful.

Even if you have heard rumors in the rivers and lakes, Liu Banxia of the Emergency Center of the Second Hospital doesn't care who you are during the interview. But I didn't expect him to be so skinny, and he played a little trick.

Some journalists were disappointed that they had waited so long in vain. Some of them were moved and ran directly to the registration window.

Their minds are very simple, hang Liu Banxia's number, there was a buddy who interviewed Liu Banxia like this before.

It's just that their ideas are very good, but the reality is even more cruel. couldn't hang up, Liu Banxia didn't accept the consultation.

This is also the sequelae of the last interview incident, Liu Banxia originally did not have the task of receiving treatment, so it is really difficult to register his number now. Unless it is recommended by some friends, you can add it directly after coming.

Liu Banxia's expression was beautiful, and he still wanted to play tricks with himself? If you like to stay, just stay in the way, anyway, just don't get in the way.

I took out my own water cup, added a few slices of astragalus and wolfberry to it, filled it with hot water, and put it aside.

This is Qiaoqiao's order, saying that drinking this regularly can increase vitality and nourish the liver, and it must be drunk every day.

Liu Banxia didn't care much, but he didn't dare not drink, Qiao Qiao had too much eyeliner in the emergency center. Don't look at Xu Yinuo and Liu Yiqing, they are all very respectful teachers of Liu when they meet, but they are also ace spies when they are fine.

Seeing that those reporters had left, Liu Banxia was truly relieved. Although you can not care about them, their existence is easy to disturb.

Inadvertently glanced at the waiting area, he saw a young man in his twenties with a gloomy expression, the whole person bowed his head slightly, and his hands kept rubbing and rubbing.

However, he didn't pay too much attention to it, there were patients of all kinds of emotions in the waiting hall. When you come here, you at least suspect that there is something wrong with your body.

"Mr. Liu, the strongyloides patient is gone. At this time, Xu Yinuo ran over.

Liu Banxia nodded, "Tell the family members that the body must be properly disposed of." It's a bit inhumane to say this, but I can't help it. ”

Xu Yinuo nodded and ran back to the hospital room upstairs.

In fact, patients pass away every day in the emergency center, to put it mildly, which bed in the hospital has not died?

The number of patients receiving patients in the emergency center is now exponentially larger, and many of them are emergency patients and transfer patients who cannot be treated by local hospitals, and the mortality rate has naturally increased.

These have to be adapted, the emergency center is developing rapidly, and he needs to grow up quickly.

Perhaps because the Spring Festival is approaching, the number of patients who come to the clinic is somewhat declining. After all, there are also many migrant workers in Binhai City, and these people have returned to their hometowns ahead of schedule.

"Mr. Liu, a female car accident patient will be sent over soon. The co-pilot pretended to be out of the car and is currently unconscious. No significant trauma was found other than nosebleeds and head lacerations. The dispatch nurse shouted.

"Let's get ready to receive the consultation, the routine reception plan, Huang Bo presided. Liu Banxia said.

Huang Bo nodded, stopped Miao Rui beside him, and called Liang Xiaolin over.

This combination is still very good, Liang Xiaolin is outside the heart, and the two of them are ordinary outside, which is enough for reception.

After waiting for a while, the patient was sent over by the first responder, which startled Liu Banxia, and the patient was two hundred pounds. It's not because of this size that I have ideas, but that such patients often have some conditions in the process of treatment.

"The patient was unconscious, had difficulty breathing, had a decreased pulse. The bleeding from the nostrils has stopped, and the head wound has been bandaged. The first responder said.

Dr. Liang will first check the airway and push the emergency room. Huang Bo said.

Liu Banxia, as the instructor and also the general hospital, followed behind and walked in.

"Come, everybody catch, one, two, three, lift. Huang Bo shouted.

Although it was a bit laborious, with the joint efforts of the big guys, the patient was still lifted to the consultation bed.

"Even the monitor, the initial trauma examination. Huang Bo said.

As the attending physician, he is responsible for auscultation. Liang Xiaolin examines the airway, and Miao Rui examines whether there are any other traumas. The work of the three of them was done in an orderly manner, and Liu Banxia was very satisfied.

"Blood oxygen 87. The nurse who finished connecting the monitor shouted.

"Lung sounds are normal, Dr. Liang, let's get intubated. Huang Bo said.

It is also the most appropriate to give this job to Liang Xiaolin, who was forced by Liu Banxia at the beginning, and she also studied hard in intubation, and later was rated as a little expert in intubation.

Skillfully tearing open the cannula bag, she began to operate.

"The patient's neck was so thick that I couldn't see the vocal cords at all. Liang Xiaolin said.

"Blood oxygen is still dropping by 84. The nurse shouted.

"The patient developed cyanosis. Miao Rui also shouted.

"Cricothyrotomy. Huang Bo looked at the patient and said.

Liu Banxia frowned slightly, but Huang Bo's judgment now was not bad. If the non-invasive intubation is not successful, it may threaten the patient's life, after all, the patient has cyanosis due to lack of oxygen.

"Wait, don't cut crosswise, cut vertically. When he saw that Huang Bo had finished disinfection and was about to go under the knife, Liu Banxia shouted.

Huang Bo was stunned for a moment, but he still adjusted the direction of the scalpel, changing from a horizontal cut to a vertical cut.

Although the routine operation of cricothyrotomy is transverse incision, Liu Banxia gave the order, and he would firmly carry it out. At this time, you don't need to think too much, you will waste time when you think about it, just choose trust.

With the stroke of the scalpel, Huang Bo broke out in a cold sweat, and finally knew why Liu Banxia chose to cut vertically.

Because the patient is fat and has a thick neck, it will be difficult to find the location of the cricothyroid cartilage if a cross-section is chosen. One consequence is that more time is wasted, and the other may be that the patient's blood vessels are cut.

Whichever of these two possible consequences occurs, it may affect the patient's life and leave a mark on his practice record.

After the incision was enlarged, Huang Bo inserted the tracheal cannula and slowly withdrew the core.

"Blood oxygen went up, 87, 92, 95, 99, 100. The nurse happily counted.

"Thank you, Mr. Liu. Huang Bo said.

Liu Banxia shook his head, "Let's go on treatment." ”

Huang Bo nodded, and just hurriedly examined the patient.

The next thing is simple, after the initial examination, it will be sent directly to the brain CT.

So far, I have not seen any other trauma, and there are no fractures, and now it is also to see if there is bleeding or edema in the brain.

"In the future, we should pay attention to the fact that every time we give first aid, we must take into account the surgical method used because of the different patients. Liu Banxia said.

"The patient has a thick neck and is a woman, so it's hard for us to judge the position. However, it is also the first time you have encountered such a patient, and you can choose to forgive you once. ”

"Liang Xiaolin is too, such a patient, I personally think that the first attempt should be considered pediatric intubation. Or because the patient's neck is a little thick, there may be other lesions, otherwise it would not be difficult for our little expert today. ”

The three of them nodded in unison, this is the experience, and this is what they are lacking at the moment.