(Thanks to my friend for the encouragement of the sheep breed, thanks to my friend for the seven generations of the Three Kingdoms, and the encouragement of the warm sun and warm monthly ticket)

"Dr. Liu, I was injured in another car accident, and two drivers and a passerby had to be sent to our hospital. One of the drivers was unconscious at the scene and was knocked unconscious by a passer-by, suspected of internal bleeding. ”

Liu Banxia was still thinking about today's pregnant woman, and the dispatch nurse informed the latest emergency information again.

"Three patients, Doctor Wei and Doctor Qi have two heavy ones, and Wang Chao has two light ones. I am always ready to support and prepare for 5th generation O positive blood. Liu Banxia said.

"I'll pick up the driver, has the condition of the pregnant woman improved today?" Wei Yuan said.

"Not yet, and the situation is not very optimistic after entering the ICU. Liu Banxia shook his head.

"My biggest hope now is to be able to maintain her vital signs so that her family can see her one last time. Then the child can be delivered by caesarean section and the delivery will be successful. But for these two, it's really bad. ”

"The cost of this rescue is a lot of money, and this is just half of the rescue. How much does insurance cover? How much is left after the rescue, and you still have to raise children and two families. ”

The people on the side are silent, and this is also a problem that needs to be faced. Even if the pregnant woman is successfully rescued, how long will the recovery period take if she is so seriously injured?

At this time, the alarm of the ambulance came, and the three ambulances stopped in front of the emergency center in turn.

"A 19-year-old male, the vehicle stalled while turning, crashed into another vehicle and lost consciousness on the spot. After getting into the ambulance, he recovered, blood pressure 90130, heart rate 115, blood oxygen 100. Said the first responder who pushed the injured person down.

"Come with me, rescue a room. Wei Yuan said.

"A woman in her 30s who fell into a coma after getting into an ambulance. Blood pressure 7090, intubated and hydrated. Said the first responder in the second car.

"Come with me, rescue the second room. Wei Yuan said.

"45-year-old male, head laceration, bandaging at the scene, normal vital signs. Said the first responder who got out of the third car.

"Come with me and dispose of a room. Wang Chao said.

Liu Banxia took a look and came to the rescue room.

"Doctor, my butt hurts. The young driver said in a weak tone.

"Liu Yiqing's initial examination of trauma, Miao Rui's auscultation. Wei Yuan said.

"The vital signs are temporarily stable, and the cervical spine is fine. Liu Yiqing said.

"There was no problem with auscultation either. Subsequently, Miao Rui also gave a report.

"X-rays of the chest and pelvis, everybody leaves. Wei Yuan said.

Liu Banxia nodded, Liu Yiqing and Miao Rui acted very quickly during the inspection just now, they didn't knock and did a good job.

"Calling for orthopedic consultation, chest X-ray is normal, buttocks are dislocated. After the X-ray was revealed, Wei Yuan said.

No wonder the patient's buttocks hurt, and it must hurt if he dislocated. It's almost like using too much force when you brake suddenly, and you dislocate it all of a sudden.

"How is this patient?" Liu Banxia came to the second rescue room again.

"I started a blood transfusion, but the ultrasound showed bleeding in the abdomen. It's too late to take a CT scan, so let's go straight to the operating room. Qi Wentao said.

Liu Banxia nodded, "You go up with Brother Wei and let him be your assistant." I'm afraid there's going to be more bleeding and you can't handle it alone. ”

"Okay, let's go. Qi Wentao did not hesitate.

He knew it was necessary, and he might not be able to do it on his own. The amount of bleeding in the abdominal cavity was so heavy that his experience was not necessarily sufficient.

"Mr. Liu, there is nothing wrong with the patient on my side, and he will be sent for head CT after suturing. At this time, Wang Chao also came over.

"Okay, then you follow Doctor Qi and Brother Wei to the stage to rescue this patient, and I will watch with Doctor Shi below. Liu Banxia said.

Sending three surgeons was enough for this patient. In fact, it is mainly assisted by Wei Yuan, Qi Wentao and Wang Chao. After all, their experience is poor, and now is the time to do accumulation.

"I've done a stretch reduction for this patient, but it will take time, so let the interns help keep an eye on it, I have two patients with lower back loss over there. Wu Mingyu, an orthopedic surgeon who had finished treating the patient, came over.

"Okay, I'll be watching from here, don't worry. Liu Banxia smiled and nodded.

"It seems that you guys have been quite busy this morning, huh?" Wu Mingyu asked.

"Isn't it, I've already had two car accidents, and I don't know why people are so careless when driving now. Liu Banxia said with a wry smile.

Wu Mingyu didn't say anything, checked the patient again, and then left.

"I just looked at the patient's cardiogram, and the situation is not good, the broken rib still grabs the heart. At this time, Chen Xuehai came over.

"I was worried that as the patient's heart beats, the wound will grow bigger and bigger, and it may become a tear. At that time, I'm afraid we won't have a chance to save it. ”

"Then what do you think?" asked Liu Banxia.

"I plan to use an endoscope, which will reduce the use of heparin to prevent the patient from continuing to bleed in the brain. Chen Xuehai said.

"However, even this surgery is very risky, and complications of embolism and hemolysis are more likely to occur after surgery, so you can only be very careful during the operation. ”

"And now there is a very important point, which is what will be the value of this patient's lifesaving. There is no brain recovery test for the patient, and if we do the corresponding rescue, the prognosis of the patient's brain trauma is very poor, and it is just an additional medical bill for the patient. ”

Liu Banxia also frowned, this is indeed a very realistic problem, he also considered it just now. This is a difficult decision for doctors, even if the patient's family members come over.

"How high is the success rate of the operation you just mentioned?" asked Liu Banxia after thinking for a while.

"I've done three before and only succeeded in one. For such patients, many times the family's choice is to save the fetus as much as possible, and the brain damage is already very serious. Chen Xuehai said.

"You try to think about the detailed steps of the operation, the patient's parents should be almost there, and finally they have to come up with the idea. Liu Banxia said.

"And after the patient's condition is a little better, we can reduce the amount of tranquilizers, do a preliminary examination of the patient, and explain it to the patient's family when the time comes. ”

Chen Xuehai nodded, "That's all it takes." Or when the patient's condition deteriorates and the heart ruptures, that's what I can do. ”

At this time, the CT results of the driver also came, and he was relatively lucky, except for the wound on his head, there were no other injuries.

For this car accident, this is really nothing.

Just now, Liu Banxia also contacted the operating room, and the pedestrian who was hit had a broken spleen, a slight tear in the liver, and a short gastric artery with bleeding.

In this case, in fact, it is also on the verge of life and death, and it is easy to bleed to death, and the laceration of the liver is the lightest of the three.

"In the middle of the summer, the parents of the pregnant woman arrived. Zhou Li walked over.

"Liang Xiaolin, you just heard what Dr. Chen said, and the communication with the patient's family will be handed over to you and Qingkova. Liu Banxia said.

Liang Xiaolin wrinkled her nose, this is not a job she is good at, but now that it has slapped her on the head, she has to do it too.

The emergency hall is now chaotic, and the families of the patients have arrived one after another. Whether it is the pedestrian who is being rescued in the operating room or the pregnant woman who receives the treatment in the morning, she has already reached the standard of critical illness.

"Hey...... Although there was some hesitation, the parents of the patients finally reached a consensus that they should rescue as much as possible. Liang Xiaolin communicated for a while and walked back.

"Then inform Dr. Chan and explain the details of the surgery and possible complications to the patient in detail. Liu Banxia thought for a while and said.

"Really? I think this surgery is too risky. Liang Xiaolin hesitated.

"The stakes are high, but all we can choose at the moment is to trust his skills. Liu Banxia said.

"If you open the patient's chest now, let alone repair it, it's unknown whether you can step down. Since you decided to help the patient, you have to be more simple. If it drags on any longer, the patient's condition deteriorates, and there may not even be time for rescue. ”

"Sometimes the choices we have to face are just that, there isn't so much right and wrong, and there isn't so much sanity. What can you do? Just do your best. ”

Liang Xiaolin nodded, took out the phone and dialed Chen Xuehai directly.

"Boss, when Dr. Chen has surgery, you can also go over and watch. In case you need to open your abdomen to stop the bleeding, you don't have to shout again to delay time. Liu Banxia came to Shi Lei's side again.

"Well, you're always trying to be lazy. But it's nothing, I haven't done it in a long time. Shi Lei smiled and nodded.

"I can't help it, I have one more operation in the afternoon. I was afraid that the delay on the stage would be too long, which would affect the surgery in the afternoon. Liu Banxia said with a wry smile.

As soon as he finished speaking, Wei Yuan and the three of them also walked out of the elevator, with very good expressions on their faces, which meant that the operation was successful.

"OK?" Liu Banxia greeted him.

"That's right, Dr. Wei is here, otherwise the two of us would have to be numb. The amount of bleeding was too large, but fortunately, the operation was timely. Wang Chao said.

"This is rare good news today, and we are still worrying about the pregnant patient. Liu Banxia said.

"Come on little by little, I was shocked when I just opened my stomach. Part of the tissues of the spleen were washed out with blood, and I really didn't expect the situation to be so serious. Wei Yuan said.

"Dr. Wei handled it very quickly, and if it was just me, the patient would have left. Qi Wentao also said.

"Alright, you guys take a break, and then let's get back to the consultation. I had to prepare for the afternoon surgery, and Dr. Shi had to prepare the pregnant patient. Brother Wei, if there is an emergency, you can also go in and help. Liu Banxia said.

"Okay, don't worry. Wei Yuan nodded vigorously.

It's really hectic for today's emergency center. Even if there are only these four emergency patients in total, there are only two who focus on rescuing, which also involves a lot of everyone's minds.