293 Hedge brain injury
(Thanks to my friends for the encouragement of the Heart Dance Monthly Pass)
The people who are very curious about Liu Banxia are not only Qiao Qiao, they also look at it when they eat, he is too well-behaved. Usually when she is in the emergency department, she is a little "domineering", and Peng Xiuqin can be regarded as a "bad breath" for the big guy.
is also because he has a more cheerful personality, in fact, these interns under his hands are not less teased by him. Not to mention his teacher's tradition of asking questions anytime and anywhere, it really tortured this gang.
I went upstairs and took another look at Xiao Han, who no longer needed oxygen. The embolism in the lungs is removed, and without compression, breathing is naturally smooth.
"Sister Wang, why are there so many patients at once?" Back downstairs, seeing Shi Lei and them operating in the rescue room, Liu Banxia asked curiously.
"A series of car accidents, four cars collided in a row, a total of six injured. It was the driver of the second car who was rescued, and everyone else was slightly injured, so he was unconscious. Wang Ying said.
Liu Banxia nodded, cars can bring convenience to people's travel, but they can also bring a lot of dangers. It's not that you just have good driving skills, you can't stand others from hitting you.
"By the way, is it that the infusion tube I told you last time made others talk about it a lot?" asked Wang Ying.
"Sister Wang, it's okay, anyway, I'm a lice and don't itch. If others like to say it, they can say it, and the quality of these infusion tubes is already poor. Liu Banxia said indifferently.
"Don't think about it, there's something else going on here. Maybe it's because I'm too well-behaved, so you don't care about it anyway. ”
"I knew I would have reacted on my own. Wang Ying said.
"Sister Wang, if you react, you will still have to count me when the time comes, and you will say that it was instigated by me. "Liu Banxia is happy.
"Anyway, when I don't like it, I can list everything. This matter can only be verified by time, and we have no selfish intentions anyway. Boss, how is this patient? I look unconscious?"
"I was sent for brain CT, cervical spine, and thoracic spine X-ray, and there was no internal bleeding in the abdomen during the initial examination. But the blow on the forehead was so big that it could have hit the steering wheel. Shi Lei said.
"At present, the pupils of both eyes are equal to large, and they still respond to light. Let's hope it's just a concussion-induced coma, as long as it's not a cerebral hemorrhage. Did the director tell you when you were going to move to the new building?"
"No, it's not like you don't know how busy the director is right now. I've heard that the commissioning has entered the final stage, and it should only be ten days, right?" Liu Banxia said.
"It may have been earlier than originally planned, and I heard that people from other departments who have been transferred to the emergency department have already had a meeting. Shi Lei said.
Liu Banxia was stunned for a moment, it seemed that the mood in the courtyard was really urgent. But think about it, the sooner you put it into use, the sooner you can see the effect.
The emergency center is now more eye-catching than itself, and at most it is attracting the attention of a few people, and the emergency center has a social effect.
"Teacher Liu, there are patients looking for you. At this time, Miao Rui, who was in charge of triage, shouted.
Liu Banxia looked over and was a girl. Some of them are familiar, but some of them can't remember where they've seen them.
"Hello, Dr. Liu. Ah, Dr. Shi is there. The girl came running over and greeted her very warmly.
Shi Lei has seen everything, and he still knows himself, why don't he have any impression at all.
"Hello, do you have something to do with me?" Liu Banxia hesitated for a moment and asked.
"Oh my God, Dr. Liu, you can't forget me. Seeing Liu Banxia's reaction, the girl was a little depressed.
Listening to the girl's words, the people nearby all pricked up their ears. There is a situation, it should be ...... No way?
"I'm sorry, I really can't remember. Liu Banxia said helplessly, he was really unimpressed, at most he was familiar.
"Diverticulitis. The girl reminded.
"Ouch, I remembered. You're Fei Fei, right? I said, why don't you even know Dr. Shi? I see you're looking good and you're recovering well. Liu Banxia then remembered.
This girl is the patient who only earned a little hard money from her flying knife, a very cheerful girl, and she took a group photo in the operating room.
"Looks like you're recovering really well. Shi Lei also thought about it.
"I'm going to be working in Marina City from now on, so let's take a look at my two lifesavers. Shen Feifei said.
"Don't mind, where can there be so much credit. If you change to the same operation for everyone, you don't have to worry about it. Liu Banxia hurriedly said.
Although he also likes to hear praise, but as a doctor, this praise can't be too much. If you are used to hearing the "life-saving benefactor", I am afraid that you will float in the future.
There are not so many lives to save, they are all normal operations.
But he is also very happy in his heart, after all, he has received thanks, which is also the greatest affirmation of his work.
After chatting a few words, this Fei Fei is also amazing. At present, I am a staff member of Binhai TV, although I am not the kind that has not been compiled for the time being, but being able to enter it is already a great success.
This time, I also came with a task, and I had to make an appointment with Liu Banxia for an interview. The topic is the last time I smoked laughing gas, and he needs to introduce the harm of long-term smoking from a medical point of view.
"Okay, I should have time for the next few days. But can you wait, when we move to the new building?" asked Liu Banxia after thinking for a while.
"It should be no problem, anyway, the specific time has not been decided now. Dr. Liu, that's the case first. By the way, add WeChat first, so that I don't have to run around next time. Shen Feifei said.
This is nothing, Liu Banxia directly took out his mobile phone and added WeChat.
"Doctor Liu, didn't you say last time that there was a beautiful woman teaching yoga? If I also want to learn it, can it be cheaper?" Shen Feifei asked again.
"I can't say for sure, I pushed her WeChat to you, I don't even know how she charges there. Liu Banxia said with a wry smile.
"That's okay, thank you Dr. Liu, WeChat contact. Shen Feifei waved her hand and ran out.
"Boss, I know why I have to advance it, and I guess it's also for this interview, and by the way, I can introduce our new emergency center. Liu Banxia said with emotion.
Shi Lei nodded approvingly, and his mobile phone rang at this time.
"I'm afraid. Shi Lei muttered, and then connected the phone, "Doctor Wu, is that patient in trouble just now?"
"Dr. Shi, the patient's blood oxygen dropped to 86 during the CT scan, and he had difficulty breathing, so he was intubated on the spot. The CT scan has just been completed, and although the bleeding spots on the head are not very large, they are a bit numerous. Wu Bo said.
"I guess it's from a hedge brain injury, and I guess some of the smaller bleeding spots didn't sweep out. Do you want to transfer to the ICU or go back to your emergency room?"
"Let's go back to the emergency department, there is no other way to send this situation to the ICU, and I haven't contacted the patient's family yet. Shi Lei said.
"What's wrong? The patient just now is gone?" asked Liu Banxia after Shi Lei hung up the phone.
"It should be a hedge brain injury, the bleeding point is too small, Wu Bo said that some may not have been swept out. Shi Lei said.
Liu Banxia nodded, although this patient also has a chance of getting better, but it is really too low.
A hedge brain injury is a brain injury caused by an anterior or posterior impact of the brain. There will be fine bleeding spots, and because the bleeding spots are too small and too many, they cannot be treated.
Medically speaking, the chance of such a patient being able to recover is about 25%, but Liu Banxia estimates that this patient may be lower because he is more severe.
After waiting for a while, the patient was pushed back.
"Comrade policeman, hasn't his family come here yet?" asked Liu Banxia.
"I got in touch with his wife and was on a business trip. His parents weren't in Marina City, and it would be at least three hours before they felt it. Said the officer who accompanied him.
"Give us his wife's number, this patient may be in a dangerous situation, we need to talk to her. Liu Banxia said.
"Didi...... Didi Di ......"
Before the officer could reply, the patient's monitor rang.
"Blood pressure is 90,200, heart rate is 50, I've given mannitol, adjusted the bed, and now it's probably intracranial hypertension that caused the heart rate drop. Shi Lei said.
"Prepare 1 mg of epinephrine, remove the ventilator, and switch to manual breathing with a balloon. Inject adrenaline, I'll do the compression. ”
The interns who followed Shi Lei were also nervous now, and they also didn't expect the patient's vital signs to fall so quickly.
Drip......
Although Shi Lei has been very active in rescuing, the curve representing the patient's heart rate on the monitor is still so straight that there is no response.
Seeing that Shi Lei was still pressing, Liu Banxia walked over and patted him on the shoulder.
Shi Lei turned off the monitor and checked the patient's pupils, breathing, and pulse again, "The time of death is 2:06 p.m." ”
"How...... So fast. The officer asked, incredulous.
"If you open your skull now, there must be a lot of dense bleeding spots on his brain. Liu Banxia said.
"Such a brain injury, even if the gods come, they can't save it. The steering wheel and seat of the car were too damaging to his brain during the process of his crash and being hit. ”
"Make a promise, be ready, and when the patient's family comes, you'll let the patient's family know. Everything needs to be experienced. ”
Xu Yinuo nodded, his face was the same as the rest of the people, not so good-looking.
When they received the consultation, they also thought that it was just a coma caused by a concussion, because the rest of the patients had minor injuries, and the most serious was the head stitches.
Liu Banxia glanced at them and didn't give them any comfort. This is also something that they need to digest and accept by themselves, and the comfort of others is of little use.
Not all rescues can be successful, maybe one second the patient is still joking with you, and the next second there is a Cushing reaction. If you want to accept the gratitude of the patient, you must also learn to bear the pain of losing the patient.
That Lu Gang is the patient he is about to lose.