"Tests are underway, but no cause has been determined. Liu Qingya glanced up at Ruan Bin, she didn't expect that there were peers in the train, she was the attending doctor of a hospital in Jiangshi City, and she had just arrived for two minutes.

"I just found out that my boyfriend was secretly flirting with my mobile phone behind my back, and I was so angry that I smashed him in the chest a few times, and then he was short of breath, cold sweat, and then fainted...... I, I didn't expect it to be so serious...... It's all my fault, it's all my ......" The hot girl cried as she explained why.

After Ruan Bin heard this, he secretly said that this was a couple.

"Diagnosis!"

Ruan Bin directly used general diagnosis.

Patient: Chu Gui

Age: 27

Medical records: infertility, tension pneumothorax.

After reading the patient's medical records, Ruan Bin secretly said No wonder the patient fainted, this patient originally had a pneumothorax, but now you hit his chest with a few hammers, and the external force knocked on the chest, resulting in a direct tension pneumothorax!

It's terrible!

Pneumothorax is a very dangerous disease, like this tension pneumothorax is actually a one-way valve on the chest wall, lung, bronchi or esophagus, which communicates with the pleural cavity, the valve opens when inhaling, the air enters the pleural cavity, the valve closes when exhaling, and the air cannot be discharged from the pleural cavity, so with breathing, the pressure in the pleural cavity on the injured side continues to increase, so that it exceeds the atmospheric pressure, forming a tension pneumothorax, also known as pressure pneumothorax or valvular pneumothorax.

Once the respiratory function is affected, the body will be deprived of oxygen, and if the hypoxia is severe, it will lead to death. The sharp increase in chest pressure will also block the blood flow from the veins back to the heart, and the heart function will be impaired, and the ejection function of the heart will also be affected to a certain extent, which may also lead to death. In addition, when a pneumothorax occurs, the small or large blood vessels that connect the chest wall and the lungs may rupture. If the pneumothorax is not corrected in time, it will bleed continuously, leading to severe hemorrhagic shock and even death.

"He should be a tension pneumothorax, and he has to be operated on immediately!" Ruan Bin said after understanding it clearly.

At this time, it is necessary to puncture and exhaust the patient to reduce the pressure in the pleural membrane, otherwise the pressure will be too high and cause massive bleeding and he will really die.

"Are you sure it's tension pneumothorax? Do you have a medical practitioner certificate?" Liu Qingya frowned slightly after listening to Ruan Bin's words. You just glanced at it, and you didn't even check it, how can you tell that this is a tension pneumothorax? She either suspects that the other party is an amateur or thinks that the other party has read too many novels.

Do you think you are God?

"Of course, the resident doctor of Wucheng County Hospital, Ruan Bin. Ruan Bin reported to his home.

As soon as Liu Qingya heard that the other party was a resident doctor in the county hospital, she immediately didn't bother to pay attention to the other party, lowered her head and was busy with the examination, and had no time to argue.

Seeing that this girl didn't even bird herself, Ruan Bin was speechless.

He saw that Liu Qingya had an open first-aid kit beside him, which should be equipped with the bullet train. There was even a stethoscope, and Liu Qingya was checking the stethoscope there at this time.

"Don't you believe it? Look at the chest bulge on the affected side, subcutaneous emphysema, and a high-pitched, rough murmur that matches the heartbeat can be heard at the left sternum border!"

As soon as this sentence came out, Liu Qingya couldn't help but glance at the patient, and sure enough, she found subcutaneous emphysema, listened to it again, and found that a high-pitched rough murmur consistent with the heartbeat could be heard on the left edge of the sternum!

The patient is really tension pneumothorax!

She looked at Ruan Bin in shock, how could the other party know that the patient was suffering from this disease at a glance?

It's too godly!

Is the other party really a resident doctor at a county hospital?

"But the tension pneumothorax has to be operated on immediately to puncture and exhaust, not to mention that we don't have surgical tools and no corresponding exhaust equipment. Liu Qingya said helplessly.

"Ahh......h There were no stops during the period. The hot girl was immediately anxious after hearing this.

"Don't worry, we will try our best to rescue you, let the hospital get out of the train and wait at the train station immediately, we will get off the train and send it to the hospital immediately!" Liu Qingya could only say this. Now in the train, there is no condition for surgery at all.

Although it is possible to use a needle to prick it in and then use a glove to make a 1 cm ins to exhaust the air, the problem is that the air from outside the body will also rush in.

It's a symptom but not a root cause!

In the case of tension pneumothorax, it is necessary to expel the air inside and prevent the air from outside the body from entering!

Although it sounds simple, there are relevant exhaust equipment during the operation, which can prevent the outside air from entering.

But now there is no medical equipment in the hospital.

"Until now, it is better to exhaust only a part of the air than not to exhaust it at all, and the air outside the body can go in. In the end, Liu Qingya still made a decision.

"I'll come, I have a way to save him!" Ruan Bin spoke again.

"What way?" Liu Qingya looked at Ruan Bin.

"Homemade an exhaust device. Ruan Bin said lightly.

"Homemade?"

"Hmm. ”

Hurriedly squatted down and turned on the system at the same time.

To be honest, he doesn't know how to use everything at his disposal to give patients first aid.

But he has out-of-hospital general first aid!

It's a treasure trove of wilderness first aid!

[System Points]: 5400

[Out-of-hospital General First Aid]: Entry+

Last time, he was just getting started, and he could do the transformation of some small objects, maybe upgrade to the proficiency level, and he could do this kind of pre-hospital tension first aid?

"Level up!"

"Ding-dong...... Deduct 5000 points, out-of-hospital general emergency surgery - proficiency level +!"

In the next second, Ruan Bin had countless rich experience and methods of pre-hospital first aid in his mind.

"Found it!" Ruan Bin's mind quickly searched for a method of pneumothorax field first aid.

There are three types of pneumothorax: 1. The first aid method of closed pneumothorax is to put the patient in a semi-recumbent position, rest quietly, and limit activities; 2. The first aid of open pneumothorax is to quickly close the chest wall wound and make it become a closed pneumothorax to relieve the symptoms of the injured; 3. Tension pneumothorax needs to take necessary measures to puncture and exhaust the thoracosta, so that it can be transformed into an open pneumothorax and improve the respiratory circulation state.

At the same time, he also found out about tension pneumothorax, field first aid, using the things around him, trying to transform the tools that can be used for surgery.

Ruan Bin immediately looked at the first aid kit placed on the ground.

Inside there is ethanol disinfectant, disposable gloves, disposable masks, waterproof band-aids, medical cotton balls, medical gauze sheets, breathable tape/cloth, elastic bandages, scissors, hoses, ......

There are relatively few things in it, and it is not a very qualified medical first aid kit.

But luckily he has everything he needs!