Zhang Kun hurriedly pulled out the air pillow under the patient's head and gently lay the patient down.

After finishing the work, Zhang Kun hurriedly commanded the nurse who had not yet gone out: "Quick, establish the first venous channel, 500ml of saline, 0.3 of hemostatic aromatic acid, 3.0 of hemostatic fenic acid, 250ml of 10 sugar water, and 0.4 of acetyl glutamine." ”

Hearing Zhang Kun's order, the little nurse hurriedly operated.

Zhang Kun gently pressed on the chest of the injured person.

The heart rate is slightly faster, the amplitude* is weak, the heart sounds are low, and the limbs are gradually cold.

At this time, the little nurse had already established the first intravenous channel according to Zhang Kun's instructions, and Zhang Kun instructed: "Establish a second channel, 500ml of saline, cefdizime 3.0, skin test intramuscular injection, and 0.5 hemostasis." ”

At this time, Zhang Kun had gradually entered the state, his face was calm and methodical.

The little nurse next to her hurriedly answered, and then began to open the second vein channel.

At this time, Zhang Kun began to examine the patient's whole body.

The patient had multiple abrasions on his body and his skin was oozing blood.

However, when Zhang Kun examined the patient's head, even though Zhang Kun had gradually entered the state at this time, he couldn't help but open his eyes wide.

The victim had impact marks on his head and a hematoma bulge on his scalp.

Moreover, Zhang Kun observed the ears and nose of the injured person, and there was a spillage of transparent liquid.

Closed intracranial fracture.

The knowledge in Zhang Kun's mind immediately gave a conclusion.

"Doctor, the patient has abnormal blood pressure and a pressure difference of 25. The nurse next to her, who had already done a second venous channel, consciously measured the blood pressure of the injured person.

Zhang Kun took a deep breath, let his mentality slowly adjust, and then calmly instructed: "Stop bleeding 0.5, cedilan 0.4, add 5 sugar water and 50ml and push slowly." ”

"Suspend cephalosporin channels, establish acid neutralization channels, sodium bicarbonate 250 ml. ”

Zhang Kun instructed step by step, and finally the temperature of the injured person's upper limbs gradually recovered, but the temperature difference between the body temperature at the end of the lower limbs was still large.

"Doctor, the blood pressure difference is 30, and the heart sounds are gradually rising!" the little nurse returned with a little joy.

Zhang Kun thought for a while, and immediately ordered: "Take 5 sugar water, 20mg of dopamine, 10mg of heavy m-hydroxylamine, and push slowly." ”

"Yes!" The little nurse immediately took out the syringe and did as Zhang Kun instructed.

After the injection, the little nurse immediately said happily: "The body temperature is gradually recovering, the blood pressure is 12070, and the heart sound is OK." ”

"Whew!" Zhang Kun's heart was relieved, and he was finally rescued temporarily.

However, he couldn't let go yet, and immediately instructed the little nurse: "The injured person suffered a blow to the head, resulting in a closed intracranial fracture, and he needs to be operated on immediately." ”

"Take a blood sample and send it to the laboratory for analysis of blood type, notify the blood bank when the result comes out, take 10 units, and notify you of critical illness!"

"Yes!" the little nurse hurriedly replied, taking out a syringe to take a blood sample.

"I'll send the injured to the operating room, and after the blood analysis results come out, you ask the people from the blood bank to send the blood to the operating room of the neurology department!" Zhang Kun finished speaking, and then pushed the hospital bed and ran out.

Closed intracranial fractures must be operated on as soon as possible, as death is likely to occur if done too late.

Under the leadership of Ye Nantian, Zhang Kun pushed the bed of the injured and ran towards the neurology department where Ye Nantian used to work.

A few minutes later, Zhang Kun pushed the injured person to the operating room of the neurology department, and when he passed by the nurse's office, he called the nurse who was handling medical affairs inside.

"Xiao Zhang, Xiao Wang, a few of you come over to help, prepare for surgery, intracranial fracture!"

Several people in the nurse's office were stunned at first, and Zhang Kun's voice sounded very unfamiliar to them.

But seeing Zhang Kun wearing a white coat, and the injured person who was pushing was hanging a drip, and there was a large area of bleeding on his body, it seemed to be very serious.

So he didn't dare to delay, and hurriedly ran out to help, one person went to the operating room to prepare, one took Zhang Kun's hospital bed, and the remaining one ran to the distant doctor's office to call the surgeon.

But soon, another nurse ran back and said, "Oh no, Deputy Director Xie went to the emergency department just now, and now there is no doctor here, so I can't operate." ”

"What?" Zhang Kun was blinded all of a sudden, and no one operated on it, so what about the patient he finally rescued.

No, it can't be delayed any longer.

Zhang Kun's face was straight: "No one has operated on it, I'll come and help me change my sterile gown." ”

Hearing Zhang Kun's words, the nurse was stunned: "This ...... It's not in order. ”

"There is no need to worry so much, the injured person has an intracranial fracture, which may cause massive intracranial hemorrhage, and if you don't rush to surgery, you may die at any time. ”

Seeing that the nurse seemed to be a little hesitant, Zhang Kun relented: "Do what I tell you, if something happens, I'll be responsible for everything!"

Hearing Zhang Kun say this, and the patient she saw just now seemed to be indeed very critical, the nurse finally made up her mind and took Zhang Kun to the preoperative preparation room.

With the help of the nurse, Zhang Kun changed into a sterile gown, sterile gloves, a hat and a mask, and then entered the operating room.

At this point, the patient has been carefully carried to the operating table, and all preparations are ready.

Standing on the operating table, Zhang Kun was really nervous.

At this time, he decides the life and death of an injured person, and if an injured person dies carelessly, it is not only the death of a life, but also his own estimation that he will not escape the blame.

Ye Nantian next to him also looked serious at this time: "Zhang Kun, I will, you have already done everything, don't worry, intracranial fractures, I have done no less than ten cases before, none of them failed, you will definitely be able to." ”

Zhang Kun took a deep breath, his face finally calmed down, it was useless to think so much at this time, a dying patient was in front of him at this time, could he let it go?

Just because you're afraid you'll be held accountable?

Well, you can't do it yourself.

Then don't think about it so much, do it, what are the consequences, and I will talk about it later.

Zhang Kun calmly instructed the nurse next to him: "Go and sterilize!"

A nurse began to send hair.

"Prepare general anesthesia, a small amount, local infiltration anesthesia for the head, and 0.5% procaine for subcutaneous injection!"

"Yes!" the other nurse replied quickly, quickly getting ready.

After going to the hair for disinfection, the 10 units of blood that Zhang Kun needed were immediately sent over, and everything was ready.

Zhang Kun looked at the injured man on the operating table, an uncle in his thirties: "Uncle, what is the result, it depends on your life, let's work together!"