VIP Volume 44 First Aid (I)
Zhang Kun, wearing a white coat and a mask and hat, came to the emergency surgery department and looked at the chaotic department, where all the nurses were running back and forth.
More than 20 patients, lying on the trolley, groaned in pain.
Dean Li kept making phone calls and directing the medical staff at the scene.
Zhang Kun did not delay, under the guidance of Ye Nantian, Zhang Kun came to a nurse and pointed to a patient with blood on his body next to him: "Xiao Li, send him to the small operating room first." ”
Nurse Xiao Li was stunned for a moment and looked at Zhang Kun who was wearing a white coat.
Who is this doctor, the voice is a little unfamiliar.
However, there are so many doctors in the hospital that it is impossible to recognize them all.
Moreover, didn't I hear Dean Li just say that he called the doctor from the trauma department of the inpatient department to come and help, maybe it was the doctor from the trauma department.
So Xiao Li did not hesitate, and immediately pushed the patient to follow Zhang Kun into the small operating room of the emergency department.
After the nurse left, Zhang Kun closed the curtains and looked at the patient who was still moaning on the bed.
Taking a deep breath, he nodded to Ye Nantian, who had been floating beside him.
Ye Nantian chuckled, and then slowly floated down, and his figure gradually overlapped with Zhang Kun.
Zhang Kun looked at the patient, and began to think about how to treat it in his mind, and then he only felt a "boom" in his mind, and suddenly countless Western medicine knowledge poured into his mind.
Internal Medicine, Surgery, Orthopedics and Traumatology, Neurology, .......
Zhang Kun found that Ye Nantian knew a lot, and in Western medicine, there was basically nothing he didn't know, the difference was only a matter of how much he knew and how much he knew.
Feeling the sudden rush of knowledge in his mind, Zhang Kun's eyes began to carefully examine the patient's condition.
The patient was a young man in his twenties, not very handsome, but at least he had good features, but now he seemed to be bleeding too much from his injuries, and his face was a little pale.
Zhang Kun checked the patient's injury, and the right arm was obviously a little deformed, showing a reverse joint bending, which should be a shoulder and arm joint detachment.
Zhang Kun gently touched the young man's right arm, and there was a slight impact scar on the arm.
In this case, I wonder if there will be a fracture?
In general, in this case, it is necessary to take a photo first to confirm whether there is a fracture before continuing the treatment.
At this time, Ye Nantian, who had completed the transfer of knowledge, had already left Zhang Kun's body, and seemed to know Zhang Kun's doubts, Ye Nantian suddenly floated above the patient, and then in Zhang Kun's surprised gaze, he slowly poked his eyes into the patient's right hand.
A few seconds later, Ye Nantian stretched out his head: "The arm bones are intact, there are no fractures, don't worry about repositioning." ”
Hearing Ye Nantian say this, Zhang Kun felt relieved, and then checked other places, except for some abrasions on his legs and back, he didn't find any other problems.
Well, just reduce the joint.
Zhang Kun nodded, and after deciding on the treatment, Zhang Kun gently grabbed the patient's right hand and gently bent the elbow outward. Then he smiled at the patient on the hospital bed: "It's okay, your injury is not serious, it will be healed soon." ”
Hearing Zhang Kun's comfort, the patient's face was obviously relaxed, and he smiled reluctantly: "Well, it's troublesome to the doctor!"
At this time, while the patient was speaking, Zhang Kun grabbed the patient's right hand and suddenly spun it outward, and the arm was retracted, and then Zhang Kun pushed it upwards violently.
With a "jam", the removed joint will be smoothly reduced.
The patient didn't even feel the pain, and when he saw that his hand seemed to have been taken over, he couldn't help but move, but immediately found that his right hand, which had been unable to move before, was really able to move.
Seeing the patient's right hand moving, Zhang Kun hurriedly stopped it, found a bandage, and fixed his right hand on his chest: "This hand can't move for a week, let's recuperate for a while!"
After getting his arm right, Zhang Kun took a cotton swab with alcohol and began to disinfect several other places where the patient had been bruised.
A few minutes later, Zhang Kun pushed the sterilized patient out of the small operating room, and then commanded the nurse Xiao Li just now to push another patient in.
Nurse Xiao Li was stunned for a moment when she heard Zhang Kun's greeting, and then found that a patient who had only been pushed in less than five minutes had actually been sent out.
Moreover, the patient's right hand, which was obviously dislocated before, has been bandaged at this time, and the hand position is normal, and other wounds on the body have also been treated with anti-inflammatory.
So fast!
Nurse Xiao Li was secretly shocked in her heart, did the doctors in the trauma department of the inpatient department have such a high level of handling surgical emergencies.
Seeing that the nurse seemed to be stunned, Zhang Kun screamed again.
Nurse Xiao Li suddenly woke up, now in such an emergency, how can she think so much, hurry up, maybe you can save one more patient.
Xiao Li hurriedly pushed another patient pointed by Zhang Kun into the small operating room.
The second patient, a middle-aged man in his forties, appeared to be injured on the chest, with extensive abrasions, and at this time the patient's face was visibly red, he had difficulty breathing, and he was deprived of oxygen.
Zhang Kun's face was shocked, and he hurriedly raised the patient's wound slightly, and sure enough, he found subcutaneous emphysema.
Zhang Kun gently floated his head on the wound on the patient's chest, but fortunately, he didn't hear an obvious sound, so it should be just a closed pneumothorax.
At this time, the patient's breathing is more difficult, the breathing sound is weak, and the face is pale.
With a turn of mind, Zhang Kun found a large needle, then tore open the injured person's T-shirt, pressed it on the right side of the injured person's chest a few times, found the right position, rubbed it with complexed iodine disinfection, and inserted the needle into the side of the injured person's chest.
After using chest puncture to decompression, the victim's face improved significantly, and his breathing gradually became normal.
When the patient stabilized slightly, Zhang Kun pulled out the needle, and then immediately found the chest strap to fix the chest for the injured person to reduce the pain of the injured person and control the repeated breathing.
After doing all this, Zhang Kun immediately summoned nurse Xiao Li.
"This patient has an acute closed pneumothorax and needs to be drained, you send him to the abdominal department to prepare for surgery!"
Acute closed pneumothorax?
Nurse Xiao Li was startled, and then saw the injured person who had been fixed with a chest fixation belt, and hurriedly pushed towards the abdominal department.
Acute pneumothorax must be treated immediately, and if it is too late, it is easy to form a large amount of pneumo, compressing the lung and mediastinum on the injured side, causing mediastinal displacement or mediastinal swing.
That's when it's a hassle to deal with.
After nurse Xiao Li pushed away the pneumothorax patient, Zhang Kun casually pointed to a nurse and asked her to casually push an injured person into a minor operation.
After the little nurse pushed the bed into the small operating room, Zhang Kun looked at the patient, his face was shocked, and he hurriedly grabbed the patient's right wrist.
The pulse is weak, the whole body is weak, and the skin is cold and pale.
Zhang Kun hurriedly pulled away the injured person's eyelids.
The eyes are rolled and the eyes are blank.
Hell, the patient went into shock, which is not easy to do.