On Monday, I sat in the clinic, first saw a patient with an upper respiratory tract infection, and prescribed some medicine.

Then there was a pain in the right lower quadrant.

The appendix monster is haunting.

This kind of little boss, Monday is too lazy to deal with it, and beckons Bai Mingming to come and deal with it.

Appendiceal surgery, which is Bai Mingming's favorite. It's not too difficult, and you can make a hard-earned money steadily.

Bai Mingming happily received the patient.

At night, there are significantly fewer patients in the emergency department than during the day.

After seeing these two patients on Monday, I was completely idle.

I saw the patient who didn't come for a long time.

He left the exam room, was in the emergency center, and wandered around to see where support was needed.

But tonight is quite peaceful, there are some small bosses everywhere, and there is no need to worry about going out on Monday at all.

Just when Zhou was bored and thought that the night was going to pass so smoothly.

Suddenly, 120 shrill sirens pierced the silence of the night sky.

In the deep darkness of the night, a 120 ambulance made an emergency stop at the door of the emergency center.

The nurses in the duty room, who were still chatting, heard this voice, as if they had received an order, and rushed out first, and the patient was quickly transferred to the emergency room.

Monday, who was strolling around the emergency center, naturally became the first doctor to be in place.

In the emergency room, the patient was already in shock.

The nurses were in a panic.

"Who are you looking for?" asked a young nurse.

"Who else can you find in such a serious situation!First find Team Leader Zhou, if he has something to do, let Team Leader Liu come!" replied a senior nurse.

"Uh-huh!"

Just as the young nurse was about to go to find Zhou Ming, Zhou Ming had already appeared in front of her.

With the appearance of Zhou Zhou, the nurses suddenly had a backbone and were much calmer.

On Monday, I saw a middle-aged uncle in his fifties lying on the hospital bed, his eyes closed motionlessly at the moment, his face was covered with blood, and he looked very scary.

Monday hurriedly stepped forward.

Upon closer examination, the patient is still breathing, albeit superficially.

When I touched the patient's arm again on Monday, it was very cold.

This indicates that the patient has significant blood loss.

"Hey, can I hear me?" said Monday, trying to call out to the patient.

There was no response, and the patient was in a trance.

Cold extremities, weak breathing, confusion, typical manifestations of hemorrhagic shock.

It must be rescued immediately.

On Monday, the patient was immediately set up for ECG monitoring.

At the same time, he asked the nurse next to him about the patient's condition.

"How did you get this?"

"When 120 was delivered, it was said to be a car accident. ”

"Does the patient have any family members?"

On Monday, there was such a question, because the patient was in shock and his life was in danger at any time, and the critical illness notice was to be issued at any time.

"The traffic police said that no one has been found. ”

"Please dispose of the blood on his face and be careful of the wound. ”

"Hmm. ”

……

Do ECG monitoring on Monday.

Su Quan and Cao Xin also hurriedly ran into the rescue room.

The two quickly arrived at Zhou Yi's side.

Su Quan glanced at the patient and knew that the situation was not good, "Team Leader Zhou, do you want to help?"

Compared to Su Quan, he is quite calm.

Where has Cao Xin ever seen such a bloody scene. He only stood aside without saying a word, and the whole person was as stunned as a wooden chicken.

Just now, the two of them had just sent off a patient in the consultation room. I heard the sound of an ambulance outside.

Although there was no nurse to call Su Quan for help, Su Quan still rushed over with Cao Xin as soon as possible.

"The car accident is currently estimated to be hemorrhagic shock. Zhou Zhou replied as he looked at the ECG monitor, which began to work, showing that the patient's heart rate was 120 beats per minute and his systolic blood pressure was 55 mmHg.

"My God, the systolic blood pressure is only 55, which is a symptom of heavy bleeding!" Su Quan exclaimed.

Zhou Ming of course knew that the scary blood on the patient's face had been almost cleaned up at this moment, and Zhou Ming stepped forward to check it carefully, although the blood on his face looked scary, in fact, it was only caused by a scratch on his forehead, and the amount of bleeding was not much, and now after the nurse's treatment, it was almost no longer bleeding.

This bit of bleeding will definitely not show that the patient is in shock.

Are there any other injuries on the body?

I checked it again on Monday.

There were also no visible traces of blood on the patient's body.

This patient didn't have any major trauma!

There were no major traumatic injuries and he fell into hemorrhagic shock, which proves that the injuries should be in the body.

Bleeding in the body!

The injuries are more complex and dangerous.

Su Quan also saw the situation in front of him.

It's internal bleeding, and there's a lot of bleeding.

Su Quan couldn't help but say at this time: "Team Leader Zhou, let's give a critical illness notice." ”

"! Sudden car accident, the family hasn't been contacted yet!"

"Damn! I'm in big trouble right now. ”

"I know it's troublesome, I'm still standing, hurry up and get in touch to take a chest X-ray!"

"Uh-huh, okay. ”

Su Quan took action.

Monday picked up the stethoscope and placed it on the patient's chest while he turned on the system scan.

Auscultation showed that the patient's heart sounds were distant, and at the time of auscultation, Zhou Zhou also found that the patient's jugular veins were distended.

The jugular vein is a manometer in the right atrium and reflects changes in the pressure and volume of the right atrium.

For example, a large amount of blood in the pericardium may cause jugular venous distention.

Venous pressure is elevated, heart sounds are distant, and systolic blood pressure is low. Typical Beck triad.

This is too easy for a person who has scored more than 590 points in clinical theoretical knowledge to judge the condition.

It is very likely that the patient has heart damage, the heart may rupture and bleed, and there is blood in the pericardium!

Sure enough, it was not expected by Monday.

By the time the auscultation was done on Monday, the system had already given an authoritative diagnosis.

Heart rupture, hemorrhage, hemorrhagic shock.

Be critically ill.

Urgent cardiac rupture repair may be therapeutic.

At present, the probability of successful rescue is 90%.

90%, it seems, this is a very high probability of rescue.

But this is a symptom of bleeding from a ruptured heart.

That is to be in and time is stealing life.

Monday knew that as time passed, this probability would decrease little by little, until the life died.

Do a good check here on Monday.

Over there, Su Quan had already begun to prepare to send the injured person to a chest X-ray examination.

Zhou Zhou instructed: "You must follow, just say that there is a suspected heart rupture and bleeding, let them hurry up." I'm here to prepare the operating room. ”

Su Quan was a little surprised, "Team Leader Zhou, don't you need to notify the cardiac surgeon to come for a consultation for this kind of thing?"

Zhou Zhou said: "It's too late, I'll come to this operation." ”

Su Quan was even more surprised, he had never seen such a major surgery as opening the chest and repairing the heart on Monday.

Cao Xin next to him was also quite shocked, he had been in cardiac surgery for a year, and he only observed some thoracotomy under the aura of his uncle.

I didn't expect that this week, I would have to take charge of my own knife!

However, at this moment, Su Quan and Cao Xin had no ability to oppose Zhou Yisheng's decision.

In the emergency center, every second counts, and Zhou Sheng, as the team leader, has the highest right to make decisions about treatment.

……

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