602 Trained major rescue
Director Pan greeted him, and when he saw that Director Zhou was embarrassed, he asked, "Director Zhou, how did you get this?"
"Director Pan, don't mention it. Director Zhou came to the emergency department and saw that the patient had not yet arrived, so he relieved himself, patted the snow on his body with his hand, and said: "My home is not far away, and I can't drive fast in this hellish weather, so I walked over." ”
This way, it's okay to walk slowly, barely make do.
But if it's a little bit faster, you're going to fall on your heels in this damn weather.
Director Zhou was in a hurry, for fear that the patient would arrive, and many legal procedures would have to be solved by the medical department, so he walked a little faster, and he didn't know how many falls he had along the way.
Zheng Ren glanced at it and saw that Director Zhou did not have a diagnosis in the system panel, and knew that he was just looking embarrassed, and there were no fractures or bone cracks. didn't come over, but the doctor who commanded the emergency surgery and the eldest brother who accompanied the examiner pushed the flat car to the door and waited.
"It must not be too heavy, let's have a plane tomorrow morning. Su Yun whispered to Zheng Ren.
This is a task, and you can't tell anyone else, even Director Pan and Shay.
Zheng Ren nodded, and did his best in everything.
As for when the time comes...... Zheng Ren really didn't believe that if he left, the first courtyard of Haicheng City would not be able to operate.
The sound of the 120 ambulance came from far to near, but it was delayed.
The snow is heavy, and the ambulance can't drive at a speed, no matter how anxious the doctors, nurses, and drivers are.
After a few minutes of waiting, a dilapidated ambulance appeared in the wind and snow, struggling and staggering to the door of the emergency building.
The side door opened, and a little doctor jumped down and hurriedly said: "The two injured people are suspected of abdominal organ injuries, and each person on the road has been supplemented with 1500ml of sugar and saline, and now their blood pressure is very low." ”
As he spoke, the back door of the ambulance opened, the flat cart was pushed over, and the injured person was pulled down.
Two flat cars, one in front of the other, quickly rushed to the emergency room.
The emergency surgeon next to Zheng Ren and the doctor from Yuandian County People's Hospital completed the follow-up handover procedures, while Zheng Ren and Su Yun escorted the patient all the way back.
The diagnosis on the system panel in the upper right of the visual field is clear, with liver rupture, spleen rupture, colon rupture, multiple rib fractures, traumatic hemopneumothorax, and lung rupture.
A series of diagnoses made Zheng Ren have a splitting headache.
It's a combined chest and abdominal injury again, and it's such a serious emergency department.
The most serious thing is that the patient was bumped from the location of the accident for more than two hours before being pulled to Haicheng First Hospital.
At present, the patient's internal environment does not know what the disorder will become, and even if the operation is successful, it will be difficult to get through the postoperative hurdle.
But no matter how you say it, you have to hurry up and have surgery to stop the source of bleeding before you can say the rest of the story.
The flat car ran all the way to the emergency room, and the bedside B-ultrasound doctor was already waiting.
Cutting the clothes, the staff under Director Zhou began to record.
Medical treatment is difficult to do, one is because of the condition, and the doctors do not mind the severity of the disease, after all, it is a job within the boundary.
The most worrying thing is all kinds of unexpected things.
For example, if a patient's clothes are cut during the emergency rescue, the time saved may determine whether the rescue can be successful.
However, after the incident, the patient and the patient's family claim compensation for clothing...... It's not uncommon.
So the role of the medical service is revealed.
No wonder Director Zhou dreamed of being transferred out of the medical department, all kinds of trivial details, escorting the doctors, making people exhausted.
Zheng Ren didn't take care of the affairs of the medical department, he took the deep venous puncture kit handed over by the nurse, gave way to the B-ultrasound doctor, and began to perform the puncture diagonally.
Disinfection, to the point, this level of puncture Zheng Ren felt that he could already wear blindly.
A 20ml blood sample was taken with a syringe and handed to the nurse to deliver the blood.
Blood samples are required for various preoperative examinations, blood preparation, etc. The patient is already in a state of severe hemorrhagic shock, and even a veteran nurse with rich clinical experience cannot guarantee that he will hit the nail on the head.
This side can save a little time, it's a little time.
"Low-molecular-weight dextran skin test, first hang glucose. Zheng Ren said in a deep voice.
It doesn't make sense for the patient to add crystalline to the ambulance and to add more crystals. However, low-molecular-weight dextran may have allergic reactions, and a skin test can be done clinically or not.
After another patient's deep venous puncture, Zheng Ren looked back at the ultrasound screen.
The ultrasound doctor applied a large amount of couplant to the patient's chest and abdomen and began to scan.
There is a large amount of fluid in the hepatic area, a large amount of fluid in the splenic fossa, and a large amount of fluid in the costophrenic angle decubitus position.
"Mr. Cao, I'll pull this patient to surgery first. Zheng Ren said: "If it's okay later, you go and help." ”
After speaking, Zheng Ren dragged the patient all the way to the operating room.
Wang Liren, Mr. Wang, and a doctor followed behind Zheng Ren, and they calculated by themselves, there were two patients in total, and four of them would definitely have to be operated on separately.
Even if you don't know the place well, it's good to go up and help.
On the way, Zheng Ren handed over the flat car to Wang Liren, took out his mobile phone and called the operating room, informing them to prepare for emergency surgery.
Pushing the patient to the operating room like a lightning speed, Zheng Ren greeted and pulled him to the hybrid operating table.
Wang Liren helped carry the patient onto the operating table, Chu Yanran began anesthesia, and Zheng Ren and Su Yun hurriedly went to change clothes.
Wang Liren and another Dr. Han had just come out of the operating room, and Zheng Ren and Su Yun had already strode out of the locker room, wearing sterile masks.
This speed is really fast, well-trained, not at all like the style of a small hospital, Wang Liren sighed.
Passing by, without eye contact, Zheng Ren has entered a state of all-out rescue since the moment he stepped into the operating room.
In his eyes, there is nothing to say except for surgery and patients.
When he came to the operating room, Zheng Ren took a look, his blood pressure could not be measured, his heart rate was 162 beats per minute, and his blood oxygen saturation was 85%.
"You put down the chest tube, I'll disinfect it. After Zheng Ren finished speaking, he went directly to brush his hands.
Su Yun didn't speak, opened a small incision bag, and placed chest tubes in the 6th and 7th intercostal spaces of the patient's bilateral chest wall.
As soon as the tube went down, a stream of black and red blood drew out.
Su Yun strangled the pipe with hemostatic forceps and roared: "Chest bottle, hurry up, two!"
The itinerant nurse had already flown up, but the speed was clearly not keeping up with it. She is responsible for counting the number with Shay and checking the surgical consumables so as not to miss them.
Also take care of this side......
At this time, Wang Liren and Dr. Han walked in.
Seeing this situation, Wang Liren immediately picked up the chest bottle, tore open the package, and Dr. Han found a bottle of topical saline, opened the cap, and poured 500ml of saline into the chest closed drainage bottle.
Connecting the chest closed drainage bottle, Su Yun observed for a few seconds, and immediately shouted: "Boss, the chest cavity should also be opened together!"
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