"How does he know about the patient's pneumothorax? He doesn't even have an X-ray?" But at the scene of the tragic car accident, there is no time to admire or question, as long as it is beneficial to the treatment of the patient, no matter what method he uses, the patient wakes up leisurely.

"You go to the hospital to take a film to see if there are any other symptoms in the chest cavity, I have fixed the fractures on your arm and thigh, as a Chinese medicine doctor, I can only help you here, and then I will teach the hospital." ”

The old man held a pair of silver needles, one moment here, another there, the patient who fell to the ground and groaned, after the old man went down a few times, the pain was really relieved.

Zhang Yang came to the scrapped car.

119 had arrived early, and the firefighters were cutting the BMW into small pieces.

"Don't touch the patient, be careful. ”

With the help of everyone.

A patient with an apparent bruised wound in the abdomen was lifted out.

The patient was already breathing weakly. But his mind is very clear, he actually wants to write a will?

A firefighter at the scene actually burst into a foul mouth: "I'm X, my intestines are all out, the doctor hurry up and help." ”

The scene was horrific, and the patient's chest was still stuck with an unknown iron object, and a lot of blood had been shed.

"Don't touch that iron rod, don't let him get hurt a second time. Zhang Yang said loudly.

"Take a clean container, protect the bowel with a sterile dressing, and fasten the container to your body. Do not put the intestinal tube in your stomach, it is very likely to cause infection. ”

Zhang Yang took a quick look, the patient was clear-headed, there was no drowsiness and coma, no vomit and convulsions, this iron rod was not inserted into the organ? luck seemed to be good, with the patient's reaction, there would be no intracranial hemorrhage.

Fractures of the ribs in the chest and iron tubes inserted into the chest cavity can lead to open tension pneumothorax.

It depends, and the patient is lucky.

And if the patient has severe bleeding, will it be a rupture of the abdominal liver and spleen?

The nurse quickly measured the blood pressure, 60/40mmHg, pulse rate 125 beats/min, the patient was irritable, the skin was pale, and the limbs were clammy and cold.

It is likely that the spleen is ruptured.

Zhang Yang has an intuition that comes from a surgeon.

"Rapid ECG monitoring to detect vital signs, inhale oxygen, establish intravenous channels, immediately expand the volume of fluids, 500ml of balanced solution, 18ml of dopamine, 32ml of saline, and maintain blood pressure. ”

"Blood draw for urgent examination, blood routine, blood coagulation, liver and kidney function, HIV syphilis..."

The patient was quickly carried into the ambulance, this was already the most serious patient, and the rest were almost all contusions, or fractures or something, Meng Qinghui could handle it.

"Zhang Yang, hurry up and follow Viva's ambulance and take the patient into the operation. Meng Qinghui almost shouted out, doctors are loud, especially surgeons, emergencies give them no time to repeat what needs to be said a second time, they must express it loudly and clearly and quickly.

As for his counterparts, there will definitely be no petty temper in this case either.

Everyone will definitely cooperate very tacitly, and after that, have a meal, ask for a cup of milk tea to apologize, everyone gets together, laughs and reveals such small things.

In the ambulance, the patient developed hemorrhagic shock.

"I'll go..."Zhang Yang didn't even have time to complain. "Intramuscular injection to stop bleeding, injection of epinephrine..."

It was too late to have an open examination, and the patient's vital signs were getting worse and worse.

Zhang Yang quickly washed his hands with soap and water, changed into a clean white coat, and put on a sterile mask and sterile gloves.

After the disinfection was completed, the open wound that had just been temporarily treated by them was opened, and the bare hand reached into the patient's wound...

The nurse accompanying him widened his eyes, this person is going to murder, fortunately, there is monitoring equipment in the ambulance, don't let yourself get into trouble when the time comes.

Another nurse who followed next to him rubbed his eyes vigorously, and he confirmed again that this person was the doctor Meng Qinghui, the deputy chief physician of the orthopedic department of their hospital, who came up by name.

Without two brushes, it is impossible to hand over the most critically ill patients on the scene to this person.

At the scene of such a serious car accident, if the big leaders want to come down, the media will also be greatly exposed.

In such a rescue, it's okay to make a contribution, even if there is a little fault, it must be a scapegoat...

The male nurse is still engaged in a fierce ideological struggle in his mind.

Suddenly, to his surprise, the bleeding stopped.

"How long is it until we get to the hospital. ”

"About 3 minutes and 20 seconds. ”

"Drive a little faster. ”

"Received"

This is the daily life of an ambulance, the driver, the master, the speech, are accurate to the second, because every minute, every second, almost determines the life and death of a patient.

Time is the truth of life, and it is interpreted here vividly and exquisitely...

The bare hand hemostasis method, the golden method of emergency rescue, is used by war doctors in war-torn countries.

In the formal emergency rescue, bare hand hemostasis is a legendary existence, and it is rarely used in clinical practice, which is basically as follows: tourniquet hemostasis, compression hemostasis, ligation hemostasis, tamponade hemostasis, and systemic hemostasis.

The tourniquet does not need to be explained, the literal meaning is already very clear.

Compression hemostasis is to press the bleeding end with your hand, or clamp the bleeding end with a hemostat, or if the bleeding blood vessel is not found at the wound, you can use gauze to press the wound to achieve the purpose of hemostasis, which can also be regarded as a kind of bare hand hemostasis.

Ligation hemostasis is the most effective and commonly used method of hemostasis by clamping the bleeding blood vessel with a hemostat and then ligating the blood vessel with sutures, and it can be said that almost all surgeries are used.

As for tamponade to stop bleeding, bleeding in a larger wound, the bleeding blood vessel cannot be found, or it cannot be ligated, only the wound can be stopped by packing the wound with gauze or a towel, such as uterine hemorrhage, the blood vessel cannot be found, and the uterus can only be tamponade with a towel to stop the bleeding.

Today, the patient's open wound is too large, the intestinal tube is exposed, and it is a little difficult to pack the tamponade to stop the bleeding.

Systemic hemostasis is organ bleeding, and hemostatic drugs can only be injected to stop bleeding, such as intramuscular hemostasis.

They have given the patient intramuscular hemostatic sensitivity, but the wound is too large, and it is not practical to remove the spleen here, which not only needs to be carried out in a sterile environment, but also requires a lot of necessary instruments.

Only the most dangerous methods can be used to ensure the safety of patients' lives, and Zhang Yang has truly learned to stop bleeding with his bare hands.

As for the clinical, dead horses should be live horse doctors, the shortcomings of stopping bleeding with bare hands are also obvious, just imagine that the patient's spleen is already fragile, you go down with a paw, and directly scratch it, that is to say, if you don't pay attention to it, it will definitely cause irreparable consequences...

This is an extremely detrimental behavior to doctors, and the slightest negligence may also cause medical disputes...

The life of a star doctor can be ruined...

However, in the face of an emergency, the time given to the doctor to think is very short.

The patient really belongs to the type of super lucky, the Grim Reaper may take a leave of absence today, and the bleeding in the patient's spleen has stopped.

"Contact the emergency department of the hospital, inform the patient's basic situation, contact the patient's family, sign the informed consent form, and immediately remove the spleen. ”