The emergency department in Puzawa is the center of emergency in Kyoto City, and ambulances are always on the line at the entrance.

Similarly, the emergency department is very busy, and it can be said that there are three shifts a day, which makes the doctors a little breathless.

Liu Xiaogang went down the stairs unhurriedly and said to Bai Ye: "Don't be nervous, since you let us have an urgent consultation, it is definitely not life-threatening." ”

"If people's lives are in danger, it's not that we are called orthopedic consultation. ”

Indeed, if the patient is life-threatening, it is estimated that the departments of cardiac surgery, neurosurgery, ICU, etc. will be requested.

Liu Xiaogang continued: "Calling us may be to let us judge the patient's condition and formulate the following next treatment plan......

Indeed, it was the first time for Bai Ye to encounter such an emergency consultation situation, so he was a little curious and nervous.

Because of the emergency consultation or something, he has always been a critical patient in his impression.

However, Bai Ye is not afraid, the so-called art masters are bold, Bai Ye has LV6 critical and critical clinical skills at this time, and he can basically deal with many common critical and severe diseases in clinical practice.

Today is the opportunity to go to the emergency room.

When Bai Ye followed Liu Xiaogang into the emergency department on the first floor, he was dumbfounded, only to see twenty or thirty people lying on temporary beds, stretchers, and wheelchairs, some of whom were still wearing police uniforms.

And standing next to it was a group of policemen!

This made Bai Ye a little confused, what is the situation?

At this time, Liu Baoshe, director of the emergency department, saw Liu Xiaogang coming in and hurriedly greeted him: "Doctor Liu is here, I will tell you about the patient's situation when he comes in." ”

Liu Baoshe pulled Liu Xiaogang to approach the doctor's office, and there was a man who looked like a police officer sitting inside, but the man's arm was fixed and he couldn't move, and the sweat beads on his face were dripping down, obviously hurting badly!

The three policemen around him also looked at the man nervously.

Liu Baoshe said: "This is Zhao Bo, the captain of the criminal police team of the Kyoto City Criminal Investigation Bureau, when he went out on a mission today, there was a little accident, and now the right upper limb may be dislocated due to trauma, and we went to the emergency department to take a film." ”

Speaking of which, Liu Baoshe handed over the x-film, and the film was taken several times, from several angles, Liu Xiaogang took the film and looked at it, and he was also stunned for a moment.

A dislocation is a dislocation, yes, but ...... It's a bit difficult to get out of this dislocation......

To put it mildly, it's not easy to get off like this!

After Bai Ye waited for Liu Xiaogang to finish watching it, he also took the film over, looked at the light, and raised his eyebrows.

There is a problem with the elbow joint, but there are more problems, what does it mean?

The place where the upper arm and the lower arm of the arm are connected is called the elbow joint, which mainly has the lower end of the humerus, the ulna and the upper radius are formed, and there are three main joints: the humeral-ulnar joint, the humeral-radial joint, and the proximal radior-ulnar joint.

Normally, the humeral-ulnar joint is mainly composed of the humeral trochlear and the ulna semilunar notch, but now, the two places are now inserted by the humerus and stretched open.

The humeroradial joint was originally a combination of the humeral cephalic and radial cephalic concaves, but now the humeral cephalic joint is outside, that is, between the humeral-ulnar joints in the hospital!

The situation is far from optimistic.

Dislocations usually occur in the shoulders, elbows, jaw, fingers, etc., but there are very few cases of slippage of joints like this.

The common cause of dislocation may be direct violence, or it may be caused by a fall or improper force.

That is, when the destructive external force acts on the joint, the external force is conducted along the bone, forcing the bone to displace and collide with other bones, ligaments, and muscle tissues, thus causing a series of sequential injuries

Looking at this film, Bai Ye's flesh was numb for a while, how much strength could this have caused such a serious deformation.

Liu Xiaogang walked up to the patient, looked at the fixed joint, and said, "Expose the wound, and I'll see what the situation is now." Bear with me, I'll unwrap the gauze for you now. ”

The man's forehead was full of beads of sweat, ticking down, it was winter, and it was not an exaggeration to say that the cold wind was biting in Kyoto, which had just snowed for a long time.

But it's not a joke to make a thirty or forty-year-old man hurt like this!

The man endured the pain and smiled: "Okay, doctor, you don't have to worry about me." ”

When the fixed cloth belt and gauze were untied, everyone was stunned, and now the elbow joint was swollen like a wine jar.

Red and purple!

Liu Xiaogang then examined the arteries in his wrist one by one to see if the circulation was affected, touched the patient's fingers, gently pinched the muscles, and observed his ability to respond to pain.

Bai Ye knew that these were judgments on the patient's nerve function.

The dislocation is not like the one in the TV series, which is reset with a click, twist, a pull, and a top.

In reality, this is not the case, because joint dislocation will cause damage to the blood vessels and nerves of the surrounding tissues, and if the operation is not done properly, not only can not help the patient, but also may cause secondary damage to the nerves and blood vessels, and the consequences will be more serious.

After the examination, Liu Xiaogang frowned and thought for a while, and said: "I recommend surgery, because there are many slips in the joint cavity now, causing ...... Although there is no bony damage on the film, it is difficult to reduce such a complex, maybe you can contact Director Li Jianwei. ”

Li Jianwei is very famous in the Kyoto orthopedic circle, and he is particularly good at manual reset, it is said that the ancestors of the old Li family were doctors with the army, and they once went out with the army in the Qing Dynasty, and they were very good at resetting the technique with one hand.

Later, it has been passed down from generation to generation, and not only has it not been lost, but it has been carried forward.

Liu Xiaogang took out his mobile phone and dialed Li Jianwei's phone, and it took half a day for the phone to connect.

Liu Xiaogang said with feeling: "Director, I am in the emergency department now, there is a patient, and the situation is like this......

After Liu Xiaogang finished speaking in detail, he saw that there was silence for a moment and said: "I'm ...... in Singapore."

"However, in this way, I now have a general understanding of the patient's situation, manual reduction is indeed the best choice, but even I can't guarantee that this situation can be restored intact, organize surgery, reduce as soon as possible, you contact the director of the second-line shift, see who is there, and carry out the ...... as soon as possible"

Li Jianwei went to Singapore to attend an academic conference on the weekend, not in Kyoto, but his professionalism still allowed him to give the most suitable plan in an instant.

Because, after dislocation, if the joint can be reduced within 2~3 hours, the prognosis is generally good.

If the dislocation time is too long, the surrounding tissues are swollen and deformed, and it is more difficult to reduce directly, and if it develops, it is likely to affect the joint function in the future!