Chapter 618: Finally Arrived (Ask for Subscription)
When Lin Jie came to the scene of the car accident, he saw broken car windows on the road and fragments of broken car covers.
There was also a woman with a disheveled hair, sitting in the driveway with an unconscious man in her arms, crying and screaming, and shaking the man in her arms.
As she shook, the man vomited blood one bite at a time.
A few meters away on the road, there was a motorcycle that had been hit and somewhat deformed.
Around the woman, several people stood or sat in twos and threes.
"If you shake it again, your boyfriend will die!"
Lin Jie took a few steps to the woman's approach, and said sharply: "Hurry up and put him down, I'm a doctor, let me check it first." ”
The woman immediately came to her senses, hurriedly put the man in her arms flat on the ground, and cried out: "Doctor, please save him, please save him, please." ”
When Lin Jie squatted down and was about to examine the man, a disgusting smell of sour alcohol rushed straight from the man and woman.
He couldn't help but frown.
Yaya, I hope it won't be an accident caused by drunk driving.
Lin Jie endured the nausea caused by the smell of alcohol, and after finding out that the person's carotid artery and breathing were basically normal, he began to explore the person's skull, cervical vertebrae, thoracic ribs, and hip bones.
After examination, the only injury found by Lin Jie was that the person's right rib was broken twice.
Judging from the rich foam in the blood spit out of his mouth, the broken rib should have pierced the right pleura and injured the right lung.
The injury had to be taken to the hospital before it could be treated.
After inspecting the person's soft abdomen and no fluid and blood, Lin Jie touched the person's thighs and calves again.
When he touched his right calf, Lin Jie found that his tibia was closed and fractured, and his calf was quite swollen.
Continuing to probe down, when he felt the position of his ankle, Lin Jie did not feel any blood pulsation, which was a symptom of no blood supply down the calf.
Compartment syndrome!
Lin Jie made a judgment in an instant, which is an early symptom and sign of acute ischemia and hypoxia caused by the muscles and nerves in the periostoscia chamber formed by bone, interosseous membrane, muscular septum and deep fascia.
This symptom is usually caused by hematoma and tissue edema caused by traumatic fractures, which increase the volume of intracompartmental contents, or over-liging, and local compression reduces the volume of the compartment, resulting in increased intracompartmental pressure.
When the pressure reaches a certain level, the arterioles supplying the muscles can be closed, forming a vicious circle of ischemia, edema, and ischemia.
When the ischemia time is too long, it will cause most of the muscles and nerves to die, forming contracture deformities, which will seriously affect the function of the affected limb, and in more serious cases, it will directly lead to amputation and even life.
The treatment for this condition is relatively simple, with an immediate incision of the fascia to decompress and restore blood circulation.
Lin Jie shouted at the people around him: "Whoever has a knife, whoever has a knife, I need a knife, any knife can be!"
"Oh, the knife?!I have, I have!"
A middle-aged man standing a few steps away hurriedly took off a bunch of keys hanging from his waist, trotted over and handed them over, shouting, "Doctor, doctor, can you see this knife?"
On the keychain hung a folding fruit knife five or six centimeters long.
"It can be used!"
Lin Jie took the keychain and pulled out the blade.
At this moment, there is no condition for disinfection, so I can only make do with it.
Just as he was about to cut open the skin of the man's right calf, his arm was suddenly grabbed.
Lin Jie looked up and saw that it was the woman who was holding the man just now.
There were some abrasions and blood stains on the right side of her face, which made her face look a little hideous, and she asked loudly, "What are you doing here?"
Lin Jie explained: "He has compartment syndrome, and he needs to cut open the skin and muscles at the hematoma site of the calf to decompress and restore blood circulation, otherwise his leg will be useless." ”
These words made the woman hesitate.
She looked at Lin Jie and asked, "Are you so sure, if his calf is not cut, it will definitely be wasted?"
"Hmm...... How old are you?"
"Where do you practice medicine?"
"Where did you graduate from medical school?"
"What's your license number?"
One question after another, came out of the woman's mouth.
Asking and asking, the woman's face became firm, and without waiting for Lin Jie to respond, she said categorically: "You can cut his leg, but if my husband has three long and two short, you need to be fully responsible." ”
Hearing this, Lin Jie was very angry in his heart.
Yaya, I'm trying to save your boyfriend's calf, okay?
Lin Jie, who was slandered in his heart, also understood that his face was too young, and it really didn't look like the face of a qualified doctor.
Lin Jie suddenly noticed a little and asked, "He's your husband, not your boyfriend?"
The woman nodded and said, "We just went back to our hometown to register last week, but we haven't done it yet, but in the legal sense, we are already husband and wife." ”
If it is just a boyfriend and girlfriend relationship, she is not considered the legal family of this person, and in the case of emergency treatment, Lin Jie can decide on some treatment methods independently, without asking for her consent.
But now, it's a different story.
The woman has the right to decide what kind of treatment the man receives, especially if the man is unconscious.
Lin Jie said in a deep voice: "That's great. ”
He raised his voice a little so that a few people around him could hear him, and said, "I can tell you that I am a qualified doctor." ”
"Now, your husband needs to cut open the skin and muscles of his calf to relieve compartment syndrome, and if he doesn't, his right calf will most likely be ruined. ”
"This is an on-site emergency operation, there is no way to do sterilization, and it is likely to cause a series of bacterial or viral infections. ”
"You, as his legal wife, need your authorization. ”
Lin Jie asked solemnly: "Do you agree with me to do this operation?"
The woman glared at Lin Jie, looked at him straight for a while, and shouted angrily: "You are shirking responsibility, you are trying to shirk responsibility." ”
"I know your little trick, you are not sure about your own treatment, so you will ask for my consent and want to put all the responsibility on me. ”
At this moment, the sound of the ambulance's horn came faintly.
The woman was a joy and shouted, "You go, you go!"
"I don't want you to operate on him, I'm going to wait for a real doctor to save him......"
Lin Jie held back his anger and reiterated again: "You have to understand that if you don't have surgery again, his leg will really be useless." ”
Listening to the sound of the ambulance seemed to be getting louder and louder, the woman yelled at Lin Jie: "You go, don't you save me!"
"I don't believe you!"
The clay figurines are also three-pointed, and Lin Jie has never been treated like this before.
At that moment, Lin Jie, who was not angry, returned the keychain in his hand to its owner, no longer paid attention to the couple, and shouted, "Are there any other wounded?"
"Yes, yes, doctor, here, come here!"
Lin Jie followed the sound and saw a shirtless man sitting on the curb of the road with a big belly.
The shout was shouted by the shirtless man.
And the big-bellied man held a ball of cotton T-shirt with both hands and covered his face, but the whole T-shirt was soaked with blood, which was very scary.
Lin Jie ran over, and when he checked it, he found that it was a false alarm.
The pot-bellied man had a laceration on his forehead that was five or six centimeters long, and there was a broken nasal bone.
It seems that there is a lot of blood, but it is all minor injuries.
Lin Jie gave him a nose bone, simply bandaged his forehead wound, and asked, "How did this car accident happen?"
The shirtless man pointed to the couple in the driveway, and said angrily: "They were riding a motorcycle, and suddenly broke into the motorway, and my brother had to slam the steering wheel to avoid them, and then we were hit by the car behind." ”
"My brother's face hit the steering wheel and that's it. ”
As soon as he heard that the cause of the car accident turned out to be like this, Lin Jie didn't want to see the couple anymore.
The sound of the ambulance was still ringing, but the first to arrive were two traffic policemen on motorcycles......
Lin Jie checked several other people and found that they were all slightly injured.
After giving them a brief treatment, Lin Jie walked towards Zhang Yufei, who had been waiting on the side of the road.
Although he was anxious, he stayed aside and didn't come to disturb Lin Jie while he was treating others.
This concentration is also quite good.
"Expert Lin, I originally wanted to apply for medical helicopter rescue!"
Zhang Yufei greeted Lin Jie, endured the anxiety and anger in his heart, and explained: "It's just that the capital is very strict with air traffic control, and my application was not approved. ”
"Specialist Lin, we still need to trot for a while. ”
He reminded: "We are less than an hour and thirty minutes away from the three hours you said to be at the hospital, but we are only halfway there. ”
"And the remaining half of the road ......"
Lin Jie pointed to the traffic policeman's motorcycle, interrupted him, and said: "Nearly ten minutes have passed, just listening to the sound of the ambulance's horn, but there is no car coming, and it can be seen that the road ahead is also very blocked." ”
"And the traffic police on motorcycles arrived in advance ......"
Zhang Yufei's eyes lit up and shouted, "Oh...... Yes, yes!"
"Motorcycle, motorcycle, why am I so stupid......"
Before he could finish speaking, he looked around and soon saw two high-powered motorcycles forked on the side of the road.
Zhang Yufei immediately ran towards the motorcycle......
I don't know what lucrative conditions Zhang Yufei promised, two motorcycle riders in their twenties happily carried Lin Jie and Zhang Yufei respectively, and sped quickly on the motorway on the right, overtaking one car after another......
Lin Jie originally wanted to drive a motorcycle by himself.
Although he had never ridden before, Shen Lanruo said that she had ridden it herself, and she rode quite well.
According to past experience, Lin Jie should also be able to ride.
It's just that now is not the time for the experiment, Lin Jie, who is wearing a helmet, obediently sits on the back seat of the motorcycle and lets people ride with him.
More than 50 minutes passed, and the neon sign of "The Affiliated Hospital of the First Military Medical University" towering on the top of a building had already caught Lin Jie's eyes......
Genius one second to remember the address of this site:. Mobile version reading URL: m.