Chapter 20: Reasonable Disposition
"How's it going?" As soon as Qin Chuan and the ambulance stopped, as soon as the door opened, he immediately asked the doctor who received the 12o.
"Not so good. The injured person was blinded by the oncoming car and hit the store directly opposite, the airbag was not opened in time, and his head was knocked on the steering wheel, but fortunately he was wearing a seat belt, otherwise the person flew out directly. The car should be somewhat fast. The person is unconscious and unconscious. We gave him CPR, and he had a spontaneous heartbeat, and his spontaneous breathing was weak. Slow response to light. It is best to give him a brain cT immediately to see if it hurts the brain. The attending doctor said.
"Hey, got it." Qin Chuan said.
"I'll leave it to you." 12o said the attending doctor.
12o The medical staff handled it fairly decently. However, in Qin Chuan's current eyes, there are still some things that can be improved. But I can't blame him. After all, the conditions on board the ambulance are limited. After the treatment, it is still necessary to re-treat it when it arrives at the hospital.
"Doctor Qin, will you send it to cT now?" Fang Ping asked.
"Not yet. The physical signs of the injured person are not very good, first stabilize the physical signs and then say, immediately establish intravenous access, I think the situation of the injured person is not so simple. You hurry up and get the blood test ready for the blood bag. Qin Chuan said.
The patient was sent to the emergency department for observation, and the patient's heart stopped, and his blood pressure dropped suddenly.
"Fortunately, I didn't send cT, otherwise it would be troublesome." Fang Ping was taken aback.
Qin Chuan did not hurry and began to administer first aid to the patient. However, some of his methods are somewhat different from the first aid methods of ordinary doctors. Fang Ping couldn't figure out why Qin Chuan was so weird. However, Qin Chuan is a doctor, she is just a nurse, and nurses cannot interfere with doctors to treat patients, and under normal circumstances, nurses have to obey doctors.
But Qin Chuan's techniques seemed to be very effective, and after only a short period of cardiopulmonary resuscitation, the injured person's heart was beating again, and spontaneous breathing was restored.
"I don't think the patient's head is badly damaged, but rather there may be bleeding in the abdominal cavity. You look to see if there is any contact information of the family of the injured, and you must contact the family of the injured. If surgery is required, it must be signed by the family member. I'll contact the Department of Thoracic Surgery for a consultation. Qin Chuan said.
Fang Ping glanced at Qin Chuan in surprise, and always felt that Qin Chuan had become a little different.
"What's wrong?" Qin Chuan asked.
"No, nothing. Found his phone. Fang Ping took out his mobile phone from the injured man's pocket. Fortunately, the injured person did not leave his mobile phone in the car. Fang Ping found the phone number from the injured person's mobile phone to save as his wife.
"Hey, why haven't you come back yet? If you don't come back, what are you calling? Every day I know to fool around outside! The woman on the phone was not polite at all, and it can be seen that the resentment of being woken up in the middle of the night is very strict.
"Hey." Fang Ping was fed and was immediately interrupted by the woman.
"Who are you, you? You can't be so shameless, right? I've turned a blind eye to you, are you ready to step on me now? "The woman exploded.
Fang Ping hurriedly took the phone away, and then quickly said into the phone: "This is the emergency department of the central hospital." Your husband has just been taken to the hospital by 12o. It is now in a crisis situation. Hurry to the hospital. ”
After Fang Ping finished speaking, she ignored the woman on the phone who kept asking what was going on, and immediately hung up the phone.
Qin Chuan kept snickering beside him. The chest side has been contacted, and the second line outside the chest immediately rushed over for consultation.
"Taking advantage of the fact that the injured person's condition is stable now, immediately take the injured person for a comprehensive examination, and also do a head examination to see if it is damaged. I'll now write about the case. Qin Chuan said.
Now it has become a very important thing to write medical records, because once there is an accident, when the patient goes to the hospital to make trouble, there is a certificate that can protect his own interests. Be a good doctor and protect your own interests. This is Qin Chuan's consistent principle. Therefore, no matter how busy and tired you are, you must write the case well.
After a while, the results of the patient's various examinations came out, and the second line outside the chest also rushed over.
Chest x-ray and CT show cardiac shadows, pulmonary artery, and aorta transposition to the right, transposition of two atrium, and transposition of two ventricles. Left-sided tension pneumothorax and multiple rib fractures, bilateral pulmonary contusions, and spleen rupture.
It happened that Pan Jieyun, the director of thoracic surgery, was on the night shift and rushed over, and when he saw the results, he frowned.
"This patient isn't very good. Have you contacted your family? Pan Jieyun asked.
Fang Ping said: "I got in touch, and the family is on their way to come." ”
"You're doing CPR?" Pan Jieyun asked.
"12o first aid has been done once, and when I get here, I stopped jumping again, and I did it once, but there is something wrong with my injured person, and I use a special method." Qin Chuan said the technique he had just adopted.
"Xiao Qin, fortunately, you can see it accurately. If you recklessly follow the usual method of CPR, then it is a big problem. The patient suffered multiple rib fractures, and it is estimated that the emergency physician aggravated the patient's injury. However, there is no way to do it, at the scene, the conditions are limited, and the physical signs of the injured can only be stabilized first. When the patient's family arrives and signs, the operation is performed immediately. Pan Jieyun said.
The wife of the injured person rushed over, running and crying all the way, but fortunately there was someone who accompanied her to help her with her affairs.
"Hello, your husband is not doing well right now, and he has to sign for surgery immediately." Fang Ping hurriedly took the surgical consent form and asked the family to sign it.
"Where are the people, where are the people? I want to see my husband! "The feelings of the injured wife's wife are a little difficult to control. A woman with her hurriedly comforted.
"Hello. Now your husband's condition is very critical and he must have surgery right away or he may be in danger at any time. Please sign it first, otherwise you will not be able to perform the operation. Fang Ping said.
"Okay, I'll sign, you must save my husband!" The injured man's wife said.
After signing, Fang Ping immediately went over and said to Pan Jieyun: "Director Pan, you can perform surgery." ”
"Good. Xiao Qin, you should be my assistant. "Pan Jieyun has a very good impression of Qin Chuan.
"Okay." Qin Chuan agreed. He spun around in the chest, and he learned a lot from participating in one of these surgeries.
Pan Jieyun is the first knife in the chest, and the technique is naturally hard, although the operation is a little complicated, but it took not long to get sick, and it took more than an hour to complete the operation. Qin Chuan was in charge of the final stitching.
"It's a good job. You've worked in surgery before, right? Pan Jieyun asked.
"During the internship at Nanya Affiliated One, the various surgical departments were mixed for some days." Qin Chuan said.
"No wonder. It's hard to get by. I see. What do you think? Are you interested in going to our chest? Pan Jieyun asked.
"I'd like to go. It's just that even if I wanted to, I couldn't go. Qin Chuan said.
Pan Jieyun also frowned: "I have a chance to talk about it." ”
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