Chapter 112: Contrary to common sense
Zhang Wenhao naturally knew what Li Changyun was worried about, as an emergency doctor. There should be a lot of common sense, but the most important one is to judge whether a patient is really valuable to go into the in-situ first aid, if there is, then take action at the first time, so that the other party's life can be supported for a period of time, and then go to the hospital for more professional treatment, but if there is no value of in-situ first aid, then the first time to send the other party to the ambulance, and then tell the driver to step on the accelerator to the hospital, so that whether the other party dies in the ambulance, or dies in the hospital's emergency banquet, None of them have anything to do with emergency doctors, and no one will put this on their heads.
In Li Changyun's view, this woman no longer has any value of in-situ first aid, her injuries are too serious, even excessive blood loss is nothing in front of her injuries, her cranial injuries may be fatal, and there are many major injuries in her abdominal cavity that can cause her death in a short period of time, so many fatal injuries, not to mention a woman, even if it is a strong old man, I am afraid that she will die if she can't support the hospital, even if she supports the hospital, she is only cut open by the emergency doctor with a scalpel before she dies.
This nose man is different from Chen Feng that day, Chen Feng was shot in his body at the time, and the wound was the only one and the injury was obvious, so Zhang Wenhao was able to find the most critical injury in the shortest possible time, and then pulled it back from the ghost gate with super high emergency medical skills, but the injury of the woman in front of him was too complicated and too serious!
"Wen Hao!" Seeing that Zhang Wenhao was still carefully testing the woman's ribs, Li Changyun was really anxious, although he was amazed by Zhang Wenhao's medical skills, and he also wanted to befriend him, but he was by no means risking his own attempts, it was already illegal to take Zhang Wenhao out of the emergency room by himself, if he caused the death of this injured person, then his life would probably be over!
Li Changyun tried his best to restrain his voice, and said in Zhang Wenhao's ear: "Give up, she can't save her!" Take her to the car and let's go back to the hospital. Zhang Wenhao shook his head, didn't raise his head, and said to Li Changyun very seriously: "I can't tell if she can be saved, at least until I know her injury, I can't make this conclusion yet, but one thing I can conclude is that if she is sent to the ambulance now, she won't be able to go back to the hospital!" ”
"But" Li Changyun was extremely frightened in his heart, and shouted in a low voice: "If she dies, my life will be over!" ”
Zhang Wenhao just looked at Li Changyun... Seeing that he finally knew what Li Changyun was worried about, he nodded very understanding in his heart, and said, "Give me another thirty seconds!" If thirty seconds can't tell where the fatal injury is, send her to the car. ”
Li Changyun nodded, his hanging heart was half relieved, and he silently counted thirty seconds in his heart, praying that this woman must survive the last thirty seconds, get through, get into the car, and everything still has room to turn around.
Zhang Wenhao along the skin of the abdomen, little by little groping for the broken rib inserted into which part of the body, he faintly felt in his heart that this woman could still be saved, the reason is that the rib that the woman broke and inserted into the body will not be longer than ten centimeters, and the distance of ten centimeters is not enough to pierce her left heart from the right rib, as long as her heart is not fatally injured, she still has a little room to turn, if the heart is damaged, then unless she prepares the operating table for herself within a minute, otherwise, she is even a fairy, and it can't save her life.
Time passed second by second, Li Changyun's heart was shocked, and he was nervous to the extreme, and his hanging heart was raised again, ten seconds, twenty seconds, twenty-five seconds, the woman didn't seem to be dead, and it wasn't the worst for herself.
At this moment, Zhang Wenhao suddenly raised his head and shouted: "lìlì, go get the oxygen bag!" ”
When Li Changyun saw Zhang Wenhao so anxious, he couldn't help but speculate in his heart that Zhang Wenhao must have a certain degree of confidence that he could save this woman, and he didn't know why, he had a kind of trust in him for no reason, and immediately blurted out: "I'll take it, and I want a tank."
Zhang Wenhao opened his mouth and said: "Take the oxygen bag first, her right lung was punctured by the ribs, and the oxygen supply is seriously insufficient!" ”
Li Changyun didn't expect this woman to be a lung stab wound, thinking that he thought that this woman was about to blur, but he didn't expect that she was seriously lacking oxygen supply to her lungs, if it was just a lung injury, then this person would still be saved.
Li Changyun immediately rushed back to the car, took the oxygen bag that had already been filled and ran back, skillfully put the oxygen supply end of the oxygen bag on the woman's face, and then began to continuously press the oxygen bag to oxygenate the woman.
When Zhang Wenhao saw that Li Changyun actually did what a nurse should do, he couldn't help blurting out: "Change someone to press, you help me find a drainer, she has internal bleeding and is forming a liquid pneumothorax!" ”
As soon as Li Changyun heard the three words of liquid pneumothorax, the "hope" that had originally sprouted was almost shattered. Hemorrhage
Once this happens, it proves that the patient's abdominal organs are extremely damaged, and if there is no top surgeon to perform the operation in time, the survival rate is very low, and the fluid pneumothorax will also cause a series of complications, and the patient has a stab wound to the right lung, which is almost irreversible with oxygen alone.
Seeing that Li Changyun didn't move, Zhang Wenhao immediately pushed him and shouted at Chen Lìlì: "Lìlì, don't worry about that girl, come and give her oxygen!" ”
Chen Lìlì hurriedly threw the girl aside, handed it over to Liu Hengshan to deal with, ran to him quickly, pushed away Li Changyun, who was still stunned, and said, "Doctor Li, hurry up and do what you have to do!" ”
Li Changyun reacted at this time, knowing that he was going to leave here today, so he simply turned his heart sideways, ran back to the car in three or two steps, and took out all the things that Zhang Wenhao might use.
The right lung was damaged, the body lost too much blood, coupled with internal bleeding and fluid pneumothorax, this series of injuries even Liu Hengshan thought that it was inevitable that it could not be saved, the girl gradually stopped a little, and she focused more attention on Zhang Wenhao and Li Changyun.
However, even if he is a layman in Western medicine and first aid, Liu Hengshan also knows that this woman is extremely injured, and there is basically no hope of saving her, and he sighs in his heart, these two young doctors, I am afraid that in the end, it will be in vain to see this woman's life dissipate little by little, and finally withdraw from the family.
Zhang Wenhao didn't think so, the first thing he did when he got the drain was to press lightly on the woman's abdomen, looking for the location where the liquid accumulation was most serious, and then carefully looking for the position of the needle, the needle of the drain was very thick, but it was extremely sharp, Zhang Wenhao just used the tip of the needle against the woman's abdomen, and with light force, the tip of the needle pierced into the skin, and then, a large amount of red fluid flowed out of the catheter.
The fluid is drawn out, which is only the first step of the first aid of the liquid pneumothorax, because a large amount of body fluid and blood mixture has accumulated in the body, which must be released as soon as possible, but the release is only a temporary relief, and if the patient's internal bleeding cannot be stopped, then the blood will only continue to accumulate.
Zhang Wenhao was at a loss for how to stop the bleeding for this woman, in just twenty seconds, Li Changyun saw that Zhang Wenhao had no next move and was already pinching a cold sweat, at this time, Liu Hengshan grabbed the girl's hands with one hand, leaned over with the other hand, and touched the pulse of the injured woman with difficulty, exclaimed, "She has no pulse anymore!" ”
Zhang Wenhao was thinking about how to stop the bleeding for her as soon as possible, and suddenly heard that she had no pulse, and he was also shocked, in his speculation, this woman could not have no pulse so quickly, at least she could hold on for a few more minutes, and he asked Chen Lìlì to give her manual oxygen, and relieved the pressure of the fluid in her abdomen, her condition should be better, how could she suddenly have no pulse?
Zhang Wenhao blurted out: "Brother Li, listen to the heartbeat!" ”
Li Changyun hurriedly took out a stethoscope from the first aid kit, and one end of the slot stethoscope was attached to the woman's heart, listened carefully for about five seconds, and said to Zhang Wenhao with a miserable face: "The heartbeat is so weak that it can't be smelled!" ”
"There's no reason!" Zhang Wenhao feels that all this has exceeded the knowledge he has learned from the top medical skill package, this is like a horizontal scale, if he takes off some of the left weight and puts it on the right, the right side will inevitably press the left side, but there is no reason for the left side to press the right side after being taken away a weight, which is completely contrary to common sense.
Her blood loss was not enough to make her lose her pulse so quickly, so Zhang Wenhao couldn't figure out what was wrong, could it be that this woman had other major injuries that he hadn't mastered?
Immediately, Zhang Wenhao woke up suddenly, turned his head to stare at the young girl who was already weakened, and asked, "Does your mother have a heart problem?" ”
After the girl went crazy just now, she has now completely collapsed, slumped on the road with her eyes scattered, obviously temporarily unconscious, she was startled by Zhang Wenhao's roar, and looked at Zhang Wenhao unconsciously, but she was at a loss.
"Speak!" Zhang Wenhao raised his voice and asked, "Does your mother have a heart problem?!" ”
"Yes" The girl came back to her senses, nodded vigorously and said: "My mother has congenital heart disease, and she has been to the United States to see it, but the doctor there said that her problem is relatively mild, and daily attention is fine, and surgery is not recommended" (to be continued.)