Chapter 576: Anatomy (2)

As for Zhu Jingran, she told the students: "People from my group come to my office. ”

Lin Du and Li Qian glanced at each other, and every time the ward rounds were over, Zhu Jingran always had to call her students to summarize the situation again.

Zhu Jingran's nickname Zhu Devil is not for nothing, she will repeat the mistakes that Qi Berlin picked out, and she will also point them out one by one if Qi Berlin didn't pick them out.

Her severity was known throughout the hospital.

I finally survived these training times, and it was noon.

When Lin Du and Li Qian were eating in the cafeteria, their mobile phones rang: "There was a series of car accidents on the highway, and the injured were delivered immediately, and the director asked you to go to the emergency department to prepare for rescue." ”

Lin Du looked at the piece of boiled fish that she still held on her chopsticks, fifteen yuan a piece, she finally grabbed it, and now it's good.

She reluctantly stuffed the piece into her mouth, and then hurriedly went out to get a white coat and ran to the emergency room.

Preparations for the emergency department have already begun, and soon, the first wounded arrived.

An artery ruptured and hemorrhaged, and the blood rushed to the ceiling of the emergency room, and a doctor knelt on him and pressed it.

Now that the emergency department has become a mess, the hospital has activated the emergency plan and called back all the doctors who can be called back.

Lin Dui is repentant.

Why do you have to choose modern, I thought that I didn't need to face blood anymore, but now it's good, what is this, the smell of blood here is no less than the battlefield.

"Why are you stunned?" Qi Bolin walked over and saw Lin Dui, and patted the back of Lin Dui's head, "Hurry up and work, it's not the first time I've seen you." ”

When Lin Duan hadn't returned to Qi Berlin, the nurse over there shouted, "Director Qi! This patient is suffocating! ”

Qi Bolin didn't care about Lin Dui, so he hurriedly walked over, put on sterile gloves, checked, and did it in one go, "Severe trauma to the head and face, acute upper airway obstruction, prepare for cricothyroidotomy." ”

Just when it was being disinfected, he shouted again: "Director Qi, take a look at this outside the chest, the glass is inserted into the chest cavity, and there is no way to do cardiac compressions." ”

Qi Bolin turned his head to look at it and shouted to Lin Du: "Yao Mingchu, come and do this cricothyrotomy!" ”

Lin Du was stunned, where did she take a scalpel, although every time she entered the plane, she would have the skills of the original owner, but using a scalpel to cut the skin was not as good as going to court or being a secretary to someone's house, she was still stunned.

But Qi Berlin had already run to take care of another patient.

The nurse next to the patient who needed to be cricothyroidotomy was anxious, "Everyone is suffocated, come here, you student, what are you stunned at the critical time." ”

Lin Du has no other choice now, she must choose to save people with a scalpel.

She ran briskly, put on her gloves, and picked up her scalpel.

The feeling of cutting a patient's skin with a scalpel for the first time was something she thought she would never forget in her life.

Cricothyrotomy is not difficult, Yao Mingchu has also done it before, and Lin Dui has done it very well with Yao Mingchu's skills.

After the cricothyroid membrane incision here, Lin Du seemed to have really found his current position, an intern doctor.

She ran to Qi Berlin, "Teacher Qi, I ......"

Seeing the movement in Qi Bolin's hand, she paused suddenly, he was doing chest compressions over there, a piece of blood, looking at the flesh and blood on the person's body was also blurred, Lin Du subconsciously wanted to squint, but she couldn't hold back, she knew that she couldn't retreat now, if she retreated, what would the patient do?

Before she could ask Qi Berlin what she would do next, she was shouting: "Dad, what's wrong with you?" Come and take a look! There are no doctors! ”

Lin Du hurriedly ran over, it was an old gentleman in his sixties and seventies, it seemed that his injuries were not serious, he was supported by his family, and it should not be the most serious section of the car accident.

However, the situation was not good, the old gentleman was cyanotic and his lips were blue.

She initially judged that it should be ventricular fibrillation or cardiac arrest. She touched the old gentleman's carotid pulse again, and sure enough, it didn't.

She shouted directly: "Is there a doctor outside the heart?" There's a ventricular fibrillation or cardiac arrest! ”

While shouting, she began to perform CPR.

It is said that chest compressions are really manual work, and when compressing, the elbows must be straightened and pressed vertically downward, and the frequency of compressions for adults is 100 to 120 times per minute. Pressure down to a depth of 5 to 6 centimeters, and allow the ribcage to fully recover after each compression. The compression time and the relaxation time are about half, and the base of the palm should not leave the chest wall when relaxing, so as not to shift the compression point.

The human rib cage is quite hard, and it is not easy to press down to a depth of 5 to 6 centimeters.

"What are you doing here?" Lin Duan never expected that it was not her exhaustion that interrupted her, but the family members of the old man, "It will break my dad!" ”

Lin Du gasped and couldn't explain.

The old man's daughter suddenly began to pull at her, and she didn't hold back, and her hand shifted.

She looked up at the old man's daughter, "Do you want your father to die?" He's in cardiac arrest now, you're crazy, aren't you! ”

Fortunately, when Lin Du was about to start cardiopulmonary resuscitation again, the doctor outside the heart came to take over.

Watching the heart compressions continue, Lin Du breathed a sigh of relief.

She had time to explain to the old man's daughter: "This is cardiopulmonary resuscitation, your father is now in cardiac arrest, once cardiac arrest occurs, if it is not immediately and timely resuscitated, it will cause irreversible damage to the patient's brain and other vital organs and tissues in four to six minutes." We are now performing CPR in order to gain the most precious time to further save and even save the lives of the injured and injured in cardiac arrest. ”

"But you press so hard, my dad is too old to stand it." The old man's daughter still didn't fully understand.

Then she saw Lin Dui's badge, and covered her mouth with wide eyes: "You're an intern?" ”

"Any questions?" Lin Du explained, "Don't worry, I have been studying medicine for eight years, and this is the ninth year, and there is no problem with basic cardiopulmonary resuscitation operations. CPR must be forced, otherwise there is no effect. Cardiac compressions do carry a risk of sternal fracture, and I hope you understand. ”

"Broken bones?" The old man's daughter's mouth grew bigger, as if she was about to swallow an egg, "It's not okay to take that, if it breaks, your hospital must be responsible to the end, and you must lose money, you still have to take care of it." ”

Lin Du was completely speechless, and the old man's daughter couldn't understand how urgent the situation was.

She doesn't have time to entangle with unreasonable family members here, she still has a bunch of things, how many people in the emergency department are waiting for the doctor to see.

As a result, the old man's daughter did not give up: "How dare you, an intern, do these things to my father?" You can't go! In case my dad has any strengths and weaknesses, you have to be responsible for the end, it must be because you don't know how to save people during your internship. ”