In the eyes of ordinary people, there is a wound on the surface of the skin on the outside of the body, and the flesh and blood are blurred, and the visual effect is very impactful, and it looks particularly serious, and it is the most frightening.

However, bleeding that is not visible inside the body is often more serious and often more fatal.

In the eyes of the doctor, traumatic bleeding, the wound is more intuitive, the situation is easier to judge, tourniquets, hemostats, gauze, compression, hemostasis methods are varied, as long as it is not particularly serious, these first aid methods can generally be effective in a short time.

If the patient has internal bleeding, then the doctor can not judge the bleeding situation and location without the help of X-ray, B-ultrasound, CT imaging and MRI, and severe internal bleeding requires first aid and treatment through surgery, and does not arrive at the hospital.

Of course, surgery is not just a matter of doing it. After the patient arrives at the hospital, he must go through other emergency measures, such as rapid blood transfusion and medication, to raise blood pressure, restore heartbeat, expand blood volume, and stabilize the patient's vital signs at a level that can go to the operating table, and then immediately perform surgery.

Therefore, the situation in TV series and movies that immediately sends patients to the operating table as soon as they arrive at the hospital without a detailed examination and stable vital signs will basically not appear in real hospitals.

Doctors will choose to do this unless the patient is unable to stabilize their vital signs with treatment and will die immediately without going to the operating table.

In this way, patients who are sent directly to the operating table often have a great risk of dying on the operating table, and they are more positive than not having surgery to try treatment.

Cui Zhigang, who was sitting in the carriage, was so anxious that he could only roughly figure out how much the patient was bleeding, where the bleeding site was, and what caused the bleeding, and he had no way to judge.

The patient's blood loss has exceeded 2,000 milliliters, close to half of the total blood volume of the human body, and is in a very dangerous situation, and the person has completely lost consciousness and is in a state of shock with excessive blood loss.

Gastrointestinal bleeding alone does not make a person die so quickly, but the patient must be very painful. In fact, if the gastrointestinal bleeding is not too severe, the platelets in the human blood will actively block the wound in the body, and vomiting blood a few times can basically stop the bleeding automatically, as long as it prevents other complications caused by excessive blood loss.

But looking at this patient, the amount of hematemesis is so large and so frequent, it is estimated that there is no way to completely rely on the coagulation function of platelets themselves.

After all, a large amount of blood is lost in the body, and the hematopoietic function cannot keep up with the rhythm of blood loss, the blood content is reduced, and the capacity of platelets will naturally not be much.

"Breathing is okay, the heartbeat is not good, how is the blood pressure?" Cui Zhigang thought for a long time, and only put the ECG monitoring on the patient who was already in shock, and saw that the patient's breathing was okay, so he didn't dare to intubate the trachea. The patient may vomit blood at any time, and rash endotracheal intubation may irritate the digestive tract and trachea, and if the patient continues to vomit, it is likely to cause asphyxia.

He only gave the patient a large flow of oxygen.

"It's almost undetectable. Guan Fengxia said.

"Open two large venous channels, 500 milliliters of compound sodium chloride injection for rapid intravenous drip, 20 milligrams of dopamine into 25 milliliters of 5% glucose injection for rapid intravenous infusion, and 0.5 milligrams of epinephrine for subcutaneous injection. ”

In addition to using drugs to stabilize the patient's vital signs as much as possible, Cui Zhigang in the ambulance had no choice but to hope that Wang Ge could arrive at the hospital as soon as possible.

Guan Fengxia repeated the doctor's instructions, and the movements of her hands were very sharp, showing the skilled skills that a professional nurse should have.

"Command center, please note that this is the No. 0110 of the Second Affiliated Hospital of Yaxiang, Xiang AGZ689, receiving patients at the intersection of Yingpan Road and Xiangjiang Middle Road. The patient now has a case of hematemesis, and the amount of blood lost is almost half of the blood volume of the whole body, and the condition is more critical. I would like to ask you to communicate with the emergency department of our hospital and be ready to accept patients!"

Wang Ge drove while holding the intercom to report, his vehicle was driving too fast, and it had just rained heavily outside, the road was slippery, and it was one o'clock in the morning, so he really didn't dare to take it lightly, and what was more troublesome was that the Grim Reaper was still chasing after his buttocks, and the speed was definitely not slow!

And Cui Zhigang also understood the distress of the king pigeon, and took the intercom.

"This is the center, number 0110 please speak!"

"I'm a car doctor. Request that the emergency department of the hospital prepare a blood test, blood routine, blood matching. Abdominal ultrasound, X-ray imaging, MRI. Doctors at or above the level of chief physicians of gastroenterology, respiratory medicine, and neurology are required to conduct consultations, please be prepared to arrange an operating room, and the patient's level is the highest priority!" Cui Zhigang knew in his heart that these drugs in the car could only maintain the effect for a short time, and if he wanted to temporarily get the patient out of danger and free up time for a detailed examination, he must have a large amount of blood transfusion, at least the previous generation of plasma.

There are no such things in the ambulance, and the blood has to be retrieved from the blood bank, and it is urgent to arrive at the hospital, "Xiao Wang, how long will it take?"

"Four minutes!" Wang Getou said without replying, he directly turned off the intercom, and asked Cui Zhigang to throw the microphone of the intercom into the passenger seat and concentrate on driving.

The numbers on the dashboard showed that the ambulance he was driving had reached a speed of 100 kilometers per hour, but the Grim Reaper behind him did not relax the pace of pursuit at all.

To be precise, the way of walking out of thin air and then suddenly teleporting no longer seems to be called a step. The king pigeon is fighting against this terrible presence almost every day, winning and losing with no score.

He wants to get that number!

It was the first chance he had to get his hands on the numbers in two days and he was definitely not going to give up.

The street lamp outside the window regressed quickly, and the splash on the reflector made the king pigeon unable to see the scene behind it clearly at first, but the speed of the car was a piece, the vibration became larger, and the water droplets were shaken down, but he could still see some things clearly, and officially because of this, the king pigeon could barely observe the position of the grim reaper.

The roar of the engine even overshadowed the sound of the siren, and the king pigeon did not dare to take it lightly when turning, and maintained a certain speed while stepping on the brakes to avoid the ambulance rolling over, and if he slowed down too much, he would definitely be caught up by death.

After all, the Grim Reaper seems to ignore all the physical laws in the world, and there is no inertia at all under high-speed teleportation, and he doesn't need to slow down like a vehicle when he turns, as long as he takes a step in the corner, his body disappears, and he suddenly appears in the place where he exits the corner.

Fortunately, the Grim Reaper cannot use special abilities within a certain range of people who are close to death, otherwise this unfair chase will become meaningless, and the king pigeon will naturally lose a lot.

While the doctors and nurses and the ambulance driver were battling death, the other person in the car was not idle.

He saw that the three medical workers from the hospital were busy, so he honestly sat in the car, and felt that he should do something, so he took the initiative to help the patient clean up his finances so as not to lose them, and used the patient's fingerprint to unlock the lock screen of the mobile phone, flipped through the address book, and called the patient's parents.

It was the patient's father who answered the phone, because the boss really couldn't understand the dialect spoken by the people over there, the boss was sweating profusely in the car, even if the person on the other end of the phone couldn't see his movements, he still tried to explain things clearly with gestures, and explained something to the family, so that they could arrive at the Second Affiliated Hospital of Xiangsha City as soon as possible to accompany the patient.

"Doctor, how is the person?" the boss was oily, his face was eager, and his voice was very small. It can be seen that he really cares about the safety of this young patient, "Will he die?"

"The exact cause is not yet known, but a lot of blood loss is definitely dangerous, and the situation is very bad. The existing heartbeat, breathing, and blood pressure are all supported by drugs, and if you want to completely solve the problem, you need to have a blood transfusion, at least four units. But don't worry, our hospital will do its best to treat patients, find out the cause of the disease, and you will definitely not suffer if you are not responsible. ”

Cui Zhigang thought that the boss was afraid of taking responsibility, and tried to explain patiently.

The boss shook his head and sighed again, "I was angry at first, but looking at others like this, I am not so angry." When you come out to work alone at a young age, you must have no money, and it is hard, and you are alone here, which is strange and pitiful. ”

"Boss, listen to your accent, you're not a native of Xiangsha, right?" asked Guan Fengxia.

"My wife and I are both from Xiguang Province, and our son may be about the same age as him, studying at a university in Shanghai and studying as a doctor. We set up a stall here to earn money for him to study and save money for him to get married in the future. You said that this kid is also young and ignorant, otherwise he wouldn't be able to find trouble in our stall. I hope he can understand something when he comes back to life this time. The boss said.

"It's not easy to study medicine. Cui Zhigang shook his head and said with a wry smile, he has the most say in this regard. It turned out that the boss was not afraid of spending money, but really cared about the safety of young patients.

People's hearts are flesh and blood, although this young man has a bad temper and does not do things quite right, but he will not die!

"You know how difficult it is for doctors. At the mention of his son, the boss smiled with some pride.

"With parents like you, your son would be a good doctor. Cui Zhigang sighed in his heart, it's not easy for everyone.

While speaking, Wang Ge's ambulance arrived at the hospital, and it was obvious that the patient's condition was still being hung by the medicine, and the Grim Reaper did not speed up, and Wang Ge reserved enough time for the transfer of the patient while driving. He knew that as soon as the patient arrived in the emergency room, he would immediately be transfused with plasma, blood type, and with the complete drug treatment in the emergency room, his physical condition was definitely not comparable on the road.

Nurses and nurses were already waiting at the door of the emergency hall as usual, ready to predict the acceptance of patients.

They didn't delay a second and rushed the patient to the emergency room as soon as he got out of the car.

As the king pigeon expected, the Grim Reaper did not chase him into the emergency room, but walked around the hall with an umbrella and left.

It's been two days, and the numbers on the soul card have finally changed, becoming "Qi Bai Shi Shi", Wang Ge was a little relieved, although the first patient tonight was not saved, the second patient was temporarily saved, which was a good start.

However, he did not rush the ambulance back to the parking lot, but waited outside the emergency room with the stall owner, helping to register and handle the examination and payment.

Since there was no family to sign, doctors and nurses had to contact the patient's family by phone to inform them of the situation.

The patient's condition was life-threatening, and although the vital signs were stabilized, the surgical treatment was urgent, and after the phone call, the doctors were ready to perform the operation on the patient.

Wang Ge accompanied here for half an hour to help, although the boss was enthusiastic, but he was not familiar with the whole process of the hospital, he had not been to the Second Affiliated Hospital of Yaxiang before, the payment office, the medicine office, the place where the film was taken, were not very clear, if it was not for the king pigeon has been accompanied to help, it is estimated that a lot of time will be wasted.

However, when spending money, the boss didn't even blink. He only has a lot of change on him, which is prepared for business, and the amount of cash is still quite a lot.

However, the cost of examinations and medicines was even more expensive, and after three examinations and two medicines, he had almost spent all the cash on him.

"You're making money like this...... Will it work?" said the king, "and when he wakes up, don't rely on you again." ”

I think the food materials in our home are all fine, and even if there is a lawsuit in the future, I can get the money back. Now this young man is sick and has no money for treatment, we can't watch him die!" said the boss very sincerely, sitting on a bench outside the emergency room.

In fact, there is a green channel in the hospital, and you can also handle the arrears treatment within 24 hours, as long as the young person's family arrives the next day to make up the fee.

However, two conditions must be met for the green channel and arrears. The first is that the patient is in critical condition and is about to die if not treated. The second is that the patient is alone, delirious, and unable to contact family members.

In the case of this patient, if there is an escort, the hospital will give priority to the escort to pay the medical expenses.

After all, hospitals are now responsible for their own profits and losses, and if patients owe money and run away, the hospital and doctors will have to pay for the expenses. And the arrears that the hospital can do are only arrears for examinations, treatments and medicines. When the surgery is actually performed, some surgical materials, such as implanted prostheses and steel plates for connecting bones, are supplied by a third party, and this money must be settled, otherwise people will not give you something for surgical treatment, and the hospital will not be able to do this.

At this moment, Yu Bo, the director of the emergency department on the night shift, took off his mask, came out of the emergency room, and found the boss.

After making eye contact, the boss knew that Yu Bo was looking for him, and stood up suddenly, "Doctor, how is it?"

"Are you his family?"

"I'm not, I'm ...... Alas, forget it!" The boss didn't know what to say, so he simply didn't say it. "Just now, another doctor called his family and said that he agreed to the operation, and recorded it. If you tell me something, I'll relay it. ”

"Yes, the patient now needs to undergo laparotomy immediately, although the cause has not been clarified, but we judge that he has a large amount of bleeding in the stomach, and surgery is necessary to stop the bleeding, the cost of the operation is about 30,000 yuan, and we need to pay the operation fee first, and we can perform the operation immediately. The operating room has been emptied ahead of schedule. Yu Bo spoke quickly and explained the must-dos.

"Thirty thousand, ah......" The boss was stupid when he heard it. "Can't afford it?"

Yu Bo nodded solemnly, "Blood transfusion can stabilize his blood volume, but he is still losing blood, and it is very fast." When we have blood transfusions, our blood pressure is injected with air pressure, and if we slow down, it will be gone. ”

"Brother, these 30,000 ......" Wang Ge opened his mouth, he really didn't need to give this money.

The boss waved his hand, took out his mobile phone, walked to the side, and called his wife.

The call lasted for a short time, only for a minute or two.

"I just discussed it with my wife, and she will be at the hospital within fifteen minutes, so I asked her to bring the card. I wanted to save some money for my son to buy a house, but I still have tens of thousands of yuan. Let's do the surgery first. ”

"Half an hour, half an hour must be there!" Yu Bo sighed and left.

The boss was holding the mobile phone in his hand, and Wang Ge could see that he had made a lot of determination.