Sun Chengde was stunned when he saw Wang Ge standing in place, and shouted at him before getting into the car. "Dr. Rabbit came with my car, he doesn't have a special ambulance, you quickly pull the cart over, the patient seems to be more serious. ”

The king pigeon, who was a little distracted, was shouted back by this voice, and decided to ignore the Grim Reaper, and now this situation is the same as all other situations, and a few can be saved, and you must not care about others.

Sun Chengde got into the car after seeing the king pigeon come to his senses, and as soon as the ambulance turned around, a grim reaper suddenly appeared from the crowd of onlookers outside the cordon and followed behind the ambulance. Wang Ge's heart tightened, and he quickly found Liu Ya's figure, pulled the cart and ran over.

Liu Ya was squatting on the ground, checking on the condition of an injured person. The nurse squatting next to him and taking the blood pressure of the wounded was Shen Hui.

Shen Hui and Wang Ge glanced at each other, and the matter between the two of them was naturally tacit, and they didn't need too many words to explain, just a glance to understand.

But this is not the time to speak.

The wounded man on the ground had his eyes closed, still conscious, his expression was very painful, and he was still howling, but his voice was very weak. The wounded look like they're not too young, in their thirties and less than forty.

He was in a terrible condition, with a steel pipe stuck in his stomach that had not yet been removed, and the steel pipe was hollow, and blood would flow down the steel pipe when the person remained upright, and there was a large pool of blood on the ground, and blood was constantly gushing out of the wound.

Wang Ge didn't speak, his hands pressed on the cart, observing whether there was a god of death approaching around, and also waiting for Liu Ya's next instructions.

"Doctor, there are old and young people in my family, but ...... I can't die. The wounded man said in an inaudible voice, if it weren't for Liu Ya squatting next to him, he really wouldn't have been able to hear him. The wounded are now in a very unstable mental state, scratching their hands and feet indiscriminately, which has brought a lot of trouble to the examination and treatment work.

Liu Ya frowned, knowing that there are young and old in the family, family responsibilities on their shoulders, and they are not young anymore, so they don't look for a serious job, and if they are messing around outside, it is a matter of time before something happens. However, he didn't want to say more about this preach, it was his responsibility to cure the sick and save people, so he could only open his mouth to say it.

"Blood pressure sixty, eighty millimeters of mercury. Shen Hui put away the blood pressure monitor and said.

"You have to save your energy, don't talk. Liu Ya gave a doctor's order first, so that the middle-aged man's mental state stabilized first.

"Valium ten milligrams intravenously. ”

Shen Hui immediately started to move, and Wang Ge hurriedly squatted down and helped hold down the injured man's uninjured arm, and the two of them cooperated to complete the injection action within fifteen seconds. The tranquilizing effect came quickly, and the middle-aged man immediately quieted down, his breathing became deeper, and the tachycardia also improved significantly.

It looks like the abnormality of the heartbeat and breathing is only due to fear.

"Abdominal trauma, bleeding more than 1,500 milliliters, the situation is more dangerous. Excrement was found at the wound, the large intestine was suspected to have been injured by the tip of the steel tube pierced into the abdomen, and there was a risk of infection, and a closed fracture of the ulna was suspected in the left forearm. There were no obvious trauma to other sites. Tachycardia, excessive breathing, but low blood pressure, may have peritoneal irritation syndrome. Liu Ya made a judgment, but there was one thing he didn't know very well.

How on earth did the tube get into the patient's abdominal cavity?

Now that the season is approaching winter, even in Xiangsha City in central and western China, it is colder at night, and most people wear two clothes and at least one thick coat. And on the body of this wounded, he wore a jacket with a woolen sweater inside, and if the flat-headed steel pipe rushed straight into a person's stomach, it would at most cause consultation, or internal injury.

No matter how strong the perpetrator is, it is impossible for the flat-headed steel pipe to penetrate the two layers of clothing and directly pierce the abdominal cavity, causing external injuries.

Liu Ya glanced back at the group of people who were squatting on the ground and had been controlled by the special police, and there was a pile of controlled knives and murder weapons next to them, and part of the steel pipe in it was actually cut diagonally, forming a spike. He finally found the answer, this group of people is really fucking dead!

"King pigeon, let's fix our arms together. Xiao Shen, two milligrams of norepinephrine into a 20 ml normal saline vein is slowly injected, the venous access is opened, and 500 ml of normal saline is quickly intravenously dripped, and the bleeding is stopped first after the work is done, and then debridement is in the car, the situation is more critical, and the operation must be performed immediately!" Liu Ya said as he took out the splint and bandage from the first aid kit.

The king pigeon is quite familiar with these two things. As an ambulance driver, some of the more common first aid methods must still be learned, and the hospital will also conduct regular course training, and sometimes use dummy to conduct practical exercises in the course.

Therefore, for cardiopulmonary resuscitation, wound bandaging of different parts, fixation and bandaging of closed and open fractures, the king pigeon has actually learned and operated in case of emergency.

The three of them completed their movements in a few minutes, and Wang Ge and Liu Ya, with the help of a policeman, carefully carried the wounded man onto the cart. The policeman took out the handcuffs, one of which was fixed on the hospital bed, and the other end was just about to handcuff the wounded man's right wrist when he was stopped by Liu Ya.

"I don't know if I can live, but I definitely can't run unless I want to die. Don't do that, there's still a retention needle on your wrist. ”

The police were right, but insisted on going with them to the hospital.

While talking, the group hurriedly sent the patient to the ambulance and carried him into the car, but as soon as he got into the car, the patient's condition deteriorated, and he was about to vomit when he turned sideways and his head!

Shen Hui's eyes were quick, and he rushed to the ambulance with an arrow step, picked up the trash can and picked it up under the patient.

Liu Ya and the policeman saw this posture and hurriedly got into the car. Wang Ge also closed the door and got into the car, as soon as he got into the car, he felt that the air was not very good, the warm air made the smell of vomit even stronger, the patient's wound itself adhered to his own excrement, coupled with the smell of blood, the face of the policeman who insisted on getting into the car suddenly did not look good.

"Upper ECG monitoring, oxygen. Observe my vital signs closely!Prepare to assist me in debridement, rinse with a large amount of normal saline, give priority to cleaning up the excrement from the wounds exposed to the outside, and never touch the steel pipe itself!" After Liu Ya finished speaking, he picked up the trash can, wanting to see if there were blood stains in the vomit of the wounded.

It's a pity that the light in the car is still relatively dim, Liu Ya can only take a long cotton swab and provoke some vomit, this action makes the policeman with an ugly face feel even more disgusting, and he doesn't care about 3721, he pulled a vomit bag and began to vomit, which made the air in the carriage even more disgusting.

However, the three medical workers in the car still performed their duties as if they were all right. This shocked the police officers who vomited, and how a profession can tolerate nausea to such a degree.

"There are blood stains in the vomit, the amount is not very large, I don't know if the steel tube also has a contusion on the stomach, the situation is worse. Liu Ya's face under the mask was solemn and frowned.

There are actually two possibilities for this situation. The first is that the bleeding in the intestine flows backward into the stomach, which can cause hematemesis due to the irritation of the stomach by the blood, as well as the manifestation of peritoneal irritation syndrome. The second is that when the steel tube pierced the patient's abdominal cavity, it directly injured the stomach, and the amount of bleeding was not much at that time, and the symptoms were not obvious enough. However, after a long time, coupled with the pulling of the wound during the handling process, the condition was serious, and the situation of hematemesis appeared.

However, the entanglement of the large intestine in the human body has a complex structure, plus the gastrointestinal muscles themselves have peristalsis and downward excretion action, and there is an organizational isolation between the stomach and intestines, unless the amount of bleeding is particularly huge, the blood will not flow from the intestine into the stomach in reverse, so Liu Ya is more inclined to the second situation, that is, the stomach is directly damaged.

When Wang Ge returned, he deliberately avoided the intersection of the traffic jam just now, chose a small road, and then immediately merged into the main road, and after speeding up the car, he picked up the intercom to report.

"This is the No. 0110 of the Second Affiliated Hospital of Yaxiang, Xiang AGZ689, which received a patient from Hualongchi Community and is returning to the emergency department of the hospital. As usual, he pulled the intercom behind him, and because Liu Ya was in the early stage of debridement of the wound, he did not take the intercom, and the movements in his hand did not stop, but he tilted his head and shouted over there.

"The preliminary judgment is that the patient's abdominal open wound should have injured the stomach and intestines, the amount of bleeding was relatively large, the left forearm was suspected to be fractured, he was conscious, his vital signs were unstable, and there were no other obvious external injuries. Request the emergency department to draw blood for blood test, blood routine, matching, abdominal CT, ultrasound, left arm CT examination, prepare a temporary operating room, notify the abdominal surgeon for consultation, and perform surgical abdominal exploration and hemostasis at any time!"

Wang Ge hung up the intercom, the speed of the vehicle had reached 100 kilometers per hour, there were no social vehicles on the road, and the ambulance of Sun Chengde who left a few minutes ago had long since disappeared, and I don't know if he had thrown off the grim reaper.

The scene outside the car window flew backwards quickly, Wang Ge was still worried about the situation on Sun Chengde's side, and when he looked at the left rearview mirror with his eyes, he found that he didn't know when there was a death behind his car.

"Good fellow, another one is here to ask for your life!" the king pigeon glanced at the situation in the carriage through the rearview mirror above his head.

Liu Ya was sweating profusely, beads of sweat had already oozed out, and the debridement of the outside of the wound had been basically completed, but the bleeding situation had not improved, the number on the heartbeat monitor display screen was getting lower and lower, and the patient's condition was getting worse and worse.

"Comrade policeman, look at this phone and try to contact his family. If the child is admitted to the hospital for surgery later, it is very likely that the severely injured gastrointestinal tissues and organs will be partially removed during the hemostasis, and the family needs to be informed. Liu Ya took out a mobile phone from the patient's body, unlocked it with the patient's fingerprint, and threw the phone to the police.

The policeman nodded and immediately began to look through the address book.

"Hold on, I might be going to pick up speed. Wang Ge felt that the Grim Reaper behind him was not fast, and at a hundred kilometers per hour, he still did not catch up with the ambulance. He stepped on the accelerator so hard that the roar of the engine was clearly audible and filled the entire ambulance compartment, and the speed of the car was instantly increased to 120 kilometers per hour.

Sure enough, at this speed, the speed of the Grim Reaper is already a little unable to keep up.

Shen Hui knew that Wang Ge suddenly wanted to speed up, not because he felt that the patient's condition had become very bad, but because he had already seen the existence of death behind this ambulance, and he couldn't help but get nervous, and she glanced at the LCD display showing her heartbeat.

"One milligram of epinephrine intramuscularly and one and a half milliliters of nicosamide intravenously. Liu Ya also felt that the patient's condition was not quite right, his vital signs were gradually weakening, and it seemed that his organs were gradually failing, so he decisively prescribed medication.

"Hold on, brother, if you make a mistake, you won't die, let's wake up and talk about it!" Liu Ya whispered.

"One minute!" the king pigeon slowed down at an intersection, made a big turn at sixty kilometers per hour, and made a right turn. In the case of high-speed driving, increasing the turning radius of the car can significantly increase the grip and reduce the body shaking, if the sharp turn is small, it is likely to cause a rollover, which is one of the reasons why many people see the ambulance on the road.

After turning this corner, the big sign of the hospital was in front of him, and the king pigeon accelerated again, and he didn't look at how far away the death behind him was, until his ambulance drove into the gate of the hospital, stopped safely at the entrance of the emergency department, and carried the patient out of the ambulance and into the emergency room, he felt a chill on the back of his neck.

The cold wind from outside blew in through the crack in the automatic glass door of the emergency department and poured into the back of his neck, which was already soaked with sweat, and the palms of his hands were also full of sweat. After the death of the driver, he hadn't felt this way in a long time.

Wang Ge swallowed his saliva and began to walk slowly towards the gate, he only hoped that after entering the emergency room, the patient would receive better medical treatment and be able to temporarily stabilize his vital signs.

After all, it's not a good thing to run into death head-on.

He walked very slowly, and as soon as he was halfway there, there was a hint of coolness from the Soul Suppression Card on his chest. He didn't immediately take out the Soul Suppression card to check it, after all, there was a policeman behind him.

But he knew that the Grim Reaper gave up and was finally relieved.

"It's not easy to do what you do. The policeman said behind him.

The king pigeon turned his head and glanced at the policeman. His face was very bad, I don't know if it was because of excessive tension or if it was after nausea and vomiting.

In fact, the police were frightened by the speed he had just had.

Wang Ge smiled, "Just like you, serve the people." ”

In any case, this is the first harvest of the king pigeon in a few days, and the number on the soul card has finally come to the "one hundred three picks".