Gao Mingshen held back enough strength to die, and the fifteen-centimeter fruit knife poked into it with a pop, leaving only one handle outside the body. Wang Ge has only heard this kind of dubbing on TV, but I didn't expect this to be a real voice!

Almost instantly, Gao Mingshen rolled his eyes, lost consciousness, and fell to the ground and passed out.

"Fuck it! Rabbit! Rabbit is coming in, kill yourself!" Wang Ge turned around and shouted, and came to Gao Mingshen, the knife was indeed pierced in the heart accurately, and when he looked up, the police swarmed in and pointed the gun at Gao Mingshen.

"Old Song, the one on the ground is handed over to you!" Liu Ya shouted, and immediately walked in from the door, and Shen Hui followed behind him.

Song Ping'an responded, the work of the police is over, and now it is the turn of the doctor.

A policeman took out handcuffs and was about to handcuff Gao Mingshen, but was pushed away by Liu Ya.

"I don't know if it's dead or alive, what are you doing here!" Liu Ya said angrily.

The policeman froze to the side, watching his leader at a loss. The leader shook his head and motioned to listen to the doctor.

Liu Ya took out a stethoscope to check Gao Mingshen's breathing and heartbeat, and a burst of surprise flashed in his eyes, "Xiao Shen, measure blood pressure." After he commanded, he glanced at the king pigeon again, and then opened Gao Mingshen's eyelids and illuminated his pupils with a flashlight.

"Blood pressure forty, sixty millimeters of mercury. Shen Hui replied immediately.

Internal bleeding and hemopneumothorax are inevitable. Even if this position doesn't hurt the heart, it is cardiac tamponade, and the fatality rate is extremely high, let's get in the car first!" Liu Ya finished speaking, and carried the person on the stretcher with Wang Ge.

The other two wounded were taken care of by Jin Jing and Song Ping'an, and they didn't need too much attention. At the scene of many injuries, the emergency department has agreed that they only need to take care of this in their own hands, and it is easy to cause chaos if they manage too much, and it is the right choice to perform their duties. Moreover, the Grim Reaper has not appeared here for such a long time, at least Wang Ge knows that the two people are not in danger of life for the time being, and I believe that they will arrive at the hospital soon.

The most seriously injured person is today's perpetrator.

There is a pericardium around the periphery of the heart, and a small amount of yellowish fluid lubricates the surface of the heart in the normal pericardial cavity to keep the heart beating normally. Even if the heart does not rupture, it will cause bleeding, and blood will flow into the space in the heart and pericardium. Due to the limited elasticity of the pericardium, 150 milliliters of acute hemopericardium can restrict blood return to the heart and heart beating, causing acute circulatory failure, which in turn leads to cardiac arrest.

In other words, although the knife did not actually hurt the heart, it could also cause cardiac arrest and death, which deteriorated very quickly, and fortunately there were doctors on the scene.

The group carried Gao Mingshen into the ambulance with the help of the police, and a policeman was desperate to follow the car to the hospital, Wang Ge and Liu Ya also knew that this was the rule, and directly let him get into the car.

After getting into the car, the king pigeon did not be verbose, and directly started the ambulance and drove outside the school, but the speed of the car immediately reached 40 kilometers per hour, which is on the narrow road of the school!

In such a hurry, it was natural that Wang Ge had already seen the Grim Reaper not far from the downstairs of the dormitory, and he believed that this Grim Reaper was coming for Gao Mingshen, because now the Grim Reaper was chasing after his ambulance.

The two wounded who had not left the scene had been so long, and the Grim Reaper had not yet come to them, but Gao Mingshen had already been targeted by the Grim Reaper as soon as he was injured, which showed how serious the situation was.

"Endotracheal intubation, ventilator connection, heartbeat monitoring, opening of two large venous channels, one milligram of norepinephrine intravenous thrust, and 500 milliliters of isotonic equilibrium solution rapid intravenous drip. "Liu Ya's doctor's order was quick and decisive.

Shen Hui repeated, handed the intubator to Liu Ya, first started the medication, and then went to the examination equipment.

"This is the emergency team of the Second Affiliated Hospital of Yaxiang, No. 0110, Xiang AGZ689, receiving patients from Changjun Middle School and returning to the emergency department of the hospital, please prepare for the emergency department. Wang Ge didn't reply, and directly pulled the intercom behind him.

"The patient has a cardiothoracic trauma, the sharp object has not been removed, the situation cannot be judged, the external bleeding is not obvious, and the pericardium is suspected to be damaged, please prepare the hospital to draw blood for blood matching, please prepare the operating room, notify the cardiothoracic surgeon on duty, and open the chest immediately after arriving!" Liu Ya said, he even saved the MRI examination, and there was not so much time left.

The king pigeon had already entered the main road and was not hindered when he got out of the hospital, but fortunately it was close to one o'clock in the morning, and there were not so many cars in the bustling city center.

With sirens and police lights, social vehicles are also willing to give him a passage of life. The speed of the car has reached eighty-five kilometers per hour, he glanced back at the Grim Reaper, although the Grim Reaper has not caught up, but the speed of flying out of thin air is very fast, it seems that as long as the king pigeon points the brake to reduce the speed of the car, the Grim Reaper will not hesitate to enter the carriage and take away Gao Mingshen's soul.

Wang Ge thought to himself, the boy surnamed Gao, you won't remember anything in your next life, where will you go and what kind of nurturing grace will you have?

If you really want to fulfill your filial piety, it's too late to talk about it after squatting in prison in this life!

When Shen Hui set up the heartbeat monitoring, she panicked, she checked the line twice to make sure that she had no connection error, but the number on the display screen was still zero, and she looked at Liu Ya.

"I don't need to check the equipment, there is still a knife in the heart, and after a few minutes, the blood fills the pericardium, and the heartbeat is weird. Liu Ya said calmly.

The young policeman sitting in the car also became nervous, he took off his hat, loosened his collar tie, and his face was covered with sweat, he had never been in an ambulance, and today was the first time, but he didn't expect such a tense situation in the car.

Although Liu Ya seemed to be calm, he frowned, his heart was turbulent, and due to the existence of the knife, cardiopulmonary resuscitation could not be done. Cardiac arrest caused by traumatic cardiac injuries is mostly due to cardiac tamponade caused by hemorrhage, and it is not very long, the myocardium is not necrosis, and organ failure is just showing its rudiments, so he made a decision.

"A milligram of epinephrine intravenously, pericardiocentesis, to draw out the blood and fluid, now there is still time, if it really does not hurt the heart itself, then the chance of regaining spontaneous heartbeat is still very high. Liu Ya said.

Shen Hui was stunned, "Do you have this condition now?"

"What else can I do, watch him die? There is still a chance, I guess the knife did not directly hurt the heart, but rubbed against the heart and poked it into the pericardium. Although Liu Ya knows that pericardiocentesis must be performed under sterile conditions, he can't manage so much now, and it is better to save people first and talk about any complications later than to do nothing.

However, if the heartbeat is not restored after pericardiocentesis, then the hope of rescue is very slim, and there is only one way, open the chest, remove the knife, and perform cardiac massage. It is extremely difficult to perform pericardiotomy, he and Shen Hui are completely unable to carry it out, it is almost impossible to directly open the chest and take out the knife, and perform cardiac massage to help restore the heartbeat, and Liu Ya does not have the courage.

Moreover, if the knife really penetrates the heart, then it is possible that the heart muscle is tight, so that the ventricles are not completely ruptured, and the heart blood does not leak, so there are still vital signs. In case Liu Ya really made a mistake in judgment and rashly opened his chest to explore, it is very likely to cause the rapid collapse of this stable state and accelerate the death of the patient.

"Try your luck! Wang Ge, your car is steady, don't turn and brake suddenly, this needle punctures the ventricles and causes massive hemorrhage, that is a medical accident, and the gods can't save it. Liu Ya was still a little worried, in case the original heart was not ruptured, and he punctured the ventricles with this needle, causing heavy bleeding and something happened, he would have to bear very serious consequences.

Shen Hui raised Gao Mingshen's waist and abdomen, while Liu Ya took the puncture bag given to him by Shen Hui, pressed the angle between the xiphoid process and the left rib edge at the lower end of Gao Mingshen's chest, and the needle was at a forty-five degree angle to the abdominal wall, and prepared to get the needle down from the bottom up.

The king pigeon nodded and did not speak.

After getting Wang Ge's response, Liu Ya immediately began pericardiocentesis with the assistance of Shen Hui, and a syringe was connected to the long needle, and the other end of the syringe was connected to the suction device.

Liu Ya took a deep breath, held the needle and slowly pricked it, as the needle slowly entered Gao Ming's body, the dark red blood mixed with the pale yellow liquid flowed out under the work of the suction device, and accurately pierced into the gap between the pericardium and the heart, Liu Ya immediately stopped the movement of his hand, closed his eyes, and sighed deeply.

Pericardiocentesis is very different from traditional thoracentesis, difficult and dangerous, this puncture is only carried out by Liu Ya with his own experience, if he does emergency surgery in the hospital, X-ray or ultrasound examination should be carried out before puncture to determine the amount of pericardial effusion and the location of the puncture, and ultrasound imaging should be used to assist in the puncture process to improve accuracy.

In some cases, the needle is constantly retracted and repositioned during the puncture until a fluid is seen to flow back. Liu Ya was under such a lot of pressure, and this kind of unadjusted and successful technique made Shen Hui impressed.

"Attract slowly. Liu Ya looked at the fluid in the hose, and it seemed that the bleeding speed was not as fast as he thought.

Wang Ge naturally didn't understand this, and saw Liu Ya nodding from the rearview mirror, so he immediately continued to accelerate, and looked at the reflector on the left-hand side, but he couldn't help but be stunned for a moment, just now he was still flying out of thin air with an umbrella, and the grim reaper, who was chasing after him, has now disappeared!

He didn't bother to look at the reflector, turned his head and took a cursory look in the carriage, except for Liu Ya, Shen Hui, the police, and Gao Mingshen lying on the hospital bed, there was no one else.

At this moment, the Soul Suppression Card on his chest once again sent a chill. The Grim Reaper is gone, and the number has become "Lu Shiqi". Wang Ge finally breathed a sigh of relief, and Gao Mingshen's life was temporarily saved.

Liu Ya looked at the heartbeat monitoring monitor, and the numbers on it were slowly rising, and finally stabilized. He wiped the sweat from his head with his sleeve and quickly fixed the needle position to prevent the needle from shifting due to the shaking of the vehicle, which could puncture the ventricles.

After the successful puncture, all kinds of signs showed that Liu Ya's original judgment was correct.

"It seems that I guessed correctly, the knife did not poke directly into the heart, but grazed the heart and punctured the pericardium. Liu Ya beckoned to Shen Hui and asked her to assist in thoracentesis, after all, there was also blood in the chest, which would affect Gao Mingshen's breathing.

Wang Ge learned some medical knowledge, knowing that the pericardium is just a membrane on the outside of the heart, and the distance in the middle is calculated in millimeters, which is almost negligible, and cardiac trauma only rubs against the pericardium and does not really hurt the heart, which is too rare.

And the words in the TV series that "only a few centimeters away from the heart are very dangerous" seem to be no risk compared to the current situation.

"This kid is really lucky, Lord Yama won't accept him. The pressure on the king pigeon suddenly decreased, and he felt more relaxed, and said with a smile.

He felt that the child was still alive tonight, although he was not persuaded by himself, but he was not busy for a while.

Liu Ya completed the thoracentesis and looked up at the rear-view mirror inside the cab, where the face of Wang Ge was reflected in the relaxed but focused driving.

He glanced meaningfully at the pigeon, and then whispered.

"If it weren't for the quick-eyed eyes of your kid when he made a move, reaching out and pulling his sleeve, changing the direction, angle, and force of the stab, where would you guess the knife is now?"