3. Open heart massage

The first thing Su Yue saw was the patient's external chest, and the chest of the seriously injured patient was not fragrant at all, only blood.

Su Yue didn't think much about it, it was important to save people!

So his eyes flickered, and his attention went directly into the patient's abdomen, through the subcutaneous fat and omentum, he saw the inside of the other party's abdominal cavity at a glance, due to the impact of the car, although there were some contusions in the abdomen, there was no obvious internal bleeding, and the organs in the abdominal cavity were also intact.

Excludes the possibility of intra-abdominal bleeding.

Su Yue moved his gaze to the injured man's head, what he was most worried about was intracranial hemorrhage, but fortunately, after observing for a while, he did not see obvious signs of bleeding.

The possibility of intracranial hemorrhage is also ruled out.

Could it be a chest hemorrhage?

Su Yue's eyes returned to the wounded's chest and headed inside.

Su Yue was surprised at this time, because most of the other party's entire row of ribs were broken, and the broken ribs pierced the pleura, resulting in a pneumothorax, and the entire chest cavity was full of blood!

"How's it going?" Seeing that Su Yue was stunned, the female traffic policeman hurriedly squatted down beside him and asked in a low voice.

"Multiple rib fractures with hemopneumothorax." Su Yue said.

"I can't see it, this combat waste scum really has two hits?"

The little beauty who followed behind was stopped by the police and couldn't get inside, so she could only hold an umbrella on the periphery and peek in curiously through the cracks in the curtain. Hearing the professional medical terms that came out of Su Yue's mouth, the little beauty suddenly had expectations for Su Yue.

"Can you handle it?" The female traffic policeman asked.

"It's a major operation, but it's critical right now, so I'll give it a try." Su Yue didn't dare to pack the ticket, but the change in his eyes at this moment brought him a lot of confidence.

For the on-site first aid of a broken rib, Su Yue remembered it very clearly when he was in class, so he took out the bandage from the first-aid kit next to him almost without hesitation.

However, before he could fix it, he found that the wounded's heart suddenly twitched violently, and he actually stopped?

Cardiac arrest?

Acute left heart failure due to multiple rib fractures?

Su Yue was stunned for a moment.

She ...... Her heart stopped......" Su Yue stammered.

"Then do you need to rush CPR?" The female traffic policeman on one side also learned some common sense of rescue because of the needs of work, and hurriedly proposed when she heard the voice.

"Nope! Chest compressions are not permitted! Su Yue hurriedly stopped.

"If she doesn't press it, she'll die in no time!" The policewoman grabbed Su Yue's wrist and reminded loudly.

"She has multiple rib fractures, if you just press like this, not only will it not allow the heart to return to its own heartbeat, but it will let the broken rib poke the heart, then it will be completely hopeless!" Su Yue patiently explained in a cold sweat.

Su Yue's theoretical knowledge is very solid, and this passage was said by Professor Zhang of the school during class, and he remembers it very clearly.

The female traffic policeman was dumbfounded: "That...... So what to do? ”

Su Yue bit his lip tightly, and his brain was racing against time at high speed......

"Leizi, haven't you found a doctor yet? Xiao Peng, has the doctor from the 120 command center been contacted? The female traffic policeman turned to the two subordinates and asked loudly.

"I'm sorry, Team Xiao, the ambulance team got out of the car and ran over, but it's still three kilometers away from here."

"I'm sorry, Team Xiao, the command center said that several doctors on duty were unfortunately in emergency surgery......"

"Shit, a bunch of shit!" The female traffic policeman kicked her foot very unwillingly.

"Hey! What are you still in a daze? Hurry up and rescue it, think of some way! The whole family in the car died, and she was the only one left, she was still so young, she shouldn't have died so early! You have also been in college for four years, haven't you learned how to deal with this situation......" The female traffic policeman turned around in place a few times anxiously, and then scolded Su Yue loudly with emotion.

was persuaded by the red ears and red ears under the two hands.

"I've learned, but it's complicated, and the tools are missing." Su Yue explained with a wry smile.

In such a situation, the textbook does talk about cardiac arrest, if you can't use chest compressions due to physical reasons, you can also use chest cardiac massage.

However, intrathoracic cardiac massage requires thoracotomy ......

"What do you need, tell me quickly, I'll find someone to transfer!" The policewoman twisted Su Yue's collar.

Su Yue squatted and didn't move, silently looking at the injured.

The injured man was very young, even younger than himself, seventeen or eighteen years old, maybe a high school graduate, or a new college student. Although there were many injuries on her face, she could still judge her original delicate face.

When my sister died, it was also this age......

Su Yue felt a stirring in his chest. A voice shouted in his heart, he couldn't watch a girl in the mood for love like his sister fall in front of him!

"How long will it take for the doctor in the ambulance to arrive?" Su Yue settled down and looked at the policewoman.

The female traffic policeman looked up and glared at the traffic policeman named Leizi, who quickly replied: "Twenty minutes at most!" ”

"Okay, I need surgical gloves and scalpels, and besides, it's best to hurry up and find the matching blood bag, she should have a blood type in the medical record card in her car!"

Thoracotomy alone is not technical, but a series of internal operations are cumbersome and require a variety of advanced and sophisticated instruments. Fortunately, his eyes were somehow able to see through the inside of the heart, so Su Yue was sixty percent sure that the patient's life would be temporarily saved through chest heart compression.

Of course, decisive treatment must be taken to the hospital.

"Okay, please save her!" The female traffic policeman nodded, and asked people to list a few sterilized scalpel blades from a pile of rescue kits!

"I'm going to try to open her chest and do chest compressions. Don't let anyone bother me during this time! Hurriedly disinfected his hands, put on gloves, and took the scalpel, Su Yue said solemnly.

"Good!" The female traffic policeman nodded, stood up suddenly, and shouted at her subordinates: "Leizi, Xiao Peng, no matter what method you use within twenty minutes, even if you carry these cars away, you must give up this road to the ambulance!" ”

When the two traffic policemen heard this, they answered "yes" with serious expressions, and then turned around and blew the command whistle.

"Sister, please bless me with success!" Su Yue prayed in a low voice, and slowly cut the chest cavity with the scalpel from the first intercostal space of the injured person's left chest.

After cutting the intercostal muscles and pleura in layers, it enters the thoracic cavity through the intercostal space.

Gently pulling the ribs, Su Yue put his right hand into his chest, and soon felt a soft and moist lump of flesh, and then found the tip of his heart, his hand soothed and rhythmically massaged on the tip of the heart.

After massaging for about three minutes, Su Yue felt that the heart was finally beating again.

From inside the curtain came the whispered surprise of the policewoman, and the little beauty outside the curtain was extremely curious at the moment, she really wanted to become a flying insect and fly in to see what was going on.

"Oh my God, it's so handsome, it's open to the outdoors! This is so cool, comrade traffic police, you just let me take another look......"

In the face of the excited little beauty, the traffic policeman named Xiao Peng was also given a death order, and after directing the surrounding vehicles to move to both sides of the road, he unceremoniously took her away from the scene and asked her to go back to drive to cooperate.

"This guy is really awesome, but he must save people!" The little beauty left the scene of the accident step by step.

"Gauze! Bandage! Su Yue ordered one by one, and the female traffic policeman seemed to have become his assistant and handed over the things he needed one by one. Although it was not a formal operation, the cooperation between the two was quite tacit......

Ten minutes later, the emergency operation was completed and the injured person was in good condition.

Fifteen minutes later, the traffic policeman named Leizi ran over excitedly: "Team Xiao, the road has been sorted out temporarily, and the ambulance will arrive soon!" ”

And the traffic policeman named Xiao Peng also arrived later: "Team Xiao, the experts from the 120 command center have been successfully connected, and she wants to talk to the doctor on site." As he spoke, he handed a walkie-talkie to Su Yue.

"Hello, I'm a doctor from the 120 Emergency Command Center, what is the situation at the scene?" A gentle and beautiful female voice came over the intercom.

"The wounded has multiple rib fractures complicated by hemopneumothorax, acute heart failure, cardiac arrest, I have done chest fixation for her, open chest heart compression, the wounded is now conscious, but has lost too much blood, and needs further treatment...... Su Yue replied, just about to get up, but suddenly felt a collapse of the whole body, and his eyes were sour and astringent, so he stumbled directly.

"Are you alright?" The female traffic policeman hurriedly stepped forward to support Su Yue.

"I'm fine, maybe I've been squatting for too long......." Su Yue smiled bitterly and simply sat down on the ground.