Chapter 0034 Emergency Visits

"Thank you, tomorrow night at six o'clock, the second uncle grilled fish!" Su Yixuan's WeChat.

Yang Ping looked at his phone countless times, and then put it on his chest, his heart was sweet, and he couldn't sleep excitedly.

Tomorrow is a happy day.

But time flies too slowly, and there are still more than a dozen hours.

Unable to sleep for the time being, Yang Ping opened WeChat, walked around several groups, and climbed the building for a while.

In the group of universities, there are fewer bubbling, and there are only a few who are more active, all of whom rely on the green channel and graduate into a better tertiary hospital.

Someone is posting photos of attending academic conferences abroad with the director, with a sign on his chest, and a group photo next to international bigwigs, and then he complains so lightly: It's not easy to be a doctor, and you have to cross the ocean to recharge.

followed by a few words of applause.

Then there is the link to the voting bargain, interspersed in the group.

Too excited at night, went to bed a little late, woke up early in the morning, a little sleep deprived. I went to the breakfast shop next to the hospital and ate a bowl of three fresh noodles, and arrived at the hospital at a little after seven o'clock.

Zhang Lin and Xiao Wu are already busy, and the computer keyboard is crackling. Xiao Wu made a simple report to Yang Ping on the patient's situation the day before, arrears, medical insurance overpayment, hospital sense not reported in time, etc., a mess of things.

Director Han's group, there are actually two groups under his hands, Yang Ping Xiaowu group, Song Zimo Zhang Lin group, the patients are in separate tubes, Zhang Lin is in charge of ten beds, and Xiaowu is in charge of ten beds.

Zhang Lin said mysteriously while tapping on the keyboard: "Something happened on the other side of the spine?" ”

"Something's wrong?" Xiao Wu was curious.

Zhang Lin nodded: "Do you remember the three-no personnel?" The family's four sons and two daughters came. Yesterday, I made a fuss in Corey and was forcibly driven away by the security guards. ”

"Isn't he without relatives? I called his home before, didn't I say that there were no relatives? "Not only Yang Ping knew, but the general practitioners knew that this patient had a burst fracture of the thoracic vertebrae, a spinal cord destruction of the same plane, and a complete paralysis below the navel.

Zhang Lin smiled weirdly: "Cut, that's because I was afraid of being urged to pay, and I was hospitalized for half a year, but no one came, called them, and didn't admit that I had this father." Now it's good, it's all here. Said that the good person is paralyzed and has to lose money. ”

"Losing money? Three no personnel, the construction site fell from a height, the foreman ran away, severe spinal fracture with spinal cord injury, spinal cord damage, paralyzed everywhere, the world problem. Free treatment, free escort, free three meals a day, lived for more than half a year, and now suddenly there are relatives, and they lose money as soon as they come? Xiao Wu was angry.

Zhang Lin said: "Yes, yesterday the medical department went to the other party, and the other party put forward a condition that he would accompany 6 million, and he would wash the hospital in blood if he didn't give money." ”

"Looks like we're going to make trouble! Pay attention these days, you have to be careful when commuting to and from work. Zhang Lin said.

"I'm going to buy a knife-proof dress, do you want to put together an order? Also, please note that the desk should not be turned away from the door, pay attention to suspicious people when commuting to and from work, and try to wear sneakers to work. ”

"Is it that serious?" Yang Ping whispered.

Zhang Lin said seriously: "Listen to my brother, not long ago, a doctor was slashed several times by a patient and was admitted to the ICU. Didn't you see someone in the outpatient emergency department of the hospital at the door with a roll at the door? ”

"Didn't you say the gate was remodeled?" Yang Ping was a little interested in this issue.

Zhang Lin is well-informed: "Reliable news, in the future, only one door will be opened for the outpatient emergency department, and there will be a security channel at the door, which is personally captured by President Xia, don't you know, but also to strengthen the security force, train doctors in self-defense capabilities, and the three major policies of hospital security, and a notice will be issued on the hospital's intranet immediately." ”

"How do you know?" Yang Ping didn't know anything.

Zhang Lin said angrily: "Don't ask about this, you just know it, I'll just tell you, don't tell others." ”

Then I said the same thing again with Xiao Wu, Fang Yan and several others.

It was widely advertised, and it was also called for secrecy.

Shifts, ward rounds, and surgeries are all done every day.

I did a finger replantation and several surgeries with Director Han. It was not until 5 p.m. that the operation was performed.

Director Han's surgery is fast and good, I feel that if I want to be fast, I can block it, and if I want to be slow, I can be slow, I always have confidence, and everything seems to be planned.

While chatting in the locker room, Lao Han received a phone call. After hanging up, he said:

"Xiao Yang, the emergency department just asked for help, there was an accident at a construction site, a worker's leg was pressed in by a cement block, he couldn't get out, and now he is rescuing, it is estimated that he will have to amputate his leg on the spot, you take Xiao Wu to the door of the emergency department, and the emergency car is waiting."

This kind of thing can't be delayed, Yang Ping took Xiao Wu and hurried to the emergency department, a Mercedes-Benz ambulance was waiting at the door, the doctor saw Yang Ping and immediately opened the door: "Doctor Yang, hard work!" ”

The emergency department had already sent an ambulance, and now this one is just sending Yang Ping. The ambulance whizzed and went straight to the construction site.

"Ding-dong! Task: Race against time to save a dying patient, and reward 6,000 points if successful. ”

Now that tasks have become a part of life, Yang Ping does not find it strange that the system releases tasks at any time.

There were already people waiting at the entrance and exit of the construction site, and everyone was given a hard hat. Yang Ping and several people wore hard hats and followed the workers who led the way to the place where the accident occurred.

This is a subway tunnel project, and if you go underground, you can see the tracks, escalators, and pillars that are beginning to take shape.

"There is a corner that has not been reinforced, and it is forbidden to enter, and the workers are in a hurry, so they hide inside to defecate, and it collapses, and the upper half of the person's body is dug out, and one leg is crushed by the cement block." Leading the way is the site leader who is responsible for safety.

Dr. Lu and a nurse from the emergency department were already around, and the intravenous access was set up and the fluids were rehydrated. Dr. Lu reported: "The right lower limb was pressed by hundreds of catties of cement blocks, the rescue was difficult, the machine could not be used, only manual rescue, the abdominal internal organs were damaged, the liver was broken, and the abdominal cavity was estimated to have 1,000 milliliters of effusion; If there is bleeding under the spleen capsule, and this bleeding has a tendency to expand, you should go back to the hospital for laparotomy as soon as possible. ”

The family foundation of the emergency department is relatively thick, and there are portable color ultrasound, X-ray machines, and electrocardiographs, and there are fully automated biochemical analyzers on the large ambulance car, which can draw blood on the spot and produce results on the spot. Since the establishment of the trauma emergency center, these doctors have been trained twice in three days, and it is not difficult to do a color ultrasound.

The liver is broken, which is dangerous enough. There is also bleeding under the spleen capsule, and it is progressively enlarged, which is an indication for emergency laparotomy, otherwise once the bleeding is more and more, especially if the capsule of the spleen is broken, it will kill you on the spot.

The patient is now barely awake, which is because he is in good health and has timely rehydration.

Hurry up and get the person out and send him to the hospital for a caesarean section, which is a very tight time, life and death.

The patient's face was pale and his expression was painful, and the pants of his right leg had been cut open, and he was pressed into it from the lower thigh down. Rescuers use a type of pliers to bite off the cement blocks piece by piece.

Yang Ping said: "This can only be amputated, otherwise it will not be able to save your life!" ”

In times of emergency, try to make the relationship as clear as possible in one sentence.

Dr. Lu sent an informed consent form, clipped to the document board, and an open box of ink: "Please sign here, if it is inconvenient to sign, you can press a hand mold." ”

There is no way, as long as you are sober, you have to sign, this is the process.

The worker's face was constantly sweating, his facial muscles were twisted, and every word he said was difficult: "Doctor, can you keep it?" Help to fight, there are old and small, and if you lack a leg, it will collapse. ”

"I can't keep it, I can't keep it, now my legs and my life, which one do you want?" Yang Ping's tone was tough. At this time, there is no need to talk too much, it is useless to speak lightly, and it is useful to kill decisively.

"Now the lower limb prosthesis functions very well, and I can walk and work normally in the future." Yang Ping added.

The workers are still hesitating, after all, a living leg, it was good at the last moment, but now it has to be amputated, and no one can make a decision.

"Doctor, it's truncated, wait until you dig it out, can you still pick it up when you send it to the hospital?" Workers fought hard.

Yang Ping glanced through the gap between the cement block and the ground, and saw that his calves had been completely flattened, and the color had turned dead gray. Regretfully: "The hope is very slim, a serious crush injury, there is no condition to connect it." ”

"Creatinine has gone up!" Dr. Lui interjected.

That means that a large amount of muscle tissue is destroyed by squeezing and compression, and myoglobin enters the blood, passes through the renal tubules, blocks the renal tubules, damages the renal tubular cells, and forms acute renal failure, which is also fatal.

"Believe me, amputate your leg immediately! We are all here to save your life, and if you hesitate, it will not be your legs, but your life! Yang Ping's tone was steady, and every word was clear.

The worker sighed deeply, closed his eyes, and gritted his teeth: "I believe you, doctor, intercept!" ”

Then he stretched out his right index finger and dipped it in a little ink and pressed it on the informed consent form.

At this time, there is no choice, the liver is ruptured, it is already bleeding, and if the spleen is still broken, it will die on the spot.

The limb had to be amputated in an attempt to save his life.

"Little Five, prepare!"