Chapter 0092 100,000 urgent
Director Miao, Director Wu of the emergency department, and the selected backbone doctors and nurses were all lined up at the emergency door.
The emergency department was also suspended, and all patients were diverted to the traditional Chinese medicine hospital, and there were special vehicles near the entrance to guide and refer patients who came to see the emergency department.
President Dong accompanied County Magistrate Wu to wait in the emergency hall, and all the directors were scattered around to make phone calls, deploy their own resources, and fully cooperate with the rescue.
County Magistrate Wu was very anxious, walked back and forth, and asked several times: "Where are the wounded?"
"It's almost there, a police car was sent to open the road and escort it to the gate of the hospital, it should be there immediately." The director of public security explained.
"What about the provincial medical team?"
"It's also fast, it is estimated that it will take more than ten minutes, and there are also police cars escorting the road." said the director of public security.
"We have sufficient stocks of various blood types, and we have sent a lot of them to the blood transfusion department of the hospital, and our blood delivery vehicles are all in place, and support from neighboring counties is also on the way." Blood bank debriefing.
"First aid medicine?" The county magistrate Wu has experience.
"Hospitals in the county support rescue, each hospital has set up a special line to accept personnel and drug allocation at any time, and neighboring counties have also negotiated to support at any time." The Director of Health replied.
"Good." There are no loopholes, and County Magistrate Wu looks at the emergency door from time to time.
The police car whistled past the emergency door, and the ambulance arrived, the back door lifted, and a stretcher was lifted from the vehicle.
The folding legs of the stretcher opened and turned into a flat car, which was covered with dark red blood, slimy, and the people on it were also bloody, lying on their sides, curled up, their clothes soaked with blood.
A large bowl of thick wooden stakes passes through the junction of the chest and abdomen, completely penetrates the body, enters from the front, and comes out from the back, and the front and rear stake sections are stained with a lot of blood, and the sections are left by rescuers sawing off the wood.
The scene is extremely bloody and terrifying, if it weren't for the doctors who are often used to seeing blood and life and death, seeing this scene, it would be difficult to adapt and unforgettable.
Director Miao and Director Wu took the doctor to catch up immediately, running with the flat car, gurgling, the sound of the flat car crushing the ground, hurrying, racing against time.
County Magistrate Wu and Dean Dong also came up.
The bureau chiefs saw the flat cart here pushing the patient in, and they followed along while making a phone call.
Dean Dong has a clinical background, and there is no problem; When County Magistrate Wu saw this scene, he immediately held his forehead with his hand, and felt dizzy.
"Help the county magistrate Wu to go into the office to rest." Dean Dong said to the secretary.
County Magistrate Wu waved his hand: "It's okay, I can hold it." Then he lowered his hand to his forehead.
Can't delay for a second, the flat car is pushed to the red area of the emergency department, the emergency management of Shipo People's Hospital is very standardized, and the division of red, yellow and green areas is clear.
The red zone is responsible for patients in the first and second grades, i.e. endangered and critically ill, the yellow zone is for emergency patients, and the green zone is for non-emergency patients.
The purpose of this zoning is to focus and prioritize the allocation of medical resources.
There are doctors and ambulance doctors to hand over the condition, other doctors and nurses, change fluids, count pulses, check urine output, puncture and draw blood, connect arm cuffs to measure blood pressure, and connect the leads of ECG monitoring.
Shipo People's Hospital is worthy of being the strongest hospital in this area, every doctor and nurse is well-trained, not flustered, not stunned, not sluggish, and skillful in cooperating with each other.
"Quick! Draw blood, match blood, and send it directly to the operating room! Director Miao commanded decisively, he had commanded many traffic accidents, and he was more experienced than the director of the emergency department, but this kind of shocking was also strongly shocked.
"No blood!" The nurse punctured several times, but failed, the blood pressure was too low, the veins were not full, they were all flattened, and the blood could not be drawn naturally.
Pumping directly from the intravenous infusion channel, just infused with fluids, can lead to some inaccurate tests.
If the puncture doesn't work, just cut the vein!
The nurse brought the phlebotomy bag up, opened it, the doctor put on sterile gloves, and in just two minutes, the skin of the great saphenous vein of the medial malleolus was cut into a small incision, and the great saphenous vein was picked out, and the puncture needle was fixed and the skin was sutured.
Blood draw, cross-matching.
Just followed the ambulance, a middle-aged man, not wearing a white coat, had been blending in the crowd and following the flat car, standing next to him: "The gap between the stakes and the flat car in front and behind, take a pillow and stuff it to reduce the fall of gravity." ”
Who is he? Everyone looked at him, he should be a friend of the injured, and they didn't ask much, they didn't have time to ask more, they felt that he was right, everyone was inexperienced with this special kind of injured person, and it was inevitable that the details were not in place.
Bring two pillows at once.
"I'm coming!" The man is extremely skillful, gently tuck it in, and hold up the stake slightly, which can reduce the bumps in the operation; It can also reduce gravity falling, resulting in pressure below, emptiness above, and easy bleeding in empty parts.
"Thank you!" The ambulance doctor shook hands with him just now. If he hadn't commanded the scene, the rescue would not have been so professional.
"It's okay! I just know a little bit about first aid. "The man is very modest.
I had already arrived at the hospital, and the rest was surgery, and the man did not make any more trouble, he sat on a plastic chair in the emergency department to rest, and did not leave, to see if there was anything else that could help.
Everyone is busy, anxious, and has to be rescued, and no one cares who he is.
Draw blood!
"Send to the operating room! Emergency surgery! Director Miao ordered.
After a few minutes in the emergency red zone, "Hurry! Fast! Fast! The flat car was immediately pushed to the operating room, and the directors of general surgery and thoracic surgery were already on standby in the operating room.
Watching the flat car leave, Director Miao took out his mobile phone, sweat on his forehead, anxious.
"Professor Tian, the patient with the penetrating chest and abdomen injury has arrived, it is very serious, and we have sent the patient to the operating room to make preoperative preparations!"
"Okay, we'll be there soon, and in a few minutes, we can see the hospital building!"
Director Miao, Dean Dong, County Magistrate Wu, and several directors went to the door of the emergency department to wait.
The siren whistled, the police car appeared, and the bus loaded with the medical team then appeared, parked in the parking lot under the steps of the emergency door, the door of the bus opened, and Director Tian was the first to jump down.
Director Miao, Dean Dong, and County Magistrate Wu immediately greeted him.
"Professor Tian, it's just in time!" Director Miao walked too fast, Dean Dong and County Magistrate Wu didn't keep up, and County Magistrate Wu almost fell down the steps when he went down the steps, but fortunately, the secretary helped him in time.
"The first casualty, the one with a thorough wound in the chest and abdomen, has been sent to the operating room, and the other seven are on the way, and they will be there soon." Director Miao briefly introduced the situation.
Everyone got off the bus one by one, and consciously lined up in the nearby open space.
Female colleagues, with shawl hair, have long been tied in the car; and he that wore rings, necklaces, and earrings was taken off; Liang Fatzi got out of the car and didn't go to smoke.
Director Tian quickly arranged: "Yang Ping, Song Zimo, Su Yixuan, Liang Jing, Zhang Lin, Xiao Wu, follow me to the operating room to rescue those with penetrating chest and abdominal injuries, and the rest are on standby in the emergency department to accept the dispatch of Shipo People's Hospital, and the rest of the colleagues, who has the highest professional title?" Raise your hand for senior titles! ”
Chen Xiaoqiao from the Department of Obstetrics and Gynecology and Wang Hansheng from the Department of Urology raised their hands.
"Director Wang, I will go to the operating room immediately, and the rest of the colleagues will be handed over to you to command, and if you also go to the operating room, it will be handed over to Director Chen to command, everyone is familiar with the procedure, anyway, a commander with the highest title will be elected on the spot, and all actions will be under command!"
"Understood!" The answer was loud and neat.
After a brief explanation, Tian Yuan turned back to Director Miao and said, "This unit will be handed over to your command, let's hurry to the operating room." ”
In extraordinary times, there was no greeting, and all superfluous things were dispensed with, Director Miao immediately accompanied Tian Yuan and his party to the operating room.
What introduced the county magistrate Wu and the director of the first wave, exempted, not exempted, but simply forgotten.
Go to the operating room, change clothes, wear a mask and hat, and enter the operating room quickly without delay.
The patient lies on his side on the operating table, and Dr. Tao supports the patient.
This kind of casualty position is difficult to swing and can only be placed in the lateral position.
This lateral position is difficult to maintain stability, the surgical field of view is extremely poor, and it is also difficult for anesthesiologists to intubate.
A doctor is responsible for putting the head back in a tilted position to open the airway so that the anesthesiologist can intubate.
But the anesthesiologist tried several times and failed.
This kind of first aid is indeed very rare, depending on the location, the stake directly passes through the diaphragm, surrounded by important organs, heart, lungs, liver, gallbladder, pancreas, spleen, etc., any one is fatal, but also luck, can live on the operating table.
When the directors of the Department of General Surgery and the Department of Thoracic Surgery saw this, they felt that they had no way to start the operation.
The more experienced the more frightened, the most fearful the ignorant and fearless, if the stake is pulled out, the patient will bleed to death, and the rescue will be over in a few seconds.
I can't care about being polite, Tian Yuan ordered: "Fat man, you go!" The fat man immediately put on gloves.
Director Miao stated: "This is Director Tian from the provincial capital, and he made a special trip to support us, and everyone must obey Director Tian's command." ”
Director Tian? Last time I had surgery here, everyone knows it, it's very powerful.
Hearing the strong support from the provincial capital, the director of general surgery and thoracic surgery was relieved.
Liang Fatzi's business level is directly proportional to his addiction to smoking, he gently inserted the laryngoscope, inserted the tracheal tube, pumped the guidewire, succeeded, cuffed the air, fixed the tracheal tube, and connected the anesthesia machine.
"We do it at the same time, so it saves time?" Yang Ping observed the wounded.
In the system space, he has done countless such multiple traumas, and the system simulates many more serious than this, and he is confident enough.
Tian Yuan looked at Yang Ping: "Have you ever had this kind of surgery?" ”
Yang Ping nodded: "Believe me, no problem, you deal with the back, I deal with the front, and we operate at the same time." ”
"No, the front is too difficult, this part, the heart, lungs, and liver, gallbladder, pancreatic and spleen are all around, wood just passes through the middle of them, squeezing and pulling these organs, some organs must have been damaged, but they are compressed, and there is no fatal blood explosion for the time being."
"Trust me!" Yang Ping asked again.
Tian Yuan hesitated, looking at the previous pelvic surgery, Yang Ping was indeed better than himself, but this operation?
It is too dangerous, too difficult, and if you are not careful, the patient will explode and die on the operating table, which can be said to be the most dangerous trauma.
I think of his adhesion pelvic surgery, skillful and extreme dissection, supernatural separation, and sniper-like precision to stop bleeding.
He can! After a little thought, the countryside made a decision.
"Brush your hands!"