Chapter 275: A Sudden Car Accident!

Wang Guang glanced at her again: "That's it, now that the situation is urgent, we can give him a dialysis first, but the family must come over for subsequent hospitalization."

You should notify his immediate family now, you know?"

The girl bit her lower lip and glanced at the young man on the hospital bed.

Finally nodded, then took out his phone and started calling.

The hemodialysis machine was turned on, and the nurse made a puncture point on the side of the guy's two arms.

Connect the catheter to the hemodialysis machine.

Soon, the machine was up and running.

A large amount of red blood flowed out of the body and then transfused.

Seeing that the doctor from the nephrology department came to help, Lin Yi and Wu Jiang were able to take time to go to the cafeteria for lunch.

On the way to the cafeteria, Wu Jiang was still sighing.

"It's rare for this young man to have kidney failure and uremia at such a young age, it's a pity.

If his condition continues to deteriorate, then there is probably no other way but a kidney transplant."

"Hmm."

Lin Yao nodded.

………………

After getting off work in the afternoon, Lin Yao and Wang Qiaoya went out together and walked towards the bus stop.

At this moment, suddenly a screeching brake sounded!

In the next second, there was screaming, dull crashing, and the sound of foreign objects falling to the ground at the intersection ahead!

Lin Yi paused, and subconsciously thought that there should have been a car accident!

After a brief silence, the roar of the engine was heard!

Then I saw a red supercar rushing past the intersection and disappeared in the blink of an eye!

At this time, Wang Qiaoya was the first to speak:

"Oh my God, it looks like there's a car accident ahead, and it looks like a hit-and-run!"

At this time, Lin Yi didn't have time to see the escaped car, as a doctor, he should go to see the scene first.

Ran forward in three or two steps, and found that the onlookers at the intersection in front of him had a frightened expression on their faces!

Just now!

Right under their noses!

A sports car ran a red light and hit a mother and daughter riding an electric car!

And he was not responsible for hitting someone, so he ran away!

There weren't many passers-by around, maybe a dozen.

They all patted their chests and looked scared.

As if to say that it was good that they didn't cross the street just now......

Otherwise, they would be the ones lying on the ground now......

At this moment, in addition to the broken electric car, there is also a mother and daughter lying on the ground.

My mother's gray-blue uniform jacket was stained with mud and dust, and her knee and pants on the side of her right leg were worn out.

I don't know where my forehead hit, and it's bleeding from the temple.

It's just a superficial injury.

Internal injuries Lin Yi hasn't seen it yet.

At this moment, she forced herself to get up from the ground and prepare to find her daughter.

And next to her, three or four meters away from her, fell to the ground was her daughter.

Ten years old, all the looks of Fei Fei.

Because I didn't wear a safety helmet and was still sitting in the back seat of the electric car, I was thrown away a bit far.

And unfortunately hit the back of the head.

Lin Yi hurriedly walked over and took a look, the child belonged to a cerebral contusion and laceration and a ruptured cerebral cortical vein hemorrhage.

And there are cases of persistent bleeding!

Because cerebral contusion sounds simple, it is a real damage to the blood vessels and cortex in the brain.

Within two minutes, there will definitely be a subdural lump!

This child's situation is more dangerous than her mother's! It is necessary to stop the bleeding and reduce intracranial pressure as soon as possible!

But now there is no medicine!

Lin Yi hurriedly took out his mobile phone to call 120 first aid, he couldn't tell the specific location, so he could only ask those passers-by next to him.

"The big intersection in front of Shuncheng Road, here is the Flying Fish Hotel! Hurry up, a mother and daughter have been in a car accident!"

After hanging up the phone, the passerby handed the phone to Lin Yi and said:

"They said they'd send a car right away!"

Lin Yi nodded, but

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Chapter 275: A Sudden Car Accident! Free to read:,!

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I was still very anxious.

No matter how he looks at this little girl's bleeding, he is not optimistic.

Behind him, uncles and the others also stood in the crowd and watched Lin Yi silently.

It was already dark, and there was no blood on the asphalt-colored asphalt road.

The lights at the intersection were not bright enough, and many passers-by who were standing there trying to help were flashlights in an attempt to move the little girl to the side of the road.

Lin Yi hurriedly stopped them:

"Don't touch her! She's got a head injury, don't move!"

Lin Yi stepped forward and tilted the little girl's head to one side to prevent the back of her tongue from suffocating.

Except for this move, don't touch it at all to avoid secondary damage.

At this time, when Lin Yi noticed the little girl's brain situation again, his pupils couldn't help but shrink slightly!

It's really a lump!

The mass is also located between the leptomeninges and the arachnoid membrane.

This is a lump caused by blood flowing into the leptomeninges after cortical venous hemorrhage!

Also called subarachnoid hemorrhage!

The skull-to-brain tissue is stratified into skull, dura, arachnoid, leptomeninge, and brain tissue.

Subarachnoid hemorrhage is a dangerous intracerebral hemorrhage that can be both traumatic and internal.

And even if the surgery is successful, the prognosis is not ideal, the mortality rate is still as high as 45%, and most patients will be left with disability sequelae.

Lin Yi squatted down and looked at the little girl in front of him with anxious eyes.

He was already in a coma, his whole face was unusually pale, and there were more serious abrasions elsewhere, but none of them were fatal.

This subarachnoid hemorrhage is the most deadly!

Lin Yi could only pray that the ambulance would come quickly and take the little girl to the hospital for surgery.

At this time, the mother, who had been sitting next to the little girl crying, looked at Lin Yi and asked with pain:

"You...... Are you a doctor......

Lin Yi nodded affirmatively:

"Yes! I'm a doctor! Don't talk yet, you're injured too, just lie down and wait for the ambulance to come."

"Save ...... Save my daughter...... Save her, please, doctor......

The mother looked at her daughter lying motionless on the ground, panicking and sad.

She could only beg Lin Yi.

But to be honest, Lin Yi can't do anything about it.

It is better not to carry the wounded, he has neither a scalpel nor an operating room in his hand.

He wants to save it!

But I don't have anything in my hand, isn't it difficult for a good woman to cook without rice!

Ay!

What a hurry!

Ambulances are coming!

But at this moment, the mother, who could hold back the pain just now, suddenly began to gasp!

and long inhalation and shortness of exhalation.

There is a posture that you can't exhale after inhaling and breathing.

Lin Yi immediately reacted, this woman won't have a pneumothorax, right?!

Take a closer look, and sure enough!

Hey, I just ignored this mother's injuries because of this girl's injuries!

It turned out that she was a closed pneumothorax!

This is a traumatic closed pneumothorax, in which the rib bone is broken by impact and the severed end punctures the lung tissue.

The air that the victim inhaled was free from the broken lung tissue and into the chest cavity.

This closed pneumothorax must be opened for ventilation and drainage in a timely manner.

Otherwise, the accumulation of air in the chest cavity will cause the lung tissue to be compressed, and the lungs will collapse if they cannot breathe out or inhale air.

At first, the injured person may not be aware of it, and the emergency doctor is prone to ignore this small difference.

However, when the air in the chest cavity accumulates, the injured person will have symptoms of shortness of breath and difficulty breathing.

In general, a small area of accumulated qi can be absorbed by the body on its own.

However, if the pneumothorax is large or has caused lung collapse, it must be drained immediately.

Drainage of air from the chest cavity is necessary to relieve the patient's breathing difficulties.

At this moment, Lin Yi didn't see how much gas had accumulated in this mother's chest.

"Reasoning and Diagnosis: Big Brother, Your Wife Is Drugged!" >> The fastest update,!

Chapter 275: A Sudden Car Accident! Free to read:,!

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But he can look at how much his lungs are collapsed!

Symptoms are not evident in patients with less than 30% of atrophy.

At 50% of the collapse, there is mild difficulty breathing.

If it is more than 50%, there will be signs of hypoxemia such as chest tightness and shortness of breath.

Worse still, they suffocated to death.

And the mother in front of her is already very close to 50%.

You have to find a way to drain the traffic quickly!

Although this disease is a common disease in the emergency critical illness, as long as the patient is saved in time, the patient's life will not be in danger.

But on the other hand, if the drainage is not timely, it will also die!

At this time, ten minutes had passed since Lin Yi called the 120 emergency number.

The ambulance hasn't come yet!

But the situation of the mother and daughter has gotten worse and worse!

The little girl was unconscious with a cerebral hemorrhage, and the girl's mother had a pneumothorax with collapsed lungs.

What to do!

Without tools, how to save??

Seeing the mother fall to the ground gasping for air and looking like she was about to suffocate, the passers-by around couldn't help but be afraid.

"Ouch...... What's wrong with her? Oh, the ambulance is coming!"

"Young man, you're a doctor, huh? You have to find a way to save people."

"Yes, yes, this mother and daughter are so pitiful, the driver who killed that day actually ran away!"

"Don't worry, the driver can't run, everywhere is monitoring where he is going?"

There was a lot of talk around them.

At night, the street lights were dim, and no one recognized Lin Yi.

Suddenly, Lin Yi looked at the mother who was about to suffocate in front of him, and a bold idea popped into his mind.

I saw Lin Yi suddenly raise his head and ask the onlookers:

"Does anyone have a knife? Just that kind of fruit knife will do!

And straws, the kind of bendable straws that you can drink or drink milk, give me if you have one!

And mineral water! Bottled mineral water, please give it to me if you have one! I'm here to save people!"

Lin Yi's words instantly attracted everyone's attention.

Everyone heard the conversation between Lin Yi and this mother just now.

Lin Yi personally admitted that he was a doctor, and I believe that at this juncture, no one will pretend to be a doctor in this Bo presence, right?

Therefore, everyone present believed in Lin Yi.

"I have mineral water in my car!" A takeaway guy took a bottle of mineral water out of his yellow trunk and handed it to Lin Yi.

"I have this knife in my bag, do you think it's okay?"

A passing maintenance worker grabs a tool knife that slides up and down.

Lin Yi looked at it, and he should be able to nod and accept it.

One straw missing!

At this time, a young girl passing by looked at the milk tea in her hand and asked weakly:

"Doctor, my used straw...... Is that okay?"

Lin Yi glanced at it, it happened to be a bendable straw!

"Yes! In special cases, you can still use it if you rinse it down!"

Now it's okay!

Knives, straws, and water bottles are all there!

Next, Lin Yi wants to make this bold move is to directly use these three things to make the simplest thoracostomy drainage device!

Closed thoracostomy drainage is to make a hole in the rib space on one side of the patient's chest in patients with traumatic pneumothorax and the degree of lung collapse is about 50% or more than 50%, and then extend the drainage tube into the chest cavity and then connect the water seal bottle.

In the hospital, this device must be formally sterile.

But it's nice to be able to find these things at the scene of a crash.

It's important to save people first!

Lin Yi couldn't take care of the girl anymore, so he could only save her mother first.

"You relax and inhale as little as possible, because the more you inhale, the more uncomfortable you become.

I'll save you first, it will hurt a little, you can bear it!"

Lin Yi squatted down beside the mother and talked to her.

She is short of breath and has symptoms of breathlessness, but is conscious.

After hearing Lin Yi say this, she opened her mouth and nodded with a painful expression.

subsequently

"Reasoning and Diagnosis: Big Brother, Your Wife Is Drugged!" >> The fastest update,!

Chapter 275: A Sudden Car Accident! Free to read:,!

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Lin Yi first lifted the mother's blouse.

Find the fifth and sixth intercostal spaces under the right armpit, and place a drain in this position to drain out the accumulated gas and oozing blood.

There was no disinfectant on the spot, so Lin Yi could only hold the knife and harden it!

"Hold back, don't move, I'm saving you!"

After speaking, Lin Yi held a knife and poked into the intercostal skin!

"Ahh

"Ouch!!"

The mother shouted in pain, and immediately cold sweat broke out on her forehead.

"Don't move, hold back."

Lin Yi knew that the wound was very painful, but if it didn't hurt, he couldn't save people.

Passers-by also stepped forward to help hold the mother's hand.

On the one hand, encourage her, and on the other hand, hold her down and don't move.

At the scene, the crowd of onlookers gradually increased.

Worried that Lin Yi's vision was not good, some people spontaneously turned on their mobile phone lights to illuminate the scene.

Blood flowed down the incision, and even got on Lin Yi's hands.

Seeing that the depth of the incision had reached the abdominal cavity, Lin Yi pulled out the knife.

I can only say that I am glad that this mother is not fat, otherwise this knife would be all fat instead of subcutaneous.

Pulling out the knife, Lin Yi immediately took the rinsed straw and put it in.

The two ends of the straw, one end is connected to the chest cavity and the other end is placed in the water bottle.

"Come, everyone, help carry this eldest sister up the steps over there, this bottle must be lower than her chest."

"Good!"

"I'm here to help!"

"I'll do it too!"

Everyone is very positive.

While several people joined forces, Lin Yi controlled the position of the water bottle and straw to prevent it from falling off.

The maintenance worker who handed the knife just now saw this scene and took out a roll of dark green tape from his bag.

"Doctor, I still have adhesive tape here to fix it."

"Okay, thank you!"

Lin Yi took the tape again and glued the straw part of the incision to the straw part in the water bottle.

This is more stable and standard.

After doing all this, Lin Yi also breathed a long sigh of relief.

Boy!

The tools that were put together were really made!

It's not easy, it's not easy.

I saw that the mother's breathing began to stabilize gradually under the gaze of everyone.

From time to time, gas bubbles out of the water bottle that is connected to the straw, and even the blood that comes out of the punctured lung tissue in the chest cavity is also drained.

The transparent mineral water has turned a faint red color.

After doing this, Lin Yi looked back at the girl again.

Subdural mass, subarachnoid hemorrhage, bleeding volume of about 15 ml.

"Reasoning and Diagnosis: Big Brother, Your Wife Is Drugged!" >> The fastest update,!

Chapter 275: A Sudden Car Accident! Free to read:,!

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