Bleeding from neck trauma? Will this person still be able to get into the hospital?

Qi Zhen was like a cannonball, it ejected in an instant, and rushed out at the fastest speed.

"The person is already in shock and has just been sent to the emergency room." The nurse struggled to catch up after him, seeing his figure disappear around the corner first.

Outside the rescue room, there was a pair of middle-aged men and women covered in blood.

The woman sat directly on the ground and washed her face with tears, and the man was also pale, pacing outside.

Seeing Qi Zhen rushing straight to this side, the man wanted to catch up and say something, but he didn't pay attention to it at all, and he didn't slow down at all.

The door to the rescue room slammed shut in front of them.

The man stared at the door in a daze, as if he wanted to see through the door to see the rescue situation inside, but unfortunately he couldn't see through it at all.

He crouched down and gently put one hand on the woman's back:

"Don't cry, the doctor must have a way, don't worry."

The middle-aged woman slapped his hand away and glared at him angrily: "It's all your fault!" Why are you forcing your son? What do you call your son for such a big person! ”

Such a long knife edge, the bright red in the eyes, and the image that couldn't stop flowing outward, was fixed in the woman's mind.

She broke down and burst into tears.

"Son, how old are you, why can't you think about it like this-if you just leave, I won't be able to live, I'll go with you-"

The injured person was a fourteen or fifteen-year-old boy. The long incision that runs from the face to the neck is 20 centimeters long.

Resident doctor Xiao Yanzheng led the nurses to nervously do first aid to stop bleeding.

The pieces of gauze were pressed up, and in an instant they were soaked in blood, thrown into the stainless steel tray, and quickly replaced with new ones

Such a large open wound, multiple hemorrhages, visual inspection of open neck injuries, open facial injuries, external jugular vein injuries, neck muscle injuries. Stopping the bleeding by compression alone is useless.

It had to be repaired by surgery - but with the current situation of this injured person, I am afraid that the operation will not be supported at all!

When the injured person was brought in, he was already in hemorrhagic shock, and even though the deep venous channel has been established for fluid rehydration, there is still a lot of blood coming out there, and the blood pressure is still not measured!

Xiao Yan was sweating profusely, so anxious that he couldn't do it, as soon as he saw Qi Zhen coming in, he immediately felt like a life-saving straw: "Teacher Qi, the bleeding can't be stopped, what should I do!" ”

"Norepinephrine intravenous continuous drip!" Qi Zhen took matters into his own hands and made a deep venous catheter under the injured person's right collarbone, and the nurse there had already prepared the medicine and quickly connected it.

"Go and take 3 units of red blood cells, and apply for another 1,000 milliliters of whole blood."

"Notify the Department of Otolaryngology-Head and Neck Surgery, Anesthesiology, Neurosurgery and Orthopedics for emergency consultation and prepare for surgery!"

The nurse immediately took the order.

Time passed minute by minute, the patient's blood pressure still did not improve, but the ECG monitor sent an alarm sound, and the picture became an irregular chaotic waveform-

"Ventricular fibrillation!" Xiao Yan exclaimed.

Ventricular fibrillation is a serious arrhythmia characterized by uncoordinated rapid tremor of the ventricular muscles, which can lead to sudden cardiac death in severe cases.

Ventricular fibrillation in patients with hemorrhagic shock is extremely dangerous, and if the normal heart rate cannot be restored in time, they are basically standing by the side of death.

Qi Zhen squeezed him aside: "Prepare for electric defibrillation!" ”

"Three hundred joules for the first time - out of bed!"

Shouting out of bed is one of the necessary procedures for defibrillation, which is to remind everyone except yourself to stay away from the bed to prevent accidental injury by electric shock.

This distance, in fact, is also difficult to grasp. Sometimes the injured person convulsed under the electric shock, and the arm was swung out, which could still pass the current through the bedside medical staff, and the pain was terrible.

In addition, defibrillators use direct current, which is much more dangerous than alternating current, and may induce chambers, and if you are accidentally hit, you will most likely become the next defibrillator.

Everyone stepped back cautiously, Qi Zhen straightened his arms to fix the electrode plate, let his body leave the edge of the bed, and pressed the discharge button with both hands at the same time.

"W-"

"Three hundred joules for the second time - out of bed!"

After several repetitions, the victim finally regained a sinus heart rate of 120 beats per minute, but blood pressure was still undetectable.

"Teacher Qi, look at this" Xiao Yan's heart was still held high, and he couldn't put it down at all.

Of course Qi Zhen understood what he meant, and he was also anxious about this issue.

From the pre-hospital to the present, the injured person has lost nearly an hour of blood. If the bleeding cannot be stopped and the shock state is corrected as soon as possible, the consequences are obvious.

I'm afraid that it won't be long before his heart stops. The heart stopped under the traumatic hemorrhage, and it was almost certain death.

This kind of thing, Qi Zhen has seen too much in the emergency department for so many years.

But the man lying on this stage is still a half-grown boy, and his life should not end here.

But now they have all the means at their disposal.

Compression to stop bleeding, fluid volume expansion, norepinephrine, and red blood cells and whole blood are also applied

No, maybe there is another means.

A short video screen suddenly popped up in his mind.

The same is a massive bleeding in the neck, as long as a few needles go down, the blood flow stops immediately, and it can last for up to half an hour.

This scene, which he regarded as nonsense just now, was playing repeatedly in Qi Zhen's mind at this moment, lingering.

Just three needles. The needle of the syringe can be replaced. Stop bleeding for half an hour

If you can really get this half an hour, then you can buy enough time for debridement surgery.

Tonight's scene, which has already predicted the tragedy of the ending, can be rewritten.

The child in bed also has a chance to get a new life.

Why don't you give it a try?

As soon as this thought came to him, it became clearer and clearer, and gradually resounded in his head.

Give it a try, how can it be? It's already like this!

The next moment, under the surprised gaze of Xiao Yan and the nurse, Qi Zhen quickly grabbed three syringes, unpacked them, removed the needles, and carefully inserted them into the injured person's face, neck and thoracic vertebrae.

He didn't quite understand what the acupuncture points were in these three places, but in the holographic projection, how to confirm these locations, Tao Le said very clearly, and demonstrated very clearly.

Under the shocked gaze of everyone, the blood flow began to slow down, and then stopped.

The last piece of gauze was covered, and the red was no longer visible.

The injured person's blood pressure soon rose to 70/50 and is slowly rising.

All of them set their eyes on Qi Zhen.

"Teacher Qi, you are really a god!" Xiao Yan, on behalf of the nurses, spoke his heart.

His eyes were wide and stunningly bright.

Qi Zhen had no doubt that if it weren't for a pair of glasses, those small eyes would have been able to stick to his face.

"Want to learn?" He kept a straight face, and forcibly suppressed the surprise and ecstasy in his heart.

"Yes!" Xiao Yan immediately nodded his head like a gopher hammer.

"I'll treat this injured man first. Urge those departments to hurry up and let them go directly to the operating room! ”

(End of chapter)