As soon as he saw the injured man, Tao Le opened the golden finger.

The interface was already a deep, heavy dark purple, suggesting that his life was like a candle in the wind.

Age: 34 years old, health value: 9.

Etiology: flail chest 55%, lung contusion 30%, left and right tibia fracture 10%, left carpal fracture 5%,

Blood pressure 90/60, heart rate 110, oxygen saturation 58%

Complications: hemopneumothorax (traumatic), atelectasis, respiratory failure (mild), hemorrhagic shock

At the bottom of the interface, there is a clear three-dimensional image of the whole body, showing the trauma everywhere.

Multiple fractures of 3 adjacent ribs, resulting in the chest wall separating from the rest of the ribcage or even sinking, is known as flail chest.

In this case, the lungs are inevitably bruised.

The injured person in front of him had as many as five broken ribs, but fortunately he didn't hurt his heart, otherwise he wouldn't have been able to hold on to it now.

It's just that in this way, traumatic hemopneumothorax caused by contusion and hemorrhage in the lungs will also kill people.

Tao Le can clearly see that there is a large amount of blood accumulated in the patient's pleural cavity. At the same time, because of the obvious contusion of the lungs, the exhaled air overflowed into the chest, forming a hemopneumothorax, causing the patient's respiratory failure.

No matter how old the ambulance in the township hospital is, it is also equipped with oxygen cylinders, but the injured are still on oxygen all the way, and the blood oxygen is still declining.

This is actually normal. At this moment, the patient's lungs are like a balloon that has been punctured, no matter how much oxygen is ventilated, it cannot be fully supported, and it is no wonder that oxygenation can go up.

The injured person was quickly moved through the car. The nurse who followed the car was Xiao Chen, she had been in the emergency department for a long time and was very experienced.

Tao Le stared closely at the health value that continued to decline on the interface, and was about to start disposing of it, when he saw Dama also climb into the car, followed by the doctor from the township hospital.

Although Miao Technology's ambulance is slightly wider than ordinary cars, it can't squeeze so many people.

"I'm going to be with my husband." Dama was blunt.

Tashi, the doctor who came with him from the township hospital, sighed and said, "You guys came fast enough. If it's a little later, I'm afraid."

He shook his head, not optimistic about the wounded's next trip.

With such a serious injury, it is already a miracle that it can last so long. Even if Sa Central Hospital is the best hospital in Tibetan Province, what if it has gathered countless experts from Beijing?

For such injuries, the role of out-of-hospital first aid is limited, and it cannot be transferred in time, and it can only stop there.

Dorjee Cidan's life is probably only a few minutes left.

Tao Le frowned: "You are all gathered here, it will affect the treatment." Family members can stay, but go to the co-pilot. Dr. Tashi has fulfilled his duties and can go. ”

She spoke Tibetan, and both Dharma and Dr. Tashi understood it.

It was such an ordinary request, but Dama did not agree.

"I know he's going back. So on this last journey, I'm going to be by his side. There was a faint sadness in her eyes, but she still kept her senses.

"yes." Tashi said, "Actually, there shouldn't be much you can do, so it's better to do it."

It's not as good as anything, although he didn't say it, everyone can guess it.

"Shut up." Tao Le watched the injured person's health drop a little again, and said angrily.

"I'm not going to give up until the last minute." As she spoke, she easily picked up Tashi, who was a little chubby, and threw him out of the ambulance, closing the door again.

When the car started, Tao Le no longer paid attention to Dama, but responded to the prompts that popped up frequently.

[After testing, the current conditions support the implementation of thoracostomy drainage.] Do you need simulation instruction exercises? Yes/No. Note: Simulated guided exercises do not take up real-world time. 】

[Yes.] 】

As a nurse who has worked in the emergency department for more than five years, Xiao Chen also has his own judgment about injuries.

Such a serious impact injury, if it is already in the hospital, there is still a glimmer of hope after hard work, but.

Fortunately, she is just a nurse, as long as she listens to Dr. Tao's instructions.

Doctor Tao's expression was very calm, and in a calm voice, he gave a series of instructions.

Before leaving, the condition of the injured had been foreseen, so the supplies were quite well prepared.

Rehydration and anti-shock, this is the proper meaning, all kinds of crystal colloids are also readily available, and there is no need to say much.

But thoracostomy? Isn't Dr. Tao kidding?

That's not to say there's anything wrong with that.

At present, the respiratory function of the injured person is insufficient, and the blood oxygen has dropped to such a low level, it is necessary to establish a breathing channel immediately to improve oxygenation.

The quickest and easiest way to establish a breathing passage is closed chest drainage, which releases blood, gases and other fluids to rebuild negative intrapleural pressure and cause the lungs to swell and improve breathing.

But even if she is just a nurse, she knows that the premise of closed drainage is to have perfect imaging test results and clarify the location of the drainage, right?

The village hospital does have an X-ray machine. Dr. Tashi also said just now that the injured person had filmed there.

But the problem is that the consumables are gone.

They can see the results on the computer, but they can't print them or take them because they don't have film.

Therefore, in the absence of any image guidance, how did Dr. Tao do this puncture and drainage?

This is a thoracentesis, if the positioning is not accurate, accidentally prick the wrong one, and it does not lead to fluid accumulation, it is better to say, the most afraid is to touch the tissues of the heart and lungs.

The injured person was already like this, and he couldn't hold out for a few minutes. But it is one thing for him to die of a serious injury, because the puncture and drainage are not done well and he dies, then the trouble is too great.

In the flash of light, countless thoughts flashed through Xiao Chen's mind, but he kept taking the prepared crystals and colloids in his hands, and instilling them along the two deep venous channels that Dr. Tao had just opened.

At the same time, outside the hospital in the center of Saska. Wei Changgeng got out of the car and went upstairs with a small suitcase.

"Director Wei, are you back?" An Jun asked in surprise, "Doesn't it mean that the genius is back?" ”

"The surgery went more smoothly than expected, so I came back sooner." Director Wei's face was a little tired, but he was still in a good mood: "In the past two days, has there been anything in the hospital?" ”

"Really." An Jun first moved a VR glasses, explained the ins and outs of the return, and then said: "Anyway, the courtyard requires that if you are idle at night, you will go in to study." ”

Director Wei opened the box, looked at the contents inside, and shook his head: "I've heard of this kind of thing, it's a game device for young people, right?" ”

"You're so down-to-earth." An Jun praised: "Actually, this is really a game. The picture is made to distinguish between truth and falsehood, which is particularly perfect. ”

Director Wei didn't like to look at his intoxicated face.

With a snap, he slapped his glasses on the table: "Are you kidding? I'm so busy all day and day that I sometimes study games. ”

(End of chapter)