Chapter 130: Broken ribs
People who drown usually have two conditions, wet drowning and dry drowning.
The former is caused by suffocation after inhaling a large amount of water into the lungs during the process of drowning.
Dry drowning is caused by irritation under water, such as panic, fear, sudden cold, etc., which causes laryngeal spasm and complete obstruction of the airway.
This was the case of the girl, who was suffering from acute asphyxia caused by a spasm of the larynx during the fall into the water, and because the opening of the airway was closed, there was almost no water entering the lungs.
Often, in this case, the drowning person often suffocates himself to death.
Therefore, Li Xiyang's first aid just now was supplemented by cardiopulmonary compressions and artificial respiration, which quickly opened the patient's airway.
At this time, someone in the crowd shouted, "Young man, go to that traffic policeman, you can't save the people who want to die, let the people who don't deserve to die die!" ”
For the girl who committed suicide, everyone hated more than pity.
Li Xiyang motioned for Su Xue to come over to take care of the girl and prevent her from doing anything stupid.
He and Zhou Keer quickly walked to another rescue site.
It was noted that the traffic policeman's chest and abdomen were swollen significantly, which was wet drowning.
It is almost conceivable that it must have been caused by the desperate struggle of the girl when the traffic police were rescuing underwater, or even deliberately dragging it.
[Lung: Gollum ~ Rescue... Help, a lot of water]
[Heart: No oxygen, no blood supply, so weak]
[Brain: Wake up, master, today is Ling'er's birthday, and Xiao Nuomi can't live without his father]
Li Xiyang realized that the situation of the traffic police was very bad, and quickly stepped forward to replace the emergency doctor.
"Is there an ECG in the car?"
"Yes, I'll move it!"
Colleagues went to debug the equipment, and Zhou Keer held a breathing mask on the patient's mouth and nose, and cooperated with Li Xiyang's movements, constantly pressing the air bag.
At close range, Zhou Keer noticed that Li Xiyang's pressing technique was very strange.
It seems to have seen it somewhere.
I didn't have time to think about it, because as soon as the ECG was debugged, it showed that the patient's oxygen saturation dropped to 68%.
Blood oxygen saturation is the volume of oxyhemoglobin bound by oxygen in the blood, as a percentage of the total volume of hemoglobin that can be bound, that is, the concentration of blood oxygen in the blood, which is an important physiological parameter of respiratory circulation.
A rapid drop in oxygen saturation means that the patient has ventilatory dysfunction.
The biggest reason is that the airways are not open, or they are blocked by something.
Zhou Keer quickly took off the respiratory mask to check the patient's mouth, and generally drowning patients often have mud, sand, aquatic plants or other floating objects in their mouths.
But Zhou Keer checked it carefully.
"Strange, there are no foreign objects!"
At this time, the light screen in front of Li Xiyang flashed urgently.
[Femoral artery: It's so tight, I can't breathe]
Hearing the voice of the organ, Li Xiyang immediately crossed the waist to the traffic police,
It's a belt!
Li Xiyang shouted at the male first responder, "Quickly untie the patient's belt!" ”
Zhou Keer's face changed, and she glared at her colleague very angrily.
After a drowning victim is rescued ashore, timely and effective on-site first aid is crucial to saving his or her life.
The practice of only freeing up the water swallowed in the stomach after going ashore, or racing against time to transfer to the hospital, will delay the most effective time to save the life.
The most correct first aid method is to remove sludge, weeds and other foreign objects from the mouth and nose of the drowning person, and remove the movable dentures to avoid falling into the trachea.
Then it is necessary to untie the underwear, bra, belt, etc., that tightly wrap around the chest wall, so that the breathing movement is not restricted by external forces.
It's common sense.
How can a first responder make such a common-sense mistake.
Soon, the patient's belt was untied, and the patient's oxygen saturation was rising little by little.
The male first aid officer looked at Zhou Ke'er timidly, he was very afraid of his senior sister.
Although Zhou Ke'er was very angry, he also knew that now was not the time to get angry, and there were so many people around him.
Time passed minute by minute, and soon it was 50 minutes of first aid.
But the traffic police still show no signs of improvement.
The crowd sighed, what a good policeman!
Zhou Ke'er also looked lost, she knew that it was impossible for this people's policeman to be saved.
At this time, the girl who fell into the water next to her gradually became conscious, and when she saw this scene, she cried out at once.
She knew the man was there to save her.
Because when she was unconscious, she felt that someone was holding her and kept saying 'Hold on' in her ear!
Yawen Library
Now she's awake, and the other party...
"Woooooo
The girl broke down and cried.
But this move did not receive sympathy, but instead attracted a wave of abuse from the surrounding area.
Su Xue couldn't stop so many voices, so she could only comfort the girl as much as possible, "It's okay, it's all right!" ”
"Sister, do you think the police brother can save me? I'm so scared, woooooo
Su Xue said firmly, "Don't worry, you will definitely be able to save it, and you will be fine." ”
"Really?"
"Well, because he's there!"
Following Su Xue's gaze, the girl saw Li Xiyang.
"Was that doctor brother who saved me..."
……
Soon, the first aid came for 1 hour.
Zhou Keer sighed, ready to persuade Li Xiyang to give up.
At this time, there was a sudden agitation outside the crowd, and it was the patient's family who arrived.
Along with the family are the patient's colleagues.
The crowd moved out of the way, and a young woman ran over crying with a three- or four-year-old child in her arms.
When she saw her father lying on the ground, the little girl burst into tears.
"Dad, Dad, what's wrong with you, I'm Xiao Nuomi, get up quickly!"
"Mom, go and wake up Daddy, woooooooooo
And the mother desperately covered her mouth to prevent herself from crying.
She was afraid of scaring the child again.
But no matter how she pretended to be strong, tears still couldn't stop falling down her cheeks.
"Little Nuomi, the doctor's brother is calling Dad, Dad will wake up in a while!"
The mother forced herself to cry and comfort her daughter.
Although she was more scared than anyone else at the moment, she couldn't fall down yet, because she still had a daughter in her arms!
The patient's colleague was learning about the situation with the first responder, and his face darkened instantly.
Zhou Ke'er had already swallowed back the words that came to his mouth because of the arrival of his family, and only reminded him, "It's been 1 hour!" ”
"I know!"
Li Xiyang nodded, but the movements in his hands never stopped.
Zhou Keer shook his head and sighed.
She can't stop Li Xiyang, but there are some things that still have to be made clear to the family.
"Family, we have been in emergency rescue for 1 hour, you have to be prepared!"
Rumble~
The woman's last hope was dashed.
"No, doctor, I beg you, you must save my husband,"
"We can't live without him, please!
”
The pathos of the woman's crying made everyone feel distressed.
The girl who fell into the water next to her also became excited.
"It's all my fault, it's all my fault, I shouldn't have jumped into the river after arguing with my boyfriend."
"I hurt the eldest brother of the police, and I hurt his family, woo woo woo ......"
When everyone heard that this girl was jumping into the river because of a quarrel with her boyfriend, they became even more angry for a while.
All kinds of foul language and swearing came one after another.
If Su Xue hadn't stopped her, it was estimated that this girl would have jumped into the river again.
Soon, another 10 minutes passed.
Zhou Ke'er sighed, "Doctor Li, stop!" ”
The family slammed to his knees on the ground, "Doctor, you can't stop, I beg you, try again, try again!" ”
"Woo woo, Auntie, you can save my father!"
Looking at the pitiful appearance of the little girl, Zhou Keer's heart ached, but...
"Don't worry, your dad isn't dead yet!"
Li Xiyang, who had been silent, spoke, instantly attracting everyone's attention.
"What, people aren't dead yet?"
"Is he saying there is still salvation?"
"I don't know!"
There was a heated discussion outside the crowd.
The family members looked at Li Xiyang with teary eyes, "Doctor, what did you say?" Is my husband really saved? ”
"Dr. Li, you're breaking the rules!"
Zhou Keer's face was ugly, as a doctor, how could he give such an unreliable guarantee to his family in this situation.
This is deception!
Li Xiyang didn't pay attention to Zhou Keer at all, but observed the patient's physical condition while performing cardiothoracic compressions.
"The patient's temperature is dropping!"
The man fell into the water, and it was late autumn at the moment, and the loss of body temperature may be the reason why the patient's airway is not open at all times.
Thinking of this, Li Xiyang raised his head and shouted to the crowd, "Hot water, prepare hot water!" ”
"It's better to pack it in a hot water bottle!"
Li Xiyang shouted loudly, and the crowd was silent at first.
The next moment,
"Hot water, go get hot water!"
"I just got a batch of hot water bottles in my store, I'll bring you all the hot water bottles you want!"
"I have hot water in the store!"
"I have it in my store!"
The crowd dispersed instantly, and everyone went to help prepare.
After a while, more than a dozen hot water bottles filled with hot water were brought over by everyone.
Li Xiyang said quickly, "Put the hot water bottle on the soles of his feet, palms, and on the sides of his body." ”
Everyone helped.
"Thank you, thank you..."
The family members knelt on the ground and kept kowtowing to everyone.
"Girl, this is all a trivial matter, you hurry up."
"Yes, your husband is a good policeman who serves our people, and this time it's time for us!"
"It's cold on the ground, hurry up!"
A few aunts stepped forward to help the woman up from the ground, and some brought hot buns from their own store to the little girl.
Zhou Keer looked at all this in a daze, not understanding what the point of doing this was.
After more than 1 hour, it is impossible for the patient to be saved.
Zhou Keer got up and decided to stop this farce.
Can be a second,
"Li Xiyang, I'll help you!"
Zhou Ke'er's mask that she had just released was pressed back by one hand, "Teach me how to do it?" ”
Li Xiyang looked at Su Xue with some surprise, and then said quickly, "You stand on top of the patient's head, make the patient's head tilt back, hold up the patient's jaw, and fasten the mask."
Hold the mask in one hand and squeeze the breathing bag regularly with the other, with a volume of 400---600ml each time and a frequency of 12---20 times per minute. ”
Su Xue reacted quickly, nodded quickly, and said, "It's about once every 3-5 seconds, I know!" ”
"You must get him back!"
Li Xiyang smiled slightly, "Okay!" ”
For a while, everyone was quiet again, and everyone stared at the atmosphere in the field and did not dare to come out.
One minute
Two minutes
……
Damn, another 10 minutes passed,
The patient's body temperature begins to drain rapidly again.
Li Xiyang gritted his teeth, and couldn't help but increase the degree and depth of compression,
At the same time, he shouted at the patient, "Hold on, hold on a little longer, listen to the voice outside, Xiao Nuomi is calling you." ”
"Also, isn't it your wife's birthday today, didn't you say that you would go home to spend it with her after work?"
"Now that your wife has arrived, do you still want to sleep?"
The woman was stunned, he... How would he know it was my birthday?
How do I know the agreement between my husband and me?
But suddenly,
"Ka Rub~"
There was a crisp sound coming from the patient's chest.
Ribs... Crushed!