Chapter 100: Thoracostomy drainage

She walked to the top of the mountain on foot, according to the previous plan if she didn't die, she would cut her belly here, she was going to fulfill her promise now, she sat near a stone tablet, at this time she seemed to feel someone passing by, but this could not hinder her determination to fulfill her promise, she took out a dagger, as if she was completing a seppuku action, and slashed directly into her abdomen!

Fuming Central Hospital, Li Zhiliang received the notice of the emergency call, and immediately got into the ambulance with everyone and came to the scene of Qingcheng Mountain, Li Zhiliang used to be a psychiatrist like Xia Xiaoling, but his father Li Guangzhi was a doctor, so he finally stayed in the central hospital, after the previous wedding car incident, he gradually recovered, even if his wife is still in the EICU, but his work still has to continue.

Coming to the scene, Li Zhiliang searched for the whereabouts of the three sports cars on the dark road, under the mountains, the deep and muddy mountain roads, the overlapping shadows of the mountains on the left and right, reflecting the mottled body of the ambulance team, Li Zhiliang and several doctors found the first sports car, Koenigsegg, a blue-haired shirt with bare arms and chests in the car, showing a 55-degree half-sitting in the driver's seat, covered in bruises, and extremely fragrant.

There was a naked green-haired girl in his co-pilot, naked next to the chair, and countless fragments of windshields pierced her features, one of which was a slender piece of glass that ran from her throat all the way to the back of her head!

Lan Mao's body was full of lipstick marks, and he didn't know when he was holding the arm of a girl who had been squeezed and deformed, but this head was not from the green-haired girl, and from a red sports car next to him, he found that the girl here had no arms, and Li Zhiliang realized that he ......

He hung a black sign next to Blue Fur, signaling that the funeral home's car could come here and send them away.

Car accidents like this must be listed according to different degrees of damage, black, red, yellow and green four colors, representing the four conditions and diagnosis and treatment methods of different situations, the ambulance will send the injured away first according to different degrees, if they are already dead, of course, as mentioned above, directly to the funeral home.

Li Zhiliang saw that the red hair on the red sports car next to him still had a little breath, except for him, there was probably no one alive here, but the red hair's arm was also pierced by the fragments of the windshield, and it was inconvenient to move according to his current situation, because his calves that leaned out of the car door were full of holes.

The carotid pulse can still be felt, breathing 29 times per minute, blood pressure 89/67mmHg, the left limb is blocked and the surface temperature is low, which means that the systemic circulation of the trapped limb is declining, and it must be transferred as soon as possible.

After Li Zhiliang hung up the red card, he told Hongmao: "You hold on, I can't save you alone, you have to wait for the traffic police to arrive and break the car door with tools, if you can hear it, blink your eyes!" ”

The other party blinked weakly, Li Zhiliang was going to check the girl next to him, his arm was cut by a sharp weapon and then flew to Koenigsegri next to him through the action of inertia, the process he can't imagine now, anyway, according to the situation at the scene, it is true.

After the fire brigade came, everyone carefully moved the injured person out of the car, and forced the door to open the car with a vice, but when moving the red hair, Li Zhiliang was still extremely careful, otherwise the injured person would suffer a second injury at any time, but fortunately, Li Zhiliang transferred the red hair out with the help of the firefighters.

Li Zhiliang found that the injured man's left leg had been deformed, and many parts of the middle and lower tibia and fibula of the left leg had displaced fractures.

It was only when he was sent to the ambulance that Li Zhiliang was able to conduct a comprehensive examination and treatment of him.

High concentration of oxygen hinders, expands, resists shock, and stops bleeding!

The blood can't be lifted, the arteries are already bleeding!

In this case, the bleeding point must be found immediately, otherwise the injured person is in danger.

It is difficult to breathe, and the rumbling sound of drumming can be heard on percussion of the lungs, and breath sounds cannot be judged.

The ECG monitoring instrument is constantly alarming frantically, and blood pressure is dropping sharply.

After an overall examination, it was found that there was a fracture of the eighth rib on the right side, a closed hemopneumothorax, which appeared to be a traumatic hemorrhage of internal organs, and this location was probably a gastric ......

Li Zhiliang immediately gave feedback and opened a green channel for neurosurgery, orthopedic surgery, general surgery, and thoracic surgery to intervene and carry out emergency treatment.

Now he has to first drain the injured person with a thoracostomy to release the gas and re-energize the lungs.

Puncture was performed between the 4th and 3rd ribs, blood was drawn and deflated, and the lung compression reached 45%, SPo210mi

Local infiltration anesthesia, open the chest wall area, the water column fluctuates to 3~250px when breathing normally, and the fluctuation range can increase to 12-400px when coughing and deep breathing......

……

My name is Chen Kang, and I am a chief prosecutor and forensic physician at the Fuming City Public Security Bureau and the deputy head of the number one serious crime team.

I recorded all these experiences in writing, and after typing in front of the computer, a case broadcast came from the 110 police center: "Please note that the people of the number one serious crime team have found three sports cars rushing down the mountain at the foot of Qingcheng Mountain, and the traffic police department has investigated and found suspicious points, and I hope that colleagues from the serious crime team can intervene in the investigation." ”

After I heard the broadcast, I left my office as soon as possible, Su Yaxin was already ready, and I took the elevator with the survey box in my hand to the parking lot, He Sheng and others had already gotten into the car, and we followed the criminal police to the police, and after a distance we found the location of the crime at the foot of Qingcheng Mountain.

Three sports cars appeared here in pieces, fortunately this area is not very difficult to enter, the fire brigade has been here before, and they are nervous and simple, but all of them, except for one red hair, who was taken to the hospital, everyone else is dead at this moment.

We moved all the bodies out of the three sports cars, and Li Zhiliang, who was next to me, said: "There should have been another person in the co-pilot of Huang Mao before, and we found some long hair in the seat, but we didn't see this person in the car." ”

"So you think this guy jumped out of the car halfway through? So you don't think this case is simple? ”

"I don't think they just rushed down the mountain because of an accident, but you can investigate with the traffic police!"