If an open pneumothorax is being treated in a hospital, the wound needs to be closed as soon as possible to allow pressure to regain pressure in the lungs. This is followed by thoracostomy drainage in the chest. One section of the drain is inserted into the chest cavity and the other end is inserted into a lower water seal bottle to gradually drain air, blood, pus, etc.

But now Sun and the patient are in an overturned bus, not the Fourth Central Hospital, which has enough medical equipment and medical staff. Sun Lien looked around the neighborhood and found a plastic children's raincoat that looked like a child. He tore off a large piece of plastic sheeting from it, and then used the electrical tape that had rolled down beside him to firmly stick the plastic sheet to the young woman's wound.

As usual treatment, it should be covered with a thick petroleum jelly gauze followed by supportive care. After the patient's signs have been corrected, thoracotomy is performed, and the thorax is closed after debridement and thoracostomy. But in this kind of place, let alone gauze, I'm afraid you can't even find Vaseline. Sun Lien could only secretly pray that the quality of these electrical tapes was good enough, and the material of the plastic raincoat was strong enough. Otherwise, she may not last long.

Sealing the wound does not completely reverse the patient's condition. Open pneumothorax is usually accompanied by damage to the lung tissue. As you breathe, air seeps out of the broken lung tissue and re-enters the chest cavity. In this case, she was simply artificially converted from an open pneumothorax to a tension pneumothorax. And in this process of transition, the patient's condition will gradually change from bad to good, and then deteriorate again.

If she can't be transferred as soon as possible, Sun Lien will have to find a new syringe needle or something like that, and make a small hole in her chest to release the pressure.

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"The fire brigade and the ambulance are already on the way!" Rachel shouted from outside the bus, "Dr. Sun, are you alright?"

Sun Lien quickly checked the young woman's injury, and after he twisted the electrical tape into a rope, Sun Lien quickly tied the makeshift tourniquet to her left thigh, where the tourniquet was tied above the fractured femur. "I'm fine, but there are still two wounded here!" he glanced at the young woman with some embarrassment, "a man, fairly conscious, but may have a cervical spine injury, the exact circumstances are unknown." A woman with an open pneumothorax and lower extremity fractures and displacements. ”

Rachel shouted, "Youkeepingdealwithit!, I'll go find Dr. Pascal!" Sun Lien understood what Rachel meant, and continued to bow his head to deal with it. The combination of an umbrella and a strip of cloth allowed him to fix the young woman's broken femur, and the skin that was still attached to the foot with only a trace of flesh was wrapped in Sun Lien's long-sleeved underwear. After he finished dealing with it, Sun Lien found that he was only wearing a short sleeve on the upper half of his body on the Capital Airport Expressway in December.

The smell of diesel fuel was getting heavier and heavier, and other vehicles passing by here were also parked behind the buses one by one——— the overturned buses almost blocked the entire highway, and the lying bodies occupied the entire emergency lane, as well as two and a half lanes. There is only half of the overtaking lane left, and it can only barely pass the car. Enthusiastic drivers in the capital simply parked their cars in the slow lane on the side of the road, leaving an emergency lane for rescuers, and then pulled the escaped bus passengers into their cars. It was a cold day, and there was no shelter on the highway. The cold wind blew for an hour or two, and I was afraid that these poor people who had just escaped would fall ill.

Several drivers who had been in the army got out of the car and rushed to help. But because of the lack of stretchers and corresponding first-aid equipment. Song Hualin, who suffered a fracture of the pivotal vertebrae, could only continue to lie in the bus. The young woman was carefully lifted out of the bus by several people.

Sun Lien opened the window, instructed Hu Jia outside to pay attention to the matter of observing tension pneumothorax, and then returned to the carriage.

He felt that his body was very cold, the main structure of the vehicle was metal, and in order to save fuel and fire prevention, a vehicle of this size of the bus basically did not install any thermal insulation parts in the body, and the temperature inside the vehicle was controlled by air conditioning. The overturned bus has apparently lost the ability to adjust the temperature inside the vehicle. Sun Lien had the heart to find a piece of clothing to wear, so he wore a T-shirt and swayed in it, and he really didn't take the cold of the north into account.

But looking at Song Hualin, who was lying on the ground unable to move, and maybe even cried out because of the combined effect of fear and pain, Sun Lien shook his head and sighed. Holding on to his chair, he walked over to him and sat down.

"Can you still talk?" Sun Lien tugged at a fallen seat cushion and put it under his buttocks. "Where are you from? Are you coming to the capital on business?"

"I'm ...... Shanghai people. Song Hualin opened his mouth with difficulty, and his voice was very small. "I'm here to see an old friend. ”

"Shanghai market?" Sun Lien was interested, "I haven't been to Shanghai yet, I heard from a friend that everything you eat there is sugar, is it true?"

Song Hualin replied, "It's not ...... either," and he gradually understood why the doctor was sitting in the carriage and talking to him. "Doctor, am I going to die?"

"Huh?" Sun Lien deliberately exaggerated his voice, "You're going to die?" He tried to make the middle-aged man in front of him relax a little. "Rest assured, the ambulance will arrive soon. With me here to keep an eye on you, you'll be fine. ”

"I'm ...... now It hurts. Song Hualin sighed, "It's okay if it hurts all over my body." I felt like my neck was about to break. ”

Of course, Sun Lien can't say that his neck is broken. It didn't do anything but make him nervous. He could only laugh and say, "Then you're better than us doctors." We had to X-ray the patient to find out if his neck was broken. ”

"Doctor, what's your name?" Song Hualin suddenly asked, "I see that you look very young, have you just graduated?"

"My name is Sun Lien. Sun Lien introduced himself. "I'm 25 years old, and I'm just starting out as a doctor. ”

Song Hualin said in a low voice, "My name is Song Hualin." He paused, then asked, "Dr. Sun, can you take out my phone?" in my right pants pocket." I want to call my family. ”

Sun Lien touched his mobile phone, diesel is not flammable, this little knowledge he learned in high school. It doesn't matter if you make a phone call.

"Do you want to call your family?" Sun Lien asked, "Do you have their phone numbers stored in your phone? ”

"First...... Call my lawyer first. Song Hualin was silent for a while and replied, "There is a lawyer Zhao Song in the phone address book, call him." ”

Instead of reporting his safety to his family first, he called the lawyer first? Sun Lien was a little confused, but since this was the patient's request, he naturally couldn't say anything. He dialed the phone and reminded, "You can't move your neck, I'll turn the phone on speakerphone and put it next to your ear." ”

The phone was quickly connected, and a hearty voice came from the other side, "Mr. Song, has your plane landed?"

"Lawyer Zhao, I may be going to die. Song Hualin's voice was very stable, and he didn't sound like a person who was arranging the aftermath at all. "Have you done the notarization of my will?"

"Huh?" Lawyer Zhao on the other end of the phone was startled, "Mr. Song, what's wrong with you?"

"I was on the bus at the capital airport. Song Hualin calmly explained, "The vehicle had an accident, and several people may have died." I was injured and couldn't move my neck. Even though the doctor next to me said I couldn't die, I thought he was lying to me. ”

Sun Lien was a little embarrassed. He had never seen anything like it...... People who don't play cards according to common sense.

"Your will has been notarized. Although Mr. Zhao found it incredible, he still faithfully traveled his obligations. "Do you need to make changes?"

"No need. Song Hualin rejected this suggestion, "Please inform my ex-wife...... And the kids. He was silent for a long time, so long that Sun Lien thought he had finished speaking. Just as Sun Lien was about to help hang up the phone, he suddenly said, "Tell them...... I'm sorry. Tell my current girlfriend, I'm sorry. ”8)