Chapter 267: Reinforcement Penetration Injury (I)
The predicted patient's injuries were serious, and the people in the four hospitals did not dare to slack off in the slightest. After hearing about the patients with "steel bar penetrating injuries", Zhou Jun directly opened the green channel. The Department of General Surgery, Hepatobiliary Surgery and Thoracic Surgery all sent deputy chief physicians to the emergency room to prepare for consultation. Orthopedics is more direct - Zheng Guoyou happened to come back from Panjiang City, and as soon as he entered the door, he was abducted to the rescue room by Zhou Jun who was waiting at the door.
"Don't be nervous. Comrade Lao Zheng yawned, took the black coffee handed by Zhou Jun and took a sip with a frown, "This kind of penetrating injury, as long as it can be sent to the hospital alive, there is still hope." ”
Zheng Guoguo has been busy in Panjiang City for more than three days, although he has not been directly involved in medical activities since the next day. But working as a medical advisor to the relevant authorities is not an easy job. Not long after Comrade Zheng underwent heart stent surgery, his body was relatively weak. Therefore, after three busy days, I had to return to Ningyuan to rest. And Zhou Jun robbed Lao Zheng halfway, and he didn't think about letting the old man do the operation himself - he simply wanted Zheng Guoyou to check it.
Sun Lien and Brunn stood at the door of the emergency hall, followed by four nurses. The nurses were holding ECG patches and tourniquets in their hands, while Brunn was carrying laryngoscopes and breathing tubes, staring at the door of the emergency hall with a serious face, ready to intubate the patient.
It doesn't matter what kind of patient comes or what disease it is. It is a common principle of emergency medicine to make sure that his heartbeat and breathing are continuous before he can find a way to treat him.
The ambulance rushed into the ramp at the entrance of the rescue hall with a sharp siren, and before the vehicle could fully stop, the door on the passenger side was opened from the inside. A pre-hospital emergency doctor jumped out of the car, shook slightly, and then rushed to the back of the ambulance, opened the tailgate at great speed, and then steadily pulled the emergency bed out of the car.
Sun Lien saw the patient, and the steel bar that ran through his entire body.
"Zhou Ming, male, 39 years old. "The patient's simple information is followed by a dense series of status bars. Sun Lien didn't look carefully, and after a glance, he had a general understanding of Zhou Ming's injury.
"Right neck, chest, right upper abdomen, right kidney reinforcement penetrating injury with foreign body retention", "right pneumothorax, right lung compression 27%", "right lung contusion", "right pleural effusion", "small amount of free gas in the abdominal cavity", "liver contusion", "right kidney contusion", "small amount of blood around the right kidney", "posterior bladder wall contusion", "pericardial hemo".
Sun Lien took a deep breath, then slowly exhaled, forcibly stabilizing his state, "Lao Bu, you do tracheal intubation first, and the others will be monitored first, don't move the bed." He pulled out a 20-milliliter unopened syringe from his pocket and said, "Call for a fire belt cutting tool...... Who called 120? Did the family come?"
"I called. A trembling middle-aged man raised his hand like an elementary school student answering a question in class, "I...... I'm his big brother. ”
Sun Lien glanced at the middle-aged man, "Qian Huaxin, male, 44 years old." At least judging from the status bar, this "big brother" and Zhou Ming probably have no direct blood relationship. "Are you brothers in the immediate family?" and if the other person replied no, then he had to go to a family member who has the power to make decisions about natural medicine. If you can't find it, you'll have to report it to the medical office for permission.
"We are not related by blood, but we are brothers. Qian Huaxin's explanation was a little difficult, "I ...... My old man died early, and my mother took me to marry into the Zhou family. We became brothers. ”
Sun Lien blinked, this ...... It shouldn't be considered an immediate family, right?
"It's not going to work. Zheng Guoyou, who heard the movement and came to the door, waved his hand, "Is his father still there?"
"Uncle Zhou was gone a few years ago...... When his mother gave birth to him, he had a difficult birth, and it was long gone. Qian Huaxin replied with a frown, he probably guessed what the doctors were asking for, "My brother is not married, I am his only family member." ”
Zheng Guoyou frowned and thought for a while, "Let the family sign first, but you still have to ask the medical office for authorization." ”
Zhou Jun nodded and asked people to contact the medical office for authorization, and Brune also completed the initial laryngoscopic intubation.
Zhou Ming is currently in a coma, and after completing the laryngoscopic intubation, the ECG monitor has also been connected. Under the careful push of many doctors, the gurney, which can usually rush into the rescue room in a drifting attitude, slowly slid into the rescue room.
"Blood pressure 155/79mm Hg, heart rate 80......" Sun Lien looked at the data, thinking about the rescue plan that should be carried out later. Zhou Ming is still alive, but there is no doubt that he is very close to death - maybe only a few millimeters away.
A steel bar with a diameter of about 1.5 cm is threaded at a small angle from the outside of Zhou's left thigh and exits above the right collarbone. Both ends of the rebar were exposed, and around the upper end of his collarbone, there were small blood blisters coming out with his breathing.
"Is 119 coming?" Sun Lien asked Xu Yourong, "When will they come?"
"I'm contacting them now. Xu Yourong lowered his head and picked up the phone, about fifteen centimeters appeared at the top end of this steel bar, and about fifty centimeters of steel bar was exposed at the lower end - there were obvious cutting marks on the lower end of the steel bar, which looked like it had been ...... High heat fuse.
"I'm a welder on the jobsite, and my brother is a formworker. Qian Huaxin rubbed his hands a little crampedly and anxiously in the face of Sun Lien's inquiry, "He ...... He fell off the work surface, and I was scared to death when I saw it. ”
Qian Huaxin stumbled a little, but the general meaning was clear - Zhou Ming accidentally fell off the scaffolding when he was working on the construction of reinforced concrete formwork at a height of four floors. In a diagonal downward position, it landed on the steel bar that was high above the ground, and was directly impaled through the body.
Qian Huaxin was so frightened that he sat on the ground at that time, and he didn't even know what he should do to react - the brothers who had been with him for more than 20 years were like a roast duck in clothes hanging on a steel bar, and he didn't know whether he was alive or dead.
The foreman and engineering manager, who were also working on the site, rushed to the scene as if they had been kicked in the ass, calling 120 while trying to get Zhou Ming, who had been unconscious, off the fixed steel bars poured on the ground - it was obviously too late to demolish the cement piles, and simply using a grinder or steel shears might cause vibration. And Zhou Ming was forced to hang about 80 centimeters above the ground, which meant that any vibrations generated at the bottom would be amplified by the rebar. The young engineering manager was already sweating in a hurry, while the foreman was relatively calm, he quickly commanded the other workers to drive the hydraulic lift, and assigned two of the strongest scaffolding workers to support Zhou Ming's body in mid-air.
Qian Huaxin was almost kicked to his feet by the foreman to stand up, and he opened the acetylene cutting gun in his hand with shaking hands. After the fire cap ignited the flames, it quickly cut off the steel bar that ran through Zhou Ming's body.