Chapter 20 Emergency Handling (2nd Update)
Debridement, skin stitching, tetanus vaccine. X 23 U S Although Sun Lien is quite clear about this process, after all, he has little clinical experience, and he is not as fast as the group of old qualifications next to him. Sun Lien had just done two knots on hand, and Zhou Jun on the other side had already completed the stitching of the entire wound, and then disinfected and injected without saying a word, and then went to deal with the next patient.
Acting fast is not always a good thing. Especially without anesthesia, fast action means ruthlessness.
Zhou Jun started quickly, and often the first howl of the patient was not over, and the first section had already been played. At the same time, at the end of the howl, before the patient was ready to inhale and scream again, the second needle was re-inserted.
Other doctors counted how many knots they had when they stitched patients, but Zhou Jun didn't use them. He only had to count the number of times the patient in front of him howled.
Sun Lien listened to the miserable howls of Zhou Jun's patients, and comforted the young girl who was receiving stitches under his hands, "Don't be afraid, your injury is in the scalp, and when the wound grows, your hair will grow and you won't be able to see it." ”
The little girl who received the stitches was drunk, but the series of reactions of the needles piercing into the flesh and then triggering the sutures still made her choke with pain. However, unlike the male patients under Zhou Jun's staff, the young girl just stood by the needle without saying a word, and when she tied the knot, it hurt so much that she stomped her foot a few times.
The threshold for pain tolerance is actually higher for women than for men. For the same degree of pain, men who seem to be "innocent" react more than women. And it's interesting to know that pain and prostaglandin levels are closely related. Controlling the level of prostaglandins in the human body can effectively curb a variety of pain sensations, including postoperative pain. And prostaglandins, just listen to the name, you know that the concentration level of this thing in the body of men is definitely higher than that of women. This is probably one of the reasons why women are more tolerant of pain.
As for yelling when receiving needles, it can actually relieve the pain felt by the patient himself to some extent. This is especially true when it comes to swearing. So in general, emergency physicians don't have much of a problem with patients who are in pain. Occasionally, the patient is asked to calm down, mainly because of the fear of hyperventilation.
Hyperventilation is mainly due to hyperpneing in the presence of emotional agitation. After several quick and deep breaths, the body is over-expelled with carbon dioxide. Although human respiration is essentially the exchange of carbon dioxide in the body and oxygen outside the body, this does not mean that carbon dioxide is a complete waste product for the human body. Contrary to common intuition and intuition , carbon dioxide is actually an important substance for the physiological activity of the human body.
For example, the patient that Zhou Jun is sewing up now...... Sun Lien blinked, and saw that the person's face suddenly turned a little pale.
"Lin Feng, male, 25 years old, head laceration of 2.7 cm, fear, hyperventilation. ”
"Teacher Zhou......" Sun Lien was about to remind Zhou Jun, but suddenly heard Zhou Jun's order. "Xiao Guo, bring me a plastic bag!"
Guo Yulai let out a "high" sound, and directly took out a plastic bag containing tea eggs from his pocket. After eating the tea eggs in the plastic bag in one bite, Xiao Guo took two quick steps and handed the plastic bag to Zhou Jun.
"Is this your supper?" Zhou Jun didn't dislike the marinade of some tea leaves and eggs in the plastic bag. He directly flipped the bag over, pinched the side with the marinade, and put the other directly on Lin Feng's face. Then he commanded in an unquestionable tone, "Breathe!"
The plastic bag rose and fell with Lin Feng's breathing, and it didn't take long for the plastic bag to be covered with a layer of mist caused by breathing. And Lin Feng's own face slowly looked better.
"This is called hyperventilation. Zhou Jun saw that Lin Feng's condition was normal, removed the plastic bag on his face, and briefly described the clinical symptoms of hyperventilation to the doctors around him. Then he stuffed the plastic bag into Lin Feng's hand with disgust. "This will charge you an extra three cents, and now you won't be allowed to provide free plastic bags. ”
Lin Feng was holding the plastic bag in his hand, and his expression looked a little sluggish. Just now, his mouth and hands were stinging like pins and needles, and his limbs were weak, and he couldn't call for help. The sudden symptoms overwhelmed him with fear. But the doctor next to him actually cured his illness with a plastic bag...... Lin Feng was stunned for a while before he thanked Zhou Jun, "Thank you...... Thank you. ”
"Thank you, just thank the male nurse. Sun Lien finished the stitches, and he jokingly took over the conversation. "Xiao Guo is tall and big, and he is busy with work every day, so he is very hungry. Thanks to the tea egg he carried on his body, otherwise it would not be very convenient for you to deal with this disease. ”
Sun Lien is also telling the truth. There are only three places in the hospital where plastic bags are definitely provided: the hospital cafeteria, the pharmacy, and the imaging department. None of these three places are close to the emergency hall. If Xiao Guo didn't bring a tea egg with him, he could only push Lin Feng to the rescue room and suck in a burst of carbon dioxide gas with a concentration of 10%, and this project was more than three cents.
Carrying a tea egg in your pocket during working hours is actually against the rules and regulations of the hospital. However, this kind of thing, even if it is as strict as Zhou Jun, will not be too careful. Anyway, Xiao Guo will not be stupid enough to eat an egg when he is rescuing a patient in the emergency room. And the work of the medical staff in the emergency department is really hard. So everybody turned a blind eye. Zhou Jun obviously knew Xiao Guo's habit for a long time, otherwise he would not have asked him directly for plastic bags.
A group of people worked for about ten minutes, and finally got the batch of patients in their hands. Lin Feng was sent to the rescue room to continue to observe, and the police comrades could only send two policemen to follow into the rescue room together, according to the video from the scene, Lin Feng was quite brave in this brawl. One person smashed over several 4S store staff. For such a "well-behaved" person, of course, the police comrades should focus on taking care of him and wait for him to get better, and they will definitely send him to the detention center for some reflection.
A second group of patients was sent in. This time, the number of police escorts was larger, and the smell of alcohol in the crowd was noticeably stronger, and it was not known if it was because they were drenched in alcohol or because they had been drinking for longer.
"Doctor, take a look at my ...... first" The nurses were nervously triaged. The condition of this group of patients is more complicated, in addition to lacerations from wine bottles, there are also many lacerations. But their mental condition is significantly better. Many people are still shouting to "kill the group of bad pens who sell real estate". Even the policemen who were guarding them did the same. It's like a posture that you have to get back to the field.
Sun Lien was grabbed by this person. He glanced at the patient in front of him helplessly, anyway, there was more than one person who usually asked to cut the queue in the emergency department. Sun Lien was really a little numb, he said seriously, "You have to let the nurse see first, there are so many of you wounded, we have to pick the most seriously injured first......
The young man looked left and right, and after seeing that no one seemed to be paying attention to this, he carefully unwrapped the coat covering his body, "My injury must not be light, right?"
Sun Lien only glanced at it, and his face turned white like that overventilated Lin Feng. The young man in front of him had a knife hilt stuck in the front of his heart. It looks like a fruit knife. And the blade of this fruit knife has completely submerged into the young man's chest. The blade was still slightly undulating with his breathing.
Sun Lien looked at the hilt of the knife, and then at the young man. Then he rubbed his eyes vigorously, and after holding it for a few seconds, he exclaimed, "?"