Chinese medicine: When you do things to the extreme

Chapter 277 You Have to Accept It Even If You Don’t Want to! (Second Update)

"Yanqing, come and rest with me. I heard that you haven't slept for nearly twenty hours!"

“You are young and can endure, but there is no end to the work in the trauma center. If you keep enduring like this, you will have problems.” Yang Ling rushed.

"Okay, Professor Yang." Zhou Yanqing also followed suit.

However, the two said they were going to rest, but they slept for less than three hours before being woken up by a call from the emergency room.

Emergencies and accidents are basically synchronized, the difference is that some accidents do not even have the chance to be sent to the emergency department.

Yang Lingchong and Zhou Yanqing hurriedly put on their clothes and walked out, asking, "Why are there so many emergency cases all of a sudden?"

"Someone over at May Day Square went crazy. When the traffic light turned red, he stepped on the accelerator and knocked over a dozen people on the spot."

"I heard that several people confessed on the spot!~"

"Four of them came to us, and the others went to the Provincial People's Hospital, Shaxi First Hospital and Second Hospital." Du Guodong reported.

"Two of the people who came to us were crushed in the abdomen!~"

"It's on the way now. After I received the call, I immediately came to call you, Director Yang." Du Guodong just finished speaking.

In the nurses' lounge, Dr. He Qingqing was also urging: "Hurry up, there are four trauma emergencies coming!~"

"Professor Yang!" He Qingqing called out after she went out.

Yang Lingchong didn't even look back, and walked straight towards the entrance of the emergency department.

The doctor on duty in the surgical clinic, Professor Li Gang from the emergency department's rescue ward, and Professor Zhang Jie from the second rescue ward are also on standby.

If four patients with crush injuries come to the hospital at the same time, they must be treated separately. If we hand them all over to the trauma center, it will definitely not be able to handle it all at once.

Before everyone had a chance to greet the two professors, the beeping of the ambulance approached, rushing forward and braking suddenly.

As soon as the car stopped, the 120 double rear doors were opened, and people in green clothes came out one after another!

"Emergency for crush injury!~" He spoke with his back to the crowd.

"We have received the notification. What are the patient's current vital signs?" Professor Li Gang hurried forward, while Professor Zhang Jie stood still.

The two people were assigned in advance, and they took turns to take over, and could not rush in at the same time.

"Yanqing." Yang Lingchong just called Zhou Yanqing, and Zhou Yanqing, who had already put on gloves, approached the bed.

During special emergency periods, follow all instructions.

Orders and prohibitions.

"It was unstable and the scene was too chaotic. There was no time to stop the bleeding. All I could do was roughly stuff a lot of gauze and cotton pads in there to stop the bleeding."

"The current blood pressure is very low!" When the cart was pushed down, the doctor on the cart quickly handed over the information to Professor Li Gang.

He Qingqing arrived as soon as possible, took out a stethoscope and started listening to the heart.

The patient was already unconscious. Zhou Yanqing quickly felt the patient's carotid artery with the fingertips of his right hand and said, "The heart is still beating."

"But it's very weak. We have to stop the bleeding quickly!"

"Quickly establish intravenous access, multi-channel infusion, and ask the blood bank to prepare plasma and red blood cells and prepare ECMO."

ECMO stands for extracorporeal membrane oxygenation, which is used to provide continuous extracorporeal respiration and circulation to patients with severe cardiopulmonary failure in order to maintain their lives.

The patient was knocked down and then the tire ran over his abdomen.

It is very likely that it caused two crushing operations, and the lower abdomen was a mess.

Moreover, both legs already had open fractures, with the broken ends sticking out and extremely sharp.

There is a closed deformity of the right upper limb and there must be a fracture.

In front of a car, people are like paper.

The patient's lower limbs were urgently tied up with ropes, analogous to a tourniquet.

"The bleeding in the lower limbs was not serious. After the patient was pushed into position, orthopedic doctors Yan Huanyu and Wang Jiaqin were responsible for stopping the bleeding in the lower limbs."

"Open abdominal injury, multiple crush injuries, and multiple internal organ injuries based on the crushing plane."

"Stop the bleeding first!" Zhou Yanqing said to the person beside the bed after quickly sweeping.

"The wound cleaning bag has been opened." A nurse ran after him and carried the wound cleaning bag up. After putting it down, she stopped and bent over to breathe heavily. Zhou Yanqing had already kneeled on the rescue vehicle, concentrating all his attention.

"Open it again!~"

Zhou Yanqing knew just by visual inspection that one debridement bag was not enough.

Zhou Yanqing didn't dare to open the abdomen directly. He could only start from the bilateral groins. After using his hands to pry open the rotten flesh, he quickly pulled out the femoral artery with the hemostatic forceps in his right hand.

Let’s deal with the bleeding in the lower limbs first.

The femoral sheath is a relatively important structure in orthopedics. It is superficial and is the source of blood supply to both lower limbs.

Zhou Yanqing quickly positioned the two hemostatic forceps and put them into the clamps! ~
"Blood pressure was not measured!" Amid the chaos, a nurse who was protecting the ECG monitor responded anxiously.

"The amount of bleeding is too heavy! The patient is about to go into shock." He Qingqing felt the patient's pulse.

“Stop!~”

"Breathe oxygen..." The cart was in place, and the sound of brakes and He Qingqing's scolding rang out instantly.

"Open the abdomen!" Zhou Yanqing also made his own decision.

The patient's condition was very complicated. If we didn't open his abdomen at this time, he would be 100% dead, and brain death would occur within five minutes.

"Pay attention to the heartbeat!~"

After Zhou Yanqing finished explaining, he decisively removed the abdominal gauze that was used for first aid on the spot!
At the same time, Du Guodong and Xiang Miao from the vascular surgery department began to assist with hook pulling!
The patient is in a deep coma, which is equivalent to being anesthetized!

"Don't lift it with force. The patient's ribs are all broken, and the lumbar vertebrae are probably also ruptured. Don't shake it casually!" Zhou Yanqing scolded Du Guodong when he saw that the amplitude was too large.

This patient, unlike the previous open abdominal injury, could be retracted vigorously.

Zhou Yanqing's hands continued to take out the blood-red gauze, and blood was dripping!

Finally, the first exposed active bleeding appeared, but its angle was diagonal, not towards the ceiling.

The back of Zhou Yanqing's hand was sprayed with moisture and heat!
Zhou Yanqing was delighted when he saw this. He was not afraid of seeing bleeding. At this moment, he was afraid of not being able to see the bleeding spots.

The left hand was sprayed, and the hemostatic forceps in the right hand were immediately raised.

Just clamp it close to the center.

The blood spurting out immediately stopped like "urinating"...

"The intravenous access has been established!~"

"Speed ​​up the infusion! Induce bleeding in the blood bank." He Qingqing said.

"Alternate adrenal and norepinephrine injections!~"

"Regular dosage." He Qingqing didn't have time to talk about the dosage of the two drugs.

Nurses who work in emergency departments know what routine dosing means.

"Epinephrine, 1 mg, intravenous push." ​​The nurse repeated and then began the push.

The scene was very chaotic.

Zhou Yanqing's perspective couldn't calm everyone down either, so he could only patiently continue to peel back the gauze...

Until the rupture of the abdominal aorta, which he most suspected, occurred.

Zhou Yanqing used his hands like crab claws to quickly block the two hemostatic forceps without seeing them.

In fact, Zhou Yanqing didn't want to care where the wound was. He tried his best to move the hemostat up and down!

Clamping it upwards is to prevent blood from flowing downwards, and clamping it downwards is to prevent blood from flowing backwards.

That's enough!

After the aorta was temporarily clamped to stop bleeding, the heavy bleeding was stopped instantly, and the rest was just repairs! ~
This is not Zhou Yanqing's task.

Because the sound of the flatbed cart's rollers was heard again outside.

Zhou Yanqing jumped down from his knees, and said in an almost scolding tone: "Xiang Miao, I leave it to you!~"

Xiang Miao had to take over the operation, whether he wanted to or not.

(End of this chapter)