Chinese medicine: When you do things to the extreme

Chapter 288: Clean and tidy (Subscribe)

Yang Lingchong was just joking with Zhou Yanqing, and he left the office earlier than Zhou Yanqing.

"Du Guodong, Liao Huatong!" Yang Lingchong called out their names directly and completed the eye examination.

The patient's wound is in the abdomen, and there may be damage to the liver, gallbladder, spleen and pancreas, and 100% intestinal damage.

Du Guodong and Liao Huatong had already quickly put on their examination gloves.

The reason why examination gloves are not worn all the time is that they are too uncomfortable to wear. Anyone who wears them knows how painful it is.

I was sweating and feeling sticky.

There were at least a dozen pairs of inspection gloves in Zhou Yanqing's pocket, and besides the gloves there were pens. He quickly tore open the gloves and put them on before rushing away diagonally.

As he was approaching the emergency bed, Zhou Yanqing noticed two people, who should be Dean Lei Zhong and Director Li Xiangming of the Emergency Department.

However, Zhou Yanqing had no time to check and confirm. He put his hands on his abdomen and followed Yang Lingchong's instructions to the man in green clothes pushing the cart and the doctor from the emergency department to move the bed.

"There is active bleeding in the abdomen, we urgently performed tamponade!"

"The amount of bleeding is moderate. We tried to stop the bleeding on the spot, but couldn't find anything!~" The man in green clothes quickly explained the preliminary situation.

Yang Lingchong nodded: "Prepare for emergency abdominal CT and send the patient to the emergency operating room. Call the vascular surgery ward's main inpatient number."

"Are you injured in the car accident?" Yang Lingchong continued to ask decisively.

"Yes, he fell after hitting the car, and a sharp object pierced his stomach. When we arrived at the scene, someone had already turned him over." said the doctor who was accompanying the car.

When you meet such enthusiastic people, it is useless to criticize them.

At this time, the patient's ECG monitor and blood pressure monitor have been connected and measured.

"Blood pressure not measured!~" The nurse hurriedly reported after hearing the beeping sound on the monitor.

"Test again!" Yang Lingchong quickly placed his finger on the patient's carotid artery.

I started counting silently in my mind: 1001, 1002...

"Prepare for chest compressions!~" After only four or five seconds, he failed to feel the carotid artery pulse and made a prompt decision.

Zhou Yanqing immediately rode on top, violently ripped open the zipper of the patient's coat, pulled the buttons inside, folded his hands, located the midpoint of the line connecting the two sides of the nipple, and began to press.

"It still had a heart rate in the car just now!" said the doctor in the car anxiously.

The patient had already received balloon ventilation, and Yang Lingchong quickly opened the airway, so Zhou Yanqing only needed to perform external cardiac compressions.

Zhou Yanqing was very strong, and each time he pressed, he exerted enough force to push down the chest cavity by nearly half.

Emergency chest compressions by two people, alternating quickly!
"The defibrillator is here!~" He Qingqing and the nurse pushing the defibrillator came to the bedside and connected the defibrillator.

"200J, first defibrillation!~"

"Get out of the way!" He Qingqing shouted, holding the positive and negative poles of the defibrillator with both hands.

Zhou Yanqing immediately stood up and jumped off the bed.

Yang Lingchong, who was opening the airway, and the nurse who was pinching the balloon also took two steps back.

"Bang!~"

After the discharge was completed, the ECG monitor still showed a horizontal line and the heart rate had not recovered.

Zhou Yanqing immediately rode on it again and pressed quickly again.

In fact, this kind of pressing is very strenuous. Zhou Yanqing has already taken four rounds and could have changed people, but Zhou Yanqing was closest and didn't feel particularly tired, so he didn't suggest changing people.

"1, 2, 3..." Zhou Yanqing continued pressing.

After two rounds of alternation, a miracle happened.

Didi, didi, didi!
The ECG monitor connected to the patient actually showed a heartbeat again and he was breathing on his own.

"Prepare for intubation!~"

"Open the intravenous access, infuse fluids, call for blood, and the surgery department has completed the hemostasis." He Qingqing put down the spare defibrillator and said quickly. Yang Ling added: "No foreign objects were found when the airway was opened just now!"

If the patient's laryngeal edema is severe or coughing up blood blocks the airway, a tracheotomy is performed.

He Qingqing didn't say anything, but continued to feel the patient's pulse on both sides.

The patient is in emergency, so we must be extremely cautious. If the pulse rates on both sides are irregular, we may have to consider aortic dissection!
Zhou Yanqing was sitting on the bed. When he heard the heartbeat resume, he jumped down immediately and quickly removed the stuffing in the patient's abdomen.

Using both hands, I took turns using hemostatic forceps to pick out the gauze and cotton pads one by one.

Another benefit of packing hemostasis is that it can absorb some of the blood so that active bleeding in the abdomen will not form a pool of blood and affect the field of vision.

Zhou Yanqing had just removed three pieces of gauze and four cotton pads when he found the bleeding point.

Located in the lower left abdomen, it is a relatively obvious blood vessel in the lower left abdomen!
If more urgent hemostasis could be completed on the spot, the patient might not have gone into shock.

However, after Zhou Yanqing completed the operation, he did not look up to explain to Yang Lingchong or complain to the 120 ambulance doctor.

Everyone has a limited upper limit to their skills, and Zhou Yanqing is no exception.

You cannot use your own level of standards to demand others, nor can you use the level of the top doctors to criticize yourself.

Zhou Yanqing continued to dig, and after removing all the gauze and cotton pads, he found that there was still contusion on the liver, but the amount of bleeding was not very serious.

There is also intestinal damage, so the pungent smell is always strong! ~
"Measure your blood pressure again!" Zhou Yanqing turned his head quickly.

The nurse quickly pressed the button for measuring blood pressure.

“Woooooooo~~~”

The airbags inflate quickly and then deflate.

The lower the patient's blood pressure, the faster the measurement rate should be.

About half a minute later, it was 75/62mmHg!

"Pay attention to the patient's shock, quickly infuse fluids after establishing intravenous access, and directly hang up the blood as soon as it arrives."

"There is also liver contusion in the lower abdomen. The spleen was not examined due to obstruction of vision. You can do an abdominal CT scan and then send him to the operating room!"

"Add a head CT scan!" Zhou Yanqing quickly reported to Yang Lingchong.

Yang Lingchong nodded.

Huang Ouming, the cardiac surgeon in charge of the examination, prepared everything and made an OK gesture.

"Can you draw blood? Do an emergency blood draw." Huang Ouming asked again.

"It should be OK!" A nurse nodded.

"Urgently check blood count, electrolytes, liver and kidney function, and coagulation function!~"

"That's all we'll do for now." Huang Ouming quickly edited the doctor's instructions again.

Another nurse quickly started to print the barcode...

The rescue operation ends here.

As the patient's blood pressure slowly recovered, He Qingqing completed the tracheal intubation and pushed the patient to the CT room...

After that, Zhou Yanqing took off his gloves, rubbed his sore wrists, and walked towards Dean Lei Zhong and Director Li Xiangming who were walking towards the Trauma Center.

He shouted, "Director Li, Dean Lei."

"You were in the process of rescuing someone just now, so I didn't disturb you. Yanqing, come here for a moment. Director Li and I have something to discuss with you." Lei Zhong called out the name directly.

Yang Lingchong smiled and called out to the two of them, but it seemed that neither Lei Zhong nor Li Xiangming wanted to ask Yang Lingchong to join them, so he could only watch awkwardly as the two of them took Zhou Yanqing away.

Of course, Yang Lingchong quickly thought of Zhou Yanqing’s quick and efficient rescue just now.

Although Zhou Yanqing is not good at teaching, he is really good at doing things.

(End of this chapter)