This doctor is very stable

Chapter 542 First Aid for Pregnant Women in Traffic Accidents 【Please subscribe, ask for a monthly pass. 】

Just as Lin Ran ran into the emergency room, Qian Yue, the head nurse of the emergency room, immediately said, "Doctor Lin's No. [-] emergency room!"

"it is good!"

Lin Ran responded and ran towards the emergency room.

The little nurses who had just entered the hospital for internship asked in surprise, "Sister Qian, is this Dr. Lin outside Dr. Lin's liver?"

A few days after they entered the hospital, they were unfortunately assigned to the emergency department.

But in the first few days since they arrived, they had already heard of the name Lin Ran outside the liver.

It's just that I haven't seen anyone these days.

The sister nurse in the emergency department often discussed Lin Ran, saying that half of Lin Ran was their emergency staff!

"Yes, that's right. Dr. Lin may have been a little busy outside the liver during this time and didn't come to help. Don't worry, you will have a chance to meet Dr. Lin in the future."

……

Lin Ran quickly walked to the front of the No. [-] emergency room, and outside the emergency room, many family members of female patients were already crying together.

Without thinking too much, Lin Ran opened the curtain of the emergency room and walked in.

Stepping into the rescue room, the life monitor next to the rescue station beeped.

"Director, blood pressure 90/50mmH"

"Heartbeat slows down!"

"The patient has shortness of breath, difficulty breathing, and blood oxygen saturation is only 80%!"

Qin Yang's brows were tightly furrowed, and hot sweat was constantly oozing from his head.

It is really difficult to rescue pregnant women, especially those in car accidents!

I saw the pregnant woman lying on the rescue table with a big belly.

The chest was covered with blood, and the clothes had been cut off.

Oxygen has been given, and the whole person is in a coma.

"Intensify the blood transfusion! Where is Lin Ran! Why hasn't Lin Ran come yet!"

The patient's left chest cavity was stripped and punctured, judging from the location, the larger bleeding point was not far from the heart.

But it is possible that the pericardium was not punctured, otherwise the patient would not be able to persist in the hospital.

Qin Yang yelled impatiently, Lin Ran didn't come, he didn't even dare to expand the wound at will, for fear of accidentally bleeding into a big spurt!

Yang Jingsi, the director of obstetrics and gynecology, has also arrived earlier, but she is not even as good as Qin Yang in terms of first aid!
It is definitely impossible to keep the fetus if the pregnant woman bleeds, but now she dares not and cannot have a caesarean section.

There is no possibility of surgery until the hemorrhage in the patient's chest has stopped!
"Teacher Qin, Director Yang, here I come."

Lin Ran glanced at the pregnant woman lying on the rescue table.

【V4 patients】

[The left chest is dark red, the pulmonary vein is ruptured, the superior vena cava is ruptured, the bleeding rate is 0.3kg/min, the bleeding rate is 0.5kg/min...]

[The uterus under the abdomen is dark red, the fetus in the uterus ischemic and hypoxic necrosis...]

[The wall of the abdominal cavity is red, the abdominal wall is torn...]

"The signs of life of the fetus have stopped. Think about rescuing the adults! At present, the most important thing is to stop the bleeding point in the patient's chest, and then perform the operation as soon as possible!"

Jian Jian's gaze stayed on the patient's abdomen, Yang Jingsi reminded.

Although it is very regrettable that a little life died before it came to this world, death is always a word in the past tense.

The patient lying on the stage is a living life.

"Well, Mr. Qin, you are going to expand the incision. I will wash my hands and we will start to stop the bleeding."

The rupture of extracardiac pulmonary vein and vena cava, Lin Ran already knew it.

Without hemostasis, it is estimated that hemorrhagic shock may occur in the next second.

At that time, no rescue measures can be used.

Outside the emergency room, the patient's husband, the driver, held his broken head in great remorse.

If you drive faster, maybe you won't be rear-ended by a truck.

Then this accident will not happen.

And the traffic police have already set the responsibility, the speed limit is high speed, he drove slowly, so he is fully responsible!
"You said that you are such an old man, and you have had your driver's license for several years! How can you drive slowly!"

The patient's mother-in-law cried and scolded her son. The young couple had been married for four or five years, and they had been pregnant for seven months. The child was lost in the car accident, and their son The daughter-in-law is also in danger!

It's not easy for the man's family these days!

When she scolded her like this, the patient's biological father didn't know what to say.

"In-laws, don't worry, the most important thing now is that Xiaoyu can get better, and you can think about it later!"

The doctor just informed them that the fetal heartbeat of the patient's abdomen disappeared!
"Mom and Dad, I'm sorry for Xiaoyu, it's my fault, it's all my fault..."

The patient's husband was also deeply blaming himself. The family was looking forward to the arrival of the new family member with joy, but this damn car accident happened.

Before the accident happened, it was just a probability, a very small probability.

After the accident happened, it was a disaster, a very, very big disaster.

……

In the emergency room, Lin Ran quickly washed and disinfected his hands, and with the cooperation of the nurses, he put on gloves and came to the emergency desk.

At this time, the patient's left chest cavity had been cut into a long hole by Director Qin, and the incision was also expanded, and blood kept gushing out of the incision, like a perpetually moving spring.

Without saying much, Lin Ran reached out and touched the patient's chest cavity.

"Lin Ran, be careful, there may still be glass shards and other different groups left in the patient's chest cavity!"

With the presence of foreign bodies, there is a danger of exposure at any time when performing manual hemostasis.

"I understand."

Lin Ran said something solemnly.

drop by drop...

After Lin Ran finished speaking, the emergency room fell silent instantly. Whether it was the emergency doctor on Qin Yang's side or Yang Jingsi from the obstetrics and gynecology department, they all kept silent. They all looked at Lin Ran and kept groping inside the patient's chest. right hand.

Whether the person can be rescued or not depends on Lin Ran. If the bleeding cannot be stopped within a short period of time, the patient may not be able to hold on within a few minutes.

The patient is gone, it must be a blow to the elders of the patient!
It may even cause a small family to break up.

arteries, left pulmonary artery, left pulmonary aorta, superior vena cava...

Lin Ran groped one by one, and soon found the damaged left pulmonary vein.

"Mr. Qin, the patient's left pulmonary vein is ruptured and needs to be ligated!"

Compared with the superior vena cava, the blood flow of the left pulmonary vein is significantly smaller, so it is not a big problem even if it is ligated temporarily!

The superior vena cava is different. The superior vena cava must not be ligated, otherwise it may cause blood circulation in the patient to stop, and may even lead to heart failure.

"Okay." Without any hesitation, Qin Yang looked at

The equipment nurse beside him said, "Sutures, tweezers!"

Rupture and rupture are obviously two concepts, therefore, the ligation of a ruptured pulmonary vein must be different.

Lin Ran, who knew the patient's chest cavity, led the ligation without visual field.

Soon, the nurse handed over the thickest non-absorbable suture to Lin Ran.

Lin Ran took it with his left hand, handed the other end of the suture to Qin Yang, pinched the other end in his hand, and then put both hands into the patient's chest cavity.

(End of this chapter)