Big Doctor Live Room

Chapter 49 Pericardiocentesis
Chapter 49 Pericardiocentesis
Holding the drill bit that he had wiped several times with white wine and a towel, Chen Qun felt a little hesitation in his heart. It was not because he was afraid of taking responsibility and consequences, but because he was a little... uneasy.

An electric drill is different from a scalpel. If you use a little more force, it will immediately penetrate into the patient's brain and become a murderer in no time.

"Doctor, doctor, the patient is passed out!"

Another rescuer's terrified voice sounded in his ears, and he didn't need to look back to know that the other young man who had been pierced in the right chest had formally fallen into a coma.

No matter how indecisive they were, the two patients would be unable to be rescued.

Chen Qun gritted his teeth suddenly, put his left hand on the patient's right ear, put three fingers flat, gestured for the height, and then moved it backwards so that the space between the fingers was perpendicular to the right ear.

"Zhang Xin, you also put three fingers in front of your forehead, and let me determine the position."

The six fingers, which were as white as jade, immediately joined together vertically in the shape of a "Ding".See the position just above the dilated pupil of the right eye, press it, no large blood vessels and nerves are felt.

"Everyone, please be quiet and keep quiet."

Pressing the switch of the electric drill with his right hand, he drilled vertically toward the patient's skull.

After all, it was the first time, so be careful.

Several other helpers frowned one after another, the whirling drill bit and the bloodshot puffs were even more unbearable to watch.

The drill bit slowly drilled down the patient's temporal bone, and entered a position two centimeters thick and one finger thick. Suddenly, the drill bit in his hand felt light, and he quickly stopped with his palm in the air, and turned off the switch with his fingers.

Regardless of shocking the world, he immediately handed the electric drill to Zhang Xin, moved his eyes, and looked at the drill hole on the boy's forehead.The patient's dura appeared intact and no blood clots were present.

Did I diagnose and treat myself wrong?

A trace of doubt spread like a haze, like a huge black shadow trying to swallow his confidence.

"The patient's breathing is getting weaker and weaker, the dog-headed military commander, think of a way!"

Seeing that he was in a daze, Zhang Xin quickly pushed him and even called out his nickname.

Hearing Zhang Xin's crisp voice, Chen Qun felt as if he had seen the sunshine from hell, his confidence regained his confidence, and he cursed himself for making mistakes in his busy schedule.

Hemocephalus is not necessarily under the temporal bone, it may be under the frontal lobe.

He has to drill again!
Behind the hairline, a few centimeters beside the midline, Chen Qun's left hand touched the patient's frontal lobe bone.This is the thickest and hardest part of the human skull. It is four to five times thicker than the temporal bone he drilled just now, about ten centimeters... No, the patient is a young man, about seven or eight centimeters is the limit.

The drill bit sounded from Chen Qun's hands again, this time Chen Qun was a little more cautious and quicker than last time.The rapidly selected drill brought up the white bones and a little flesh and blood again.Suddenly there was only a click in front, and he immediately stopped the electric drill and pressed the switch like lightning.

Chen Qun looked at the patient's cranial cavity again, and the milky white brain appeared before his eyes again, but this time there were more blood clots.

The drill bit in his hand spun again, and slowly turned around the small hole, opening the gap into an oval shape with a width of two centimeters.

A large amount of congestion appeared in front of his eyes.

"Doctor, how is the patient?"

The traffic policeman who had spoken earlier asked anxiously, knowing that today's accident was not ordinary, and the owner of a sports car with millions of dollars is not an ordinary person.If something goes wrong in the first aid, he can't escape the responsibility, and he will also be implicated.

The safest thing to do is to send him to the hospital.But it happened that these two young doctors had to step in to save the patient. If the patient was not saved, it would be a series of troubles.

"Okay, pour wine and disinfect my hands, don't splash alcohol into the wound!"

Chen Qun immediately put down the drill, turned around, and stretched his arms away from the patient.

The cold white wine flowed out of Zhang Xin's wine bottle and poured on Zhang Xin's two palms. His heart became clearer and brighter. He was at least eighty to ninety percent sure that the patient would be rescued.

Drilling for the first time, although not finding a location, didn't make things worse.

Scrubbing twice quickly, turning toes again, squatting halfway above the patient, slowly using two slender and flexible index fingers and middle fingers, inserted into the patient's brain, and pulled out pieces of bruised blood.

After most of the dura mater in the brain was pulled out from the congestion, it showed a steady pulse in sync with the heart!

"What happened? Has the patient been saved?!"

Zhang Xin also asked in a hurry.

"Pulsations in the hard arteries of the brain indicate that oxygen and blood are entering the brain. I will look at the pupil again, and the pupil of the right eye has dilated and contracted. Now wrap the patient's wound with a towel to reduce bleeding. I will look at the situation of another patient .”

Chen Qun's heart was completely calm, as if he had fallen into a passerby's perspective, using purely rational thinking to deal with all the changes in front of him, without any emotion.

Zhang Xin quickly took off her coat and prepared to wrap up the patient.

An ambulance drove over quickly.

Chen Qun, who ran to the river embankment, saw that although the patient nailed to the iron fence was unconscious, the two wounds still did not show much blood, so he breathed a sigh of relief.

The three men carrying the patient asked loudly, "Doctor, do you want us to pull him out?"

Chen Qun's expression changed greatly in fright, and he stopped him quickly, "Don't pull it, it will cause heavy bleeding and secondary injury, you have to wait for the ambulance to remove the railing."

The emergency personnel who ran down from the ambulance didn't know how to deal with the situation in front of them.However, he recognized Chen Qun and hurried over to say hello, "Doctor Chen, let's send one back first, the one on the railing, wait for the second ambulance."

"Give me a breathing air bag!"

Chen Qun shouted quickly, knowing that the patient who was punctured behind was the biggest trouble.

The second patient was sent to the emergency center of the Red Cross Hospital half an hour later. Chen Qun frowned as he looked at the iron rod on the patient's body that had been cut off by electric welding.

Now the patient's pulse, heartbeat and blood pressure have been dropping, which is not a good sign.

Pulse oximetry dropped to 78 and oxygen saturation to 71.

Ding Hang had been waiting at the door, and there were several burly young men in straight suits standing beside him. Chen Qun's heart trembled when he saw it. Could it be that something happened to the patient, and the family members came to trouble him?

"Xiao Chen, thank you for your prompt craniotomy and decompression. The patient has passed the critical period..."

Chen Qun, who had been staring at the patient in front of him, suddenly changed his expression and yelled loudly, "Dean Ding, the patient has heart tamponade and dull heart sounds. A pericardiocentesis is needed. A 16-gauge needle and a 50CC syringe."

Ding Hang hesitated for a while, and opened his mouth to order, "Here we need an ultrasound system for key trauma assessment!"'

A skeleton diagram of the patient's body structure and blood vessels appeared in Chen Qun's mind. For some reason, he snatched the syringe handed over by the nurse and stabbed the needle obliquely into the patient's sternal xiphoid process.

Ding Hang's eyes flashed brightly, and his heart was full of sighs, as if he saw a figure he admired from him. Didn't you insert the needle into the patient's chest 20 years ago in almost the same situation and complete the pericardiocentesis?

What's more, my aunt's grandma has someone at her house, so she can bear the huge responsibility.This silly boy saved a lot of trouble!
(End of this chapter)