super anesthesiologist

Chapter 112 30 volt electric injury ([-]) (Please subscribe, please collect, please recommend, thank you)
At ten o'clock in the evening, Li Xiangneng was still drinking with his colleagues.

I'm so happy, the bonus has been issued.Even if he has not yet become a regular, his income is higher than the average person, and not only a little higher, but more than twice as high.

No wonder everyone says that the power system is a good unit, it really is a good unit!
Li Xiangneng was originally an electrician in the following counties and cities. He was transferred to the city's electric power group through his connections. He has worked for less than half a year and has not yet become a full-time employee. He is in the "observation period."

"Xiang Neng, you are on duty today, drink less." A colleague reminded.

"It's okay, how much did you drink just now? It's less than two bottles. I'm not bragging to you. If you don't check for drunk driving, I will still drive after drinking three bottles." Li Xiangneng continued to greet everyone with a cup.

At this time his phone rang, it was the leader of the supervision room.

"Xiang Neng, a few dead birds were found on a high-voltage line on Chaoshan Road, you go and deal with them."

"Okay, got it, I'll go right away." Li Xiangneng hung up the phone and said cursingly, "Fuck, what's the matter with this time, can't you do it tomorrow?"

He got up and said to a table of friends: "Brothers, you drink first, I will be back in a while."

Among the colleagues, some were more cautious, stood up and said, "Xiang Neng, does it matter if you drank?"

Li Xiangneng patted his chest nonchalantly: "It's okay, I'm awake! This little wine will be gone when the wind blows outside."

Colleagues all know that he has a heavy drinking capacity, so they are relieved to hear him say that.

"Then be careful!"

Li Xiangneng rode his motorcycle to the company to report the incident, which was a section of road near the suburbs.

This is a high-voltage transmission line. On the middle section of the transmission line of the steel support, with the help of lights, you can see the corpses of birds hanging on the wires. Two or three can't be distinguished in the night.

He muttered, parked the car, put on insulating clothing and a safety rope, and slowly climbed up from the bottom of the support.

Although he was drunk, it had no effect on Li Xiangneng's movements. He quickly climbed to the fault position.

Through the headlights, it turned out to be three birds lying on the wires, their bodies charred into black charcoal.I don't know why these birds can't think about it. If they want to bump into this wire, they are looking for death and don't look at the road. This is 30 volts, and it will turn into ashes when touched.

Li Xiangneng can be transferred from the bottom, the technology is no problem, and dealing with these failures is his forte.

Maybe it was because he was too happy to get the bonus today, maybe he didn't notice Jiu Jin unconsciously.He didn't pay attention to the most basic principle of "insulation" in dealing with these faults. When he was handling the second bird's body, he waved his hand and accidentally touched the wire under his sleeve.

With a "boom", a huge fireball exploded, and a red fire dragon pierced through his elbow. Li Xiangneng didn't even utter a scream, and fell directly from the bracket...

When Lin Xiaobei saw the wounded transferred from the emergency department, if he hadn't been informed in advance that the injury was caused by electric shock, he would have thought it was dragged from a coal mine.The wounded man's face to arms were all black...

Lin Xiaobei got a general idea through the report of the two accompanying colleagues.

It turned out that after Li Xiangneng left, his friends were still worried, and finally appointed two young colleagues to follow him.As soon as the two arrived at their destination, they happened to meet Li Xiangneng falling from the bracket with a bolt of lightning.

Fortunately, Li Xiangneng's fall was not on the concrete ground on the highway. He fell on a bush on the grass on the other side and then rolled down.

Connected to ECG monitoring, this person's life is really great! Injured by 30 volts of electricity, his right upper limb and right face, including his right eye and right nasal passage, were all burned to black charcoal.And he still had vital signs, and the electrocardiogram showed only sinus tachycardia.

The operating room was filled with a disgusting burnt smell.

Lin Xiaobei asked Liu Bo to talk to the patient's family and the leader to sign the agreement. He was in charge of anesthesia and rescue.

Since Li Xiangneng was completely unconscious, he did not need any sedation and analgesia for endotracheal intubation.He is also a patient with a full stomach, and vomiting and aspiration must be prevented, so he cannot be easily given a loosening agent.

"Ms. Lin, let me do it!" Just as Lin Xiaobei was about to perform tracheal intubation, Liu Xu's voice suddenly came from beside him.

Lin Xiaobei secretly wondered how she could suddenly appear out of thin air, but there was no extra time to talk nonsense at this time.

He made a preliminary judgment that this patient did not have a difficult airway.

For such a rare electric injury patient, it is a very rare learning opportunity for Liu Xu to quickly establish respiratory support.

Lin Xiaobei handed the laryngoscope to Liu Xu, and at the same time reminded: "The patient has a full stomach, pay attention to his vomiting and aspiration."

At the same time, he prepared the suction device next to the patient's head.

Fortunately, Liu Xu's endotracheal intubation was successful once.

I don't know how the electric current goes in the human body. This electric current enters from the elbow of Li Xiangneng and passes out from his right eye. The muscle tissues along the way are all burned to black charcoal, but the area around the mouth is intact.

This is very beneficial for anesthesiologists, because the airway can be managed intact, including fixed endotracheal tubes and upper gastric tubes.

It was probably because he had never seen such a strange injured person, or it was probably because his whole body was swollen after being injured by an electric shock. Li Xiangneng's blood vessels were very difficult to find.It took a lot of trouble for Liu Qin and the others to establish the infusion channel.Finally, under Liu Xu's guidance, I managed to get a small needle on the instep.

Such an infusion rate is not enough at all.

After the high-voltage electric injury, Li Xiangneng had serious follow-up symptoms, one of which was exudation.

This is when a lot of fluids are needed.

At the same time, Li Xiangneng's right extremity, including the necrotic tissue on the right face, must be removed in time, otherwise a large amount of toxins entering the body will soon cause sepsis.

The surgeons are teamed with orthopedic and hand surgery, ear nose throat, ophthalmology and plastic surgery.Considering the extent and location of the necrotic tissue, the hand surgeon performed amputation first, directly amputating the patient's upper limb from the shoulder joint, and at the same time, the ophthalmologist removed the necrotic eyeball and dealt with the burned orbital.

On the anesthesia table, Lin Xiaobei led Liu Xu to observe changes in the patient's vital signs and prepare for major rescue at any time, while starting the left internal jugular vein catheterization.

Generally speaking, the internal jugular vein catheterization is done on the right side, but in this case, the operation area is all on the right side. In order not to interfere with the operation of the surgeon, Lin Xiaobei chose to puncture on the left side.

And Liu Qin and the others hurriedly drew blood to collect various blood samples.

Everyone is busy but not chaotic.

"Notify the blood transfusion department to prepare at least 2000ml of blood."

Lin Xiaobei said to Liu Qin while piercing the internal jugular vein.Catkins very cooperatively touched the radial artery in Li Xiangneng's left hand, ready to puncture to establish the artery detection.

"Ms. Lin, I can't feel the pulse!" she said.

(End of this chapter)