super anesthesiologist

Chapter 14 The Little Boy Run Over by a Truck ([-])

Hearing "car accident injury", Lin Xiaobei immediately felt bad.Such wounded are usually combined with multiple injuries all over the body, and the potential risks are hard to guard against.

"Get ready for room 18!" Liu Qin, the nurse in the operating room, came over and said, and then ran away with a speed comparable to that of Joyner, and disappeared after a while.

Lin Xiaobei took catkins and ran to Room 18 to prepare an anesthesia machine, narcotics and emergency medicine, laryngoscope, endotracheal tube and vascular puncture kit.

In less than a few minutes, the door of the operating room opened automatically, and an ambulance was quickly pushed in.

Lin Xiaobei looked at the wounded lying on the car, and after just one glance, he felt very bad.

The injured man's lower body was bloody and red.Moreover, it is still a little boy who is estimated to be around 10 years old!

"What's the situation?" Lin Xiaobei asked the emergency doctor.

"Run over from the waist down by a large truck."

"Hurry up and organize emergency consultations in chest surgery, general surgery, brain surgery, orthopedics, urology, and ultrasound!" Lin Xiaobei almost ordered Liu Qin, and at the same time called another nurse, Wang Fang, to draw blood samples for cross-matching.

The monitor was connected and the child was checked. He was pale, bloodless, and indifferent.

HR 155~165, BP 52/28.

The little boy has gone into hemorrhagic shock!
"Double infusion channel infusion, while taking Ringer, while infusing Wanwen, the maximum speed! Catkins, dilute the norepinephrine well, and pump up at a speed of 0.1~0.2ug/kg.min."

After a series of first aid measures followed, Lin Xiaobei had time to carefully examine the child's injuries.

His waist down to the base of his thighs had been crushed to pieces, the flesh and blood were turned outside, and the broken bones protruded from the inside. It was eerie, and one thigh even had only skin left to connect with the body.

Although a simple bandage had been applied, blood still leaked slowly from the wound, and the ambulance had become a blood trough.

"Collect this blood quickly!" Lin Xiaobei said to Liu Xu, "Push the blood recycling machine over."

The blood has been contaminated, but if the allogeneic blood supply is too late, they have to save lives first, and they are always forced to watch the patient die.

Of course, this is the last resort, because the transfusion of contaminated red blood cells is very likely to cause sepsis.

Liu Xu was motionless.

Lin Xiaobei felt something strange, turned his head and saw that the girl's face was paler than that of the little boy, her forehead was shrouded in white mist, and she was precariously standing beside him.

"Ms. Lin, I feel bad!" She said vaguely.

"Oops! I got bloodsickness at the critical moment." Lin Xiaobei was afraid Liu Xu would fall, so he quickly supported her, "Liu Qin, quickly bring a bottle of sugar (glucose)."

Lin Xiaobei helped Liu Xu to the side of the operating room and sat against the wall. At this time, Cheng Dewen and Wang Xuguang also rushed over.

"Watch her, don't let her fall."

Liu Qin is a very nimble little nurse. After a while, she brought a 100ml bottle of 10% glucose, opened it and fed it to the catkins.Gradually her face returned to rosy, she woke up and opened her eyes.

Lin Xiaobei saw that Liu Xu was fine, and turned his attention to the injured little boy.

Consulting doctors arrived one after another.

General surgery: the patient's abdominal organs are not ruptured;
Chest: chest auscultation is fine, no pneumothorax;

Urology: The patient's perineum is severely damaged, bilateral ureters are damaged, and urethral reconstruction is required;
Extracerebral: There is no obvious trace of trauma on the head, and the intracranial can only be diagnosed based on the results of CT examination.Judging from the current pupillary light reflex, brain damage is unlikely.

Ultrasound department: There is no sign of bleeding in the patient's abdominal cavity and thoracic cavity;

Orthopedics: The patient suffered from a comminuted fracture of the pelvis, and the right lower limb was broken from the root of the thigh.

Lin Xiaobei almost scolded: "Fart, don't move any of you until the blood comes."

Pelvic fracture, iliac artery rupture, such a patient who does not have enough blood transfusion to turn over the position is very likely to cause the patient to die of massive hemorrhage immediately.

What's more, this little boy is already in shock.

The blood gas monitoring results have failed to detect hemoglobin!
The orthopedic surgeons were very helpless, they knew that Lin Xiaobei was not making trouble out of no reason.

The effects of rapid infusion of volume expansion and vasoconstrictor drugs are still significant, and the vital signs of the little boy show: HR 130~140, BP 74/38.

"What's the matter with the blood transfusion department? No calls for half a day!" Lin Xiaobei asked Liu Qin anxiously.

In fact, it has only been 15 minutes since the blood sample was transferred, but the time is as long as millions of years.

The second hand seems to move slower than the hour hand.

"I'll call and ask!"

After a while, Liu Qin handed over the mobile phone, "The blood transfusion doctor wants to talk to you in detail."

"Hello? I'm Lin Xiaobei, an anesthesiologist. Please tell me what's going on!"

"It's like this. The cross-matched blood sample you sent is type AB. Our blood bank didn't have much stock in the first place, and we used some during the day today. Now there are only two units left in stock."

Lin Xiaobei was so anxious that he almost dropped his phone, "Two units? The patient was crushed and injured, and the blood in his body is almost drained. Two units are not enough!"

"Then I can't help it. I've asked the department leaders for instructions. Let's contact the city blood station as soon as possible and try to deliver it as soon as possible. How much do you want?"

Type AB is a rare blood type, and the blood source has been very tight.Of course Lin Xiaobei understood what he meant, but this child is urgent now, the sooner the better, "Prepare at least 10 units."

Children under the age of 10 generally do not have more than 3 units of blood transfusion, but Lin Xiaobei considered that debridement surgery would cause massive bleeding, so he asked for several times more.

"You first bring two units of red blood cells, and then add 500ml of plasma, thank you!"

After Lin Xiaobei communicated with the blood transfusion department, he glanced at Liu Xu sitting by the wall, and her expression almost returned to normal.

"Is it better?" He walked over and asked.

"Almost." Liu Xu nodded.

"Okay, you help me keep an eye on the monitor, I'm going to talk to the patient's family and sign." The reason why Lin Xiaobei asked Liu Xu to continue monitoring is to help her overcome her psychological barrier.

Sickness is a hurdle that almost all medical students will encounter when they first enter the clinic. It is like a child with smallpox. If you survive it, you will never have it again in your life.

Liu Xu tremblingly followed him to the workbench of the anesthesia machine, and deliberately closed her eyes when she saw the little boy's body.

"It's okay, just take a few more glances and you'll get used to it." Lin Xiaobei encouraged.

Liu Xu still didn't dare to look directly at her, she took a peeping glance and quickly looked away.

Lin Xiaobei wished he could turn her head around and let her stare directly at the wound.If you don't even have this courage, how can you become a doctor in the future?
After trying several times, Liuxu gradually became more courageous and could wait and see calmly.

Lin Xiaobei felt relieved, and said, "Pay attention to his blood pressure."

He took the informed consent form for severe illness and anesthesia, and walked to the door of the exchange room. The partition wall is the waiting area for family members.

Before the door was opened, there was a lot of noise outside, mixed with heartbroken cries.

Lin Xiaobei sighed secretly, stepped on the sensing area, and the door opened automatically. He was afraid that people outside would not be able to hear clearly, so he shouted: "Who is Wang Yuzhe's family?"

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(End of this chapter)