Great doctor starts with adding points
Chapter 234 Dawn and Darkness Are Intertwined (Subscribe)
"Then I step down?"
"There was a second collapse over there. I have to go to the scene." Radar summoned Yang Xianming and asked.
Yang Xianming has to be responsible. Even though he is a student, he may be capable enough to join the medical team, so he has to learn to take responsibility. One radish is one hole. On-site first aid is not a joke.
The current situation is that after Yang Xianming opened the abdominal cavity, he found blood in the arteries and felt that it was beyond his ability, so he asked for help. Radar Zhao must come up to help, and shake people at the same time!
If Wu Xie and Yang Xianming can't do it, he will call someone to come, and if he can, he will leave.
Don't be suspicious, don't be suspicious!
Especially at critical moments.
Yang Xianming nodded: "Director Lei, I think we can."
Yang Xianming believed in Wu Xie's strength, and even blindly clamped the brachial artery with small incisions. Now that the artery is ruptured, Wu Xie can definitely handle it.
"However, we only deal with the problem of blood vessels. After the treatment is completed, we will hand it over to Director Yu immediately." Yang Xianming explained to Radar.
Specialist treatment, Yang Xianming came here to deal with vascular surgery problems, not all, other problems, Director Yu will deal with them!
He won't do everything.
Radar didn't talk nonsense, he threw the surgical instruments on the table, took off his gloves urgently, and ran out after taking off his clothes.
He is the commander-in-chief of the medical team, and if he didn't rush to the scene immediately, it was actually a certain degree of dereliction of duty!
Logically speaking, he shouldn't even appear on a certain operating table!
But in an emergency, you can participate in first aid or go to the scene to support without delaying the dispatch work!
Radozhao jumped down, as if he had sprained his ankle, but he started running wildly with only a sound.
After just a few steps, the traffic police found him and drove him to the scene on an iron horse...
After Wu Xie washed his hands and disinfected them quickly, he immediately put on his clothes and sterile gloves, and went to the stage.
This is a simple operating room, so there should be rules in the operating room, and if conditions permit, it must be strictly aseptic!
Yang Xianming hurriedly said: "Wu Xie, I am stopping the bleeding with my bare hands. What you have to do is to find and suture the left common iliac artery!"
Yang Xianming explained the task like this.
Wu Xie just tied the artery before, but that was the task of first aid on the spot, and it was not enough to do such a small operation in the operating room.
At the same time, Director Yu continued to use the suction device to suck up the blood and water as cooperation and said: "We need to speed up, the patient has a rupture of the common iliac artery and damage to the mesenteric artery."
"We have to give us some time."
Wu Xie quickly responded, "Okay."
Immediately switch to the chief surgeon position. Radar Zhao is the commander-in-chief of the medical team. Wu Xie was called by him. By default, Wu Xie has the operation authority!
If there is a problem, Radar will be responsible for explaining it.
"Vascular forceps." Wu Xie came to the operating table and subconsciously called out.
"Nurse without equipment, take it yourself." Director Yu shouted across the way.
What are the conditions now? I don’t have such a family background!
Wu Xie glanced at it, quickly took the vascular forceps in his hand, and asked, "Is the rupture of the common iliac artery unilateral or bilateral?"
"Left!"
"For the time being, we can only confirm the left side." Yang Xianming didn't know either. After he opened the abdominal cavity, the blood was rushing. Before he had time to find the location of the breach, he directly grabbed the abdominal aorta.
Now I dare not let go!
"good."
Act urgently! The reason why the emergency department is an emergency department is that there is not so much preparation. When all the preparations are done, it is actually a sub-emergency department, not a real emergency department.
When the vascular clamp was in his hand, Wu Xie immediately inserted it deep into the abdominal cavity, and immediately passed three silk threads along Yang Xianming's hand, and then the vascular forceps in his left hand clicked, clamping the ends of the silk threads.
Pull back.
After quickly tying three knots with one silk thread, it was repeated three more times!
"Okay, you can let go of your hands." Wu Xie twisted the three strands of black silk thread, and told Yang Xianming that this could be regarded as liberating his hands.
Yang Xianming was slightly taken aback.
"Did you puncture the abdominal aorta?" Yang Xianming's tone was very unnatural.
The same goes for Director Yu and his assistant on the opposite side!
Yang Xianming's hand was doing bare hands to stop the bleeding. The best way to free Yang Xianming was to deal with the abdominal aorta first.
Could it be that they couldn't think of such a direct and simple way of handling it?
Not!
But such an operation is very difficult!
Expert-level skills may not be uncommon in provincial and municipal hospitals, but in Enzhou, not many people know it!
Yang Xianming's hand went deep into the abdominal cavity, which already covered the position, and he is still a human being, not just a simple hand, which cannot be broken and folded!
How to wrap the silk thread around his hands to wrap around the abdominal aorta is a problem, and how to tie the knot after wrapping is also a problem.
It's not that I don't know how to operate, but that I can't operate.
Simple blood vessel sutures can be done by everyone, and no one is a vegetarian if he can be a director.
Within a minute after Wu Xie came to power, he solved the problem that had troubled Radar Zhao and Director Yu for several minutes.
This is the operational dimensionality reduction blow.
"hold head high!"
"You can let go. Give me some space." Wu Xie entered the state, and gently tapped Yang Xianming's radial styloid process with the hemostat, without looking up.
Yang Xianming felt a little pain, so he let go of his hand quickly!
Sure enough, I didn't find the blood rush that the aorta ruptured before!
The rupture of the small artery is bleeding, and the rupture of the large artery is direct bleeding!
But this is natural in the concept of hematoma evacuation (blood pushing). How can there be blood in the distal end after the proximal artery is punctured?
This doesn't make sense in physics.
Wu Xie quickly picked up the suction device, and used the suction device to rummage in the abdominal cavity to find out the shape of the blood vessels.
high speed!
And it is more beneficial to rummage with an aspirator.
Can suck clean blood, expose a clean field of vision to find the location and breach of blood vessels—
The common iliac artery is just ruptured, not broken...
Seeing Wu Xie's skillful operation, Yu Xiangping couldn't help complaining: "Didn't Dr. Wu Xie never go into the abdominal cavity?"
Although it is a question, it is actually an emotion!
Does this look like it hasn't entered the abdominal cavity?
Wu Xie didn't reply, to avoid wasting energy and time.
The vascular forceps on the right hand have already pried out the common iliac artery. When I turned it carefully, I saw a long strip of opening.
Wu Xie breathed a sigh of relief.
"Blood sutures." Wu Xie asked Yang Xianming.
Race against time, he does not ask the name.
The abdominal aorta is cut off, which is not a good thing. Every second is dangerous.
"Yes, it's your starting position." Yang Xianming hurriedly replied.
The abdominal aorta was tied, but the source of the mesenteric artery was not the same as the abdominal aorta, and the patient still had bleeding!
There is still a risk of shock.
"Here!" Yang Xianming gave the things to Wu Xie.
The moment he got the vascular suture, the expert-level vascular suture began to start at full speed, just like a small motor!
Even though Wu Xie felt that the instruments in the simple operating room were not as easy to operate as those in the operating room, in the eyes of others, Wu Xie's speed was still terribly fast.
And the effect after stitching?
Pretty amazing!
In less than three minutes, Wu Xie completed the stitching.
When Yu Xiangping and Yang Xianming were still looking at each other, when they were looking at each other.
Wu Xie actually pulled out the external iliac artery again, found the opening, and started to sew it up!
Yang Xianming felt that his hand had been slapped. It turned out that he wasted time looking at each other and didn't open up his art field well.
Yang Xianming hastened to get down to business.
Wu Xie sewed very quickly, two minutes later, after finishing the last stitch of thread trimming.
The right common iliac, internal iliac, and external iliac arteries were carefully explored.
Then he pulled up the abdominal aorta that was punctured before, and said: "The aorta has been probed and sutured, and the blood supply has been restored!"
"Okay!" Yang Xianming nodded like a tool man, his scalp tingling slightly.
He thought he could solve the problem, but when he arrived at the scene, he realized that it was beyond his ability. He didn't expect his classmate to turn the tide!
Why is Wu Xie so omnipotent? He can do vascular surgery too.
Is he in emergency surgery or am I in emergency surgery? Yang Xianming's mood flickered.
Wu Xie quickly cut off the silk threads that had tied off the artery one by one, without damaging the adventitia of the artery. After the blood supply was restored, there was no bleeding at the previous cut location!
Everyone breathed a sigh of relief, and Wu Xie immediately took a small step back.
Said: "The main artery has been dealt with, and other positions, Director Yu and you will have to work hard."
Wu Xie really doesn't know how to do general surgery!
Get out of the way.
"Okay! Thank you, Dr. Wu." Yu Xiangping sighed from the bottom of his heart, moved directly from Wu Xie's overhand position to the position of the chief surgeon where Wu Xie was standing before, and said to his assistant: "Come and continue to investigate, you explore the right side , I'll check the left side and get the bleeding done as soon as possible!"
Yang Xianming still didn't move, and continued to work as an assistant...
The mood is still a little messy!
I misjudged my strength and almost killed the patient. Although it was an emergency, there are no professional vascular surgeons here.
But if Wu Xie hadn't arrived in time, the consequences would have been disastrous.
For this kind of thing, Yang Xianming felt that he was ashamed, and it was because of his lack of ability!
"Director Yu, I am returning to the team. I am following Director Zhong." Wu Xie said after stepping off the stage.
He came to the medical vehicle because he was temporarily transferred by the director of Radar Zhao, and he still belongs to Zhong Ying's medical team.
After the operation is over, everyone has to go back to their respective positions.
"It's hard work, Doctor Wu. After you go out, ask if there is a comrade from the traffic police to take you in, which can save time." Yu Xiangping suggested to Wu Xie.
Wu Xie is very capable.
He also knew that there must be something wrong inside. Just now, when the radar summoned was still there, the intercom said that it happened twice...
My own position is a medical vehicle and an operating room, where patients and emergency operations may be received at any time.
If he can't go, it is his mission and battlefield, which is to save all the people sent here, and it is best not to die!
But Wu Xie and even Yang Xianming don't belong here.
But Yang Xianming definitely needs to take a break. This is a young man with great courage, stability, and excellent skills, but he is slightly lacking. Just being able to drive into the abdomen without any surprises represents his ability.
The panic that followed represented his ups and downs.
While taking off her clothes, Wu Xie jumped out of the car, tore up the disposable sterile surgical gown, threw it into the trash can above the car, and walked away.
When walking further inside, Wu Xie didn't call the traffic police!
Because the traffic police comrade is also very busy now, he is not only responsible for diverting other private cars that occasionally pass by, but also responsible for smooth roads for transferring patients, and is also responsible for dispersing curious people who eat melons.
Some people eat the melons of first-hand information, and after gaining a lot of fans, they are not satisfied with just taking pictures and videos in their living areas, and simply go straight in and start reckless, hoping to get first-hand exclusive information.
After all, there are a lot of people who are paying attention to this matter.
There are not a few people like this, who think they are exposing the truth, but they don't know that they are eating human blood and ignorance!
Wu Xie saw at least three people, who were chased by the traffic police and civilian police, and detained.
At the beginning, I gave a pair of silver bracelets without showing any sympathy.
Finally, someone saw Wu Xie trotting inside, wearing the uniform of the medical team.
A traffic policeman in green fluorescent clothes was the closest to him, riding a motorcycle with flashing lights: "Doctor, do you want to go in? I'll see you off."
It's like a motorcycle that attracts customers.
"Thank you!" Wu Xie climbed onto the motorcycle without being pretentious!
But after driving for half a minute, the car couldn't get in!
There are a large number of firefighters gathering ahead.
It seemed that someone like the captain was speaking.
Wu Xie was put down, and the traffic policeman kindly explained: "This is a member of the medical team who just got off the medical vehicle, and he wants to go in."
The lecturing firefighter gave way a little to let Wu Xie pass.
The leader of the team shouted: "Are you afraid?"
"Just now our brother is injured and may die!"
"Don't be afraid!~" A group of young men shouted, the sound made Wu Xie's eardrums jump.
They left an empty path on both sides of Wu Xie, and their voices directly penetrated Wu Xie's whole body.
Wu Xie only needs to turn his head, and he can see that each young man is younger than himself, and they are all flesh and blood. Everyone is different. Although they wear firefighting clothing, they are not firefighting tools.
Each of them is different, and they even look extraordinarily young and young.
Wu Xie is twenty-seven this year.
Their average age is twenty-two, so there is a generation gap between them. Belonging to the generation of their own brothers and sisters.
What I have to face is to save the life and death of others, and what they are facing is their own life and death.
Wu Xie's heart moved slightly.
I feel a little annoyed.
At this age, I am still in college, although I have no memory of college...
"We went, people might die."
"But if we don't go, people will definitely die, and more people will die."
"So we need to go and they need us to go."
"Set off!"
The leader gave an order, and the group of people started running!
Of course, they were just trotting, so they couldn't catch up with Wu Xie's speed. It's just that the uniform footsteps made Wu Xie's heartbeat running in front of him follow in unison.
Heavy, dull.
It seems that they don't have many reasons, just because of need.
Fear of death these two words!
Who is not afraid?
"Bless you, lads."
Wu Xie ran away!
I finally saw the place where the medical team was stationed, and began to rescue a new round of wounded. Most of them were the firefighters who went up to rescue people before, and there were a few members of the medical team who were performing cardiopulmonary resuscitation on the scene. The blood seeped through the green clothes and soaked into black...
Wu Xie stopped, but the two fire brigades nearby did not stop.
Move on, bypass the cordon in front of the medical team, and rush in.
After the second accident, the station of the medical team moved back.
But someone's resident has never moved back.
finally.
At this moment, in the eyes of other people, the members of the medical team are human beings, and they are no longer gods in the hospital! They deserve to be omnipotent, and they deserve to be incurable.
But to another extent, they are actually living people.
One nose two holes!
A pair of eyes and an ear, a person who needs to eat with his mouth, bleeds when a clock is broken, and hurts when he is smashed!
It is also part of the people.
but?
At this moment, Wu Xie really hoped that they would stop treating the members of the medical team as human beings. When they don't treat the medical team as human beings, it must not be the time of an accident scene or a large-scale emergency rescue.
Because many people have crossed the cordon and stood inside at this moment.
This made Wu Xie truly understand a sentence——
Where is the time that is quiet and good, but someone is carrying the weight for you to move forward.
thank you all.
Wu Xie returned to the team and found his medical team.
There were two people missing!
He, Wu Xie, is here, and there are only three of them.
Zhong Ying, Liu Quan, and Wu Xie.
The person they are rescuing now has a headache hematoma, at least on the surface, it only looks like a headache hematoma.
It was a firefighter, he was lying on the ground, watching his partner rushing in, tears could not be stopped, he even ignored Zhong Ying's persuasion to look in that direction.
Zhong Ying saw Wu Xie and said, "Come here and help with bandages! Hematoma on the head, abrasions on the left lower limb, check for any fractures."
Then he patted his face: "Young man, don't get excited, don't get emotional!"
The young man grinned and shook his head, his consciousness returned to normal, his eye circles were still red, and he murmured, "They're on vacation!"
Wu Xie checked his limbs one by one!
While bandaging the hematoma on the head, Zhong Ying and Liu Quan said, "I'm injured, why do you think so much?"
"A good rest is your next task." Zhong Ying said to the young man.
Zhong Ying herself doesn't have much idea about vacations!
After bandaging, his eyes kept staring into the distance, ready to receive rescued people at any time.
While saying: "Someone has to take a vacation, and someone has to work!"
"I have caused you trouble." The young man was a little embarrassed.
"You doctors also have a lot of injuries?" he asked.
"Two people from our team were injured very lightly and went to rest. The same goes for you."
Having said that, Zhong Ying was afraid that the young man would misunderstand, and then said: "Doctors who work with injuries are disrespectful to patients, just like you who work with injuries are disrespectful to your colleagues!"
"Take a good rest this time, if you have a task next time, can you?"
"No. It's better if you don't have any missions." Zhong Ying responded immediately, smiling like this.
The young man is an experienced person, and said: "The things that your doctors don't start are all small things!"
"The situation of sending patients to the hospital is compared to sending doctors out of the hospital?" The young man stopped talking in the middle of the sentence.
"Send the stretcher, Director Zhong!"
"The physical examination can't find a fracture, so go to the hospital for a systematic examination!"
"In order to avoid any sequelae later on." Wu Xie said.
Human beings are definitely not as sophisticated as machines, and machines are tools.
"Okay!" Zhong Ying nodded, and recruited two stretcher teams from a distance to carry the man away.
"I can walk by myself, I just need to walk out by myself." The young man still wanted to get up.
However, he was suppressed by Zhong Ying: "No, you are a patient now, you have to listen to me."
"Otherwise I will sue you for not cooperating with my work." Zhong Ying threatened.
Delayed cerebral hematoma, or delayed rupture of the liver and spleen, in case it happened while he was walking!
That person may be gone.
He can be ignorant, but Zhong Ying can't accompany him to be ignorant. Threats are worse than detailed explanations.
At this time, if Zhong Ying really reported it, she could really report successfully.
Regardless of his struggle and refusal, he was carried out on a stretcher, and he also said: "I can walk by myself, me."
But no one paid him any attention.
His little hasty expression is a little cute...
Before Zhong Ying, Liu Quan and Wu Xie had time to watch for a long time, a patient was carried out immediately!
After the commander-in-chief communicated with the medical team, Zhong Ying responded that their medical team is temporarily free.
Quick two-way approach.
After approaching, Wu Xie found that the young man who came out had a bumpy helmet, was unconscious and didn't respond.
"Measure your blood pressure, lie flat and let me check your breathing and pulse."
"Wu Xie, do pupil light reflex!"
Wu Xie started the operation on the spot without waiting for Zhong Ying's order.
"Let's back up a little bit more? We'll help you carry the man back." Seeing Zhong Ying and the three of them push the man down at the cordon, the two firefighters in white helmets said.
"Don't move, move to the side, I'll..."
Wu Xie interrupted him: "The light reflex is slow, the pupils have shrunk, and there is a small crack in the head."
"There is an intracranial hematoma. Director Zhong."
Zhong Ying also hurriedly said: "The breathing is shallow and slow, the pulse is not clear, the heartbeat is accelerating, and there is no electrocardiogram. I must send it to the medical vehicle immediately."
"Wu Xie, you follow all the way, ready to do CPR at any time!"
"Pick it up, let's go, hurry up." Wu Xie walked!
While asking Zhong Ying: "Director Zhong, is there any emergency equipment for craniotomy?"
"It might be on the medical vehicle," Zhong Ying said.
The medical cart only has the corresponding surgical instruments, and not all operations can be performed as long as it is a medical cart.
"Okay!" Wu Xie was almost sure that he had an epidural hematoma.
Epidural hematoma is more terrifying than intradural hematoma, and brain herniation can kill people at any time.
"Stretcher, stretcher, come here." Wu Xie didn't bother to call the teacher anymore.
The two boys hurriedly said, "Is the situation urgent?"
"It's very urgent, we have to send a medical vehicle right away." Wu Xie said, and then watched the green clothes put the stretcher on the ground. After the two firefighters carried the man up, they immediately picked up the stretcher and planned to run out quickly .
Don't wait for Wu Xie.
Wu Xie hurriedly grabbed a person and said, "I'll control the speed, this one can't be bumped casually. It's not so urgent to be anxious."
Well!
Lift up and run.
If on-site emergency rescue is all about running fast, then all emergency doctors should practice the 100-meter race! rather than medical technology.
If you have no experience in playing with stretchers, how can you play if you bump people off?
The two firefighters took two steps, put down the stretcher and handed it to Lu Yi, and then walked away.
Zhong Ying and Liu Quan looked at the two firefighters as if they were a bit lost, and they were rubbing the back of their heads.
Zhong Ying explained: "There is a specialization in the surgery industry, and the people in it will be handed over to you. When the patient comes out, let's leave it to us!"
While talking, another person was rescued, and the painful cry broke the silence around him.
"It hurts! It hurts so much!~" The cry was heart-piercing.
His limbs were covered in blood.
And blood is constantly oozing out!
Seeing this, the faces of Zhong Ying and Liu Quan changed quickly, and Zhong Ying shouted: "Wu Xie, come back!~"
"Liu Quan, go after that patient right away and bring Wu Xie back! I think this patient will be more troublesome. Wu Xie is from the Department of Orthopedics." Zhong Ying was afraid that Liu Quan would misunderstand and explain more.
Liu Quan ran away immediately after hearing this, without any hesitation.
Decisive, straightforward, not entangled.
It will always be the only criterion for this time node.
Forbidden.
Wu Xie's expression changed when he heard Zhong Ying's shout!
He was also worried about the safety of the fireman, but he immediately turned around and ran back!
Zhong Ying is the captain.
He has to obey orders too!
When he arrived at Zhong Ying's place, Wu Xie saw that the young man's limbs were bloody and bloody, and found that his left calf, left forearm and upper arm had a lot of damage.
And it's still the kind of bloody, meat strips hanging upside down.
This TM is a human being, not a machine!
The body is turned like this, no wonder it doesn't hurt!
His expression changed immediately, and he hurriedly said: "Put it down, put the person down first, don't lift it up!"
"Go over there, there are some small splints at the corner over there, fetch them." Wu Xie ordered the two firemen.
"Ah?" The two firefighters were a little confused!
They still want to go in to save people, Wu Xie asked them to get things?
"One of us is about to be rescued."
"There is a small temporary splint over there." Wu Xie said.
Zhong Ying stood up: "I'll go get the bandages and gauze!"
Now there are only two people in the team, and the others have been separated, but two people have to save people!
"Is there no one else? This must be dealt with immediately? Can you help me find someone to pick up the things?"
"I can't go away." Wu Xie said eagerly to the two firemen that he couldn't get it himself!
been running around.
Although the small splint over there looks crude, it is also very useful.
"I'm going to find someone! Doctor, save him first." One of the two firefighters hurried back!
Repeat again: "I'll go find someone, you save first!"
There was a lot of mud and blood from scratches on his face.
Immediately, Wu Xie didn't care too much, and directly cut off the patient's clothes violently, and temporarily filled the opening first!
House seemingly endless rain!
This patient, in addition to being damaged!
There are also sharp fracture ends, which are very easy to cause secondary damage!
Moreover, the fracture end happened to be hovering near the artery, and it might send him away at any time.
And at this moment, the patient who was still yelling before had become extremely calm at this moment.
Wu Xie knew that he didn't become calm, but because he had lost too much blood just now, he passively became calm——
This is called mental indifference in medicine.
He's in shock.
The section just brought up is still too unprofessional!
Such patients are best treated on the spot.
But there are no professional medical team members inside!
Another person was sent out. Seeing that Wu Xie was blocking the way here, the gap in the cordon was slightly moved.
It's just that Wu Xie can't care so much at the moment, the patient has two arterial injuries, and it's still on the same side!
This is a bit of a stretch.
However, soon, Wu Xie saw Zhong Ying coming back.
"Director Zhong, hurry up and press down on the place where I'm holding down. If there is no condition for blood transfusion, he may not be able to save it..." Wu Xie was a little anxious. He lost too much blood, so he just simply pressed to stop the bleeding. , may not achieve the effect of hemostasis.
While Wu Xie was still talking, he saw that this patient, even after his expert-level withdrawal, fell over!
"There should be invisible blood loss!"
Then Wu Xie saw that his belly began to swell slowly...
Spleen rupture!
Liver rupture?
In fact, there was a rupture in the first place?
Zhong Ying originally planned to perform cardiopulmonary resuscitation, but the premise of cardiopulmonary resuscitation is that the circulating blood volume is sufficient. What is the situation now?
People are dying at a speed visible to the naked eye! ! !
More than forty seconds is enough to take a life.
Dozens of times, or even a hundred times, a thousand times of forty seconds, may not be able to save a person.
Wu Xie looked at Zhong Ying, hammered the ground with his fist, and said, "Director Zhong, the way out was bumpy!!!"
Zhong Ying immediately took out the walkie-talkie and said: "Report to the commander-in-chief, I think our medical team should enter the scene for first-line treatment and treatment. The patient I just received had aortic hemorrhage and organ rupture!"
"Blood loss is too fast after the jolt!~" Zhong Ying's expression was serious, and her voice was undeniably calm.
...
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