Great doctor starts with adding points

When there are enough people, it will add to the chaos.

Only ten seconds later, Radar shouted again: "The injury is not serious, take it away quickly!"

"Everyone help!"

The "lift away" here is really "lift away", not other meanings.

The members of the first aid team hurriedly used their strength as a support point, and the firefighters exerted force from all directions, and the wounded were lifted out horizontally.

The power of many people is perfectly interpreted at this moment!

Seven or eight people carried the injured strong man out and put it down like a play.

As soon as the person landed, the members of the medical team checked each other, and the voices were decisive and calm:

"Pupils are normal! Consciousness!"

"Contusion of extremities, oozing blood! No arterial blood loss."

"Abdominally soft, without a flat belly."

"Breathing is generally normal!"

The four of them completed the specialist examination one after another, and the team leader immediately said:

"Take it away! Transfer it to the nearest place! Monitor vital signs at any time, pay attention to rehydration!"

There is great power in numbers!

It's not just about carrying people!

Supporting medical teams from surrounding counties and cities have arrived, and the specialists in each specialty are relatively wealthy!

The initial screening can be completed within ten seconds, allowing patients to be diagnosed and transported in the most timely manner.

The screening work is more meticulous. Severe cases go to large hospitals, such as Minda Hospital and the People's Hospital of the State, and mild cases go to the nearest private hospital or community health center.

This is the advantage of having a large reserve of human resources.

People are being carried out to fly...

Seeing this, Yang Xianming opened his chin with one hand, and his neck with one hand, twisted and made a clicking sound: "It's better to have more people!"

"If there were such abundant medical resources in the first place, at least two or three deaths would be avoided!"

"Unless everyone is self-medicating, the professional barriers in the medical industry are too great."

After Wu Xie returned, he asked in a heartbeat, "Did you come here at the first time?"

"When I arrived, there were still two nurses on vacation!"

"Three people lost their vital signs, and six people were lying on the ground panting."

"Those three people may have been rescued by cardiopulmonary resuscitation on the spot, but I only had time to deal with four of the remaining six people. The other two." Yang Xianming did not elaborate.

"Enough!" Wu Xie gave him a thumbs up!

Man is not a god, how many nails can he drive with iron all over his body?

Rescue one by one, pick up the easy ones first, and save time.

It would be irresponsible to save a severe case and delay a mild case to death.

The two started to walk around the crowd: "If you're not here, you might not be able to survive alone."

In order not to block the way, Yang Xianming and Wu Xie took several steps back in a proper manner!

If there is no task, don't block the space.

The two just sat down.

A voice came from inside: "No, the pulse is weak, we can't wait any longer! We must open the abdomen on the spot to stop the bleeding!"

"Take something!" Someone immediately began to respond.

The sound of tearing open the simple debridement package was quite ear-piercing.

Can? The injured man was conscious, and when he heard that he was going to be operated on, he burst into tears in fright!

It was crying, and I could clearly feel the prelude before crying.

When crying, the pressure in the chest and abdominal cavity will change dramatically.

When the chest and abdomen began to rise and fall, the steel bars embedded in the abdomen were fixed externally, piercing in and out with the rise and fall of the abdomen!

Mottled with blood in an instant!

Fresh oozing blood mixed with blood scabs.

Under the stress of pain, she screamed heart-piercingly.

"It hurts!~"

"Ah!~"

Seeing this, the scalp of the medical team member closest to the girl felt numb.

Scolding: "Don't cry! The more you cry! The faster you die!"

He put it bluntly.

She suspected aortic injury. It's okay if a person is in a coma, at least he won't be emotional.

Without moving the steel bar, it will not cause heavy bleeding in a short time!

But once the emotion is aroused, the steel bars inserted into the body move away.

The mouth of the aorta is exposed!

"Pain!~"

"I'm in so much pain~" The woman's voice gradually became blurred!

The cries and sobs never stopped, and they continued, mixed with fear and panic about facing death.

"Pain!~"

"Ugh, it hurts~"

"Yang Xianming!~"

"arrive!"

Yang Xianming rushed over when he heard the words, and now he simply put on his gloves and squeezed one person away with his butt.

After opening the mouth, he burrowed into it like a rabbit! Wu Xie is on standby behind him at any time!

Calmly wearing gloves without saying a word.

When Yang Xianming came to the girl, he asked, "Where does it hurt? In the abdominal cavity or on the skin?"

Pain in the abdomen is innervated by visceral nerves, and external pain is innervated by spinal nerves, and the two are completely different.

In the sober ward, patients may not be able to distinguish clearly.

"It hurts, I don't know!"

"I'm in so much pain, help me, I don't want to die..." The girl's voice gradually weakened.

After carefully observing the girl's expression, Yang Xianming said, "I'll anesthetize the superficial cutaneous nerve first, and the inexplicable pain is probably visceral obstruction pain."

After finishing speaking, regardless of disinfection, Yang Xianming picked up a simple syringe and went down the midaxillary line, performing nerve blocks one by one!

Without what Pichu said, there is no principle of slow needle insertion!

The needle tip just slightly broke the surface of the skin and went down a little, and then decisively injected anesthesia.

In fact, the best way of anesthesia is spinal anesthesia or general anesthesia, but it is not applicable!

Topical anesthesia is the best!

And it was precise, Yang Xianming injected the needle from top to bottom as quickly and accurately as a chicken pecking at rice!

And with Yang Xianming's operation, the girl's muscle trembling and painful moans gradually decreased!

And some people are amazed——

"Anesthesia and pain relief outside the operating room."

"Unbelievable!"

Wu Xie thought so too, Yang Xianming's piercing technique is really something!

After the anesthesia was over, Yang Xianming said, "Now we can perform laparotomy."

It's just that the girl's body was fixed, and was pressed by the concrete, so there was not much room for maneuvering.

Yang Xianming is half-squatting and occupying the most favorable terrain at the moment. If he wants to retreat to make room for himself, he will have to waste time——

And the girl's voice became weaker and weaker.

After his expression changed sharply, Yang Xianming said, "Give me the knife!~"

"Huh?" When someone was surprised, Wu Xie had already handed over the knife.

At the same time, the powerful firefighters tried to remove the concrete, and gave way to two more passages!

Wu Xie was finally able to see the other situation inside clearly.

In addition to the girl, there is one more person.

The girl who Yang Xianming was opening at the moment was hit in the abdomen by a large piece of concrete, and the side pierced into the abdominal cavity, and part of the concrete sank into the abdominal cavity.

Another person hugged the girl's neck with his left hand. He didn't pinch it, but just wrapped it around! The right hand is raised up, as if it is supporting the heavy object that was dropped from the girl's head before, the arm is smashed, and it just presses and protects the girl's head!

Possibly her boyfriend.

The man's thigh was folded back, the concrete was cut from it, bloody and bloody...

The harm caused by nature is unreasonable and has no ethics. It is up to you how to die, it is only responsible for harm!

"The man's hand is too tight, the two of them have to move out together!" Radar summoned a captain next to him, and after seeing the situation clearly, he tried to break the ring guard girl's hand.

Like iron tongs, it can't move an inch.

"Do you want to move this stone away?" The fireman next to him immediately asked, ready to help.

After all, two lives.

"No, the person may be gone after taking it away! Hemostasis must be completed first." The director said.

most of the time!

Pros and cons, life and death.

The concrete was the culprit that caused the two people to be injured before, and it also helped them not die immediately at this moment. It was stuck on the stump of the artery and did not cause a large spurt of blood.

If they moved away hastily, the two of them must be bleeding like a fountain, and they died on the spot!

If you just want to get out the dead body, then no problem! Do whatever you want.

But if you want to save your life as much as possible, you must first stop the bleeding.

Radar saw that Wu Xie was actively drilling inside, but was caught by the firefighters at the waist! I'm afraid that Wu Xie and Yang Xianming are in danger at the same time, and they can't take care of them at the same time.

"Director Lei, I'll go in and check the situation!" Wu Xie asked Radar for help.

"There are people inside, why are you making trouble?"

"Get out."

Radar hurriedly said: "This is Doctor Wu, who is good at stopping bleeding from arteries, let him in!"

"But? What if?"

"You try to figure out a way! It is most suitable for Dr. Wu to go in now." Radar Zhao couldn't fully understand the difficulties of the firefighters, but it is best to let Wu Xie in now.

"The girl on the left first!" Radar called for Wu Xie to arrange for Wu Xie when he rushed in.

However, Wu Xie had already prostrated like Yang Xianming, and immediately there was a voice:

"I need at least six hemostats."

"have!"

"There are as many as there are, open the first aid kit!" Someone replied immediately, and handed Wu Xie the hemostat that was in the previous debridement kit, and poked it to the ground.

Cannot be sterile. But continue to hand it over.

There is a chance of infection before losing life, which is a great opportunity.

Wu Xie took a deep breath!

This man was seriously injured!

There are at least five or six arterial injuries visible to the naked eye, and they are not branch vessels.

If he wanted to directly clamp the upstream of the artery, he turned sideways again, leaving no room for Wu Xie to manipulate.

Arms, crotch, there is no room for manipulation.

Temporary clamping of single arteries only!

This increases the difficulty of operation and the number of operations, and also wastes more time.

There are many people outside, and there are more debridement kits!

There were more than a dozen vascular forceps behind Wu Xie's buttocks, facing his buttocks.

Wu Xie made a quick inspection in his mind, took the vascular forceps with his left and right hands at the same time, and then asked the firefighter next to him:

"After my two pairs of pliers are closed, you can knock off the top point immediately, can you do it?" Wu Xie meant to ask the firefighters to remove the concrete that was holding the man down.

After the concrete has finished hemostasis, he does not have to undertake the task of hemostasis.

"Concrete can be removed at any time, and it is not heavy. Is it okay to remove people?" The firefighters are quite experienced, and similar things have happened too many times.

There are many well-meaning people who feel that stones or concrete are stuffed into other people's stomachs, and they take them out before they arrive, and then take them away.

Don't blame others either.

"I'll be fine after I'm clamped!" Wu Xie was possessed by an animal of her own destiny, her hands were like crab claws, pinching left and right!

Following the damaged gap, he directly clamped the pliers in.

Immediately after Wu Xie shook the buttocks of the hemostat up and down as if digging out a loach, there were two clicks!

Firefighters were removing the concrete, attempting to remove the man's upper body.

But Wu Xie hit him on the wrist and said, "Slow down! I guessed wrong, and I have to clamp a pair of pliers!"

The cephalic vein of this man's broken arm also ruptured, and because of the movement just now, a large amount of dark red blood was added to the cross section of his wound!

This is venous reflux bleeding.

Wu Xie pulled back a hemostat with his left hand, quickly opened it and clamped it shut!

Released his right hand at the same time: "Okay, let's release the upper body first, his head is injured, and it is estimated that we have to open a window on the spot to drain the water!"

"Is there an electric drill?" Wu Xie asked back.

At the same time, the remaining knowledge points were added to the drilling and drainage of cranial hematoma.

Now there is no knowledge point left, just added to the specialization level!

"Shouldn't the leg stop bleeding first?" Someone suggested in the follow-up.

They plan to get both of them out first, and then rescue them at the scene together!

Wu Xie shook her head: "It's too late. I'm going to have a brain herniation!"

"Craniotomy and drainage must be performed immediately!"

On-site rescue, life is the most important thing!

It's like if you can't be strictly sterile, you will die under sterile conditions.

Moreover, if a brain herniation occurs and is delayed, then complete hemostasis of the lower limbs will be meaningless!

"Only a small electric drill!" Someone outside responded.

Wu Xie is decisive and straightforward, and everyone will not lose the chain at this time.

Trust is the foundation of on-site first aid.

The scene is not an operating room, or even a medical vehicle, but temporary and crude tools.

"Use it." When Wu Xie spoke, the firefighters over there broke the concrete!

The cement dust was scattered, but the firefighters were very thoughtful and placed the compartments in advance!

It didn't affect Wu Xie and Yang Xianming!

I also know that it would be terrible if these cement ash got into the wound.

They are also professional, but the professional direction is different!

"Help me, move your head out a little bit. You are in charge of the shoulders, and I am in charge of the head!" Wu Xie said to a nearby firefighter, one hand had already reached into the man's ear!

He was afraid that the firefighters would not understand, so he asked him to fiddle with his head to turn the direction, to delay time.

The man's upper body was slightly flattened out by about seven or eight centimeters!

Wu Xie decisively cut the scalp with a knife!

Without hemostasis, the small electric drill was drilled in directly by the feel of the hand!

Another person kept injecting physiological saline with a syringe to cool down after finding the gap——

When the electric drill rubs against the skull, it will generate high heat!

There will be many complications if the temperature is not lowered. Now that all the equipment is ready, there is no need to expedite everything...

Soon, Wu Xie drilled through the skull, and after feeling the breakthrough of the first layer, the electric drill pulled back!

A large amount of blood flowed back instantly!

But immediately a blood clot blocked the exit.

"It's really here!" A director of neurosurgery looked at Wu Xie with a slightly astonished gaze. It is estimated that only he can understand the difficulty of Wu Xie judging the direction of the intracranial hematoma on the spot.

The operation of hematoma evacuation is not complicated, the complexity lies in the positioning.

"Drain tube!~"

"Get ready to send the medical car to open the window at any time." Wu Xie ordered immediately, and then quickly moved to the lower limbs with a few vascular clamps in his hand!

After quickly inserting three hemostats in, Wu Xie snatched another one from another person!

The hemostat 'cruelly' sank into the patient's thigh stump, and Wu Xie's hand was prying there, and it was obvious that the skin wriggled like a Gu worm on TV after a few rounds!

Immediately afterwards, Wu Xie turned the butt of the hemostat, and chose to clamp it with a click.

"Remove the concrete and transfer!" Wu Xie shouted to everyone, about to shake people.

But Radar Zhao Wenyan, who watched Yang Xianming operate Zhenghuan, said decisively:

"No, the hemostasis on my side of the abdomen has not been completed yet, this man's arms are too tight! Unless amputation!"

When Yang Xianming heard this, he directly clamped the abdominal aorta with great force!

He hurriedly retracted his hands and said:

"I can't control that much! After sending it to the medical vehicle, the abdominal cavity will be completely debrided."

"Lift the two out at the same time." Yang Xianming's mask was covered with blood, and the gloves on his hands were also stained with blood. It can be seen that he fought fiercely in the abdominal cavity before!

Yang Xianming and Wu Xie retreated a little bit, giving up part to the firefighters and other members of the medical team.

The two of them couldn't hold the two of them up at the same time and needed help.

Firefighters quickly knocked out the concrete!

When taking it out, the blood spurt and blood rush did not happen as imagined!

Everyone breathed a sigh of relief!

The firefighters felt relaxed, but Radar Zhao and others from the medical team all looked at Wu Xie and Yang Xianming at the same time.

It's unbelievable that two people can handle this in such a short period of time.

"Transport after nuclear inspection, send to a medical vehicle, and perform emergency surgery."

"Let go!" Before the first words were finished, the latter words followed and covered them.

"No active bleeding! Transfer! Immediately." The third person yelled at the top of his voice, but it was a bit slower than the first two sentences.

two stretchers side by side

The person was turned away, followed by people from neurosurgery, orthopedics, and general surgery who Dadar had arranged in advance.

The two teams ran all the way, heading out of the alley...

It is impossible for Wu Xie and Yang Xianming to keep up, and they also need to rest.

After Wu Xie and Yang Xianming were escorted out of the frontline scene, several people handed over mineral water and said, "Let's wash up."

When Wu Xie was washing his hands.

Yang Xianming took off his mask and kept spitting!

"Bah~"

"Ah bah!~"

Contaminated with the blood of the patient, it must have entered the mouth!

Previously, Yang Xianming had been suppressing nausea during the process of clamping the artery.

Humans are civilized animals, and many animals do not eat the meat of their own species. Human blood has entered the mouth, and even a normal person would feel his stomach rolling!

Pooh over!

Gulu Gulu was gargling, and water arrows were constantly sprayed out of his mouth...

No one laughed at him, who would dare to laugh at him?

It is professional ethics to hold back the nausea and continue to operate, but now it is the instinct of human beings!

Will you eat a bowl of human blood?

There is no one who needs emergency rescue for the time being, and the radar call immediately ordered to retreat!

Leave more space for firefighters and others.

Their battle is over, and others' battles will continue.

Wu Xie patted Yang Xianming on the back.

Seeing Yang Xianming pouring mineral water into his mouth with bloody hands holding a mineral water bottle before he could take off his gloves, he also felt very distressed...

Maybe others don't know!

I only feel the smell of blood and blood vessels!

But beside Yang Xianming, Wu Xie could smell the strange smell brought about by intestinal damage.

It was the smell of ruptured intestines, and only those in general surgery had a deep understanding. Wu Xie had to pay tribute to these colleagues!

"Are you okay?"

Yang Xianming kept shaking his head, but soon retched!

He took off his gloves and quickly covered his stomach and rubbed it left and right. Tears flowed back and made the eye circles rosy, and stomach acid rushed into the esophagus, making him uncomfortable for a while.

He drank several sips of water in a row.

Shaking his head: "It's okay! Thank you."

"Wash your hands." Radar called himself to pour water for Yang Xianming.

Radar summoned him to take a look at Wu Xie when he had time, and said, "Wu Xie, from Minda Hospital?"

Wu Xie nodded: "Yes, Director Lei."

"Aren't you coming to the People's Hospital?" Radar asked Wu Xie.

Although I don't know who Radar Zhao is, but he can be the commander-in-chief of the medical team, so he must have a high status.

But Wu Xie still shook her head: "Thank you Director Lei, I'm fine now."

...

Radar Zhao stopped persuading and left silently.

"You two have a good rest!" Radar summoned.

"Why didn't you agree?" Yang Xianming asked slightly puzzled after Radar left.

They are all medical students, and they are all from En City. Yang Xianming knows that the treatment and platform of Enzhou People's Hospital are better than Minda Hospital.

"Hey!~ There are other reasons." Wu Xie put it off.

"What's the reason?" Yang Xianming asked, and at the same time continued to move his stiff neck, but this time there was no rattling.

"Xianming, do you have a girlfriend?" Wu Xie hasn't been in touch with Yang Xianming for a long time, and in his memory, he doesn't know the titles between himself and Yang Xianming, at least for now, they are only called by first name.

Yang Xianming turned his head away silently, instead of answering Wu Xie, he rolled his eyes when he turned his head.

Wu Xie felt that Yang Xianming should understand what he meant.

But after a while, Yang Xianming turned his head: "Yes, we are separated. They don't even look down on country people like us."

Wu Xie's eyes flickered when he heard the words: "Impossible, you are in harmony?"

The Xiehe in Kyoto is not just the Xiehe in Han City.

"At the foot of the imperial city, what about Concord?"

"According to a normal salary, you still can't afford a house or a car. Even if you can afford a car, you don't have a license, and you may have to rent a license."

"This is a very real problem. We're divided." Yang Xianming's tone was full of embarrassment.

"There will be better ones." Wu Xie could only comfort him in this way.

The problem of reality is not only for him to face, but for anyone.

If a doctor from an ordinary family wants to stay in Kyoto, it is very, very difficult to have no family background.

"Maybe!~ Let's talk about it later." Yang Xianming hurriedly closed the topic.

Then he explained: "After talking for eight years, she didn't get a doctorate and went to work! It was divided."

"It seems that the family arranged for her a local civil servant in Kyoto, who has a car and a house..."

"Very good. She is also from Kyoto..."

Wu Xie took a deep breath. If the girl was born in Kyoto, then she would not want to leave the capital with Yang Xianming. That is a matter of course. Everyone has their own choice.

Wu Xie can only be thankful that he met Tang Yuewei.

"My girlfriend is from Enshi." Wu Xie said

...

During the conversation between the two——

"What are you going to do? Stop now, if you move again, you will die!" Suddenly someone shouted loudly from afar.

Hearing this, almost everyone stood up and looked in the direction of the sound!

At the ruins, a pair of hands took the initiative to dig out a passage from the inside out. His hands were stained with blood, the skin was dripping, and even bones were exposed in some places.

But he is still struggling to plan out the obstacles within his reach, including steel bars and nails...

One of the nails passed through the middle of his middle finger, as if it had taken root.

But the hands are still moving...