Great doctor starts with adding points

The configuration in the emergency department is like this. Most of the people working in the emergency room wear green isolation gowns, which are more consistent with the clothes of the medical staff who follow the 120 ambulance.

The staff working in the emergency outpatient clinic or the emergency room wear white coats and need to attend the consultation on duty.

The emergency department also has different divisions of labor. A very urgent emergency like this patient belongs to the work content of the staff in the emergency rescue room or emergency rescue area.

When Wu Xie in a white coat approached rashly, he was naturally asked, "Get out of the way! Don't block the way."

His tone was sharp and his eyes were sharp.

The person pushing the cart wore a manual brake for fear of bumping into Wu Xie.

Wu Xie passed by sideways, and quickly ran parallel to the patient on the cart, speeding up while saying, "I'm from the orthopedics department. You just said that you need to call for an emergency consultation from the orthopedics department, and I'm right there!"

"Give me a place, please." Wu Xie quickly explained.

Seeing this scene happen, the senior doctor of the young man dissed by Wu Xie explained from a distance: "Dr. Gong, Dr. Wu is a doctor specializing in orthopedics."

In fact, he didn't need to explain too much, Wu Xie was wearing a white coat from the hospital, and when he first saw him coming, he didn't have time to see Wu Xie's work card clearly.

After Wu Xie explained, there was an empty seat immediately.

Wu Xie roughly glanced at it, and said quickly: "Prepare a gas incision kit, a large amount of normal saline and complexed iodine."

"I only need the blades and hemostats in the gas cutting bag, and I will prepare a disposable surgical bag."

While talking, Wu Xie quickly made a quick diagnosis for the patient.

It is obvious that the artery on the front side of the thigh is open. The bleeding has been temporarily pressed to stop the bleeding, and the blood loss is huge. There is also an open wound in the lower abdomen. It is impossible to estimate the internal situation for the time being.

In the emergency department, it can be said that it is the place with the most complete first aid equipment.

Therefore, after Wu Xie spoke, a gas cutting bag was delivered nearby and he tore it open.

Wu Xie immediately made a decision, without hesitation, directly took out two of the four hemostatic forceps inside, held them in the palm of his hand, and at the same time used the gauze wrapped around his palm in the palm of his affected hand as a point of strength.

He directly pressed the proximal end of the femoral artery and said, "You can let go of your hand for a while!"

"Hemorrhage."

The green clothes on the patient's ambulance tightly held down and stared at Wu Xie.

Once the hemorrhage is temporarily stopped by pressing the artery, it may be the end of death.

"I know, let go!~"

"Give me the operating field."

"It won't bleed."

"But?"

"No but!~" Wu Xie's tone was serious, his eyes were solemn, and he didn't mean to be joking with the other party at all. Even if the other party was older than him, he probably had higher qualifications than himself.

But now that the situation is urgent, Wu Xie is worried about the condition of the patient's abdomen, and may need emergency inspection to stop the bleeding, so that the patient who has gone into shock can be rescued.

Otherwise, the aortic blood loss cannot be controlled, and it is not meaningful to simply perform chest compressions.

There is no blood in the human body, can you press it?

It must be done at the same time!

Seeing that Wu Xie's newborn calf was not afraid of tigers, the other party was stunned for a full three seconds, then saw Wu Xie's firm extension, and turned to see the chest compressions of the other two who were still continuing.

He really couldn't figure out what Wu Xie was going to do when the patient was in shock.

Of course, he had to listen to what Wu Xie said. Now that the patient has entered the hospital, it is the stage of specialist diagnosis and treatment. As a specialist in orthopedics, Wu Xie mainly diagnoses and treats diseases related to orthopedics. Main position!

He hesitated for five seconds before letting go, and quickly explained: "Chest compressions are in progress now, if in the process."

However, before he finished his explanation, Wu Xie had already clamped the proximal end of the femoral artery and the deep femoral artery through an open incision. After feeling the effectiveness of hemostasis through the concept of pushing blood, he immediately broke away from himself. hands.

Completely let go of the pressure on the front of the thigh, and at the same time confessed: "This pliers must not be moved until the patient wakes up."

"I suspect that the patient's greater blood loss is in the abdominal cavity, and it is necessary to ask people from the general surgery and vascular surgery to come for consultation in time."

"How long until the operating room?" Wu Xie's decisiveness and seriousness made everyone look sideways.

Who the hell is this Wu Xie, how dare he command them arrogantly?

But they didn't know that when Wu Xie was on the scene for first aid, all the scenes he saw were crisp and neat, without leaving the water.

There is absolute trust and command between each specialist.

If you are told to do it, you will do it, if you are told not to do it, then you will not do it, don't doubt, orders are forbidden.

It's not like when you occasionally have surgery in the hospital, you still have to talk about qualifications and face.

If you are in a hurry, there are only professional distinctions at that time, and there is no distinction between professional titles!

"About four minutes." A nurse replied.

Wu Xie looked at the patient's vital signs. The heartbeat did not recover. There were only some heartbeat fluctuations caused by manual pressure, not sinus rhythm.

Under such circumstances, Wu Xie still very much suspected that the patient's body had lost a lot of blood.

"Quickly establish multiple venous channels, ready for blood transfusion and volume expansion!"

"I want to check the hematoma in the pelvis." Wu Xie didn't dare to directly say that he wanted to have a laparotomy, which is the content of general surgery.

However, at this time, if the laparotomy is not performed, the patient will die.

But Wu Xie is an orthopedic surgeon, but an orthopedic surgeon can compete with general surgery on the edge of pelvic hematoma and retroperitoneal hematoma!

This is the content of orthopedics, so in this case, I went to do laparotomy, just by the way!

"Just here to investigate?"

"You don't need to call Director Fu?" The man in green and the other green suit in the emergency room of the emergency department kindly suggested to Wu Xie.

"Director Fu is doing surgery in the operating room, and I will respond as soon as I get to the operating room."

"I don't have time now, or you can call other colleagues and call our orthopedic department or Director Fu." Wu Xie spoke quickly, and already touched the patient's abdomen with the palm of the healthy side.

The blood-pushing school of hematoma evacuation, expert level, is really easy to use.

As long as it is related to hematoma, Wu Xie can have a stronger sense of touch.

Hematoma not only exists in the extremities, but everywhere!

Therefore, when the patient was pushed into the operating room, Wu Xie used a wound pack to temporarily open the abdomen before he was even on the operating table, and quickly found two arteries crossing the orthopedics department and the general surgery department damage.

Hematoma in the lower abdomen due to right ureteral artery injury and right renal artery injury.

Immediately after finding the blood vessel break, Wu Xie tied all the corresponding blood vessels.

At this time, the patient's venous access had been established, and the anesthesiologist rushed over after receiving the news. During the alternating period of chest compressions and rapid fluid rehydration, the patient's heartbeat had already begun to recover on its own.

Moreover, the blood pressure, which is not accurate in this measurement, has now obtained a specific data, and it is slowly rising at a speed visible to the naked eye——

The non-stop beating and beeping made everyone look in Wu Xie's direction.

So, when the patient arrives in the operating room, the operation has not yet started, but the rescue is actually over?

This kind of scene reminded them of the kind of scene that was often mentioned in early shifts and various meetings recently...