medical simulator

Qin Guangfa frowned.

He knew that Dean Lei mentioned by Pittenshan was the dean of the Affiliated Hospital of Shonan University and the chief director of the Department of Orthopedics.Now if Hunan Province wants to form any expert team or medical team, he is usually leading the team.

"Okay, I got it, Professor Pi! I'll let Xiao Zhou come to the scene first. I will communicate and report to the chief dispatcher of our hospital later. The chief dispatcher of our hospital will contact you later." Qin Guangfa didn't know the end What should I do.

Although I don't know why Pidengshan wanted to name unknown factors in his team, the youngest Zhou Cheng!

However, the matter is urgent at this moment, and he has to obey the command. However, the task assigned to him by the chief dispatcher is to let him lead the team back to the hospital. Now that there are fewer people, he can only promise here first. , and then call back to ask for advice.

"Okay! Thank you, Director Qin."

"Please tell Xiao Zhou, let him come to the scene of the incident immediately, and I will meet him here." After Piedonshan finished speaking, he hung up the phone on his own initiative.

Qin Guangfa turned to Zhou with a slightly changed face and said: "Xiao Zhou, after you pass by, talk less, follow orders, and never make your own decisions. You must follow orders and prohibit them, can you make it clear?"

Zhou Cheng is the youngest, and the youngest people are all bloody, but in this situation, once the bloody erupts, the consequences will be extremely serious, and the unit is responsible for it!

Although he didn't know why Zhou Cheng was pushed in, and he happened to be seconded at this time, but he had to explain to Zhou Cheng!

"Okay, Director Qin, if you encounter a problem that is difficult to solve, I will call to report and ask for instructions!" Zhou Cheng replied immediately.

Now he was transferred there, but even so, Zhou Cheng knew that he represented the Eighth Hospital.

And the reason why he could go over may also be because Yang Yifeng called him over, not for other reasons.

Qin Guangfa didn't say much, and returned the phone to Zhou Cheng.

Zhou Cheng continued to rush to the scene of the incident with mixed expressions.

But this time, when walking inside again, there were no people on both sides, only the nearby residents, watching the excitement upstairs, and the frequency of entering and leaving the stretcher gradually decreased!

This is because patients with minor injuries have been transported, which is a good thing, but not a good thing.

There are still people inside, they must be in a very serious situation, very special, or even dead, or people who are about to die!

Everyone is difficult.

What's more, Zhou Cheng's mind was still racing.

This is reality, and it is still a cold and cruel reality.

After the medical team arrived, Yang Yifeng was expelled because he didn't wear emergency clothing, but when the medical team from the Affiliated Hospital of Shonan University arrived, Yang Yifeng returned to the emergency team. Workers, but they have to be replaced again!

If Yang Yifeng hadn't told him to go over, he, Zhou Cheng, would have no choice but to walk back in despair, just like Qin Guangfa and the others, the mission is over, pack up and go home!

This is the platform!

Of course, in other words, this is the bottom line.

The Affiliated Hospital of Shonan University, bearing this name, holds a pivotal position no matter where it goes. No matter where it participates in first aid, it is afraid that it will not be ignored.

This is the generation after generation of veterans of the Affiliated Hospital of Shonan University, the country and confidence that have been laid down!

Eighth Hospital does not have this kind of thing, at least the typed ones are not enough to see.

Because, if the No. [-] Hospital is replaced by Provincial People's Hospital or Shazhong Central Hospital, although it is not the top three in Hunan Province, it is still in the top three, and it will not face the situation of being looked down upon.

With complicated thoughts, Zhou Cheng finally came to the ruins again.

Zhou Cheng was stopped again: "Which team are you in? What are you doing?"

The person who stopped Zhou Cheng was a man with a walkie-talkie and a temporary signboard of the medical team.

"Professor Pi from the Affiliated Hospital of Shonan University let me in. My name is Zhou Cheng." Zhou Cheng hurriedly replied, this was the second time he was stopped.

"Which Professor Pi? Say the name." The other party seemed to feel that the word "professor" is not easy to use now, and he was too lazy to match the professor with the name.

"Pedon Hill."

The person holding the walkie-talkie looked at Zhou Cheng, and asked into the walkie-talkie: "Professor Piedenshan, there is a man named Zhou Cheng, did you call him in?"

I quickly got a reply: "Yes, please let Dr. Zhou Cheng in! He was temporarily transferred by me, and I haven't had time to distribute the license yet, thank you."

Only then was Zhou Cheng let go, but when Zhou Cheng walked in, the person holding the walkie-talkie reminded him: "Be sure to wear the sign when you go in and out later!"

"Okay!" Zhou Cheng hurriedly continued to move inside, and stepped aside a few more times on the way.

Zhou Cheng first saw the medical worker whose thigh was pierced by a steel bar. The firemen next to him were cutting the steel bar. There were a few green clothes beside him who were carrying a stretcher and preparing gauze and bandages. The scene was a bit messy, but orderly.

This kind of quality is obviously much better than the mess before.

Zhou Changchang breathed a sigh of relief, and finally saw Yang Yifeng.

Yang Yifeng and a group of people are surrounding a ruin at the moment. Someone's hand is stuck inside, but the weight is too heavy, and there are bent steel bars intertwined.

"Acute the limb on the spot! If you don't amputate, you may die."

But the person still seems to be awake: "My hand, don't cut off my hand."

The pain on the face made the whole face squeezed together, like a chrysanthemum wrinkled.

Zhou Cheng hurriedly approached and reported his identity: "I am Zhou Cheng!"

While speaking, he looked at Yang Yifeng, who seemed to be preparing for anesthesia at the moment.

Hearing this, Yang Yifeng raised his head and said, "Zhou Cheng, you are here, hurry up and help with the amputation, the orthopedics department is short of manpower now!"

"Professor Pi is in general surgery, and the other two professors are in neurosurgery." Yang Yifeng quickly explained.

There is a specialization in the surgery industry. Maybe the two professors can play well in laparotomy and craniotomy. However, trauma surgery is really a person from the orthopedics department. Otherwise, when the arteries are bleeding, other people can control them Can't live.

The person who was helping at the side asked Yang Yifeng, "Is that him? Xiao Yang."

"Yes!"

On the side, there are still two firefighters trying to prop up the large piece of concrete, but it seems that this is too heavy, and the steel bars in it also have a load-bearing function. If it is cut, other trapped People are likely to suffer secondary injuries.

It is impossible to do such a risky thing in order to save a hand.

"What am I going to do? On-site amputation?" Zhou Cheng glanced left and right, and his brain began to analyze rapidly.

Since you have stayed, then you must do the role of staying!

"On-site amputation, I will do a nerve block anesthesia first! There is an instrument kit over there. After the operation, I will transfer to the nearby medical convoy, which has a temporary operating room!" Yang Yifeng said.

After the emergency medical team arrived at the scene, it was not the ordinary 120, but a large minibus.

After the transformation, there are simple emergency room equipment inside, which can perform aseptic surgical operations.

Immediately afterwards, Zhou Cheng saw that the place that was crushed was still bleeding. Although gauze was already tightly binding the wound, it seemed that the effect of stopping the bleeding had not been fully achieved, and Yang Yifeng needed two Hand to complete the operation of anesthesia.

After Zhou Cheng finished reading, he immediately went to the opposite side of Yang Yifeng, and suddenly said:

"Brother firefighter, can you raise this piece of steel bar a little bit? Just pull your hand back if there is a gap?"

"No, his hand is pinned to the forearm and he can't move it." The fireman next to him said, "If it can be moved, we'll remove the concrete on both sides and take out the hand gone."

Zhou Cheng probably understood the mechanism of the injury, no wonder the amputation was necessary, it turned out that the hand was nailed.

Zhou Cheng continued: "Then I'll stop the bleeding first, and see if you can try to open up the soil here, and then pull back the pierced steel bar and your hand?"

"What are you going to do?" Piedon Shan next to him was stunned.

He and Yang Yifeng have confirmed just now that this is not an operating room, and it won't take that long, so they must be transferred to the hospital as soon as possible.

"Lock out the proximal arteries and veins. It won't waste a lot of time."

"Yang Yifeng, are you ready for anesthesia?" Zhou Cheng took a deep breath and asked, at the same time, his eyes had already glanced at the knife, tweezers, vascular forceps and other instruments in the debridement bag that Yang Yifeng opened.

"Hurry up, wait a minute! This position is not easy to locate." At this moment, fine sweat was dripping from Yang Yifeng's face, and his movements were very slow.

"Then let's do skin infiltration anesthesia. It will be fine if you can anesthetize for a while." Zhou Cheng asked Yang Yifeng to change the anesthesia method while wearing sterile gloves!

If you want to amputate, you really need nerve block, but if you just need to tie the arteries and veins to save more time, you just need to anesthetize the access site.

"Are you okay? The scope of the local infiltration anesthesia is not big, I can give the needle now." Yang Yifeng looked at Zhou Cheng and confirmed again. If Zhou Cheng is sure, then he doesn't need to use the follow-up anesthesia.

"You can try it, the scope doesn't need to be very large." Zhou Cheng's eyes moved slightly, and he replied.

Yang Yifeng immediately pulled out the needle, obviously trusting Zhou Cheng.

Pi Dengshan and the other two people next to him saw this scene, their scalps felt a little numb. The reason they trusted Yang Yifeng was because they knew Yang Yifeng's ability, but this Zhou Cheng called by Yang Yifeng, could he do it? ?

……

Chapter 172 Personal charm!

First aid seems to be just two simple words, but what it represents contains too much.

The process alone can be divided into on-site first aid, transfer first aid, and hospital first aid.

First aid in the hospital can be divided into treatment in the emergency department and specialist treatment!

Only after the patient arrives in the hospital can there be enough specialist doctors to conduct specialist consultations in various sub-specialties, and only then can he be considered to be able to receive the best medical conditions.

Before first aid in the hospital, whether it is at the scene or during the transfer, medical resources are limited.

Just like now, even the expert medical team formed by the whole province cannot guarantee that every patient can be treated by the most official and authoritative doctor in all specialties in the first time.

It's not that there are not so many people, and it's not that so many people can't be found temporarily, but.

The space is limited, if there are too many people, it will be very crowded, which will affect and delay the first aid process!

However, regardless of the various first aid, there is only one purpose.

Save your life, save your life, save your life!

First save lives, and then treat diseases, this is the eternal topic of emergency and first aid.

Before the patient reaches a subspecialty, all efforts are made to save his life.

In first aid, one of the biggest threats to life is shock, especially hemorrhagic shock!

Hemorrhagic shock, strictly speaking, is a process of time-accumulated and continuous blood loss, that is to say, every second of delay, your heart will pump out a circulating blood, and then the At the mouth, blood leaves your body, allowing the volume of blood circulating throughout the body to gradually decrease.

If the accumulation of a little becomes a lot, it will be fatal.

Therefore, time, also life, is an eternal topic.

However, if the blood can be stopped during on-site first aid, the risk of shock will be greatly reduced. On the 120 ambulance transported, the replenishment process of circulating blood volume can be completed, which can maximize the Persist until you go to the hospital and receive treatment from a specialist.

Save your life.

Life is the most precious thing.

After hearing Zhou Cheng's words, Yang Yifeng took a half step back and asked, "What are you going to do?"

What Zhou Cheng had to do was actually blood vessel exploration + hemostasis.

To stop bleeding, there are physical hemostasis, electrocoagulation, and various other methods of hemostasis, but what Zhou Cheng wants to do is more extreme, directly tying off the blood vessels to stop the bleeding!

This is a very effective mechanical coping factor, seemingly violent, but it is also one of the charms of modern medicine.

The most simple and intuitive expression is——

In ancient times, giving birth to a woman was a hurdle that needed to be overcome with life. There were two main risks, one was amniotic fluid embolism, and the other was postpartum hemorrhage.

The probability of embolism is not high. Even if it happens, it depends on the size of the embolism, and then PCI and other countermeasures should be taken.

However, for postpartum hemorrhage, with the help of intervention, the corresponding artery can be assisted to embolize, which greatly reduces the maternal mortality rate. This is the most intuitive manifestation.

Zhou Cheng wants to pierce the brachial artery now, which is actually the same idea.

However, if the blood vessel detection is in the operating room, any orthopedic graduate student can do it, but this is on the spot!

The conditions were simple, and various factors were mixed. There was even no electric coagulation knife for hemostasis.And when doing arterial exploration, one of the risks that needs to be faced is cutting the large arteries and veins, accelerating bleeding and shock!

Zhou Cheng had already put on his gloves at this moment, pointed to the complexed iodine in the small bottle next to him, and said, "Disinfection, small incision, blunt puncture of the muscle gap. Clamping. If the whole process goes smoothly, it may take more than a minute." time."

"Without the intervention of sharp knives and round knives, the risk of vascular forceps breaking open blood vessels is less!" Zhou Cheng said this to Pi Dengshan.

Pi Dengshan is now the leader of the team, and Zhou Cheng is Yang Yifeng's assistant, so if he wants to operate, he must first obtain Pi Dengshan's consent.

When Piedenshan heard that it would only take more than a minute, he immediately said, "You should do it quickly, doctor that week. If you can buy more time, then the fire department will have enough time to save your hands."

After hearing this, several firemen next to him said, "If you have enough time, give us twenty minutes, and you can still get your hands out."

It's not impossible, I just heard that if this person is not brought out in time, he will die.

For more than 20 minutes, who knows how much more blood he will bleed?

What's the use of keeping a hand after a person dies?Only then did they ask their superiors for instructions and sent a team of experts over. They originally said that they would amputate the limb and drag him away, but the scene of the amputation was quite infiltrating.

Although they have seen it before, they don't want to see it again.

Yang Yifeng didn't speak. After hearing Pi Dengshan's words, he silently poured the iodine complex near the deltoid muscle. strange color.