medical simulator

(The first aid in the hospital is generally dispatched by the director, the director of each department and ward is the commander-in-chief of each specialty, and the director who leads the team is the team leader of the medical team! And so on.)

(Zhou Cheng and Yang Yifeng are both members of the medical team.)

Only a bunch of butts were left blocking the way of Zhou Cheng and Yang Yifeng.

"Get out of the way, get out of the way, protective shield, protect the wounded. Safety first." The chief commander of the fire department immediately ordered people to set up shields to prevent unexpected accidents.

Zhou Cheng and Yang Yifeng saw that the scene was completely surrounded, so they stopped going up and crowding people.

This is adding to the confusion.

After only ten seconds, Lei Zhong's voice rang out: "This injury is not serious, it can be carried away from the scene!"

"You two help, shoulders and hips. Others help."

As soon as Lei Zhong gave an order, members of the professional first aid team had long been working on the main support point, while the firefighters used force from all directions to lift the person out.

There are many people with great strength, which is perfectly interpreted at this moment. Seven or eight people carried the injured strong man out like playing.

As soon as the person came out, members of the medical team who had been prepared for a long time went forward to check each other, with a decisive and calm voice:

"The pupils are normal, and the consciousness is comatose."

"Contusion of extremities, oozing blood, no arterial blood loss."

"Abdominally soft, without a flat belly."

"Chest breathing is normal."

After the four people completed their own professional examinations, the team leader immediately said:

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

The strength of a large number of people is not only reflected in the time of carrying people. Now that the supporting medical teams of various hospitals have arrived, there are enough specialists in each specialty, and the preliminary screening can be completed in a simple ten seconds, so that The patient can be transported perfectly and rescued on the spot.

This is the reserve of human resources.

The man was immediately carried on a stretcher by four people, and rushed out quickly.

Seeing this, Yang Yifeng shrank his neck, twisted his neck, and made a creaking sound: "It's great to have so many people!"

"If there were so many people in the first place, at least two or three deaths would be avoided!" Yang Yifeng's tone was full of regret.

Zhou Cheng was moved, looked at Yang Yifeng, and asked, "Did you come here at the first time?"

"Yes! Before I rushed over, two nurses on vacation also arrived at the scene, but it took me more than 2 minutes to arrive. Three people at the scene lost their vital signs, but several others were on the verge of death."

"The few people who lost their vital signs might be able to be rescued if they performed cardiopulmonary resuscitation on the spot. Of the remaining six people, I only rescued four." Yang Yifeng replied, a little bit embarrassed.

He has tried his best, but he is covered in iron, how many nails can he drive?

Zhou Cheng immediately gave him a thumbs up, and the two began to walk around the crowd: "It's good to be able to save four, if you're not here, maybe none of them can survive."

In order not to block the way, both Yang Yifeng and Zhou Cheng took several steps back in a well-mannered manner.

But at this moment, a voice suddenly came from inside: "No, we can't delay. The patient's pulse is very weak now, and there is an open abdominal injury. I guess the place where the insertion is near the artery. We must open the abdomen on the spot to stop the bleeding." Just do it!"

"Take something!" Someone immediately responded, and someone outside immediately brought in a simple debridement kit.

However, the injured patient was a girl. Although her consciousness was not very clear, she was still awake. When she heard that she was going to be operated on, she was scared to death. She stared at her and burst into tears!

The chest and abdomen began to rise and fall, and the foreign object inserted upside down began to scrape on the skin.

Mottled with blood, fresh oozing mixed with scabs.

Seeing this, the scalp of the person closest to the girl went numb:

"Don't cry, the more you cry, the more excited you become!"

"The more you bleed, the more you will die."

He put it bluntly.

At this moment, in the case of a major artery injury, if the person remains calm and does not move, it will not cause massive bleeding in a short period of time. However, once the emotion is agitated, the tip of the concrete inserted into the body will be removed.

The opening of the aorta was exposed, and within 2 minutes, it might have killed her.

"Pain!~"

"I'm in so much pain." The woman's voice was a little blurred, but the crying and sobbing still continued, only mixed with the inherent fear of death in life.

"Pain!~"

"Yang Yifeng!~"

"What about people?"

Yang Yifeng and Zhou Cheng were walking outside, when he heard this, Yang Yifeng immediately stepped away and burrowed inside like a rabbit!

After looking at the specific situation, my scalp tightened a little, and I quickly asked, "Where is the pain? In the abdominal cavity or here in the stomach?"

While talking, he took out the sterile and prepared tools from the first aid kit.

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

"It hurts, I don't know!" The girl's voice gradually weakened.

Yang Yifeng immediately said: "Let me anesthetize the superficial cutaneous nerve first. I guess the ureter may also be blocked. Now there is pain like ureteral obstruction."

After finishing speaking, he made two rounds of inspection, regardless of disinfection, and started to block the nerves one by one from the midline on both sides!

The needle tip just broke through the surface of the skin a little bit, and then decisively injected anesthesia.

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

The girl's breathing was weak at first, and the numbness of the waist was not exposed when lying down. Surface anesthesia is the most suitable, and for the sake of precision, Yang Yifeng inserted the needle from top to bottom as quickly as a chicken pecking at rice!

The action may seem unpleasant, but in fact, the corresponding operation was completed in less than a minute.

Following Yang Yifeng's movements, the girl's muscular tremors and painful moans gradually decreased, and there were people beside her who were amazed.

"Anesthesia can be used to relieve pain outside the operating room, absolutely."

"It's really unbelievable."

Immediately afterwards, Yang Yifeng said: "Now open the abdomen along this incision, and remove the obstruction first."

However, Yang Yifeng suddenly noticed that many people were looking at him in astonishment.

Because he occupied the most favorable terrain by himself, it would be a waste of time if he wanted to withdraw to vacate his position.

Yang Yifeng's expression changed sharply, and he said, "Give me the knife!~"

The follow-up equipment followed immediately.

But at this time, a passage just let out, so Zhou Cheng was able to see clearly the situation of the remaining two wounded inside. The girl who Yang Yifeng was opening her abdomen at the moment was hit in the abdomen by a large piece of concrete, and part of her into the abdominal cavity.

As for the other person, he hugged the girl tightly with both hands, his arms were smashed, and it was unknown if they were a couple.

The man's thigh was also turned into a reflexed shape, the concrete was cut across from it, bloody and bloody, it was extremely cruel!

"No, this man's hand is too tight, I can't get it out, the two of us have to move out together." Another team leader next to Lei Zhong, probably the professor, reached out and moved the man's hands and feet, and found that he was immobilized. Living.

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.

"No, the person may be gone after taking it away, and the bleeding must be completed first." The professor said.

Sometimes things are really relative.Although the concrete was now the chief culprit of the two people's injuries, the concrete was also pressing the stump of the artery at this moment, helping to stop the bleeding.

If they moved away rashly, both of them might be gone.

If you just want to get the dead body out, that's no problem. If you want to save your life as much as possible, you must stop the bleeding first.

Lei Zhong took a few glances, and then saw Zhou Cheng was actively going inside, but Zhou Cheng was caught in the middle, because he looked awkward.

"Teacher, can I go in and check the situation?"

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

"Get out of the way."

But fortunately, someone knew Zhou Cheng. He hurriedly said, "This is Doctor Zhou. He is very good at stopping bleeding from arteries. Let him in."

Zhou Cheng didn't force his way, but just waited for a reply.

Lei Zhong hurriedly said: "Put that young man in!"

Zhou Cheng was able to rush inside.

I am a little envious of Yang Yifeng, Yang Yifeng's face is familiar to many people, so no one stops him.But there are too few people who know him. The one who spoke for him just now was the one who followed Piedon before, but after Piedon was injured, he reorganized.

"There's one here." Lei Zhong was about to explain the situation to Zhou Cheng, but Zhou Cheng had already crawled down, carefully looking around and looking at the condition of the injury.

Then he said, "Professor Lei, I need at least six hemostats."

"Have!"

"There are as many as there are, open the first aid kit!" Lei Zhong shouted back as he replied.

Zhou Cheng took a deep breath.

This man was seriously injured, and it was a bit unusual. As far as the naked eye could see, he had at least five or six arterial injuries, and they were all branches of that kind.

If you want to directly clamp the brachial artery, femoral artery or common iliac artery.

Because he turned sideways and hugged the girl, there was no room for him, so he could only temporarily clamp a single artery.

There were a lot of people outside, and one person opened a package and brought it in. In a short time, Zhou Cheng received at least five packages of ten hemostats!

"I don't care about sterility anymore." Zhou Cheng started working with his left and right hands, picked up the hemostat, and said to the firefighters next to him:

"After my two pair of pliers are closed, you can knock off the top tip, can it be done?"

"Yes, yes, we are ready at any time. It's okay to kill someone, right?" The firefighter still remembered the man who died in front of Zhou Cheng before, and they carried him out.

I thought I would be able to survive, after all, when I went out, I still screamed hard, but in front of Zhou Cheng, he disappeared very quickly.

I have lingering fears!

"I'll be fine after I clip it." Zhou Cheng said, his hands were like crab claws, bowed left and right, and directly clamped the claws along the damaged gap.

After shaking from side to side for a certain amount as if catching a loach, Zhou Chengcheng clamped it shut with two clicks.

The firefighters were about to break the concrete and remove the man's upper body.

But Zhou Cheng hurriedly said: "Slow down, no, I guessed wrong, and I have to clamp a pair of pliers!"

This person also had a cut in his head vein, because of the movement just now, there was a lot of dark red blood in the cross section of his wound!

Zhou Cheng immediately pulled back a pair of pliers, quickly opened it and clamped it shut!

It was as if digging in the rice field, and then he quickly said: "Okay, hurry up and get it out first, his head is injured, I guess we have to open a window on the spot to drain it!"

"Is there an electric drill?" Zhou Cheng asked back.

"Then why don't you stop the bleeding first?" Zhou Cheng's suggestion was different from what Lei Zhong and others thought.

They wanted to lift the girl and the boy out of the rubble and rescue them on the spot.

Zhou Cheng shook his head: "No, it's too late. When I turned sideways just now, I saw that his pupils have shrunk. If I drag it on, I might have a brain herniation!"

"Craniotomy and drainage must be performed immediately!"

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

Zhou Cheng is not strictly aseptic now, because he will die if he is aseptic.

Moreover, if a brain herniation occurs, then the hemostasis of the lower extremities will be meaningless.

Vital signs are the basic material to support life, but if there is a problem with the vital center, then the vital signs are meaningless!

Lei Zhong was taken aback: "Did you just look at his pupils?"

Surprised.

Just now, Zhou Cheng's set of popular punches is like flowing water, like juggling, a few hemostats, pinching the arteries and veins accurately and quickly, it's fine, do you still have time to see his pupils?

"Open the window to drain the water! Otherwise, it may be too late."

"There's only a small electric drill." Someone outside responded.

After all, this is a scene, not an operating room, or even a medical vehicle. This place can't hold so many equipment and utensils, they are all temporary and crude tools.

"Then use it first." Zhou Cheng said while the firefighters over there quickly cut off part of the concrete.

The cement ash was scattered everywhere, but the firefighters still placed the compartment very thoughtfully, which didn't affect Zhou Cheng and Yang Yifeng, nor did it affect other people. They also knew that if the cement ash got into the wound, it would be terrible.