This doctor is very stable

Chapter 558 On-site first aid with open chest [Please subscribe, ask for a monthly ticket. 】

"Lin Ran's side!"

"Doctor Lin..."

"Where is Doctor Lin..."

It turns out that a piece of gold will shine wherever it is, even sparkle!
Lin Ran's femoral artery first aid made all the medical staff at the scene recognize his ability.

In the ensuing rescue of the seriously wounded, Lin Ran undoubtedly showed an astonishing level of rescue.

Gradually, Lin Ran became the main force of on-site medical rescue.

Compared with the older chief physicians, he is not inferior, even when most of the patients on the scene are suffering from severe bleeding.

Perhaps the most amazing and memorable is the injured man with ruptured pericardium.

"Lin Ran's side!"

Lin Ran was still performing debridement and hemostasis on another patient in the tent.

Li Yulong's voice came directly from outside the tent, and his tone could not be described as urgent!

Lin Ran frowned, and cut off the thread that had just been stitched.

A wounded man covered in blood was brought in by firefighters.

And Li Yulong on the side was pressing the position of his heart for him.

This is an injured person who was directly pierced through the chest by a sharp object on the wall.

Bright red blood was gushing from his chest.

If Li Yulong hadn't happened to go out to check the rescue situation, the patient might be gone.

Judging from the position and angle of the wound, Li Yulong felt that this patient had already injured his heart!
The reason why he is still alive is that the rupture of the heart is probably not too big, maybe it just passed by and the pericardium was completely torn, otherwise the injured person would have disappeared on the spot.

Lin Ran walked in quickly, and the doctors in other hospitals were a little puzzled!

Lin Ran is a very strong young man and they already have some experience.

First aid, hands-on power are absolutely top-notch, and even the reserve of medical knowledge is also very good, but in the face of critically injured patients like thoracic hemorrhage, he can't be able to come back to life!

That's right, it is very difficult to save a patient with massive hemorrhage when the first aid conditions on site are so poor, and not all patients with massive chest hemorrhage can be saved even in the hospital!

Just as the firefighters put down the stretcher, Lin Ran had already walked over and asked, "Ms. Li, how is the situation?"

Li Yulong, "Judging from the position and angle of the patient's wound and the amount of bleeding, the injured probably injured the cardiopulmonary artery or directly injured the pericardium, so we must stop the bleeding immediately."

After speaking, he didn't wait for Lin Ran to respond, and immediately looked at the nurse beside him and shouted, "Hurry up, prepare the balance solution, and do a blood test on the spot..."

After listening to Li Yulong's judgment on the situation of the injured, the other experienced doctors couldn't help but become pessimistic.

Not to mention this situation at the rescue scene where medical equipment is scarce.

Even if it is changed to a hospital equipped with equipment, it is also a matter of narrow escape.

Lin Ran gritted her teeth and said, "Ms. Li, let's open the chest!"

There is no aseptic condition in the operation at the scene, but if you don’t open the chest to stop the bleeding and wait for the injured, you will die. Even if you get an ambulance, you can’t wait for the hospital.

Only by stopping the bleeding first, will there be a chance of rescue later!
"I agree. On the battlefield, without any conditions, we are much worse now, and many patients have been rescued? Stop the bleeding first, and let's talk about whether the infection occurs or not."

If the environment, conditions, and time permit, will you take the risk of opening the chest of the wounded to stop the bleeding without aseptic conditions?But there is no way, at the scene of rescue, even the available blood sources are pitifully scarce, if the bleeding cannot be stopped quickly under such circumstances, the only thing waiting for the injured is death.

"Well, I will be prepared to prevent infection."

In fact, even in the event of human injury, it is not uncommon for the chest cavity and abdomen to be exposed to the air. Lin Ran believes that as long as the chest is opened, the speed is fast enough, and the follow-up protective measures are done well enough, the chance of infection of the injured will be greatly reduced. small.

After Boss Li agreed, Lin Ran didn't have any worries anymore. After all, this is a special period, "Scissors!"

Taking the scissors from the nurse, Lin Ran quickly cut off the patient's shirt covered with lime powder.

"Saline."

There is no accident, and preoperative cleaning and disinfection work is also indispensable. Minimizing infection as much as possible is not just lip service.

Lin Ran almost washed the patient's upper body twice with his body.

After finishing the cleaning and disinfection work, Lin Ran took off the gloves on his hands, "Change your gloves quickly, prepare the scalpel."

When Lin Ran gave an order, the nurses who helped them all responded quickly.

"The venous channel is established..."

"500 ml balance solution injection..."

"The life monitor is linked..."

"The patient's blood oxygen saturation is [-]%..."

"Blood pressure 50/80..."

"The heart rate is very low, and the patient will enter a state of hemorrhagic shock at any time..."

Patients with severe bleeding!
Soon, the nurse put on gloves for Lin Ran, and then Lin Ran picked up the scalpel.

Li Yulong, who was clutching the patient's wound, also shouted, "Prepare me two bottles of normal saline, and as soon as I let go, you pour all your strength on the wound, and then Lin Ran, you will immediately use the knife!"

"understand!"

"understand!"

These two firm voices came from Lin Ran and the nurse.

All the doctors on the side also expressed doubts about Lin Ran's crude rescue method!
Even if the disinfection is thorough, there will be no infection afterwards, but what should be used to stop the bleeding after the thoracotomy?

If there is no vision, the gods will not be able to stop the bleeding, let alone perform restorative surgery.

In short, they were not optimistic about Lin Ran's rescue this time.

"Three, two, one, down!"

After finishing the countdown, Li Yulong immediately let go of his hand and took it back.

The two little nurses had sharp eyes and quick hands, holding the plastic saline bottle in their hands and spraying it on the wound of the wounded, that's right, spraying.

I saw the blood gushing out quickly, and was even washed away by the normal saline for a moment.

It was too late to say it was too late, before the nurse finished pouring the normal saline, Lin Ran had already started.

He gently pressed the left end of the wound with his left hand, and stabbed directly at the wound with his right hand.

Raising the knife with his hand, he directly extended the wound by five or six centimeters along the intercostal space.

"Tractor!"

At this time, the blood loss on the chest wall can no longer be taken care of. Immediately put on the tractor and directly stop the bleeding with bare hands is the kingly way.

"Bang!" Lin Ran had already placed the scalpel in his hand on the tray beside him.

He Shaoqiu's reaction was not slow at all. It can also be said that she was already holding the retractor and preparing.

She is a member of the joint team!

Even if she is not in the hospital now, she will be able to do it.

"Clap clap..."

Hooked, pulled down, traction completed, wound expansion completed.

Looking along the extended wound, the injured man's chest was a rolling pool of blood.

However, Lin Ran was waiting for this moment.

reach out...

(End of this chapter)