Xueba is also open

Chapter 241 The situation is urgent

The emergency department of Fuze is the emergency center of Kyoto City, and the ambulance at the door is always in a state of being activated at any time.

Similarly, the emergency department is very busy, and it can be said that three shifts a day make the doctors a little breathless.

Liu Xiaogang went down the stairs unhurriedly, and said to Bai Ye, "Don't be nervous, since we are asking for an emergency consultation, it is definitely not life-threatening."

"If someone's life is in danger, why don't you call us for an orthopedic consultation."

Indeed, if the patient's life is in danger, it is estimated that those departments such as cardiac surgery, neurosurgery, ICU, etc. are invited.

Liu Xiaogang continued: "Maybe we are asked to judge the patient's condition and formulate the following next treatment plan..."

Indeed, this was the first time Bai Ye encountered such an emergency consultation, so he was a little curious and nervous.

Because of emergency consultation or something, he has always been a critically ill patient in his impression.

However, Bai Ye is not afraid. The so-called skilled people are bold. At this time, Bai Ye has lv6 critical and severe clinical skills, which can basically deal with many critical and severe diseases that are common in clinical practice.

Today happened to have this opportunity to go to the emergency room.

When Bai Ye followed Liu Xiaogang into the emergency department on the first floor, he was dumbfounded. He saw twenty or thirty people lying on makeshift beds, stretchers, and wheelchairs, some of whom were still wearing police uniforms.

And standing on the side is a group of policemen!
This made Bai Ye a little confused. What's going on?
At this time, Liu Baoshe, the director of the emergency department, saw Liu Xiaogang coming in, and rushed to greet him: "Dr. Liu is here, come in and I will tell you about the patient's condition."

Liu Baoshe dragged Liu Xiaogang to the doctor's office. A man who looked like a police officer was sitting inside, but the man's arms were fixed and he couldn't move. Beads of sweat dripped down his face, obviously in severe pain!
The three policemen around were also watching the man nervously.

Liu Baoshe said: "This is Zhao Bo, the captain of the criminal police team of the Kyoto City Criminal Investigation Bureau. When he was on a mission today, there was an accident. Now the right upper limb may be dislocated due to trauma. We went to the emergency room to take a film."

Speaking of this, Liu Baoshe handed over the x-ray, and took several pictures of the film from several angles. Liu Xiaogang took a look at the film and was stunned for a moment.

A dislocation is a dislocation, yes, but... this dislocation is a bit difficult...

To put it bluntly, it's not easy to take off like this!
Bai Ye waited for Liu Xiaogang to finish watching, then brought the film over, looked at the light, and raised his eyebrows.

There are problems with the elbow joint, but there are many problems. What do you mean?
The place where the upper arm and the forearm of the arm are connected is called the elbow joint. It is mainly formed by the lower end of the humerus, the upper part of the ulna and the radius. There are three main joints: the humerulnar joint, the humeroradial joint, and the proximal radioulnar joint.

Normally, the humeral-ulnar joint is mainly composed of the humeral trochlea and the half-lunar notch of the ulna, but now, the two places are inserted aside by the humerus and are propped apart.

The humeral radial joint was originally a combination of the humeral head and the radial head, but now the humeral head is outside, that is, between the humeral ulnar joints in the hospital!
Now the situation is not optimistic.

Dislocations generally occur in shoulders, elbows, jaws, fingers, etc., but it is very rare for a joint like this to slip.

The general cause of dislocation may be direct violence, or it may be caused by a fall or improper force.

That is, when a damaging external force acts on the joint, the external force is transmitted along the bone, forcing the bone to displace and collide with other bones, ligaments, and muscle tissues, resulting in a series of sequential injuries
Watching this film, Bai Ye felt numb for a while, how much effort it took to cause such a serious deformation.

Liu Xiaogang walked up to the patient, looked at the fixed joints, and said, "Expose the wound, and I'll see what's going on. Bear with me, and I'll remove the gauze for you now."

The man's forehead was covered with beads of sweat, dripping down. It was a severe winter, and it was not an exaggeration to say that the snow had just fallen in Kyoto.

But it's not a joke to make a man in his 40s and [-]s hurt like this!
The man suppressed the pain and smiled: "Well! Okay, doctor, you don't have to worry about me."

When the fixed cloth belt and gauze were untied, everyone was shocked, and now the elbow joint was swollen like a wine jar.

Red and purple!

Liu Xiaogang then checked the arteries in the wrist one by one to see if the circulation was affected, touched the patient's fingers, gently pinched the muscles, and observed his ability to respond to pain.

Bai Ye knew that these were judgments on the patient's neurological function.

Dislocation is not like in TV dramas, where it resets with a click, a twist, a twist, a pull, and a push.

This is not the case in reality, because joint dislocation will cause damage to the blood vessels and nerves of the surrounding tissues. If the operation is not done properly, it will not only fail to help the patient, but may cause secondary damage to the nerves and blood vessels, and the consequences will be more serious.

After the examination, Liu Xiaogang frowned and thought for a while, and said, "I recommend surgery, because there are many slippages in the joint cavity, causing... Although there is no bony damage on the film, such a complicated reset is very difficult. Maybe you can do it." Contact Director Li Jianwei."

Li Jianwei is very well-known in the orthopedic circle in Kyoto, and he is particularly good at reset techniques. It is said that the ancestors of the old Li family used to be doctors in the army. They used to go out with the army in the Qing Dynasty.

Later, it was passed down from generation to generation to the present, not only has it not been lost, but has been carried forward.

Liu Xiaogang took out his mobile phone and dialed Li Jianwei's number, and it took a long time before the call was connected.

Liu Xiaogang said feelingly: "Director, I am in the emergency department now, and there is a patient, the situation is like this..."

After Liu Xiaogang finished speaking in detail, there was a moment of silence over there, and he said, "I'm in Singapore..."

"However, in this way, I now have a general understanding of the patient's situation. Manipulative reduction is indeed the best choice, but even I cannot guarantee that this situation can be recovered intact. Let's organize surgery and reset as soon as possible. Please contact me The director of the second-line class, see who is there, and proceed as soon as possible..."

Li Jianwei went to Singapore to attend an academic conference on the weekend, and he was not in Kyoto, but his professionalism still allowed him to give the most suitable plan in an instant.

Because, after dislocation, if the joint can be reset within 2 to 3 hours, the prognosis is generally good.

If the dislocation lasts for too long, the surrounding tissue will swell and deform, and it will be difficult to reset directly. If it continues to develop, it is likely to affect the joint function in the future!

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(End of this chapter)