medical simulator

Chapter 174 Personal charm! (Please subscribe!)
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.

After finishing, Yang Yifeng wiped it with sterile gauze with sterile gloves, and disinfected it roughly three times.

Taking a half step back, he stretched out his head to see how Zhou Cheng was operating.

Zhou Cheng's words were simple, and Pi Dengshan's reply was also simple, but only Yang Yifeng was having a brainstorm at the moment.

How to bluntly break through the muscle space through a small incision, reach the arteriovenous, and how to separate the arteriovenous without pinching the nerve, these are the key points.

more than a minute?
Within 5 minutes, if Zhou Cheng can complete all these, it will be.

While Yang Yifeng was still thinking about it, Zhou Cheng quickly found the positioning mark with his hands rather bluntly, and then cut a two-centimeter incision, cutting to the subcutaneous fat layer, and then followed.

Blood oozed out and quickly covered the wound.

Zhou Cheng didn't hesitate, and immediately used the vascular forceps to dig out the lower layer of fat. After a certain gap was drawn out, the vascular forceps in his hand seemed to have eyes, and the tip penetrated into it!

Then Zhou Cheng swung his tail a few more times, then shook it left and right along the direction of the incision, as if breaking the fascia between the muscle layers!

With Zhou Cheng's left hand, he inserted a blood vessel clamp again, sticking to the position of the blood vessel clamp on his right hand. It is the vascular clamp sent in later.

"Crack!" It was clamped shut with a sound.

After finishing all this, Zhou Cheng took a deep breath!

Just now, the axillary vein was clipped with assistance!
However, with another vascular clamp, there is no assistance.

There are only two pliers in a bag, not many of them.

Under the mask, he licked his lips with his tongue, and then moved slightly backwards along the closed pair of blood vessel forceps!
The veins are outside and behind the arteries.

After carefully opening the pliers head of the vascular forceps, poke it in carefully, because there is a layer of axillary sheath outside the axillary artery and axillary vein, and this layer of tough sheath must be broken.to close accurately.

This is due to the fact that Zhou Cheng is relatively comprehensive in terms of II and surgery. He is very familiar with the soft tissues and sheaths of the upper limbs, so he has a good feel.

Zhou Chengcai breathed a sigh of relief after clicking the clamp again.

Then he opened up the previous wound, tore off a small part of the gauze, and saw that the bleeding was almost gone, and the little bleeding was just residual blood, before he said, "It's ok, the bleeding has stopped temporarily." gone."

Zhou Cheng said it to Yang Yifeng, and also to Pi Dengshan.

"Take a blood pressure test! Continuous monitoring. If the blood pressure is wrong, report it immediately." Piedon Shan immediately said to a nurse in green clothes next to him.

"Okay." The female nurse didn't hesitate, and the electronic blood pressure measuring instrument was always connected to the opposite side.

At the same time, several firefighters stared at the pliers on the patient's arm and asked, "Is this all right? It may take us more than 20 minutes!"

Are you kidding me, this metal thing, if you put it in the human body, you won't be able to pull it out?

Isn't this equivalent to stabbing him directly?

Hey, it really looks like the man's arm was stabbed with two pliers.

However, a doctor is the only profession among all professions that can directly use a knife on the human body for the purpose of treatment, and is not counted as a crime of intentional injury or injury.

There is and only, in addition to this, any other profession, including forensic medicine, as long as it uses a knife on a living person, it is intentional injury!
Forensic doctors can only operate on the dead.

"If the bleeding stops, it should be fine for more than 20 minutes." Although Piedenshan is not an orthopedic surgeon, he is also a surgical surgeon. If the blood loss is limited after the artery is clamped, it is equivalent to the embolism of the blood vessel in the hand. up.

Amputation is the most, but you can gamble on the chance of limb salvage and earn money.

It can't be perfect now, it has to be like this.

"Thank you for your hard work. After the person comes out later, you must contact the stretcher in advance, and explain to the doctor who is transferring that these two forceps must not be moved until they enter the operating room!" Piedonshan participated in the scene more than once Therefore, he is also a very daring person.

"We have other tasks, so I'll trouble you. Xiao Zhou, you stay here, the others will follow me, and continue to rescue other critically ill patients." Piedonshan said hastily.

"Okay." Zhou Cheng replied, thinking that he could only take on the task of observing the patient's vital signs again.

"Okay, Professor Pi." The nurse actually replied.

Pi Dengshan had already turned his head and heard Zhou Cheng's response, but in order to save time, he said, "Yang Yifeng, bring Zhou Cheng with me. I asked Zhou Juan to stay here, not him."

Then Zhou Cheng blushed and raised his head to follow behind. At this time, Yang Yifeng turned his head and called Zhou Cheng: "Brother Zhou Cheng, let's go there together. There are still many patients here, and there are only eight medical teams on the scene now."

And Zhou Juan, the nurse behind her, smiled at Zhou Cheng and said, "Handsome guy, you can do it, we are from the same family. Professor Pi just told me to stay."

Zhou Cheng also smiled back, and then followed Yang Yifeng.

Soon, several people arrived in front of a patient. This person's upper abdomen was pierced by a steel bar from front to back. For a while, no one dared to remove it before.

Because the location of the penetration happened to be near the liver, the previous doctor saw that it was not suitable to cut off the steel bar on site.

Can only be snapped off.

If you use a chainsaw to cut it, the slight vibration of the steel bar will directly kill the person, and even the liver will be split!

There are a lot of firefighters, and several experts are here to design a rescue plan.

However, there is good news at present that the steel bar did not break the main artery, otherwise, there would be no worries about death caused by liver rupture.

At the same time, he also suffered a dislocated shoulder.

It was a dislocation visible to the naked eye. When Yang Yifeng approached, Pi Dengshan and others went to discuss how to rescue it. After Yang Yifeng took a breath of relief, he said to Zhou Cheng: "Brother Zhou Cheng, the method of dislocation like this Reset, can you do it?"

Zhou Cheng frowned: "It's meaningless to do it. His dislocation was caused by a smash. It is conservatively estimated that there will be fractures. It is better to wait for the cut and reset and not get entangled."

"Hey, didn't you get kicked out before? Why did you come in again?" Zhou Chengcai asked his curious question.

Although he died at the hands of Yang Yifeng in the simulation just now, but it was all done by himself.Moreover, Yang Yifeng is such a wonderful person, it's really not easy, he can support the task of first aid on the spot by himself.

If he had performed the operation in the hospital before he had no knots in his heart, how pleasing would it be?How extensive is the surgery?

Big finger.

Yang Yifeng said, "I was right next to me, and Professor Lei recognized me and pulled me out of the crowd."

"Professor Lei's name is Lei Zhong. He is the chief director of our Department of Orthopedics and the current dean. He is also the leader of the medical expert team. He asked me to participate in the first aid work with Professor Pi."

"Oh, your card, wear this." Yang Yifeng said, remembering the card hanging around his neck, he quickly took out one from his pocket, handed it to Zhou Cheng, and asked Zhou Cheng to hang it.

While Zhou Cheng and Yang Yifeng were chatting, the firefighters over there had already used the large scissors to 'crack (pinch off)' the steel bar, and there was a crisp, crisp sound.

At the same time, the slight shaking made the person who was penetrated let out a violent cry of pain.

"Ah~~~~"

"Fuck, fuck, fuck!"

"Mom~~~~"

"Hiss~~~~" The voice gasped, obviously contributing to global warming.

But no one laughed at him. Even if he was crying at this moment, no one laughed at him. This kind of pain, not to mention deep into the bone marrow, must be a real pain.

On his forehead, fine sweat kept breaking out.

After the steel bars snapped off, another big problem arose.

It's not easy to put people down. Laying it flat is equivalent to the steel bars not being shattered, and it has to bear the weight of the whole person. It is equivalent to having a sword that is constantly being pulled out inside.

Stretchers are not easy to put.

At the same time, Zhou Cheng and Yang Yifeng also noticed that the middle-aged man's leg was broken.

His big belly is bloody and bloody at the moment, black and red blood clots are scabbed on the belly, his left shoulder is dislocated and fractured, his right hand is stretching tightly to the ground, hoping to support his weight.

But the right foot was broken, and only the left foot and right hand were exerting force, like a shrimp arching its back, which was a bit miserable.

Although Pi Dengshan and others were helping to lift it, but there was a fracture, and the patient would yell when they touched it, and the pain was unbearable.As soon as Piedonshan and the others were released, the patient's affected limb was stressed, and he cried out more and more in pain.

"I'm going to die, I'm going to die!"

"It's all good if the steel bars don't crack!"

"It hurts! It hurts!"

This is not the kind of coquettishness that hurts, but the strange cry of people being numb in pain.

Pittenshan and the others immediately didn't know what to do. The traditional three-stage force method for first aid transportation was useless at this time.

Seeing this, Zhou Cheng and Yang Yifeng hurried forward to help: "Turn sideways!"

"To the right! His right arm is fine."

"The right foot is broken." Piedonshan was sweating profusely, and the stretcher was not working right now.

"Professor Pi, you have to turn sideways first. I will stretch my left lower limb, and it won't hurt very much. I'll lie down on my side first." Zhou Cheng knelt down on the ground as he spoke.

Traction, now there is no traction bed, the person is slumped on the ground, he can only use both hands to complete the traction at the same time!

Then he immediately said to the firefighters: "Cut the stretcher in the middle step by step! Then cut off a section of the steel bars at the front and back, as close to the flesh as possible. Then let the steel bars go into the broken opening, and carry it on a flat side for transport. "

"Then how do we do it in the car?" the emergency doctor who was transported hurriedly asked again.

There is only a kind of cart that can lie flat on the car. You can’t remove the bed, it’s easy to remove, but it’s not stable.

"When we get to the transfer vehicle, let's put something in the air at the front and back. There is no other better way." Zhou Cheng continued to think of a way.

People always have to be sent to the hospital first.

Piedenshan immediately said: "When you arrive at the hospital, open the abdomen immediately, mainly to detect the middle between the liver and the pancreas, and don't pull it out randomly."

Zhou Cheng was still pulling, but the big brother was heavy and it was a bit laborious, so he hurriedly told Yang Yifeng: "Yang Yifeng, take a small splint to fix it."

Yang Yifeng realized a long time ago that he did not go to the place where Zhou Cheng was going to run, but used a piece of steel bar that had just been cut off as a fixed object, and under the state of Zhou Cheng's traction, part of his lower limbs were lifted off the ground. , Wrapped up with gauze urgently.

Zhou Cheng lasted for 4 minutes before the firefighters finally clipped the two sides cleanly and took off a piece of the stretcher cloth.It happened that Yang Yifeng had completed the temporary fixation.

Only then did the crowd forcefully transfer the man onto the stretcher.

"Thank you." The patient's pain eased slightly, and he began to thank Zhou Cheng and others, and the emergency personnel immediately took him away.

Zhou Cheng sat on the ground, panting heavily, and was extremely happy in his heart. No matter what, it was good to be able to temporarily relieve the elder brother's pain and give him a chance to be transferred.

On-site first aid, the operations that can be done are limited.

It's just that Zhou Cheng almost fell on the ground before, his whole body was covered with dust, and his work clothes were stained.

Seeing this, Yang Yifeng only said: "Go over there and change another set. The dust is not good for the patients in the back. It's just a good time to take a rest."

Zhou Cheng nodded, adjusted his badge, and walked in the direction of Yang Yifeng, but this time, because of the badge, Zhou Cheng got into the car directly, and no one stopped him along the way, so he changed it. After taking off the clothes, jump off again.

Then Zhou Chengcheng saw that there was a direction, and he scoffed and shot a bloody flower into the air.

Chi Chi Chi!

Still spraying, like water spray.

However, the water splash is man-made, and the follow-up water volume is relatively infinite. The blood volume of the human body is at most about 8000ml, and the blood loss exceeds 20.00%, which is about 1500ml, and shock can be reached.

That is the amount of three bottles of ordinary mineral water.

The blood flower gradually decreased.

The heads and faces of a group of people next to them were covered in blood. After the blood sprayed against gravity, it dripped down again.

Tick-tick, like the sound of water drops.

But soon this silence was broken.

"Stop the bleeding, stop the bleeding, hurry up!" Someone grabbed the ruptured artery vigorously.

The people next to him hurried up to help!
Everyone was crowded together, Zhou Cheng really wanted to run over to see the situation, but after taking two steps away, he retreated and ran towards the direction where Yang Yifeng and the others were.

Follow orders!

He was with Peedon now, not a free man.

However, when Zhou Cheng arrived beside Yang Yifeng and the others, a very decisive voice sounded over there: "People are gone! This place cannot be saved."

"Go to the next one."

People are gone.

Zhou Cheng's heart trembled.

Although he had come into contact with many dead people in the hospital, it was the first time that his life disappeared in front of his face in such a situation.

Death is cruel and cold.

When Zhou Cheng arrived again, Yang Yifeng and Pi Dengshan asked him: "What's the situation over there? It seems that someone shouted that the person is gone."

The distance is a little far, and there are a large number of onlookers shouting for cheer, so the sound is actually a bit messy and I can't hear it clearly.

"Mr. Pi, I don't know. When I came out after changing clothes, I only saw arterial bleeding, and then I rushed over." Zhou Cheng explained to Pi Dengshan.

At the moment, Piedenshan was simply treating an open wound on the abdomen of a patient. Hearing Zhou Cheng's reply, he turned his head to look at Zhou Cheng: "Which hospital are you from? Are you a student from Attachment One?"

Pi Dengshan thought that Zhou Cheng was called by Yang Yifeng, at least he was Yang Yifeng's classmate or something.

Zhou Cheng's sense of discipline is a bit strong. He didn't even eat such a big melon. This shouldn't be something Zhou Cheng should do at his age.

The mind is too good, too stable.

"Ms. Pi, I'm from the Eighth Hospital, regular training." Zhou Cheng replied.

After Pi Dengshan had finished asking, he continued to his own operation. After hearing Zhou Cheng's words, he interrupted his operation again, and then looked back at Zhou Cheng with complicated eyes!

Piedenshan didn't speak any more, and after dealing with it for a while, he shouted to the distance: "Come on a stretcher!~"

Someone had already been waiting by the side, waiting for Pittenshan's order to transfer the patient away, but the on-site first aid treatment is still very important. If there is an expert team like Pittshanshan to deal with it, the chance of saving his life will be greatly increased.

After transferring the patient to the stretcher, Piedonshan clapped his hands and looked around. The seriously injured patients were being treated by eight on-site emergency medical teams in turn.

Yes, there are only those who are still under siege. Piedonshan stretched out his hand and said, "Let's go to the side and find a place to sit and rest for a while. There will definitely be a fierce battle to be fought later!"

Piedon Hill did not intervene in the rescue of others.

Zhou Cheng, Yang Yifeng and others followed closely behind.

Beside the group of people, they also saw that some people were transporting the dead. Most of them were young people, probably students.Their expressions are different, some are terrified, some are afraid, some may not react and disappear, and some have painful expressions on their faces, probably they have not waited for treatment!
Soldiers are precious and fast, and every second counts. The injured must be properly treated and treated as soon as possible.

So in fact, after sharing the number of patients who needed to intervene in emergency treatment on the scene, there were not a lot of them, and there were still some wounded who could walk, but they also started to be helped out.

The transfer pressure is now further reduced.

Piedon quickly came to a place where stools were set up, as well as mineral water and food!Most of them are bread and instant noodles.

However, Zhou Cheng glanced casually, and saw that there were marshmallows in the snack pile, and even a toy excavator that was sent by that careless and kind person!
It must have been a gift from a nearby resident.

When Zhou Cheng saw this thing, Piedenshan saw it too. He picked it up and played with it for a while, then put it down again, unscrewed a mineral water bottle, and searched with his eyes like a falcon.

He seemed to be looking to see where a doctor needed help, and started drinking water.

Yang Yifeng tidied up his neck a little. Among the people present, he might be the only one who worked the longest. He was the one who arrived at the scene immediately.

He also played with the excavator, and then took out a sticky fruit stand from the shovel of the excavator.

"These were sent by the people next to me, right?" Yang Yifeng asked.

But no one replied to him, it seemed that everyone else was looking elsewhere, not in the mood to respond to this topic.

Zhou Cheng took a deep breath and said, "Yes."

While Zhou Cheng was still talking, the crowd standing on the second floor nearby was an aunt who asked, "Doctor, hey, doctor, are you hungry? Do you want to cook a bowl of noodles for you?"

"I cook a lot here."

Peter raised his head and waved to her: "Thank you, Mistress, we are not hungry."

She seemed to be a bit regretful and walked into the house. It can be seen that there is still steaming steam coming out of her house, and she doesn't know if the noodles have been cooked, but she can't find anyone to deliver them.

Zhou Cheng also finished drinking water at this time. When he looked at the ruins, he saw many people wearing hard hats, doing surveys, directing, reading blueprints, and searching for trapped people on the spot.

And they, under the circumstances that the existing patients have recovered, can only watch the show here!

Although surgeons also do some physical work, if they are really required to go into battle to do the work of firefighters, they really can't do it, and they can't do on-site measurement and emergency work arrangements.

Industry specializing in surgery.

When Piedonshan was still thinking about it, his walkie-talkie rang again: "Are there any vascular surgeons available? If so, come to the NO.11 medical car!"

The ambulance that ordinary people come into contact with the most is the ambulance, the ordinary 120 type, but in fact, the ambulance also has a surgical vehicle, which can perform surgery on the spot nearby.

It is mainly aimed at some patients who are too late to be transported to the hospital. However, this kind of medical operation vehicle will only appear at the scene of a large accident. When the medical operation vehicle arrives at a small scene, the person may be gone.

Moreover, it moves slowly and has poor maneuverability. Generally, if it stops wherever it stops, it will stop.

When Pi Dengshan heard the words, he glanced at Yang Yifeng: "Xiao Yang, are you going?"

The strength of the Cardiovascular Surgery Department of the Affiliated Hospital of Shonan University is slightly weaker, but this weakness is relative. Compared with other hospitals, it is still superior, but compared with the top strength in the country, it is ordinary First class.

However, Pi Dengshan knew Yang Yifeng and knew that Yang Yifeng was involved in many departments.

After hearing this, Yang Yifeng pursed his lips and said, "Professor Pi, I can take a look."

After getting Yang Yifeng's affirmative reply, Pi Dengshan made a return.

"We have one here, is it NO.11? Mount Piedon." Mount Piedon reported his name.

"Got it, please come here as soon as possible. Thank you!" After the other party rang, the conversation stopped immediately.

Yang Yifeng immediately ran over in the direction pointed by Pi Dengshan.

Zhou Cheng watched Yang Yifeng leave, his eyes moved slightly.

Pi Dengshan explained to others: "Principal Lei explained to me before that Xiao Yang was on the scene for first aid immediately after the accident, and he was probably quite tired, so he should go to the operating room to rest. "

"Now, even if someone is rescued later, the current medical team is still capable."

However, as Peedon Hill spoke.

Suddenly, a firefighter was startled because one of the passing people who were judged as black dead moved his hand!
When he saw it, he was startled, "Huh?", and then quickly turned around and shouted: "It seems that someone here is not dead, doctor!"

Before Zhou Cheng could react, he saw that Piedon Shan looked like a middle-aged man, but he sat and ran away swiftly.

Sitting and running turned from sitting to running, rushing to the direction of the source of the sound.

Zhou Cheng and others quickly started to run away!
It was only a few seconds later than Piedenshan. Of course, because Zhou Cheng was young and in good health, he finally tied with Piedenshan.

When Piedon got to the side of the firefighter, several of his companions had surrounded him, trying to get him out.

Piedon Shan immediately said: "Don't move! Don't move."

Then he ordered: "Go and carefully review the vital signs of all the people who are judged to be dead! Make sure there is nothing wrong."

At the same time, Piedon began to call in the caller: "Reporting team leader, I am Piedon, and I found vital signs among the dead!"

"I'm Piedon Hill, all members of the medical team, all members of the medical team, the personnel who transported the dead, need to confirm the vital signs of all personnel again."

"The vital signs of all personnel need to be confirmed again!"

After Piedenshan sent the voice message, he immediately remembered the sound of clicking, and it is estimated that many people started to panic.

And this scene was completely unexpected by Zhou Cheng.

At the emergency scene, when the death of a person is judged, they will be carefully reviewed, and no black label will be affixed to people!
Thinking of this, Zhou Cheng immediately began to carefully check other people wearing black cuffs!

Vital signs, respiration, pulse, heartbeat, blood pressure, body temperature.

Blood pressure is not easy to measure directly, but others can.

Zhou Cheng turned on the phone, and after measuring his pulse and body temperature, he also checked his reflection to light!
It's just that, after checking one by one, he thought too well, except for the person that Piedon Mountain was dealing with, everyone else lost their vital signs!

However, when several people returned to the location where Piedon Hill was, Piedon Shan immediately said: "Pericardial tamponade!"

"Hurry up and do a cardiac puncture, it might still save you!"

"Liu Wen!"

Immediately someone sent the nearest first aid kit!
"exist!"

"Can you do pericardiocentesis?" Pi Benshan is in general surgery, and Liu Wen is in thoracic surgery.

Some people may misunderstand thoracic surgery and cardiac surgery. In some small hospitals, cardiothoracic surgery is integrated, but in fact, thoracic surgery deals with the lungs and esophagus, not the heart.

"I haven't done it, Professor Pi." Liu Wen said.

Pericardiocentesis is not thoracentesis, everyone has learned it, even epidural puncture, most people have learned it, but pericardiocentesis is extra professional.

"What about you, has anyone done it?"

"I'll call someone if there's no one." Piedon Shan had already looked around, and if no one responded, he would shake someone.

This person had been confirmed dead before, but it was actually a cardiac tamponade, which caused the pulse not to be visible. He also heard a low blunt heart sound through a stethoscope, and there may be excessive bleeding, which led to being misunderstood. judged as dead patients.

The best way at this time is pericardiocentesis, but with this technique, it is not difficult for those who meet, but not for those who are difficult!
Call someone to come, it is not clear whether the patient can survive.

Zhou Chengcheng said, "Professor Pi, I can try."

Piedenshan gave up his seat without saying a word: "Hurry up and wear it!"

"Liu Wen, check for lung contusion and pneumothorax!" Piedenshan said to Liu Wen.

Cardiac tamponade may be due to a blunt blow to the chest, pericardial effusion, or pleural effusion or blood accumulation.

The patient's current breathing is very weak and may be gone at any time.

After all, I don't know how long he was delayed!
Zhou Cheng wasn't bothered either. He had just obtained a proficiency-level emergency "big gift package". Pericardial puncture is a commonly used skill. Although it is not perfect, the proficiency level is enough.

After finding the puncture point, put on gloves and quickly disinfect it with the complex iodine cotton ball that comes with it.

They pierced directly in.

Soon, after the drainage bag was connected, a large amount of bright red blood oozed out.At the same time, after the tamponade contact, the preload became lower and the return blood volume increased, and Pidengshan on the other side looked at Zhou Cheng in surprise.

One side said: "The pulse has picked up!"

"But the patient still has shortness of breath. He should have a pneumothorax. I will need closed chest drainage, and I will transfer him to the surgery cart as soon as possible. It may be necessary to open the chest for exploration."

"Can the family members be contacted right now?" Liu asked.

"I can't even confirm my identity, let alone my family members. If you need an operation, just do it!"

"There is no other way, and it will be gone after waiting for someone."

At this moment, Zhou Chengcheng clamped the drainage bag and said, "Mr. Liu, there is a single valve here, I will close it first."

For pericardial effusion or blood accumulation, too much blood cannot be released at one time, it needs to be released slowly!I believe that a professional doctor should know how to do it.

Liu Wen nodded, followed the transfer team, and went to the direction of the medical vehicle with the patient.

This patient definitely needs an emergency thoracotomy.

"Huh!" After this, Pi Dengshan let out a long breath, looked at Zhou Cheng, and said, "Xiao Zhou, you can do it, you can use any skill. Why didn't you think about going to graduate school? "

"Thank you, Mr. Liu, for the compliment. I may have had bad luck in the exams before." Zhou Cheng just replied, without mentioning the things he failed in the exams many times.

Before, when Zhou Cheng didn't stop to watch the bloody scene, Pi Dengshan felt that Zhou Cheng's heart was very good.

Now that Zhou Cheng said this again, he also said with a thought: "If you have a chance, let's improve your education."

"Let's go there again and see if there is any other place we can help!"

However, only a few people on Piedon Mountain stood up, and even the firefighters who watched nearby applauded: "Is this all rescued? You are indeed a professor."

"That's right, the professors at the Affiliated Hospital of Shonan University are still very powerful."

After a while it becomes.

"Huh? The professor brought the dead back to life?"

"Yes, I have been dead for more than ten minutes."

"Amazing."

At the same time, there were nearby spectators who cheered. They were nearby residents, either taking pictures or taking videos.

However, even if they wanted to post it, it was impossible. Many media platforms now only allow official media to report on such things, and all scenes need to be reviewed manually.

But no matter what, Zhou Cheng's ability has already been recognized by Pi Dengshan.

And while waiting for the injured to be rescued, they were still chatting with Zhou Cheng. The other people, after learning that Zhou Cheng was just a trainee, encouraged him to go to graduate school or something. , Don't limit your eyes and vision.

The charm of the platform can make your starting point very high, but the charm of the individual is that you can bloom yourself across the platform!
Having a good platform is extremely beneficial for future development.

Zhou Cheng just nodded in agreement and did not give any affirmative reply, but he did not reject the kindness of these professors and teachers.

However, in the process of chatting, NO.11 ambulance sent another call for help!
"Excuse me, is there a doctor in vascular surgery? No. 11 medical car is calling!"

This voice came from Lei Zhong himself.

"Is Professor Pi Dengshan here? Is Zhou Cheng of your team free?" Lei Zhong also directly called Zhou Cheng's name.

Pi Dengshan glanced at Zhou Cheng unexpectedly, his thoughts moved slightly, and then said: "Xiao Zhou, I've called you, No. 11 medical vehicle, you go over there."

"Okay, Teacher Pi! Then I'll go there first." Zhou Cheng nodded, stood up first, and didn't get entangled. Now is not the time to tangle.

After Zhou Cheng left, Pi Dengshan let out a long sigh and cursed, "He's a talent, but his luck was bad. He went to regular training. It's probably hard for him to want to study anymore. He's getting old."

Others also sighed slightly: "Yeah, the knowledge and conversation are good, but the education is a little bit worse, he is a good seedling, it's a pity."

And when Zhou Cheng was walking in the direction of the medical vehicle, a little girl, encouraged by her mother, handed Zhou Cheng a piece of bread.

Zhou Cheng ate a lot while sitting, but he still didn't fill his stomach.

"Uncle, I'll eat it for you!" She said, about five or six years old, she should be in kindergarten, wearing a plush coat.

With a thought, Zhou Cheng accepted her kindness, bowed slightly to her and said, "Thank you."

Then took it and left.He was indeed a little hungry.

"Goodbye, Uncle!" The little girl waved to her from behind. She grabbed the railing of the anti-theft window with one hand, and only a small head appeared, shaking with one hand.

"Boom!~" And at this moment, a second collapse suddenly happened again at the collapsed place!
"Hurry up and save people!"

"This way..."

The back is a mess.

Zhou Cheng's heart twitched at that moment, and he turned around.

Looking at a group of people gathered there, it seemed that some firefighters were injured.

And at the window, the little girl was also captured by her mother...

One is the salvation of heaven, and the other is the salvation of hell.

Zhou Cheng insisted on going back to the location of the medical vehicle, which was his battlefield and mission location.

There is always something to be done everywhere.

(End of this chapter)