medical simulator

The person whose arteries are bleeding is a young woman!

The outside of the elbow was bloody and bloody, and even a sweater couldn't absorb all the blood, and it trickled down.

The person who dragged her out was a young guy in his 20s!
His own ankles were also painted, his body was exhausted, and his face was covered with black stains. He felt that the person had come out of a safe place, and he lost his strength. He limp on the ground as if lying dead, and closed his eyes. Breathe greedily.

Very tired, very tired, very painful, and want to sleep.

He was injured himself, and it was not easy for him to get down from the hot pot restaurant safely, and he brought a person with him, even if the woman was not very heavy...

However, at this time, in fact, anything could become a burden for him to escape!
Zhou Cheng ran close and saw the woman first. After all, it seemed that the woman was more seriously injured.

Probably judged it!
Injury to the radial artery!

But Zhou Cheng didn't rashly pick up the square object and tape he just picked up and started to stop the bleeding!

Battlefield first aid, not by visual inspection.

He held the woman's palm with both hands for about three seconds.

Zhou Cheng is not taking advantage of the girl, he is judging by the palm of his hand!

In addition to the radial artery, does the woman have non-exposed injuries to other blood vessels? If so, he needs to find a pad to pressurize and bandage the deformed arteries——

Temporary hemostasis, transport away as soon as possible, this is the first principle.

At this moment, the most important goal is to save life and try to delay time.

Any on-site surgery is all nonsense and temporary.

However, what is relatively acceptable is that the pulsation of the ulnar artery in the woman is acceptable, and there should be no arterial rupture.

It is basically impossible to debride and disinfect her left side now!
So Zhou Cheng immediately pressed the square thing in his hand to the place behind her elbow close to her upper arm, and holding the gauze in his right hand, he rolled it around the woman a few times!
After tying a hard knot, the arterial bleeding stopped.

However, during this process, the woman did not speak or thank her!

Her breathing was present, and her arteries pulsating strongly.

On the surface, she doesn't look like someone who should be in a coma.

Zhou Cheng called to An Ruo who was in a daze, and said, "An Ruo, come and see her chest and abdomen, it's not convenient for me!"

An Ruo turned her head and glanced at Zhou Cheng.

Zhou Cheng pointed at the woman.

A girl's chest and abdomen are relatively private parts. If there is no female medical staff, there is no way. Zhou Cheng will definitely take off the girl's clothes without hesitation.

But at this moment, An Ruo is beside her, and she is still his wife-to-be. Zhou Cheng does not intend to be in danger because of emergency avoidance if conditions permit.

An Ruo was about to come over, but beside An Ruo, there was a child with blood on his body, who must have been in excruciating pain, crying loudly while calling his parents.

Even if the staff helped to appease, it was useless.

It's useless to be coaxed by anyone, just crying, but there is no big fuss, which makes everyone a little annoying.

However, the two children can't be blamed for this. Judging by their age, it is estimated that they didn't even have a first-grade degree!
At this age, when encountering such a fright, the parents who are obviously around do not respond. They are not afraid, that is the horror.

But the children's parents seemed indifferent to their cries.

An Ruo's mood suddenly became very heavy, but seeing Zhou Cheng pointing at the woman lying on the ground again, and the woman on the ground was bleeding on the ground!
Blood also seeped from the abdomen, soaking through the not-so-thin windbreaker except for the sweater.

The weather is still cold at the moment, you need to wear two coats.

An Ruo leaned over again without any hesitation.

If the two children couldn't cry, she might still worry that they were in danger, but at this moment they were crying so hard!

There may be psychological damage in the future, but it is estimated that the physical damage and mechanical damage are not large.

At this time, the trauma in my heart can only be let go.

Children are very important, and mental health is also important, but in front of life, life is still the first.

"Here, what's the situation?" An Ruo came over and asked.

Zhou Cheng only said two words: "Abdomen."

Zhou Cheng quickly approached the man next to him, and didn't have time to pay attention to the child.

This man has not moved since he went downstairs and lay down.

The pain does not moan, does not open the eyes, although the breath is still there?
The man's face was black with smoke, so he couldn't tell whether he was older or younger than him!

Zhou Cheng shouted: "Brother, brother, wake up, what's wrong?"

The man did not respond 'toldly'.

Zhou Cheng immediately poked again, but there was still no response.

Zhou Cheng's hand had already touched his carotid artery, feeling his pulse.

Those who did not respond were almost in shock.

Very faint, but still there.

The man still didn't open his eyes, and the rise and fall of his chest when he breathed was a little weaker than before.

Zhou Cheng immediately tore his clothes off without hesitation.

But the man was wearing a sweater underneath, and Fang Yun could only take the sweater off again.

only saw!
His entire abdomen was slightly swollen, and the man himself was very thin, and he was wearing a sweater, so it just covered up the changes on his stomach.

Zhou Cheng saw that there was something wrong with this stomach, so he poked it up a little bit!
It's like touching a floor tile.

This is true for the entire abdomen, and the pressure does not have the softness that a normal abdomen should have.

However, it can be seen that the man's abdominal muscles should be fairly developed, and he should be a person who likes sports and life at ordinary times.

Don't think about it, this is internal bleeding, or even internal rupture.

There is no salvation at the scene!
Although if Zhou Cheng was given a scalpel and sterilized tools now, Zhou Cheng could fight for it, but no!
Zhou Cheng looked around.

Nothing!

Moreover, the open surgery with a large incision, such as laparotomy, has a mortality rate of more than 90.00% if it is performed with glass ballast.

Zhou Cheng's protruding Adam's apple slid up and down twice, and he scratched his hair with bloody hands, feeling a little irritable all of a sudden.

At this time, the siren of the ambulance in the hospital could already be heard.

But the distance is not close, Zhou Cheng immediately shouted: "Two people help me, take him outside as soon as possible, the sooner I get into the ambulance, the better. Two people help me."

Hearing Zhou Cheng's shout, a few onlookers who had been observing Zhou Cheng's treatment came forward immediately!
I just want to run outside with people on my back.

Zhou Cheng hurriedly stopped him: "I can't recite it!"

"If you want to carry it, you lift your head, you lift your feet, I support your buttocks, and then two people lift your waist, right?"

"Get the person out and send him to the ambulance as soon as possible, the better, please."

A man nodded when he heard the words, and just muttered: "I'm so skinny, I'm actually enough for myself."

Is this the f*ck thin thing?

"Thank you, listen to me."

When Zhou Cheng saw someone coming to take over, he immediately gave up his treatment.

"Has the colored paper or crayons I asked for arrived?"

At the first moment, Zhou Chengcheng asked the person in charge of the mall to find these two things!

In this large-scale accident, all patients must be marked.

Although he has no tools, he can do this and save others time.

"Found it. Here, there are only colored markers for the time being."

Seeing that the colors of the pen were enough, Zhou Cheng immediately picked up the marker pen and drew a green circle on the faces of the two children!
A yellow circle was drawn on the woman whose life and death were unknown.

Then draw a red circle on the young man who rescued someone...

The green circle is basically safe, the yellow circle needs to be cautious, the red circle must be rescued immediately, and the black circle is dead!
In this way, as long as you are knowledgeable, you can immediately understand what it means.

Done.

Zhou Cheng turned around and took a look inside the shopping mall. Several firefighters and soldiers in yellow fire suits were already rushing towards the billowing smoke.

rushed to the battlefield that belonged to them.

Then there were some people in fire suits. They saw Zhou Cheng saving people before, so they dragged the people who had just been rescued from the mall to Zhou Cheng. While putting down the patient, they said in a low voice: "Doctor, thank you for your hard work."

Then go back to the upstairs of the mall.

Zhou Cheng asked from a distance, "Are there still many people upstairs?"

"A lot." He only replied, then jumped into the shopping mall again, turned the corner and went upstairs.

"Paralysis!" Zhou Cheng cursed.

The hot pot restaurant is on the third floor!

On the first floor of the ground, firefighters have already arranged soft air cushions!

There are many people waiting to jump down at the windows of the fire stairs on the third floor...

Zhou Cheng couldn't figure out what was going on inside, but he knew it was very dangerous.

Just hope, don't you?
Just when I was thinking about it, there was a boom!

There was another roar in the shopping mall, and then Zhou Chengcheng saw the place where the firefighters ran in just now, and a burst of flames filled the place, directly killing the first two or two people.

buried in it.

And there were bursts of shouts from inside: "Underground, there are gas tanks stored underground, go there quickly, go there quickly, and send all the injured people out!"

"Roger that!"

Zhou Chengcheng saw with his own eyes a thin, skilful young man who was thrown out by the sea of ​​flames and air waves.

Then he looked down at the wounded man he sent out.

The whole person was in a deep coma, Zhou Cheng immediately checked the carotid pulse, and it had completely disappeared!
Then I looked at the pupil, and the pupil was only the size of a needle tip.

The best treatment at this time is to perform CPR on him.

But this is complete nonsense, there are only two people at the scene, one child must have dislocated a joint, and An Ruo is still carefully examining the wound on the woman's abdomen!
Where did someone give him heart compressions that might not work?

Don't you want to see the patients in the back?
sorry!
Zhou Cheng really wanted to draw a black circle for him!
But in the end he was given a red circle.

Zhou Cheng didn't want to easily define him as death, but he also didn't want to waste time on him, because everyone was a stranger.

If at this time, it is possible to perform a craniotomy on him, it can be rescued...

However, such an opportunity is also a luxury at this time.

Just when Zhou Cheng was about to put the marker pen back into his pocket, two firefighters rushed out of the mall again and rushed towards Zhou Cheng, while the others were evacuating relatively healthy people and running outside.

The firefighter seemed to be going downstairs for the first time, so after going downstairs, he carried the wounded person directly to An Ruo who was treating a child.

Their main purpose was to fight fires and rescue people on the spot, and of course they didn't pay attention to how many medical workers there were before.

Seeing this, Zhou Cheng immediately leaned towards An Ruo.

Then he took a little look at another child who was crying and holding the other arm with one hand, and just slightly pinched the elbow of his affected limb and lifted it.

The little boy seemed to twitch in pain, it was more painful than before, but it became less painful immediately, and his crying stopped abruptly for a moment!
Then he fondly touched the arm that was still in pain.

After rubbing it, I feel less pain.

I looked around again, and after not seeing my parents, I started crying again.

In his world, not having parents by his side is also something worth crying about.

"Sister, send the children to the side and let someone take care of them. This is not for them." Zhou Cheng extravagantly gave them a little more time, so he reset his dislocation technique first.

An Ruo was stunned by Zhou Cheng's actions on the spot!

Is this how Zhou Cheng usually sees the doctor and the emergency department?
She seemed to have seen something just now, but her thinking hadn't caught up with Zhou Cheng's movements!
Zhou Chengcheng has already rushed to the next person.

After the two firefighters sent the injured to the ground to lie down, they were about to go upstairs again, but when the two were about to rush back desperately, Zhou Cheng immediately grabbed a man's arm, and said nothing. As soon as he said that, he quickly bandaged his palm——

The cloth used for bandaging was temporarily pulled from the patient.

The speed and technique of Zhou Cheng's dressing are very fast.

After about ten seconds, the strip of cloth was torn off immediately without knotting.

Zhou Cheng said: "Pay attention to safety. The wound will not bleed like this, and it can also reduce pollution. There is no need to fix it temporarily, and there will be no delay."

The other party seemed to be a little touched, and he would suffer a lot of injuries during training, but he didn't deal with it in such a timely manner.

He froze for a moment, and dropped two words: "Thank you."

"Thank you." Zhou Cheng replied to him.

He laughed, and then rushed into the building of the shopping mall, as if he had found the meaning of his work all at once.

When Zhou Cheng turned his head, he immediately saw a person covering his throat with great difficulty and breathing hard. The whole person was arched and panting heavily, as if trying to get the foreign object out of his throat.

However, there was still a lot of smoke and dust being exhaled from his mouth, his eyebrows were burnt, and dust was constantly being brought out from his nose.

Seeing this scene, Zhou Cheng immediately opened his mouth and saw that it was pitch black inside.

It is estimated that the air wave of the explosion just rushed in, burning his mouth and throat.

The huge throat was swollen, as if he was about to suffocate and die in the next second.

He clutched his neck uncomfortably and turned in pain.

Zhou Cheng immediately held him down: "If you hear what I say, bear with it a little bit, don't move yet, I'm going to give you a blow."

Tracheotomy is to avoid the throat and re-open a channel for the patient to inhale air.

Zhou Cheng didn't care too much right away!

Craniotomy is a waste of time, but tracheostomy does not waste too much time, there is time to spare.

Moreover, the first aid kit has already arrived, as well as the staff and the volunteers who spontaneously formed to help, are constantly helping Zhou Cheng deal with the follow-up of the patients, including turnover!

There are no blades in the first aid kit, only tissue scissors.And neither seems to be sealed sterile.

There's no way to do that, you can only make do with it.

After pouring a little complex iodine to disinfect his skin and the sharp knife, he immediately pinched the skin above the manubrium and cut it open with a click!
Then use the blunt side of the scissors to perform blunt dissection, quickly reaching behind the trachea.

Zhou Cheng's skin on the trachea was pulled away, and then!

Zhou Cheng used scissors again to cut his trachea open without hesitation!
But even so, Zhou Cheng still saw that a lot of dust appeared in the trachea!
There is no way, there is no Y-shaped tube for the trachea at the moment, Zhou Cheng can only use a few straws instead, and the queen uses gauze to press down the incision wound.

The straw is directly connected to the air and the left and right main bronchi of the respiratory tract. In this way, the man resumed normal breathing movement without the negative pressure in the extrathoracic space being damaged.

And this breath drove the two straws to move, but it made him feel like he was in heaven, the struggling movement stopped, and after the suffocation disappeared, although there was still pain...

But compared with the feeling of dying from suffocation, this is nothing at all.

Zhou Cheng made a red circle on his face.

At this moment, the first ambulance finally arrived not far from the mall!
A group of green clothes jumped out of the car, took a stretcher, took a look, and then started the posture and speed of a [-]-meter race and rushed towards Zhou Cheng's direction.

The leader was carrying a first aid kit, and when he was about to do something, he saw that the faces of several people on the ground were marked.

He knew immediately that he was a colleague!

This ignorant person doesn't know this rule at all.

Then he asked without hesitation, "Which one will go first?"

Which one needs to be rescued the most, but one more word is a waste of time.

Zhou Cheng pointed at the patient under him: "Laryngeal edema, endotracheal intubation."

"Go! You guys, go!" A person immediately ordered two people and a stretcher, and then several others bypassed the patient.

A few green clothes came over and took away the person Zhou Cheng was referring to without asking who Zhou Cheng was or which hospital he was from.

"Can you leave the first aid kit?" Zhou Cheng shouted when he saw the other party lift something, pick it up and leave.

The first aid kit was left in place by a green suit!

Then he and the remaining green clothes sprinted for another [-] meters to carry the stretcher into the ambulance!

Seeing that the first aid kit seemed to be some distance away from Zhou Cheng, someone immediately picked it up and rushed up to give it to Zhou Cheng, and then ran back into the crowd...

I'm afraid it took up space and delayed Zhou Cheng's posture.

At the same time, Zhou Cheng also saw that there were several bottles of mineral water behind himself and An Ruo. The caps of the bottles were loose, but the water was full.