medical simulator

Only these two departments are so clear about the anatomy and shape of the femoral artery. General surgery does not care about this blood vessel, and gynecology does not care about this blood vessel.

"Orthopedics." Zhou Cheng nodded and did not explain too much.

Now is clearly not the time to swap identities.

He stood up and squatted down immediately: "Then why don't you go to the car to get something, and I will press it for you. You must be more professional than me. I was in general surgery before. The openness of this patient Does the fracture need special treatment?"

"It's better for you to get it. The position I'm pressing is not easy to control. It's better for you to get the gauze and elastic bandage, and then bring two long splints."

"It's best to have one of 110 centimeters and one of [-] centimeters. Similar lengths are also available, so you don't need to measure them."

"Okay!" The man didn't hesitate!
In fact, it is rare to see people who can do such a good job of pressing to stop bleeding.

Zhou Cheng came out of trauma specialist!

There is also the emergency rescue experience gained in the simulated world.

I am very clear about how to deal with an open fracture accompanied by arterial injury during emergency treatment——

The principles and foundations will not change.

Any first aid is to maintain the supreme principle of uniqueness, that is to save life first, and then save others.

The patient has a ruptured femoral artery. If you don't want the patient to die due to excessive bleeding, stop the bleeding first!

This is not an operating room, it is not an operating room, and the principle of sterility cannot be achieved. No matter how much technology Zhou Cheng has, it cannot stop the invasion of bacteria.

If it is impossible to suture the blood vessels, then only local pressure bandage can be used to stop the bleeding.

This is the principle of taking a tourniquet. Our lower limbs are different from the brain and some sensitive livers or kidneys!
They can survive for a certain period of time under the condition of ischemia.

If this is a rupture of the renal artery, or a rupture of the inferior vena cava or the hilum of the liver, in this case, it is estimated that it is difficult for people to persist until transported to the hospital, but a rupture of the lower extremity artery can...

And if it is such a patient, it is estimated that instead of making him wait, he will be transferred directly to the operating room of the ambulance.

A person came up from the nearest ambulance, and took the things that Zhou Cheng had told Duan Liu before, especially elastic bandages and splints.

During the emergency treatment of a fracture, one must pay attention to the temporary fixation, otherwise, the movement of the broken end of the fracture may cause secondary damage to blood vessels and nerves, or aggravate the extent of the fracture.

When he returned to the patient again, Zhou Guo saw that the hands of the young man who had just called him for help did not move at all.

After seeing Zhou Cheng, his face changed slightly, and he hurriedly said, "Do you need me to call someone to help?"

According to common sense, for such a heavy patient, it is most appropriate for one person to press and two people to fix it.

But Zhou Cheng scanned the scene, and no one was free, and Zhou Cheng could handle it all by himself.

Then he shook his head and said, "Forget it, saving lives is like putting out a fire now, and one extra manpower may save more than one life."

In the current situation, Zhou Cheng didn't know who would die because of delaying the timing!
It can only be said that everything depends on luck. In the face of life and death, all lives are equal and fragile.

At critical times, even saving one human resource is very valuable.

Because some patients may look particularly dangerous to outsiders, but in fact, they only need people with a little professional knowledge!
A slight intervention can drastically change the outcome.

Just like the person with laryngeal edema and tension pneumothorax before, if he hadn't met Zhou Cheng!
Now they can go and have a good chat with some ancient people.

"That's all right, thanks for your hard work." In fact, he didn't call people over directly, because he saw that there were no idlers at the scene, especially those who rushed down from the ambulance, and drove away immediately after being dragged to the patient, come and come Often I wish I could grow wings and fly directly in the sky.

"Ninth Hospital Emergency Department, Zhong Yusheng." Zhong Yusheng told Zhou Cheng his name very formally and seriously.

Although in such a particularly urgent occasion, there is no need to self-declare.

Zhou Cheng saw that the other party reported his family name like this, so he couldn't hide his identity anymore, so he said, "The Affiliated Hospital of Shonan University, Zhou Cheng."

Zhong Yusheng was taken aback when he heard it.

Not from Shanghai?

But Zhong Yusheng is a medical professional after all, and of course he has heard of the name of the Affiliated Hospital of Shonan University.

The Affiliated Hospital of Shonan University is still a little far away from Shanghai.

Moreover, Zhong Yusheng still works in the emergency department, and the emergency department of the Affiliated Hospital of Shonan University has a very strong comprehensive strength.

It is stronger than the orthopedics over there.

Zhong Yusheng said: "Professor Wang from the Affiliated Hospital of Xiangnan University is very famous in emergency medicine. Your orthopedics department is so good. No wonder the emergency department can be ranked in the top ten in the country. There is no shortage of people under the reputation! I admire it."

Zhou Cheng has never met Professor Wang face to face, but it is hard to say that he is not good: "Mr. Wang is indeed very good!"

Then Zhou Cheng didn't say any more, and started to do things directly, firstly do the first aid.

Knead the gauze into a big lump, and press it directly above Zhong Yusheng's pressing position, and then wrap it around with an elastic bandage to press and fix it.Although this way of fixing bandages is not particularly formal, it is even not allowed in principle.

But at this time, it is an emergency rescue, which is an emergency avoidance. If you always follow the principles of the textbook, you will die.

The operation mode in the operating room, inside the hospital and outside the hospital must be different. If there is an operating table now, Zhou Chengcheng directly sutures all the blood vessels, and even connects the femur with an external fixation bracket. What's the problem?
The problem is no.

Seeing that Zhou Cheng's movements were swift and not sloppy at all, and after the immobilization, although there was still bleeding, it was already very slight, which could basically allow this person to stay in the hospital!
At worst, just transfuse some blood. It won't be the case that the blood transfusion can't even lose the amount of blood, so it can only be declared dead.

After finishing the pressure bandage, Zhou Cheng used ordinary bandages and small splints to temporarily immobilize the inside and outside of the patient's leg, and then said: "Mr. Zhong, this patient is basically like this, you can pick it up later." He went to the hospital to make a handover."

"I still need to sort out the patients."

Zhong Yusheng nodded and said, "Don't worry, you have worked hard. Doctor Zhou! I thank you on behalf of the people of Modu."

Zhou Cheng smiled, shook his head and said, "They have already thanked you, and we are all Chinese! In the face of big right and wrong, we are standing under the same wall."

In fact, Zhou Cheng also knew that Zhong Yusheng didn't mean to discriminate against him, but Zhou Cheng still felt that no matter if it was Magic City or Shashi, they were all Huaguo!
So there is no need to raise the topic to such a high level all of a sudden, thanking myself instead of the people of Modu, I still can't afford such a high honor.

It's not like Zhou Cheng is doing something groundbreaking.

In fact, everyone is the same. When you help others, if you receive a little bit of warmth from them, your mood will be very different.

You will feel that everything in the world is worth it, and it is indeed worth it.

far away.

Someone spontaneously formed a volunteer, holding a notebook, and seemed to be responsible for registering whether everyone who participated in the rescue had eaten, and some shop owners pushed their own small three-wheeled carts and poured drinks and water onto the curb As soon as it is released, it is like handing out leaflets and asking passers-by if they want to have a drink.

There are also convoys formed spontaneously by enthusiastic citizens to transport patients with minor injuries, and the congestion is getting longer and longer...

Zhou Cheng took a deep breath, and then started his work again.

After Zhou Cheng and An Ruo had almost sorted forty or fifty patients, all the wounded were basically sent down, and they were all dealt with.

Then Duan Liu found Zhou Cheng again, apologized and thanked him.

"I'm sorry, but I caused you some trouble today. The main reason is that there are not enough people."

Hearing this, Zhou Cheng immediately said: "It's okay, we don't have anything urgent anyway."

"Since these people have basically been dealt with properly now, let's go back first, Mr. Duan, you go and do your work first, don't worry about us."

Duan Liu did have a lot of things to deal with. Although these patients were transported out, after returning to their own hospital, there must be a lot of things to do.

Duan Liu reached out to shake hands with Zhou Cheng and the others, and said, "Can you leave a name, I will personally write a thank you letter or send a pennant to them when the time comes."

"Just now my colleague called and said that the few patients you dealt with were very timely. Otherwise, the consequences would definitely not be optimistic."

Duan Liu didn't ask Zhou Cheng who they were and what unit they worked in.

The abilities shown by Zhou Cheng and the others are enough to prove their strength, and this is enough.

Zhou Cheng immediately replied: "No need, no need, it's just a matter of a little effort, just happened to meet. Doctor Duan, then you go to work first, we will withdraw first."

In fact, during the process of sorting patients, Zhou Cheng also believed that some patients must have hidden injuries, and some of them may still be fatal.

But Zhou Cheng is not a god, and cannot penetrate everything.

Moreover, the task assigned by Duan Liu and the others is to tell them to sort patients, not to do clinical consultation.

After saying goodbye to a few people.

Zhou Cheng and An Ruo joined the crowd and started walking, holding hands.

In the expressions of the two of them, they were both slightly tired, but not tired. The current feeling is actually good, but in front of such an incident.

Having personally experienced rescue and death, the mood is destined not to be very good.But I also feel that peace and health are the greatest blessings.

Everything else is really not as important as imagined.

After walking for a while, An Ruo suddenly remembered, seeing that Zhou Cheng's right hand was empty: "Clothes? Where are the clothes we bought?"

"I forgot where I put it, I don't know if it's still there." Zhou Cheng also really has no memory of this.

"Forget it, you don't like it very much anyway." Zhou Cheng looked back at the rest of the scene, and now he has to go back and look for it, which is probably very difficult to find.

"That won't work, you bought it for me." An Ruo wanted to turn around.

"Don't go back, we can still go shopping tomorrow." Although Zhou Cheng also felt that the clothes were lost, it was very heartbreaking, but at this time, if he turned back, he might not be able to find them, and there was a certain degree of danger.

No need.

An Ruo also nodded...

at the same time!

Duan Liu received a call again, it was from a colleague in the hospital after the operation, and he said straight away: "Grandma Liu, you are too gorgeous this time, you have performed the deformed endotracheal tube so neatly and neatly." gone."

"You don't know that the burning range of this patient is just at the bifurcation of the bronchi. If you hadn't inserted a straw into it, the patient would have died a long time ago."

"You really snatched his life back from Lord Yan."

Duan Liu immediately understood which patient it was, and said with a wry smile, "I didn't do the tracheotomy and intubation. I did it before I brought someone here."

"He said he saw that there was still smoke and dust when the trachea was cut, so he estimated that the burn was deeper, so he inserted an extra straw."

When the other party heard what Duan Liu said, he was immediately surprised and said: "You didn't do it, who was it? Could it be that the people from the Anesthesiology Department of the Ninth Hospital rushed to the scene before us?"

"It's not from the Ninth Academy, I don't know where it is from."

Duan Liu replied: "I didn't bother to ask. Others were just here for fun and participated in first aid work during non-working hours. This is not easy in itself. Why do I ask so many questions?"

"However, all the onlookers saw that this time, the two doctors covered up all the gaps between the explosion and the arrival of the emergency medical team on the scene, and insisted on taking at least four lives from the death god."

"All I saw was four."

Don't think that the lives of the four people are not many, you want to save a life in such a critical situation without any professional equipment!

Even for very experienced doctors, it is very difficult.

Sometimes, even in the ICU, there are not a few people who have not been rescued after seven or eight consecutive rescues in one night.

It's hard for a clever woman to cook without rice, just like a chef, even if you are a royal chef, if you don't give you pots and pans, you just cook with your hands?

It's also free.

Moreover, there is no equivalent to measure the importance of a life to this life family, to his family. Four people, four lives, less than 5 minutes, this is already very, very difficult.

Even in a hospital, who can guarantee that they can save a life within 5 minutes?
And it still involves the threat of different diseases in so many complex departments such as anesthesiology, otolaryngology, orthopedics, and vascular surgery.

This is also the reason why Duan Liu didn't ask the other party what his background was, someone with such solid basic skills!
It must not be some unknown person. The other party didn't tell his background, so he definitely didn't want to be disturbed.

Obscurity is fine sometimes.

Otherwise, if it really gets on the news, for medical workers, they will be interviewed in various ways. Can they still do their normal work?
The other party said regretfully: "I thought it was you, such a unique tracheotomy, you are a very interesting person."

"I think there should be a chance, right? He might be from Shanghai, so let's inquire about it later. I'll hang up first, there are wounded here to deal with."

"You go, you go, you are busy first..." The other party said so.