After raising a cat, the goddess doctor became popular in the interstellar

Chapter 527 Closed Chest Drainage
As soon as he saw the injured, Tao Le opened the golden finger.

The interface is already a deep and heavy dark purple, suggesting that his life is like a dying candle in the wind.

Age: 34 years old, health value: 9.

Etiology: flail chest 55%, lung contusion 30%, left and right tibia fracture 10%, left carpal fracture 5%,

Blood pressure 90/60, heart rate 110, blood oxygen saturation 58%
Complications: hemopneumothorax (traumatic), atelectasis, respiratory failure (mild), hemorrhagic shock

At the bottom of the interface, there is a clear three-dimensional image of the whole body, fully showing the wounds everywhere.

Multiple fractures of 3 adjacent ribs, causing the chest wall to separate from the rest of the thorax, or even sink, is called a flail chest.

In this case, the lungs suffer an inevitable contusion.

The injured person in front of him had broken as many as five ribs, but fortunately he didn't hurt his heart, otherwise he wouldn't be able to persist until now.

It's just that, the traumatic pneumothorax caused by lung contusion and bleeding can also kill people.

Tao Le could clearly see that a large amount of blood had accumulated in the patient's pleural cavity.At the same time, due to the obvious contusion of the lungs, the inhaled gas overflowed to the chest, forming a pneumothorax, which caused the patient's respiratory failure.

No matter how old the ambulance in the township hospital was, it was equipped with oxygen cylinders, but the injured were breathing oxygen all the way, and their blood oxygen was still dropping.

This is actually normal.At this moment, the patient's lung is like a balloon that has been punctured. No matter how much oxygen is ventilated, it cannot be fully supported. It is strange that the oxygenation can go up.

The injured were quickly moved over the car.The nurse following the car was Xiao Chen. She had been in the emergency department for a long time and was very experienced. Without Tao Le's instructions, she quickly added various monitoring equipment.

Tao Le stared closely at the health value that continued to drop on the interface, and was about to start processing when he saw Dama also climbed into the car, followed by the doctor from the township hospital.

Although Mio Technology's ambulance is slightly wider than ordinary cars, it can't squeeze so many people.

"I want to be with my husband." Dama said bluntly.

Tashi, the doctor who came from the township hospital, sighed, "You guys came fast enough. If it was later, I'm afraid."

He shook his head, not optimistic about the next journey of the injured.

It is a miracle that such a serious injury can last for so long.Even if Sasha Central Hospital is the best hospital in Tibet, so what if there are countless experts from Beijing?

For such an injury, the role of first aid outside the hospital is limited, and if it cannot be transferred in time, it can only stop there.

Dorji Cidan's life is probably only a few minutes left.

Tao Le frowned: "All of you gathered here will affect the treatment. The family members can stay, but they have to go to the co-pilot. Doctor Tashi has fulfilled his duties, so he can leave."

She spoke Tibetan, which both Dama and Dr. Tashi could understand.

It was such an ordinary request, but Dharma did not agree.

"I know, he is going back. So I will be by his side for the last journey." There was a hint of sadness in her eyes, but she still maintained her rationality.

"Yeah." Tashi said: "Actually, there shouldn't be much you can do. It's better."

It's not as good as what, although he didn't say it, everyone can guess it.

"Shut up." Tao Le said angrily as he watched the injured man's health value drop a little again.

"Until the last moment, I will never give up." She said, easily picked up Tashi, who was a little fat, threw him off the ambulance, and closed the door again.

After the car started, Tao Le ignored Dama, but responded to the prompt boxes that popped up frequently.

[After testing, the current conditions support closed thoracic drainage.Need a mock guided practice?whether.Note: The mock guided exercises do not take up real time. 】

【Yes. 】

As a nurse who has worked in the emergency department for more than five years, Xiao Chen also has his own judgment on injured patients.

If such a serious collision injury is already in the hospital, there is still a glimmer of hope after hard work, but...
Fortunately, she is just a nurse, as long as she follows Dr. Tao's orders.

Doctor Tao's expression was very calm, and he gave a series of instructions in a peaceful voice.

Before leaving, because the situation of the injured had been foreseen, the materials were well prepared.

Rehydration and anti-shock, this is what it should be, and various crystal colloids are also readily available, so there is no need to say anything.

But closed chest drainage?Is Doctor Tao joking?

Not that there is anything wrong with this approach.

Right now, the respiratory function of the injured is not complete, and the blood oxygen has dropped to such a low level that it is necessary to immediately establish a breathing channel to increase oxygenation.

To establish a breathing channel, the quickest and easiest way is closed chest drainage, which releases blood, gas and other effusions, rebuilds the negative pressure in the pleura, and promotes the expansion of the lungs, thereby improving breathing conditions.

But even if she is just a nurse, she also knows that the premise of closed drainage is to have a complete imaging test result and clear the location of the drainage, okay?
The country hospital does have an X-ray machine.Dr. Tashi also said just now that the injured had a film taken there.

But the problem is, the consumables are gone.

They can see the results on the computer, but because they don't have film, they can't print it, and they can't bring it over.

So, in the absence of any visual guidance, how does Dr. Tao perform this puncture and drainage?

This is a thoracentesis. If the positioning is inaccurate, if the needle is accidentally pierced wrong, it’s okay to say that no fluid and gas are drawn out, but the most feared thing is touching the heart and lung tissues.

The injured person was already like this, and he couldn't hold on for a few minutes.But it is one thing for him to die due to serious injuries, but if he passed away because of poor puncture and drainage, then the consequences would be too great.

In the blink of an eye, countless thoughts flashed through Xiao Chen's mind, but he took the prepared crystals and colloids in his hands every second, and instilled them along the two deep vein channels that Doctor Tao had just opened.

At the same time, outside the Sasha Central Hospital.Wei Changgeng got out of the car, carried a small suitcase and went upstairs.

"Director Wei, are you back?" An Jun asked in surprise, "Doesn't that mean you're back?"

"The operation went better than expected, so I came back earlier." Director Wei's face was a little tired, but he was still in a good mood: "Is there anything going on in the hospital these two days?"

"It really is." An Jun first moved a VR glasses, explained the ins and outs, and then said: "In short, the courtyard requires that you go in and learn when you have nothing to do at night."

Director Wei opened the box, looked at the contents, and shook his head: "I've heard of this kind of thing, it's a game device for young people, right?"

"You are really down-to-earth." An Jun praised: "In fact, this is really a game. The picture is so perfect that you can't tell the real from the fake."

Director Wei didn't like to look at his intoxicated face.

With a snap, he slapped the glasses on the table: "Are you kidding me? I'm so busy every day, I don't have time to study some games."

(End of this chapter)