Gou is practicing medicine in the clinic

Chapter 130 Difficult to stop bleeding, saving lives will bring great rewards
This person was covered in blood, and blood was still bubbling from his head. In a short period of time, a pool of blood had formed where he fell to the ground.

The situation looked alarming.

"help me!"

The man made a weak cry for help, his expression looked very painful and very weak.

In this situation, Li Jingsheng did not dare to move the injured.

"Don't worry, I'm Dr. Li from the Sunshine Clinic, and I will try to save you."

This was the first sentence Li Jingsheng said to the injured.

Based on his rescue experience, the man's life was extremely dangerous.In this case, it is very important to give the patient a strong confidence in survival.

He squatted down and quickly checked the wounded.

One arm was lying weakly on the side of the body, and the middle part of the humerus was distorted at a strange angle.

He could tell with barely a touch that the arm had been broken.

At least the level of a comminuted fracture.

More seriously, a severed injury with only one layer of skin attached is possible.

The man was wearing a white sleeveless Han shirt, a denim jacket over it, a pair of stained jeans, and blackened white sneakers on his feet.

I thought that the people who were beaten were those security guards who maintained order, but now it seems that they are not.

At least this man gave Li Jingsheng the feeling of a... unemployed young man.

It is possible that the troublemaker was beaten by the security personnel of the pharmacy.

To be able to open such a large pharmacy and employ more than 20 people is definitely not weak.

It's normal for people to run into trouble on the first day of opening.

Not to mention the Internet celebrity who opened a pharmacy, two certain herbal tea manufacturers and two certain mobile companies often exposed news about mutual cooperation when they were doing promotional activities.

If you want to smash people's jobs, the consequences will naturally be very serious.

Li Jingsheng checked the man and found that at least three ribs were broken. No fractures were found in the leg bones for the time being, but there were several large bruises on the front of the calf, which were probably caused by a blunt instrument.

The most serious one was the head wound. There was an opening and the bleeding was severe.

The total blood volume of an adult is about four to five thousand milliliters.

A little less, even less than 3500 milliliters, and a little more, only six or seven thousand milliliters.This can be simply estimated based on body weight, which is about 8% of body weight.

In a short period of time, if the bleeding volume exceeds 1000 ml, shock, coma, or even direct death may occur.

The man was in a semi-conscious state.

If the rescue is not carried out in time, by the time the ambulance arrives, most of them will not be saved.

Li Jingsheng currently has two hemostasis medical skills, ligation hemostasis and compression hemostasis are both proficient level.It is equivalent to the level of a senior resident doctor, and it is no problem to deal with slightly difficult hemostasis.

After further examination, he found that the man's head wound was also caused by blunt force trauma.

The source of the bleeding is unknown.

Trying to stop the bleeding by compression didn't work, let alone ligation to stop the bleeding.

Because ligation of hemostasis must find the ruptured blood vessel, and ligation at the proximal end can stop the bleeding.

How to ligate the blood vessel when the source of bleeding cannot be found anywhere?
The assailant struck so hard that Li Jingsheng even found out by touching the bones that the injured man's skull was probably shattered.

This is a dead hand.

The head is one of the deadliest parts of the human body. Boxing can kill it, let alone a hard blow with a steel pipe.

The skull is the hardest bone in the human body after teeth.

Teeth are used to chew food, inside the mouth.

The skull, like other bones, plays a role in protecting the vital organs and tissues of the body.It is actually the hardest bone of this type.

The skull was smashed directly by someone, one can imagine how brutal this blow is.

What Li Jingsheng was most worried about was that the injured's intracranial tissues were seriously injured.

However, the injured person's breathing and motor functions are not inhibited at present, and he should also be conscious if he knows to get up and call for help outside the clinic.

So, the chances of serious damage to the brain are lower.

What we have to do now is to help the wounded to stop the bleeding quickly, and then further rescue according to the actual situation.

He checked the injured as quickly as possible, made a diagnosis, and formulated a rescue plan.

But now it is difficult to stop the bleeding of the wounded.

It's a bit embarrassing to say it, his hemostatic technique is a bit lame, and there is no way to stop the bleeding from the injured head.

The practical knowledge in the first aid manual quickly flashed in his mind one by one.

The content about head hemostasis in emergency medicine is also trying to recall.

When he was studying the thick emergency medicine, he put in a lot of hard work.

After rotating in the emergency department, some theoretical knowledge was successfully combined with practice.Some of them are still in the theoretical stage.

There's nothing to be ashamed of.

Many attending physicians secretly bring an outpatient manual with them when they come to the outpatient clinic for the first time.

Some basic knowledge is almost lacking, and you have to bring another anti-infection medication manual.

As for the resident doctor's first visit to the clinic, it is even more nothing to sneak in and read books.

After all, most people are not geniuses, they have grown up step by step.

Li Jingsheng watched the wounded's life disappearing rapidly, and felt very anxious.

He is the strongest doctor in the clinic, and now facing rescue, he must preside over the overall situation.

Fortunately, the doctor's level has been raised to the junior attending level.

Let him maintain a trace of calm when facing such an urgent and critically ill patient.

Thick sweat had already oozed from his forehead.

"Yes, why didn't I expect to be able to suture to stop the bleeding?"

It was like seeing a ray of light in the darkness.

After the wound is sutured, it can achieve a certain degree of indirect hemostasis.

Just now, in a hurry to save the patient's life, I only thought about direct hemostasis, but ignored indirect hemostasis.

"Sister Tang, immediately prepare the needles, sutures, needle holders, and tweezers for suturing the head wound. If you are afraid, ask Dr. Gao to take them out."

Li Jingsheng expressed his gratitude to her.

"well……"

Tang Ping watched from a distance in the clinic a few meters away. After hearing Li Jingsheng's instructions, she immediately entered the treatment room and was ready to go.

Fortunately, Li Jingsheng's basic surgical suture has reached the level of junior residents.

Only at the critical moment can the life of the injured person be saved.

If you still stay at the level of practice and training, the consequences will be unpredictable.

Under normal circumstances, it would take at least half an hour for an intern to sew up a wound of this length.Depending on the strength of Gui Peisheng, the fastest one will take about 10 minutes.

And the suture effect may be relatively poor.

After Tang Ping took the suturing equipment and tools, she hesitated for a while, but in the end she did not hand them over to Xiao Gao, but bravely walked outside.

It's just that her eyes are still watching the movement outside the clinic door vigilantly.

See if the murderous thug is nearby.

"Are you... not afraid?"

After Li Jingsheng quickly took the gloves and put them on, he quickly clamped the needle with the needle holder.

Unlike sewing needles, surgical sewing needles are mostly hook-shaped and curved.

Threading is a little more difficult.

Tang Ping must still be terrified in her heart, her hands were shaking all the time.

Faced with such a bloody scene where violence may occur at any time, not to mention women, even most men will feel fear and fear.

"I'll exercise myself."

When she was talking, she had already squatted down and began to use a tweezer to clean the patient's head wound and the surrounding hair.

If it is a formal operation, the skin must be prepared.

Now we can only deal with it briefly.

Xiao Gao waited for a while, and after seeing that there was no danger outside, he also walked out.

Li Jingsheng has already threaded the thread.

"Doctor Gao, help me hold the injured person's head, and pour some normal saline to rinse the wound."

If it is dirty damage, the effect of hydrogen peroxide washing is not bad.

Commonly used in primary medical institutions.

"Don't play games?"

"Now we must seize the time to stop the bleeding. It will take a lot of time to get local anesthesia, so act urgently!"

After Li Jingsheng finished speaking, he said to the injured again.

"Now it's time to sew up your wound. It's a bit painful, bear with it. The bleeding is too severe. You must stop the bleeding quickly, otherwise it may be fatal."

The injured did not respond.

People have fallen into a state of shock.

Li Jingsheng started suturing for him, choosing the simple continuous suture method.

This surgical skill is now at the proficient level, and it is definitely far inferior to the proficient level of intermittent suture.

It's a pity that his health balance is only 57 points, which is not enough to support the upgrade of this medical skill.

Fortunately, the proficiency level is much better than the entry level.

It took nearly 8 minutes, and the wound on the head was sutured.

Bleeding is noticeably smaller.

But internal bleeding is definitely still there.

And the suturing is not particularly good, after all, only the suturing level of senior residents!

"Doctor Gao, bring over two more ice packs and help him stop the bleeding as much as possible."

Li Jingsheng closely observed the patient's condition.

Including the two most important signs of breathing and heartbeat.

At this time, multiple police cars had arrived at the scene of the incident, and one of them stopped directly at the door of the clinic.

The ambulance hasn't arrived yet.

"Doctor, how is the wounded?"

The policeman came over after getting out of the car.

"The injury was very serious, the skull was shattered, and there was massive bleeding in the head. Temporarily helped him take emergency hemostasis measures to suture the wound, which had some effect, but it must be sent to a large hospital immediately for further rescue. In addition, the humerus of his left arm still exists. Comminuted fractures, serious blunt force injuries to the legs, at least three broken ribs..."

When Li Jingsheng explained the condition of the wounded to the police, even the police who had seen the big scene turned pale.

The injuries of the injured are so serious, and the perpetrators completely ignore the law. This is trying to cause death!
"Thank you three for your hard work! The ambulance should arrive soon. Before the handover, I would like to trouble you to take care of the injured and do your best to protect his life."

"this is what we are supposed to do!"

Li Jingsheng behaved very calmly.

The police subconsciously looked up at the old and badly painted signboard of the clinic.

"Sunshine Clinic! Hey... isn't this the one that was in the newspaper a few days ago? No wonder you dare to stand up and save people!"

They couldn't help but look at Li Jingsheng a little more highly, in addition to admiration, there was also a little admiration in their eyes.

In a dangerous situation, not every doctor is willing to stand up and take huge risks to rescue the injured.

Although every doctor and nurse takes the oath when entering a medical school, very few can really remember it and abide by it.

Tang Ping and Xiao Gao were delighted to hear the police's praise for them.

The sense of accomplishment of medical care is divided into two parts. One is seeing the patient recover after overcoming the disease, and the other is the recognition of medical staff by family members, patients, and society.

At this time, the ambulance came roaring.

Just by looking at the license plate number, it was another ambulance from the Second Hospital.

There are sick and injured people in this area who need to be rescued. Ten times out of ten, it is the emergency department of the second hospital.

Because he is the boss in this area, no other grassroots hospitals should dare to give it eye drops.

"It's your place again!"

After the nurse with the car got off the car, it was somewhat strange to see Li Jingsheng and the Sunshine Clinic again.

The emergency doctor came over to greet Li Jingsheng with a big smile on his face.

"Hello, Doctor Li!"

"Hello!"

Li Jingsheng didn't know this doctor, but seeing his enthusiastic attitude, he must know him, and knew that he had some influence in the Second Hospital.

"I am Dai Xing, a resident physician in the emergency department. I participated in special training in orthopedic surgery some time ago. I was fortunate to hear your name, but I have never had the chance to meet you. I have to pick up emergency patients today. I will visit you in your clinic next time. ha!"

It turned out to be a doctor in the emergency department.

To be able to get the opportunity for specialized training, he must be a very good doctor.

Regular training is a formal and standardized training for interns in the hospital after graduation, in preparation for becoming a formal resident in the future.

Now, in order to improve the quality of medical care, it may also be that the clinical performance of postgraduates is not very good. Many large hospitals in many places require undergraduates, masters, and Ph.

As for specialized training, it can be understood as professional intensive training.

For example, after completing the regular training, he entered the Department of Gastroenterology and worked for two or three years or even longer. He performed well in all aspects, but he lacked clinical experience in a related field.It is equivalent to having a short board.

At this time, you can apply to enter the corresponding department to participate in specialized training.

The timing is flexible, usually a few months.

After finishing my studies, I will return to work in the original department. At this time, my shortcomings will be filled, and my strength will become stronger.

This doctor Dai Xing is an excellent doctor in the emergency department, but it is not difficult to understand why he is so enthusiastic about Li Jingsheng.

The status of doctors in the emergency department is relatively low. He feels that Li Jingsheng has great potential, and if he establishes a good relationship in advance, he may be a very high-level contact in the future.

Also, Li Jingsheng is an apprentice of Dr. Xu.

There are not a few doctors who want to learn bone setting techniques from him.

If Dr. Dai Xing learned bone-setting techniques, his status in the emergency department would be greatly improved in an instant.

Or even carry out this treatment program directly in the emergency department.

Everything adults do is for profit.

There is no such thing as being nice to someone for no reason.

The emergency nurse following the car looked at Li Jingsheng in shock.

She did not expect that the doctor in this small clinic was actually a well-known doctor in the Second Hospital.

At least Dr. Dai's ingratiating attitude made her realize that Li Jingsheng's status in the Second Hospital would not be very low.

"I'm also very happy to know such an excellent doctor as Dr. Dai. It's time to save people now! The wounded man was seriously injured, and he was bleeding a lot from the head. I couldn't stop the bleeding, so I had to sew up the wound first... ..."

After a brief exchange of greetings with the emergency doctor, Li Jingsheng urged the injured to be treated quickly.

To be honest, he didn't like Dr. Dai's performance very much.

People who are too enthusiastic make friends quickly, and often break friends quickly.

Such people are usually very snobbish and belong to the Laughing Buddha.When you ask for something, you are more enthusiastic than anyone else, and you feel that you are useless, so you just throw it away like garbage.

Work together to lift the injured onto a stretcher and transport them to an ambulance.

There was already a wounded person inside.

However, the injury appears to be much less severe.

I really don't know how many people participated in this fight?
Through this incident, Li Jingsheng's understanding of the old street in the south of the city has deepened.

Not to mention the old street in the south of the city, even this planet is half sunny and half dark.As long as there is competition for interests, darkness will always exist, and it has been like this for thousands of years.

Seeing the wounded being picked up by the ambulance, nothing happened to him.

I went back to the clinic to fetch a basin of water, and took a rag to clean the blood and bloody fingerprints on the glass door.

"Boss, let me do it!"

Xiao Gao hurried over to help.

"You take two buckets of water and wash the blood on the ground."

Li Jingsheng didn't let Xiao Gao directly touch the blood.He was wearing gloves when he stitched the wounded up, and he never took them off.

It's a layer of protection.

Occupational exposure occurs all the time, and he is very cautious about patients' blood, saliva, and feces.When contact is required, gloves and a mask will be worn for protection.

I don't know which hospital trained Xiao Gao, and his awareness of preventing infection is particularly poor.

It may also be that he fell in love during the regular training and did not study hard.

When Li Jingsheng was in regular training, there was a brother who was directly led by the director of the department to live in the training and retired.

That kind of career is basically useless.

Xiao Gao's clinical diagnosis and treatment capabilities, as well as health and safety awareness are not very good.If possible, it would be nice to be a salesperson who sells health medicines.

At least in terms of sales, he has some talent.

It took Li Jingsheng a lot of effort to wash off the blood stains left by the injured on the doorknob.

After wiping it dry and disinfecting it again, he was relieved.

"Boss, are you too particular about this?"

Xiao Gao felt that the boss was making a fuss over a molehill.

"Excellent? What if the wounded just now has an infectious disease? Not to mention AIDS, just a single hepatitis B virus can ruin your life. In the future, you must remember that only by being careful can you sail for thousands of years. This point , you should really learn from Sister Tang."

"This, this can't be such a coincidence, right? I didn't wear gloves when I helped his head just now, and I didn't wear a mask... No, no, I have to go and wash it next time."

Xiao Gao naturally knew the horror of infectious diseases, so he hurried in to wash his hands.

This made Tang Ping giggle endlessly.

"Sister Tang, in the future, if Dr. Gao's operation is not rigorous, you can scold him anyway, it's for his own good."

"He, it's better for you to let him sell medicine, and the operation in all aspects is at the level of an intern."

Tang Ping smiled and shook her head.

Li Jingsheng is also very helpless about this point. I really don't know whether Xiao Gao has poor learning ability or lack of intention. Many clinical operations and diagnosis and treatment awareness seem to be people who have not been well trained.

After returning to the clinic, Li Jingsheng checked what he had just saved.

According to his experience, every time he saves someone, he can get a good harvest.

Doctor level experience directly increased by 100 points.

At this rate, it shouldn't take long for senior attending physicians to achieve this goal.

The proficiency of general surgery diagnosis is only increased by 1 point.

The proficiency of simple continuous stitching has increased by 10 points, which is very cool.

In that emergency state, it is really helpful to improve this skill by racing against time to suture the wounded.

On the other hand, the proficiency of the square knot is added less, only 1 point.

As expected, the health value has increased by 102 points.

The balance rose from 57 to 159 points.

This is very good!

You need to have at least 100 health points in your hand, so you don't panic when things happen.

(End of this chapter)