Doctor Started a Plug-in
Chapter 514
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Wang Qian was a little nervous. He made this choice today. For him, he really took his biggest step!
Get out of your comfort zone and become a real emergency doctor!
But when he saw that life was so fragile in front of him, he was very self-blaming and helpless.
Because… at this time, he did not know what to do!
When he said his blood pressure!
But Chen Cang has eyes shrank, turned around loudly shouted: “Old Yang, push the bed!”
The driver Old Yang heard Chen Cang’s words and pushed the bed over without hesitation. Chen Cang took a deep breath and said to Wang Qian, who was a little nervous:
“Send an ambulance!”
“Who is Chief-In-Charge, go to Hospital together.”
At this time, a bald man came out of the crowd, and a coworker in camouflage clothes.
“I go!”
2 people quickly followed the ambulance.
It can be seen that this bald man should be Chief-In-Charge, and camouflage workers should be fellow.
But Chen Cang didn’t dare to have any idea at this time. Just after getting on the bus, he said to the driver Old Yang: “Yang Master, drive fast and hurry!”
A seemingly contradictory sentence, but listening to Old Yang’s ears, he has long been used to it.
Chen Cang glanced at Wang Qian: “Go to ECG and prepare for pericardial puncture!”
Wang Qian has been nodded in a hurry, and Chen Cang at this time has become his backbone.
He moves quickly and smoothly.
When Wang Qian was preparing for ECG monitoring, Chen Cang opened the pericardial puncture needle and was ready to puncture!
Cause: Violent impact injury in the chest area, accompanied by a sudden slowdown of the body!
Performance: fracture of sternum, sudden drop in blood pressure, shortness of breath, aortic murmur, abnormal s1 heart sound, aortic second auscultation area…
Chen Cang’s mind constantly shows various possibilities.
All performances, symptoms, and signs are like each and everyone conditions, and a possibility is derived!
When all the conditions are concentrated, Chen Cang thinks of several possibilities!
However, the biggest possibility is the large blood vessels in the chest to generate income!
Moreover, it is very likely that the thoracic aorta is injured. Depending on the heart sound, it is most likely not in the aortic isthmus!
If it’s not here…it’s…
The more Chen Cang thinks, the more trembling in fear.
Who would have thought that the first time he got out of the car, he encountered such a difficult case.
If according to the proportion, this is a Patient of nine deaths and still alive!
Chen Cang looked up at the two people who came with the car: “Contact family members to inform Patient that there is a mortal danger and may die at any time!”
Hearing Chen Cang’s words, 2 people looked pale!
After all, including until now, the Patient is still breathing, struggling, still…
The coworker’s hand picked up the phone, obviously trembling.
The foreman swallowed and his eyes rolled fast, not knowing what he was thinking.
“Doctor, are you kidding me?”
Chen Cang asked back: “Joke?”
Then no words!
If he didn’t guess wrong, the Patient should be a closed intrathoracic large blood vessel rupture, and 80% of the probability of this closed wound occurred in the aortic isthmus, but… this Patient may be the 20% of people.
These 20% of the people, also the most bad luck, may be injured at the beginning of the aorta, which is the beginning of the ascending aorta.
what does this mean?
If you look at the latest medical reports!
This damage means that there is only a 10% to 20% chance that the injured will be sent to Hospital!
The remaining 80% of the patients died on the scene or on the way to Hospital. He died of hemorrhage!
The rupture of the starting site of the ascending aorta can cause acute pericardial tamponade, which is difficult to distinguish from cardiac injury.
Now, all the symptoms are based on Chen Cang’s own judgment!
Just when Chen Cang was preparing for pericardial puncture.
The ECG monitor is connected.
Di di di’s various alarms sounded.
Chen Cang looked up and saw that the systolic pressure of the heart was less than 50!
Is it a broken heart?
Thinking of this, where does Chen Cang prepare to do pericardial puncture?
Because it is dead!
Not puncturing is dead!
How to do?
Chen Cang couldn’t bear to rescue himself on the first day and failed to rescue him!
Thinking of this, Chen Cang was stunned!
He said to Wang Qian: “Call Director Li and say I need surgery now!”
Wang Qian heard Chen Cang’s words, and suddenly the complexion changed!
Quickly start filing!
Li Baoshan and everyone are already waiting anxiously.
When Wang Qian’s phone rang, Li Baoshan quickly said, “Wang Qian, how is it going? What’s going on?”
A series of questions kept Wang Qian from knowing how to answer, because… he knew nothing but blood pressure!
What should I say?
Chen Cang answered the phone and said directly, “Director Li, I suspect a closed intrathoracic large blood vessel injury, Patient’s left chest was violently hit, and the rib 2 3 4 fractured to varying degrees! I now seriously suspect that the ascending aorta starts The laceration at the site is now less than 50 in Patient’s systolic blood pressure, which is still lower!”
“If I don’t open the chest and stop bleeding in time, the Patient may be 5 minutes later, and it will be gone before I send it to Hospital!”
As soon as this remark came out, Li Baoshan hadn’t responded yet, both Tao Mi and Xia Gaofeng’s eyes widened, the complexion changed, and the brows were tight.
Tao Mi saw Li Baoshan in a daze, grabbed the phone, and anxiously said to Chen Cang: “Little Chen! Rescue, rescue as much as possible, let go and do it, I call the dean, I will submit it to you! delay!”
Click right after talking, and hang up!
Li Baoshan was surprised for a moment: “Director Tao, what’s wrong?”
Tao Mi has a serious look!
“According to Little Chen’s dictation, the situation of Patient is very critical, and 80% of the probability of Patient died on the road!”
“If you don’t have an operation, the Patient may be cold when you send it to Hospital’s forehead!”
In a word, Li Baoshan suddenly froze.
Xia Gaofeng nodded: “If Little Chen is right, the Patient has a survival rate of less than 20%, and… this is the highest rate!”
“If the heart is damaged, the Patient’s survival rate is less than 5%!”
Li Baoshan was dumbfounded for a moment, he didn’t expect at all, Chen Cang went out for the first time, and even encountered such a Patient.
Even Tao Mi and Xia Gaofeng looked at each other with prudence!
“I encountered such a case on the first trip, it was really a bully!”
After Tao Mi finished speaking, he directly dialed the phone of the medical department and began to prepare.
Li Baoshan immediately organized the emergency rescue work.
There are still many things to do now!
Chen Cang handed the phone to Wang Qian and took out The Lancet from the first aid box.
perhaps……
At this time, believe in God, it is better to believe in The Lancet!
Wang Qian saw this and quickly began to disinfect!
side 2 people, eyes full of anxiety…
This may be the only time they have reached the operation site in their life and saw the human heart…
……
……
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