Invincible Smart-Guy System

Zhang Yunfeng naturally knows what Li Changyun is worried about. As an emergency doctor, there should be a lot of common sense, but the most important one is to judge whether a patient is really valuable to carry out in-situ emergency treatment. If there is one, he should do it at the first time, so that the life of the other party can support for a period of time, and then go to the hospital for more professional treatment, but if there is no in-situ treatment The value of first aid is to send the other party to the ambulance at the first time, and then tell the driver to step on the accelerator to rush to the hospital. In this way, no matter the other party dies in the ambulance or in the emergency room of the hospital, it has nothing to do with the emergency doctor. No one will count this account on them.

In Li Changyun's opinion, this woman has no value of in-situ first aid. She is seriously injured, and even losing too much blood is nothing in front of her injury. Her skull cavity injury may be fatal. Her abdomen There are many major injuries that can cause her death in a short period of time, and so many fatal injuries, not to mention a woman, even a strong old man, I'm afraid that if he can't support the hospital, he will die. Even if he supports the hospital, he will be cut open by an emergency medical student with a scalpel before he dies.

This woman, different from Chen Feng on that day, was shot in the body at that time. The wound was unique and obvious, so Zhang Yunfeng was able to find the most critical injury in the shortest time, and then pull it back from the ghost gate with the help of super high first-aid medicine. But the injury of this woman at present was too complicated and serious!

"Cloud Maple!" Seeing that Zhang Yunfeng is still carefully testing the woman's ribs, Li Changyun is really in a hurry. Although he marvels at Zhang Yunfeng's medical skills and wants to make friends with him, he does not take his own attempt to risk. It has been illegal for him to take Zhang Yunfeng out of the emergency room. If he leads to the death of the injured person, his life will be over!

Li Changyun tried to restrain his voice and said in Zhang Yunfeng's ear: "give up, she can't save! Get her in the car. Let's go back to the hospital. "

Zhang Yunfeng shook his head and didn't lift his head. He said to Li Changyun in a very serious way: "I can't judge whether she can be saved. At least I can't get this conclusion until I know her injury. But one thing I can tell is: if I send her to the ambulance now, she can't get back to the hospital!"

"But..." Li Changyun was so frightened that he lowered his voice and shouted, "if she died, my life would be over!"

Zhang Yunfeng took a look at Li Changyun. He finally knew what Li Changyun was worried about, and he understood it very well. He nodded and said: "give me another 30 seconds! If you don't know where the fatal injury is in 30 seconds, get her in the car. "

Li Changyun nodded his head just now. He left half of his mind in suspense. He silently counted thirty seconds in his heart, praying that the woman must survive the last thirty seconds, survive, get on the car, and there is still room for turning.

Zhang Yunfeng groped for the part of the broken rib inserted into the body along the abdominal skin. He felt that the woman could be saved. The reason was that the broken rib inserted into the body would not be longer than 10 cm. The distance of 10 cm was not enough to pierce her left heart from the right rib. As long as her heart had not received the fatal injury, he felt that the woman was still alive There is still a little room for turning around. If the heart is damaged, you can't save her life unless you prepare the operating table for yourself in a minute.

As time went by, Li Changyun was shocked and nervous to the extreme. The suspended heart was raised again. Ten seconds, twenty seconds, twenty-five seconds. The woman didn't seem to have died. For himself, things were not to the worst.

At this moment, Zhang Yunfeng suddenly raised his head and shouted, "lily, go get the oxygen bag!"

Chen Lili is holding the young girl at the moment. It's hard to get away for a while. When Li Changyun sees Zhang Yunfeng in such a hurry, he can't help but speculate that Zhang Yunfeng must be certain to save the woman. He doesn't know why. He has a kind of trust in him that doesn't come from his heart. He immediately blurts out: "I'll get it. What else?"

Zhang Yunfeng said, "take the oxygen bag first. Her right lung is stabbed by a rib. There is a serious lack of oxygen supply!"

Li Changyun didn't expect that the woman was stabbed in the lung. He thought that he thought that the woman was going to be confused. He didn't expect that she was seriously short of oxygen supply in the lung. If it was just lung injury, the man would still be saved.

Li Changyun immediately rushed back to the car, took the oxygen bag which was already full and ran back. He skillfully covered the oxygen supply end of the oxygen bag on the woman's face. Then, he began to constantly press the oxygen bag to charge the woman.

When Zhang Yunfeng saw that Li Changyun had done what a nurse should do, he couldn't help but take off his mouth and said: "change someone to press, you help me find a drainage device. She has internal bleeding and is forming a hydropneumatic chest!"

Li Changyun once heard the words "hydropneumothorax". Originally, there was a glimmer of hope and almost no hope. Internal bleeding and internal organs damage would lead to hydropneumothorax. Once this happens, it proves that the abdominal organs of the patients are severely damaged. If there is no top-notch surgery, the survival rate is very low, and hydropneumothorax will cause one A series of complications, associated with right lung stab injury, are almost irreparable only by oxygen.

Seeing that Li Changyun didn't act, Zhang Yunfeng stood on the spot and immediately pushed him. He shouted to Chen Lili, "Lili, don't worry about that girl, come and give her oxygen!"

Chen Lili quickly left the girl aside and left it to Liu Hengshan to deal with. She ran up to her quickly, pushed away Li Changyun, who was still in a daze, and said, "Doctor Li, do what you have to do!"

Li Changyun realized that he was going to stay here today, so he ran back to the car in three or two steps and took out all the things that Zhang Yunfeng could use.

The right lung was damaged, the body lost too much blood, and there was internal bleeding and fluid pneumothorax. Liu Hengshan thought that Tieding could not be saved. The girl gradually stopped, so she focused more on Zhang Yunfeng and Li Changyun. Traditional Chinese medicine usually sat in the hospital or went to various pharmacies for consultation, and never contacted with first aid Today, I have been in the medical field for many years, which is the closest to emergency treatment.

But even the layman of Western medicine and emergency treatment, Liu Hengshan knew that the woman was seriously injured, and there was no hope to save her. He sighed in his heart. These two young doctors, I'm afraid, were also in vain to see the woman's life dissipate a little bit, and finally died.

Zhang Yunfeng didn't think so. The first thing he did when he got the drainage device was to gently press it on the woman's abdomen to find the place where the liquid accumulated most seriously, and then carefully look for the location of the next needle. The needle of the drainage device was very thick, but it was extremely sharp. Zhang Yunfeng just put the needle tip on the woman's abdomen, gently forced it, and the needle tip would stab into the skin. Then, the guide A large amount of red and fishy liquid will flow out of the tube.

It is only the first step of emergency treatment for pneumothorax. Because there is a large amount of mixture of body fluid and blood in the body, it must be released as soon as possible, but the release is only temporary relief. If the patient's internal bleeding cannot be stopped, the blood will only continue to accumulate.

Zhang Yunfeng has no idea how to stop bleeding for this woman. In just 20 seconds, Li Changyun pinched a cold sweat when he saw that Zhang Yunfeng didn't take the next step. At this time, Liu Hengshan grabbed the girl's hands in one hand, leaned over with the other hand, touched the injured woman's pulse, exclaimed, "she has no pulse!"

Zhang Yunfeng is thinking about how to stop bleeding for her as soon as possible. Suddenly, hearing that she has no pulse, she is shocked. In his conjecture, this woman can't have pulse so fast. At least she can hold it for a few more minutes. Besides, she asked Chen Lili to give her oxygen by hand and relieve the pressure of ascites. Her situation should be better. How can she Suddenly no pulse?

Zhang Yunfeng took off his mouth and said, "brother Li, listen to the heartbeat!"

Li Changyun hurriedly took out the stethoscope from the first aid kit, pasted one end of the stethoscope on the top of the woman's heart, listened carefully for about five seconds, and said to Zhang Yunfeng with a pale face, "the heart rate is too weak to be heard!"

"No reason!" Zhang Yunfeng feels that all this is beyond what he learned from the top medical skill pack. It's like a Libra to keep his level. If he takes off some weights on the left and puts them on the right, the right force must press the left. But there's no reason why the left side will press the right side after being taken away. This is totally against the common sense.

Her blood loss is not enough to make her lose her pulse so quickly, so Zhang Yunfeng can't figure out what's wrong with her. Is there any other major injury that this woman didn't master?

Then, Zhang Yunfeng suddenly woke up and looked back at the young girl who was already weak. "Does your mother have a heart problem?"

The girl just went mad, and now she has completely collapsed. She fell down on the road and lost her eyes. Obviously, she has temporarily lost consciousness. She was shocked by Zhang Yunfeng's roar. She unconsciously looked at Zhang Yunfeng, but she was at a loss.

"Speak!" Zhang Yunfeng raised the volume and asked, "does your mother have a heart problem?"

"Yes..." The girl returned to her senses, nodded her head and said, "my mother has congenital heart disease. She has seen it in the United States before, but the doctors there said that her problem is mild, so she should pay attention to it everyday, and it is not recommended to have surgery..."