Start From Emergency Doctor

Chapter 106

As he spoke, he whispered: “I’m also a man anyway, so I can count as a red daddy?”

Zhou Yuan’s face twitched.

Can you whisper quietly…

“Teacher, I’m leaving now!” Zhou Yuan was about to run away.

At this moment, He Jianyi’s phone rang.

Ten seconds later, He Jianyi hung up the phone, looked at Zhou Yuan, and said, “Tonight’s dinner, me, my ex-wife, and Meimei, you will go with me when the time comes.”

Zhou Yuan nodded, and then left the office.

After a period of leisure in the emergency department, the rush of the ambulance rang again.

A bloodied emergency bed was quickly pushed down from the ambulance.

Zhou Yuan immediately stepped forward, took the handrail, and pushed the ambulance to the rescue room.

“What’s the situation?” Zhou Yuan asked quickly.

When the doctor in the car saw Zhou Yuan, he relaxed a little and said: “In a car accident, he escaped from the accident. The patient had an open fracture of his right thigh and possibly intra-abdominal hemorrhage. The blood loss was estimated to be about 2,000 ml! Intermittent hemostasis has been carried out with tourniquets, and an emergency blood pack infusion of 1,500 ml has been carried out on the vehicle!”

Zhou Yuan nodded, pushed the patient into the rescue room, and immediately said: “Receive monitoring, take oxygen!”

Soon, the oxygen mask was installed.

Zhou Yuan glanced at his blood pressure, 75/44, in a dangerous state.

“Doctor Zhou, the electrocardiogram shows the patient’s atrial fibrillation!”

Zhou Yuan walked over and patted the patient’s shoulder: “Can you hear me?”

However, the patient lying in bed did not respond.

Zhou Yuan immediately said: “The patient has hemorrhagic shock, immediately establish a central venous access, prepare for blood transfusion, and initiate an emergency blood transfusion plan!”

He lost more than two thousand milliliters of blood and 1,500 milliliters of blood transfusion. Hemorrhagic shock has still occurred, and intra-abdominal hemorrhage is likely to occur.

“To perform color Doppler ultrasound of the abdomen and CT of the legs.”

At this time, He Jianyi and Haiyang also rushed over.

“How’s it going?” He Jianyi asked.

“Teacher, the patient has an open fracture of his right thigh and may have intra-abdominal hemorrhage. Now he has hemorrhagic shock and atrial fibrillation.”

“How to deal with it?”

“Establish a central venous access and immediately start blood transfusion.” Zhou Yuan replied.

He Jian nodded: “That’s right… By the way, have you contacted your family?”

“The doctor onboard the ambulance has already contacted the family and should be here soon.”

Soon, the inspection results came out.

Zhou Yuan took a look and said, “The patient has an open fracture of his right thigh and a ruptured spleen!”(Read more @ wuxiax.com)

He Jian’s expression became serious.

At this moment, the three people rushed over. Just about to run over, they noticed the patient lying on the bed and immediately turned back, “Zhihui is here!”

Two middle-aged women, a young woman ran into the operating room in a panic.

One of the luxuriously dressed women looked surprised, “What’s wrong with Zhihui!”

Another woman dressed relatively simply, and when she saw the patient on the bed, her face suddenly became pale: “Zhihui…”

“Doctor, what’s wrong with my husband? Is it serious?” the young woman asked anxiously.

He Jian nodded a little: “It’s very serious. There is an open fracture of the right thigh and a ruptured spleen. Your family members should go to the front to pay the fee. After paying the fee, go to the door of the operating room and wait for the signature.

“Good good! Let’s pay the fee!”

Zhihui’s husband and the pale middle-aged woman were about to rush to pay the money, but were stopped by the lady-like woman: “Wait, what’s wrong with Zhihui?”

“Car accident.” Zhou Yuan said briefly.

“Car accident? What about the one who caused the accident?” the lady pressed.

“The one who caused the accident has escaped, you should pay the bill quickly, don’t delay the treatment.” Zhou Yuan said.

“No, Zhihui, he had a car accident. Shouldn’t the money be the cause of the accident? Why should we pay?” The lady’s tone was a bit aggressive.

“The accident escaped. It was a police matter. What did you ask our doctor for?” Zhou Yuan frowned.

He looked at the three people and said, “Who are you family members?”

“I’m his wife, next to him is his mother!”

The lady rolled her eyes: “I am his aunt.”

“Excuse me, please go and pay the fee quickly. After paying the fee, sign, don’t block it at the door, okay? We need to rescue him now!” He Jianyi urged.

Both the patient’s wife and mother looked at the aunt with inquiry.

“Forget it, you pay the fee first, and I’ll contact the police.” The patient’s aunt waved her hand, her expression a little reluctant.

“Okay! Let’s pay the fee!” After hearing the aunt’s words, the two dared to go to the toll office.

Zhou Yuan and others immediately pushed the patient to the operating room…

“The patient has an open fracture of the right thigh… If this is before the change, the orthopedics department would have been invited to the consultation!” Haiyang said while pushing the operating bed.

“You can study hard for me!” He Jianyi admonished, and then said to Zhou Yuan: “Zhou Yuan, we will cooperate in the operation later. I will repair the ruptured spleen. You are responsible for the fracture of the right leg.”

Zhou Yuan nodded: “Understood.”

Soon, the patient was pushed into the operating room.

“You said, why is this family so strange? The patients have become like this. His mother can’t be the master, and his wife doesn’t dare to speak. He must nod his aunt and dare to pay the money!” Haiyang assisted He Jianyi. Said while dealing with the ruptured spleen.

He Jian smiled: “Stay a little longer in the emergency department, you can see all kinds of patients and family members of those patients!”

Zhou Yuan buried his head in his right thigh.

The condition of the right thigh is pretty good.

After mastering the master-level replantation of severed limbs, even squeezing severance can be repaired. This small open fracture is not a big problem.

“How is your situation there?” He Jianyi asked Zhou Yuan.

“Fortunately, the extent of the fracture is not very large. It will be fine if you do a debridement and simple suture fixation.” Zhou Yuan said.

“Row.”

Zhou Yuan started a thorough debridement.

There are three requirements for the treatment of open fractures. First, to ensure the healing of the fracture, second, to avoid wound infection, and finally to restore the function of the limb as soon as possible.

Among them, thorough debridement is the key to preventing infection.

“There are a lot of rocks, it looks like they fell on the gravel ground.” Zhou Yuan said.

“Normal saline.”

After receiving the saline solution, Zhou Yuan began to spray debride some stubborn foreign objects. Soon, the foreign objects loosened under the impact, and the removal was completed in a short while.

“Shubitai, hydrogen peroxide.” Zhou Yuan shouted.

These are two kinds of solutions used to kill germs. They are used to soak the wound after washing, which can further keep the wound clean.

When Zhou Yuan completed the debridement and was about to fix the fracture site, He Jian tutted a few times, and then said, “This is troublesome.”

——

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