Start with an emergency physician

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As he spoke, he whispered,"I am a man after all, so I should be considered a red dad, right?"

Zhou Yuan's face twitched.

Can you speak softly when you whisper?……

""Teacher, I'm leaving first!" 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 will be with me, my ex-wife, and Meimei. You will come with me then."

Zhou Yuan nodded, and then left the office.

After the emergency department had been idle for a while, the urgent sound of an ambulance was heard again.

A blood-stained emergency bed was quickly pushed down from the ambulance.

Zhou Yuan immediately stepped forward, took the armrest, and pushed the ambulance to the emergency room

""What's going on?" Zhou Yuan asked quickly.

The doctor on the bus was slightly relieved when he saw that it was Zhou Yuan. He said,"It was a car accident. The perpetrator fled the scene. The patient has an open fracture of the right thigh and may have intra-abdominal bleeding. The blood loss is estimated to be around 2,000 milliliters! A tourniquet has been used to stop bleeding intermittently. There is also an emergency blood bag for infusion of 1,500 milliliters in the car!"

Zhou Yuan nodded, pushed the patient into the emergency room, and immediately said,"Connect to monitoring and oxygen!"

Soon, the oxygen mask was installed.

Zhou Yuan took a look at the blood pressure, 75/44. In a critical condition

"Doctor Zhou, the electrocardiogram shows that the patient is in atrial fibrillation!"

Zhou Yuan walked over and patted the patient on the shoulder:"Can you hear me?"

However, the patient lying on the bed did not respond.

Zhou Yuan immediately said:"The patient has hemorrhagic shock. Immediately establish central venous access, prepare for blood transfusion, and activate the emergency blood transfusion plan!"

More than 2,000 milliliters of blood were lost, and 1,500 milliliters of blood were transfused. He is still in hemorrhagic shock. It is very likely that intra-abdominal bleeding has occurred.

"Perform abdominal ultrasound and leg CT scan."

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

"How is it?" He Jianyi asked

"Teacher, the patient has an open fracture of the right thigh. He may have intra-abdominal bleeding. He is now in hemorrhagic shock and has atrial fibrillation."

"How to deal with it?"

"Establish central venous access and start blood transfusion immediately." Zhou Yuan replied. He

Jian nodded:"That's right...By the way, have you contacted the family?"

"The doctor on the ambulance has contacted the family and they should be here soon."

Soon, the test results came out.

Zhou Yuan took a look and said,"The patient has an open fracture of the right thigh and a ruptured spleen!"

He Jianyi's face became serious.

At this moment, three people ran over in a hurry. Just as they noticed the patient lying on the bed, they immediately turned back,"Zhihui is here!"

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

One of the women, who was dressed luxuriously, was extremely surprised,"What happened to Zhihui!"

The other woman, who was dressed more simply, saw the patient on the bed and suddenly turned pale,"Zhihui……"

""Doctor, what happened to my husband? Is it serious?" the young woman asked anxiously.

He Jian nodded:"Very serious, open fracture of the right thigh, plus ruptured spleen. Your family members should go to the front to pay the fee, and after paying, go to the door of the operating room and wait for signature."

""Okay, okay! Let's go pay the bill!"

Zhihui's husband and the pale middle-aged woman were about to run to pay the money, but were stopped by the woman who looked like a noble lady:"Wait, what's wrong with Zhihui?"

"Car accident." Zhou Yuan said briefly.

"Car accident? Who caused the accident?" the lady pressed.

"The person who caused the accident has fled. You should go and pay the fee quickly and don't delay the treatment."Zhou Yuan said

"No, Zhihui had a car accident, shouldn't the person who caused the accident pay for it? Why should we pay for it?" The lady said in a somewhat radical tone.

"The person who caused the accident fled the scene, that's the police's business, why are you asking us doctors?" Zhou Yuan frowned.

He looked at the three people and said,"Who among you is a family member?"

"I am his wife, and the one next to me is his mother!"

The noble lady rolled her eyes and said,"I am his aunt."

"Please go and pay the fee quickly, sign it, and don't block the door, okay? We need to rescue him now!" He Jianyi urged.

The patient's wife and mother looked at the aunt with inquiring eyes.

"Forget it, you guys go pay the fee first, I'll contact the police." The patient's aunt waved her hand, looking somewhat reluctant.

""Okay! Let's go pay!" After hearing what their aunt said, the two dared to run to the cashier.

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

"The patient has an open fracture of the right thigh... If it were in the past, we would have asked an orthopedic specialist to come for a consultation!" Haiyang said as he pushed the operating table.

"You should study hard!" He Jianyi admonished, and then said to Zhou Yuan:"Zhou Yuan, we will cooperate in the operation later. I will repair the ruptured spleen, and you will be responsible for the fracture of the right leg."

Zhou Yuan nodded:"Understood."

Soon, the patient was pushed into the operating room.

"You say, why is this family so strange? The patient is in such a state, but his mother can't make the decision, and his wife dares not speak. They have to get his aunt's approval before they dare to pay the money!" Haiyang said as he assisted He Jianyi in treating the ruptured spleen.

He Jianyi smiled and said,"Stay longer in the emergency department, you will see all kinds of patients and their families!"

Zhou Yuan was busy treating his right thigh.

The condition of his right thigh was relatively good.

After mastering the master-level limb replantation surgery, even compression detachment can be repaired, so this small open fracture is not a big problem.

"How is the situation over there?" He Jianyi asked Zhou Yuan

"Fortunately, the fracture is not serious, and it will be fine after a cleansing and simple suturing."Zhou Yuan said

""Yes."

Zhou Yuan began to perform a thorough debridement.

There are three requirements for the treatment of open fractures: first, to ensure the healing of the fracture, second, to avoid infection of the wound, 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, and it looks like they fell on the gravel ground." Zhou Yuan said

""Physiological saline."

Zhou Yuan took the saline and began to spray and clean the stubborn foreign bodies. Soon, the foreign bodies loosened under the impact and were cleared up in a short while.

""Shubite and hydrogen peroxide." Zhou Yuan shouted.

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

When Zhou Yuan finished cleaning the wound and was about to fix the fracture, He Jianyi clicked his tongue a few times and said,"This is going to be troublesome!""

——

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