Chapter 434(1/2)
Only these two departments have such a clear understanding of the anatomy and shape of the femoral artery. General surgery does not care about this blood vessel, and gynecology does not care about this blood vessel.
"Orthopedics." Zhou Cheng nodded and did not explain too much.
Now is clearly not the time to swap identities.
He stood up and immediately squatted down: "How about you go to the car to get something, and I'll help you press it. You must be more professional than me. I was a general surgeon before, and this patient's openness
Does the fracture require special treatment?”
"It's better that you go get it. The position I'm pressing on is not easy to control. It's better that you go get gauze and an elastic bandage, and then bring two long splints."
"It's best to have one piece each of 70 centimeters and 110 centimeters. Similar lengths are also acceptable, no need to measure them specifically."
"Okay!" This person didn't hesitate!
There are actually very few people who can do such a good job of using pressure to stop bleeding.
Zhou Cheng came out of the trauma specialty!
There is also emergency rescue experience gained in the simulated world.
It is very clear how to deal with open fractures accompanied by arterial damage during emergency treatment——
If this is a rupture of the renal artery, or the inferior vena cava, or the porta hepatis, in this case, it is estimated that it will be difficult for the person to persist until being transferred to the hospital, but the rupture of the lower limb arteries can...
Although in such a particularly urgent situation, there is no need to self-report your identity.
He shook his head and said, "Forget it. Saving lives now is like putting out fires. An extra manpower may save more than one life."
When the other party heard what Duan Liu said, he was immediately surprised and said, "You didn't do it, so who was it? Could it be that the people from the Anesthesiology Department of the Ninth Hospital arrived at the scene before us?"
At critical times, even one human resource can be saved, which is extremely valuable.
Upon hearing this, Zhou Cheng immediately said: "It's okay, we don't have anything urgent anyway."
Some people spontaneously formed volunteers, holding notebooks, and seemed to be responsible for registering whether everyone participating in the rescue had eaten. Some canteen owners pushed their own three-wheelers to bring drinks and water to the curb.
As soon as you put it on, it's like handing out a flyer and asking people passing by if they want a drink.
Moreover, the task given by Duan Liu and others was to sort out patients, not to conduct clinical consultations.
If the blood vessels cannot be sutured, local pressure bandaging can only be used to stop the bleeding.
There are also convoys formed voluntarily by enthusiastic citizens to transport patients with minor injuries, and the traffic jam is getting longer and longer...
Zhou Cheng smiled, shook his head and said, "They have already thanked me, and we are all Chinese! We stand under the same wall in front of the great right and wrong."
In fact, everyone is the same. When you help others, if you receive a little bit of their warmth, your mood will be particularly different.
"I'm sorry, I caused some trouble for you today. The main reason is that we really don't have enough manpower."
Not necessary.
After Zhou Cheng and An Ruo had almost finished sorting the forty or fifty patients, all the wounded were basically sent down and each one was treated.
According to common sense, for such a severe patient, it is most appropriate for one person to perform compressions and two people to immobilize the patient.
Zhong Yusheng was stunned after hearing this.
"That's not okay, you bought this for me." An wanted to turn around.
Then Duan Liu found Zhou Cheng again, apologized and thanked him.
Zhou Cheng and An Ruo joined the crowd and started walking, holding hands.
After finishing the compression bandage, Zhou Cheng used ordinary bandages and small splints to temporarily fix the inside and outside of the patient's legs, and then said: "Teacher Zhong, this patient is basically in this condition. You can pick him up later."
He goes to the hospital to hand over the situation."
Duan Liu did not ask Zhou Cheng what their last names were and which unit they worked in.
Both of them looked slightly tired, but not tired. The feeling now was actually good, but in the face of such an incident.
This is the principle of taking a tourniquet. Our lower limbs are different from the brain and some more sensitive organs such as the liver or kidneys!
They can survive for a certain period of time under ischemia conditions.
"Don't go back, we can still go shopping tomorrow." Although Zhou Cheng also felt sad that his clothes were lost, he might not be able to find them if he went back at this time, and it was also dangerous.
The patient has a rupture of the femoral artery. If you don't want the patient to die from excessive blood loss, stop the bleeding first!
"Okay, thank you for your hard work." In fact, he didn't call anyone over directly, but when he saw that there was no one idle at the scene, especially those who rushed down from the ambulance, they dragged the patient and drove away immediately.
Often I wish I could grow wings and fly directly in the sky.
In fact, during the process of sorting patients, Zhou Cheng also believed that some patients must have hidden injuries, and some may still be fatal.
Duan Liu then reached out and shook hands with Zhou Cheng and others, and said, "Can you please leave your names conveniently? I will personally write a letter of thanks to you or send you a banner."
Any first aid must maintain the supreme principle of uniqueness, that is, save life first, and then save others.
I have personally experienced rescue and death, and my mood is bound to not be very good. But I feel that peace and health are the greatest blessings.
Duan Liu indeed still has a lot of things to deal with. Although these patients have been transferred out, there will definitely still be a lot of things to do after they return to his own hospital.
Everything else is really not as important as you think.
"Emergency Department of the Ninth Hospital, Zhong Yusheng." Zhong Yusheng took the initiative to say his name to Zhou Cheng very formally and seriously.
"Since these people have been properly dealt with now, let's go back first. Teacher Duan, you go and do your work first and don't worry about us."
Duan Liu immediately understood which patient this was, and said with a wry smile: "I did not do the tracheotomy and tracheal intubation. They were done before I brought the person here."
A person came from the nearest ambulance and took the things that Zhou Cheng had told Duan Liu to take, especially elastic bandages and splints.
"It's not from the Ninth Courtyard. I don't know where it is."
"I forgot where I put it. I don't know if it's still there." Zhou Cheng really has no memory of this.
Duan Liu received another call. It was from a colleague in the hospital after the operation. He said: "Grandma Liu, you are so brilliant this time. You can intubate the deformed trachea so cleanly."
Already."
An Ruo nodded...
Zhong Yusheng said: "Professor Wang from the Affiliated Hospital of Xiangnan University is very famous for emergency medicine. You guys in the orthopedics department are so good. No wonder the emergency department is ranked among the top ten in the country. There are no empty doctors under the reputation! I admire you."
It's hard for a clever woman to cook without rice, just like a chef, even if you are the royal chef, if you are not given pots and pans, you just cook with your hands?
Zhou Cheng then stopped talking and started to do things directly, first completing the rescue work.
Not from Magic City?
It is very difficult even for extremely experienced doctors.
"You really took his life back from the Lord of Hell."
Duan Liu replied: "I didn't even ask. Others were just here for fun and participated in first aid work during non-working hours. This is not easy in itself. Why do I ask so many questions?"
"My colleague just called and said that the patients you handled were all very timely. Otherwise, the consequences would definitely not be optimistic."
The operating modes in the operating room, inside the hospital, and outside the hospital are bound to be different. If there is an operating table now, and Zhou Chengcheng directly sews up all the blood vessels, or even attaches an external fixator to the femur, what's the problem?
The problem is no.
The abilities shown by Zhou Cheng and others are enough to prove their strength, and this is enough.
This is not an operating room. In a non-operating room, the principle of sterility cannot be achieved. No matter how much technology Zhou Cheng possesses, he cannot stop the invasion of bacteria.
"Forget it, you don't like it much anyway." Zhou Cheng looked back at the rest of the scene. If he had to go back and look for it now, it would probably be difficult to find it.
But Zhou Cheng is not a god and cannot penetrate everything.
But Zhou Cheng scanned the scene and found that no one was free, and Zhou Cheng could handle it alone.
And if it was such a patient, we probably wouldn't let him wait, but would directly transfer him to the emergency ambulance operating room.
far away.
Shonan University Affiliated Hospital is still a bit far away from the Magic City.
Zhou Cheng is not doing anything groundbreaking.
Zhou Cheng took a deep breath and then started his work again.
It’s also for free.
Just like the person who had laryngeal edema and tension pneumothorax before, if he hadn't met Zhou Cheng!
Now they can go and chat with some ancient people.
at the same time!
Even in the hospital, who can guarantee that he can save a life within five minutes?
Moreover, it involves the threat of different diseases in such complex departments as anesthesiology, otolaryngology, orthopedics, and vascular surgery.
In this situation, Zhou Cheng doesn't know who will die because of delaying the opportunity!
I can only say that everything depends on luck. In the face of life and death, all lives are equal and fragile.
After walking for a while, An Ruo suddenly remembered and saw that Zhou Cheng's right hand was empty: "Clothes? Where are the clothes we bought?"
During first aid for fractures, attention must be paid to temporary fixation. Otherwise, the movement of the broken end may cause secondary damage to blood vessels and nerves, or aggravate the scope of the fracture.
To be continued...