Chapter 514: : 9 deaths and 1 life

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 before him, he felt very self-blame and helpless.
Because ... at this time, he was at a loss!
When he says blood pressure!
But Chen Cang shrank his pupils and turned and shouted, "Lao Yang, push the bed!"
When the driver Lao Yang heard Chen Cang's words, he pushed the bed over without hesitation, and Chen Cang took a deep breath and said to Wang Qian who was a little nervous:
"Bring an ambulance!"
"Who is in charge, go to the hospital together."
At this time, a bald man and a camouflage worker came out of the crowd.
"I go!"
The two quickly followed the ambulance.
It can be seen that the bald man should be the person in charge, and the camouflage uniform worker should be a fellow.
But Chen Cang didn't dare to have any thoughts at this time. Just when he got on the bus, he said to the driver Lao Yang, "Master Yang, drive steadily and quickly!"
A seemingly contradictory sentence, but listening to Old Yang's ears, has long been used to it.
Chen Cang glanced at Wang Qian: "On ECG monitoring, prepare for pericardial puncture!"
Wang Qian nodded quickly, at this time Chen Cang became his backbone.
He moves quickly and fluently.
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 deceleration of the body!
Performance: sternal fracture, sudden drop in blood pressure, shortness of breath, aortic murmur, abnormal s1 heart sound, second auscultation area of ​​aorta ...
Chen Cang's mind constantly emerged various possibilities.
All the performances, symptoms, and signs are like conditions, and a possibility is being derived!
When all the conditions came together, Chen Cang thought of several possibilities!
However, the biggest possibility is to generate income from large blood vessels in the chest!
Moreover, it is very likely that the thoracic aorta is damaged. Depending on the sound of the heart, it is likely that it is not in the aortic isthmus!
If not here ... it's ...
The more Chen Cang thought, the more frightened he was.
Who would have thought that, for the first time out of the car, encountered such a difficult case.
If you are in proportion, this is a patient who has died a lifetime!
Chen Cang looked up at the two people who came with the car: "Contact the family members and inform the patient that they are in danger of death and may die at any time!"
Hearing Chen Cang's words, the two looked pale with fright!
After all, including so far, patients are breathing, struggling, and ...
The co-worker picked up the phone's hand and was obviously shaking.
The contractor swallowed his head, and his eyes moved quickly, not knowing what he was thinking.
"Doctor, are you kidding me?"
Chen Cang asked: "A joke?"
No more speech later!
If he didn't guess wrong, the patient should be a closed thoracic vascular rupture, and this closed wound is 80% likely to occur in the aortic isthmus, but ... this patient, maybe 20% people.
These 20% of people are also the most unlucky people. The damage may occur at the beginning of the aorta, which is the beginning of the ascending aorta.
what does this mean?
If you follow the latest medical reports!
This injury means that there is only a 10% to 20% chance that the injured person will be sent to the hospital!
And the remaining 80% of the patients died of heavy bleeding at the scene or on the way to the hospital!
Rupture injury at the beginning of the ascending aorta can cause acute pericardial tamponade, which is difficult to distinguish from heart injury.
Now, all the symptoms are based on Chen Cang's own judgment!
Just as Chen Cang was preparing for a pericardial puncture.
The ECG monitor is switched on.
The various alarm sounds of Didi Didi Di sounded.
Chen Cang looked up and found that the systolic blood 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 the puncture is dead!
Death without puncture!
How to do?
Chen Cang really could not bear to rescue himself on the first day when he took office and failed!
Thinking of this, Chen Cang was in awe!
He said to Wang Qian, "Call Director Li and say I am going to have surgery now!"
When Wang Qian heard Chen Cang's words, his face suddenly changed!
Quickly start reporting!
Li Baoshan and everyone were waiting anxiously.
When Wang Qian's phone rang, Li Baoshan said quickly: "Wang Qian, what's wrong?
A series of questions made Wang Qian don't know how to answer because ... he didn't know anything except blood pressure!
What should I say?
Chen Cang answered the phone and said directly: "Director Li, I suspect it is a closed major thoracic blood vessel injury. The patient suffered a violent impact on the left chest, and the ribs were fractured to varying degrees! I now seriously suspect the starting site of the ascending aorta Of laceration, the systolic blood pressure of the patient is now less than 50, and it is still lowering! "
"If I don't open the chest in time to stop bleeding, the patient may take another five minutes and be gone before being sent to the hospital!"
As soon as the words came out, Li Baoshan hadn't responded yet. Tao Yan and Xia Gaofeng both widened their eyes, their faces changed, and their brows tightened.
After seeing Li Baoshan's hairpin, Tao Yan grabbed the phone and said anxiously to Chen Cang: "Little Chen! Rescue, do your best to rescue, let it go. I'll call the dean, I'll submit it to you! Don't do it for a minute delay!"
Just click and hung up!
Li Baoshan suddenly said: "Director Tao, what's wrong?"
Tao Yan's color looks grim!
"According to Xiao Chen, the patient's condition is very critical, and the patient has an 80% chance of dying on the road!"
"If the surgery is not performed, the patient's forehead may be cold when sent to the hospital!"
In a word, Li Baoshan suddenly stopped.
Xia Feng nodded: "If Xiao Chen is right, patients have a survival rate of less than 20%, and ... this is still the highest percentage!"
"If the heart is damaged, the patient has a survival rate of less than five percent!"
Li Baoshan was dumbfounded for a moment. He never expected that Chen Cang would meet such a patient on the first trip.
Even Tao Yan and Xia Gao looked at each other with prudence!
"I encountered such a case on the first trip. It was really a bit of a bully!"
After Tao Yan spoke, he called the medical department directly and began to prepare.
Li Baoshan immediately organized an emergency rescue operation.
There is so much to do now!
And Chen Cang handed the phone to Wang Qian ~ EbookFREE.me ~ from the first aid box, took out the lancet.
perhaps……
At this time, believe in God, it is better to believe in the lancet in your hand!
Seeing this, Wang Qian quickly started disinfection!
The two next to them were full of puppets ...
This may be the only time in their life when they arrived at the surgery site and saw a human heart ...
...
...
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(End of this chapter)