Chapter 606 No Need to Rescue (Leader Oolong Tieguanyin Plus 4)
The emergency room is very cold. Although there are thick cotton curtains hanging on the door, and although the air conditioner is constantly blowing warm air, it just can't get warm.
The emergency department of almost all hospitals is the coldest place.
In front of the emergency room, Director Pan stood like a mountain. Director Zhou stood aside, his eyebrows stern.
"Zheng Ren, is the surgery done?" Director Pan asked.
"Well, it's over." Zheng Ren said: "The patient is seriously injured, and the liver is very broken, the whole liver."
The word "quangan" that Zheng Ren added at the end made Director Pan and Director Zhou realize the seriousness.
Ordinary liver resections are performed very sloppily in tertiary hospitals, and the chance of making mistakes is not high.
But the rupture of the whole liver is different.
It cannot be cut, it can only be sewn.
Director Lao Pan didn't continue to ask, and this was not the time to ask how to do the surgery. Slightly heavier patients were sent in one after another, and the lighter ones were all treated in Yuandian County.
"How many patients have you accepted?" Zheng Ren asked.
"So far there are 16, mainly in orthopedics and chest." Director Pan said.
Generally speaking, this is the case, but if it is just a fracture, it should not be a big problem. For patients who have just been treated, it may be that the speed of the vehicle is too fast, and there are problems with the vehicle sheet metal, which is why severe thoracoabdominal joint injuries occur.
If you wear a seat belt and encounter a rear-end car accident, the most common is that the chest hits the steering wheel, resulting in a fractured sternum.
This reflects the importance of seat belts and airbags.
Seat belts and airbags relieve most of the force, so even if the sternum is broken, it will not be very heavy. It is far from reaching the situation where the explosive force hits inward and damages the heart and mediastinum.
"It's been more than ten minutes since no patient arrived." Director Pan looked at the time and said, "That's probably it."
Just as I was talking, a head poked out from the door of the nurse station, and the night shift nurse shouted: "Director Pan, I received a call from the 120 ambulance, saying that a patient had a cardiac arrest twenty-five minutes after entering the urban area and was going to our hospital. Hurry up, we'll be there in three to five minutes."
"..." Director Pan frowned. What's going on?
If the patient is seriously injured, why not rescue him immediately? How long has it been!
But now is not the time to swear, Zheng Ren immediately took the escort and pushed the last flat car to wait outside the gate of the emergency department when he heard what the nurse said.
They didn't hide in the house. After all, they suffered a sudden cardiac arrest. They don't know if they can be rescued. Whether it can be saved or not, one second saved is one second.
A second is extremely precious to patients and cardiopulmonary resuscitation.
120 The sound of an ambulance came not far away, and the heavy snow was falling. If there was no sound of an ambulance, this would be a quiet night where people can recall countless past events.
A few glasses of wine, three or five friends, sitting around the steaming hot pot, bragging, talking about the past that has been dried by the years, how beautiful it is.
But Zheng Ren couldn't enjoy it.
A birthday night for the Shays and a string of hectic, palpitating memories later on.
The 120 ambulance drove very fast, almost reaching the limit speed that can be controlled.
Barely braked, but deviated from the gate.
Zheng Ren rushed up with the accompanying examiner, and the patient was pushed down immediately. The system panel in the upper right corner of the field of vision was completely white.
"..." Zheng Ren cursed in his heart, he really died.
"The radial artery in the left wrist was cut. When I got into the ambulance, my blood pressure was 60/40, and I couldn't drive at the speed. I had a cardiac arrest five minutes ago." The doctor on the 120 ambulance ran to the emergency room with the flat car while using said roaringly.
It was as fast as a bolt of lightning. Before he could finish speaking, the patient had already arrived at the emergency room.
Under the control of the accompanying inspector brother, the flat car used a beautiful drifting action, saving 2 seconds of time.
"I have been doing cardiopulmonary resuscitation for the patient. I have defibrillated three times with an energy of 200J, but I can't save him." The doctor on the 120 ambulance fell behind, and a few minutes of cardiopulmonary resuscitation had exhausted him.
All-out chest compressions will indeed consume a lot of energy.
He watched the flat car drifting into the emergency room, feeling in his heart that big hospitals are different, just look at other people's emergency rescue.
Just the accompanying inspection of the push flat car is so professional.
But no matter how professional, I am afraid it will be useless.
In this patient, the radial artery was scratched by broken glass. The patient himself did not pay attention, and covered the wound with a towel provided by himself in the car, refused the rescue of the 120 ambulance, and sent the injured wife and child to the ambulance first.
Because of the long distance and slippery snowy roads, it took a long time for an ambulance to go back and forth. He didn't pay much attention to it himself, he just thought it was a scratch. So when the ambulance arrived again, he was still helping to carry other patients, and then he passed out.
When I got in the car, I checked my blood pressure, it was 60/40 mmHg, and the diagnosis of hemorrhagic shock was gone.
The doctor on the 120 ambulance indwelled him with intravenous access, and maintained it with corresponding vasopressor drugs.
But after all, it was the rupture of the radial artery, no matter how much it was maintained, it did not make it to the first hospital in Haicheng City.
This person is probably dying, the doctor on the 120 ambulance judged. If the family members are away, there is no need to act and do a full set for the family to watch.
After three to five minutes of chest compressions, if the patient cannot be rescued, he can be declared clinically dead.
It's a pity, but that's the only way to go.
If the heartbeat stops for more than ten minutes, even if it is rescued, the long-term cerebral hypoxia will turn the patient into a vegetative state.
In his view, that made no sense at all.
Why bother.
Bending down and supporting his knees with his hands, he panted heavily, his hands trembling slightly. This is muscle tension caused by prolonged exertion, followed by spasms and convulsions.
There were rescuers over there, and the doctors on the 120 ambulance were not in a hurry.
He took a few breaths, then stood up, and was about to go over to talk to the doctor in the emergency department of Haicheng No. 1 Hospital, and then he could return.
After walking a few steps, the sound of the big wheels of the flatcar crushing the marble floor sounded again.
Give up so soon?
The doctor on the 120 ambulance was a little puzzled.
"Get out of the way, get out of the way!" The escort escort roared, angrily chasing away the people walking in the emergency room corridor.
At this time, the only people blocking the way were the doctors and nurses on the 120 ambulance.
"..." The doctor was stunned for a moment, everyone was dead, why did they still go to the room?
But he didn't care about it. During the emergency rescue, the soaring adrenaline and dopamine will indeed make people irritable.
The flat car roared past him, and the eyes of the doctor on the 120 ambulance widened, and then became numb.
He looked at the patient with his eyes open and his lips moving slightly in astonishment. He wanted to say something, but he didn't have the energy to say it.
The movement was a little slower, and the nurse holding the bottle roughly knocked him away.
Run away all the way.