Chapter 3635 [3635] Be Scientific
No one dared to make sarcastic remarks, and no one would dare to really watch the excitement from the sidelines. In times of crisis, everyone wants to lend a helping hand. I couldn't help but feel agitated, and it was only natural that I couldn't help rushing out. He was also a doctor after all. Such a thought does not require deep thinking in the brain, and it almost becomes a professional reaction. When seeing a scene that is not going well, when it seems that people are going to die, don't rush to wait for the moment.
Chong, just took two steps, the picture in the field of vision suddenly changed by 180 degrees, reflected back to the brain and became forced to brake suddenly, which also did not require brain reaction, and almost let myself turn over on my back in an instant .
Chi Chi Chi, the sound of the yellow sweater braking the white sneakers on his feet.
Seeing the yellow sweater blocking his line of sight, the young Zhiyuan, who hadn't dozed off anymore, was so startled that his pupils shrank, and the sleepy man rushed to the sky this time: Nima, are you slapping yourself?
Rushing out and then slamming on the brakes was clearly an act of slapping himself.
The yellow sweater took a breath on the spot to slow down his beating heart.
Right now his heart rate might be faster than the patient's.
Just looking at the patient's blood pressure value on the monitoring instrument finally stopped falling, which led to the stabilization of other vital values.
Previously, the patient's blood pressure dropped one by one, as if the rope on the guillotine was tightened step by step around the patient's neck, it was heartbreaking to see.
"Is it stable?" Yellow Sweater asked.
Of course, the value of the instrument is equivalent to some kind of evidence and will not deceive people. Whether the value can be stable for a long time or just look good for a while depends on whether the method of producing the effect is logically clear and can stand the test.
In medicine, the fight against death is based on science, not theology.
The doubts in the eyes of the yellow sweater cannot be said to be unfounded: Just stick a finger in to plug the blood hole inside?
First of all, it must be clear that for the hemostatic measures of vascular bleeding, neither doctors nor ordinary people can think of blocking the blood loss in the first place. Looking at it this way, it's not a bad idea to block it with a doctor's finger. Dean Wu did just that as a first aid measure.
The problem is that before the doctor wants to plug the opening, he must know whether the place where the blood vessel is bleeding can be blocked with a finger, and where is the rupture of the blood vessel. All of these require a doctor to open the abdomen for exploration. For example, Dean Wu's experienced boss must also open the patient's internal organs and use his eyes to personally inspect the location of blood loss in the blood vessels and then measure it, otherwise it will be useless.
It is conceivable that the blood vessel may have a large area of bleeding. For example, we once talked about the case of ruptured aortic dissection. If there is a problem with the entire blood vessel, what is the use of blocking it with a finger? What the doctor needs to do is blood vessel replacement, and extracorporeal circulation must be established first. Therefore, the first thing to do before blocking the opening in the operation is to block the blood vessels.
If vascular occlusion of abdominal aortic bleeding is performed, thoracotomy can be performed for occlusion of the descending aorta. However, since the patient was injured with two steel bars inserted into his chest cavity, he had to quickly open his chest in the emergency room and face the highly complicated intrathoracic situation. Not to mention whether only one doctor could do it, several doctors were predicting the same. Be in a hurry.
Speaking of this, one can imagine the seriousness of the injured person's condition and the difficulty of rescue. No wonder what they thought at the beginning was that even if they guessed where the bleeding was in the patient's body, they were afraid that it would be useless and it would be too late to stop the bleeding immediately.
As mentioned above, it is not possible to perform anterior thoracic segment block quickly. Is there any other plan?