Chapter 504: Savior(1/2)
Wang Xiangjun is worthy of being an old elite in the emergency department. He can tell at a glance that this is pericardial tamponade and stops cardiopulmonary resuscitation in time!
In the case of pericardial tamponade, even if cardiac arrest occurs, external compression cannot be used, because this will not only not succeed in resuscitation, but will aggravate the development of the disease!
Wang Xiangjun quickly organized a rescue activity.
"Color ultrasound positioning!"
"Prepare the operating room!"
Wang Xiangjun issued an orderly order!
At this time, we can see the efficient collaboration ability of an emergency department, and all the examinations are in place.
Chen Cang's quick pericardial puncture was more accurate than Meng Xi. Meng Xi took the initiative to step forward to help extract the fluid.
Under the precise positioning of the B-ultrasound, Chen Cang pierced directly and Meng Xi began to draw blood!
After nearly 150ml of blood was pulled out, the whole process took less than a minute, Chen Cang said to Wang Xiangjun: "Director Wang, no, I guess the amount of bleeding is still very large. There may be aortic damage. Be prepared to open your chest!"
When Wang Xiangjun heard this, his face changed quickly:
“Prepare for emergency room surgery!”
As soon as this sentence came out, the three nurses rushed to prepare the equipment.
And at this moment, a violent wail suddenly sounded over the 5th bed.
"Oh, it hurts so much! It hurts so much!"
Wang Xiangjun hurried over. At this time, the pain was a good thing, which means that he was not in shock.
And Chen Cang is focused on his mind and is ready to open his chest!
Even if the surroundings are extremely noisy, the rescue work cannot be delayed for a minute!
Chen Cang opened his chest skillfully, and Meng Xi was helping!
As soon as they opened their chest, their faces changed!
So much blood.
How much blood does this cost!
And not only that, a stream of arterial blood suddenly spurted out, and the face of the young nurse beside her was sprayed with blood!
But the young nurse calmly calmly, picked up her sleeve and touched her, her face suddenly covered with blood, but he was not nervous or uneasy at all, and calmly handed Chen Cang the equipment.
At this time, Chen Cang's face changed in a flash, and a red name suddenly appeared in his eyes. Without thinking, he held it with his hands!
The blood stopped instantly.
Everyone sighed immediately, "What awesome is to stop bleeding with bare hands, how can we find the bleeding point?"
At this time, Meng Xi took this skill to start cutting the pericardium, and the doctor next to him began to wash the liquid with a syringe.
no way!
This is the emergency room, not the operating room, and there is no liquid cleaner!
There is no extracorporeal circulation machine.
At this time, the patient's heart was interrupted!
Time is extremely rare for them every minute!
Pericardial decompression must be completed within a few minutes, and then heart compression will be performed!
Otherwise, the pressure at this time will only aggravate the originally fragile wound.
It was too late to get to the operating room, and a few minutes of preparation was enough to take the patient's life.
Now for each of them, they are racing against time.
There is not much time left for patients...
Everyone's face was filled with anxiety and anxiety.
The little nurse beside her didn't care about it at all, and her busy sweat left her blood on her face.
Meng Xi skillfully cut open the pericardium, and blood suddenly flowed out!
Chen Cang's face was happy!
He said to the emergency department doctor next to him: "Cytopulmonary resuscitation!"
In everyone's eyes, this kind of cardiopulmonary resuscitation after opening the chest is simply a different kind of excitement.
Chen Cang held the blood vessels in both hands, be careful!
The doctor began cardiopulmonary resuscitation without any hesitation.
fear?
It doesn't exist!
There is no time to fear.
If you have to be afraid, you have to wait until the patient dies before being afraid. Or you will be afraid after being saved!
There is no time now.
After only two groups of CPR, the patient's heart resumed beating.
The main reason for the sudden outage at the beginning should be that the huge pericardial stuffing put too much pressure on it.
After the pericardial incision, the resistance of the heart disappears, and with the help of cardiopulmonary resuscitation, the heart gradually begins to beat.
However, due to a lot of ischemia, the blood pressure is still very low.
At this time, after the blood transfusion department completed the blood type comparison, it finally delivered the blood matching.
Now, the patient needs to be sent to the operating room for treatment!
The doctor on duty in the cardiac surgery department quickly came down and cooperated with Chen Cang, and the three of them were about to walk towards the operating room!
At this time, a violent vomiting sound suddenly came from the rescue room. Chen Cang's face changed and he said to Meng Xi: "Teacher Meng, you go for surgery, I'll see what else is going on!"
Meng Xi nodded without refusal!
Three patients were sent, and any of them were very critical.
At this time, it was early morning again, and many doctors were unable to arrive in time.
The vitality of emergency rooms is ultimately limited.
The repair of the large blood vessels outside the heart is enough with Meng Xi and Ge Huai!
And unknown dangers, unknown diseases, and unknown tests are waiting for every doctor in this emergency department!
At this time, the optimal allocation of resources is the important choice.
Chen Cang turned around and walked over without thinking.
"In shock!"
At this time, Wang Xiangjun was really anxious.
Dr. B Chao was shocked when he watched the film: "Director! Liver rupture and abdominal bleeding, prepare for the operation in time!"
Wang Xiangjun nodded quickly: "Prepare for the operating room!"
At this time, Wang Xiangjun suddenly felt a little weak. The liver rupture repair surgery was a major operation. Looking at the uneasy hepatobiliary surgeon on the side, he couldn't help asking: "When will Dean Qian come!"
Doctor of hepatobiliary surgery: "It's almost done, it will take about seven or eight minutes!"
After hearing this, Wang Xiangjun couldn't help but feel anxious: "Prepare for surgery, blood transfusion department, and blood fertilization!"
Chen Cang hurriedly said: "Director, I can have liver rupture surgery!"
When he heard this, people around him looked around.
Because this person just now, he was ready to lead everyone to complete the preliminary rescue work of the patient in bed No. 1.
And now, he actually undergoes liver rupture repair surgery!
Liver repair surgery is a difficult surgery and a fourth-level surgery!
What Chen Cang learned is that it is just a broken version!
But at this time, let alone the incomplete version, even the incomplete version has to be used!
When Wang Xiangjun heard Chen Cang's words, he immediately raised his eyes as if he had heard the gospel of God.
This young man seems to have helped him.
Wang Xiangjun was surprised and not only sighed that the emergency department of the Second Provincial Hospital was so powerful?
However, now is not the time to think about this thing!
Wang Xiangjun looked at Chen Cang, looked happy, and said three times: "Okay! OK! OK!"
After saying that, he looked at the emergency doctor and the doctor in the hepatobiliary surgery department and said, "You are fully responsible for cooperation with Dr. Chen and do a good job in rescue work!"
The two nodded immediately!
To be continued...