When a doctor opened a plug-in

Emergency nights never make people feel peaceful.

The worst thing here is to think about it.

Just like Chen Cang at this time, he just lay down for less than 10 minutes, and when the snoring started, a sudden violent knock on the door suddenly sounded!

It only took Chen Cang less than 5 seconds to open his eyes, roll over and get out of bed, and then open the door urgently.

After the door opened, Xiaolin stood outside.

Xiaolin looked panicked, and said anxiously: "Dr. Chen, it’s not OK. A man riding a motorcycle on the pipe bridge hit the pipe next to it. We are the nearest here. We are about to send a car. Doctor Che!"

Chen Cang's expression changed, and he walked outside and said as he walked: "Hurry up and call Wang Yong, his second line, ask him to come quickly, and I will go over and take a look."

Xiaolin nodded quickly: "Okay!"

Chen Cang ran into the ambulance in a hurry. The driver, Lao Liu, was ready to go anytime and anywhere.

After Chen Cang sat down, the car ran out instantly.

The pipeline bridge is the closest to the Second Provincial Hospital, less than 2 kilometers, but the most terrible distance is not this distance.

But the pipe bridge can't move cars at all!

Pipeline Bridge Pipeline bridge is actually a small bridge built for the pipeline between two rivers. People usually walk around on the bridge.

At most, you can walk with electric cars and bicycles, but you can't walk with cars at all.

The car can only drive to the side of the road, and the doctor needs to run up there. There is still a long way to go from the road to the bridge. This is undoubtedly a serious obstacle to rescue!

It took less than two minutes for the car to arrive at the parking place immediately. Chen Cang opened the door and ran off holding the first aid kit, while the driver, Lao Liu, pushed the push bed of the 120 car down.

I was about to go up, but found that it was all stairs, and the cart couldn't get up at all, so I hurried up with the stretcher in my arms.

It was already more than one o'clock in the morning!

There is no pedestrian on the road.

After waiting for Chen Cang and the driver Lao Liu to run on the pipe bridge, they saw two young boys standing by, making a phone call with their mobile phones in their hands.

And a motorcycle fell to the side, a man lying on the ground, life and death unknown!

However, seeing the destruction of the fence, Chen Cang's heart sank!

Crashed like this!

People... are also very dangerous.

Chen Cang didn't think much about it, and hurried forward with the driver.

When the two young men saw Chen Cang in white clothes rushing in anxiously, their eyes lit up.

"Doctor! Right here!"

At this time, the injured man lay on the railing, half of his body on the bridge, and he might fall off if he was not paying attention!

The street lights here are not very bright, you can only vaguely see it!

There is no blood on the road.

There should be no trauma...

However, looking at the appearance of a man, the most worried thing is whether there is a fracture of the head and neck.

Once there is, this help transfer will be very troublesome.

However, with such a posture, there is really no way to rescue the man, and the man must be brought down.

Chen Cang patted the man on the shoulder: "Comrade! Wake up!"

"Can comrades hear you?"

...

Chen Cang called in his ear several times, but did not see any response.

Greet everyone: "Let's lift him down, Lao Liu, hold your waist, I will get your head, that... young man, you two will help you and lift your leg."

The two are not very old, maybe they are in their eighteenth to nineteenth or early twenties, but how can they walk on the bridge without sleeping most of the night.

Chen Cang couldn't think about other things. At this time, saving people was his only idea now.

Transporting patients is very particular.

Such a car accident injury is prone to fractures of the body, especially the head and neck, cervical spine... these injuries.

Once the transfer method is not suitable, it is easy to cause secondary damage and even aggravate the condition.

Therefore, in the face of emergencies, patients must not be transported rashly, otherwise it is easy to do bad things well.

But what the two young people did is quite right!

The patient was transferred to the stretcher, Chen Cang opened the first aid kit, quickly checked the blood pressure, and then took out patiently to observe the breathing and pulse...

At this time, the two young men saw that the street lights were not very powerful, and simply turned on the flashlights of the mobile phones to illuminate the patient.

Not long after, the blood pressure came out. After seeing the value, Chen Cang's expression suddenly changed!

"6030mmHg!"

This blood pressure, is this hypotensive shock?

Thinking of this, Chen Cang's expression suddenly changed.

Hypotensive shock... trauma...

Is there bleeding?

But I didn't find the bleeding place for a long time!

What could it be?

Chen Cang suddenly saw the place illuminated by the flashlight and saw a strange phenomenon.

Chen Cang said quickly: "Give me the flashlight!"

The guy on the side was very cooperative and passed the flashlight.

Chen Cang quickly took a look down!

Displeased jugular vein?!

Suddenly, an emergency case appeared in Chen Cang's mind. At this moment, it must be verified!

Chen Cang handed the phone to the other party, and took out his stethoscope in a hurry.

His hands are a little nervous.

After all, Chen Cang has heard of this disease, but has never encountered it. If it is, the scene may have to organize rescue immediately.

Can't afford to delay!

Thinking of this, Chen Cang took the listening device and placed it on the heart of the injured person's chest...

Suddenly, bursts of low and distant heart sounds came, fast, like drums ten miles away, the sound was endless, but low and far away!

Chen Cang looked solemn!

It should be... the triad of pericardial tamponade!

This is an urgent cardiac crisis: acute cardiac tamponade, Beck’s triad with typical symptoms.

Mainly manifested as increased venous pressure leading to increased jugular venous pressure and distended jugular vein, which is the first feature.

Second, a sudden drop in blood pressure leads to a drop in systolic blood pressure, a smaller pulse pressure difference, shock, and odd pulses are the second signs.

The third is decreased stroke volume, low and distant heart sounds, tachycardia, etc. This is the third sign.

The three signs seem to have put the truth before Chen Cang!

At this time, Chen Cang touched the injured person's skin and felt that his skin temperature was declining.

Chen Cang has determined that the patient must have suffered an acute pericardial tamponade caused by trauma. He is currently in shock and the situation is urgent and his life is in danger at any time.

What is pericardial tamponade?

The heart is the power organ that maintains the blood circulation of the human body. It guarantees the blood supply to the various organs and tissues of the body.

The pericardium is like the armor of the heart. It protects the outside of the heart. It is a sac-like structure that wraps the heart and the roots of the great blood vessels in and out of the heart.

There is a cavity between the heart and the pericardium, called the pericardial cavity, which refers to the space between the parietal pericardium and the visceral pericardium on the surface of the heart.

There is a small amount of light yellow liquid in the normal pericardial cavity, which lubricates the surface of the heart. This is the same as the engine. It has the function of lubricating oil. After all, the heart is beating continuously with the piston. If there is a pericardium outside, it needs friction. The light yellow liquid is lubricating oil, reducing the friction between the heart and the pericardium.

When the traumatic heart ruptures or the blood vessels in the pericardium are injured, it will cause the accumulation of blood in the pericardial cavity, which is called blood pericardium or pericardial tamponade, which is the rapid cause of death of heart trauma.

Due to the limited elasticity of the pericardium, acute pericardial hemorrhage up to 150ml can limit the return of blood to the heart and heartbeat, causing acute circulatory failure, and then leading to cardiac arrest.

After all, if you think about it, blood accumulates in the pericardial cavity, pressing the heart to be unable to beat. In order to provide the body with a continuous blood supply, the heart can only desperately contract and relax, systole and relax... causing the heartbeat to increase, but the more blood it pumps The less come, because the resistance caused by the pressure outside the heart is getting bigger and bigger!

Soon, the heart may suddenly stop beating, leading to acute circulatory failure, and even... immediate death!

Therefore, the current patient's condition is critical and dangerous, and they may face death anytime and anywhere.

What we need to do now is to relieve the heart pressure as the patient's only lifeline.

ps: There are four chapters behind, five chapters tonight.