When a doctor opened a plug-in

Wang Xiangjun is worthy of being an old elite in the emergency department. He can tell at a glance that this is a pericardial tamponade, and he stopped CPR in time!

In the case of pericardial tamponade, even if there is a cardiac arrest, extracardiac compression should not be used, because this will not only fail to resuscitate successfully, but will aggravate the development of the disease!

Wang Xiangjun quickly organized rescue activities.

"Color Doppler ultrasound positioning!"

"Prepare the operating room!"

Wang Xiangjun gave orders in an orderly manner!

At this time, we can see the efficient collaboration ability of an emergency department, and all examinations are in place.

Chen Cang's hastily pericardiocentesis was more accurate than Meng Xi, who took the initiative to help with the drainage.

Under the precise positioning of the B-ultrasound, Chen Cang pierced in directly, and Meng Xi began to draw blood!

After nearly 150 ml of blood was drawn out, in the whole process, less than a minute, Chen Cang said to Wang Xiangjun: "Director Wang, no, it is estimated that the amount of bleeding is still very large. There may be aortic damage. Breast!"

When Wang Xiangjun heard these words, his expression changed quickly:

"Prepare for emergency room surgery!"

As soon as this sentence came out, the three nurses rushed to prepare equipment.

But at this moment, there was a sudden violent wailing over Bed 5.

"Oh, it hurts me! It hurts!"

Wang Xiangjun hurriedly walked over. At this time, the pain was a good thing, indicating that there was no shock.

As for Chen Cang, he was ready to open his chest!

Even if there is noisy surroundings, the rescue work cannot be delayed for a minute!

Chen Cang opened his chest skillfully, and Meng Xi helped!

As soon as they opened their chests, their faces changed suddenly!

A lot of blood.

How much blood does this get!

And not only that, a burst of arterial blood spurted out, and the face of the little nurse on the side was directly covered with blood!

It's just that the little nurse calmly picked up her sleeve and touched it. His face was suddenly covered with blood, but he didn't feel nervous or uneasy at all, and calmly handed Chen Cang the equipment.

At this moment, Chen Cang's expression changed amidst the lightning and the fire, and a red name suddenly appeared in his eyes. Without even thinking about it, he held it with his hand!

The blood stopped instantly.

Everyone suddenly sighed, so awesome to stop the bleeding with bare hands, how did you find the bleeding point!

And at this time, Meng Xi started to cut the happy bag with this effort, and the doctor on the side started to start lotion with a syringe.

no way!

This is a rescue room, not an operating room, and there is no washing machine!

There is no extracorporeal circulation machine.

At this time, the patient's heart is in sudden arrest!

For them, every minute of time is extremely rare!

It is necessary to complete the decompression of the pericardium within a few minutes, and then press the heart!

Otherwise, pressing at this time will only aggravate the originally fragile wound.

It is too late to get to the operating room. A few minutes of preparation is enough to kill the patient.

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 on the side couldn't take care of it at all, busy sweat left behind the blood on his face.

Meng Xi skillfully cut the happy bag, and the blood suddenly flowed out!

Chen Cang looked happy!

To the emergency department doctor on the side, said: "Carry out cardiopulmonary resuscitation!"

This kind of cardiopulmonary resuscitation after opening the chest, in the eyes of everyone, is simply a different kind of wonderful.

Chen Cang holds the blood vessels in both hands, be careful!

The doctor did not hesitate, and started CPR.

fear?

nonexistent!

There is no time to fear.

If you want to be afraid, you must wait for the patient to truly die before you are afraid, or you must wait for the rescue before you are afraid!

There is no time now.

After only two sets of cardiopulmonary resuscitation, the patient's heart returned to beating.

At the beginning, the main cause of sudden arrest should be that the huge pericardial tamponade gave too much pressure.

After the pericardiotomy, the resistance of the heart disappeared, and with the help of cardiopulmonary resuscitation, the heart gradually began to beat.

But because of massive ischemia, blood pressure is still very low.

At this time, the blood transfusion department finally sent the blood matching after completing the blood type comparison.

Now, the patient needs to be sent to the operating room!

The doctor on duty at the Department of Cardiac Surgery came down quickly and cooperated with Chen Cang. The three were about to walk towards the operating room!

At this time, there was a sudden violent vomiting sound in the rescue room, and Chen Cang's face changed suddenly, and he said to Meng Xi: "Mr. Meng, you are going for surgery, I'll see what else is going on!"

Meng Xi nodded and did not decline!

Three patients were sent, and any of them were very critical.

At this time, it was wee hours again, and many doctors could not arrive in time.

The vitality of the emergency department is ultimately limited.

Meng Xi and Ge Huai are enough to repair the large blood vessels outside the heart!

And unknown dangers, unknown diseases, and unknown trials are waiting for every doctor in this emergency department!

At this time, the optimal allocation of resources is an important choice.

Without thinking, Chen Cang turned around and walked over.

"Shocked!"

At this time Wang Xiangjun was really anxious.

The B-ultrasound doctor looked at the film and was shocked: "Director! Liver rupture accompanied by massive abdominal hemorrhage, prepare for surgery in time!"

Wang Xiangjun nodded quickly: "Prepare the operating room!"

At this time, Wang Xiangjun suddenly felt a little fatigued. The liver rupture repair operation was a major operation. He looked at the hepatobiliary surgeon who was awkward and couldn't help asking: "When will Dean Qian come!"

Doctor of Hepatobiliary Surgery: "Alright, it will take about seven or eight minutes!"

After Wang Xiangjun heard this, he couldn't help but feel a little anxious: "Prepare for surgery, blood transfusion department, prepare for blood matching!"

Chen Cang said quickly: "Director, I can do liver rupture surgery!"

Hearing these words, people around immediately looked sideways.

Because this is the person just now, he is ready to lead the crowd to complete the preliminary rescue work for the patient in bed 1.

And now, he even has liver repair surgery!

Liver repair surgery is a difficult surgery, a four-level surgery!

What Chen Cang learned was only the incomplete version!

But at this time, let alone the incomplete version, even the disabled 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.

It seems that this young man has not helped himself for the first time.

Wang Xiangjun was pleasantly surprised. Not only did he sigh, is the emergency department of the Second Hospital of the province so good?

However, now is not the time to think about this!

Wang Xiangjun looked at Chen Cang with a smile of joy, and said three times: "Good! Good! Good!"

After speaking, he looked at the emergency doctor and the hepatobiliary surgery doctor and said: "You have full authority to cooperate with Doctor Chen and do a good job of rescue work!"

The two nodded suddenly!

This is not the time for ink.

The mortality rate of liver rupture is extremely high!

Because the liver receives a double blood supply, the blood supply is very rich, and the liver also has the function of producing and draining bile. Once the liver is damaged, the consequences are very serious!

The amount of bleeding directly causes hemorrhagic shock.

The leakage of bile can cause severe biliary peritonitis.

Bleeding + infection + unknown combined injury = what?

It's obvious!

Either one can endanger the life of the patient.

Therefore, when the two of them looked at Chen Cang, they only looked forward to the savior.

I hope Xiao Chen can wait until Qian Liang comes back!

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ps: Cough cough, three for the time being, there will be more at noon tomorrow.

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