When a doctor opened a plug-in

Wang Qian was a little nervous. He made this choice today. For him, it was really his biggest step!

Get out of your comfort zone and become a true emergency doctor!

But when he saw that life was so fragile in front of him, he was very self-blame and helpless.

Because... he was at a loss at this time!

When he said blood pressure!

But Chen Cang's pupils shrank and he turned and shouted loudly, "Lao Yang, push the bed!"

When the driver Lao Yang heard Chen Cang's words, he pushed the bed over without hesitation, and Chen Cang took a deep breath and said to the somewhat nervous Wang Qian:

"Send to the ambulance!"

"Who is in charge, go to the hospital together."

At this time, a bald man and a worker in camouflage uniforms came out of the crowd.

"I go!"

The two hurriedly followed into the ambulance.

It can be seen that the bald man should be the person in charge, and the camouflage worker should be fellow.

But Chen Cang didn't dare to have any thoughts at this time. As soon as he got on the car, he said to the driver Lao Yang: "Master Yang, drive steady and hurry!"

It seems a contradictory sentence, but I have long been used to it in Old Yang's ears.

Chen Cang glanced at Wang Qian: "Go to ECG monitoring and prepare for pericardiocentesis!"

Wang Qian nodded quickly, and Chen Cang now became his backbone.

His hands move quickly and smoothly.

While Wang Qian was preparing for ECG monitoring, Chen Cang opened the pericardial puncture needle and prepared for puncture!

Cause: Violent impact injury in the chest area, accompanied by a sudden deceleration of the body!

Manifestations: sternum fracture, sudden drop in blood pressure, shortness of breath, aortic murmur, abnormal S1 heart sound, second auscultation area of ​​the aorta...

Various possibilities constantly emerged in Chen Cang's mind.

All manifestations, symptoms, and signs are like conditions, deducing a possibility!

When all the conditions were concentrated, Chen Cang thought of several possibilities!

However, the greatest possibility is to generate income from the large blood vessels in the chest!

Moreover, it is very likely that the thoracic aorta is damaged, depending on the heart sound to judge, it is very likely that it is not in the aortic isthmus!

If it's not here... then it's...

The more Chen Cang thought, the more frightened he became.

Who could have imagined that such a tricky case would be encountered on the first trip out of the car.

According to the proportion, this is a patient who has died a lifetime!

Chen Cang raised his head and glanced at the two people who followed the car: "Contact the family and inform the patient that his life is in danger and may die at any time!"

Hearing Chen Cang's words, the two paled in fright!

After all, including until now, the patient is still breathing, still struggling, still...

The hand of the worker picked up the phone, visibly shaking.

The contractor swallowed his saliva, his eyes turned quickly, and he didn't know what he was thinking.

"Doctor, are you kidding me?"

Chen Cang asked back: "A joke?"

Then no words!

If he guessed correctly, the patient should have a closed chest vessel rupture, and there is an 80% chance that this closed wound will occur in the aortic isthmus, but...this patient may be that 20% people.

This 20% of people is also the most unlucky. The injury may occur at the beginning of the aorta, which is the beginning of the ascending aorta.

what does this mean?

If you look at the latest medical reports!

This kind of injury means that there is only a 10% to 20% chance that the injured will be sent to the hospital!

And the remaining 80% of the patients died of hemorrhage at the scene or on the way to the hospital!

The rupture of the initial part of the ascending aorta will cause acute pericardial tamponade, which is difficult to distinguish from heart injury.

Now, all symptoms are based on Chen Cang's own judgment!

Just as Chen Cang was preparing for pericardiocentesis.

The ECG monitor is switched on.

But Didi Didi's various alarms sounded.

Chen Cang looked up and found that the systolic blood pressure of his heart was less than 50!

Is it a broken heart?

Thinking of this, where does Chen Cang plan to do a pericardiocentesis?

Because piercing is also dead!

Death without puncture!

How to do?

Chen Cang really couldn't bear to rescue him if he took office on the first day!

Thinking of this, Chen Cang's heart was overwhelmed!

To Wang Qian, he said, "Call Director Li and say I will have surgery now!"

When Wang Qian heard Chen Cang's words, his face suddenly changed!

Start reporting quickly!

Li Baoshan and everyone had been waiting anxiously.

When Wang Qian's phone rang, Li Baoshan quickly said, "Wang Qian, what's going on? What's the matter?"

A series of questions left Wang Qian not knowing how to answer, because...he didn't know anything except blood pressure!

What to say?

Chen Cang answered the phone and said directly: "Director Li, I suspect that it is a closed intrathoracic large blood vessel injury. The patient's left chest was violently hit, and the ribs were fractured in varying degrees! I now seriously suspect that it is the starting part of the ascending aorta. Now the patient’s systolic blood pressure is less than 50, and it’s still decreasing!"

"If I don't open my chest in time to stop the bleeding, the patient may be gone in five minutes before being sent to the hospital!"

As soon as he said this, Li Baoshan hadn't reacted yet, Tao Mi and Xia Gaofeng both stared, their expressions changed, and their eyebrows clenched.

Seeing Li Baoshan stunned, Tao Mi grabbed the phone and said to Chen Cang anxiously: "Xiao Chen! Rescue, rescue with all your strength, let go and do it, I will call the dean, I will submit it to you! Don't take a minute. delay!"

After speaking, click directly and hung up the phone!

Li Baoshan was taken aback for a moment: "Director Tao, what's the matter?"

Tao Mi's color expression is grim!

"According to Xiao Chen's dictation, the patient's condition is very critical, and the patient has an 80% chance of dying on the road!"

"If the operation is not performed, the patient may be cold when they are sent to the hospital!"

In a word, Li Baoshan was stunned.

Xia Gaofeng nodded: "If Xiao Chen's judgment is correct, the patient's survival rate is less than 20%, and...this is still the highest rate!"

"If the damage is to the heart, the patient's survival rate is less than 5%!"

Li Baoshan was dumbfounded for an instant. He never expected that Chen Cang would encounter such a patient on his first trip out.

Even Tao Mi and Xia Gaofeng looked at each other carefully!

"I encountered a case like this on the first trip, it was really a bit of bullying!"

After Tao Mi finished speaking, he directly dialed the number of the medical department and began to prepare.

Li Baoshan immediately organized emergency rescue work.

There is still a lot to do now!

Chen Cang handed the phone to Wang Qian and took out the lancet from the first aid box.

perhaps……

At this time, believe in God, it is better to believe in the lancet in your hand!

Upon seeing this, Wang Qian quickly began to disinfect!

The eyes of the two people beside them were full of anxiety...

This may be the only time in their lives that they arrived at the operation site and saw a human heart...

...

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