When a doctor opened a plug-in

Chapter 764 (Add 3 for the sunny day when the leader was hit by dark clouds)

And behind the patient hurriedly ran in a bunch of people, one by one young, seventeen or eighteen, and the oldest one was in his twenties.

His face was horrified and uneasy, and one of them was already full of tears.

"Doctor! I beg you, save him!"

"Yes! I kowtow to you!"

...

The eldest young man was helpless, and knelt down at the door of the rescue room with a thump, his face full of tension and worry.

The head nurse Tian Xianglan happened to be there, and ran out in a hurry, looking at a group of young men who were only in their twenties.

He said quickly: "Young man, get up first."

"Where is your boss? Hasn't come yet?"

The elder young man couldn't help but swallowed: "Come on! We have already called, and we must save him..."

Having said this, even a few young people have no idea, and they are not sure whether the boss will come.

Tian Xianglan felt a possibility as soon as she heard her tone, and she couldn't be mad at once.

Compensation for work-related injuries is stipulated by law, and no one can be exempt from liability.

However, in many cases, it involves a lot of wrangling issues whether it is considered a work injury.

Especially these small factories, small workshops, employing young people, the signed labor contracts may all have many problems with small factories.

However, now is not the time to worry about this. It is important to save people first.

Tian Xianglan hurriedly helped with the arrears procedures and asked the older boy to contact his family.

...

...

Several doctors in the emergency office rushed in. After seeing the patient, they couldn't help their scalp numb, and their hearts shrank suddenly.

At this moment, Chen Cang's eyes changed when he looked at the patient.

He suddenly discovered that a virtual human model appeared before his eyes!

Chen Cang looked at the model and was shocked!

Because he clearly felt that this model is the situation of the patient at this moment. He can clearly see which glass has penetrated and how deep, what blood vessels have been injured, and whether internal organs have been injured...

At this time, the human body structure diagram and blood flow diagram of the entire patient, including breathing, heartbeat, liver and intestine circulation, etc., all appeared in Chen Cang's virtual four-dimensional diagram.

At this moment, the patient suddenly started to breathe, and the value on the ECG monitor showed that the blood pressure dropped suddenly.

On the virtual four-dimensional human model of Chen Cang, he quickly made a judgment!

This is like Chen Cang's clinical thinking model!

That's right!

Chen Cang suddenly realized that this four-dimensional map was a four-mode model that he had formed in his mind for the patient.

When the patient was short of breath, changes were quickly made on the virtual map.

Chen Cang could actually see that after the patient's peeling pierced the pleural cavity, air entered, and the negative pressure disappeared... the backlog of lungs caused the breathing to be tender!

The answer is obvious!

pneumothorax!

Correct!

It's a pneumothorax!

Looking at this virtual person, Chen Cang was suddenly a little excited.

This virtual four-dimensional map is too awesome, right?

Can an emergency surgeon be able to be prepared to judge the patient's body condition. Can an emergency surgeon have stronger skills than this?

No diagnostic skills are more powerful than this four-dimensional map at this moment!

That's awesome!

God level!

Definitely a god level!

Thinking of this, Chen Cang was a little trembling. This passive skill is very likely to be his strongest right now.

Great profit!

Really!

Thinking of this, Chen Cang was a little excited.

At this time, Xiaolin said loudly, "Director Chen, the breath is short of 110 beats per minute!"

Chen Cang suddenly reacted and said to Zhang Wenfu who was beside him: "The patient has a pneumothorax, and he is preparing for thoracentesis! Here..."

Everyone was taken aback for a moment, and looked at Chen Cang curiously!

Zhang Wenfu nodded, and immediately began to prepare the drainage tube for thoracentesis!

Chen Cang didn't do it himself, he was still judging the patient's vital signs.

Soon, the chest cavity was exhausted, and the patient's breathing really stabilized.

At this moment, everyone admired Chen Cang's eyes and made judgments instantly. What a keen and precise clinical judgment!

...

Before the operation, Chen Cang must ensure that the patient's vital signs are stable, think of all the dangerous situations imaginable, and control the amount of bleeding.

Chen Cang looked at blood pressure, breathing, heartbeat... and the patient's condition, and suddenly said to Wang Yong on the side.

"The current blood loss is about 900-1000ml! The patient's current bleeding rate is about 100ml per minute. Tell the blood transfusion department to make various emergency preparations."

Although it looked terrifying, it didn't hurt the large blood vessels, which is a thankful thing.

Everyone glanced at Chen Cang suspiciously, can this be judged?

Chen Cang continued to bend down, and said to Xiaolin, "Cut off your clothes, cut them all!"

Xiaolin nodded, revealing the patient's body.

"Prepare dressing kit!"

"Contact the color Doppler ultrasound room!"

Nurse Lele quickly prepared.

And Chen Cang started to remove the glass residue in the chest area.

Only the anterior area of ​​the heart was not quickly removed, because this piece of glass has been pierced into the pericardium, which is very troublesome to handle. And most importantly, this piece of glass has caused pericardial hemorrhage, although it is not enough for the heart Tamponade, but you must be prepared before the operation and perform pericardiocentesis under ultrasound!

At this time, Li Baoshan also returned to the emergency department anxiously.

When I saw the patient, I was shocked.

There were a lot of wounds on his body, even though Chen Cang had already treated part of it, but because of this, the wounds and blood stains on the patient looked terrifying.

At this moment, the doctor in the color Doppler ultrasound room also came with a B ultrasound machine.

Under Chen Cang's command, most of the broken residue has been cleared up.

This made Li Baoshan hesitate, after all... this is not an easy job to pull out broken glass.

You have to accurately judge whether each piece of glass hurts the vital points, whether it damages the blood vessels, and whether it can cause adverse consequences after being pulled out.

This is very difficult for a surgeon!

It is necessary to accurately think and judge the anatomical structure, and make accurate conclusions through detailed physical signs!

too difficult.

but……

Looking at the large pieces of glass slag around, Li Baoshan swallowed, and after pulling so much, the patient's physical signs turned out to be more stable. This Xiao Chen... is really amazing.

In the entire rescue room, only Chen Cang was talking.

He gave all kinds of medical orders accurately, and the doctors around him had no doubts, and they all implemented them in an orderly manner.

The excess glass was cleaned away, and many bleeding spots were also sutured by other doctors. The amount of bleeding was getting less and less, and the patient's consciousness was very clear until now.

But even with the effects of anesthetics, it still hurts!

Seeing that there were five or six large pieces of glass on the patient's body, Chen Cang took a deep breath: "Prepare for pericardiocentesis under B-ultrasound, extract pericardial effusion, contact the operating room, and prepare for the operation!"

Li Baoshan was taken aback: "Have pericardial effusion?"

The doctors around are also looking for reputation to Chen Cang.

Chen Cang nodded: "Well, yes, you see, the patient's bleeding volume is now under control, blood pressure is slowly decreasing, and breathing is still a little faster under intubation... Now all the conditions can be ruled out, there is only one possibility, that is This piece of glass has penetrated into the pericardium and caused slow pericardial bleeding. Although it will not be tamponade, it is not conducive to the operation. It needs to be removed in advance, and the operation will be much more convenient for a while."

"I estimate that there should be about 50-100 ml of blood in the pericardial cavity now!"

Everyone was taken aback!

This... can this also be judged?

The doctor in the color Doppler ultrasound room took the probe and nodded and said: "Yes, Director Chen is right. There is indeed blood in the pericardial cavity now, probably... between 75-90ml."

Chen Cang nodded. The reason why he didn't say 75ml was simply because he didn't want to be too exaggerated. The guess was too accurate, not very good...

Suddenly, the whole room fell into silence.

This...is your logical thinking ability too strong?

How much knowledge of the human body is needed to get such a judgment.

Li Baoshan looked at Chen Cang's eyes with a little surprise.

This kid... more and more weird.

This kind of clinical judgment, especially the grasp of the various organs and circulation of the human body, can be so understood through every detail. This kind of clinical thinking is really too strong!

There is no such cultivation base in Daoxing for decades!

Li Baoshan has seen an old director, he is so strong, but... the family is over 70 years old, but how old is Chen Cang?

Li Baoshan couldn't help but murmured: "Rely... abnormal!"

...

...

ps: Thanks to the leader "Bai Jingjing's husband" for the 80,000 rewards, plus more!

Thank you for the 20,000 reward on "October. 25".