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Chapter 96 is easy
"We are doctors at Yunhua Hospital." Dr. Zhou reported to his home to eliminate the uneasiness of the injured.
"There is still a wound there, half a size." The policeman licked the wound with one hand and the other hand barely pointed his finger.
"I am going to find it." Dr. Zhou volunteered.
Lingran nodded, looked at the wounds of the police, and then said to Shao boss who came over: "Give me a bottle of wine."
"I have iodophor." Shao boss calmly replied, said to return to the store, remove a first aid kit from the cashier, and a large bottle of iodophor.
Ling Ran unexpectedly looked at Shao boss.
Two pounds of iodophor, the average person can not really use. Of course, Shao boss may be a purchase of experience. If the amount is large enough, the large-capacity nature is cheaper.
The shouts around, the crowds of the crowd, the cranky thoughts in the mind, in the moment when Lingran opened the first aid kit, were blocked.
For Ling Ran, who has been internship in the emergency department for so long, a simple knife wound is usually not a big problem. He also handled it when playing debridement and suturing. Although the wound is a little deeper...
However, Ling Ran did not take it lightly.
Staying in the emergency department for two weeks, a person's understanding of the accident will undergo a qualitative change. A good person suddenly can't do it. The patient who can't see it will say hello to you in the hallway in a few days...
I couldn't see the wound in the abdominal cavity of the police. I could only observe the guess and asked for scissors.
After disinfecting the scissors, the police uniform was stripped off, and then the iodophor was poured on the wound. The boss's cheek meat was taken and pumped.
After a sigh of one-third of the iodophor, he was reluctant to stop.
It's like the phrase that the advertising industry likes: We know that half of the money is wasted, but we don't know which half.
The same is true for doctors, especially doctors in the emergency department, which are a waste of consumables, but who knows which part is wasted? If a doctor can do a large-scale experiment or record of qualitative and quantitative, such as the relationship between the amount of iodophor and infection involving thousands of people for ten or twenty years, it is possible to send a good article...
Iodophor quickly washed away the blood, and then a large amount of blood will be able to see the color of the iodophor. The brave policeman is pale at this time, and he does not know whether he is afraid or excessive blood loss.
“Nothing.” Ling Ran recalled the patient with cardiopulmonary resuscitation during the day, saying: “You are not seriously injured.”
“Not serious?” The police voice was hoarse.
"Well, certainly not going to die." Ling Ran said relatively positive. While speaking, he handed over the iodophor to Shao boss and asked him to wash his hands.
Police: ... will die? ? ? ?
About the effect of adrenaline is gradually disappearing, the police slowly feel the pain, biting the tooth: "If I don't die, I must catch the kid who is licking me, idiot, not even hacking." ”
Lingran vacated a hand and pressed around the police wound.Ling Ran can learn to use the clothes, preferably clean gauze, to force the patient's wounds to achieve the purpose of squeezing and stopping bleeding.
But that's not the best way, it's just the most suitable emergency solution for untrained ordinary people.
Not to mention that internal bleeding is difficult to control and is equally terrible, and the compression itself may cause secondary damage. The injured can only pray that their luck is good enough to avoid important parts.
But for Ling Ran, his choice is even more.
He first used the technique of physical examination to palpate the patient's abdomen and then judged in his heart.
Ling Ran continued to wash his hands, so as not to infect when he stopped bleeding. In the environment of the snack street, it is absolutely impossible to make a little more iodine.
Boss Shao looked at the blood that was constantly pouring out, and was anxious and had to comfort himself. The policeman lying on the ground said: "Ming Ling is a colleague of Dr. Zhou, Dr. Zhou is an emergency department, and Dr. Ling is also an emergency department. . ”
Ling nodded: "Yes."
"Look, I said yes. Dr. Ling is a doctor in the emergency department. No problem. Our injuries are sent to Yunyun. They are also handed over to Dr. Ling and Dr. Zhou. You save now. The time for the ambulance is safer."
"I want to go to the cloud doctor." The police was reminded, and quickly said a word, and repeated: "Cloud doctor."
He knows that Yunhua's ambulance is the principle of proximity and takes into account the reasonable demands of patients. Therefore, he is also likely to be sent to a nearby district hospital, and he may not get any results.
"Go to the cloud doctor, definitely go to the cloud doctor." Shao boss took the hand of the police, and said: "Now, Dr. Ling, who is showing you the injury, and Dr. Zhou, who is running in front of him, are doctors at Yunhua Hospital. You can rest assured. All right……"
The intelligence of the police was obviously affected by excessive blood loss. Taking advantage of the action, he said to Shao boss: "He really just hurts... ah!!"
It was the time to relax his abdominal muscles and smashed two fingers into it.
At the same time, Shao boss also cried: "Hey, you are very big enough. Let go, let go, crush."
Ling Ran quietly breathed a sigh of relief.
The environment in the abdominal cavity is relatively complicated. In addition to the barrier of muscles, the important organs of the liver, gallbladder, pancreas and lungs have similar protection levels. Will it be killed by a knife, except for the rescue conditions, the main point is to see where the knife is going. .
Of course, the most vulnerable to injury is the spleen, which is also the main problem facing Ling.
Ling Ran pinched the spleen with his fingers, and stopped the spleen from bleeding for the first time.
In fact, it is the operation on the operating table.
Because entering the operating room, the abdominal cavity must be full of blood, it is very dangerous to use the vascular clamp directly to clip the spleen, can not see clearly the wrong folder is not terrible? That is really terrible. Therefore, it is necessary to wait for the assistant to clear the surgical field (surgical field of vision), and then use the vascular clamp, and only want to squeeze the spleen with the hand to cleanse the blood.
Therefore, stop bleeding by hand is also the basic operation of abdominal surgery. If it is graded, it is about the entry-level application of stop bleeding.“What do you call it?” Ling Ran felt that there was no problem, and he began to enter the standard process.
The policeman was dizzy and afraid of the road: "Hey."
"Zhan Zhao? Four products with knife guard?" Ling Ran looked at his age, I feel that it is not like "Bao Qingtian" was born before the whole country, so said: "I will help you with your head physical examination. ”
"Oh... it’s awkward, support the station..."
"Oh..." Ling Ran held a hand with the spleen of the four-guard knife guard, and fell into meditation: I just remembered that it was falling softly on my stomach, not like the way I hit my head.
The voices of the surrounding people have increased a lot. The perfect level of free-handed hemostasis works perfectly. Anyone who does not understand medicine can see that the blood flowing out of the police abdomen is getting less and less.
"Shao Bo, Dr. Ling, Shao Bo, Dr. Ling" yelled and ran over.
“Anecdote?” Shao boss separates the crowd.
"Doctor Zhou, the doctor of that week said that you have a first aid kit. He wants you to take it to him. Or, or send Dr. Ling to the past." The person wearing an apron, panting, is obviously also the hotel owner. .
"What does Dr. Zhou want to do with the first aid kit? What do you want Dr. Ling to do?" Ling Ran’s fingers were steady and did not move. The third person said that he said he did not fight.
"It is said that blood can not be blocked ... to open the stomach. Or let Dr. Ling to block." People can not think of the word open.
Ling Ran indulge for two seconds and said: "We used to, Shao boss, you and the car that can't be loaded, send us over."
Ling Ran refers to you and yourself.
He guessed that Dr. Zhou must have found no bleeding points, wanted to help himself, or directly used open exploration to solve the problem.
Orthodox surgeons, when encountering patients with abdominal trauma, the first problem that comes out of their minds must be: I want to open the lap now.
The benefits of open exploration are numerous and most intuitive.
The abdominal cavity is opened, and there is a hole to make up, and there is a broken seam, which is simple and direct. Of course, there are a lot of sequelae, but it is not worth mentioning compared to losing your life.
If today is to change the environment, Dr. Zhou said that he would not ask if he asked, but he used a kitchen knife to cut his abdomen.
He is also an attending physician in the emergency department for more than ten years. Although he is lazy, his skills and experience are sufficient. Abdominal open wounds or something, too many encounters.
It’s just that the hygiene of the snack street is really flattering. The disinfection of the medicine is not enough. The wine may also be fake wine. It is a risky behavior to barely open the belly.
The most important thing is that Dr. Zhou knows that Ling Ran can do the blood stop by hand, and he is doing quite well, and how to open the stomach on the spot.
In less than half a minute, Shao boss dragged out a two-wheeled flatbed truck that transported vegetables.
Several onlookers helped, the policeman was moved to the flatbed, and then Lingran got on the bus. Several people worked together to quickly push Lingran and Yan to the street in the snack street.
The flatbed was bumped, and the hand of Lingran was fine-tuned, which controlled the amount of bleeding.
Onlookers pushed the flatbed.
Shao boss is behind the flatbed.More onlookers followed the flatbed.
More passers-by holding mobile phones, 360-degree shooting without a dead end, I hope to add a touch of color to my ridiculous circle of friends.
(End of this chapter)
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