Doctor: It's reasonable to perform surgery on yourself.

"Ugh!"

At the same time, the patient vomited several times, and a few strands of blood flowed from the corners of his mouth.

The ICU nurse was quick and came to clean up.

For this kind of patient who is about to fall into a coma, keeping the airway open is the top priority.

Let's not talk about whether he can be saved, we must not make such low-level medical accidents as suffocation.

"Have you applied for blood transfusion?" Xu Qiu asked.

The nurse nodded repeatedly: "Director Jiang has applied for it and it will be approved immediately!"

Since Xu Qiu reorganized the blood bank, the situation of blood shortage for critically ill patients has rarely occurred.

However, blood banks in various places are still in urgent need. Linyi is a large hospital, and with the support of Baiyun Province, the situation of blood shortage will be much better, but it is still not enough.

Therefore, replenishment is the norm.

How much blood the patient uses, the family must find a way to replenish as much blood as possible.

Of course, Linyi is relatively more relaxed. If the patient or the family has a blood donation certificate, they are not required to donate blood immediately. They only need to sign and voluntarily promise to come to Linyi to make up the quota within the next year.

…

“Have you done the infectious disease test?” Xu Qiu asked.

The nurse nodded: “We did it right after we were admitted, but the results are not out yet… The family members said that it’s useless for any disease the patient has.”

Xu Qiu glanced at the family members of the patient who were gathered around.

… Whether it’s the patient or the family members, you can’t trust everything they say.

This is the basic rule for doctors to extend their professional life and even save their lives.

“Family members, please wait outside.” Xu Qiu put on two layers of gloves and said after taking sufficient protective measures.

The patient’s condition is very bad, and the bandage needs to be untied for inspection. It is very likely that emergency surgery will be required.

With so many people around, besides causing trouble, the only effect is to increase the chance of infection.

"Doctor, my man doesn't have any infectious diseases!"

"Hurry up and save him. His family just gave birth to twins last year. The children are still young..."

"That damn truck driver ran away after hitting someone. I curse him for not having a son!"

"God is watching! Such people will go to hell after they die!"

"Alas, it's a pity for such a good man. He makes a lot of money. His wife eats and wears good things. His children also drink imported brand-name milk powder. It's a pity..."

"Don't worry, we have already called the police. There are surveillance cameras everywhere now. The driver can't run away. Don't worry about the medical expenses. Truck drivers have insurance and can definitely afford it!"

"I'm just afraid that there is no insurance, otherwise why would he run away..."

The family members chattered, and the ICU was suddenly as lively as a vegetable market.

However, Xu Qiu also figured out what happened.

The man was a 46-year-old worker. His wife gave birth to a pair of children last year. In order to raise the children, he has become a desperate man in the past two years, and his monthly income is steadily more than 10,000 yuan.

Linhai City is not as good as first-tier cities. The average salary here is only at the level of third-tier cities. It is rare to earn more than 10,000 here.

After work that day, he went to a newly renovated suburban villa to take private work and do decoration work.

On the way back, an accident happened.

A truck rushed from behind as if it didn't see him walking on the side of the road. After the man was knocked down, his lower limbs were rolled under the wheels.

It was lucky. With the weight of such a freight vehicle, it was not difficult to crush a person into a meat pie, but the truck only ran over his legs-at least he still had a life.

Afterwards, the man fought with his last bit of consciousness and called back the previous caller, who was the owner of the villa.

The owner heard the other end of the phone shout "Help" and then there was no sound, and he panicked all of a sudden.

Fortunately, he was the chairman and didn't need to ask for leave from his superiors.

He rushed to the villa immediately, and saw a large pool of blood on the road, and a phone that was on the line.

He called out twice, and his own voice came from the phone in the pool of blood. Only then did he confirm that this person was the decorator he hired.

Later, the villa owner called 120, and completed the most basic bandaging and hemostasis under the voice command of 120. Finally, he waited until the ambulance arrived, used professional hemostasis methods, and replenished blood in time, which temporarily saved the man's life.

...

Under the half-forced and half-requested by the ICU nurse, the family members finally left reluctantly.

The ward suddenly became quiet.

Only the beeping prompt sound of the instrument and the clanging of the operating equipment were left.

Xu Qiu looked up at the little nurse and reminded her: "Do an extra layer of protection."

The little nurse blushed to the roots of her ears, hummed softly, and put on another layer of gloves.

In fact, there is not much difference between one layer and two layers. When a sharp object is scratched, it will still break.

It's just that the inner layer of gloves can provide the final protection.

Occupational exposure infection in clinical practice is ruthless. Once it happens, it is a small matter to say goodbye to this industry, but it is a real disaster to be troubled by infectious diseases for life.

Therefore, it is never too cautious.

…

After the nurse was ready, the blood was finally delivered.

So far, the most core part of the rescue has been completed.

Under the command of Xu Qiu, the treatment was carried out in an orderly manner.

The patient lost a lot of blood. Although a lot of blood had been supplemented during the transfer process, it was still insufficient relative to the amount of blood loss.

The corresponding measures are to actively transfuse blood and supplement coagulation factors.

The patient's blood pressure is also continuing to decrease.

The treatment method is to use pressor drugs and glucocorticoids to improve heart function.

During the process, Xu Qiu also completed blood routine, coagulation, liver and kidney function, blood gas, electrolytes and other tests.

Then he began to correct acidosis.

The last is urine volume!

This is difficult to judge at the time of admission. At this time, it has been ten minutes since admission. Xu Qiu glanced at the Foley catheter, and the monitoring data showed that there was not even one milliliter of urine that year...

In this case, rapid fluid replenishment is required.

There are also infections, renal failure, etc., and Xu Qiu has taken corresponding measures.

Clinical rescue is almost like this, judging the conditions represented by various manifestations, and then giving corresponding treatment according to the severity and urgency, and first aid principles.

After doing all this, Xu Qiu was slightly relieved.

He lowered his eyes and looked at his shrunken legs again.

Now he is alive, but to really treat it, he still has to solve the injuries to his lower limbs.

Touched through the bandage.

The fingertips felt sticky, and when they pressed down, it was a little stiff. With a little more force, the bandage collapsed easily.

Xu Qiu's face changed slightly.

This is a very bad omen!

Normal people's skin is elastic and continuous, so when you touch it, it is just like pressing on a yoga ball, and the force is proportional to the amplitude of the downward pressure.

The patient's leg under the bandage is more like a cracked mud pond, and the skin is like dry earth cracked into pieces. When you press down, you first encounter stiff resistance, and then this cracked skin collapses instantly...

It's called skin, but it's more like skin fragments.

After changing places and pressing a few more times, Xu Qiu's face became uglier.