Great Doctor Ling Ran
Chapter 29: Hemostasis with bare hands
The emergency room is not a general practice clinic. In the face of critically ill patients with complex and severe trauma, their responsibility is to stabilize vital signs and then refer them to a professional clinic for treatment.
I can't stop the blood, and there is no way to be stable.
He further said that the bleeding did not stop by itself, but also showed severe trauma.
"What did you use?" Huo Congjun stood anxiously and angrily.
多 There are many strange illnesses in the emergency room, and getting angry is not the answer.
Under his influence, the attending Zhao Leyi also calmed down and said, "Intramuscular injection of hemostasis, using iced saline and norepinephrine, urgently applied for the same type of red blood cells and plasma, and also used a dopamine needle ... The patient is now A total of 1,400 ml was infused. "
He Huo Congjun listened to him, first illuminated the patient's pupil with a flashlight, and said decisively: "Preparing for emergency surgery, open abdominal exploration, increase fluid replacement ..."
"Are you going to open your belly now?" Zhao Leyi was hesitant. I can't confirm whether the bleeding point is in the belly yet. If it is wrong, the patient will have to undergo two surgeries.
"Save your life before you cure the disease!" Huo Congjun said with gritted teeth.
"The patient is in shock," the nurse shouted.
In the emergency room, there are many patients with shock, but shock in the emergency process is often not good news.
Ling Ran kept staring at the patient, but turned around and left, and started washing hands in the compartment.
"Borrow somewhere." A group of general ugly resident doctors squeezed over and brushed their claws under the faucet next to them.
Wu Lingran gave up some positions and continued to meticulously brush his hands.
The ugly resident doctor saw Ling Ran's brush so seriously, and kindly reminded him: "The emergency room is busy, I don't know how many patients to contact in a day, I usually wipe my hands with alcohol gel and let it air dry. Otherwise, washing my hands too much Most will peel off. "
"Ready to go to surgery." Ling Ran replied and began rubbing his hands with each other. The rubbing was hot.
A few days spent in the treatment room not only made him suture hundreds of patients, but also made him familiar with the operation of the hospital.
The resident looked around, and was surprised: "What operation?"
The hospital departments are divided into groups. The different treatment groups are led by a chief physician or deputy chief physician, who is responsible for one or more patients.
也 The same is true in the case of rescue. The doctors that a patient contacts are usually a treatment group.
The division of interns is not too strict, but Ling Ran followed Director Huo today. If he wants to have surgery, he will naturally follow Huo Congjun's treatment team.
The Pu's ugly resident only saw Director Huo busy with the critically ill patient,
I couldn't help but pinch my mouth and said: This kind of rescue is good for running errands. How did I get surgery?
Patient shock means that the classification has changed from critically severe to critically endangered.
Endangered patients are the most troublesome existence in the emergency room, and ordinary attendants may not be able to participate.
In terms of western point, this is called a level rise.
Ling Ran left the sink, tied her hands, returned to the rescue room, and put on latex gloves.
The operating room state of Ba Zhengzheng's Ba Jing is actually relatively rare in the emergency department. Ling Ran's solemn appearance of holding his claws and wearing gloves attracted the attention of many doctors.
"It's a young man." The ugly resident doctor who returned to his post couldn't help but laugh out: "Director Huo's respect for him will not allow him to try his hand on endangered patients. What do you think?"
"Xiao Ling just started the internship and will understand it later." Dr. Zhou glanced back and said something in passing.
"It's good not to be kicked off by Director Huo. He had a hemorrhagic shock and had to open his belly to check. What more could he do to get up ... I'll go!"
He talked and called out.
"What's your ghost name?" Dr. Zhou was startled, looked at the other person's eyes, and stopped.
I saw that Ling Ran was standing between the attending and Director Huo, and he actually stretched a hand directly into the open wound of the patient's abdomen.
The emergency doctor who saw this scene was stunned.
I dared to operate directly without the surgical field. Is this the scene of the murder?
Don't say that he didn't have any warning. He just performed the operation normally, and there was no such thing.
In the mind of Xie Pu's resident doctor, Huo Congjun's furious figure popped up instantly, and he felt the excitement and said, "This is the most deadly intern I have ever seen."
Although Dr. Zhou Zhou wanted to maintain Ling Ran, he couldn't say a word.
Compared to the onlookers, the shock index is Huo Congjun.
Judging from his contacts in the past two days, Ling Ran was a careful and cautious young man. He doubled his imagination, and he never imagined that Ling Ran dared to reach out in the rescue of Guan Tian.
"Ling Ran ... you let go!" Huo Congjun could not reach out to pull out ~ www.wuxiaspot.com ~ That would cause secondary trauma to the patient.
"The patient's subcapsular hemorrhage is in a bad position, and it is difficult to suture. If you don't stop it quickly, the blood loss will be too much." Ling Ran explained what she was doing and what she was doing.
说 What he said is exactly the same, forcing Huo Congjun and attending Zhao Leyi to see the monitor.
"Director, the blood has stopped." Zhao Leyi's expression was so incredible.
Wu Huo's internal shock was even greater.
知道 He knew that Ling Ran used the method of hemostasis by hand, which was widely used in the emergency room, especially in the field of first aid.
The most commonly used finger pressure method is to apply compression to the ipsilateral artery when encountering bleeding from the head and face, and to apply compression to the ipsilateral carotid artery when bleeding from the neck.
However, hepatic capsule hemorrhage-if Ling Ran was right, how did he confirm the position? How is it pressed?
霍 In Huo Congjun's impression, this level of hemostasis with bare hands can rarely be achieved in military hospitals.
如何 How can medical interns have no corresponding practical experience?
How dare you dare to be so big?
主任 "Director?" Zhao gladly urged.
Time does not wait for people, the patient's condition may change in minutes.
Wu Huo Congjun took a deep look at Ling Ran, checked the numbers for a few seconds again, and finally nodded, and said, "Ling Ran went to bed, don't run into the patient. Xiao Zhao and I entered the operating room."
The gangster's hemostasis was only used to temporarily control the major bleeding, and surgery was needed next.
Two residents were called over, and under the command of Huo Congjun, Ling Ran was also placed on a flat bed.
Then, a group of people pushed the patient and Ling Ran into the operating room.
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