Great Doctor Ling Ran
Chapter 95: Relaxed
"We are doctors at Yunhua Hospital." Dr. Zhou reported to his home to eliminate the anxiety of the injured.
"There is another injured, a half-size guy over there." The policeman covered his wound with one hand, and the other hand barely pointed in the direction.
"I'll look for it." Dr. Zhou volunteered.
Ling Ran nodded, looked at the policeman's wound, and said to the boss Shao who came over, "Give me a bottle of high-alcohol."
"I have iodophors." Boss Shao calmly replied, saying that when he returned to the store, he took out a first aid box and a large bottle of iodophor from the cash register.
Ling Ran accidentally glanced at Mr. Shao.
Putting two jins of iodine in it can't run out. Of course, boss Shao may be the purchase of experience. If the amount is large enough, the large capacity is naturally cheaper.
The shouting around him, watching the tumultuous heat of the masses, and the thoughts in his head were blocked out the moment Ling Ran opened the first aid box.
凌 For Ling Ran, who has practiced in the emergency department for so long, a simple knife wound is usually not a big problem. He also dealt with it while playing debridement and suture. Although the wound is a little deeper now ...
Alas, Ling Ran did not take it lightly.
呆 If you stay in the emergency department for two weeks, a person's understanding of the accident will change qualitatively. Suddenly, good people can't do it anymore. Patients who can't see it anymore, say hello to you in the corridor after a few days ...
Wu Lingran couldn't see the wound in the police's abdominal cavity, so he had to ask for scissors while observing and guessing.
After sterilizing the scissors, Ling Ran stripped off the police uniform three times, five and two, and then dumped a large amount of iodophor on the wound.
Ling Lingran slumped a third of iodophor in one breath before he reluctantly stopped.
Is like the sentence 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 those in the emergency department, who must waste a lot of consumables, but who knows which part is wasted? If a doctor can do a qualitative and quantitative large sample experiment or record, such as the analysis of the relationship between the dose of iodophor and infection of thousands of people for more than ten or twenty years, I hope that a good article can be published ...
Iodine quickly washed away the stained blood, and then, a lot of blood washed the color of the iodophor, and the brave policeman was pale at this time, and did not know whether it was scared or too much blood.
"It's okay." Ling Ran recalled the patients with CPR during the day, and said, "You are not badly injured."
"Not serious?" The policeman's voice was hoarse.
"Well, definitely will not die." Ling Ran said relatively sure. While talking, he gave the iodophor to boss Shao and asked him to wash his hands.
Police: ... will die? ? ? ?
About the effect of adrenaline is gradually disappearing, the police slowly felt the pain, biting his teeth: "If I don't die this time, I must catch the kid who beat me, an idiot, and I won't even cut people. "
Xu Lingran freed a hand and pressed pressure around the police wound.
Ling Ran can learn how to use TV, use clothes, preferably clean gauze, and tightly press the patient's wound to achieve the purpose of squeezing hemostasis.
But that's not the best way, it's just the emergency treatment plan that is most suitable for untrained ordinary people.
Not to mention that internal bleeding is difficult to control and is equally terrible, the compression itself may cause secondary damage. The wounded can only pray that his luck is good enough to avoid important parts.
But for Ling Ran, he has more choices.
He first palpated the patient's abdomen with a physical examination technique, and then made a judgment in his heart.
Ling Ran continued to wash his hands to avoid infection when he stopped bleeding with his bare hands. In the environment of the snack street, it is absolutely not wrong to pour more iodine.
Boss Shao looked at the blood that was constantly flowing, and was anxious and had to comfort himself with the police lying on the ground: "" Dr. Ling is a colleague of Dr. Zhou, Dr. Zhou is in the emergency department, and Dr. Ling is also in the emergency department. . "
Ling Ling nodded: "Yes."
"Look, I said yes. Dr. Ling is a doctor in the emergency department. No problem. Our injuries are sent to Yunyi and handled by Dr. Ling and Dr. Zhou. You save now With the time of the ambulance, it is safer. "
"I'm going to Yunyi." The policeman was reminded, said something quickly, and repeated: "Yunyi."
He knows that Yunhua's ambulance is based on the principle of proximity, taking 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.
"If you go to Yunyi, you will definitely go to Yunyi." Boss Shao held the hand of the policeman and said, "Dr. Ling who is showing you the injury and Dr. Zhou who ran to the front are both doctors at Yunhua Hospital. You can rest assured. All right……"
The IQ of the police was obviously affected by excessive blood loss, and with Ling Ran's movements, he told Boss Shao: "He really just saw the injury ... Ah!"
It was Ling Ran who took **** in while his abdominal muscles were relaxing.
At the same time, Mr. Shao also exclaimed: "Ah, hey, you have enough strength. Let go, let go, and pinch it."
Ling quietly relieved.
The environment in the abdominal cavity is relatively complicated. Except for a layer of muscle blockage, livers, gallbladders, pancreas, lungs, and other important organs have similar protection levels. Will they be stabbed to death? Except for rescue conditions, it depends on where the stab is. .
Of course, the spleen is the most likely to be injured, which is also the main problem facing Ling Ran at this time.
Ling Ran pinched the spleen pedicle with his fingers, and stopped the massive bleeding of the spleen for the first time, easily and abnormally.
In fact, even when you are on the operating table, this is the same operation.
Because I entered the operating room, the abdominal cavity must be full of blood. It is very dangerous to clamp the spleen pedicle directly with blood vessel forceps. Is it terrible to see that it is wrong? That was really terrible. Therefore, wait for the assistant to clear the surgical field, and then use vascular forceps, and only if you want to pinch the spleen with your hands, you can pump the snow.
Therefore, hemostasis with bare hands is also the basic operation of abdominal surgery. If it is graded, it is about the entry-level application of hemostasis with bare hands.
"What's your name?" Ling Ran thought it was okay, and began to enter the standard process.
The policeman was dizzy, afraid and uncomfortable, saying, "Zang Zhao."
"Zhan Zhao? Sipin with a sword guard?" Ling Ran looked at his age, and felt that he was not born before the country was fired, so he said, "I'll help you with a physical examination of the head."
"Zang ... is Zang, Zhiang Station ..."
"唔 ......" Ling Ran held the spleen of Siping's guard with a hand in one hand and fell into contemplation: I just remember that it fell down while holding her belly softly, not as if she hit her head.
声 The voice of the surrounding people has increased a lot. The perfect level of free-hand hemostasis works perfectly. People who no longer understand medicine can see that the blood flowing out of the abdomen of the police is becoming less and less.
"Boss Shao, Dr. Ling, Boss Shao, Dr. Ling" ran over as he shouted.
"What is it?" Boss Shao watched the crowd separately.
"Dr. Zhou, that Dr. Zhou said that you have a first aid box, and he asked you to take it to him. It was Dr. Ling who took it over." The comer was panting, panting, and obviously the restaurant operator in front of him.
"What does Dr. Zhou want the first-aid kit? What does Dr. Ling do?" Ling Ran's fingers were steady and motionless, and the third person said that he would not stumble.
"It is said that the blood can't be blocked ... you need to open your belly. Or let Dr. Ling stop it."
Wu Lingran groaned for two seconds, and said, "Let ’s go, Mr. Shao, and you and no car that can hold people, send us over."
Ling Ran refers to Zang Zhao and himself.
He guessed that Dr. Zhou must be unable to find the bleeding point, and wanted to help himself to solve the problem by using open abdominal exploration ~ www.wuxiaspot.com ~ Orthodox surgeon, when encountering patients with abdominal trauma, his mind The first question that emerged in China must be: Do I want to explore openly now?
The benefits of open-ended exploration are numerous and most intuitive.
The abdominal cavity is pulled apart, and if there is a hole, it will be repaired. If there is a break, it will be sewn. The simple and direct effect is good. Of course, there are a lot of sequelae, but compared to the loss of life, it is simply not worth mentioning.
若 If you change the environment today, Dr. Zhou may not even ask, and use a kitchen knife to perform a laparotomy.
He has also been the attending physician of the emergency department for more than ten years. Although he is lazy, his skills and experience are sufficient. Open abdomen wounds or anything, too many.
It is just that the hygiene of the snack street is really uncomfortable. The disinfectant is inadequate. The wine may also be fake wine. Barely opening the belly is a very risky behavior.
The most important thing is that Dr. Zhou knew that Ling Ran could stop bleeding with his bare hands, and he did a good job, and how to open the belly.
Within half a minute, Mr. Shao dragged out a two-wheeled flatbed carrying vegetables.
A few onlookers helped the police, brought the police Zang Zhao onto the flatbed, and then let Ling Ran get on the car. Together, they quickly pushed Ling Ran and Zang Zhao to the main street of Snack Street.
The flatbed was bumpy, and Ling Ran's hand was fine-tuned to control Zang Zhao's bleeding volume steadily.
I watched the crowd pushing the flatbed.
Boss Xun Shao followed behind the flatbed.
More onlookers followed the flatbed.
More passers-by are holding their phones and shooting 360 degrees without dead ends, hoping to add a touch of color to their barren circle of friends.
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