Great doctor starts with adding points
Chapter 233 Retrograde Traitor! (seeking subscription)
Zhong Ying looked at Wu Xie with complicated eyes!
But he also remembered that his main task was to treat and healed Wu Xie. After turning his head to deal with it for a while, he shouted to the distance: "Come on a stretcher!~"
There are a lot of people now, and there are already people waiting to take people away at any time.
Just wait for Zhong Ying to finish the treatment. After all, after the emergency treatment is given at the scene, the probability of saving life when the transfer is completed will be greatly increased, or even doubled.
Zhong Ying watched the patient being carried away, clapped her hands, and looked around!
The previous critically injured patients were being treated continuously by the eight on-site emergency medical teams, and it was almost the end, and no patients were left waiting for treatment.
But there were not a few people besieged inside. Zhong Ying stretched out his hand and said, "Stay where you are and rest, there will be fierce battles at any time!"
Zhong Ying did not intervene in the rescue of other medical teams, but waited to receive rescued patients who may need medical assistance in the future.
Wu Xie, Yang Xianming and others followed closely behind.
When a group of people sat, they watched ruthlessly as someone began to transfer the dead one after another.
Most of the dead were young people!
It's morning, before eight o'clock, people will get up to eat at this time, usually young people.
After breakfast, you need to go to work, and most of the people who rent here are young people who cannot afford the expensive rent in the community or middle-aged people who are thrifty.
Seven or eight dead people have different expressions!
There was panic, there was fear, and some people looked confused, probably because they didn't realize the accident happened.
There are also people who look extremely painful and desperate, and have not waited for treatment!
This is the meaning of emergency rescue, one more second of contact, one more hope of survival.
After the critically ill and emergency patients were sorted out one by one, there were still some wounded who could walk, and they also started to be helped to walk out...
The transfer pressure is gradually decreasing, and the time node for first aid resources is relatively sufficient. The following rescue tasks are heavier and quality is more important!
Zhong Ying and his party landed in one place.
Not long after sitting down, volunteers lined up to deliver stools, mineral water, various foods and snacks.
However, when Wu Xie wanted to grab something, he grabbed marshmallows, lollipops, and even an Ultraman toy.
Which elder brother sent this thing?
When Wu Xie caught it, Zhong Ying also saw it. He picked it up and played with it for a while before putting it down.
He began to scan his head, unscrewed a bottle of mineral water, his eyes were like a falcon, searching for various emergency rescues that might require his participation.
Yang Xianming was straightening his neck, and there was a crackling sound. He and Wu Xie were the first to arrive at the scene. So far, they have been working continuously for more than an hour.
Wu Xie suddenly heard an aunt upstairs next door ask: "Doctor, hey, doctor!"
"Are you hungry, do you want to cook a bowl of noodles for you?"
"I can also cook a dish."
"The rice is cooked in the pot."
A shout made Wu Xie and Yang Xianming look up.
Her location is still several doors away from the place where the previous explosion occurred, so don't worry.
Zhong Ying raised her head and waved her hands: "Thank you big sister, we have something to eat."
Then turned to look elsewhere.
Wu Xie noticed that the aunt retreated from the balcony in frustration!
At the same time, when Wu Xie looked at the ruins again, many people came, wearing various construction hats, and found blueprints!
Doing measurements, looking at drawings, searching for trapped people, etc. at the scene...
There were also firefighters who began to come in and out continuously, and someone reported that the gas tanks in the basement in front had been disposed of, and there would be no more explosions...
On the other hand, doctors like Wu Xie, although the surgery is also manual work.
But whether it's firefighting or surveying and mapping, they really can't help.
Industry specializing in surgery.
In addition to being able to do something for patients, it can be said that he knows nothing about normal people and other affairs.
At this moment, Zhong Ying's intercom rang: "Are there any specialists in vascular surgery? If so, please come to the No. 2 medical car!"
There are actually many kinds of ambulances, the common one is 120, and there are large medical buses and surgical medical vehicles.
This is a good thing that can move the inspection equipment and operating room to the accident scene. It is very expensive, and it is estimated that there are no more than three in Enshi.
This is mainly for some patients who are too late to be sent to the hospital. However, this kind of medical operation vehicle will only appear at the scene of a large accident, and the medical operation vehicle will not be dispatched at the scene of a small accident. It is a waste of medical resources.
Zhong Ying glanced at Yang Xianming when she heard the words: "Xiao Yang, can you go?"
Yang Xianming is a professional graduate student of Kyoto Union Medical College, and his surgical skills are trustworthy. From the previous rescue process, Zhong Ying knew that Yang Xianming involved many disciplines and techniques.
Yang Xianming pursed his lips when he heard the words: "I can take a look. But it may not work."
"We basically don't have special specialties of vascular surgery in En City, they are merged with other departments." Zhong Ying explained.
Then picked up the walkie-talkie and reported back.
"Medical vehicle No. 2, please report the location. There is a vascular surgeon in our team. Zhong Ying." Zhong Ying reported her name.
"Received! It's eight o'clock on the scene. Thank you!" There was such a sound on the walkie-talkie, followed by silence.
Such a walkie-talkie is also a communication resource, unless it is an emergency, it will not ring to occupy the channel.
Yang Xianming ran over.
Wu Xie's eyes began to move as he watched Yang Xianming leave.
This classmate Yang Xianming really has something.
The emergency department of Xiehe Hospital...
Zhong Ying explained: "Dr. Yang appeared at the scene as soon as the accident happened. Now he has been working for a long time and has many tasks. He is still a student. It is right for him to go to the operating room to rest."
"After all, our medical team is now?!"
Zhong Ying hadn't finished talking yet.
All of a sudden!
He saw a firefighter who was organizing a search and rescue suddenly make a sidestep.
When the other party passed by the 'dead people' who were marked as black, they found that one of them had hooked their fingers and moved their arms.
Subconsciously, "Ah?", turned around and shouted loudly: "Damn it! Someone here seems to be alive, doctor!~"
Wu Xie didn't notice it immediately, so he didn't respond.
But Zhong Ying, a middle-aged fat man, flew out extremely swiftly at this moment, simply and neatly, he is a nimble fat man. ,
First sit, run and rush, like a vicious dog rushing for food, leave your hands off the ground, bow your body like a 100-meter race, finally stand up straight, and say in your mouth: "Come on!~"
Wu Xie and the others also quickly rushed towards the medical kit and other things!
Although it was a few seconds late, Wu Xie was the youngest, and was soon on par with Zhong Ying. He squatted down at the firefighter's station and turned into two green mushrooms.
There were also companions called by firefighters who wanted to carry the patient.
Zhong Ying immediately said: "Don't move! Don't move!"
Zhong Ying immediately ordered Wu Xie: "You go and carefully review the vital signs of all the people who are judged dead!"
At the same time, Zhong Ying turned on the pager without hesitation: "Report to the chief dispatcher, I am Zhong Ying, our team found vital signs among the dead!"
"All members of the medical team and staff transporting the deceased must repeatedly confirm the vital signs of all personnel."
"Please be sure to repeatedly confirm the vital signs of all personnel!~"
When Zhong Ying finished sending the voice message.
There were bursts of clicks from the call machine immediately. It is estimated that someone pressed the speak button and then released it without speaking, and it happened in more than one place, which caused this situation.
It is estimated that some rookie got into the team and posted the wrong label!
At the emergency scene, when determining the death in the medical work, the carotid artery pulse, breathing and heartbeat functions will be carefully examined.
Don't put black labels on people casually!
Basically, as long as the carotid artery arrest, cardiac arrest, and respiratory function arrest are determined on the spot, it is basically impossible to reverse the vital signs.
Wu Xie began to examine carefully.
Vital signs, respiration, pulse, heartbeat, blood pressure, body temperature...
At the same time, turn on the light of the mobile phone to check the light reflex of the pupil.
However, after checking one by one, Wu Xie's hope fell through.
Except for the person Zhong Ying was dealing with, everyone else had lost their vital signs!
This was just a surprise, not someone being careless!
When Wu Xie was stunned, Zhong Ying shouted: "Pericardial tamponade!"
"Liu Quan!"
The people nearby had already opened the first aid kit, and the lancet was fixed in place, ready to perform a tracheotomy at any time.
Everyone had the hilts in their hands.
It can be said that it is pericardial tamponade, which cannot be rescued by cutting the trachea.
"Yes!" Liu Quan replied.
"Can you do pericardiocentesis?" Zhong Ying was in the Department of General Surgery.
In the group, only Liu Quan is a thoracic surgeon. Although he is not a specialist in cardiac surgery, he is at least marginal.
Although cardiothoracic surgery is integrated in Minda Hospital, thoracic surgery can deal more with lung, esophagus, and heart surgery, which is not within their scope of business.
"I haven't done it." Liu Quan was quite honest.
It's a pericardiocentesis!
Not a thoracentesis.
A thoracentesis is a must for all medical students, but a pericardiocentesis is not.
"How about you, has anyone done it?" Zhong Ying looked around.
If there is no one, he has to shake people!
The person's previous signs of death were actually cardiac tamponade, which caused the pulse and heartbeat to be invisible. He also heard the dull heartbeat through the stethoscope.
This is a technical job.
Those who meet are not difficult, those who are difficult will not!
After such a long delay, the most important thing is to deal with it as soon as possible.
Wu Xie heard the words and approached: "Director Zhong, I can try. But?"
Wu Xie still needs to explain.
Zhong Ying rolled away without saying a word, really rolled away and gave way: "Put it on!"
"Check for pneumothorax!" Zhong Ying said to Commander Liu Quan.
Cardiac tamponade, the most likely mechanism of injury is violent chest injury, rupture of blood vessels in the pericardium leads to pericardial tamponade, and there is a high probability that the chest cavity is also damaged, with pleural effusion and bleeding.
The patient is already delayed at present, the heartbeat is slow and dull, and he may die at any time.
After all, no one can be sure how long he was delayed!
Now is not the time for accountability.
In the process of emergency rescue, there is no such thing as accountability. Unless it's a major mistake.
Wu Xie didn't struggle, and directly spent a certain amount of knowledge points to specialize in pericardiocentesis.
You don't need an expert, specialization is enough.
Being proficient is a bit risky.
While quickly disinfecting, the above added points are completed, although it is wasteful, but at this time, it can only be wasted, and a little bit needs to be accumulated.
There are not many learning points left!
After the disinfection was completed, Wu Xie found the puncture point directly according to the positioning marks on the body surface.
He directly pierced in without hesitation.
The puncture needle was blunt, after Fang Xian felt the third breakthrough.
Immediately pull out the guide pin and connect the drainage bag!
Immediately, bright red blood can be seen oozing out of the catheter.
Cardiac tamponade is relieved, which in physiology means that the preload becomes lower and the blood volume returned to the heart increases!
Zhong Ying looked at Wu Xie unexpectedly, with a dazed expression.
It is understandable to say that Yang Xianming from before was a multi-skilled expert. After all, he is in the Union Hospital, and it is an emergency department. What to mix?
Wu Xie hurriedly said: "The pulsation of the blood vessels has recovered partly!"
Liu Quan immediately said: "The patient is short of breath and not only has a pneumothorax, he should be transferred to the medical vehicle immediately. The chest needs to be opened for exploration."
"Family?" Liu Quan subconsciously popped out the word "family" and stopped abruptly.
This is a hangover from medical work.
"I can't even confirm my identity. Where can I find family members? Transfer to the medical vehicle and drive directly!"
"Hurry up and transfer, Liu Quan, you personally escort." Zhong Ying ordered.
Wu Xie clamped the drainage bag shut.
Explanation: "Doctor Liu, there is a single valve here. I will close it first, and I can switch it on and off later."
For pericardial effusion or blood accumulation, too much blood cannot be released at one time, it needs to be released slowly!
Otherwise, the heart will be overwhelmed all of a sudden, resulting in cardiogenic shock!
Liu Quan nodded, followed the transfer team, and went to the direction of the medical vehicle with the patient.
This patient definitely needs an emergency thoracotomy. If there is no thoracic surgeon on the medical vehicle, then Liu Quan can go directly.
Just in this way, there are two less generals in the team.
"It's all been saved? You are indeed an expert." A group of firefighters were there eating melons, and praised Zhong Ying without hesitation.
Zhong Ying's face was a little red, and this was not the time to be polite, it was just a waste of time.
Zhong Ying led the team to continue to the station, waiting for rescue.
The rumors continued to circulate.
"Huh? The director saved all the dead?"
"Yes, I have been dead for more than ten minutes."
"Amazing……"
At the same time, there were nearby spectators who cheered. They were nearby residents, either taking pictures or taking videos.
Others want to send it out.
But impossible.
The multimedia platform has already adopted a manual review mechanism for this incident. It is impossible for ordinary people to speak before the official media has spoken!
Wu Xie's ability was recognized by Zhong Ying.
Zhong Ying was chatting with Wu Xie, and the others also knew Wu Xie, and knew that Wu Xie was from the Minda Hospital, so they began to discuss privately that the leaders of the People's Hospital of the State were all working for nothing.
Such good seedlings are not sent to the hospital, but it is cheaper for Minda Hospital.
However, while chatting, the No. 2 medical car called again.
"Excuse me, do you have a vascular surgeon? If so, please come to Medical Car No. 2!"
Hearing this, both Wu Xie and Zhong Ying frowned at the same time? ? ?
Didn't Yang Xianming rush over to the No. 2 medical vehicle?
Could it be done?
Called again a few times.
It seems that no one responded all the time, and everyone's hearts were slightly suspended.
The calling sound was directly changed to roll call.
"Director Zhong Ying? Is Dr. Wu Xie of your team free?"
Zhong Ying glanced at Wu Xie unexpectedly when she heard this!
"Director Zhong, I'm not from vascular surgery!" Wu Xie hurriedly stated.
What the hell is this? Yang Xianming, don't kill me!
Vascular surgery and I, a person in orthopedics, have a dime relationship?
"Director Lei, Dr. Wu is an orthopedic doctor."
"If he doesn't have a task, please trouble him to come!" The person called Director Lei acted vigorously.
"Xiao Wu, go there! Director Lei is the chief dispatcher of the medical team and the director of surgery at the State People's Hospital."
"Okay, Director Zhong!" Wu Xie stood up bravely!
At the emergency scene, the biggest taboo is not to obey orders.
With so many first aids, no matter how strong you are alone, no matter how good your medical skills are, how many nails can you hit with iron all over your body?
Wu Xie is not entangled!
He just yelled in his heart what the hell Yang Xianming was doing!
The director of the State People's Hospital would never take the initiative to ask him to go there, it must be Yang Xianming who went there.
Wu Xie hurried towards the direction of eight o'clock worriedly, and seemed to bump into something in his quick steps.
Turning around, I saw a little girl stretched out her hand, her hand was empty, and there was a long loaf of bread on the ground, she was about to cry at this moment. Her mother was constantly comforting her.
She was wearing a plush coat, looked at Wu Xie, and was about to take out another one from the back.
Wu Xie stopped abruptly, then leaned back and moved her center of gravity, picked up the bread on the ground, handed one end to her palm, and then took it again.
"Thanks!"
"Uncle, I'll eat it for you!" She and Wu Xie said at the same time, about five or six years old, and the two braids looked very delicate!
Wu Xie left without wasting time.
He just ran away two steps, tore open the packaging bag and took a bite, then turned around and shouted to her: "Thank you!"
And chew a few mouthfuls vigorously.
"Goodbye, uncle!" She waved to Wu Xie, her mother caught her and prevented her from stretching forward.
And looking at this scene, someone found out, but didn't drive them away.
Her mother took him back very sensiblely.
And just as the little girl turned around!
"Boom!~"
A continuous boom sounded.
"Hurry up and save people!"
"Here..."
Wu Xie's heart only warmed up for less than three seconds, feeling that there is true love in the world.
Immediately there was a sudden tug in my heart, and I didn't dare to look back.
It's just that someone has been emphasizing something in my ear. Based on the faint words, it is speculated that someone was injured, including a doctor, a firefighter, and a policeman...
Wu Xie rushed outside directly, not daring to turn back, he was afraid that if he was not careful, he would turn back and run back!
Because a companion there was injured and may need to be rescued. Then I changed my destination.
However, my current task is to go to the No. 2 medical vehicle.
That is the most real battlefield for him.
Even if there are noises and doubts in my ears!
"Kai Da Guai Da (It's over, it's over), it's broken again!"
"Crash again."
"Doctors and firefighters are all buried?"
"there."
"..."
"This doctor, where are you going? Don't you want to run halfway?"
"You go back and save people?"
"What are you running for?"
"..."
Wu Xie was in a mess, but he couldn't look back, nor could he explain.
Looking back is a waste of time, and so is explaining.
So I don't care if someone is videotaping or taking pictures!
Wu Xie ran out of the alley amidst the puzzled and even cursed voices in his ears, and came to the medical vehicle. I saw the No. 2 medical vehicle at a glance.
At the same time, Wu Xie saw the green clothes that went against his direction, and was urged and praised.
"Hurry up and save people, don't just run away like that trick."
"This doctor has absolutely no medical ethics!"
"Remember what he looks like."
"Grass!"
"I only know how to run."
"..."
The crowd will only stand on the commanding heights of their own vision and morality to criticize others, regardless of their identity and situation!
Wu Xie came to the No. 2 medical car, and saw that the back door of the car was flush with the side of the car!
The lights in the carriage were bright and dazzling, piercing through the heavy iron doors like dawn.
Wu Xie wanted to climb into the car, but was stopped by someone: "What are you doing?"
Dressed in casual clothes, he should be the driver who guards the gate. His tone was not serious, because he noticed the sign hanging on Wu Xie's chest.
"Operation is in progress! You!"
"My name is Wu Xie!" Wu Xie immediately reported his identity, shrugged off him and climbed up.
The other party immediately cut off the previous words and said, "Doctor Wu, I'm waiting for you inside!"
The tone was full of politeness and awe.
Those who know know themselves.
"Doctor Wu is here, open the door." He shouted into the carriage.
After Wu Xie jumped up, the small iron door embedded in the big iron door opened!
After entering, a temporary operating room with cramped space is revealed. Compared with the formal operating room, it is very simple, but it has all internal organs, and there are several people standing inside it at the moment.
One of them was facing Wu Xie's direction, with blood all over his face! The blood dripped on the hat, the mask, the corners of the eyes, and the ears, and it was still flowing slowly, and a small part of it formed a dry shell...
It was Yang Xianming. Next to Yang Xianming, there was a person who was speaking non-stop and directing, while carefully staring at the patient's surgical wound, performing debridement and exploration with both hands at the same time.
"All medical teams, rush to the scene of the accident immediately."
"Rescue in batches!"
"The captains of the various medical teams, take responsibility."
"Approximately how many people are injured so far?" He was distracted from the operation, his eyes were turning rapidly.
Wu Xie didn't know the other party, but through this tone, it should be Director Lei.
"I'm Wu Xie, Yang Xianming, what's going on here?" Wu Xie asked as he crept in with his hands together, and went straight to the sink behind him.
"The common iliac artery is broken!" Yang Xianming said quickly.
Wu Xie's footsteps froze, and his tone was angry: "How can you be sure that I will go to the abdominal cavity?!"
Wu Xieren is stupid!
The common iliac artery is located in the lower abdominal cavity and does not belong to the scope of orthopedic surgery. Are you kidding me by asking me to come over?
The person named Director Lei immediately explained: "Doctor Wu, don't get me wrong, the Director of Agronomy Quan of the State People's Hospital recommended you, saying that you have a lot of experience in evacuating active hematoma."
"He is in the operating room of the hospital and can't make it. I was on the phone and asked about your identity!"
"I called you over when there were no other vascular surgeons at the scene!"
"Hard!"
Wu Xie's mood gradually eased.
If it was Yang Xianming's claim, then he would be really angry. Classmates belong to classmates, but deception cannot be offset by the friendship of classmates.
"Okay, I'll try!~" Wu Xie calmed down and took a deep breath.
Expert-level hematoma evacuation and expert-level basic anatomy do not correspond to specialties, not orthopedic anatomy and extremity hematoma evacuation, so Wu Xie is really a bit bottomed.
He was just angry that the previous procedure was wrong!
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