Start as an Emergency Physician

As he spoke, he muttered in a low voice: "I'm also a man, so I have to be a red daddy, right?"

Zhou Yuan's face twitched.

Can you whisper quietly...

"Teacher, I'll go first!" Zhou Yuan was about to slip away.

At this moment, He Jianyi's phone rang.

More than ten seconds later, He Jianyi hung up the phone, looked at Zhou Yuan, and said, "For tonight's dinner, me, my ex-wife, and Mei Mei, you will go with me when the time comes." "

Zhou Yuan nodded, and then left the office.

After a period of quiet time in the emergency department, the rush of an ambulance sounded again.

A blood-stained emergency bed was quickly pushed out of the ambulance.

Zhou Yuan immediately stepped forward, took the handrail, and pushed the ambulance to the rescue room.

"What's the situation?" Zhou Yuan asked quickly.

When the doctor in the car saw that it was Zhou Yuan, his heart relaxed a little, and said: "The car accident, the accident escaped, the patient has an open fracture of the right thigh, and there may be intra-abdominal bleeding, and the amount of blood loss is estimated to be about 2,000 milliliters! The car has been tourniquet intermittently stopped, and the emergency blood pack on the car is infused with 1,500 milliliters!"

Zhou Yuan nodded, pushed the patient into the emergency room, and immediately said, "Take the monitor, take oxygen!"

Soon, the oxygen mask was installed.

Zhou Yuan glanced at his blood pressure, 75/44. was in danger.

"Dr. Zhou, the ECG shows the patient's atrial fibrillation!"

Zhou Yuan walked over and patted the patient on the shoulder: "Can you hear me?"

However, patients lying in bed did not respond.

Zhou Yuan immediately said: "If the patient has hemorrhagic shock, immediately establish central venous access, prepare for blood transfusion, and start the emergency blood transfusion plan!"

Blood loss of more than 2,000 milliliters, blood transfusion of 1,500 milliliters, hemorrhagic shock still occurs, and there is a high probability of intra-abdominal hemorrhage.

"Abdominal ultrasound, CT of the legs. "

At this time, He Jianyi and Haiyang also rushed over.

"How's it going?" He Jianyi asked.

"Teacher, the patient has an open fracture of the right thigh, there may be intra-abdominal hemorrhage, and now hemorrhagic shock has occurred, and atrial fibrillation is present. "

"How?"

"Central venous access was set up and blood transfusions were started immediately. Zhou Yuan replied.

He Jian nodded: "Not bad... By the way, have you contacted the family?"

"The doctor with the ambulance has contacted the family and should be there soon. "

Soon, the results of the examination came back.

Zhou Yuan glanced at it and said, "The patient has an open fracture of his right thigh, as well as a ruptured spleen!"

He Jianyi's face became serious.

At this moment, the three of them hurriedly ran over, and just about to notice the patient lying on the bed, they immediately turned back, "Zhihui is here!"

Two middle-aged women and a young woman ran into the operating room in a panic.

One of the richly dressed women was surprised, "Zhihui, what's wrong!"

The other woman was dressed relatively simply, and when she saw the patient on the bed, her face suddenly turned pale: "Zhihui..."

"Doctor, what's wrong with my husband? is it serious?" asked the young woman anxiously.

He Jian nodded: "It's very serious, an open fracture of the right thigh, plus a ruptured spleen." Your family members should go to the front to pay the fee now, and after the payment is over, go to the door of the operating room and wait for the signature. "

"Okay, okay! Let's pay the bill!"

Zhihui's husband and the pale-faced middle-aged woman were about to run to pay the money, but they were stopped by the woman who looked like a noblewoman: "Wait, what's wrong with Zhihui?"

"Car accident. Zhou Yuan said briefly.

"What about the accident?" asked the noblewoman.

"The hit-and-run is here, you guys go and pay the bills, don't delay the treatment. Zhou Yuandao.

"No, Zhihui had a car accident, shouldn't the money be the one who caused the accident, why should we pay?" the lady said in a somewhat radical tone.

"The hit-and-run is a matter of the police, why do you ask our doctors?" Zhou Yuan frowned.

He looked at the three men and said, "Who are you family members?"

"I'm his wife, and this one next to me is his mother!"

The lady rolled her eyes, "I'm his aunt." "

"Please go and pay the fee, sign after the payment, don't stand in the way at the door, okay, we have to rescue him now!" He Jianyi urged.

The patient's wife and mother both looked at her aunt with inquiring eyes.

"Forget it, you go pay the bill first, and I'll contact the police. The patient's aunt waved her hand, her expression a little reluctant.

"Okay, let's go pay the bill!" Hearing the aunt's words, the two dared to run to the toll office.

Zhou Yuan and others immediately pushed the patient to the operating room.

"The patient had an open fracture of the right thigh... If this had been done before, I would have invited someone from the orthopedic department to come for a consultation!" said Haiyang as he pushed the operating table.

"You give me a good study!" He Jianyi admonished, and then said to Zhou Yuan: "Zhou Yuan, the two of us will cooperate in the operation later, I will repair the ruptured spleen, and you will be responsible for the fracture of the right leg." "

Zhou Yuan nodded: "Understood." "

Soon, the patient was wheeled into the operating room.

"You say, why is this family so strange, the patients are like this, his mother can't be the master, and his wife doesn't dare to speak, he has to be nodded by his aunt before he dares to pay the money!" Haiyang said while assisting He Jianyi in dealing with his ruptured spleen.

He Jian smiled: "If you stay in the emergency department for a long time, you can see what kind of patient you are, and what kind of patient's family can see!"

Zhou Yuan buried his head in the right thigh.

The condition of the right thigh is not bad.

After mastering the masterful amputated limb replantation surgery, even crush severance can be repaired, and this small open fracture is not a big problem.

"How's the situation over there?" He Jianyi asked Zhou Yuan.

"Fortunately, the degree of fracture is not very large, do a debridement, simple suture fixation and it will be fine. Zhou Yuandao.

"Okay. "

Zhou Yuan began a thorough debridement.

There are three requirements for the treatment of open fractures, first, to ensure the healing of the fracture, second, to avoid infection of the wound, and finally to restore the function of the limb as soon as possible.

Of these, thorough debridement is the key to preventing infection.

"There are a lot of stones, and it looks like they fell in the gravel field. Zhou Yuan said.

"Normal saline. "

After receiving the saline, Zhou Yuan began to spray and debride some stubborn foreign bodies, and soon, the foreign bodies loosened under the impact, and the removal was completed after a while.

"Shubitai, hydrogen peroxide. Zhou Yuan shouted.

These are two germ-killing solutions that are used to soak the wound after rinsing to further keep it clean.

When Zhou Yuan completed the debridement and was about to fix the fracture site, He Jianyi sighed a few times, and then said, "It's troublesome now." "

——

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