Start with the emergency physician

Saying that, 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 is about to slip away.

At this moment, He Jianyi’s phone rang.

Ten seconds later, He Jianyi hung up the phone, looked at Zhou Yuan, and said, “Tonight’s dinner, me, my ex-wife, and Mei Mei, you will go with me then.” ”

Zhou Yuan nodded, and then left the office.

After a period of idleness, the emergency department sounded again with the sound of an ambulance rushing.

A blood-stained emergency bed was quickly pushed from 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.

The doctor who accompanied the car saw that it was Zhou Yuan, and his heart relaxed slightly, and said: “The car accident, the escape of the accident, the patient’s right thigh is an open fracture, and there may be intra-abdominal bleeding, and the amount of blood loss is estimated to be about two thousand milliliters!” The car has carried out a tourniquet intermittent hemostasis, and the emergency blood pack infusion on the car is 1,500 ml! ”

Zhou Yuan nodded, pushed the patient into the rescue room, and immediately said: “Take the monitoring, take oxygen!” ”

Soon, the oxygen mask was installed.

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

“Dr. Zhou, the ECG shows the patient’s atrial fibrillation!”

Zhou Yuan walked over and patted the patient’s shoulder: “Can you hear me?” ”

However, the patient lying in bed did not respond.

Zhou Yuan immediately said: “The patient has hemorrhagic shock, immediately establish central venous access, prepare for blood transfusion, and activate the emergency blood transfusion plan!” ”

Blood loss of more than 2,000 milliliters, transfusion of 1,500 milliliters, hemorrhagic shock still occurs so far, and intra-abdominal bleeding is likely to occur.

“Perform abdominal ultrasound, leg CT.”

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, may have intra-abdominal bleeding, and now has hemorrhagic shock, atrial fibrillation.”

“How to deal with it?”

“Establish central venous access and start blood transfusions immediately.” Zhou Yuan replied.

He Jian nodded: “Not bad… By the way, did you contact the family? ”

“The doctor accompanying the ambulance has contacted the family and should arrive soon.”

Soon, the results of the examination came in.

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

He Jianyi’s face became serious.

At this moment, three people hurriedly ran over, just about to . Noticing the patient lying on the bed, he immediately folded 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 shocked, “Zhihui, what’s wrong!” ”

Another woman 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? The young woman asked anxiously.

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

“Good, good, good! Let’s go pay! ”

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 noble lady: “Wait, Zhihui, what’s wrong?” ”

“Car accident.” Zhou Yuan said briefly.

“Car accident? And what about the one who caused the accident? The lady asked.

“The one who caused the accident escaped, you guys go and pay quickly, don’t delay the treatment.” Zhou Yuandao.

“No, Zhihui, he had a car accident, shouldn’t the money be the cause of the accident, why should we pay?” The lady’s tone was somewhat radical.

“The accident escaped, that’s a matter for the police, why do you ask our doctor?” Zhou Yuan frowned.

He looked at the three and said, “Who are your family members?” ”

“I’m his wife, and this one next to me is his mother!”

The noble lady rolled her eyes, “I’m his aunt.” ”

“Please go and pay the bill, after the payment is completed, sign, don’t block at the door, okay, we will rescue him now!” He Jianyi urged.

The patient’s wife and mother both looked at the aunt with inquiring eyes.

“Forget it, you go to pay the bill first, I’ll contact the police.” The patient’s aunt waved her hand, her expression somewhat reluctant.

“Good! Let’s go pay! Hearing the aunt’s words, the two dared to run to the toll office.

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

“The patient had an open fracture of the right thigh… If this had been changed before, someone from the orthopedic department would have been invited to come for consultation! Ocean said while pushing 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 rupture of the spleen, and you are responsible for the fracture of the right leg.” ”

Zhou Yuan nodded: “Understood.” ”

Soon, the patient was pushed into the operating room.

“You said, why is this family so strange, the patients have become like this, he can’t be the master of his mother, his wife doesn’t dare to speak, only when his aunt nods the two dare to pay money!” Ocean said while assisting He Jianyi in dealing with his ruptured spleen.

He Jianyi smiled: “Stay in the emergency department for a long time, what kind of patient you are, what kind of patient’s family can see!” ”

Zhou Yuan buried his head in his right thigh.

The condition of the right thigh is quite good.

After mastering the master-level amputation replantation surgery, even the crush fracture can be repaired, and this small open fracture is not a big problem.

“How’s it going over there?” He Jianyi asked Zhou Yuan.

“Fortunately, the degree of fracture is not very large, do a debridement, simple suture fixation is fine.” Zhou Yuandao.

“Okay.”

Zhou Yuan began to carry out thorough debridement.

The treatment of open fractures has three requirements, 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.

Among them, thorough debridement is the key to preventing infection.

“There are quite a few stones, and they look like they fell in the gravel ground.” Zhou Yuan said.

“Saline.”

Taking the saline, Zhou Yuan began to spray debridement of 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 solutions for killing germs, which are used to rinse the wound and then soak, which can further keep the wound clean.

When Zhou Yuan completed the debridement and prepared to fix the fracture site, He Jianyi sighed a few times, and then said: “This is trouble.” ”

——

Pass! Pass! Lao Tzu’s second place is almost impossible to hold, you vote for me, and I will give you two more changes in the evening! _

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