When doctors have a simulated operating room

Before the director of orthopedics came for consultation.

The nurse came over quickly with two bags of whole blood.

"Hurry up and give it a blood transfusion!"

The blood was still cold, but at this critical moment, we could only cover it with our hands while transfusing it.

"Xiao Fen, please notify the imaging department and ask them to make room for us. When the little girl's blood pressure rises, send her for emergency examination."

"Okay."

"Also, establish another intravenous channel and use a bottle of epinephrine!"

"Okay!"

Tang Xiaocheng has a lot of first aid experience.

There was no panic in the emergency.

Five minutes later, the little girl's blood pressure rose a little.

From 76/49mmhg to 90/62mmhg.

(Normal blood pressure is within the range of 140/90mmhg-90/60mmhg. Don’t go higher than 140/90, and don’t go lower than 90/60.)

Seeing the girl’s blood pressure recover a little, Tang Xiaocheng also breathed a sigh of relief.

What a young child, she finally got her life back.

I just don’t know about this leg...

Hey!

Looking at the calf in the yellow medical waste bag beside.

There was a lot of mud and debris on the severed part, and the entire epidermis, fascia, and muscles had been damaged to varying degrees.

Tang Xiaocheng also has a daughter.

When he thought that the child’s leg was cut off by a truck...

He couldn’t help but feel distressed.

I hope the orthopedic surgeon can connect her.

Soon, the orthopedic surgeon came for a consultation.

The person who came was Li Cheng, the director of orthopedic surgery.

He has worked in the Second Municipal Hospital for nearly 30 years and has always been rooted in orthopedics.

In addition to being good at surgery.

I heard that he also learned some Chinese orthopedics from his master in his early years.

In short, he is a very skilled doctor.

Li Cheng walked to the bedside, looked at the gauze wrapped around the little girl's right leg, frowned and asked:

"Have you taken the film?"

Tang Xiaocheng handed the examination form he had just received to Li Cheng.

Li Cheng frowned after taking a look.

There were two films in total.

One was a proximal limb and the other was a distal limb.

The proximal limb showed that the part connecting the tibia and fibula under the knee was completely comminuted and the muscles were torn.

The distal limb also showed that the tibia and fibula were comminuted.

In other words, the two sections of this calf were completely comminuted.

This is just a bone problem.

Blood vessels, muscles, nerves, etc. have not yet been examined.

In the emergency room, on a bed not far from the girl, was the mother who had just been sent in.

The results of her mother's examination also came out.

It was indeed a closed pneumothorax with soft tissue contusion.

The injury was not as serious as the girl's.

Closed pneumothorax is divided into spontaneous and traumatic.

The woman in front of me was obviously caused by trauma.

That is, the broken ends of the ribs pierced the lung tissue after the ribs were broken.

The lungs are the respiratory organs of the human body.

Although it is injured, it still has to breathe continuously and absorb oxygen from the outside to maintain the needs of the entire body.

Therefore, the inhaled gas will flow into the entire chest cavity from the wound of the lung tissue.

As people continue to breathe, more free gas will accumulate in the chest cavity.

When the gas reaches a certain level, it will begin to squeeze the original lung tissue and cause lung collapse.

In this way, a series of symptoms such as chest tightness and difficulty breathing will occur.

A small amount of pneumothorax is not a big deal and will be absorbed by itself in 1-2 weeks.

But a large amount of pneumothorax must be done immediately for thoracentesis.

To put it bluntly, it means inserting a tube into the chest to expel the gas first.

This can quickly relieve the patient's dyspnea.

At this time, the woman had already done the chest tube intubation.

After the chest tightness eased, the person was much more awake.

The first thing she did when she woke up was to look for her child everywhere.

"Xinxin? Xinxin, where are you..."

The nurse next to her immediately comforted her:

"Don't worry, your daughter is also in the hospital, and the doctor is checking her condition now."

The woman's eyes were immediately filled with tears when she heard it and asked:

"Nurse, how is my daughter? Is she okay?"

The nurse looked up at the girl who was being examined by the director of orthopedics and said:

"It's okay, she is out of danger now, don't get excited.

By the way, where is your mobile phone? Contact your family first and call them to come and help you pay the fee. Both you and your daughter are going to the operating room, and a family member must come to sign."

The nurse said:

Just as she finished speaking, a scream of a little girl rang out in the emergency room. In addition to looking at CT scans, orthopedic examinations also need to check the damage to the broken limbs. So the bandaged gauze must be uncovered again. The girl, who was originally in a semi-comatose state, was awakened by the pain of the gauze pulling the wound. She screamed and cried after waking up. When the woman heard the cry, she immediately wanted to struggle to get up. The nurse stopped her: "You are also injured! Don't move! There is a tube in your chest, be careful of yourself!" The woman cried and said: "But I want to see my daughter... I just want to see her... Just one look!" The nurse said with an embarrassed look: "Your daughter's right leg is broken, and the doctor is examining her. Don't delay the doctor's examination. Notify the family first, otherwise no one will sign for the operation later." The woman started to call contacts while crying. The girl's side.

Because of the sudden pain, she couldn't help but struggle violently.

In the sight of Tang Xiaocheng and Li Cheng.

The wound bandaged with gauze and pressure was presented to everyone again.

This picture can only be described as bloody.

There are different degrees of residues and filth in the muscles and blood vessels.

Some small broken bones are mixed in the tissues.

Li Cheng's brows are getting more and more solemn.

"It hurts! Woo woo... Don't touch me... My legs hurt so much..."

The girl struggled, crying and shouting.

The two nurses gently pressed her hands and comforted her:

"Don't cry, baby, be strong, the doctor is checking you, don't cry, be good."

"Woo woo... It hurts... It hurts so much!"

Big tears slid from the corners of her eyes, wetting the pure white pillowcase.

The two nurses were also very uncomfortable to see this scene.

They could only comfort her while hoping that Li Cheng could check faster.

Li Cheng looked at the child and said:

"First, give him a shot of tramadol to relieve the pain."

The child has recovered from the shock period.

His consciousness is clearer.

Even adults may not be able to bear this kind of pain, let alone a child.

"Bring the tourniquet and put it on the right thigh." Li Cheng continued to instruct.

"Okay."

Wearing gloves and a mask, Li Cheng gently checked the proximal end of the broken limb.

After a while, he found that several nerves were still there, but the specific vascular pathways would have to be cleared in the operating room before they could be known.

After checking the proximal end of the broken limb.

Then look at the distal end of the broken finger.

A slender and pale calf with no blood was placed on the operating table.

Li Cheng and his two assistants carefully observed the entire calf.

The two assistants shook their heads.

Li Cheng's expression was not much better.

Comminuted fracture...

Nine out of ten are amputations.

But this girl is too young...

She is only nine years old, and her life has just begun.

Just like a flower that is about to bloom, let it wither before it blooms?

Li Cheng couldn't bear it!