No one dared to say sarcastic words, and no one would dare to watch the excitement. In times of crisis, everyone wants to lend a helping hand. It's natural to not be able to help but feel restless and rush out. He is also a doctor after all. Such thoughts do not require deep thinking in the brain, and almost become a professional reaction. When seeing a situation that is not good, when it seems that a person is about to die, there is no need to wait at this moment.
Rush, as soon as I took two steps, the picture in my field of vision suddenly changed 180 degrees, and the reflection in my brain became the same thing that didn't require any brain reaction. I had to brake hard, and I almost fell over on my back in an instant. .
Chichichi, the sound of the yellow sweater hitting the white sneakers on his feet.
Seeing the yellow sweater blocking his sight, Zhiyuan, a young man who had stopped dozing off, was so shocked that his pupils shrank. This time, the sleepy man rushed to the sky: Damn, are you slapping yourself in the face?
Rushing out and then braking suddenly is clearly an act of slapping yourself.
Huang Sweater took a breath on the spot to slow down his pounding heartbeat.
His heart rate might be faster than that of the patient right now.
Just looking at the patient's blood pressure value on the monitoring instrument finally stopped falling, which led to the stabilization of other vital values.
Previously, the patient's blood pressure was dropping one by one, just like the rope on the guillotine was tightened step by step around the patient's neck. It was heartbreaking to watch.
"Is it stable?" Huang Sweater asked.
Although the instrument value is equivalent to some kind of evidence and will not deceive people, whether the value can be stable for a long time or just good for a moment depends on whether the measures that produce the effect are logically clear, feasible and can withstand the test.
In medicine, fighting death depends on science, not theology.
The doubts in the yellow sweater's eyes cannot be said to be unfounded: Just insert a finger to try to plug the bloody hole inside?
First of all, it must be clear that when it comes to measures to stop bleeding from blood vessels, it is not doctors or ordinary people who can think of blocking the blood loss immediately. Looking at it this way, it might not be a bad idea to use a doctor's finger to block it. Dean Wu used this exact first aid measure at the beginning.
The problem is that before the doctor wants to seal the hole, he must know whether the bleeding part of the blood vessel can be blocked with one finger, and where the rupture of the blood vessel is. All of these require doctors to open the abdomen for exploration. Doctors like Dr. Wu, who is very experienced, must also open the patient's internal organs and use their own eyes to inspect clearly the location of blood loss in the blood vessels and then measure and start. Otherwise, it will be in vain.
It is conceivable that blood vessel bleeding may occur over a large area. For example, we once talked about the case of aortic dissection. If there is a problem with the entire blood vessel, what is the use of blocking it with your finger? What the doctor wants to do is blood vessel replacement, and he must first establish extracorporeal circulation. For this reason, the first thing to do during the operation is to block the blood vessels before closing the mouth.
If vascular occlusion is required for abdominal aortic bleeding, thoracotomy can be performed to perform occlusion of the descending aorta. However, since the patient's chest was injured and two steel bars were inserted into it, he had to quickly open his chest in the emergency room and face a highly complex intrathoracic situation. Not to mention whether only one doctor could do it, several doctors were estimating the same. Be in a hurry.
Having said this, one can imagine the seriousness of the injured person's condition and the difficulty of rescuing him. No wonder they thought that even if they could guess where the patient was bleeding, they would still be afraid that it would be useless and they would not be able to stop the bleeding immediately.
As mentioned above, it is not possible to perform rapid chest block or anterior chest segment block at the moment. Are there any other options?
(End of chapter)
