Heavy bleeding due to neck trauma? Can this person still make it to the hospital fine?
Qi Zhen was like a cannonball, instantly ejected and rushed out as fast as possible.
"The man is in shock and has just been sent to the emergency room." The nurse chased after him hard and saw his figure disappearing around the corner first.
Outside the rescue room, there was a middle-aged man and woman covered in blood.
The woman collapsed on the ground and shed tears, while the man also looked livid and was pacing back and forth outside.
Seeing Qi Zhen charging straight towards this side, the man wanted to come up to him and say something, but he didn't care at all and didn't slow down at all.
The door to the emergency room closed heavily in front of them.
The man stared blankly at the door, as if he wanted to see through the door to see the rescue situation inside, but unfortunately he couldn't see through it at all.
He squatted down and gently put a hand on the woman's back:
"Stop crying, the doctor will definitely be able to do something, don't worry."
The middle-aged woman slapped his hand away and glared at him: "It's all your fault! Why do you have to force your son? Why are you so grown up calling your son so hard!"
The image of such a long blade and the bright red eyes that couldn't stop flowing out was fixed in the woman's mind.
She broke down and cried.
"Son, how old are you? Why can't you think about it so hard? If you just leave like this, I won't be able to survive, so I will go with you—"
The injured person is a boy of fourteen or fifteen years old. The long blade extends from the face to the neck, and is twenty centimeters long.
Resident doctor Xiao Yan and the nurses were nervously doing first aid to stop the bleeding.
Pieces of gauze were pressed up and soaked with blood in an instant. They were thrown into the stainless steel tray and quickly replaced with new ones.
With such a large open wound, there was multiple bleeding. Visual inspection revealed open injuries to the neck, open injuries to the face, injuries to the external jugular veins, and injuries to the neck muscles. Pressing alone to stop the bleeding was useless.
It must be repaired through surgery - but based on the current situation of the injured person, I am afraid that surgery will not be supported at all!
When the injured was brought here, he was already in hemorrhagic shock. Even though a deep vein channel has been established for fluid replenishment, there is still a lot of blood there and the blood pressure still cannot be measured!
Xiao Yan was sweating profusely and extremely anxious. When he saw Qi Zhen come in, he immediately felt like he had seen a life-saving straw: "Teacher Qi, the bleeding can't be stopped, what should I do?"
"Continuous intravenous infusion of norepinephrine!" Qi Zhen took it upon himself to place a deep vein catheter under the injured man's right clavicle. The nurse over there had already prepared the medicine and quickly connected it.
"Go and get 3 units of red blood cells, and apply for 1,000 ml of whole blood."
"Inform the otolaryngology and head and neck surgery department, anesthesiology department, neurosurgery and orthopedics department for emergency consultation and prepare for surgery!"
The nurse immediately took the order and left.
Time passed by minute by second, and the patient's blood pressure still did not improve. However, an alarm sounded from the ECG monitor, and the picture turned into an irregular and chaotic waveform——
"Ventricular fibrillation!" Xiao Yan exclaimed.
Ventricular fibrillation is a serious arrhythmia characterized by uncoordinated and rapid trembling of the ventricular muscles. In severe cases, it can lead to sudden cardiac death.
Ventricular fibrillation in patients with hemorrhagic shock is extremely dangerous. If the normal heart rate cannot be restored in time, they are basically on the verge of death.
Qi Zhen pushed him aside: "Get ready for defibrillation!"
"The first time in three hundred joules - leaving the bed!"
Shouting to get out of the bed is one of the necessary procedures for electric defibrillation. It is to remind everyone, including yourself, to stay away from the bed to prevent accidental injuries from electric shocks.
This distance is actually difficult to grasp. Sometimes the injured person twitches under the electric shock, and if he swings his arm out, the electric current can still be passed to the medical staff at the bedside, causing severe pain.
In addition, defibrillators use direct current, which is much more dangerous than alternating current. It may also induce a defibrillation chamber. If you accidentally get caught, you may become the next target of defibrillation.
Everyone backed away cautiously. Qi Zhen stretched out his arms to fix the electrode plates, let his body leave the edge of the bed, and pressed the discharge button with both hands at the same time.
"Zi——"
"Three hundred joules for the second time - leaving the bed!"
After several repetitions, the injured finally returned to sinus heart rate, with a heart rate of 120 beats/minute, but his blood pressure was still undetectable.
"Teacher Qi, look at this." Xiao Yan's heart was still held high and he couldn't let it go at all.
Of course Qi Zhen understood what he meant, and he was also anxious about this issue.
From the time before the hospital to the present, the injured person had lost a lot of blood for nearly an hour. If the bleeding cannot be stopped and the shock state is corrected as soon as possible, the consequences will be obvious.
I'm afraid it won't be long before his heart stops. Cardiac arrest due to traumatic trauma and massive bleeding is almost certain to lead to death.
Qi Zhen has seen too many things like this during his years in the emergency room.
But the person lying on the table is still a half-grown boy, and his life should not end here.
But now they have used all the means at their disposal.
Press to stop bleeding, replenish fluids to expand volume, norepinephrine, and also apply red blood cells and whole blood
No, maybe there is another way.
A short video clip suddenly popped up in his mind.
The same is true for heavy bleeding in the neck. As long as a few needles are inserted, the blood flow will stop immediately, which can last for up to half an hour.
This scene that he had just dismissed as nonsense was now playing over and over again in Qi Zhen's mind, lingering on.
Only three needles are needed. The needle of the syringe can be replaced. The bleeding can be stopped in half an hour.
If we could really get this half hour, we would have bought enough time for the debridement surgery.
Tonight's scene, which has a predictable ending, can be rewritten.
The child on the bed also has a chance to get a new life.
Otherwise, just give it a try?
As soon as this idea emerged, it became clearer and clearer, and gradually started to roar in his mind.
Give it a try, what will happen? It’s already like this!
The next moment, under the surprised gazes of Xiao Yan and the nurse, Qi Zhen quickly grabbed three syringes, unpacked them, took out the needles, and carefully inserted them into the injured person's face, under the neck, and between the thoracic vertebrae. superior.
He didn't quite understand what acupuncture points were in these three places, but Tao Le explained and demonstrated clearly how to confirm these positions in the holographic projection.
Under everyone's shocked gazes, the blood flow began to slow down and then stopped.
The last piece of gauze was covered, and the red color was no longer visible.
The injured man's blood pressure quickly rose to 70/50, and was still rising slowly.
Everyone turned their attention to Qi Zhen.
"Teacher Qi, you are so amazing!" Xiao Yan spoke on behalf of all the nurses, speaking from his heart.
His eyes were wide and bright.
Qi Zhen had no doubt that if it weren't for the pair of glasses, those small eyes would have stuck to his face.
"Want to learn?" He said with a straight face, forcing himself to suppress his surprise and ecstasy.
"Think!" Xiao Yan immediately nodded his head like a gopher hammer.
"Treat the injured first and then let's go. Urge those departments to hurry up and let them go directly to the operating room!"
(End of chapter)
