As soon as he saw the injured, Tao Le opened his golden finger.
The interface was already a deep and heavy dark purple, reminding him that his life was like a candle in the wind.
Age: 34 years old, health value: 9.
Causes: flail chest 55%, lung contusion 30%, left and right tibia fractures 10%, left wrist fracture 5%,
Blood pressure 90/60, heart rate 110, blood oxygen saturation 58%
Complications: hemopneumothorax (traumatic), atelectasis, respiratory failure (mild), hemorrhagic shock
At the bottom of the interface, there is a clear three-dimensional image of the whole body, showing all the injuries.
Multiple fractures of three adjacent ribs, causing the chest wall to separate from the rest of the thoracic cage or even collapse, is called flail chest.
In this case, the lungs will inevitably suffer contusion.
The injured person in front of him had five broken ribs, but luckily his heart was not injured, otherwise he would not be able to survive now.
However, traumatic hemopneumothorax caused by lung contusion and bleeding can also kill people.
Tao Le could clearly see that there was a large amount of blood accumulated in the patient's pleural cavity. At the same time, due to obvious contusion of the lungs, the inhaled gas overflowed into the chest, forming a hemopneumothorax, causing the patient's respiratory failure.
No matter how old the ambulance in the rural hospital was, it was equipped with oxygen bottles, but the injured person's blood oxygen continued to drop even though he was breathing oxygen all the way.
This is actually normal. At this moment, the patient's lungs are like a punctured balloon. No matter how much oxygen is ventilated, it cannot be fully propped up. It is strange that the oxygenation can be improved.
The injured person was quickly moved out of the car. The nurse following the car was Xiao Chen. She had been in the emergency department for a long time and was very experienced. She quickly added various monitoring equipment without Tao Le's explanation.
Tao Le stared closely at the declining health value on the interface. Just as he was about to start dealing with it, he saw Dama also climbing into the car, followed by a doctor from the rural hospital.
Although Mio Technology's ambulance is slightly wider than an ordinary vehicle, it can't accommodate so many people.
"I want to be with my husband." Dama said bluntly.
Dr. Tashi, who came from the rural hospital, sighed and said, "You guys came quickly enough. If it were a little later, I'm afraid..."
He shook his head and was not optimistic about the injured man's next trip.
With such a serious injury, it's a miracle that it lasted for so long. Even if Sasa Central Hospital is the best hospital in Tibet, so what if there are countless experts from Beijing and City gathered in it?
For such an injury, the role of out-of-hospital first aid is limited. If the patient cannot be transferred in time, it can only stop there.
Dorje Tseden probably only had a few minutes left in his life.
Tao Le frowned: "If you all gather here, it will affect the treatment. The family members can stay, but they have to go to the co-pilot. Doctor Tashi has fulfilled his duties and can leave."
She spoke in Tibetan, which both Dama and Dr. Tashi could understand.
It was such an ordinary request, but Dama did not agree.
"I know that he is going back. So I want to stay with him on this last journey." There was a touch of sadness in her eyes, but she still maintained her rationality.
"Yes." Tashi said, "Actually, there's probably not much you can do, so you might as well..."
It might as well be something else. Although he didn't say it, everyone could guess it.
"Shut up." Tao Le said angrily as he watched the injured person's health drop a little again.
"I will never give up until the last moment." She said, easily picked up the slightly fat Tashi, threw him out of the ambulance, and closed the door.
When the car started, Tao Le ignored Dama and responded to the prompt boxes that popped up frequently.
[After testing, closed chest drainage is supported under current conditions. Do you need a simulated guided exercise? whether. Note: Simulated guided exercises do not take up real-life time. 】
【yes. 】
As a nurse who has worked in the emergency department for more than five years, Xiao Chen also has his own judgment on injuries.
For such a serious collision injury, if you are already in the hospital, there is still a glimmer of hope after hard work, but...
Fortunately, she is just a nurse and only needs to follow Dr. Tao's instructions.
Doctor Tao's expression was very calm, and he gave a series of instructions in a calm voice.
Before leaving, the supplies were well prepared because the condition of the injured had been predicted.
Rehydration and anti-shock is what it should be. Various crystalloids are also readily available, so there is no need to say anything more.
But closed chest drainage? Could Dr. Tao be joking?
Not that there is anything wrong with this approach.
At present, the injured person's respiratory function is incomplete, and the blood oxygen has dropped to such a low level. A respiratory channel must be established immediately to improve oxygenation.
To establish a breathing passage, the quickest and easiest way is to use closed chest drainage to release blood, gas and other fluid accumulation, rebuild the negative pressure in the pleura, and promote the lungs to expand, thus improving breathing conditions.
But even if she is just a nurse, she also knows that the prerequisite for closed drainage is to have complete imaging test results to clearly identify the location of the drainage, right?
The rural hospital does have an X-ray machine. Doctor Tashi also said just now that the injured had a film taken there.
The problem is, the supplies are gone.
They can see the results on the computer, but because they don't have film, they can't print it and they can't bring it over.
So, how on earth is Dr. Tao going to do this puncture and drainage without any imaging guidance?
This is a thoracentesis. If the positioning is not accurate, if the puncture is done accidentally and the fluid and gas are not removed, it is easy to say. The biggest fear is that it will touch the tissue of the heart and lungs.
The injured was already in this state and could not last more than a few minutes. But it is one thing that he died due to severe injuries. If he died because puncture and drainage were not done properly, the consequences would be too great.
In a blink of an eye, countless thoughts flashed through Xiao Chen's mind, but he took out the prepared crystals and colloids in his hands every second, and infused them along the two deep vein channels that Dr. Tao had just opened.
At the same time, outside the Saskatchewan City Center Hospital. Wei Changgeng got out of the car and went upstairs with his small suitcase.
"Director Wei, are you back?" An Jun asked in surprise: "Didn't you come back tomorrow?"
"The operation went better than expected, so I came back early." Director Wei looked a little tired, but he was still in a good mood: "Has anything happened in the hospital these two days?"
"It really does exist." An Jun first moved a VR goggles, explained the ins and outs, and then said: "In short, the hospital requires that if you have nothing to do at night, you can go in and study."
Director Wei opened the box, looked at the contents, and shook his head: "I've heard of this kind of thing. It's a gaming device for young people, right?"
"You are so down-to-earth." An Jun praised: "Actually, this is really just a game. The pictures are so made that you can't tell the difference between real and fake. It's so perfect."
Director Wei didn't like to see his intoxicated face.
With a snap, he slapped his glasses on the table: "Are you kidding me? I'm so busy all day long that I don't have time to study any games."
(End of chapter)
