The male nurse in the operating room, Yu Jie, held strong forceps, pushed through the crowd and squeezed in. He was only wearing dark green hand-washing clothes, and he didn't even have time to put on a coat. Fortunately, he was warmed up, otherwise, it would still be very cold in the morning in April!
The powerful forceps in the operating room are used to cut off Kirschner wires. Jin Cheng has used them to cut off steel plates. He thinks it should be no problem to cut off the guardrail steel bars.
Jin Cheng quickly completed the assembly and clamped the steel bars against his thighs hard.
The steel bar is only slightly deformed!
"Fuck me!"
Jin Cheng couldn't help but swear.
You said this steel bar was of good quality, but it was broken by the impact. You said it was of poor quality, and now you can't even clamp it with powerful pliers.
Jin Cheng quickly changed his strategy and only caught half of it.
"It's open, it's open!"
Xiao Lei shouted excitedly.
Jin Cheng quickly changed direction, using all his strength, his face turned red.
"Click!"
"It's broken, it's completely broken!"
Xiao Lei shouted, and everyone quickly moved the guardrail away.
"Quick, stretcher, flat car!"
Everyone worked together to lift the little brother into the car.
Jin Cheng immediately climbed into the car, straddled his brother's calf, located the femoral artery at the base of his thigh, close to his groin, and pressed it with his bare hands.
The position here is relatively shallow, so it is relatively easy to apply pressure to stop the bleeding, but it requires almost all your strength to hold it down. People with weak strength cannot hold it down at all!
Even Jincheng couldn't completely stop the bleeding, and the blood continued to drip, leaving a scary blood tire mark along the tires of the flat car!
"Everyone, get out of the way, get out of the way!"
Nurse Xiao Yang Ting led the way, and everyone rushed straight to the operating room of the inpatient department.
The onlookers looked at the large pool of blood in the middle of the road, like a small pool, and shook their heads.
"Hey, I see that the blood is almost gone. This guy will probably die!"
"What nonsense are you talking about? It's right in front of the hospital. Even if the King of Hell comes, he has to be sent away!"
"Fortunately, we are here. If we were further away, even the gods wouldn't be able to save us!"
"The most disgusting thing is that the car owner ran away and is waiting to go to jail!"
…
"Here we come, open the elevator!"
Xu Yang was already waiting at the elevator entrance, and the flat car entered directly.
"Jin Cheng, can you hold on?" Xu Yang asked calmly.
"She should be in shock now and needs to stop the bleeding urgently! Infusion! Blood transfusion!" After Jin Cheng finished speaking, he quickly took a breath and continued to press hard.
"I mean you!"
Jin Cheng basically didn't sleep all night last night, and now he has to participate in a large-scale rescue operation. Xu Yang is afraid that he won't be able to hold on.
Jin Cheng nodded, indicating that he was okay and did not answer. He could not be discouraged!
There were people waiting at the door of the operating room.
Have a smooth journey!
The little brother was quickly sent to operating room No. 8.
Jin Cheng quickly jumped out of bed. He carefully lifted his injured leg to avoid further injury when crossing the bed.
After getting into bed, the circulating nurse immediately cut open the boy's trouser legs and tied a pneumatic tourniquet around the root of his thigh.
Other nurses quickly established intravenous access.
"Inflate!"
Xu Yang shouted, and soon the air pressure rushed to 450 mm of mercury.
The gushing blood finally stopped!
Just a moment after he came in, the entire operating bed, including the ground, was already covered in blood.
The blood loss is at least 2000 ml!
If an adult loses more than 1,200 milliliters of blood, his or her life will be in danger.
Now, the delivery boy has gone into shock and must be treated with anti-hemorrhagic shock immediately. Otherwise, respiratory and cardiac arrest may occur at any time.
The emergency department has more experience in this regard.
"The vascular filling is too poor and a subclavian vein access needs to be established!"
The circulating nurse shouted anxiously and wanted to go out and call someone immediately, but she didn't know how to puncture the subclavian vein.
My brother had too much bleeding, and most of the peripheral circulating blood was diverted to the brain and important organs, which resulted in poor filling of the veins in the limbs and difficulty in puncture. In addition, the nurse is still a little nervous, so the possibility of successful puncture is even smaller. Instead, it may cause blood vessel and nerve damage, lung puncture and other risks.
My blood pressure has dropped to 69/40 mm Hg. If I don’t replenish fluids in time, my blood pressure may not be measured at any time!
"Come back! Get the piercing bag!"
Jin Cheng shouted, and the circulating nurse immediately opened the subclavian vein puncture bag.
Under everyone's surprised gazes, Jin Cheng quickly pulled off his brother's clothes to expose his collarbone, quickly put on his gloves, and quickly disinfected.
"Jincheng, do you know how to do subclavian puncture?" Xu Yang asked curiously.
Even he is not very proficient in this operation, but Jin Cheng, who can make watches, can actually do it?
Others also have the same question. After all, the risk of puncture is very high, and there are really not many people who know this technique.
"I had a puncture done in the emergency department of Jiangnan University Affiliated Hospital before!" Jin Cheng replied casually.
Everyone was speechless for a while. After so many years, your hands have grown long ago. Judging from your posture, you must be too confident.
"How about waiting for the anesthesiologist to use bedside B-ultrasound to guide the puncture?" Xu Yang said cautiously.
Jin Cheng shook his head and said calmly: "It's such a waste of time. The patient can't afford to wait."
Xu Yang brushed his curly hair out of habit and did not stop Jin Cheng. He now has a feeling that as long as Jin Cheng dares to do it, he can definitely do it!
Jin Cheng kept moving his hands and had already taken the puncture needle. Everyone held their breath, hoping that Jin Cheng would hit the nail on the head.
With the Eye of Reality opened, Jin Cheng found that the filling degree of the subclavian vein was also much worse. Unless there is ultrasound guidance, blind puncture is really difficult and risky. This is why Xu Yang did not start it immediately. .
But no matter how difficult it is, it is not a difficulty in Jin Cheng’s eyes!
Without any hesitation, the puncture needle quickly penetrated under the clavicle and reached the vein.
"Damn it, the blood has returned, hit the nail on the head!" An Shanshan shouted, her fat face full of surprise.
Everyone breathed a sigh of relief.
"Come on, come on, let me do the subclavian puncture!" Xiao Lei pushed the small B-ultrasound machine and hurried in, and found that everyone was looking at him with strange eyes.
"You're late, the puncture has been successful!"
"Who, who is so awesome!?" Xiao Lei was experienced and knew that this patient would definitely need to establish a subclavian intravenous channel, so he went to prepare it immediately, but he didn't expect that it would not be used.
He followed everyone's gaze and found that Jin Cheng was already fixing the puncture needle and quickly replenishing the liquid.
"Another piercing kit!"
Jin Cheng shouted, and the circulating nurse immediately opened another one.
This, this is to establish dual channels!
I just wore the left side, now I have to wear the right side!
Under the shocked eyes of everyone, Jin Cheng succeeded in one attempt at extremely fast speed!
This time, a few tubes of blood were also taken out. Some biochemical tests such as routine blood type and infectious diseases were necessary, otherwise blood transfusion would not be possible.
Two channels, crystalloid and colloid fluid are quickly replenished.
My brother's blood pressure gradually increased.
"Brother, your puncture is more accurate than my B-ultrasound!" Xiao Lei came to the operating bedside and looked at Jin Cheng. He felt that Jin Cheng was becoming more and more amazing and that he was a huge potential stock.
Jin Cheng did not answer, but quickly made arrangements, saying: "Brother Lei, please quickly use B-ultrasound to explore the abdomen to see if there is obvious damage to the organs and whether there is fluid accumulation in the abdominal cavity!"
Then he looked at the male nurse and said, "Yu Jie, please push the C-arm machine over and take pictures of the pelvis, spine, lungs, and cervical vertebrae to rule out whether these key parts are fractured!"
"Brother An, please urge the blood transfusion department to match the blood as soon as possible and send the blood over!"
"Mr. Xu, have you notified Director Tang? Someone from the medical department is also coming and they need to sign!" Jin Cheng calmly arranged, as if he had become Director Tang.
Jin Cheng has to race for time now, because the tourniquet on the lower limbs only lasts 90 minutes. When the time is up, he must relax for at least 15 minutes, otherwise the lower limbs may cause muscle tissue necrosis due to ischemia.
He has seen that the brother's blood vessel was severely bruised and needed a blood vessel transplant. This was very time-consuming and he had to do the surgery as soon as possible, otherwise it would be more dangerous!
