This man was covered in blood, and blood was still pouring from his head. In a short period of time, a pool of blood had formed where he fell to the ground.
The situation looked shocking.
"help me!"
The man made a weak cry for help, his expression looked very painful and very weak.
Under this situation, Li Jingsheng no longer dared to move the injured rashly.
"Don't worry, I am Dr. Li from Sunshine Clinic. I will find a way to save you."
This was the first thing Li Jingsheng said to the injured.
Based on his rescue experience, this man's life was in extreme danger. In this case, it is very important to give the patient strong confidence in survival.
He squatted down and quickly checked the injured person's injuries.
There was an arm lying weakly on the side of the body, and the middle part of the humerus was twisted at a weird angle.
He could tell without even touching it that the arm was broken.
At least it was a comminuted fracture.
To be more serious, a severe injury with only one layer of skin attached may be possible.
This man was wearing a white sleeveless Han shirt, a denim jacket on the upper body, a pair of stained jeans on the lower body, and blackened white sneakers on his feet.
I thought that the people who were beaten were the security guards maintaining order, but now it seems that they are not.
At least this man gave Li Jingsheng the feeling of... an unemployed young man.
It was possible that he was the troublemaker and was beaten by the security personnel of the pharmacy.
To be able to open such a large pharmacy and employ more than 20 people, the strength is definitely not weak.
On the first day of business, people went to make trouble, and it was normal for them to fight.
Not to mention Internet celebrities who open pharmacies, in the past, two herbal tea manufacturers and two mobile companies often exposed news about mutual exchanges during promotional activities.
If you want to destroy people's jobs, the consequences will naturally be very serious.
Li Jingsheng examined the man and found that at least three ribs were broken. No fractures were found in the leg bones, but there were several large bruises on the front of the calf, which were probably caused by hard blows with blunt objects.
The most serious thing was the head wound, which was a gash and was bleeding heavily.
The total blood volume of an adult is only four to five thousand milliliters.
The smaller ones are even less than 3,500 ml, and the larger ones are only six to seven thousand ml. This can be easily estimated based on body weight, which is approximately equivalent to 8% of body weight.
In a short period of time, if the amount of bleeding exceeds 1,000 ml, shock, coma, or even death may occur.
The man was already in a semi-conscious state.
If rescue is not carried out in time, by the time the ambulance arrives, the person may not be able to be saved.
Li Jingsheng currently has two hemostatic medical skills, ligation and hemostasis and compression and hemostasis, both of which are at the proficiency level. It is equivalent to the level of a senior resident doctor and can handle slightly difficult hemostasis without any problem.
After further inspection, he found that the man's head wounds were also caused by blunt force blows.
The source of the bleeding is unknown.
Trying to apply pressure to stop the bleeding didn't work, let alone ligation to stop the bleeding.
Because ligation to stop bleeding requires finding the ruptured blood vessel, and ligating it proximal to the heart can stop bleeding.
How can I ligate a blood vessel when I can't even find the source of bleeding?
The perpetrator was so ruthless that Li Jingsheng even discovered by touching the bones that the injured man's skull was probably broken.
This is a fatal blow.
The head is one of the most lethal parts of the human body. A punch can kill you, let alone a hard hit with a steel pipe or the like.
The skull is the hardest human skeleton second only to teeth.
Teeth are used to chew food, inside the mouth.
The skull, like other bones, plays a role in protecting important organs and tissues of the body. It is actually the hardest of this type of bone.
His skull was smashed directly. You can imagine how brutal the blow was.
What Li Jingsheng is most worried about is that the injured person's intracranial tissue has been seriously damaged.
However, the injured person's breathing and motor functions are not suppressed at present. He still knew how to get up and call for help outside the clinic. He should be conscious.
Therefore, the likelihood of severe brain damage is low.
What we need to do now is to help the injured stop bleeding quickly, and then provide further rescue according to the actual situation.
He examined the injured as quickly as possible, made diagnosis, and formulated a rescue plan.
But now we are faced with a dilemma if we want to stop the bleeding of the injured.
It's a bit embarrassing to say that his bleeding control skills were poor and he couldn't stop the bleeding from the injured man's head.
The practical knowledge in the first aid manual quickly flashed through his mind.
I also tried hard to recall the content about hemostasis of head bleeding in emergency medicine.
He put in a lot of hard work when he was reading that thick book on emergency medicine.
Later, when I rotated in the emergency department, some theoretical knowledge was successfully combined with practice. Some of them are still in the theoretical stage.
This is nothing to be ashamed of.
Many attending physicians secretly bring a clinic manual with them when they visit the outpatient clinic for the first time.
If you don’t have enough basic knowledge, you will need to bring an anti-infective medication manual.
As for the resident doctor's first consultation, sneaking in to read a book is nothing.
After all, most people are not geniuses and have grown up step by step.
Li Jingsheng was anxious as he watched the injured person's life disappearing rapidly.
He is the strongest doctor in the clinic. Now facing a rescue, he must take charge of the overall situation.
Fortunately, the doctor's level was upgraded to the junior attending level.
Allowing him to maintain a trace of composure when facing such critically ill patients.
Fine beads of sweat were already seeping from his forehead.
"Yes, why didn't I think of suturing to stop the bleeding?"
It was as if there was a ray of light in the darkness.
After the wound is sutured, a certain degree of indirect hemostasis can be achieved.
Just now, in my rush to save the patient's life, I only thought about direct ways to stop bleeding, but ignored indirect ways to stop bleeding.
"Sister Tang, immediately prepare the needles, sutures, needle holders, and tweezers to suture the head wound. If you are afraid, ask Dr. Gao to take them out."
Li Jingsheng expressed his gratitude to her.
"well……"
Tang Ping stood in the clinic a few meters away and watched. After hearing Li Jingsheng's instructions, she immediately entered the treatment room and prepared to go.
Fortunately, Li Jingsheng's basic surgical suturing skills were above the level of a junior resident.
It was a critical moment to save the injured man's life.
If you still stay at the level of internship and regular training, the consequences will be unpredictable.
Under normal circumstances, it would take an intern at least half an hour to suture a wound of this length. Depending on the strength of the training students, it takes about 20 minutes for the fastest ones.
And the stitching effect may be poor.
After Tang Ping took the suture equipment and tools, she hesitated for a moment, but finally did not hand them over to Xiao Gao, but bravely walked out the door.
But her eyes were still watching the movement outside the clinic door vigilantly.
Check to see if the thug is nearby.
"Are you... not afraid?"
Li Jingsheng quickly took over the gloves and put them on, then quickly held the needle with the needle holder.
Unlike sewing needles, surgical needles are mostly hook-shaped and curved.
Threading is a little more difficult.
Tang Ping must still be afraid in her heart, her hands were shaking all the time.
Facing such a bloody scene where violence may occur at any time, not to mention women, even the vast majority of men will feel fear and fear.
"I'll train myself."
When she spoke, she had already squatted down and started using a clipper to clean the patient's head wound and surrounding hair.
If it is a formal surgery, skin preparation is definitely required.
Now we can only deal with it briefly.
Xiao Gao waited for a while, and after seeing that there was no danger outside, he also walked out.
Li Jingsheng has already threaded the thread.
"Doctor Gao, help me hold the injured man's head and pour some saline to rinse the wound."
If the damage is caused by dirt, hydrogen peroxide flushing is also effective.
Commonly used in primary medical institutions.
"Aren't you going to give local anesthesia?"
"We must seize the time to stop the bleeding. Local anesthesia will take a lot of time. Please follow the emergency!"
After Li Jingsheng finished speaking, he spoke to the injured.
"Now I have to sew up your wound. It hurts a little, so bear with it. The bleeding is too severe. You must stop the bleeding quickly, otherwise it may be fatal."
The injured person made no response.
The person has fallen into a state of shock.
Li Jingsheng started suturing him, choosing a simple continuous suture method.
This surgical skill is now at the proficiency level, and its use is definitely far inferior to the proficient-level interrupted suturing.
Unfortunately, his health balance is only 57 points, which is not enough to support upgrading this medical skill.
Fortunately, the proficient level is much better than the entry level.
It took nearly eight minutes for the head wound to be sutured.
The bleeding was noticeably smaller.
But internal bleeding is definitely still there.
And the suturing is not particularly good. After all, only senior residents have the suturing skills!
"Doctor Gao, bring two more ice packs and help him stop the bleeding as much as possible."
Li Jingsheng closely observed the patient's condition.
Including breathing and heartbeat, the two most important signs.
By this time, multiple police cars had arrived at the scene of the incident, and one parked directly in front of the clinic.
The ambulance hasn't arrived yet.
"Doctor, how is the condition of the injured?"
The police officer got out of the car and walked over.
"The injury was very serious. The skull was shattered and there was massive bleeding in the head. We temporarily took emergency measures to stop the bleeding by suturing the wound, which had a certain effect, but it definitely needs to be sent to a major hospital immediately for further rescue. Also, the humerus of his left arm is damaged. There were comminuted fractures, severe blunt force injuries on the legs, and at least three broken ribs..."
When Li Jingsheng explained the injuries of the injured to the police, even the police who had seen big scenes changed their expressions.
The injured person's injuries were so serious, and the perpetrator completely ignored the law. He wanted to cause death!
"Thank you for your hard work, you three! The ambulance should be here soon. Before handing over, I would like to ask you to take care of the injured and do your best to protect his life."
"this is what we are supposed to do!"
Li Jingsheng acted very calmly.
The policeman subconsciously looked up at the old and badly painted signboard of the clinic.
"Sunshine Clinic! Hey... isn't this the same hospital that was in the newspapers a few days ago? No wonder you dare to stand up and save people!"
They couldn't help but think highly of Li Jingsheng, with admiration and admiration in their eyes.
In dangerous situations, not every doctor is willing to step forward and take huge risks to rescue the injured.
Although every doctor and nurse takes an oath when entering medical school, there are very few who can really remember it in their hearts and abide by it.
Tang Ping and Xiao Gao felt happy after hearing the police's praise for them.
The sense of accomplishment in medical care is divided into two parts. One is seeing patients recover after overcoming the disease, and the other is the recognition of medical staff by family members, patients and society.
At this time, the ambulance roared in.
Just by looking at the license plate number, you can tell it's another ambulance from the Second Hospital.
There are patients and injured people in this area who need rescue, and ten times out of ten, the second hospital has an emergency.
Because he is the boss in this area, no other grassroots hospital would dare to give him eye drops.
"It's you here again!"
After getting off the car with the nurse, I saw Li Jingsheng again and Sunshine Clinic again, which was a little strange.
The emergency doctor came over to greet Li Jingsheng with a smile on his face.
"Hello, Dr. Li!"
"Hello!"
Li Jingsheng didn't know this doctor, but looking at his enthusiastic attitude, he must have known him and knew that he had some influence in the Second Hospital.
"I am Dai Xing, a resident physician in the emergency department. I attended specialist training in orthopedic surgery some time ago. I was lucky enough to hear your name, but I never had the chance to meet you. I have to take care of emergency patients today. I will visit you in your clinic next time. ha!"
It turned out to be a doctor in the emergency department.
Being able to get specialized training opportunities must be a very good doctor.
Regular training is a formal and standardized training for interns in the hospital after graduation to prepare for becoming formal residents in the future.
Nowadays, in order to improve the quality of medical care, or because the clinical performance of graduate students is not very good, many hospitals in many places require undergraduates, masters, and doctoral students to enter the hospital for three years of training and pass the assessment before they can stay in the hospital to work.
As for professional training, it can be understood as professional intensive training.
For example, after completing the training, I entered the gastroenterology department and worked for two or three years or even longer. I performed well in all aspects, but I lacked clinical experience in a certain related field. It's equivalent to having a short board.
At this time, you can apply to enter the corresponding department to participate in specialized training.
The time is flexible, usually a few months.
After completing your studies, you can return to work in the original department. By this time, you will have made up for your shortcomings and become stronger.
It is not difficult to understand that Dr. Dai Xing is an excellent doctor in the emergency department, but he is so enthusiastic and fawning over Li Jingsheng.
The status of doctors in the emergency department is relatively low. He feels that Li Jingsheng has great potential. If he establishes a good relationship in advance, he may become a very high-level network in the future.
Also, Li Jingsheng is Dr. Xu’s apprentice.
There are many doctors who want to learn bone-setting techniques from him.
If Dr. Dai Xing learns bone-setting techniques, his status in the emergency department will be greatly improved in an instant.
This treatment program is even conducted directly in the emergency department.
Everything adults do is for profit.
There is no such thing as being nice to someone for no reason.
The emergency nurse following the car looked at Li Jingsheng in shock.
She didn't expect that the doctor from this small clinic was actually a well-known doctor in the Second Hospital.
At least Dr. Dai's flattering attitude made her realize that Li Jingsheng's status in the Second Hospital would not be very low.
"I'm also very happy to meet an excellent doctor like Dr. Dai. It's better to seize the time to save people now! The injured man was very seriously injured and the head was bleeding heavily. I couldn't stop the bleeding, so I had to sew up his wound first... …”
After a brief exchange of greetings with the emergency doctor, Li Jingsheng urged the injured to be treated quickly.
To be honest, he didn't really like Dr. Dai's performance.
People who are too enthusiastic make friends quickly and break them off quickly.
This kind of people are usually very snobbish and belong to the Smiling Buddha category. When you ask for something, you are more enthusiastic than anyone else. If you think you are worthless, you will just throw it away like garbage.
They worked together to lift the injured onto a stretcher and then into an ambulance.
There was already an injured person inside.
However, the injuries appear to be much less serious.
I really wonder how many people were involved in this fight?
Through this incident, Li Jingsheng gained a deeper understanding of the old streets in the south of the city.
Not to mention the old streets in the south of the city, even this planet is half sunny and half dark. As long as there is competition for interests, darkness will always exist, and it has been like this for thousands of years.
Watching the injured being picked up by the ambulance, nothing happened to him.
I went back to the clinic to get a basin of water, and took a rag to clean the blood stains and bloody fingerprints on the glass door.
"Boss, let me do it!"
Xiao Gao rushed over to help.
"Get two buckets of water and wash away the blood on the ground."
Li Jingsheng did not let Xiao Gao come into direct contact with the blood. He wore gloves when suturing the injured and never took them off.
It's a layer of protection.
Occupational exposure is ever-present, and he is extremely cautious with patients' blood, saliva, feces, etc. When contact is required, gloves and masks will be worn for protection.
Xiao Gao didn’t know which hospital he was trained in, and his awareness of preventing infection was particularly poor.
It may also be caused by him falling in love during the training period and not studying hard.
When Li Jingsheng was in training, one of his seniors was directly led by the department director to retire from the residential training department.
That way, your career is basically ruined.
Xiaogao's clinical diagnosis and treatment capabilities, as well as his health and safety awareness, were not very good. If possible, it would actually be good to be a salesperson selling health medicines.
At least he has some talent when it comes to sales.
Li Jingsheng spent a lot of effort to clean off the blood stains left by the injured on the door handle.
After drying it and disinfecting it again, he felt relieved.
"Boss, are you too particular about this?"
Xiao Gao felt that the boss was making a fuss out of a molehill.
"Be careful? What if the injured person just now has an infectious disease? Not to mention AIDS, just a hepatitis B virus can ruin your life. In the future, you must remember that only by being careful can you sail the ship for thousands of years. This point , you should really learn from Sister Tang."
"This, this can't be such a coincidence, right? I didn't wear gloves when I held his head, and I didn't wear a mask... No, no, I have to wash it again quickly."
Xiao Gao naturally knew the horror of infectious diseases and hurried in to wash his hands.
It made Tang Ping snicker.
"Sister Tang, if Dr. Gao does not operate rigorously in the future, feel free to scold him. This is for his own good."
"He, you'd better let him sell medicine. His operation in all aspects is only at the level of an intern."
Tang Ping smiled and shook his head.
Li Jingsheng was also very helpless about this. He really didn't know whether Xiao Gao had poor learning ability or lack of intention. Many clinical operations and diagnosis and treatment awareness seemed like someone who had not received much training.
After returning to the clinic, Li Jingsheng checked what he had learned from rescuing people just now.
According to his experience, every time he saves people, he can get good results.
Doctor level experience has been directly increased by 100 points.
At this rate, senior attending physicians should be able to achieve this goal in a short time.
General surgical diagnosis proficiency only increased by 1 point.
The proficiency of simple continuous stitching has increased by 10 points, which is great.
In that emergency situation, racing against time to suture the injured is really helpful for improving this skill.
On the other hand, the proficiency of Square Knot has been increased relatively little, only 1 point.
As expected, the health points increased by 102 points.
The balance increased from 57 to 159 points.
This is very good!
You need to have at least a hundred health points in your hand so that you don't panic when something happens.
(End of chapter)
