I can see the status bar
Chapter 135 Versus Chapter 133 Song Hualin
Chapter 135 Versus 130 Chapter Three Song Hualin
If you are dealing with an open pneumothorax in the hospital, you need to seal the wound as quickly as possible to allow the lungs to regain pressure.Closed thoracic drainage was then performed in the thoracic cavity.Insert one section of the drainage tube into the chest cavity, and insert the other end into a lower water-sealed bottle to gradually discharge air, blood, and pus.
But now Sun Lien and the patients are in a bus overturned on the road, not the Fourth Central Hospital with enough medical equipment and medical staff.Sun Lien searched around and found a plastic children's raincoat that looked like a child's.After tearing off a large piece of plastic sheeting from the top, he used the electrical tape rolled around him to firmly stick the plastic sheet to the young woman's wound.
According to conventional treatment methods, thick Vaseline gauze should be used for covering, and then supportive treatment should be given.After the patient's signs are corrected, a thoracotomy is performed, the chest cavity is closed after debridement, and closed chest drainage is performed.But in this kind of place, not to mention gauze, I'm afraid you can't even find Vaseline.Sun Lien can only secretly pray that the quality of these electrical tapes is good enough, and the material of the plastic raincoat is also strong enough.Otherwise, she might not last long.
Closing the wound, in fact, did not completely reverse the patient's condition.Open pneumothorax is usually accompanied by lung tissue damage.As you breathe, air seeps out of the damaged lung tissue and re-enters the chest cavity.In this case, she was just artificially converted from an open pneumothorax to a tension pneumothorax.In the process of this conversion, the patient's condition will gradually change from bad to good, and then get worse again.
If she couldn't be transported as soon as possible, Sun Li'en would have to find another syringe needle or something, and make a small hole in her chest to release the pressure.
·
·
·
"The fire brigade and ambulance are already on their way!" Rachel shouted from outside the bus, "Doctor Sun, are you okay?"
Sun Lien quickly checked the young woman's injury again. After the electrical tape was twisted into a rope by him, Sun Lien quickly tied the improvised tourniquet on her left thigh - the part where the tourniquet was bound was at the fracture above the femur. "I'm fine, but there are still two wounded here!" He glanced at the young woman with some embarrassment, "A man is still conscious, but may have cervical spine injuries. The specifics are unknown. A woman has an open pneumothorax, and lower extremity fractures and degloving."
Rachel shouted, "You keeping deal with it! I'll go to Dr. Pascal!" In desperation, the American who spoke Chinese with a Beijing accent began to mix Chinese and English.Sun Li'en understood what Rachel meant, and continued to deal with it with his head down.The combination of the umbrella and cloth strips allowed him to fix the young woman's severed femur, and the skin that was still connected to the foot with only a trace of flesh was also wrapped by Sun Li'en's long-sleeved underwear.After he finished processing, Sun Lien realized that he was only wearing a short sleeve on his upper body on the Capital Airport Expressway in December.
The surrounding diesel smell is getting stronger and stronger, and other vehicles passing by here are also parked behind the bus one by one——the overturned bus almost blocked the entire highway, and the lying body occupied the entire area. emergency lanes, and two and a half driving lanes.There is only half of the overtaking lane left, and it can only barely pass the car.Enthusiastic drivers in the capital simply parked their cars in the slow lane on the side of the road, leaving the emergency lane for rescuers, and then pulled the escaped bus passengers into their cars.In this freezing weather, there is no shelter on the highway.If the cold wind blows for an hour or two, I'm afraid that these poor people who have just escaped will fall ill.
Several ex-soldier drivers got out of the car and came to help.But because of the lack of stretchers and corresponding first aid equipment.Song Hualin, who suffered a fractured axis, could only continue to lie in the bus.The young woman was carefully lifted by several people and sent out of the bus compartment.
Sun Li'en opened the car window, told Hu Jia outside a few words to pay attention to observe the tension pneumothorax, and then returned to the car.
He felt that he was very cold. The main structure of the vehicle was metal. In order to save fuel and prevent fire, vehicles of this size basically did not install any heat insulation components in the body. The temperature inside the vehicle was controlled entirely by the air conditioner.The overturned bus has obviously lost the ability to adjust the temperature inside the vehicle.Sun Li'en wanted to find a piece of clothing to wear, but he really didn't pay attention to the cold in the north just wearing a T-shirt and hanging around in it.
But looking at Song Hualin who was lying on the ground unable to move, and possibly even crying because of the combination of fear and pain, Sun Lien shook his head and sighed.Holding on to the seat, she walked over to sit beside him.
"Can you still talk?" Sun Li'en grabbed a dropped seat cushion and placed it under his buttocks. "Where are you from? Are you in the capital on business?"
"I'm... from Shanghai." Song Hualin opened his mouth with difficulty, his voice was very low. "I came to the capital this time to see an old friend."
"Shanghai stock market?" Sun Li'en became interested, "I haven't been to Shanghai stock market yet, I heard from my friends that there is sugar in the food there, is it true?"
Song Hualin replied, "It's not..." He gradually understood why the doctor had to sit in the carriage and talk to himself. "Doctor, am I going to die?"
"Ah?" Sun Lien deliberately exaggerated his voice, "You're going to die? Why can't I see it?" He tried his best to make the middle-aged man in front of him relax a little. "Don't worry, the ambulance will be here soon. With me here watching you, you'll be fine."
"I'm... in pain right now." Song Hualin sighed, "It's fine that my whole body hurts. I feel like my neck is about to break."
Of course, Sun Li'en couldn't say that his neck was broken.This did nothing but make him nervous.He could only smile and say, "Then you are better than us doctors. We have to ask the patient to take an X-ray to know if his neck is broken."
"Doctor, what's your name?" Song Hualin suddenly asked, "I think you look very young, did you just graduate?"
"My name is Sun Lien." Sun Lien introduced himself. "I'm 25 years old, a doctor who just started working."
Song Hualin whispered, "My name is Song Hualin." He paused, and suddenly asked, "Doctor Sun, can you take out my mobile phone? It's in my right trouser pocket. I want to call my family. "
Sun Lien took out his mobile phone. Diesel is not flammable, a little knowledge he learned in high school.It doesn't matter if you think about it or make a phone call.
"Do you want to call your family?" Sun Li'en asked, "Is their phone number saved in the phone? I'll call it for you."
"First... call my lawyer first." Song Hualin was silent for a while and replied, "There is a lawyer Zhao Song in the phone directory, call him."
Instead of reporting to the family first, call the lawyer first?Sun Li'en was a little confused, but since this was the patient's request, he naturally couldn't say anything.He dialed the phone and reminded, "You can't move your neck. I'll turn the phone on speakerphone and put it next to your ear."
The call was connected quickly, and a hearty voice came from the opposite side, "Mr. Song, has your plane landed?"
"Lawyer Zhao, I might be dying." Song Hualin's voice was very steady, and he didn't sound like someone who was arranging funeral arrangements at all. "Have you finished notarizing my will?"
"Ah?" Attorney Zhao on the other end of the phone was taken aback, "President Song, what's wrong with you?"
"I'm on the bus at the Capital Airport." Song Hualin explained calmly, "There was an accident in the vehicle, and several people may have died. I was injured and couldn't move my neck. Although the doctor beside me said that I would not die, but I think he's lying to me."
Sun Lien was a little embarrassed.He had never seen such... a person who played cards out of common sense.
"Your will has been notarized." Although Lawyer Zhao found it incredible, he still faithfully fulfilled his obligations. "Do you need to make changes?"
"No need." Song Hualin rejected the suggestion, "Please inform my ex-wife...and the children." He was silent for a long time, so long that Sun Lien thought he had finished speaking.Just when Sun Lien was about to help hang up the phone, he suddenly said, "Tell them... I'm sorry. Tell my current girlfriend, I'm sorry."
This chapter is added to thank the group of friends for their continuous help in catching insects.It's a pity that I didn't write enough for three thousand.Let's just put it together with the [-] extra words from yesterday...
Thanks again for Xiaoxiao's help, the update of the Three Views is very slow, and there are no conditions for adding updates.But catching bugs can indeed improve the reading experience of most readers. Xiaoxiao continued to help me catch bugs for almost three months, and I am very grateful.
(End of this chapter)
If you are dealing with an open pneumothorax in the hospital, you need to seal the wound as quickly as possible to allow the lungs to regain pressure.Closed thoracic drainage was then performed in the thoracic cavity.Insert one section of the drainage tube into the chest cavity, and insert the other end into a lower water-sealed bottle to gradually discharge air, blood, and pus.
But now Sun Lien and the patients are in a bus overturned on the road, not the Fourth Central Hospital with enough medical equipment and medical staff.Sun Lien searched around and found a plastic children's raincoat that looked like a child's.After tearing off a large piece of plastic sheeting from the top, he used the electrical tape rolled around him to firmly stick the plastic sheet to the young woman's wound.
According to conventional treatment methods, thick Vaseline gauze should be used for covering, and then supportive treatment should be given.After the patient's signs are corrected, a thoracotomy is performed, the chest cavity is closed after debridement, and closed chest drainage is performed.But in this kind of place, not to mention gauze, I'm afraid you can't even find Vaseline.Sun Lien can only secretly pray that the quality of these electrical tapes is good enough, and the material of the plastic raincoat is also strong enough.Otherwise, she might not last long.
Closing the wound, in fact, did not completely reverse the patient's condition.Open pneumothorax is usually accompanied by lung tissue damage.As you breathe, air seeps out of the damaged lung tissue and re-enters the chest cavity.In this case, she was just artificially converted from an open pneumothorax to a tension pneumothorax.In the process of this conversion, the patient's condition will gradually change from bad to good, and then get worse again.
If she couldn't be transported as soon as possible, Sun Li'en would have to find another syringe needle or something, and make a small hole in her chest to release the pressure.
·
·
·
"The fire brigade and ambulance are already on their way!" Rachel shouted from outside the bus, "Doctor Sun, are you okay?"
Sun Lien quickly checked the young woman's injury again. After the electrical tape was twisted into a rope by him, Sun Lien quickly tied the improvised tourniquet on her left thigh - the part where the tourniquet was bound was at the fracture above the femur. "I'm fine, but there are still two wounded here!" He glanced at the young woman with some embarrassment, "A man is still conscious, but may have cervical spine injuries. The specifics are unknown. A woman has an open pneumothorax, and lower extremity fractures and degloving."
Rachel shouted, "You keeping deal with it! I'll go to Dr. Pascal!" In desperation, the American who spoke Chinese with a Beijing accent began to mix Chinese and English.Sun Li'en understood what Rachel meant, and continued to deal with it with his head down.The combination of the umbrella and cloth strips allowed him to fix the young woman's severed femur, and the skin that was still connected to the foot with only a trace of flesh was also wrapped by Sun Li'en's long-sleeved underwear.After he finished processing, Sun Lien realized that he was only wearing a short sleeve on his upper body on the Capital Airport Expressway in December.
The surrounding diesel smell is getting stronger and stronger, and other vehicles passing by here are also parked behind the bus one by one——the overturned bus almost blocked the entire highway, and the lying body occupied the entire area. emergency lanes, and two and a half driving lanes.There is only half of the overtaking lane left, and it can only barely pass the car.Enthusiastic drivers in the capital simply parked their cars in the slow lane on the side of the road, leaving the emergency lane for rescuers, and then pulled the escaped bus passengers into their cars.In this freezing weather, there is no shelter on the highway.If the cold wind blows for an hour or two, I'm afraid that these poor people who have just escaped will fall ill.
Several ex-soldier drivers got out of the car and came to help.But because of the lack of stretchers and corresponding first aid equipment.Song Hualin, who suffered a fractured axis, could only continue to lie in the bus.The young woman was carefully lifted by several people and sent out of the bus compartment.
Sun Li'en opened the car window, told Hu Jia outside a few words to pay attention to observe the tension pneumothorax, and then returned to the car.
He felt that he was very cold. The main structure of the vehicle was metal. In order to save fuel and prevent fire, vehicles of this size basically did not install any heat insulation components in the body. The temperature inside the vehicle was controlled entirely by the air conditioner.The overturned bus has obviously lost the ability to adjust the temperature inside the vehicle.Sun Li'en wanted to find a piece of clothing to wear, but he really didn't pay attention to the cold in the north just wearing a T-shirt and hanging around in it.
But looking at Song Hualin who was lying on the ground unable to move, and possibly even crying because of the combination of fear and pain, Sun Lien shook his head and sighed.Holding on to the seat, she walked over to sit beside him.
"Can you still talk?" Sun Li'en grabbed a dropped seat cushion and placed it under his buttocks. "Where are you from? Are you in the capital on business?"
"I'm... from Shanghai." Song Hualin opened his mouth with difficulty, his voice was very low. "I came to the capital this time to see an old friend."
"Shanghai stock market?" Sun Li'en became interested, "I haven't been to Shanghai stock market yet, I heard from my friends that there is sugar in the food there, is it true?"
Song Hualin replied, "It's not..." He gradually understood why the doctor had to sit in the carriage and talk to himself. "Doctor, am I going to die?"
"Ah?" Sun Lien deliberately exaggerated his voice, "You're going to die? Why can't I see it?" He tried his best to make the middle-aged man in front of him relax a little. "Don't worry, the ambulance will be here soon. With me here watching you, you'll be fine."
"I'm... in pain right now." Song Hualin sighed, "It's fine that my whole body hurts. I feel like my neck is about to break."
Of course, Sun Li'en couldn't say that his neck was broken.This did nothing but make him nervous.He could only smile and say, "Then you are better than us doctors. We have to ask the patient to take an X-ray to know if his neck is broken."
"Doctor, what's your name?" Song Hualin suddenly asked, "I think you look very young, did you just graduate?"
"My name is Sun Lien." Sun Lien introduced himself. "I'm 25 years old, a doctor who just started working."
Song Hualin whispered, "My name is Song Hualin." He paused, and suddenly asked, "Doctor Sun, can you take out my mobile phone? It's in my right trouser pocket. I want to call my family. "
Sun Lien took out his mobile phone. Diesel is not flammable, a little knowledge he learned in high school.It doesn't matter if you think about it or make a phone call.
"Do you want to call your family?" Sun Li'en asked, "Is their phone number saved in the phone? I'll call it for you."
"First... call my lawyer first." Song Hualin was silent for a while and replied, "There is a lawyer Zhao Song in the phone directory, call him."
Instead of reporting to the family first, call the lawyer first?Sun Li'en was a little confused, but since this was the patient's request, he naturally couldn't say anything.He dialed the phone and reminded, "You can't move your neck. I'll turn the phone on speakerphone and put it next to your ear."
The call was connected quickly, and a hearty voice came from the opposite side, "Mr. Song, has your plane landed?"
"Lawyer Zhao, I might be dying." Song Hualin's voice was very steady, and he didn't sound like someone who was arranging funeral arrangements at all. "Have you finished notarizing my will?"
"Ah?" Attorney Zhao on the other end of the phone was taken aback, "President Song, what's wrong with you?"
"I'm on the bus at the Capital Airport." Song Hualin explained calmly, "There was an accident in the vehicle, and several people may have died. I was injured and couldn't move my neck. Although the doctor beside me said that I would not die, but I think he's lying to me."
Sun Lien was a little embarrassed.He had never seen such... a person who played cards out of common sense.
"Your will has been notarized." Although Lawyer Zhao found it incredible, he still faithfully fulfilled his obligations. "Do you need to make changes?"
"No need." Song Hualin rejected the suggestion, "Please inform my ex-wife...and the children." He was silent for a long time, so long that Sun Lien thought he had finished speaking.Just when Sun Lien was about to help hang up the phone, he suddenly said, "Tell them... I'm sorry. Tell my current girlfriend, I'm sorry."
This chapter is added to thank the group of friends for their continuous help in catching insects.It's a pity that I didn't write enough for three thousand.Let's just put it together with the [-] extra words from yesterday...
Thanks again for Xiaoxiao's help, the update of the Three Views is very slow, and there are no conditions for adding updates.But catching bugs can indeed improve the reading experience of most readers. Xiaoxiao continued to help me catch bugs for almost three months, and I am very grateful.
(End of this chapter)
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