Chapter 515

Wang Qian was a little nervous. He made this choice today. For him, it was really his biggest step!

Step out of your comfort zone and become a real emergency department doctor!

But when he saw that life was so fragile in front of him, he felt very guilty and helpless in his heart.

Because... at this time, he was at a loss!

When he said blood pressure!

But Chen Cang's pupils shrank, turned around and shouted loudly, "Old Yang, push the bed!"

When the driver Lao Yang heard Chen Cang's words, he pushed the bed over without hesitation, while Chen Cang took a deep breath and said to the nervous Wang Qian:

"Get in an ambulance!"

"Who is in charge, go to the hospital together."

At this time, a bald man and a worker in camouflage came out of the crowd.

"I go!"

The two quickly followed into the ambulance.

It can be seen that this bald man should be the person in charge, and the workers in camouflage uniforms should be fellow villagers.

But Chen Cang didn't dare to have any thoughts at this time. As soon as he got into the car, he said to the driver, Lao Yang, "Master Yang, drive steadily and hurry up!"

It seems like a very contradictory sentence, but after hearing it in Lao Yang's ears, he has long been used to it.

Chen Cang glanced at Wang Qian: "Go on ECG monitoring and prepare for pericardiocentesis!"

Wang Qian nodded quickly, at this time Chen Cang became his backbone.

His hands move quickly and smoothly.

While Wang Qian was preparing for ECG monitoring, Chen Cang opened the pericardiocentesis needle and prepared for puncture!

Cause: violent impact injury in the chest area, accompanied by a sudden deceleration of the body!

Manifestations: sternum fracture, sudden drop in blood pressure, shortness of breath, aortic murmur, abnormal s1 heart sound, second auscultation zone of the aorta...

Various possibilities continued to surface in Chen Cang's mind.

All the manifestations, symptoms and signs are like conditions, deriving a possibility!

When all the conditions were gathered, Chen Cang thought of several possibilities!

However, the biggest possibility is that the large blood vessels in the chest generate income!

Moreover, it is very likely to be the injury of the thoracic aorta, relying on heart sounds to judge, it is very likely not in the aortic isthmus!

If it's not here... it's...

The more Chen Cang thought about it, the more frightened he became.

Who would have thought that such a difficult case would be encountered on the first trip.

According to the proportion, this is a patient who lives in a near-death situation!

Chen Cang raised his head and glanced at the two people who were following the car: "Contact the family and inform the patient that his life is in danger and he may die at any time!"

Hearing Chen Cang's words, the two of them turned pale with fright!

After all, including until now, the patient is still breathing, still struggling, still...

The hands of the co-workers who picked up the phone were obviously trembling.

The head contractor swallowed his saliva, his eyes rolled quickly, and he didn't know what he was thinking.

"Doctor, are you kidding me?"

Chen Cang asked back, "A joke?"

Then no words!

If he guessed correctly, the patient should have a closed intrathoracic rupture of a large blood vessel, and there is an 80% chance that this closed wound will occur in the aortic isthmus, but... This patient may be the 20% people.

This 20% of people, also the most unlucky people, the injury may occur at the origin of the aorta, that is, the origin of the ascending aorta.

what does that mean?

If you look at the latest medical reports!

This kind of injury means that there is only a 10% to 20% chance that the injured person will be sent to the hospital!

The remaining 80% of the patients died of massive hemorrhage at the scene or on the way to the hospital!

Rupture injury at the origin of the ascending aorta can cause acute pericardial tamponade, which is indistinguishable from cardiac injury.

Now, all the symptoms are based on Chen Cang's own judgment!

Just when Chen Cang was preparing for pericardiocentesis.

The ECG monitor is on.

And the various alarm sounds of Didi Didi rang out.

Chen Cang looked up and saw that the systolic blood pressure of his heart was less than 50!

Is it a broken heart?

Thinking of this, where is Chen Cang planning to do pericardiocentesis?

Because being pierced is also dead!

Not piercing is also dead!

How to do?

Chen Cang really couldn't bear to fail the rescue on the first day he took office!

Thinking of this, Chen Cang was heartbroken!

He said to Wang Qian, "Call Director Li and tell me that I need surgery now!"

Wang Qian's expression changed when he heard Chen Cang's words!

Start reporting now!

Li Baoshan and everyone have been waiting anxiously for a long time.

When Wang Qian's phone rang, Li Baoshan said quickly, "Wang Qian, what's the matter? What's going on?"

Wang Qian didn't know how to answer a series of questions, because...he didn't know anything except blood pressure!

What to say?

Chen Cang took the call and said directly: "Director Li, I suspect it is a closed intrathoracic large blood vessel injury. The patient's left chest was violently hit, and the second, third, and fourth ribs were fractured to varying degrees! I now seriously suspect that it is the origin of the ascending aorta. The patient's systolic blood pressure is now less than 50, and it is still decreasing!"

"If I don't open the chest in time to stop the bleeding, the patient may be gone in five minutes before being sent to the hospital!"

As soon as Li Baoshan said this, Tao Mi and Xia Gaofeng both widened their eyes, their expressions changed, and their brows knitted together.

Seeing Li Baoshan in a daze, Tao Mi grabbed the phone and said anxiously to Chen Cang: "Xiao Chen! Rescue, do all you can, let it go, I'll call the dean, and I'll submit it to you! Don't take a minute. delay!"

After speaking, click it directly and hang up the phone!

Li Baoshan was stunned for a moment: "Director Tao, what's wrong?"

Tao Mi has a grim expression!

"According to Xiao Chen's dictation, the patient's condition is very critical, and the patient has an 80% chance of dying on the road!"

"If surgery is not performed, patients may be cold when they are sent to the hospital!"

In a word, Li Baoshan was stunned.

Xia Gaofeng nodded: "If Xiao Chen's judgment is correct, the patient's survival rate is less than 20%, and... this is the highest rate!"

"If the damage is to the heart, the patient has less than a five percent chance of survival!"

Li Baoshan was dumbfounded for a moment. He never expected that Chen Cang would encounter such a patient on his first trip out.

Even Tao Mi and Xia Gaofeng looked at each other, full of caution!

"It's really a bit of a deception to encounter such a case on the first trip!"

After Tao Mi finished speaking, she directly called the medical department and began to prepare.

And Li Baoshan immediately organized emergency rescue work.

There is still a lot to do now!

Chen Cang handed the phone to Wang Qian, and took out the lancet from the first aid box.

perhaps……

At this time, believe in God, it is better to believe in the lancet in your hand!

Seeing this, Wang Qian hurriedly started disinfection!

The two people beside them, their eyes are full of apprehension...

This may be the only time in their lives that they arrive at the surgery site and see a human heart...

...

...

ps: Thank you for the 10,000 reward of Silent Back Snowy, thank you!

Thank you to every friend who subscribes and votes!