"We are doctors from Yunhua Hospital." Dr. Zhou reported his family name to dispel the anxiety of the injured.
"There's another injured person over there, a half-grown man." The policeman covered the wound with one hand, and pointed in the direction reluctantly with the other.
"I'll go find it." Dr. Zhou volunteered.
Ling Ran nodded, looked at the policeman's wound, and said to Boss Shao who came over, "Bring me a bottle of high-quality wine."
"I have iodophor." Boss Shao replied calmly, then went back to the store, and took out a first-aid kit and a large bottle of iodophor from under the cashier.
Ling Ran glanced at Boss Shao unexpectedly.
Two catties of povidone iodine can't be used up by ordinary people. Of course, Boss Shao may have purchased it based on his experience. If the quantity is large enough, the large capacity will naturally be cheaper.
The shouts from all around, the roaring heat from the onlookers, and the wild thoughts in his mind were all blocked out the moment Ling Ran opened the first-aid kit.
For Ling Ran, who has practiced in the emergency department for so long, a simple knife wound is usually not a big problem. He also dealt with it when he was playing with debridement and suture. Although the current wound is a little deeper...
However, Ling Ran did not take it lightly.
Two weeks in the emergency department can change a person's understanding of the accident. A good person suddenly fails. No matter how you look at it, the patient who is no longer able to do so will greet you in the corridor again in a few days...
Ling Ran couldn't see the wound in the policeman's abdominal cavity, so he could only observe and guess while asking for the scissors.
After disinfecting the scissors, Ling Ran peeled off the police uniform three times, five times and two times, and then poured a large amount of iodophor on the wound, watching Boss Shao's cheek twitch again and again.
Ling Ran poured down one-third of the iodophor in one breath before stopping reluctantly.
It’s like that saying that the advertising industry loves: We know half the money is wasted, but we don’t know which half.
The same is true for doctors, especially those in the emergency department, who must waste a lot of consumables, but who knows which part is wasted? If there is a doctor who can do a qualitative and quantitative large-sample experiment or record, such as the analysis of the relationship between the dosage of iodophor and infection involving thousands of people for ten or twenty years, maybe he can publish a good article...
Iodophor quickly washed away the dirty blood, and then, a large amount of blood washed iodine to the point where the color could not be seen clearly. The brave policeman just now was pale, and he didn't know whether it was fear or excessive blood loss.
"It's okay." Ling Ran recalled the patients who received CPR during the day, and said, "You're not seriously injured."
"Isn't it serious?" The policeman said hoarsely.
"Well, I definitely won't die." Ling Ran said with relative certainty. While speaking, he handed iodophor to Boss Shao and asked him to wash his hands for himself.
Police: ... will die? ? ?
Probably because the effect of adrenaline was gradually disappearing, the policeman slowly felt the pain, and gritted his teeth: "If I don't die this time, I must personally catch the kid who stabbed me, he is an idiot, he can't even stab someone. "
Ling Ran freed up a hand and pressed around the policeman's wound.
Ling Ran can learn from the TV, using clothes, preferably clean gauze, to press hard on the patient's wound, so as to stop the bleeding.
But that's not the best way, just the best emergency solution for untrained ordinary people.
Not to mention that internal bleeding is difficult to control and is just as deadly, and the pressing itself may cause secondary damage. The injured can only pray that they are lucky enough to avoid important parts.
But for Ling Ran, he has more choices.
He first used the technique of physical examination to palpate the patient's abdomen, and then made a judgment in his heart.
Ling Ran continued to wash his hands to avoid infection when he stopped the bleeding with his bare hands. In the environment of the snack street, pouring more povidone iodine would definitely not go wrong.
Boss Shao looked at the blood that kept pouring out, and he was anxious and had to comfort himself and said to the policeman lying on the ground: "Dr. Ling is a colleague of Dr. Zhou. Dr. Zhou is in the emergency department. Dr. Ling is also in the emergency department, right?" . "
Ling Ran nodded: "Yes."
"Look, let me say yes. Dr. Ling is a doctor in the emergency department, no problem. If we send injuries like ours to Yun doctor, they will be handled by Dr. Ling and Dr. Zhou. Now you save It's safer to wait for the ambulance."
"I'm going to Yun Doctor." The policeman was reminded, said something quickly, and then repeated: "Yun Doctor."
He knew that Yunhua's ambulance was based on the principle of proximity, taking into account the reasonable demands of patients. Therefore, he is also likely to be sent to a nearby district hospital, with uncertain results.
"Go to Yunhua Hospital, you must go to Yunhua Hospital." Boss Shao held the policeman's hand, and said: "The doctor Ling who is treating your injury now and the doctor Zhou who ran to the front are both doctors from Yunhua Hospital, don't worry alright… "
The IQ of the police officer was obviously affected by the excessive blood loss. Looking at Ling Ran's movements, he said to Boss Shao: "He really only looks at the wound... ah!!"
It was Ling Ran who took advantage of the time when his abdominal muscles were relaxing and stabbed two fingers in it.
At the same time, Boss Shao also yelled: "Hey, your hands are strong enough. Let go, let go quickly, it's broken."
Ling Ran quietly breathed a sigh of relief.
The environment in the abdominal cavity is relatively complicated. In addition to the barrier of the muscles, the protection levels of important organs such as the liver, gallbladder, pancreas and lungs are similar. Whether you will be stabbed to death with a knife depends mainly on the position of the knife in addition to the rescue conditions. .
Of course, the spleen is the most vulnerable to injury, and it is also the main problem Ling Ran is facing at this time.
Ling Ran gently pinched the spleen pedicle with his fingers, and immediately stopped the hemorrhage of the spleen, feeling extremely relaxed.
In fact, even on the operating table, this is the same operation.
Because after entering the operating room, the abdominal cavity must be full of blood. It is very dangerous to directly clamp the spleen pedicle with a vascular forceps. Wouldn't it be fatal if you can't see the wrong clamp? That's really deadly. Therefore, the assistant has to wait until the operative field (surgical field of view) is sucked clearly before using vascular forceps, and only by pinching the splenic pedicle with hands can the snow be removed.
Therefore, manual hemostasis can be regarded as the basic operation of abdominal surgery. If it is graded, it is probably an entry-level application for manual hemostasis.
"What's your name?" Ling Ran felt that there was no problem, and started to enter the standard process.
The policeman was dizzy, scared and uncomfortable, and said, "Zang Zhao."
"Zhan Zhao? A fourth-rank bodyguard with a knife?" Ling Ran looked at his age, and felt that he was not born before "Bao Qingtian" became popular all over the country, so he said, "Let me help you with a head physical examination. "
"Zang...it's Zang, Zhiang Station..."
"Hmm..." Ling Ran pinched the spleen of Siping's sword-wielding guard with one hand, and fell into deep thought: I remember just now that he fell limply while clutching his stomach, not as if he hit his head.
The discussion among the surrounding people increased a lot, and the perfect-level bare-handed hemostasis method worked perfectly. Anyone who knows nothing about medicine can see that the blood flowing out of the policeman's abdomen is getting less and less, and it is almost non-existent.
"Boss Shao, Doctor Ling, Boss Shao, Doctor Ling" ran over while shouting.
"What's the matter?" Boss Shao separated to watch the crowd.
"Doctor Zhou, that doctor Zhou said that you have a first aid kit, and he wants you to take it to him. He sent Dr. Ling there." The person who came, wearing an apron and panting, was obviously also the restaurant operator in front of him.
"What does Doctor Zhou need a first-aid kit for? What does Doctor Ling want?" Ling Ran's fingers were steady and did not move at all, and the third person said that he did not stumble.
"It is said that the blood can't be blocked... the stomach should be opened. Or let Dr. Ling do it."
Ling Ran pondered for two seconds, and said, "Let's go over there, Boss Shao, if you don't have a car that can hold people, send us over there."
Ling Ran refers to Zang Zhao and himself.
He guessed that Dr. Zhou must not be able to find the bleeding point, and wanted to help him solve the problem by laparotomy.
When an orthodox surgeon encounters a patient with abdominal trauma, the first question that pops up in his mind must be: Should I open the abdomen now.
The benefits of laparotomy are numerous, the most intuitive.
Open the abdominal cavity, mend any holes, sew any breaks, simple and direct with good results. Of course, there are many sequelae, but compared to the loss of life, it is simply not worth mentioning.
If the environment were different today, Dr. Zhou might have cut the abdomen with a kitchen knife without even asking.
He has also been an attending physician in the emergency department for more than ten years. Although he is lazy, his skills and experience are sufficient. There are too many open wounds on the abdomen.
It's just that the hygiene of the snack street is really unflattering, the disinfectants are not enough, and the wine may be fake wine. It is a very risky behavior to force open your stomach.
The most important thing is that Dr. Zhou knew that Ling Ran could stop the bleeding with bare hands, and he did it quite well, so how could he open the abdomen on the spot.
In less than half a minute, Boss Shao dragged out a two-wheeled flatbed truck for transporting vegetables.
With the help of several onlookers, the policeman Zang Zhao was loaded onto the flatbed truck, and then Ling Ran was put into the truck. They worked together to quickly push Ling Ran and Zang Zhao to the main street of the snack street.
The flatbed was jolting, and Ling Ran's hands were fine-tuned accordingly, steadily controlling Zang Zhao's bleeding.
Onlookers pushed flatbed carts.
Boss Shao followed behind the flatbed.
More onlookers followed the flatbed truck.
More passers-by held their mobile phones and took 360-degree shots without dead ends, hoping to add a touch of color to their barren circle of friends. 8)