It was a call from the 120 emergency doctor from the ambulance.
Zheng Ren suddenly stood up and asked hurriedly: "Does the patient still have blood pressure?"
"Blood pressure... 110/65 mmHg." The 120 emergency doctor said after a slight hesitation.
"..." Zheng Ren was stunned for a moment.
Did you hear it correctly? I should have mentioned the carotid artery just now.
That's the carotid artery! After being cut, the blood can circle around and reach the main artery on the roof.
The carotid artery was cut, but the blood pressure remained normal? Is it because I didn’t wake up or the 120 emergency doctor didn’t wake up
"Check the blood pressure again and explain the condition again." Zheng Ren said in a deep voice as he opened the door to the classroom and walked out.
Su Yun made a gesture, and after making simple arrangements, he followed Zheng Ren to the emergency room to wait for the patient.
"Mr. Zheng, the blood pressure is confirmed. The patient's family said that 15 minutes ago, due to a quarrel, the patient smashed a glass against the wall. A glass shard flew out and scratched the patient's carotid artery."
The 120 emergency doctor reported hurriedly.
"I have repeatedly confirmed with the patient's family, and I did see blood spurting out of the neck with my own eyes. But there was only one stream, and then it disappeared."
"Where is the wound?" Zheng Ren asked.
"I wrapped the wound with a towel at home, but I didn't dare to open it. The patient's blood pressure was stable, and I was worried that something would go wrong if I opened it."
"Okay, you did the right thing," Zheng Ren said, "Come back quickly."
After saying that, Zheng Ren hung up the phone.
Strange... Zheng Ren pondered.
"Boss, let's talk about it when we get here." Su Yun said, "We need to see if the family members have been drinking."
Well, Su Yun is right.
It's also possible that he was drunk... It's not even lunch time yet, so it's unlikely that he was drunk.
However, this possibility is not ruled out.
The two of them simply did not go to the emergency room and stood waiting inside the door.
The ambulance from the emergency department had been waiting there for a long time. When the medical examiner saw Zheng Ren, he smiled and said hello.
"Mr. Zheng, your shift is very busy," the inspector said.
"..." Even the escort knows? Zheng Ren was speechless.
"I've been coming to the First City Hospital for more than five years, and the shift the night before yesterday was the busiest. I didn't even get any sleep, so I ran around all night," the inspector said.
"Then how about it." Su Yun snickered at the side: "This is my life, there is nothing I can do."
While chatting, the sharp call of the 120 ambulance came. The sound got closer and closer, and several people fell silent.
As the ambulance stopped steadily in front of the emergency building, the door opened and the emergency surgeon jumped out.
"Mr. Zheng." He immediately looked at Zheng Ren and said, "The patient's condition is stable."
Zheng Ren nodded.
Regardless of whether the family member is drinking and talking nonsense, or there is some reason to conceal the illness and the onset of the disease, as long as the condition is stable, everything will be fine.
The patient was pushed down, and Zheng Ren was shocked to see a carotid artery laceration marked on the system panel in the upper right corner of his field of vision.
It is consistent with the process described by the family members, except that the carotid artery is lacerated. Will the blood pressure be fine
Zheng Ren didn't think he could stop the blood spurting from the carotid artery with a towel.
Taking two steps forward, Zheng Ren glanced at the patient.
The complexion is normal, without the pale color caused by heavy bleeding. Seeing Zheng Ren coming up, she smiled and was about to speak, but Zheng Ren stopped her.
"Don't move, don't move, do you hear me clearly?" Zheng Ren said loudly.
"I'm fine, doctor." The patient said with some dissatisfaction while lying on the flat car.
There was a yellow towel covering the left side of her neck, and there was no blood on the towel.
How is this going? Zheng Ren became increasingly confused.
After pushing the patient to the emergency room and putting on the ECG monitor, Zheng Ren took a look.
Blood pressure, pulse, respiration, and blood oxygen saturation were all normal.
Seeing Zheng Ren being careful, Su Yun was also a little confused.
He carefully observed the patient's family members. They behaved normally and showed no signs of alcoholism.
"Tell me what happened." Zheng Ren stood at the patient's feet and asked the family members while carefully taking away the yellow towel.
There was no blood spurting out, and there was no obvious break in the neck. There was just a scratch of about 4mm above the left sternocleidomastoid muscle.
If it weren't for Zheng Ren's good eyesight, this small scratch would have been easily ignored.
No oozing, no bleeding, no subcutaneous hematoma!
Carotid artery injury, is this the symptom? Zheng Ren once again became suspicious of Big Pig Hoof.
This guy hasn't given me any tasks for a long time, and this time he gave me such an unreliable diagnosis.
"Doctor, I saw a stream of blood spurting out, and everyone was scared to death." A middle-aged man said.
"Are you sure it's blood?"
"Sure, spray it on the floor at home."
The 120 emergency doctor said: "Mr. Zheng, I saw it, the volume is about 20ml."
Strange.
The diagnosis of Big Pig's Hoof was consistent with the family members' statement, and Zheng Ren did not ignore the small possibilities.
"Are you feeling uncomfortable?" Zheng Ren began to ask the patient, "Answer slowly and speak slowly. Don't be anxious."
"Doctor, everything is fine." The patient saw Zheng Ren's serious face, took a closer look, and then said, "It's just that the left side of my neck feels a little uncomfortable when I breathe."
There are no clear exceptions either.
Zheng Ren changed a piece of gauze for the patient and then said: "Prepare to do a neck CTA."
Su Yun nodded, he knew why Zheng Ren was nervous.
Surgeons are not afraid of blood and flesh flying everywhere, but they are afraid of patients who look normal but lose their breath in the blink of an eye.
It was in good condition when it was delivered, and there was no problem talking. If something really happened to the carotid artery and it was ignored, and the patient died suddenly, it would be strange if there was no trouble at home.
At this time, we can only do the most detailed inspection, and we would rather kill the mistake than let it go.
To determine whether there is any problem with the blood vessels in the neck, the best examination is a CTA examination of the blood vessels in the neck.
One step, simple and worry-free.
Zheng Ren takes care of the patient and prevents the patient from moving around and causing irreversible damage. Su Yun went to contact the CT room and said that there was an emergency patient here who needed to be examined.
It's approaching noon, and the CT room is getting ready to get off work.
Just when he was the last patient, Su Yun came back and said, Zheng Ren took the first aid box, asked the escort to go to the cart, took a nurse, and they ran all the way to the CT room.
Sister Zhao heard the sound of the flat car and knew that Zheng Ren and the others were coming, so she came out to greet them.
"What patient?" Sister Zhao asked.
"Carotid artery injury." Zheng Ren said.
Sister Zhao glanced at the patient and saw that nothing was wrong. She did not refute Zheng Ren's words, opened the door and let the flat car in.
Together with his family members, several people lifted the patient onto the CT bed. The patient's lover stayed in the CT room. Zheng Ren said a few more words to the patient not to move, and then entered the operating room.
"Mr. Zheng, thank you." Sister Zhao said with a smile when she saw that the patient's family members were gone and the condition was not urgent.
"Huh?" Su Yun was surprised, "Sister Zhao, why are you thanking him?"
"My neighbor said that when I went to the medical university, the doctors there were very enthusiastic. He said he was a patient of Boss Zheng in Haicheng, and he was given the green light all the way."