Chapter 28 Doctor Xu, You Are Really Amazing(1/2)
Under the smiling eyes of the nurses,
Taxi drivers also came to see doctors while swallowing light bulbs.
In the clinic.
After experiencing three lightbulb patients in one day, Xu Qiu couldn't help but laugh.
This disease is not an infectious disease, but it is better than an infectious disease...
…
…
That night, it was finally Xu Qiu's turn to be on duty.
The first half of the night was quiet.
The nurses and doctors were all a little drowsy.
At three o'clock in the morning, the urgent ambulance siren pierced the night sky!
The people in the emergency department immediately cheered up and were ready!
Not long after, two ambulances arrived, and four or five injured people, all burnt black and dying, were brought down from them!
Quickly transfer to the emergency room!
Xu Qiu took care of the patients at hand, and when she arrived, the emergency room was already full.
There was a group of anxious family members outside, making a lot of noise.
Some people cried and howled, while others beat the wall with regret.
Some people cursed angrily.
If someone hadn't been holding him by him, the middle-aged man in a suit across from him might have been rushed to the emergency room.
Xu Qiu walked through the noisy crowd with a cold face,
When he saw the scene in the rescue room, he still trembled subconsciously.
There were bloody traces on the floor of the rescue room.
There is a lot of skin tissue attached to it, and even melted yellow fat or blood vessels can be vaguely seen.
In the emergency room, there were four or five burned people lying on the hospital bed, their skin fused to the sheets.
The monitors in several emergency rooms were frantically alarming, indicating that the patient had lost spontaneous breathing.
Xu Qiu immediately said: "What are you still doing? Quickly, press! Ventilate! Don't worry about anything else!"
In the current situation, it is almost impossible to open a venous channel.
The most dangerous cardiac arrest can only be rescued first.
"Doctor Xu!"
When the emergency doctor saw it was Xu Qiu, confidence suddenly burst out from his tired eyes.
He quickly followed the instructions and began to press regularly.
Even if the patient's burned skin stuck to his gloves, he didn't care at all.
"what's the situation?"
Xu Qiu observed the situation in each rescue room, grabbed the head nurse and asked.
The head nurse was extremely busy. When she looked up and saw Xu Qiu, she suddenly felt inexplicably relieved.
She quickly explained: "There was an accident in a factory. The boss forced several employees to meet the deadline. As a result, someone fell asleep and operated improperly. The machine knocked down the high-voltage wires. All five people below were hit and fell unconscious on the spot!
"
Electric shock injury...
"Doctor Xu, what should we do next? There is a patient who is dying!"
"lead the way!"
Xu Qiu followed to the No. 4 emergency room.
The people on the hospital bed were miserable.
The burn area of the whole body may have reached 40%, and the most serious part was the right upper limb. More than half of it was destroyed. The right hand had turned purple and was on the edge of ischemia, hypoxia and necrosis.
The monitor kept beeping, announcing that this life was about to pass away.
Xu Qiu walked to the hospital bed in two steps. While putting on gloves, he grabbed the prepared scalpel and cut open the patient's right upper limb.
Kakaka——
As the skin is cut, the expanding gas and tissue inside make a bursting sound, which sounds very decompressive.
This step is to reduce pressure and prevent ischemic necrosis of the right hand!
However, just as Xu Qiu cut the skin, a thrilling scene happened!
The doctor standing on the other side of the bed shrank his pupils and said hurriedly: "Doctor Xu, the blood vessels...the blood vessels are all deflated!"
The intravenous indwelling needle in his hand was hanging in the air, and there was no place to insert the needle.
The head nurse's face also turned pale.
In patients who have been burned like this, many blood vessels have been melted, and it is almost impossible to insert needles if they can be found.
Now the blood vessels are still deflated, making it impossible to open venous channels!
And this means...
No matter what measures are taken, the patient will die quickly within a few hours.
the reason is simple!
In addition to septic shock, patients with severe burns also have a very serious complication.
Hemorrhagic shock!
A large amount of blood loss led to insufficient blood volume and a sudden drop in blood pressure. Without timely rehydration through intravenous channels, his chance of survival was zero! www.bǐqυgetν.℃ǒm
Just when the emergency doctor was panicking, Xu Qiu's reassuring voice sounded.
"I come."
He took the needle and searched for a usable blood vessel on the patient's body.
Finally, a tricky spot was found and inserted into the great saphenous vein.
laugh--
The next moment, he completed the opening of the intravenous channel.
The nurse quickly verified it, and after a moment she was ecstatic: "It worked! It worked in one go!"
The head nurse's eyes widened in shock.
Dr. Xu is so amazing!
The medical skills are even more abnormal than rumored!
…
After solving this small episode, Xu Qiu continued to expand and clean up.
Necrotic tissue, rotten flesh, half-dead fascia, nerves and blood vessels all had to be removed.
Because he has mastered the master-level debridement technique, he can debridement very quickly and with frightening efficiency.
Even the deep necrotic muscles were pulled out!
Everyone present looked dumbfounded.
Is this really just debridement?
Such a basic operation can be done so perfectly?!
At this time, Xu Qiu quickly observed the color of the patient's lips and nail beds.
Something is not good.
He shouted in a deep voice: "Increase the oxygen flow, 5l per minute! Quickly replenish fluids!"
Tenfold method of rehydration...
Decompress burn area...
Jump-type cleaning, blood vessel smoothing...
etc.
Finally, after five minutes of resuscitation, the patient's heart rate gradually picked up.
"Contact ICU and send it there quickly."
Xu Qiu took off his gloves and wiped the sweat from his face.
To be continued...