Doctor Started a Plug-in

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The night of the emergency department never feels peaceful.

It’s the worst here to be cranky.

Just like Chen Cang at this time, just lie down for less than 10 points, and when the snoring sound gradually rises, a violent and sudden knock on the door suddenly sounds!

Chen Cang took less than 5 seconds from eyes opened to turning over and getting out of bed, and then to emergency door opening.

After the door opened, Little Lin stood outside.

Little Lin panicked and said anxiously: “Doctor Chen, it’s not good. A man riding a motorcycle on the pipeline bridge hit the pipeline next to us. We are the closest here and we are preparing to send a car to go. Follow the Doctor!”

Chen Cang complexion changed, moved towards and walked outside, said: “Hurry up and call Wang Yong, his 2nd line, let him hurry over, I will follow and look over.”

Little Lin quickly nodded: “Okay!”

Chen Cang hurriedly ran into the ambulance, the driver Lao Liu was ready, ready to go anytime, anywhere.

After Chen Cang sat down, the car ran out instantly.

The pipeline bridge is the closest to Provincial Second Hospital, less than about 21000 meters, but the most terrible is not this distance.

It’s because the pipeline bridge can’t walk at all

Pipeline Bridge Pipeline Bridge is actually a small bridge built for the pipeline between two rivers. People usually walk around the bridge.

At most, I can take the electric bike and so on, but I can’t take the car at all.

The car can only be driven to the side of the road, and the Doctor needs to run up there. There is still a long road from the road to the bridge. This is undoubtedly a serious obstacle to rescue!

It took less than two minutes for the car to immediately reach the parking place. Chen Cang opened the door and ran down with the first aid kit, while the old driver Liu pushed the push bed from the 120 car.

I was about to go up, but found that it was all stairs, and the cart couldn’t go up at all, so I quickly hugged the stretcher in my arms and rushed up.

It’s more than one in the morning!

There was no pedestrian on the road.

After waiting for Chen Cang and the driver Lao Liu to run on the pipeline bridge, he saw two young young men standing aside, holding mobile phones in their hands and making calls.

And a motorcycle fell to the side, a man lying on the ground, life and death unknown!

However, seeing the destruction of the fence, Chen Cang sank inside!

Hit like this!

People… are also dangerous.

Chen Cang didn’t care much, and hurried forward with the driver.

Two youngsters saw Chen Cang in white clothed running anxiously, eyes shined suddenly.

“Doctor! Right here!”

At this time, the injured helped him to lie on the railing, and half of the body was on the bridge, and he might fall if he was not careful!

The street lights here are not very bright, only a vague sight!

There is no blood on the road.

There should be no trauma…

However, looking at the appearance of men, the most worrying thing is whether there is a fracture of the head and neck.

Once there is, this help transfer will be very troublesome.

However, in such a posture, there is really no way to rescue, and the man must be brought down.

Chen Cang patted the man’s shoulder: “Comrade! Wake up!”

“Can comrades hear?”

……

Chen Cang called several times in his ear, and he saw no response.

Greet everyone: “Let’s lift him down, old Liu you hug your waist, I get my head, that…young man, you two help take your hand and lift your legs.”

2 people are not very old, maybe 18-19 years old or in their early 20s, but how to walk on the bridge without sleeping in the middle of the night.

Chen Cang doesn’t care about other things. At this time, saving people is his only idea now.

Transporting patients is very particular.

Such a car accident injury, it is easy to have a fracture of the body, especially the head and neck, cervical spine… these injuries.

Once the transport method is not suitable, it is easy to cause 2 degrees of damage, and even worsen the condition.

Therefore, in the face of emergency patients, you must not rush to transfer, otherwise it is easy to do bad things kindly.

The approach of 2 youngsters is quite right!

After transferring the Patient to the stretcher, Chen Cang opened the first aid box, quickly checked the blood pressure, and then took out his patience to observe the breathing and pulse…

At this time, the two youngsters saw that the street light was not very powerful, and simply turned on the flashlight of the mobile phone to illuminate the Patient.

Soon after, the blood pressure came out, and after seeing the value, Chen Cang suddenly face changed!

“6030mmHg!”

This blood pressure, what is his hypotensive shock?

Thinking of this, Chen Cang suddenly complexion changed.

Hypotension shock…trauma…

Is there bleeding?

But I didn’t find the bleeding place for a long time!

What would it be?

Chen Cang suddenly saw the place illuminated by the flashlight and saw a strange phenomenon.

Chen Cang quickly said, “Give me a flashlight!”

The young man on the side was very cooperative and passed the flashlight.

Chen Cang quickly lowered it!

Jugular veins dilated? !

Suddenly, an emergency emergency case appeared in Chen Cang’s mind. At this moment, it must be verified!

Chen Cang handed the mobile phone to the other party and anxiously took out the stethoscope.

Hands are a little nervous.

After all, Chen Cang has heard about this disease, but has never encountered it. If so, the scene may have to be organized immediately to rescue.

Can’t afford to delay!

Thinking of this, Chen Cang took the hearing device and placed it in the heart of the injured chest…

Suddenly, waves of low and distant heart sounds came, and the speed was very fast, like a drum sound other than 10 li. The sound continued, but it fell far away!

Chen Cang facial expression grave!

It should be… pericardial tamponade 3 joint sign!

This is an urgent cardiac crisis: acute cardiac tamponade, Beck3 syndrome with typical symptoms.

The main manifestation is that elevated venous pressure leads to increased jugular venous pressure and jugular vein engorgement, which is the first feature.

Second, sudden drop in blood pressure leads to a decrease in systolic blood pressure, a decrease in pulse pressure difference, shock, Paradoxus Pulsus, etc. are the second signs.

The third one is a decrease in heart rate, a low heart sound, distant tachycardia, etc. This is the third sign.

The 3 signs seem to have put the truth in front of Chen Cang!

At this time, Chen Cang touched the skin of the injured person and felt that the skin temperature around him was continuously decreasing.

Chen Cang has determined that the patient must have experienced acute pericardial tamponade due to trauma. He is currently in a state of shock and is in an emergency situation with mortal danger at any time.

What is pericardial tamponade?

The heart is the power organ that maintains the blood circulation of the human body. It guarantees the blood supply to all organs and tissues in the body.

The pericardium is like the armor of the heart. It is protected on the outside of the heart. It is a layer of sac-like structure that wraps the heart and enters and leaves the roots of large blood vessels.

Between the heart and the pericardium, there is a cavity, called the pericardial cavity, which refers to the gap between the wall-layer pericardium and the dirty pericardium on the surface of the heart.

There is a small amount of pale-yellow liquid in the normal pericardial cavity, which lubricates the surface of the heart. This is just like an engine. It has a lubricating oil function. After all, the heart is just like a piston, continuously beating. If there is a pericardium outside, it needs to be rubbed. The pale-yellow fluid is lubricating oil, which reduces the friction between the heart and the pericardium.

When the traumatic heart ruptures or the blood vessels in the pericardium are damaged, blood accumulation in the pericardial cavity is called blood pericardium or pericardial tamponade, which is the cause of rapid death of cardiac trauma.

Due to the limited elasticity of the pericardium, acute blood accumulation in the pericardium can reach 150ml, which can limit the blood return to the heart and the heart beat, causing acute circulatory failure, which in turn leads to a sudden cardiac arrest.

After all, if you think about it, blood accumulates in the pericardial cavity, and the heart cannot be beaten. In order to provide the body with continuous blood supply, the heart can only desperately contract and relax. The heartbeat is accelerated, but the more blood is pumped The less coming, because the resistance caused by the pressure outside the heart is getting bigger and bigger!

Soon, the heart may suddenly stop with a heartbeat, resulting in acute circulatory failure, or even… die immediately!

Therefore, the present Patient is in a critical situation, very dangerous, and may face death anytime, anywhere.

And what is to be done now, the relief of heart compression is the only glimmer of survival of the Patient.

ps: There are 4 chapters later, 5 chapters tonight.