Chapter 49

Chapter 49 pericardiocentesis

Chen Qun took a bit of hesitation in the drill with several times of rubbing with Baijiu and towel. It was not that he was afraid of taking responsibility and consequences, but rather very upset.

An electric drill is different from a scalpel. If you use a little more force, you can immediately drill into the patient's brain and become a murderer.

"Doctor, doctor, the patient passed out!"

The ear rang out the frightened voice of another rescuer. Without looking back, I also knew that another young man who had been punctured in his right chest was in a coma.

Further hesitation, two patients will not come back.

Chen Qun suddenly clenched his teeth, put his left hand on the patient's right ear, put three fingers flat, drew the height, and then moved back to make the fingers perpendicular to the right ear.

"Zhang Xin, you also put three fingers in front of your forehead, let me determine the position."

Two white as jade of six fingers, immediately a "Ding" word vertical together. See the position just above the pupil of the right eye diffusion, press once, did not feel large blood vessels and nerves.

"Please be quiet and quiet."

With the right hand, he pressed the switch of the drill and went down vertically towards the patient's skull.

After all, it's the first time, careful and careful.

Several other helpers frowned one after another. The whirling drill bit and the bloodshot were even more unbearable.

The drill bit slowly drilled into the patient's temporal bone and entered a position two centimeters and a finger thick. Suddenly, he felt that the drill bit in his hand was light. He quickly stopped in the air and turned off the switch with a finger.

Regardless of the shock of the world, he immediately handed the drill to Zhang Xin. He leaned over his eyes and looked down at the drill hole on the young man's forehead. The patient's dura appears to be intact and there are no blood clots.

Do you make mistakes by yourself?

A trace of doubt spread like a cloud, like a huge shadow, to devour his confidence.

"The patient's breathing is getting weaker and weaker, commander in chief, think of a way quickly!"

Zhang Xin saw that he was in a daze. She pushed him and even called out his nickname.

When Chen Qun heard Zhang Xin's crisp voice, he suddenly felt as if he had seen the sun from hell. His confidence came back again, and he secretly scolded himself for making mistakes in his work.

Hematocele may not be under the temporal bone, but also under the frontal lobe.

He has to drill again!

Behind the hairline, a few centimeters next to the midline, Chen Qun's left hand touched the patient's frontal lobe bone. This is the thickest and hardest part of the human skull, which is four or five times thicker than the temporal bone he just drilled, about 10 cm... No, the patient is a young man, about 7 or 8 cm is the limit.

The sound of the drill once again sounded from Chen Qun's hands. This time, Chen Qun was a little faster than last time. The rapid selection of the drill bit again takes up the bone dregs and a little flesh and blood of Bai Sensen. Suddenly, there was a click in front of him. He immediately stopped the drill and pressed the switch like lightning.

Chen Qun's eyes looked at the patient's skull cavity again, and the milky white brain appeared in front of him again, but this time there were more blood clots.

The drill bit in my hand whirled again and slowly turned around the small hole, which widened the gap into a two centimeter wide ellipse.

A lot of congestion appeared in front of my eyes.

"Doctor, how is the patient?"

The traffic police who spoke earlier asked anxiously, knowing that today's accident is not generally intractable. The car owners who can drive millions of sports cars are not ordinary people. If there is something wrong in the first aid, he will not be able to shirk his responsibility and be involved.

The safest way is to send them to the hospital. But these two young doctors have to step in to save people. If the patient is not saved, it will be a series of troubles.

"Well, pour the wine and disinfect my hands. Don't spill the alcohol into the wound!"

Chen Qun immediately put down the drill, whirled around and stretched his arms away from the patient.

The cold Baijiu came out of Zhang Xin's bottle and poured it on his two hands. His mind was more clear and clear. At least eight or nine of them were sure to give the patient first aid.

The first drill, though not located, did not make things the worst.

He quickly rubbed and washed twice, turned his toes again, half squatted over the patient, slowly extended two slender and flexible index fingers and middle fingers into the patient's brain, and pulled out pieces of blood stasis.

The dura mater in the brain takes out most of the congestion, showing a stable pulse synchronized with the heart!"What happened? Has the patient been rescued? "

Zhang Xin also asked in a hurry.

"The pulse of the brain's hard pulse indicates that oxygen and blood enter the brain. Let me look at the pupil again. The pupil of the right eye is dilated and contracted. Now bandage the patient's wound with a towel to reduce bleeding. I'll look at another patient. "

Chen Qun's mind is as if he had fallen into a passer-by's perspective. He used pure rational thinking to deal with all the changes in front of him without any emotion.

Zhang Xin quickly takes off her coat and prepares to wrap the patient.

An ambulance sped up.

Chen Qun, who ran to the riverbank, saw that although the patient nailed to the iron fence was in a coma, there was still not much blood on the two wounds, so he relaxed a little.

Next to the three men carrying the patient asked aloud, "doctor, do you want us to pull him out?"

Chen Qun's face changed greatly in fright, and he stopped it immediately. "You can't pull it. If you pull it, it will cause massive bleeding and secondary injury. You have to wait for the ambulance to remove the railing."

The emergency personnel who ran down from the ambulance did not know how to deal with the situation. But I recognized Chen Qun and said, "Doctor Chen, let's send one back first. The one on the railing is waiting for the second ambulance."

"Give me a breathing bag!"

Chen Qun quickly cried out, knowing that the patient who was punctured behind was the biggest trouble.

The second patient was sent to the emergency center of the Red Cross Hospital half an hour later. Chen Qun frowned as he saw the iron bar cut by electric welding.

Now the patient's pulse, heart rate and blood pressure have been falling, which is not a good omen.

Pulse oximetry dropped to 78 and oxygen saturation to 71.

Ding hang had been waiting at the door for a long time. Next to him were several burly youths in straight suits. Chen Qun's heart trembled at the sight. Could it be that the patient had an accident and his family members came to trouble him?

"Xiao Chen, thank you for your prompt decompression. The patient has passed the critical period..."

Chen Qun, who had been looking at the patient in front of him, suddenly changed his face and cried out, "Dean Ding, the patient has cardiac tamponade, and his heart sounds are low and blunt. Pericardiocentesis is needed. 16 needle, 50cc syringe. "

Ding hang hesitated a little, and opened his mouth and said, "we need a focused trauma assessment ultrasound!"

Chen Qun had a picture of the patient's body structure, skeleton and blood vessels in his mind. I don't know why, he grabbed the syringe handed by the nurse and stabbed the needle tube obliquely under the xiphoid process of the patient's sternum.

Ding Hang's eyes flashed, his heart sighed, as if he saw a figure he admired. Twenty years ago, under almost the same conditions, did not you hesitate to insert the needle into the patient's chest and complete the pericardiocentesis?

What's more, when someone comes to my aunt's home, I can also bear the responsibility. This silly boy saved a lot of trouble!