medical simulator

Page 664



Probably judged it!

Injury to the radial artery!

But Zhou Cheng didn't rashly pick up the square object and tape he just picked up and started to stop the bleeding!

Battlefield first aid, not by visual inspection.

He held the woman's palm with both hands for about three seconds.

Zhou Cheng is not taking advantage of the girl, he is judging by the palm of his hand!

In addition to the radial artery, does the woman have non-exposed injuries to other blood vessels? If so, he needs to find a pad to pressurize and bandage the deformed arteries——

Temporary hemostasis, transport away as soon as possible, this is the first principle.

At this moment, the most important goal is to save life and try to delay time.

Any on-site surgery is all nonsense and temporary.

However, what is relatively acceptable is that the pulsation of the ulnar artery in the woman is acceptable, and there should be no arterial rupture.

It is basically impossible to debride and disinfect her left side now!

So Zhou Cheng immediately pressed the square thing in his hand to the place behind her elbow close to her upper arm, and holding the gauze in his right hand, he rolled it around the woman a few times!

After tying a hard knot, the arterial bleeding stopped.

However, during this process, the woman did not speak or thank her!

Her breathing was present, and her arteries pulsating strongly.

On the surface, she doesn't look like someone who should be in a coma.

Zhou Cheng called to An Ruo who was stunned, and said, "An Ruo, come and see her chest and abdomen, it's not convenient for me!"

An Ruo turned her head and glanced at Zhou Cheng.

Zhou Cheng pointed at the woman.

A girl's chest and abdomen are relatively private parts. If there is no female medical staff, there is no way. Zhou Cheng will definitely take off the girl's clothes without hesitation.

But at this moment, An Ruo is beside her, and she is still his wife-to-be. Zhou Cheng does not intend to be in danger because of emergency avoidance if conditions permit.

An Ruo was about to come over, but beside An Ruo, there was a child with blood on his body, who must have been in excruciating pain, crying loudly while calling his parents.

Even if the staff helped to appease, it was useless.

It's useless to be coaxed by anyone, just crying, but there is no big fuss, which makes everyone a little annoying.

However, the two children can't be blamed for this. Judging by their age, it is estimated that they didn't even have a first-grade degree!

At this age, when encountering such a fright, the parents who are obviously around do not respond. They are not afraid, that is the horror.

But the children's parents seemed indifferent to their cries.

An Ruo's mood suddenly became very heavy, but seeing Zhou Cheng pointing at the woman lying on the ground again, and the woman on the ground was bleeding on the ground!

Blood also seeped from the abdomen, soaking through the not-so-thin windbreaker except for the sweater.

The weather is still cold at the moment, you need to wear two coats.

An Ruo leaned over again without any hesitation.

If the two children couldn't cry, she might still worry that they were in danger, but at this moment they were crying so hard!

There may be psychological damage in the future, but it is estimated that the physical damage and mechanical damage are not large.

At this time, the trauma in my heart can only be let go.

Children are very important, and mental health is also important, but in front of life, life is still the first.

"Here, what's the situation?" An Ruo came over and asked.

Zhou Cheng only said two words: "Abdomen."

Zhou Cheng quickly approached the man next to him, and didn't have time to pay attention to the child.

This man has not moved since he went downstairs and lay down.

The pain does not moan, does not open the eyes, although the breath is still there?

The man's face was black with smoke, so he couldn't tell whether he was older or younger than him!

Zhou Cheng shouted: "Brother, brother, wake up, what's wrong?"

The man did not respond 'toldly'.

Zhou Cheng immediately poked again, but there was still no response.

Zhou Cheng's hand had already touched his carotid artery, feeling his pulse.

Those who did not respond were almost in shock.

Very faint, but still there.

The man still didn't open his eyes, and the rise and fall of his chest when he breathed was a little weaker than before.

Zhou Cheng immediately tore his clothes off without hesitation.

But the man was wearing a sweater underneath, and Fang Yun could only take the sweater off again.

only saw!

His entire abdomen was slightly swollen, and the man himself was very thin, and he was wearing a sweater, so it just covered up the changes on his stomach.

Zhou Cheng saw that there was something wrong with this stomach, so he poked it up a little bit!

It's like touching a floor tile.

This is true for the entire abdomen, and the pressure does not have the softness that a normal abdomen should have.

However, it can be seen that the man's abdominal muscles should be fairly developed, and he should be a person who likes sports and life at ordinary times.

Don't think about it, this is internal bleeding, or even internal rupture.

There is no salvation at the scene!

Although if Zhou Cheng was given a scalpel and sterilized tools now, Zhou Cheng could fight for it, but no!

Zhou Cheng looked around.

Nothing!

Moreover, the open surgery with a large incision, such as laparotomy, has a mortality rate of more than 90.00% if it is performed with glass ballast.

Zhou Cheng's protruding Adam's apple slid up and down twice, and he scratched his hair with bloody hands, feeling a little irritable all of a sudden.

At this time, the siren of the ambulance in the hospital could already be heard.

But the distance is not close, Zhou Cheng immediately shouted: "Two people help me, take him outside as soon as possible, the sooner I get into the ambulance, the better. Two people help me."

Hearing Zhou Cheng's shout, a few onlookers who had been observing Zhou Cheng's treatment came forward immediately!

I just want to run outside with people on my back.

Zhou Cheng hurriedly stopped him: "I can't recite it!"

"If you want to carry it, you lift your head, you lift your feet, I support your buttocks, and then two people lift your waist, right?"

"Get the person out and send him to the ambulance as soon as possible, the better, please."

A man nodded when he heard the words, and just muttered: "I'm so skinny, I'm actually enough for myself."

Is this the f*ck thin thing?

"Thank you, listen to me."

When Zhou Cheng saw someone coming to take over, he immediately gave up his treatment.

"Has the colored paper or crayons I asked for arrived?"

At the first moment, Zhou Chengcheng asked the person in charge of the mall to find these two things!

In this large-scale accident, all patients must be marked.

Although he has no tools, he can do this and save others time.

"Found it. Here, there are only colored markers for the time being."

Seeing that the colors of the pen were enough, Zhou Cheng immediately picked up the marker pen and drew a green circle on the faces of the two children!

A yellow circle was drawn on the woman whose life and death were unknown.

Then draw a red circle on the young man who rescued someone...

The green circle is basically safe, the yellow circle needs to be cautious, the red circle must be rescued immediately, and the black circle is dead!

In this way, as long as you are knowledgeable, you can immediately understand what it means.

Done.

Zhou Cheng turned around and took a look inside the shopping mall. Several firefighters and soldiers in yellow fire suits were already rushing towards the billowing smoke.

rushed to the battlefield that belonged to them.

Then there were some people in fire suits. They saw Zhou Cheng saving people before, so they dragged the people who had just been rescued from the mall to Zhou Cheng. While putting down the patient, they said in a low voice: "Doctor, thank you for your hard work."

Then go back to the upstairs of the mall.

Zhou Cheng asked from a distance, "Are there still many people upstairs?"

"A lot." He only replied, then jumped into the shopping mall again, turned the corner and went upstairs.

"Paralysis!" Zhou Cheng cursed.

The hot pot restaurant is on the third floor!

On the first floor of the ground, firefighters have already arranged soft air cushions!

There are many people waiting to jump down at the windows of the fire stairs on the third floor...

Zhou Cheng couldn't figure out what was going on inside, but he knew it was very dangerous.

Just hope, don't you?

Just when I was thinking about it, there was a boom!

There was another roar in the shopping mall, and then Zhou Chengcheng saw the place where the firefighters ran in just now, and a burst of flames filled the place, directly killing the first two or two people.

buried in it.

And there were bursts of shouts from inside: "Underground, there are gas tanks stored underground, go there quickly, go there quickly, and send all the injured people out!"

"Roger that!"

Zhou Chengcheng saw with his own eyes a thin, skilful young man who was thrown out by the sea of ​​flames and air waves.

Then he looked down at the wounded man he sent out.

The whole person was in a deep coma, Zhou Cheng immediately checked the carotid pulse, and it had completely disappeared!

Then I looked at the pupil, and the pupil was only the size of a needle tip.

The best treatment at this time is to perform CPR on him.

But this is complete nonsense, there are only two people at the scene, one child must have dislocated a joint, and An Ruo is still carefully examining the wound on the woman's abdomen!

Where did someone give him heart compressions that might not work?

Don't you want to see the patients in the back?

sorry!

Zhou Cheng really wanted to draw a black circle for him!

But in the end he was given a red circle.

Zhou Cheng didn't want to easily define him as death, but he also didn't want to waste time on him, because everyone was a stranger.

If at this time, it is possible to perform a craniotomy on him, it can be rescued...

However, such an opportunity is also a luxury at this time.

Just when Zhou Cheng was about to put the marker pen back into his pocket, two firefighters rushed out of the mall again and rushed towards Zhou Cheng, while the others were evacuating relatively healthy people and running outside.

The firefighter seemed to be going downstairs for the first time, so after going downstairs, he carried the wounded person directly to An Ruo who was treating a child.

Their main purpose was to fight fires and rescue people on the spot, and of course they didn't pay attention to how many medical workers there were before.


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