medical simulator

But this does not affect his ability to judge the professionalism of the person who made the shot.

Zhou Cheng quickly replied: "The person with the mineral water bottle on his chest had a tension pneumothorax before!"

"I didn't have professional equipment at the time, so I had to temporarily use a glass slide to make an incision, and then temporarily placed a one-way ventilation device. This patient must be strictly anti-infected and debridement."

"I didn't deal with it at the time, and now it must be brain death or even biological death."

"Another patient had burns in the mouth, huge edema in the throat, and difficulty breathing. When I was doing the organ incision, I found that there were traces of dust in the trachea!"

"It is estimated that there are still soot residues in the lungs, but what is certain is that the burns are very deep, and the trachea and esophagus may be damaged. This person should pay special attention."

"The patient with the bandage on the upper arm had radial artery injury and a lot of bleeding. I just did a simple bandage to stop the bleeding. Be careful before removing the bandage."

"In addition, the burn patient at the entrance of the mall has extensive burns all over his body!"

"The two children were dislocated when they came out. I performed a simple reset, but it may not be guaranteed to go in."

"That's all the patients the two of us have come into contact with."

"The patient we marked as black had a plate-like abdomen when he left the mall, and it is very likely that his internal organs were ruptured. I can't give him first aid, so."

"Sorry, I couldn't bring this man back to life."

Zhou Cheng was not explaining something to himself or taking credit for it. He had to tell himself that he had dealt with the patient, lest the other party find out that the patient had been treated, underestimate the patient, and cause fearless death.

If you are not a professional, you may not be impressed by this.

But Cheng Nuo is a professional emergency doctor, and he is also a doctor with 120 cars!

Of course, I know how difficult it is for Zhou Cheng and An Ruo to achieve so much in such a crude situation.

Without a scalpel, closed chest drainage and tracheotomy require great courage and courage, as well as solid skills.

The glass piece is not a scalpel, it is not so sharp and easy to control!

If Zhou Cheng opened the carotid artery, it would be murder!

But Zhou Cheng still did it.

Cheng Nuo continued to extend his hand, shook Zhou Cheng's hand very solemnly, and then said, "Thank you, I didn't mean to question, I just came here to understand the situation."

"Assess the condition as fully as possible, and I hope you can understand."

"I'm going back to work first, and I may have to trouble a few people to wait a little longer. If our hospital has anything to add later, I may need to ask you again."

"But after we transport these patients away, you can leave, okay?"

Cheng Nuo explained sincerely and patiently.

Zhou Cheng nodded: "It's okay, you must have worked harder than us, we should wait a little longer."

Cheng Nuo's way of speaking and doing things is very elegant and careful, but he is afraid that he and others will misunderstand!

Zhou Cheng is a doctor, and he also knows that the other party's cautiousness is the price of the death of every living person he has met in the past.

Every life is unique.

Compared to their lives, the waiting of Zhou Cheng and the others was nothing.

Seeing that Cheng Nuo seemed to be questioning Zhou Cheng and the others, there was an older sister in her 50s among the crowd of onlookers.

He shouted at the top of his voice from a distance: "This leader, these two young doctors are very good at medical skills, we are all watching! Don't make things difficult for him."

Cheng Nuo smiled at her from a distance. Although he didn't reply, his smile should let her understand what was going on.

The eldest sister hurriedly left with several people around her.

As a result, Zhou Cheng and the others were temporarily put aside.

Cheng Nuo and the other emergency personnel only cared about going up to see more and more patients who were brought down from upstairs, and then treated these patients who needed simple treatment, and took away those who didn't need simple treatment.

About ten minutes later, Cheng Nuo didn't even have time to turn around and tell Zhou Cheng and An Ruo that they could leave.

He didn't come back for a long time.

While Zhou Cheng and the others were still waiting for when they could leave, a man in a fire suit ran over. He took off his mask, saluted Zhou Cheng and the others and said, "Who are you? Doctor?"

"I was called by Dr. Cheng Nuo. There are a lot of wounded people in the shopping mall, and there are also a lot of patients who need to be treated. There are not enough doctors there, so he hopes that you can stay and help them treat the patients together."

"Do you think it's okay?" The firefighter was very young, probably younger than Zhou Cheng and the others.

At the moment when the question was asked, I was a little nervous.

When Zhou Cheng heard this, his heart tightened immediately.

There were at least dozens of ambulance and command workers who came to the scene, and they still felt that there were not enough people. There must have been at least two hundred patients here!

Zhou Cheng glanced at An Ruo and said, "We need overalls, hats, masks and gloves."

"Okay, there are special work clothes, gloves and hats in the No. 3 ambulance over there. Come with me, thank you." He even saluted another military salute.

Zhou Cheng actually wanted to say that what you are going to do is more dangerous and greater than what we are going to do.

Zhou Cheng and the others quickly changed their clothes, put on their masks and hats, and then directly joined the team of checking the patients' injuries.

Only then did Zhou Cheng realize how complicated the situation was after the explosion in the shopping mall and how many people were injured.

But the good thing is that it only needs to make a simple identification here, and just make a mark for the patient.

Now that there are special markers, there is no need for Zhou Cheng to draw with a marker pen.

Zhou Chengdao: "An Ruo, let's act separately. The patients that Dr. Cheng arranged for us are all patients with minor injuries. We just need to label them, and someone will take care of them later."

At the scene of first aid, the initial identification of patients is very important, but it is not difficult, and patients can be piled up and labeled subjectively.

However, this also requires professional people to do it. Although there are a lot of emergency personnel who have come this time, there are also many patients who need to be treated, so the manpower is not enough.

But Cheng Nuo didn't arrange more complicated issues for Zhou Cheng and the others.

The speed of Zhou Cheng's labeling was simply too fast. He could tell at a glance how seriously everyone was injured without worrying about life-threatening situations.

However, when Zhou Cheng was sticking stickers on the patient's body, suddenly a person in the distance waved to him: "That comrade, please come and do me a favor."

Zhou Cheng heard it, turned around, and pointed at himself.

The other party nodded immediately: "Yes, it's you. Could you please come and do me a favor?"

Zhou Cheng hurried over!

At first glance, good guy, this person has a severe contusion on his thigh, and the end of the bone is exposed. This looks like an open fracture.Moreover, the wound was still oozing blood, which should be accompanied by arterial damage.

After Zhou Cheng approached, he immediately said: "You can press for me, he has a ruptured artery, I'll go back and get gauze and bandages, you can just press where I'm pressing now, okay?"

Zhou Cheng nodded immediately and said, "No problem."

Zhou Cheng has already seen that this patient has a ruptured femoral artery, and the position where this middle-aged man pressed is near the femoral artery!

However, the place where he pressed was a little bit to the outside, and he didn't press the spot particularly well.

Zhou Cheng immediately stretched out his hand and pressed it to the correct position.

The middle-aged doctor originally wanted to say that your hand was slightly closer, but he immediately saw that the blood that was still slowly oozing out after he pressed it just now stopped immediately. The position where Zhou Cheng pressed, Much better than what he was pressing before.

"Orthopedics? Vascular surgery?" He stretched his neck in embarrassment and asked.

What kind of comrade is this?

Chapter 432 So gorgeous!

Only these two departments are so clear about the anatomy and shape of the femoral artery. General surgery does not care about this blood vessel, and gynecology does not care about this blood vessel.

"Orthopedics." Zhou Cheng nodded and did not explain too much.

Now is clearly not the time to swap identities.

He stood up and squatted down immediately: "Then why don't you go to the car to get something, and I will press it for you. You must be more professional than me. I was in general surgery before. The openness of this patient Does the fracture need special treatment?"

"It's better for you to get it. The position I'm pressing is not easy to control. It's better for you to get the gauze and elastic bandage, and then bring two long splints."

"It's best to have one of 110 centimeters and one of [-] centimeters. Similar lengths are also available, so you don't need to measure them."

"Okay!" The man didn't hesitate!

In fact, it is rare to see people who can do such a good job of pressing to stop bleeding.

Zhou Cheng came out of trauma specialist!

There is also the emergency rescue experience gained in the simulated world.

I am very clear about how to deal with an open fracture accompanied by arterial injury during emergency treatment——

The principles and foundations will not change.

Any first aid is to maintain the supreme principle of uniqueness, that is to save life first, and then save others.

The patient has a ruptured femoral artery. If you don't want the patient to die due to excessive bleeding, stop the bleeding first!

This is not an operating room, it is not an operating room, and the principle of sterility cannot be achieved. No matter how much technology Zhou Cheng has, it cannot stop the invasion of bacteria.

If it is impossible to suture the blood vessels, then only local pressure bandage can be used to stop the bleeding.

This is the principle of taking a tourniquet. Our lower limbs are different from the brain and some sensitive livers or kidneys!

They can survive for a certain period of time under the condition of ischemia.

If this is a rupture of the renal artery, or a rupture of the inferior vena cava or the hilum of the liver, in this case, it is estimated that it is difficult for people to persist until transported to the hospital, but a rupture of the lower extremity artery can...

And if it is such a patient, it is estimated that instead of making him wait, he will be transferred directly to the operating room of the ambulance.

A person came up from the nearest ambulance, and took the things that Zhou Cheng had told Duan Liu before, especially elastic bandages and splints.

During the emergency treatment of a fracture, one must pay attention to the temporary fixation, otherwise, the movement of the broken end of the fracture may cause secondary damage to blood vessels and nerves, or aggravate the extent of the fracture.

When he returned to the patient again, Zhou Guo saw that the hands of the young man who had just called him for help did not move at all.

After seeing Zhou Cheng, his face changed slightly, and he hurriedly said, "Do you need me to call someone to help?"

According to common sense, for such a heavy patient, it is most appropriate for one person to press and two people to fix it.

But Zhou Cheng scanned the scene, and no one was free, and Zhou Cheng could handle it all by himself.

Then he shook his head and said, "Forget it, saving lives is like putting out a fire now, and one extra manpower may save more than one life."

In the current situation, Zhou Cheng didn't know who would die because of delaying the timing!

It can only be said that everything depends on luck. In the face of life and death, all lives are equal and fragile.

At critical times, even saving one human resource is very valuable.

Because some patients may look particularly dangerous to outsiders, but in fact, they only need people with a little professional knowledge!

A slight intervention can drastically change the outcome.

Just like the person with laryngeal edema and tension pneumothorax before, if he hadn't met Zhou Cheng!

Now they can go and have a good chat with some ancient people.

"That's all right, thanks for your hard work." In fact, he didn't call people over directly, because he saw that there were no idlers at the scene, especially those who rushed down from the ambulance, and drove away immediately after being dragged to the patient, come and come Often I wish I could grow wings and fly directly in the sky.

"Ninth Hospital Emergency Department, Zhong Yusheng." Zhong Yusheng told Zhou Cheng his name very formally and seriously.

Although in such a particularly urgent occasion, there is no need to self-declare.

Zhou Cheng saw that the other party reported his family name like this, so he couldn't hide his identity anymore, so he said, "The Affiliated Hospital of Shonan University, Zhou Cheng."

Zhong Yusheng was taken aback when he heard it.

Not from Shanghai?

But Zhong Yusheng is a medical professional after all, and of course he has heard of the name of the Affiliated Hospital of Shonan University.

The Affiliated Hospital of Shonan University is still a little far away from Shanghai.

Moreover, Zhong Yusheng still works in the emergency department, and the emergency department of the Affiliated Hospital of Shonan University has a very strong comprehensive strength.

It is stronger than the orthopedics over there.

Zhong Yusheng said: "Professor Wang from the Affiliated Hospital of Xiangnan University is very famous in emergency medicine. Your orthopedics department is so good. No wonder the emergency department can be ranked in the top ten in the country. There is no shortage of people under the reputation! I admire it."

Zhou Cheng has never met Professor Wang face to face, but it is hard to say that he is not good: "Mr. Wang is indeed very good!"

Then Zhou Cheng didn't say any more, and started to do things directly, firstly do the first aid.

Knead the gauze into a big lump, and press it directly above Zhong Yusheng's pressing position, and then wrap it around with an elastic bandage to press and fix it.Although this way of fixing bandages is not particularly formal, it is even not allowed in principle.

But at this time, it is an emergency rescue, which is an emergency avoidance. If you always follow the principles of the textbook, you will die.