The night of the emergency never feels peaceful.
The worst thing to think about here.
For example, at this time, Chen Cang just lay down for less than 10 minutes. When the snoring began to rise, a violent and hurried knock on the door suddenly sounded!
It took less than five seconds for Chen Cang to open his eyes, turn over and get out of bed, and then open the emergency door.
After the door opened, Kobayashi stood outside.
Kobayashi looked flustered and said in a hurry: "Dr. Chen, no, a man riding a motorcycle on the pipeline bridge hit the nearby pipeline. We are closest here and are preparing to send a car. We need a car doctor!"
As soon as Chen Cang''s face changed, he walked outside and said, "call Wang Yong quickly, his second line, let him come quickly, and I''ll follow him."
Kobayashi nodded quickly: "OK!"
Chen Cang rushed to the ambulance. The driver Lao Liu was ready and ready to start anytime, anywhere.
After Chen Cang sat down, the car ran out in an instant.
The pipeline bridge is the closest to the second provincial hospital, less than 2km, but the most deadly is not this distance.
But the pipe bridge can''t walk at all!
Pipeline bridge pipeline bridge is actually a small bridge built in line with the trend for the pipeline between the two rivers. People usually take a walk on the bridge.
At most, I can walk an electric car or a bicycle. I can''t walk a car at all.
The car can only drive to the side of the road, and the doctor has to run up in person. There is still a long step to go from the road to the bridge, which is undoubtedly a serious obstacle to the rescue!
It took less than two minutes for the car to reach the parking place immediately. Chen Cang opened the door and ran down with the first aid kit, while the driver Lao Liu pushed down the push bed on car 120.
I was about to go up, but I found that it was all stairs. The cart couldn''t get up and down at all. I quickly held the stretcher in my arms and rushed up.
It''s already more than one o''clock in the morning!
There was not a pedestrian on the road.
After waiting for Chen Cang and driver Lao Liu to run to the pipeline bridge, he saw two young boys standing aside, holding mobile phones and making phone calls.
And a motorcycle fell to one side, a man lying on the ground, life and death unknown!
However, seeing the destruction of the fence, Chen Cang''s heart sank!
Hit like this!
People... Are also very dangerous.
Chen Cang didn''t think much, so he hurried forward with the driver.
When the two young men saw Chen Cang in white running in a hurry, their eyes lit up.
"Doctor! Right here!"
At this time, the injured help his body lie on the railing and half his body is on the bridge. If he is not careful, he may fall down!
The street lights here are not very bright. You can only vaguely see an outline!
There is no blood on the road.
There should be no trauma
However, looking at the man, the most worried thing is whether there is a head and neck fracture.
Once there is, it will be very troublesome to help transfer.
However, such a posture, there is no way to rescue, we must get the man down.
Chen Cang patted the man on the shoulder: "comrade, wake up!"
"Comrade, can you hear me?"
……
Chen Cang called in his ear several times, but he didn''t see any reaction.
Greet the crowd: "let''s take him down. Lao Liu, hold him around your waist and I''ll do my head. That... Young man, you two help give me a hand and lift your legs."
Neither of them is very old. They may be in their eighteenth or twenties, but how can they 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.
Transferring patients is very particular.
Such a car accident injury is prone to fractures of the body, especially in the head and neck and cervical spine.
Once the transport mode is inappropriate, it is easy to cause secondary injury and even aggravate the disease.
Therefore, in the face of emergency patients, we must not rush to transfer, otherwise it is easy to do bad things with good intentions.
And the two young people are right!
Transfer the patient to the stretcher. Chen Cang opens the first-aid kit, quickly detects blood pressure, and then takes out patience to observe breathing and pulse
At this time, two young people saw the street lamp was not very strong, simply opened the flashlight of the mobile phone, awesome the patient.
Before long, the blood pressure came out. After seeing the value, Chen Cang suddenly changed his face!
“6030mmHg！”
This blood pressure, this is hypotensive shock?
Thinking of this, Chen Cang suddenly changed his face.
Hypotensive shock... Trauma
Any bleeding?
But I haven''t found the bleeding place for a long time!
What would that be?
Chen Cang suddenly saw the place illuminated by the flashlight and saw a strange phenomenon.
Chen Cang hurriedly said, "give me the flashlight!"
The young man on one side cooperated very well and handed over the flashlight.
Chen Cang quickly lowered his head!
Jugular distension?!
Suddenly, a critical emergency case appeared in Chen Cang''s mind. At this moment, it must be verified!
Chen Cang handed the cell phone to the other party and took out the stethoscope in a hurry.
My hands are a little tense.
After all, Chen Cang has heard of this disease, but has never met it. If so, the scene may have to organize rescue immediately.
I can''t afford to delay!
Thinking of this, Chen Cang took the listener and placed it in the heart of the injured person''s chest area
Suddenly, bursts of low and distant heart sounds came, fast, like drums ten miles away. The sound was continuous, but low and far away!
Chen Cang looks dignified!
It should be... Pericardial tamponade triad!
This is an emergency cardiac critical illness: acute cardiac tamponade and Beck triad with typical symptoms.
The main manifestations are the increase of jugular pressure caused by the increase of venous pressure and the expansion of jugular vein, which is one of them