Wang Qian is a little nervous. He made this choice today. For him, he really took his biggest step!


    Get out of your comfort zone and become a real emergency doctor!


    But when he saw that life was so fragile in front of him, he felt very remorse and helpless.


    Because... At this time, he was at a loss!


    When he says blood pressure!


    But Chen Cang''s pupils contracted, turned and shouted, "Lao Yang, push the bed!"


    When Lao Yang, the driver, heard Chen Cang''s words, he pushed the bed over without hesitation. Chen Cang took a deep breath and said to Wang Qian, who was a little nervous:


    "Get an ambulance!"


    "Who is in charge? Go to the hospital together."


    At this time, a bald man and a co-worker in camouflage clothes came out of the crowd.


    "I''ll go!"


    They quickly followed the ambulance.


    It can be seen that the bald man should be the person in charge, and the camouflage worker should be a fellow townsman.


    But Chen Cang didn''t dare to have any ideas at this time. As soon as he got on the bus, he said to the driver Lao Yang, "master Yang, drive steadily and quickly!"


    It seems a very contradictory sentence, but Lao Yang has long been used to it.


    Chen Cang glanced at Wang Qian: "electrocardiographic monitoring, ready for pericardiocentesis!"


    Wang Qian nodded quickly. At this time, Chen Cang became his backbone.


    He moves quickly and smoothly in his hands.


    When Wang Qian was preparing for ECG monitoring, Chen Cang opened the pericardial puncture needle and prepared for puncture!


    Etiology: violent impact injury in the chest area, accompanied by sudden deceleration of the body!


    Manifestations: sternal fracture, sudden drop of blood pressure, shortness of breath, aortic murmur, abnormal S1 heart sound, second auscultation area of aorta


    Chen Cang''s mind constantly emerged all kinds of possibilities.


    All manifestations, symptoms and signs are like conditions, deriving a possibility!


    When all the conditions were concentrated, Chen Cang thought of several possibilities!


    However, the biggest possibility is to generate income from large blood vessels in the chest!


    Moreover, it is likely to be the injury of thoracic aorta. Judging by heart sound, it is likely not in the aortic isthmus!


    If it''s not here... It''s in


    The more Chen Cang thinks, the more frightened he is.


    Who would have thought that the first time I drove, I encountered such a difficult case.


    If in proportion, this is a near death patient!


    Chen Cang looked up at the two people who followed the car: "contact the family members and inform the patients that their lives are in danger and may die at any time!"


    Hearing Chen Cang''s words, they turned pale with fear!


    After all, including so far, patients are still breathing, struggling and


    The worker''s hand picked up the phone, obviously trembling.


    The contractor swallowed his saliva and his eyes turned quickly. He didn''t know what he was thinking.


    "Doctor, are you kidding?"


    Chen Cang asked, "are you kidding?"


    Then no words!


    If he guessed correctly, the patient should be a closed rupture of large intrathoracic vessels, and this closed wound is 80% likely to occur in the aortic isthmus, but... This patient may be that 20%.


    This 20% of the people, also the most unlucky people, may have the injury at the beginning of the aorta, that is, the beginning of the ascending aorta.


    What does that mean?


    If according to the latest medical reports!


    This kind of injury means that there is only a 10% to 20% chance that the injured will be sent to the hospital!


    The remaining 80% of the patients died of massive bleeding at the scene or on the way to the hospital!


    Rupture of the ascending aorta can cause acute pericardial tamponade, which is difficult to distinguish from heart injury.


    Now, all the symptoms are based on Chen Cang''s own judgment!


    Just as Chen Cang was preparing for pericardiocentesis.


    The ECG monitor is on.


    The various alarm sounds of didi didi rang.


    Chen Cang looked up and saw that the systolic blood pressure of his heart was less than 50!


    Is it a broken heart?


    Thinking of this, where is Chen Cang going to do pericardiocentesis?


    Because puncture is also dead!


    No puncture is also dead!


    What should I do?


    Chen Cangshi couldn''t bear to rescue him on his first day in office!


    Thinking of this, Chen Cang''s heart was horizontal!


    He said to Wang Qian, "call director Li and say I want an operation now!"


    When Wang Qian heard Chen Cang''s words, his face suddenly changed!


    Immediately start reporting!


    Li Baoshan and others have been waiting anxiously for a long time.


    When Wang Qian''s phone rang, Li Baoshan hurriedly said, "Wang Qian, what''s the matter? What''s the matter?"


    Wang Qian didn''t know how to answer a series of questions, because... He didn''t know anything except blood pressure!


    What should I say?


    Chen Cang answered the phone and said directly, "director Li, I suspect it is a closed intrathoracic great vessel injury. The patient''s left chest is violently impacted and his rib is fractured to varying degrees! I seriously suspect it is a tear at the beginning of the ascending aorta. Now the patient''s systolic blood pressure is less than 50 and is still decreasing!"


    "If I don''t open my chest in time to stop bleeding now, the patient may be gone in five minutes before being sent to the hospital!"


    As soon as Li Baoshan said this, they did not respond. Tao MI and Xia Gaofeng both stared. Their faces changed and their eyebrows tightened.


    Seeing Li Baoshan in a daze, Tao Mi grabbed the phone and hurriedly said to Chen Cang, "Xiao Chen! Rescue, spare no effort to rescue, let go. I''ll call the dean and I''ll submit it to you! Don''t delay a minute!"


    Then he clicked directly and hung up the phone!


    Li Baoshan was stunned: "director Tao, what''s the matter?"


    Tao Mi looks grim!


    "According to Xiao Chen''s dictation, the patient''s situation is very critical. The patient has an 80% chance of dying on the road!"


    "If there is no operation, the patient may be cold when he is sent to the hospital!"


    In a word, Li Baoshan was stunned.


    Xia Gaofeng nodded: "if Xiao Chen''s judgment is correct, the survival rate of patients is less than 20%, and... This is the highest proportion!"


    "If the damage is to the heart, the survival rate of patients is less than 5%."


    Li Baoshan was instantly stupid. He didn''t expect that Chen Cang met such a patient on his first trip.


    Even Tao MI and Xia Gaofeng looked at each other with caution!


    "The first time I met such a case, it''s really some deception!"


    After Tao Mi finished, he directly dialed the medical department and began to prepare.


    Li Baoshan immediately organized emergency rescue work.


    There is still a lot to do now!


    Chen Cang handed the phone to Wang Qian and took out the lancet from the first aid box.


    Maybe


    At this time, it''s better to believe the lancet in your hand than to believe in God!


    Seeing this, Wang Qian quickly began disinfection!


    The eyes of the two people around me are full of anxiety


    This may be the only time in their life that they arrive at the operation site and see a human heart


    ……


    ……


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