Chen Cang knew that after the ambulance of the second provincial hospital returned, many directors were there and could organize effective rescue work.
But the scene is different!
It may change at any time.
For example, the man nailed to the seat in Harvard''s car.
If you don''t transfer and operate in time, you will die!
Through the large blood vessels in the chest, it can be determined from the position. The risk factor of this operation is very high. It is likely to have damaged the large blood vessels in the chest, and there is more than one place!
Because of the airbag, the man''s head is indeed effectively protected.
At this time, his face was pale, his breathing was weak, and he even struggled to open his eyes!
Guo Yunfei looked at this scene and his heart sank to the bottom of the valley!
We must take the lead in getting the man down.
There''s no way to stay in the car.
The fire department directly sawed off all the electric saws on one side of the car door. Now the fence iron bar behind the man and in front of his chest must be cut short.
At this time, everyone is a little worried!
This chest piercing position is very close to the heart!
It was more difficult than the steel bars inserted into his chest.
However, every minute of delay now passes away life.
After the accident, the rescue time is platinum ten minutes and gold one hour.
This means that if the rescue is completed within ten minutes, the success rate will be very high, and one hour is guaranteed, but no matter how long it takes... It will be very difficult
The fire fighting comrades were very professional. The two strong men said directly, "Lao Yang, we''ll take you to cut it off. First cut off the seat! Then cut off the iron bar!"
Lao Yang nodded: "you hold it tight!"
This clenched is not so simple!
The vibration and heat generated when the saw blade is sawing, who knows what kind of damage it will cause to the human body.
Chen Cang gritted his teeth, took his hand directly and held the rear.
Guo Yunfei looked up and looked curiously at Chen Cang in a white coat. He keenly saw that "Dongyang Second People''s Hospital" was written on his left chest, and Chen Cang in the emergency department was written on his chest plate.
Guo Yunfei didn''t speak much, so he clenched his hand with Chen Cang!
When the chainsaw vibrated, people''s hands trembled, but they tried to maintain their balance, while the man who was about to faint was crying and aching!
This process lasted less than a minute!
But their hands still felt a kind of trembling and sleepiness.
Fortunately, the stick is still hollow, otherwise, it will be more dangerous!
With concerted efforts, the man was quickly transferred to the open space.
After such a toss, the man had hemorrhagic shock.
After a few efforts, they finally cooperated with Guo Yunfei to carry the patient to the ambulance.
"ECG monitoring!"
"Rehydration!"
The nurse nodded and hurriedly began to prepare. Chen Cang didn''t stop and took scissors to cut the man''s clothes directly.
Blood can still be seen here.
As soon as the monitor was switched on, the alarm began to sound.
Blood pressure is only 7040mmhg!
The breathing is so weak that people feel suffocated, and the heart rate is falling
The whole person seems to be passing vital signs.
Chen Cang looked at the bulge in the chest area. He glanced at Guo Yunfei and was preparing to speak. He saw that Guo Yunfei had a puncture needle ready in his hand. He glanced at Chen Cang: "Doctor Chen, it''s hard."
Chen Cang nodded and looked at Guo Yunfei with appreciation!
Guo Yunfei looked at the ECG monitor, felt and judged the position with the stethoscope, and directly penetrated it blindly!
Chen Cang quickly began to draw blood!
About 150 ml was extracted, and the heartbeat began to recover, but the blood pressure remained unchanged.
Massive hemorrhage caused by rupture of large blood vessels in the chest.
Guo Yunfei frowned, looked at the nurse and said, "prepare for emergency surgery!"
The nurse took out a box directly from below, prepared the surgical instruments, and then began to lay a hole towel for the operation!
Chen Cang was stunned!
Looking at this posture, the other party seems to often do the operation on this ambulance?
The preparation was so complete that even the nurses were not a bit flustered.
Indeed, as a star in the field of first aid in Dongyang Province, Guo Yunfei''s nurses are fixed. As long as Guo Yunfei doesn''t go, the nurses will follow to prepare for rescue. Guo Yunfei gets up and leaves, and the nurses also follow.
Guo Yunfei took a look at Chen Cang: "Dr. Chen, you need to prepare for the operation immediately, otherwise, there will be no one sent to the hospital!"
Chen Cang nodded: "I''ll help you!"
Guo Yunfei nodded gratefully and began to disinfect, lay hole towel and prepare for operation!
But he was also curious, because he found that Chen Cang was not shocked or a little curious when he saw the operation on this ambulance?
On the rescue vehicle, the equipment is complete. Guo Yunfei directly selects the opening to enter towards the fifth rib of the sternum. This angle is safe and reliable, will not damage the large blood vessels, and can see the situation in the chest!
With the help of Chen Cang, the operation went very smoothly!
After thoracotomy, Chen Cang quickly began to suck fluid, while Guo Yunfei didn''t stop. He looked at the big blood vessels in his chest and kept looking for bleeding points!
I saw this hollow iron bar directly through the aortic arch, blood constantly flowing out, and there was still damage between the ascending aorta and pericardium in the rear!
At this time, there is no extracorporeal circulation machine. If you want to operate on the ascending aorta, the possibility is almost zero!
But the bleeding is so serious. What should I do?
Even at this time, the aortic arch does not need to be considered at all, but the active injury can no longer be clamped with hemostatic forceps.
What should I do?
Guo Yunfei frowns!
Chen Cang did the same. He stared at the damaged area and looked up at the ECG monitor.
You can''t delay!
Chen Cang said directly, "give me the scalpel and you can sew it!"
In a word, Guo Yunfei was stunned!
what do you mean?
Do you sew like this?
Are you crazy?
Operate on the patient''s ascending aorta while the heart is working!
Even after many ambulance operations, it was the first time to start on the heart and ascending aorta when the heart beat
However, he never thought that Chen canggen would not give him room to think!
Chen Cang''s decisive knife directly let the blood spray out. The wound of the ascending aorta was torn. It should be the contusion and laceration caused by the impact. After losing the cover of the pericardium, the blood appeared instantly!
Guo Yunfei glanced at Chen Cang!
You bastard... What should I do now?
The pericardium is open... Stop bleeding!
How to stop bleeding? Guo Yunfei is crying
But!
In the midst of lightning, stone and fire, Chen Cang shot!
He held both ends of the ascending aorta directly with his hand and quickly turned around to take two sidewall hemostatic forceps!
Under the action of two hemostatic forceps, the patient immediately stops bleeding in the area of contusion of ascending aorta!
This scene directly made Guo Yunfei dumbfounded!
What immortal operation is this?
This is NIMA!
Is it too cruel?
Yes, Chen Cang''s operation, from Kaixin bag to clamping blood vessels with sidewall hemostatic forceps, took less than 30 seconds!
This made Guo Yunfei holding the suture swallow saliva
This is forcing me to go up Liangshan!
Guo Yunfei couldn''t help looking up at the wave!