If you are dealing with open pneumothorax in a hospital, you need to close the wound as soon as possible to restore pressure to the lungs. Then, close chest drainage is performed in the chest cavity. One section of the drainage tube is inserted into the chest cavity, and the other end is inserted into a water seal bottle at a lower position, gradually ejecting air, blood, pus, etc.

But now the environment where Sun Lien and the patient are in a bus that overturned on the road, rather than the Fourth Central Hospital with enough medical equipment and medical staff. Sun Lien searched around the neighborhood and found a plastic children's raincoat that looked like a child was wearing. After he pulled off a large piece of plastic cloth from it, he used electrician tape rolling around to stick the plastic cloth firmly to the young woman's wound.

According to conventional treatment methods, thick Vaseline gauze should be used for covering and then supporting treatment. After the patient's physical signs are corrected, he will undergo an open chest surgery, debride the chest and then close the chest cavity, and perform closed drainage. But in this kind of place, let alone gauze, I'm afraid even Vaseline can't be found. Sun Lien could only secretly pray that the quality of these electrician tapes is strong enough and the material of the plastic raincoat is strong enough. Otherwise, she might not last long.

The closed wound does not completely reverse the patient's condition. Open pneumothorax is usually accompanied by lung tissue damage. As you breathe, air will continue to seep out of the damaged lung tissue and re-enter the chest cavity. In this case, she is just artificially converted from open pneumothorax to tension pneumothorax. During this conversion, the patient's condition will gradually improve from bad to worsen and then worsen again.

If she cannot be transported as soon as possible, Sun Lien has to find something like a syringe needle and open a small hole in her chest to release the pressure.

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"The fire brigade and the ambulance are already on the road!" Rachel's shout sounded outside the bus, "Doctor Sun, are you okay?"

Sun Lien quickly checked the young woman's injuries. After the electrician tape was twisted into a rope by him, Sun Lien quickly tied the temporary tourniquet to her left thigh - the tourniquet was tied above the fractured femur. "I have no problem, but there are two wounded people here!" He looked at the young woman with some embarrassment, "A man is quite conscious, but he may have cervical spine injury, and the specific situation is unknown. A woman has open pneumothorax, as well as fractures and discontents from the lower limbs."

Rachel shouted loudly, "You  keeping  deal  with  it! I'll go find Dr. Pascal!" In desperation, the American who spoke Chinese and Beijing accent began to mix Chinese and English. Sun Lien understood what Rachel meant and continued to lower her head to deal with it. The combination of umbrella and cloth strips allowed him to fix the young woman's disconnected femur, and the skin that only had a trace of flesh and was also wrapped in Sun Lien with long-sleeved underwear on her body. After he finished processing, Sun Lien realized that he had only had a short-sleeved upper body on the Capital Airport Expressway in December.

The surrounding diesel smelled more and more severe, and other vehicles passing here were parked behind the buses one by one. The overturned bus almost blocked the entire expressway, and the lying body occupied the entire emergency lane and two and a half driving lanes. Only half of the overtaking lanes were left, and the cars could barely pass through. The enthusiastic capital drivers simply parked their cars in the slow lane on the side of the road, leaving an emergency lane for rescue personnel, and then pulled the bus passengers who escaped from the day of birth into their own car. In this cold weather, there was no cover on the highway. The cold wind blew for an hour or two, I was afraid that these poor people who had just escaped from the day of birth would fall ill.

Several drivers who had served as soldiers got out of the car and rushed to help. However, due to the lack of stretchers and corresponding first aid equipment, Song Hualin, who had a fractured axle vertebra, could only continue to lie in the bus. The young woman was carefully held up by several people and sent out of the bus car.

Sun Lien climbed the car window, told Hu Jia outside to pay attention to the matter of observing the tension pneumothorax, and then returned to the car.

He felt that he was very cold, and the main structure of the vehicle was metal. In order to save fuel and prevent fire, vehicles of the buses of the body basically did not install any insulation components in the body, and the temperature inside the vehicle was completely controlled by the air conditioner. The overturned bus obviously had lost the ability to adjust the temperature inside the vehicle. Sun Lien was determined to find a piece of clothing to wear, and just wore a T-shirt inside, which was really not taking the cold of the north seriously.

But looking at Song Hualin who was lying on the ground and could not move, and might even cry because of the combined effect of fear and pain, Sun Lien shook his head and sighed. He held the seat and walked to him and sat down.

"You can still talk, right?" Sun Lien pulled the fallen seat cushion and placed it under his butt. "Where are you from? Are you here for a business trip in the capital?"

"I'm from the Shanghai Stock Exchange." Song Hualin opened his mouth with difficulty, his voice very low. "I came to the capital this time to see an old friend."

"Shanghai Stock Exchange?" Sun Lien was intrigued, "I haven't been to the Shanghai Stock Exchange yet. I heard from my friend that everything I eat there is candy. Isn't it true?"

Song Hualin replied, "Not..." He gradually understood why the doctor was sitting in the carriage and talking to him. "Doctor, am I going to die?"

"Ah?" Sun Lien deliberately made his voice exaggerated a little, "You're going to die? Why can't I see it?" He tried hard to relax the middle-aged man in front of him. "Don't worry, the ambulance will arrive soon. With me here staring at you, you won't be in trouble."

"I... hurt very much now." Song Hualin sighed, "It's okay if I hurt all over my body. I feel like my neck is about to break."

Of course, Sun Lien couldn't say that his neck had broken. This did not do anything except make him nervous. He could only smile and say, "Then you are better than us doctors. We have to let the patient take an X-ray to know if his neck is broken."

"Doctor, what's your name?" Song Hualin suddenly asked, "I see you are very young. Have you just graduated?"

"My name is Sun Lien." Sun Lien introduced himself. "I am twenty-five years old this year, and I am a doctor who has just started working."

Song Hualin whispered, "My name is Song Hualin." He paused and suddenly asked, "Doctor Sun, can I take out my cell phone? It's in the pocket of my pants on my right. I want to call my family."

Sun Lien took out his cell phone. Diesel is not flammable. He learned this little knowledge in high school. I think it doesn’t matter if you make a phone call.

"Do you want to call your family?" Sun Lien asked, "Do you save their phone numbers in your phone? I'll dial for you."

"First... call my lawyer first." Song Hualin replied in silence for a while, "There is a lawyer Zhao Song in the phone address book, call him."

Instead of reporting your safety to your family, you call the lawyer first? Sun Lien was a little confused, but since this was the patient's request, he naturally couldn't say anything. He called the phone and reminded, "Your neck cannot move, I will turn the phone as hands-free and put it next to your ear."

The phone rang quickly, and a cheerful voice came from the opposite side, "Mr. Song, have your plane landed?"

"Lawyer Zhao, I may be dying." Song Hualin's voice was very stable, and he didn't sound like a person who was arranging his funeral at all. "Have you done my will notarization?"

"Ah?" Lawyer Zhao on the other end of the phone was startled, "Mr. Song, what's wrong with you?"

"I'm on the bus at the Capital Airport." Song Hualin explained calmly, "In an accident in the vehicle, several people may have died. I was injured and my neck could not move. Although the doctor next to me said that I can't die, I think he is lying to me."

Sun Lien was a little embarrassed. He had never seen someone like this... who didn't play according to common sense.

"Your will has been notarized." Although Lawyer Zhao found it incredible, he still faithfully traveled his own obligations. "Do you need to make changes?"

"No need." Song Hualin refused this suggestion, "Please inform me of my ex-wife... and the children." He was silent for a long time, so long that Sun Lien thought he had finished speaking. Just when Sun Lien was about to help hang up the phone, he suddenly said, "Tell them... I'm sorry. Tell me your current girlfriend, I'm sorry."
Chapter completed!