Chapter 130 The difficult method of stopping bleeding will bring great rewards if you save people.

This man was covered in blood, and blood was still pouring from his head. In a short period of time, a pool of blood had formed where he fell to the ground.

The situation looks shocking.

"Help...save me!"

The man made a weak cry for help, his expression looked very painful and weak.

Under this situation, Li Jingsheng no longer dared to move the injured rashly.

"Don't worry, I am Dr. Li from Sunshine Clinic. I will find a way to save you."

This was the first thing Li Jingsheng said to the injured.

Based on his rescue experience, this man's life is in extreme danger. In this case, it is very important to give the patient strong confidence in survival.

He knelt down and quickly checked the injured man's injuries.

There was an arm lying weakly on the side of the body, and the middle part of the humerus was twisted at a weird angle.

Without even touching it, he could tell that the arm was broken.

At least it's a comminuted fracture.

To be more serious, it is possible to have a severed injury with only one layer of skin attached.

This man was wearing a white sleeveless Han shirt, a denim jacket on the upper body, a pair of stained jeans on the lower body, and blackened white sneakers on his feet.

I thought the people who were beaten were the security guards maintaining order, but now it seems that they are not.

At least this man gave Li Jingsheng the feeling of... an unemployed young man.

Maybe he was the troublemaker and was beaten by the security personnel of the pharmacy.

To be able to open such a large pharmacy and employ more than 20 people, it is certainly not weak.

On the first day of business, people went to make trouble, and it was normal for them to fight.

Not to mention Internet celebrities who open drugstores, in the past, two herbal tea manufacturers and two mobile companies often exposed the news of mutual exchanges during promotional activities.

If you want to destroy people's jobs, the consequences will naturally be very serious.

Li Jingsheng examined the man and found that at least three of his ribs were broken. No fractures were found in the leg bones, but there were several large bruises on the front of the calf, which were probably caused by hard blows with blunt objects.

The most serious thing was the head wound, which was a gash and was bleeding heavily.

The total blood volume of an adult is only four to five thousand milliliters.

A little less is even less than 3,500 ml, and a little more is only six to seven thousand ml. This can be simply estimated based on body weight, which is equivalent to about 8% of body weight.

In a short period of time, if the amount of bleeding exceeds 1000 ml, shock, coma, or even death may occur.

The man was already in a semi-conscious state.

If rescue is not carried out in time, by the time the ambulance arrives, the person may not be able to be saved.

Li Jingsheng currently has two hemostatic skills, ligation and hemostasis and compression and hemostasis, both of which are at the proficiency level. They are equivalent to the level of a senior resident doctor and can handle slightly difficult hemostasis without any problem.

After further inspection, he found that the man's head wounds were also caused by blunt force blows.

The source of the bleeding is unknown.

Trying to apply pressure to stop the bleeding didn't work, let alone ligation to stop the bleeding.

Because for ligation to stop bleeding, the ruptured blood vessel must be found and ligated proximal to the heart to stop bleeding.

How can I ligate a blood vessel when I can't even find the source of bleeding?

The assailant was so ruthless that Li Jingsheng even discovered by touching the bones that the injured man's skull was probably broken.

This is a fatal move.

The head is one of the most lethal parts of the human body. A punch can kill you, let alone a hard hit with a steel pipe or the like.

The skull is the hardest human skeleton second only to teeth.

Teeth are used to chew food, inside the mouth.

The skull, like other bones, plays a role in protecting important organs and tissues of the body. Among this type of bones, it is actually the hardest.

His skull was smashed directly. You can imagine how brutal the blow was.

What Li Jingsheng was most worried about was that the injured person's intracranial tissue had been severely damaged.

However, the injured person's breathing and motor functions are not suppressed at present. He still knew how to get up and call for help outside the clinic. He should be conscious.

Therefore, the likelihood of serious brain damage is low.

What we need to do now is to help the injured stop the bleeding quickly, and then provide further rescue according to the actual situation.

He examined the injured as quickly as possible, made diagnosis, and formulated a rescue plan.

But now we are faced with a dilemma if we want to stop the bleeding of the injured.

It's a bit embarrassing to say that his bleeding control skills were poor and he couldn't stop the bleeding from the injured man's head.

The practical knowledge in the first aid manual quickly flashed in his mind one by one.

I also tried hard to recall the content about hemostasis of head bleeding in emergency medicine.

He put in a lot of hard work when he was reading that thick book on emergency medicine.

Later, during my rotation in the emergency department, some of the theoretical knowledge was successfully combined with practice. Some of it is still in the theoretical stage.

This is nothing to be ashamed of.

Many attending physicians secretly bring a clinic manual with them when they visit the outpatient clinic for the first time.

If you don’t have enough basic knowledge, you will need to bring an anti-infection medication manual.

As for the resident doctor's first consultation, sneaking in to read a book is nothing.

After all, most people are not geniuses and have grown up step by step.

Li Jingsheng was anxious as he watched the injured person's life disappearing rapidly.

He is the strongest doctor in the clinic. Now facing a rescue, he must take charge of the overall situation.

Fortunately, the doctor's level was upgraded to the junior attending level.

Let him remain calm when facing such critically ill patients.

Fine beads of sweat were already seeping from his forehead.

"Yes, why didn't I think of suturing to stop the bleeding?"

It's like seeing a ray of light in the darkness.

After the wound is sutured, a certain degree of indirect hemostasis can be achieved.

Just now, in my rush to save the patient's life, I only thought about direct ways to stop bleeding, but ignored indirect ways to stop bleeding.

"Sister Tang, immediately prepare the needles, sutures, needle holders, and tweezers for suturing the head wound. If you are afraid, ask Dr. Gao to bring them out."

Li Jingsheng expressed his gratitude to her.

"well……"

Tang Ping stood in the clinic a few meters away and watched. After hearing Li Jingsheng's instructions, she immediately entered the treatment room and prepared to go.

Fortunately, Li Jingsheng's basic surgical suturing skills are above the level of junior residents.

It was a critical moment to save the injured man's life.

If you still stay at the level of internship and formal training, the consequences will be unpredictable.

Under normal circumstances, it would take at least half an hour for an intern to suture a wound of this length. Depending on the strength of the trainees, it would take about twenty minutes for the fastest ones.

And the stitching effect may be poor.

After Tang Ping took the suture equipment and tools, she hesitated for a moment, and finally did not hand them over to Xiao Gao, but bravely walked out the door.

But her eyes were still watching the movement outside the clinic door vigilantly.

Check to see if the assailant is nearby.

"Are you... not afraid anymore?"

Li Jingsheng quickly took the gloves and put them on, then quickly used the needle holder to hold the needle.

Unlike sewing needles, surgical needles are mostly hook-shaped and curved.

Threading is a little more difficult.

Tang Ping must still be afraid in her heart, her hands were shaking all the time.

Facing such a bloody scene where violence may occur at any time, not to mention women, even most men will feel fear and fear.

"I'll train myself."

While she was speaking, she had already squatted down and started using a clipper to clean the patient's head wound and surrounding hair.

If it is a formal surgery, skin preparation is definitely required.
To be continued...