"Isn't it your turn now, why are you panicking!" Chen Ruihe was not afraid and pushed back directly.
"I order you again, shut your mouth! What nonsense are you talking about!" The officer next to him, who was called the squadron leader, was You Ciren. He shouted at his subordinates with a serious face, and then turned around and said pleasantly.
He said to Chen Ruihe: "Little doctor, I'm really sorry. This is the deputy squadron leader of our squadron. He usually has a good temper, but he's never like this. There were a lot of injured brothers today, and I was even disappointed. He was a bit
in a hurry……"
Chen Ruihe couldn't say anything, so he could only spread out the registration slip and said: "Then let me take a look at you first, but the treatment may have to wait. The injured just now was quite serious. Please understand our work...
How did you get hurt?"
"Fell into the bandit's plan!" The deputy squadron leader seemed a little aggrieved, glaring at the unconscious Wang Chuyi, "There were many casualties, and some were scattered..."
When he said this, he was glared hard by You Ciren, and then he realized that he had let slip. It was discipline to not talk about the battle situation on the front line at will in the rear.
Chen Ruihe didn't take it seriously. He looked at You Ciren carefully and asked, "Where are you injured?"
"This!" You Ciren bared his teeth and turned his arms away: "I was hit, I didn't feel it at the time. I feel the pain now!"
Chen Ruihe picked up the scissors, cut all the military uniforms at the wound, and looked carefully. Then he picked up the probe and tried it on the wound. The pain made You Ciren sweat.
"Ouch...ow...it hurts!"
The amount of blood was not much, but the wound was quite deep. It was impossible to remove the projectile with pliers.
"How long have you been shot?"
"It's been at least more than an hour. I fought with bandits several times on the road. I don't know which time I was injured."
If the skin and flesh around the wound does not turn blue, indicating lead poisoning, it means it is an iron bullet or stone. There is no danger of heavy metal poisoning, and it is relatively easy to deal with.
"Your wound is very deep, but it is not a penetrating wound. The iron is embedded in it - maybe it is still on the bone. Fortunately, it is not a lead bullet." Chen Ruihe frowned. If it was a superficial wound,
He could handle it on the spot. This wound had to be operated on. "We have to wait until Dr. Xie and the others come..."
Just as Chen Ruihe finished speaking, he heard that the deputy squadron leader who had objections just now got into an argument with someone again.
"You idiot, what's going on today?" You Ciren was also anxious and stood up with a curse: "What are you doing here, you idiot? If you don't look at where this place is, you will embarrass the team!"
"
"What's wrong?" Xie Yao heard something was wrong and came over, "Are you always making noise?"
"This person is making trouble unreasonably, Teacher Xie!" Chen Ruihe stood up and briefly explained what just happened with You Ciren.
Xie Yao frowned and asked: "You just said, how did you get injured?"
"Yes... this is a command error, and he was plotted by the bandits. Doctor, I have to apologize on his behalf: This brother usually has a good temper and is steady in his work. I have never seen him blushing with anyone. I don't know what happened today."
I think I became anxious after seeing how injured my brothers were..."
"Is he also injured?" Xie Yao interrupted the deputy battalion commander and pointed at the deputy squadron leader who had just argued. At this moment, probably because he had been scolded by the leader, he was sitting on the ground with a depressed look on his face.
"How can he be injured?" You Ciren smiled, "Not to mention bleeding, not even a scratch on his skin, but he was rubbed on the stomach by Su Mu when he rushed out..."
When Xie Yao heard this, he looked at the officer carefully, walked over quickly, knelt down, grabbed the officer's wrist and checked his pulse, his face changed, he stood up with a solemn expression and said: "Xiao Chen, take this
Comrade also helped me to the observation room!"
Chen Ruihe was stunned: "Who? Him?" Seeing that Xie Yao was not referring to You Ciren, but to the deputy squadron leader who was squatting on the ground with a low eyebrow and sullen eyes.
"Teacher Xie, this is..."
"You can see that the injured person just now was in hypovolemic shock, but you can't see what's wrong with this person?"
"He...? He's lively and noisy. What's the problem..."
"I told you, it's very complicated to judge the injury. Just because he is noisy, you can't stop worrying about this person's condition." Xie Yao frowned and said, "This person also has white lips, slightly cold hands, and a...
If you feel the pulse, it must be over 90... You didn't ask about the injury. He showed changes in his words and deeds after being hit in the abdomen by Tsumugi... It's obviously different from usual, so you have to keep an eye out!"
"Then what problem might he have?" Chen Ruihe was a little confused and a little dissatisfied.
"Have you considered the situation of spleen rupture?" Xie Yao asked while helping the wounded man get into a shock position.
"Spleen rupture!" Chen Ruihe's heart lit up and he suddenly realized.
"If the amount of bleeding from spleen rupture is small and slow, the symptoms can be very mild and difficult to detect. In addition to mild pain in the left upper abdomen, the injured generally have few other obvious signs..." Xie Yao glanced at him after he finished speaking, as if he was worried.
Say: Do you need me to continue talking about the rest?
The terrifying prospect implied by this diagnosis has already made Chen Ruihe's hair stand on end: the injured's unusual noise is probably a sign of irritability in the early stage of shock. Although it does not seem to be life-threatening now, as the bleeding becomes more and more,
The patient's blood volume is insufficient and he will soon enter the shock-suppression stage - then it will be difficult to rescue him.
"Damn it, if there are two of them in need of massive blood transfusions at the same time..." Xie Yao's brows furrowed tighter and tighter.
Chen Ruihe also understood that the health center did not have that much blood at all. Once there were patients who needed a large amount of blood transfusions, they would be stretched thin, not to mention two of them came at once... "Of course, it's not necessarily that - that's the best."
.This patient will undergo a physical examination first. If there is a strong suspicion of splenic rupture, this person will have to undergo an exploratory laparotomy."
"Then the one who was in shock just now..."
"He is definitely in hypovolemic shock, and the bleeding time is too long. If it is not treated, he will die... Save the blood and transfuse it first. If you can debridement and stop the bleeding, you go first. I will look at this first!"
"Yes!" Chen Ruihe could no longer say that he could do something but couldn't do it. When he was short of manpower, the interns had to rush to get things done. They had to do it even if they had never done it before. It was better than just watching and doing nothing.
While Xie Yao was busy, he was thinking nervously: He has already transfused blood to a patient today, and there are only two or three units of whole blood left in the health center - according to the regulations of the Senate, "one unit" of whole blood is
The blood is 200cc, which is 200ml. If Bi Cheng's bleeding can be stopped smoothly, then these two or three units of whole blood combined with the infusion are probably barely enough for them; but if Bi Cheng's bleeding cannot be stopped smoothly, this is suspected
A patient with splenic rupture needs to undergo an emergency splenectomy, and thousands of blood cannot be saved.
What Xie Yao faces now is which patient to save first.
Wang Chuyi is the county magistrate, and this one is the deputy squadron leader of the National Army squadron.
Comparing these two, Wang Chuyi is naturally more important - there are only a few thousand sergeants who can be deputy squadron leaders, but there are always several hundred. There are not many naturalized civilian cadres in Quan Lingao who can be selected as county magistrates.
Come on, those who can be selected are the administrative team that the elders usually value.
"Although Wang Chuyi is the county magistrate, he arrived first after all, so we can't say that he was given preferential treatment. Moreover, Xiao Chen was notified over there and the blood was transfused to him. Besides, this person may not have a ruptured spleen..."
Xie Yao comforted himself silently. In fact, he knew very well that once the decision was made, it meant that the officer who was suspected of having a ruptured spleen might lose his life, and in a sense, he had sentenced him to death.
Although there are countless patients who have died before his eyes and in his hands, Xie Yao still doesn't like the feeling of having his life or death decided by his own body.
"Go and ask for Chief Song." Xie Yao ordered the health worker beside him to help with the rescue, "I'm checking to see if there are any other blood donors, and try to find them all!"
"Where is this one?" The hygienist pointed at You Ciren who was lying on the diagnosis and treatment table.
"He can't die. Carry him to the lightly injured area and wait. Doctor Xie will do the surgery for him when he is free." As he said that, he picked up You Ciren's medical record card and filled in the diagnosis status. "Hang on.
On his neck!”
Song Junxing is the veteran on duty at the health center today - although there are too few maxillofacial injuries that can be allocated to the dental department, the health center does not have a special dental department, but when receiving the front-line support task, people have to be sent, and Song Junxing follows.
I arranged a shift and took turns with several other veterans and senior naturalized doctors to accompany the mobile hospital to various counties.
However, this does not count as "practicing medicine beyond the scope of practice." This time and space is far from the 21st century where subdivision, refinement and diagnosis can be a headache. Therefore, anyone who has been involved in clinical practice has learned skills outside their specialty.
, those who have studied in medical school, those who have not studied, as long as they are related to the word "medicine", let alone the specific branch, they are irrelevant to the general direction, and they are all put on the front line of clinical practice for rotation and "exercise"
"Whether the health clinic is clinical, pathological, examination, epidemic prevention, nursing, or even forensic doctors and veterinarians who are not under the management of the health clinic at all, they are all capable of all kinds of weapons-will it happen now?
Otherwise, it would not be enough to support the original medical security system. Lin Motian once laughed at himself: "Now we have all become first-line doctors in township health stations, and there is nothing we dare not do from head to toe!"
"
Although he was a dental specialist, under the advocacy of Minister Shi and the pressure of reality, Song Junxing, like all other elders who were related to medicine, participated in the rotation of internal and external women and children based on the technical conditions of the Senate. Although he
He may not be an experienced worker before, but he still understands many common principles. Now that he is on the front line, he may not be doing well in specific tasks, but he still has to fulfill some responsibilities - for example, in this case, the final
Make a decision.
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Next update: Volume 7 - Guangzhou Governance Chapter 410