Chapter 45 First Aid (2)
Zhang Kun quickly pulled out the patient's pillow from his head and gently lie down the patient.
After finishing his work, Zhang Kun quickly directed the nurse who had not yet gone out and said, "Quickly, establish the first venous channel, 500ml of saline, 0.3 hemostatic aromatic acid, 3.0 of hemostatic fenac, 250ml of 10 sugar water, 0.4 of acetylglutamide."
Hearing Zhang Kun’s instructions, the young nurse quickly started to operate.
Zhang Kun gently pressed the injured person's chest.
The heartbeats slightly faster, the erection is weak, the heart sounds are low, and the limbs are gradually cold.
At this time, the young nurse had established the first venous channel as Zhang Kun ordered, and Zhang Kun also ordered: "Create the second channel, 500ml of saline, 3.0 cefdiazine, intradermal injection, and stop bleeding immediately by 0.5."
At this time, Zhang Kun had gradually entered the state, his face calm and orderly.
The young nurse next to him quickly responded and began to open the second venous passage.
At this time, Zhang Kun began to check the patient's whole body.
The patient has multiple scratches on his body and blood seeped his skin.
However, when Zhang Kun examined the patient's head, even though Zhang Kun had gradually entered the state at this time, he couldn't help but open his eyes wide.
The injured person had signs of impact on his head and had a hematoma on his scalp.
Moreover, Zhang Kun observed the injured person's ears and nose, and there was a transparent liquid overflowing.
Closed intracranial fracture.
The knowledge in Zhang Kun's mind immediately gave a conclusion.
"Doctor, the patient's blood pressure is abnormal, the pressure difference is 25." The nurse who had already done the second venous passage next to him consciously measured the blood pressure of the injured.
Zhang Kun took a deep breath, slowly adjust his mentality, and then calmly ordered: "Stop bleeding immediately by 0.5, Xidilan 0.4, add 5 sugar water and 50ml to slowly push."
"Suspend the cephalospore channel and establish an acid neutralization channel, sodium bicarbonate 250ml."
Zhang Kun ordered step by step that the injured person's upper limbs gradually recovered, but the temperature difference between the body temperature and temperature at the end of the lower limbs was still large.
"Doctor, the blood pressure difference is 30, and the heart sound is gradually rising!" The young nurse returned with a little joy.
Zhang Kun thought for a moment and immediately ordered: "Take 5 sugar water, 20mg of dopamine, 10mg of hydroxylamine, and slowly recommend."
"Yes!" The young nurse immediately took out the syringe and acted as Zhang Kun's instructions.
After the injection, the young nurse immediately said happily: "The body temperature has gradually recovered, the blood pressure is 12070, and the heart sound is good."
"Huh!" Zhang Kun felt relieved and finally rescued him temporarily.
However, I could not let go, so I immediately ordered the young nurse: "The injured person suffered a impact on his head, causing a closed intracranial fracture, and surgery is required immediately."
"Take blood samples and send them to the laboratory for analysis of blood types. After the results are released, notify the blood bank, and get 10 units, and give a notice of critical illness!"
"Yes!" the young nurse responded quickly and took out the syringe to take a blood sample.
"I will send the injured to the operating room. After the blood analysis results are released, you will ask the people from the blood bank to send the blood to the operating room of the brain neurology!" After Zhang Kun finished speaking, he pushed the hospital bed and ran outward.
Closed intracranial fractures must be operated as soon as possible. If performed late, death may occur.
Under Ye Nantian's leadership, Zhang Kun pushed the injured bed and ran towards the brain neurology department where Ye Nantian used to work.
A few minutes later, Zhang Kun pushed the injured person to the operating room of the brain neurology. When passing by the nurse's office, he called the nurse who was handling medical services.
"Xiao Zhang, Xiao Wang, you guys come here to help prepare for the surgery and have an intracranial fracture!"
The few people in the nurse's office were stunned at first, and Zhang Kun's voice sounded very strange to them.
But seeing Zhang Kun wearing a white coat and the injured person being pushed was dripping, and he was bleeding on his body, it seemed to be very serious.
So he didn't dare to delay and hurried out to help. One of them went into the operating room to prepare, one of them took Zhang Kun's bed and the remaining one ran to the doctor's office in the distance to call the surgeon.
But soon, another nurse ran back and said, "It's not good. Deputy Director Xie went to the emergency department just now. There is no doctor here now, so the surgery cannot be performed."
"What?" Zhang Kun was also caught blindly, no one had surgery? Then what should he do if the patient he finally rescued?
No, can't delay any more.
Zhang Kun's face turned up: "No one has undergone surgery? I'll do it and help me change my sterile clothes."
Hearing Zhang Kun's words, the nurse was stunned: "This..., this is not in accordance with the rules."
"I can't care about that much. The injured person's intracranial fracture may cause a large amount of intracranial bleeding. If the surgery is not done quickly, he may die at any time."
Seeing that the nurse seemed a little hesitant, Zhang Kun made up his mind: "Do as I told you, if something happens, I will be responsible for everything!"
After hearing what Zhang Kun said, and the patient I just saw seemed to be very critical, the nurse finally made up her mind and took Zhang Kun to the preoperative preparation room.
With the help of the nurse, Zhang Kun changed into sterile clothes and sterile gloves, changed his hat and mask, and then entered the operating room.
At this time, the patient had been carefully carried to the operating table and all preparations were ready.
Standing on the operating table, Zhang Kun was really nervous.
At this time, he decided the life and death of a wounded person. If the injured person accidentally died, not only would the death of a life, but he would probably be unable to escape the blame.
Ye Nantian next to him also looked serious at this time: "Zhang Kun, you can do it all, don't worry, you can do it intracranial fractures. I have done less than ten cases before, and none of them failed, so you can do it."
Zhang Kun took a deep breath and his face finally calmed down. It was useless to think so much at this time. At this time, a dying patient was in front of him. Can he let go and ignore it?
Just because you are afraid of taking responsibility, you let it go?
OK, I can't make it myself.
Then don’t think too much, do it, and I will talk about the consequences later.
Zhang Kun calmly ordered the nurse beside him: "Go and disinfect!"
A nurse started to send out.
"Prepare for general anesthesia, a small amount, take local infiltration anesthesia on the head, take 0.5 (percent sign) of procaine for subcutaneous injection!"
"Yes!" Another nurse responded quickly and quickly prepared.
After the sterilization was sent, the 10 units of blood needed by Zhang Kun immediately sent over, and everything was ready.
Zhang Kun looked at the injured person on the operating table, an uncle in his thirties: "Uncle, what the result is? It depends on your life. Let's work hard together!"
Chapter completed!