126,damage control
Su Jie rushed to the blogger's side, and the lobby manager also knelt beside him carrying a first aid kit.
[Eagle Eye]'s ability is like breathing. Su Jie doesn't even need to think, his eyes are automatically covered with a faint light.
"There is still breathing, heartbeat, and the person is still alive."
"Hey, hey, hey! Wake up, can you hear me...loss of consciousness."
"Seriously fractured limbs, suspected pelvic fracture, possible risk of massive bleeding..."
Su Jie took the first aid box, put on the film gloves, and his brain began to work quickly.
For injuries caused by falling from high altitude, the focus of rescue is on shock, fractures and bleeding points.
The patient is likely to have suffered a pelvic fracture at this time. Since there are a large number of arterial blood vessels and pelvic venous plexus in the pelvis, once the fracture occurs, sharp sections will puncture the blood vessels, which will cause severe bleeding.
The amount of bleeding may surge to 500~5000ml in an instant!
A large amount of bleeding in a short period of time can cause hypovolemic shock and be life-threatening.
In comparison, broken limbs, which look terrible, are actually the least life-threatening.
It's like a fast river. It seems that the water is deadly, but the river is washed repeatedly, and the rugged rocks like blades often deliver a fatal blow to the drowning person when he is lucky to be saved.
The inconspicuous ones are the most dangerous.
Su Jie calmed down and began to deal with complex patients little by little.
First, clear the respiratory tract to make sure there are no foreign objects blocking it.
Then the fractured limbs were simply fixed with bandages and splints, and gauze was used to stop the bleeding point of the traumatic fracture.
The superficial problem has been temporarily solved, and the rest can only be dealt with after being transferred to the hospital.
The security guards found a stretcher from nowhere, and Su Jie tore off the cushions on it, leaving only the stiff wooden base.
The patient's spinal cord may also be damaged, and the soft cushion is not stable. If the broken spinal cord is displaced, it may range from paralysis to death on the spot.
First aid is like this, it's all about details, if you're not careful, all your efforts will be in vain.
Four people worked together to put the patient on a stretcher, and a group of people quickly transported the wounded downstairs.
Jiang Wu had been waiting downstairs with the ambulance for a long time. When he saw the patient, he couldn't help but frowned despite his usually expressionless face.
"Falled from a high altitude and suffered multiple injuries. This patient is very serious. Send him to the hospital immediately!"
The ambulance sirens were blaring. Su Jie could ride a bicycle in seven minutes, but the ambulance was stuck on the road and was unable to move forward.
In the carriage, the patient has been connected to a monitor, the red alarm is blaring loudly, and all vital signs show that the person is in a very critical condition, and death is already ringing.
"Dr. Jiang Wu, do you want to contact the operating room in advance?"
Su Jie looked anxiously at the congested traffic ahead. Although most vehicles would give way when they heard the sirens of ambulances, the narrow and congested traffic conditions made it extremely difficult to move out of the way.
Jiang Wu shook his head: "In his current condition, I'm afraid it will be difficult for him to enter the operating room."
"It's hopeless?" Su Jie was shocked.
"is not what it means."
Jiang Wu explained: “For patients with multiple injuries who have fractures and bleeding, the orthopedics department will abide by the principle of ‘damage control’ in most cases and will not let the patient enter the operating room easily.”
"Damage control?" Su Jie asked doubtfully, vaguely remembering the relevant knowledge points in his mind, but it was a little vague.
"right."
Jiang Wu continued to explain: "In the case of multiple injuries, the patient's body has almost reached its limit. It is like a candle swaying in the wind. Any breeze may blow it out."
"And surgery will most likely play the role of that ray of breeze."
"Are you saying that surgery will further aggravate the patient's injury?" Su Jie asked.
“In the final analysis, surgery is not a perfect treatment method. It is also fundamentally invasive. Through resection, repair, displacement, etc., it can treat the patient’s primary disease while minimizing the damage.
disease."
Jiang Wu said in a deep voice: "For ordinary patients, the trauma of an operation may not mean anything. They can recover after a few days of bed rest and a few weeks. But for patients with multiple injuries from falling from high altitudes, the trauma caused by the operation is often possible.
It would be fatal.”
Su Jie nodded thoughtfully, understanding what Jiang Wu meant, and at the same time, his vague memory also shone brightly again.
The term 'damage control' was originally coined by the United States Navy. It refers to the ability of a ship to withstand damage and maintain its mission. When used on the human body, it means that 'organ damage can be ignored for the time being, but life support must be ensured first'!
The key point is, life support!
All seemingly serious illnesses, as long as they are not life-threatening, should be forgotten. Make sure your life can be continued first and talk about the rest another day.
It's like a tattered diesel engine. Maybe the door handle has fallen off, maybe the engine has obvious abnormal noise, maybe the seat cushion springs are protruding, but as long as it can still go on the road, everything is still possible to repair.
But once it can no longer run, even if it is shiny and beautiful, it can only be scrapped and thrown into the recycling bin to be dismantled and started again.
but……
Su Jie's eyes flashed with light, and he felt heavy in his heart as he looked at the patient lying on the stretcher.
‘Damage control’ is by no means a panacea, it is just a delay that has no solution. It is still unknown whether this patient can save his life without surgery...
The ambulance finally broke through the encirclement and parked steadily at the entrance of the Emergency Department of Southeast Hospital.
Doctors and nurses who had been waiting for a long time rushed over to help and transferred the patient to the emergency room in an orderly manner.
With more professional equipment and more adequate drugs, the rescue has entered the second stage.
An intravenous line is established and a large amount of fluid is injected into the patient's body.
The patient wears shock pants, which not only corrects the shock, but also stabilizes the pelvis and prevents further blood vessel damage and massive bleeding.
However, the blood pressure still showed no signs of rising.
Shock, with faint signs of being uncontrollable.
Everyone's heart sank. We are all emergency responders who have experienced many battles and are used to seeing life and death. Seeing the patient's scene, they couldn't help but have a thought in their hearts:
I'm afraid this person is dying.
"Give me the puncture needle!" Jiang Wu ordered, and the nurse immediately brought the puncture needle.
Disinfection, abdominal puncture.
10ml of bright red liquid was drawn out.
Jiang Wu's face suddenly became extremely ugly: "The abdominal organs are injured and are bleeding all the time. We have to go to the operating room for a laparotomy."
Su Jie said: "Dr. Jiang Wu, don't hesitate, the damage can't be controlled, we have to fight!"
Jiang Wu is by no means an indecisive person. The principle is to save patients, but now the patient will die if he sticks to the principle. That principle is nonsense!
"Contact the operating room and go for a laparotomy!"
"Contact the orthopedics department. This person has a pelvic fracture. If the retroperitoneum needs to be moved during the operation later, they will have to assist us!"
"Contact the blood bank, this person wants blood, a lot of blood!"
The wheels are rolling.
Chapter completed!