Under the nurses' amused gazes, the taxi driver also came to see the doctor swallowing a light bulb. In the clinic. After experiencing three light bulb patients in one day, Xu Qiu couldn't help laughing. This disease is not an infectious disease, but it is worse than an infectious disease... ... ... That night, it was finally Xu Qiu's turn to be on duty. The first half of the night was very quiet. The nurses and doctors were a little drowsy.
At three o'clock in the morning, the urgent sirens of ambulances cut through the night sky! The people in the emergency department immediately perked up and were ready! Soon after, two ambulances arrived, and four or five burnt and dying wounded were transported down from above! Quickly transferred to the emergency room! Xu Qiu dealt with the patients in his hands, and when he arrived, the emergency room was already crowded. Outside was a group of anxious family members, making a lot of noise. Some people cried, some people pounded the wall in regret. Some people cursed angrily. If there hadn't been someone holding him back, the middle-aged man in a suit opposite would have been beaten into the emergency room. Xu Qiu walked through the noisy crowd with a cold face. When he saw the scene in the emergency room, he still shuddered subconsciously. There were streaks of blood on the floor of the emergency room. There was still a lot of skin tissue attached to it, and even melted yellow fat or blood vessels could be vaguely seen. In the emergency room, there were four or five burned people whose skin and sheets were melted together on the beds. Several monitors in the emergency room were alarming frantically, indicating that the patient had lost his spontaneous breathing. Xu Qiu immediately said: "Why are you still standing there? Quick, press! Ventilate! Don't worry about anything else!" Under the current situation, it is almost impossible to open up a venous channel. The only thing to do is to save the most dangerous cardiac arrest first. "Doctor Xu!"
When the rescue doctor saw that it was Xu Qiu, confidence suddenly burst out in his tired eyes. He quickly followed the instructions and began to press regularly. Even if the patient's burned skin stuck to his gloves, he didn't care. "What's going on?" Xu Qiu was observing the situation in each emergency room and asked the head nurse. The head nurse was busy and exhausted. When she looked up and saw that it was Xu Qiu, she suddenly felt inexplicably relieved. She hurriedly explained: "An accident happened in a factory. The boss forced several employees to meet the deadline. As a result, someone fell asleep and operated improperly. The machine hit the high-voltage wire and all five people below were swept and fell unconscious on the spot!" Electric shock... "Doctor Xu, what should we do next? A patient is dying!" "Lead the way!" Xu Qiu followed to the No. 4 emergency room. The person on the bed was horrible. The burn area of the whole body may have reached 40%. The most serious one was the right upper limb, more than half of which was destroyed. The right hand had turned purple and was on the verge of ischemia, hypoxia and necrosis. The monitor kept ringing, announcing that this life was about to die. Xu Qiu took two steps to the bed, put on gloves, grabbed the prepared scalpel, and cut open the patient's right upper limb. Kakaka-- As the skin was cut, the gas and tissues that expanded inside made a bursting sound, which sounded very relaxing. This step was to reduce pressure and prevent ischemic necrosis of the right hand! However, just as Xu Qiu cut the skin, a thrilling scene happened! The doctor standing on the other side of the bed had his pupils shrink sharply, and hurriedly said: "Doctor Xu, the blood vessels... the blood vessels are all deflated!" The intravenous indwelling needle in his hand was suspended in the air, and there was no place to insert the needle. The head nurse's face was also pale. For patients with such burns, many blood vessels have been melted, and those that can be found are almost impossible to insert the needle. Now the blood vessels are deflated, and it is even more impossible to open a venous channel! And this means... No matter what measures are taken, the patient will die quickly within a few hours. The reason is simple! In addition to septic shock, patients with severe burns also have an extremely serious complication.
Hemorrhagic shock! The massive blood loss led to insufficient blood volume and a sudden drop in blood pressure. If he was not given fluid through the intravenous channel in time, his chance of survival would be zero! Just when the rescue doctor was panicking, Xu Qiu's reassuring voice sounded. "I'll do it." He took the needle and searched for a usable blood vessel on the patient. Finally, he found a tricky part and pierced into the great saphenous vein. Swish-- The next moment, he completed the opening of the intravenous channel. The nurse hurried to verify it, and after a moment she was ecstatic: "Success! It succeeded in one go!" The head nurse widened her eyes in shock. Dr. Xu is really amazing! His medical skills are even more perverted than the rumors! ... After solving this episode, Xu Qiu continued to expand the wound and clean it. Necrotic tissue, rotten flesh, and half-dead fascia, nerves and blood vessels must all be cleaned up. Because he mastered the master-level cleaning technique, he cleaned the wound very quickly and with terrifying efficiency. Even the deep necrotic muscles were pulled out! The expressions of the people present were stunned. Is this really just debridement? Such a basic operation can be done so perfectly? ! At this time, Xu Qiu quickly observed the color of the patient's lips and nail bed. It's not good. He shouted in a deep voice: "Increase the oxygen flow, 5L per minute! Quickly replenish fluids!" Tenfold fluid replacement... Decompression of burn site... Jumping cleaning, vascular dredging... And so on. Finally, after five minutes of rescue, the patient's heart rate gradually recovered.
"Contact ICU and send him there quickly." Xu Qiu took off his gloves and wiped the sweat off his face. The patient's condition was too serious. Saving him now was only temporary. He needed close care from the ICU. "Maybe we have to use extracorporeal membrane oxygenation..." Xu Qiu judged. That is, ECMO. A machine that replaces the human heart and lungs. Even if the patient's heart and lung function is almost lost, as long as there is money, he can rely on an extracorporeal oxygenator to keep him alive. "Dr. Xu, thank you for your hard work! Leave it to us next!" The head nurse, rescue doctors, and others bowed to Xu Qiu. Tonight, if it weren't for Xu Qiu, many people might have died in the emergency department. ... ... The next day. When Xu Qiu went to work, he also received a thank-you letter from the head nurse. Liu Susu yawned and said, "The head nurse actually wrote you a thank-you letter? She's so fierce." Xu Qiu smiled, put away the thank-you letter, and returned to the office. At noon, Xu Qiu wanted to ask about the patient sent to the ICU. At this time, Wang Ping came over first. "Director Wang." Xu Qiu stood up and greeted him. "I heard about what happened last night. You did a great job!" Wang Ping showed an admiring look. Xu Qiu nodded modestly. "The other four are now out of danger. One had an amputation and his life is not in danger. The problem now is which patient was sent to the ICU!" Wang Ping found a seat and sat down and started chatting. Hearing this, Xu Qiu's heart sank. This patient was rescued by him! Is there something wrong?