1726: C1726 Hand-to-hand Bleeding Control

C1726 Hand-to-hand Bleeding Control

Chen Qun had just returned to the upper level of the trauma room when he heard a familiar voice shouting.

"Damn it, the patient's aorta has ruptured. Give me the Hemostatic Forceps!"

"Doctor Ding, your blood pressure has dropped to 75 / 50. Do you need to call Doctor Lu?"

"No need! I shouldn't have touched the aorta just now. Damn it, increase the suction! I can't see the artery anymore! "

Chen Qun strode over and saw Ding Liping dealing with everything in front of her in a panic. The surgery she had completed was just a suture of the abdominal incision, and now that such a thing had happened, of course, he was at a loss. No matter who it was, they would panic when they saw the blood flowing in all directions in the abdominal cavity, as well as the ruptured aorta.

"Don't panic. Just because you can't see it doesn't mean you won't operate. What you need to do is to extend your right hand. Use your most thin little finger to block the upper end of the aorta. The position should be one or two centimeters away from where the blood blisters are. Okay, the position where your palm is extended. Use your thumb and index finger to determine the position first, then change it to your little finger to block it. "

Chen Qun took two steps forward and directly opened the incision of the patient. In one go, he completely destroyed the result of Ding Liping suturing for half a day, exposing a bigger and clearer field of vision.

When Ding Liping heard Chen Qun's voice, the panic in her heart disappeared. Then, following Chen Qun's instruction, she carefully searched the blood and found the opening. Then, she put her little finger in. But at the same time, a problem also popped up in her mind.

"Dr. Chen, if I use too much strength, will the crack be bigger?"

"Of course it's possible, especially for newbies. This is unavoidable. So we need to make a follow-up remedy immediately. Hemostasis with bare hands has never been a goal, but an excessive method. So, we don't need to completely block it. As long as the majority of it is blocked, it will be a success. Next, you need to use the proper resuscitation method to deal with it. "

Although Chen Qun knew that this was a critical moment, he was very clear that in such a situation, the more he trained an intern, be it in terms of technique or mentality, the more practical he could be. He was the best teacher. Therefore, even though he was helping, he did not directly take it from Chen Qun. Instead, he switched to teaching mode.

"Doctor Ding, what should we do next?"

"Bind the proximal aortic artery!"

Ding Liping's heart started to beat fast. She knew what Chen Qun had taught her. However, only the old military doctor was qualified to master the barehanded bleeding control technique. Even her grandfather knew this technique. However, he did not recommend her to learn it at all. He thought that the disadvantages outweighed the advantages. But Chen Qun, this weirdo. . . Of course, she stood on Chen Qun's side without hesitation.

Compared to his grandfather's antique, Chen Qun did not abandon some of the old techniques, but instead improved them and made use of them for today's sake. It wasn't just that the layout was much bigger than the old techniques. Moreover, he had really done it, and the effect was very good. Therefore, when he heard Chen Qun's question, he immediately gave the correct answer.

"Should I use the hemostatic clip or surgical suture?"

Chen Qun asked the next question.

The seemingly simple question immediately put Ding Chilies in a difficult position. She was very clear in her heart that if it were Chen Qun, it would definitely be the option of surgical suture, but to her, it was simply impossible. However, at the moment of hesitation, Ding Qianjiao seemed to have understood something and immediately gave a firm answer.

"Of course it's the hemostatic clip. Give me the Debaki hemostatic clip!"

"Doctor Ding, the conditions here are tough. There is no Debaki hemostasis!"

Chen Qun saw that the patient's condition was rising, and the bruises in the abdominal cavity were not completely drawn out. He made things difficult for him again.

Ding Liping already knew that Chen Qun was teaching on the spot and did not deliberately feel bad for her. She immediately answered based on her own intuition.

"If you don't have Debaki's hemostasis, then use ordinary Hemostatic Forceps. But Dr. Chen, I don't know if ordinary Hemostatic Forceps can achieve the effect of special equipment. "

Chen Qun replied.

"From the angle, you need to place the Hemostatic Forceps in a position where it won't loosen. The current situation. . . The location is in the abdominal cavity, and the various organs are relatively soft. There was pressure from all directions. The best way was to stick it diagonally above the abdominal cavity. Ask the assistant to fix the Hemostatic Forceps. If the technique was practiced, it could be directly stuck inside the abdominal cavity. He could use the upper and lower pressure of his muscles to ensure that there was no change in his position. After you are done, pass the Hemostatic Forceps to me. I'll help you support it. "

Ding Liping swiftly followed Chen Qun's method and passed the Hemostatic Forceps to him in a swift and decisive manner. Moreover, she did not continue to ask what to do next. After she controlled the bleeding, she began to pick up the number eight thread and needle holder and began to repair the aorta.

At this time, Chen Qun was a qualified assistant. He immediately opened up a sufficient field of vision for her and left enough space for her to complete the suture. It could be said that he had taught her how to perform this emergency treatment with his bare hands.

Ding Liping had already completely adapted to it at this time. She even knew that Chen Qun was implementing his irresponsible teaching method, "teaching without class. " In short, you can do whatever you want. I won't provide you with details. But if you make technical mistakes, then I think that you are not to be taught.

Looh Yi had ridiculed this method many times behind his back. He thought that as long as he didn't have any opinions, it would be zero in Chen Qun's subject. To Ding Pepper, of course, she did not have such considerations. She immediately began her rescue work with swift and decisive actions.

"Prepare a three-centimeter ring polytetronium angiovascular vessel. See that the light is tilted to the side and hit the position of my surgical clamp!"

Ding Dapei knew that Chen Qun was there at this time. If there was a mistake, not only would he immediately stop it, but he would also take over and continue to rescue the patient. So, she did not pursue perfection in the process, but instead pursued simple and practical purposes. Her fundamental goal was to complete the surgery in the fastest way.0

Chen Qun had been quietly watching Ding Dajiao, who was already immersed in her thoughts. While she was distracted, he took the opportunity to ask the assistant beside him to take over his work and help Ding Dajiao complete the surgery.

Ding Liping was really suitable to be a trauma doctor and inherit Liu Yang's mantle. Even her surgical style was simple and applicable. Therefore, she might not be able to perform a perfect surgery in her lifetime, but to save the patient in the shortest time possible was a perfect surgery that surpassed skills.

He had just escaped from Ding Dajiao's place when he heard Ouyang Yang shouting at him.

"Chen Qun, there are chemical burns on the patient here, and the room is shaking. He can't hold on much longer. You need to take over!"

Chen Qun walked over with big steps. He took off the gloves on his hands and threw them into the large waste box. He took another pair of gloves and walked over to take over the work.

"What kind of chemical burn is it?"

"I don't know. The patient has difficulty breathing. I don't understand what language they speak either. I can only rely on you to solve the problem below. "

Ouyang Yang immediately threw the blame onto Chen Qun. He knew that he did not know much about chemical drugs. In addition, the power outage and signal signal here were not good. It was difficult to connect Little Broom to the satellite, so it was best to directly throw it to Chen Qun, who had a lot of strange knowledge in his mind.

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