Chapter 728 Craftsmanship
The cutting machine carefully dismembered the car, trying to avoid causing too much vibration, or causing accidents due to force release due to a certain part being suddenly dismembered.
Dr. Lu was close to the car window, with both upper limbs using the car window as a fulcrum. He firmly fixed the injured person's head with both hands, keeping the head and cervical spine on the same axis without any rotation, and then used a little force to traction the head. Use traction to maintain this position.
In order to fix the movements in place, Dr. Lu's body was in an uncomfortable position, which was very hard.
"Let me help you for a while." Dr. Zhou from the emergency department suggested. He knew that this life was too hard and tiring
Dr. Lu shook his head: "It's okay. If it doesn't work, I'll talk about it."
This job requires experience, and Dr. Lu has already found the feeling. It is easy to make mistakes when changing people midway.
"Dad, you're going to be late for the exam-" the boy said weakly.
"Beibei, don't talk, hold on." The father's lower body in the driver's seat was completely stuck in the deformed vehicle.
This is a family of three. The mother was not stuck, so she was rescued successfully and has been sent to the hospital.
The father and his child were stuck in the deformed car, and they could only hope to be rescued by dismembering the deformed car.
"Hemoglobin 52 grams!"
The nurse reports the latest results.
One of the emergency fleet equipped by Sanbo Hospital is a mobile examination vehicle, which can conduct simple blood routine, biochemistry, liver and kidney function tests, etc. to detect problems early.
Such a low hemoglobin indicates that there is active bleeding in some part of the body outside the field of vision, and the boy may die from excessive blood loss at any time.
Comminuted pelvic fracture?
An idea flashed through Dr. Lu's mind. If it was a comminuted pelvic fracture and traumatic atlanto-occipital joint dislocation, I don't know if this guy can survive this. After all, as an emergency doctor, Dr. Lu has seen too many of life and death.
"Dad, I can't hold on any longer. I really want to sleep." The boy was very tired because of excessive blood loss.
"Boy, hold on." The father couldn't turn his head, he was very anxious.
"Don't worry, we are with you. Don't move." Doctor Lu comforted the boy and tried his best to stabilize the wounded man's emotions.
While the incision was in progress, Dr. Lu's upper limbs were extremely sore and numb, but he still gritted his teeth. He knew that he had a life in his hands, and the boy's life and death were in his hands.
"I'll take your place for a moment." Dr. Zhou requested again.
Dr. Lu still shook his head.
Even if Dr. Zhou is experienced, there is no extra space to complete the handover between the two people. Handover errors are inevitable. Dr. Lu can only grit his teeth and continue to persevere to the end.
"Be careful! We have to pry open this side hard."
"The rescue team members keep in communication with Dr. Lu at all times so that Dr. Lu can prepare in advance.
When a metal part is completely cut off, it may cause changes in space. This change will suddenly change the force on the head and neck, causing shearing or pulling.
Dr. Lu tried hard to find the feeling of his limbs. Amidst the numbness and soreness, he tried hard to find a sense of autonomy, so that his brain could still control the ends of the limbs, maintain this posture, and adjust the strength of his hands at any time. Cope with some unexpected occurrences.
——
Director Wei's car rushed to the scene.
"Where? Where?"
Director Wei, led by the emergency doctor, came to the car where the cutting was being done.
"The person is stuck inside! I suspect traumatic atlanto-occipital joint dislocation. I will rescue him later. I would like to ask you to customize a close-fitting brace."
Director Wei stopped talking nonsense and waved: "Pull the wires, boil the water, and get ready to start work."
The so-called boiling water is a constant temperature water tank that can maintain the temperature of the water at 40-60 degrees. At this temperature, its plastic material can become soft, and then the soft material can be used to make a fixed brace against the body to fix the head, neck and chest. , preventing the head, neck and chest from moving freely.
Traumatic atlanto-occipital joint dislocation requires very high braces. Director Wei is ready to go into battle himself and devote his life's learning.
Director Wei was originally a plaster master, but with the development of the times, fewer and fewer patients were put on plaster. Director Wei had no sense of accomplishment, so he learned about braces. He combined ancient plaster with modern braces and created his own There are many external fixation methods and tools. In the field of external fixation devices in orthopedics, Director Wei is considered a good hand. At least he has been studying this for most of his life. Today, he can actually use technology to save people. Director Wei is very excited.
"Pull a power bank out of my car and boil water!"
The two apprentices had never seen this scene before and were a little at a loss. Director Wei was a little angry: "What are you doing standing around? Boil water and get ready to start working." Only then did the apprentices wake up and start working, pulling them out of the car. Plug it in, then fill the water tank with water and take out some polymer materials.
Everything was ready, but the rescue cutting had not yet been completed. Director Wei stood on tiptoes, poked his head and looked inside. He observed the wounded from different angles, hoping to gain some data through visual inspection.
After circling the car for more than a dozen times, Director Wei began to cut the materials on the spot.
——
"Dad, you're going to be late for the exam——"
The boy's tone was even lower, so low that it was impossible to hear him unless he was close.
My father was so anxious that he almost cried: "Beibei, it's okay, we don't care about that now, hold on, hold on."
Finally, the space in the back seat was dismembered, and a metal sharp angle from nowhere struck Dr. Lu's arm, piercing the skin and the small arteries and veins under the skin, and blood spurted out.
Dr. Lu completely ignored the injury to his arm and firmly fixed the wounded man's head and neck. Dr. Zhou took out a bandage and wanted to help Dr. Lu bandage it.
"Don't move!" Dr. Lu said sternly.
No one can touch his hand at this time. If he misses it, his life will be lost.
"Slow down, slow down! Get on the stretcher!" Dr. Lu directed everyone.
Everyone cooperated skillfully, slowly removing the wounded, leveling them, and then carefully transferring them to the stretcher.
Director Wei took out a cut piece of polymer material from the water tank. This material was a bit translucent and dripping with water. Director Wei skillfully and gently inserted the material into the back of the head and neck, and then advanced to surround it on both sides.
Quickly and gently massage the thenar area of your hands to smooth the soft material and allow it to be optimally shaped.
The apprentice wanted to help, but Director Wei stopped him: "Don't move!"
Normally he would like his apprentice to be more hands-on, but now, he just wants to do it himself. Traumatic atlanto-occipital joint dislocation is no joke, a small movement can be fatal.
"Don't move around. Watch my technique. Try to use the large and small thenar areas. Be light and even. This technique has a high technical content." Director Wei said while doing it.
He wasn't bragging. It wouldn't matter if he was a little bit worse at ordinary times, but a little bit of a miss at this time would mean a life.
The brace should fit snugly, and the tighter it fits, the better the effect will be, but it should not restrict breathing on the chest, so the best balance must be achieved.
It's like sewing a suit of clothes on a person's body temporarily, so it's very technical.
There is a time limit for the brace material to go from soft to hard, which takes about ten minutes. The whole process must be completed within this time, otherwise rework will be very troublesome. Ordinary patients will have to do it all over again, but this kind of injured patient cannot do it all over again.
Director Wei is like a skilled clay sculptor. With his hands seemingly repeating simple smoothing movements, the brace is slowly being shaped.
Soon, a beautiful and comfortable brace appeared in front of everyone like magic.
"Success!"
Director Wei let go of his hand, looked at his work with a smile, and then gently flicked the shell of the brace with his fingers.
"Can we get in the car?" Dr. Lu asked worriedly.
Director Wei nodded and took out a cigarette: "Don't worry, get in the car, just be careful."
Everyone carefully carried the boy into the ambulance. Dr. Lu checked the reflexes of the injured limbs and breathed a sigh of relief.
"Don't think that our craftsmanship has no technical content. Let's have some snacks later. Look, our craftsmanship can save people today." Director Wei proudly educated his apprentices.
The two apprentices were usually listless. They always felt that there was no future in putting on plasters and making braces, and they were preoccupied with thinking about how to change jobs.
This made Director Wei very unhappy, so he used today's successful case to educate his apprentices.
PS: Daily updates will not start until mid-August, and the real third-line class will not start until mid-August. Currently, it is a pseudo-third-line class.
(End of chapter)