"Let's do it." Qiu Ruiyun told the nurse not to be nervous and walked over to Xie Wanying to ask about the child's condition. "How is it?"
After Xie Wanying took the blood pressure of the two injured people, she used a stethoscope to listen to the child's heart. Just by looking at the blood pressure values of the two people just now, it can be judged that the child's injury is more seriously. In fact, children are generally weaker in car accidents and are more likely to suffer fatal injuries than adults.
She placed the stethoscope on the child's abdomen and listened. Xie Wanying gently touched the child's left upper abdomen under the left ribs and said, "The spleen is ruptured."
Hearing her words, Qiu Ruiyun's heart exploded and he thought: I'm in trouble.
It is not uncommon for children's spleen to rupture due to trauma. However, for children like this who quickly go into shock, it means that the rupture is severe and there is heavy bleeding.
"What's going on?" The calm and elegant voice came from Nie Jiamin who came in and asked.
When the leader arrived, Qiu Ruiyun immediately gave up his seat.
Xie Wanying handed the stethoscope to the teacher and reported the preliminary results of her physical examination of the child: "Bowel sounds have weakened significantly, blood pressure is so low that it is almost undetectable, the child has a dull expression, cold limbs, and poor spirits. The abdominal muscles in the left upper abdomen are tense."
While listening to her describing the child's physical signs, Nie Jiamin carefully examined the child and said, "IVS."
...
...
What the teacher said is the abbreviation of intravenous injection, which is a drip. In case of shock, you must give fluids first. Qiu Ruiyun returned to the car to look for something. For children with such serious injuries, venous incision or deep vein catheterization must be considered, as peripheral vascular access may not be possible.
Other doctors arrived one after another. Chang Jiawei and Zhu Huicang checked the wound of Wengui’s mother.
"It's a comminuted fracture." Chang Jiawei, an orthopedic surgeon, judged the condition of the victim's calf with just one glance.
Zhu Huicang put on a stethoscope to listen to the injured person's heart and lungs and said, "Fortunately, it may be just a broken rib. The heart and lungs sound fine for now. Send him to the hospital for observation for a few days and have a CT scan." This is to avoid delayed injuries that may occur later without the doctor's knowledge.
I touched the injured person's abdomen again and found that there was nothing serious wrong with it.
"Mom, Mom." Following the doctor's instructions, Wen Gui called out to his mother.
Maybe Guo Wengui’s mother had a concussion, and the wound was painful, so she closed her eyes and dared not open them, but just moaned twice.
Chang Jiawei wanted to fix the injured person's leg, and Zhu Huicang and Yao Jie helped him.
Qiu Ruiyun came back with his belongings. Seeing that he was alone, Yao Jie asked, "Where are the others?"
"It was intercepted by someone." said Qiu Ruiyun.
Others were shocked: Who robbed people halfway?
"They said the tractor hit someone and then ran away to the next village and hit someone again. I heard that doctors were running over to pick up the people," Qiu Ruiyun said. "The driver said that. When I got back to the car, everyone was gone."
After hearing what he said, several people were stunned: it turned out that there were more than two injured people!
There was a clatter. Someone came running to the door. It was Dai Nanhui who came to ask for help. "Doctor Jiang asked me to ask Teacher Zhu to come over. He said there is a patient with hemothorax."
After receiving the news, Zhu Huicang raised his glasses and asked Yao Jie, "Do you have a thoracentesis kit?"
"Yes." Yao Jie answered, pointing to the central venous puncture kit that Qiu Ruiyun found, "I don't know who prepared it. I didn't bring antibiotics, but these first aid items are all available."
"You didn't prepare it?"
"I don't have the time to do this, and I don't know what you need. The hospital prepared everything, and I'm only responsible for counting and managing it."
After hearing this, the doctors imagined that the hospital leaders were determined to let them show off their skills and advertise as much as possible.
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