I was working the night shift in the anesthesia emergency department, and just as I was about to take a nap, I heard the phone ring urgently. During this time, there would be no other things. Everything could be discussed the next day. The only possibility was that there was a patient who needed emergency treatment. At this time, Xiao Li, who was no longer sleepy, bounced up as if a spring was installed. Without even turning on the lights in the corridor, he had already rushed to the emergency department along the stairs he had walked thousands of times. When I arrived at the emergency department, I was anxious and surprised because in addition to the patient, there were also hundred-dollar bills scattered all over the floor of the rescue room. No one is perfect, and even though it was a rescue situation, his brain couldn't help but analyze the situation. At this time, the emergency department colleagues were pressing the patient's neck with gauze, and the patient's face, neck and clothes were already covered with blood. It was obvious that the patient had lost a lot of blood. Due to excessive blood loss, the patient was no longer conscious. He was close to coma and could no longer effectively control his tongue. His limp tongue fell backwards. Therefore, his breathing was extremely difficult. Considering the patient's weight of more than 200 pounds, short neck and injuries, the emergency department colleague did not dare to try to handle it himself, but immediately called the anesthesiology department for help. He knew that the anesthesiology department could solve the patient's ventilation problem and was also very unique in circulatory management. For such a complicated patient, more people must be there. In a blink of an eye, Xiao Li had inserted the endotracheal tube into the patient's trachea. Although he encountered some resistance when inserting the laryngoscope and the thick tongue made it difficult for him to see the direction of the glottis, he still successfully inserted the endotracheal tube based on his experience. With breathing as a guarantee, everyone seemed to be relieved. However, the stimulation of the catheter raised the patient's remaining blood pressure a little. The gauze that had been pressed on his neck began to ooze blood again. Seeing this, the anesthesiologist Xiao Li immediately signaled that he should take over the pressure on the wound on the neck, and asked his colleagues in the emergency department to immediately notify the relevant surgical department to prepare for the operation. Hearing this, the colleague in the emergency department was slightly stunned. Apparently, he seemed to have forgotten that the anesthesiologist was also an expert in human anatomy. Pressing the carotid artery accurately was no problem for Xiao Li. Suddenly, the door of the emergency room was pushed open, and several big men in mink and silver rushed in. The leader shouted: Doctor, do your best to save my brother, you must keep him alive, it's all money. Seeing this and the banknotes scattered all over the floor, Xiao Li understood what was going on. But how could these people understand that doing this would only interfere with normal rescue efforts and what else would it do? After the emergency department colleagues used all their strength to push them out, they immediately called the surgery department, blood bank and other departments. Just as I was calling the anesthesiology department, I turned around and saw Xiao Li. Soon, Xiao Li escorted the patient all the way and the patient was pushed into the operating room. When the bleeding stopped, everyone finally saw the injury clearly: it turned out that his carotid artery was pierced by the knife tip. If it was cut, even a god would not be able to save him. After intensive rescue, the patient's life was saved. [Knowledge Point] If you find someone bleeding heavily from the neck, apply pressure to the wound immediately. No matter what method you use, make sure that the bleeding is not excessive. Blood loss in this area can lead to a rapid decrease in blood supply to the brain. In the case of massive blood loss, it can take more than ten seconds to lose consciousness. Once the victim loses consciousness, he or she will immediately lose the ability to save himself or herself. Therefore, if there is no one else around, immediately press the wound with all your strength; if there are other people around, call for help immediately, ask others to press the wound and call the emergency number. [Warm Tips] Follow us, there are a lot of professional medical knowledge here to help you understand the anesthesia issues in surgery~ |
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