The nights in the emergency room never make people feel peaceful.

It’s the worst thing to think about it here.

Just like Chen Cang, who had just lie down for less than 10 minutes, was snoring gradually, a violent and rapid knock on the door suddenly rang out!

It took less than 5 seconds for Chen Cang to open his eyes to turn over and get out of bed, and then to open the door urgently.

After the door opened, Kobayashi stood outside the door.

Kobayashi said anxiously: "Doctor Chen, it's not good. A man riding a motorcycle on the pipeline bridge hit the pipe next to him. We are closest to here and are about to send a car to the car. We need a follower doctor!"

Chen Cang's face changed and he walked outside, saying as he walked: "Call Wang Yong quickly, call him on the second line, let him come over quickly, I'll follow him to take a look."

Kobayashi nodded quickly: "Okay!"

Chen Cang hurriedly ran into the ambulance. The driver Lao Liu was ready and ready to set off anytime and anywhere.

After Chen Cang sat down, the car ran out instantly.

The pipeline bridge is closest to the Second Provincial Hospital, less than 2 kilometers away, but the worst thing is not this distance.

But the pipeline bridge cannot be used to drive!

Pipe bridges and pipe bridges are actually built for the pipeline between two rivers. They usually take a walk on the bridge.

At most, you can take electric bikes, bicycles, etc., but you can't take cars at all.

The car can only drive to the side of the road, and the doctor has to run up in person. There is still a long way to go from the road to the bridge, which is undoubtedly a serious obstacle to rescue!

It took less than two minutes before the car arrived at the parking spot immediately. Chen Cang opened the door and ran away with a first aid kit, while the driver Lao Liu pushed the push bed off the 120 car.

Just as I was about to go up, I found that it was all stairs, and the cart couldn't get up and down at all. I quickly held the stretcher in my arms and rushed up.

It was already past one o'clock in the morning!

There was not a single pedestrian on the road.

After waiting for Chen Cang and the driver Lao Liu to run to the pipeline bridge, they saw two young men standing aside, talking on the phone with their cell phones in their hands.

A motorcycle slumped aside, and a man lay on the ground, life and death unknown!

However, seeing the destruction of the fence, Chen Cang's heart sank!

Crash like this!

People... are also very dangerous.

Chen Cang didn't bother to think about it, so he hurriedly ran forward with the driver.

When the two young men saw Chen Cang in white running over in a hurry, their eyes lit up.

"Doctor! It's here!"

At this time, the injured person was lying on the railing, half of his body was on the bridge, and he might fall down if he was not careful!

The street lights here are not very bright, you can only vaguely see a rough spot!

There is no blood on the road.

There should be no trauma...

However, looking at the man's appearance, the most worrying thing is whether he has a fracture in his head and neck.

Once there, this help transfer will appear very troublesome.

However, in such a posture, there is no way to rescue the man, so he must get the man down.

Chen Cang patted the man on the shoulder: "Comrade! Wake up!"

"Can comrade hear it?"

...

Chen Cang called in his ear several times, but saw no reaction.

Hearing everyone: "Let's lift him down, Lao Liu, hold your waist, I'll do my head, that... young man, you two help with your hands and lift your legs."

Both of them are not old, they may be in their 18 or 19 years old or in their early twenties, but why do they walk on the bridge without sleeping in the middle of the night?

Chen Cang didn't care about anything else. At this time, saving people was his only idea now.

Transporting patients is very particular.

Such a car accident injury can easily lead to physical fractures, especially injuries to the head, neck, cervical spine...

Once the transport method is not suitable, it is easy to cause second-degree damage and even worsen the condition.

Therefore, when faced with emergencies, you must not be lucky, otherwise it will be easy to do bad things well.

But the two young people did it right!

After transporting the patient to a stretcher, Chen Cang opened the first aid box, quickly tested his blood pressure, and then took it out to observe his breathing and pulse patiently...

At this time, the two young people saw that the street lights were not very powerful, so they turned on the flashlight of their mobile phone to illuminate the patient.

Not long after, his blood pressure came out. After seeing the value, Chen Cang's face changed!

“60/30mmhg!”

This blood pressure, is this hypotensive shock?

Thinking of this, Chen Cang's face suddenly changed.

Hypotensive shock...trauma...

Is there any bleeding?

But I couldn't find the bleeding spot for a long time!

What would that be?

Chen Cang suddenly saw a strange phenomenon where the flashlight shone.

Chen Cang hurriedly said, "Give me the flashlight!"

The young man next to him cooperated very well and handed over the flashlight.

Chen Cang hurriedly lowered his eyes!

Jugular vein is angrily opened?!

Suddenly, an emergency critical case appeared in Chen Cang's mind. At this moment, it must be verified!

Chen Cang handed the phone to the other party and hurriedly took out the stethoscope.

My hands were a little nervous.

After all, Chen Cang had heard of this disease, but had never encountered it before. If so, the rescue might be organized immediately on the scene.

Can't afford to delay!

Thinking of this, Chen Cang brought the listening device and placed it on the heart of the injured person's chest...

Suddenly, waves of low and distant heart sounds came, and the speed was very fast, just like the sound of drums ten miles away, endlessly, but low and distant!

Chen Cang's face was solemn!

It should be...a triple sign of pericardial stuffing!

This is an urgent cardiac critical condition: acute heart tumour, the typical symptoms of bek triple syndrome.

The main manifestations are increased venous pressure, resulting in increased jugular venous pressure and angrily venting of the jugular vein, which is the first characteristic.

Second, the sudden drop in blood pressure leads to a decrease in systolic pressure, a smaller pulse pressure difference, shock, strange pulses, etc. are the second signs.

The third is the decrease in heart beat volume, the low heart sound is far away, tachycardia, etc. This is the third sign.

The three signs seem to have put the truth in front of Chen Cang!

At this time, Chen Cang touched the injured person's skin and felt that the skin temperature around his body was decreasing.

Chen Cang has confirmed that the patient must have had acute pericardial tamponade caused by trauma. He is currently in shock and is in an emergency and is in danger of life at any time.

What is pericardial tampon?

The heart is the driving organ that maintains blood circulation in the human body, and it ensures the blood supply to all organs and tissues in the body.

The pericardium is like the armor of the heart, protecting it outside the heart, and is a sac-like structure that wraps the heart and the roots of the large blood vessels entering and leaving the heart.

There is a cavity between the heart and the pericardial cavity, called the pericardial cavity, which refers to the gap between the pericardial wall layer and the visceral pericardial on the surface of the heart.

There is a small amount of light yellow liquid in the pericardial cavity, lubrication of the surface of the heart. This is like an engine, and it has the effect of lubricating oil. After all, the heart is like a piston and keeps beating. If there is a pericardial outside, it requires friction. This light yellow liquid is lubricating oil to reduce the friction between the heart and the pericardial.

When the traumatic heart rupture or the pericardial blood vessels are damaged, blood accumulation in the pericardial cavity is called blood pericardial or pericardial tamponade, which is the cause of rapid death of heart trauma.

Due to the limited elasticity of the pericardial and acute pericardial hemorrhage reaching 150ml, it can limit blood reflux and heartbeat, causing acute circulatory failure and thus leading to cardiac arrest.

After all, think about it, blood accumulates in the pericardial cavity, and the pressure on the heart cannot beat. In order to continuously provide blood supply to the body, the heart can only desperately contract and relax, contract and relax... causing the heart to be faster, but the amount of blood pumped is getting smaller and smaller, because the resistance caused by the pressure outside the heart is getting greater and greater!

Soon, the heart may have a cardiac arrest, leading to acute circulatory failure, or even... death immediately!

Therefore, the current patient is in critical condition and very dangerous, and may face death anytime and anywhere.

What we need to do now is to relieve heart compression.
Chapter completed!