Wang Qian was a little nervous. For him, he made this choice today, he really took his biggest step!

Get out of your comfort zone and become a real emergency department doctor!

But when he saw life so fragile in front of him, he felt very guilty and helpless.

Because... at this time, he was at a loss!

When he said he had blood pressure!

But Chen Cang's pupils shrank, he turned around and shouted loudly: "Old Yang, push the bed!"

When the driver Lao Yang heard Chen Cang's words, he pushed the bed over without hesitation. Chen Cang took a deep breath and said to Wang Qian who was a little nervous:

"Send it to the ambulance!"

"Who is the person in charge, go to the hospital together."

At this time, a bald man walked out of the crowd and a coworker in camouflage uniforms.

"I'll go!"

The two hurriedly followed into the ambulance.

It can be seen that the bald man should be the person in charge, and the worker in the camouflage uniform should be a fellow villager.

But Chen Cang didn't dare to have any ideas at this time. As soon as he got on the bus, he said to the driver Lao Yang: "Master Yang, drive more steadily!"

It seems like a very contradictory sentence, but it has long been used to Lao Yang's ears.

Chen Cang glanced at Wang Qian: "Enter the electrocardiogram monitoring and prepare for pericardial puncture!"

Wang Qian nodded quickly, and at this time Chen Cang became his backbone.

His hands move very quickly and smoothly.

When Wang Qian was preparing for electrocardiogram monitoring, Chen Cang turned on the pericardial puncture needle and prepared for puncture!

Cause: violent impact on the chest area, accompanied by sudden slowdown of the body!

Shows: Sternum fracture, sudden drop in blood pressure, shortness of breath, aortic murmur, S1 heart sound abnormality, aortic second auscultation area...

Various possibilities kept popping up in Chen Cang's mind.

All manifestations, symptoms, and signs are like conditions, deriving a possibility!

When all the conditions were concentrated, Chen Cang thought of several possibilities!

However, the biggest possibility is that large blood vessels in the chest generate income!

Moreover, it is very likely that it is damage to the thoracic aorta. It is very likely that it is not in the aortic isthmus!

If not here...that is...

The more Chen Cang thought, the more frightened he became.

Who would have thought that the first time I drove, I encountered such a difficult case?

If it is proportional, this is a life-threatening patient!

Chen Cang looked up at the two people who came with the car: "Contact the family and inform the patient that he is in danger of life and may die at any time!"

When they heard Chen Cang's words, the two were so scared that their faces were pale!

After all, including until now, the patient is still breathing, struggling, and still...

The coworker's hand picked up the phone was obviously trembling.

The contractor swallowed his saliva, his eyes rolled rapidly, and he didn't know what he was thinking.

"Doctor, you're not kidding?"

Chen Cang asked back: "Joker?"

Then there was no words!

If he was not mistaken, the patient should have closed thoracic large blood vessel rupture, and there is an 80% chance that this closed wound will occur in the aortic gorge, but... this patient may be that twenty percent of the people.

These 20% of people are also the most unlucky people. The damage may occur at the beginning of the aorta, that is, the beginning of the ascending aorta.

what does that mean?

If you follow the latest medical reports!

This kind of injury means only a 10% to 20% chance, and the injured will be sent to the hospital!

The remaining 80% of the patients died of heavy bleeding on the spot or on the way to the hospital!

The rupture damage at the starting point of the ascending aorta will cause acute pericardial tamponade, which is difficult to distinguish from heart damage.

Now, all the symptoms are based on Chen Cang’s own judgment!

Just as Chen Cang was preparing for pericardial puncture.

The ECG monitor is turned on.

And all kinds of alarm sounds from Didi sounded.

Chen Cang looked up and saw that the systolic blood pressure of the heart was less than 50!

Could it be the heart break?

Thinking of this, where did Chen Cang prepare for pericardial puncture?

Because puncture is also dead!

If you don’t puncture, you will die!

what to do?

Chen Cang really couldn't bear to fail in rescue if he took office on the first day!

Thinking of this, Chen Cang felt aggrieved!

He said to Wang Qian: "Call Director Li and said I'm going to have surgery now!"

When Wang Qian heard Chen Cang's words, his face changed immediately!

I quickly started reporting!

Li Baoshan and everyone had been waiting anxiously for a long time.

When Wang Qian's phone rang, Li Baoshan hurriedly said, "Wang Qian, what's going on? What's going on?"

A series of questions made Wang Qian not know how to answer, because... he didn't know anything except blood pressure!

What should I say?

Chen Cang took the phone and said directly: "Director Li, I suspect it was a closed chest injury. The patient's left chest violently hit and the fracture of rib 234 to varying degrees! I now seriously suspect it was a laceration at the beginning of the ascending aorta. Now the patient's systolic blood pressure is less than 50, and it is still lowering!"

"If I don't open my chest in time now to stop bleeding, the patient may be gone after another five minutes before being sent to the hospital!"

As soon as Li Baoshan said this, before Li Baoshan could react, Tao Mi and Xia Gaofeng both widened their eyes, their faces changed, and their eyebrows tightened.

Seeing Li Baoshan stunned, Tao Mi grabbed the phone and said anxiously to Chen Cang: "Xiao Chen! Rescue, rescue with all your might, let go, I will call the dean, I will submit it to you! Don't delay for a minute!"

After saying that, he just clicked and hung up the phone!

Li Baoshan was stunned: "Director Tao, what's wrong?"

Tao Mi has a grim expression!

"According to Xiao Chen's oral statement, the patient's condition is very critical, and the patient is 80% likely to die on the road!"

"If the surgery is not performed, the patient may be cold when he is sent to the hospital!"

One sentence made Li Baoshan stunned.

Xia Gaofeng nodded: "If Xiao Chen's judgment is correct, the patient's survival rate is less than 20%, and... this is the highest proportion!"

"If the heart is damaged, the patient has less than 5% survival rate!"

Li Baoshan was stunned for a moment. He never expected that Chen Cang would encounter such a patient on his first trip.

Even Tao Mi and Xia Gaofeng looked at each other with caution!

"I encountered such a case on the first trip, which is really a bit of a bully!"

After Tao Mi finished speaking, she called the medical department directly and started preparing.

Li Baoshan immediately organized emergency rescue work.

There are still many things to do now!

Chen Cang handed the phone to Wang Qian and took out the lancet from the first aid kit.

perhaps……

At this time, it is better to believe in the lancet in your hand than to believe in God!

Seeing this, Wang Qian quickly started disinfecting!

The two people beside them were filled with trepidation...

This may be the only time they have arrived at the surgery site in their life and saw a person's heart...

...

...

ps: Thank you for the 10,000 reward from Silent Back Piaoxueyi, thank you!
Chapter completed!