Chapter 288 Female Doctor(2/2)
They only learned about the emergency room, sprinkled white medicine on the wound, and then covered the wound tightly with gauze. The rest had to wait until they got off the battlefield and handed it over to the local doctor.
Modern hospitals do not have advanced equipment, let alone advanced medical skills. They simply perform surgical operations, remove the bullet, and then bandage the wound. Whether you live or die is left to fate.
This is a medical problem in the world. Many advanced medical technologies and drugs have not yet appeared. Therefore, people who are shot in the chest have a very high chance of death.
After Yang Jun raised this question, everyone fell into deep thought. Except for Luo Yanhong and Yi Qiushui, they also lowered their heads in deep thought. The other doctors who applied for the job were also thinking about surgical plans.
If the bullet was just stuck in the chest, it would be easy to deal with it, just take it out. The most fatal thing is that the bleeding volume is very large, and it is very close to the heart.
However, this kind of question obviously couldn't trouble Luo Yanhong. She thought about it for a moment and then blurted out,
"First, puncture and catheterize the pericardial cavity of the injured person, insert peripheral vein and deep vein catheters, intubate the trachea, prepare for anesthesia, prepare blood in the blood bank, and infuse 25 micrograms of norepinephrine per minute intravenously. If there is pericardial bleeding, give pericardial hemorrhage
, and then infused back into the body through the internal jugular vein..."
"etc."
Yang Jun interrupted: "There seems to be no blood recycling machine in China at present, right?"
He knew that only the most advanced hospitals abroad had the most primitive blood recovery machines. It was said that the effect of that machine was not very good. Even so, the largest hospital in China did not have such equipment.
Often, for injured patients with heavy bleeding, doctors can only use the most primitive method of intravenous drip to replenish blood.
Of course, this method is of no use to the injured who have a large amount of bleeding. The injured died of excessive blood loss before the operation was completed.
Luo Yanhong is more or less familiar with the domestic medical level. She also knows that many large hospitals do not have such blood recovery machines at all.
So, she thought for a moment and then continued,
"Open two more intravenous indwelling needles to increase the amount of blood replenishment."
She looked at Yang Jun's face and saw that he frowned slightly, as if he was not satisfied with the answer.
Then he continued: "The open surgery will begin next. I don't know if you have anything to add about the location of the bullet in the chest."
Luo Yanhong knew in her heart that all the external conditions were completed, including anesthesia, ventilator insertion, intravenous drip, arterial blood replenishment, blood pressure, etc. All that was left was to perform open surgery to remove the bullet.
Already.
According to the question maker's thinking, the question must be asked where the bullet is in the chest.
That's why she asked this question.
Yang Jun nodded after hearing this.
If it were any other doctor in China, he would have taken out the bullet with a knife without even asking.
However, from this aspect, Luo Yanhong is indeed more than one level higher than domestic doctors.
Of course, even ordinary doctors know what to do with the previous pre-operative preparations. The next situation where the bullet is lodged in the chest is the real test of the doctor’s true skill.
"The bullet pierced the pericardial wall and visceral layers from the edge, and finally embedded itself in the myocardial tissue." Yang Jun pondered for a moment and immediately set the difficulty level.
"Did it penetrate the heart?" Luo Yanhong asked.
Yang Jun shook his head slightly.
Chapter completed!