medical simulator

When Zhou Cheng arrived again, Yang Yifeng and Pi Dengshan asked him: "What's the situation over there? It seems that someone shouted that the person is gone."

The distance is a little far, and there are a large number of onlookers shouting for cheer, so the sound is actually a bit messy and I can't hear it clearly.

"Mr. Pi, I don't know. When I came out after changing clothes, I only saw arterial bleeding, and then I rushed over." Zhou Cheng explained to Pi Dengshan.

At the moment, Piedenshan was simply treating an open wound on the abdomen of a patient. Hearing Zhou Cheng's reply, he turned his head to look at Zhou Cheng: "Which hospital are you from? Are you a student from Attachment One?"

Pi Dengshan thought that Zhou Cheng was called by Yang Yifeng, at least he was Yang Yifeng's classmate or something.

Zhou Cheng's sense of discipline is a bit strong. He didn't even eat such a big melon. This shouldn't be something Zhou Cheng should do at his age.

The mind is too good, too stable.

"Ms. Pi, I'm from the Eighth Hospital, regular training." Zhou Cheng replied.

After Pi Dengshan had finished asking, he continued to his own operation. After hearing Zhou Cheng's words, he interrupted his operation again, and then looked back at Zhou Cheng with complicated eyes!

Piedenshan didn't speak any more, and after dealing with it for a while, he shouted to the distance: "Come on a stretcher!~"

Someone had already been waiting by the side, waiting for Pittenshan's order to transfer the patient away, but the on-site first aid treatment is still very important. If there is an expert team like Pittshanshan to deal with it, the chance of saving his life will be greatly increased.

After transferring the patient to the stretcher, Piedonshan clapped his hands and looked around. The seriously injured patients were being treated by eight on-site emergency medical teams in turn.

Yes, there are only those who are still under siege. Piedonshan stretched out his hand and said, "Let's go to the side and find a place to sit and rest for a while. There will definitely be a fierce battle to be fought later!"

Piedon Hill did not intervene in the rescue of others.

Zhou Cheng, Yang Yifeng and others followed closely behind.

Beside the group of people, they also saw that some people were transporting the dead. Most of them were young people, probably students.Their expressions are different, some are terrified, some are afraid, some may not react and disappear, and some have painful expressions on their faces, probably they have not waited for treatment!

Soldiers are precious and fast, and every second counts. The injured must be properly treated and treated as soon as possible.

So in fact, after sharing the number of patients who needed to intervene in emergency treatment on the scene, there were not a lot of them, and there were still some wounded who could walk, but they also started to be helped out.

The transfer pressure is now further reduced.

Piedon quickly came to a place where stools were set up, as well as mineral water and food!Most of them are bread and instant noodles.

However, Zhou Cheng glanced casually, and saw that there were marshmallows in the snack pile, and even a toy excavator that was sent by that careless and kind person!

It must have been a gift from a nearby resident.

When Zhou Cheng saw this thing, Piedenshan saw it too. He picked it up and played with it for a while, then put it down again, unscrewed a mineral water bottle, and searched with his eyes like a falcon.

He seemed to be looking to see where a doctor needed help, and started drinking water.

Yang Yifeng tidied up his neck a little. Among the people present, he might be the only one who worked the longest. He was the one who arrived at the scene immediately.

He also played with the excavator, and then took out a sticky fruit stand from the shovel of the excavator.

"These were sent by the people next to me, right?" Yang Yifeng asked.

But no one replied to him, it seemed that everyone else was looking elsewhere, not in the mood to respond to this topic.

Zhou Cheng took a deep breath and said, "Yes."

While Zhou Cheng was still talking, the crowd standing on the second floor nearby was an aunt who asked, "Doctor, hey, doctor, are you hungry? Do you want to cook a bowl of noodles for you?"

"I cook a lot here."

Peter raised his head and waved to her: "Thank you, Mistress, we are not hungry."

She seemed to be a bit regretful and walked into the house. It can be seen that there is still steaming steam coming out of her house, and she doesn't know if the noodles have been cooked, but she can't find anyone to deliver them.

Zhou Cheng also finished drinking water at this time. When he looked at the ruins, he saw many people wearing hard hats, doing surveys, directing, reading blueprints, and searching for trapped people on the spot.

And they, under the circumstances that the existing patients have recovered, can only watch the show here!

Although surgeons also do some physical work, if they are really required to go into battle to do the work of firefighters, they really can't do it, and they can't do on-site measurement and emergency work arrangements.

Industry specializing in surgery.

When Piedonshan was still thinking about it, his walkie-talkie rang again: "Are there any vascular surgeons available? If so, come to the NO.11 medical car!"

The ambulance that ordinary people come into contact with the most is the ambulance, the ordinary 120 type, but in fact, the ambulance also has a surgical vehicle, which can perform surgery on the spot nearby.

It is mainly aimed at some patients who are too late to be transported to the hospital. However, this kind of medical operation vehicle will only appear at the scene of a large accident. When the medical operation vehicle arrives at a small scene, the person may be gone.

Moreover, it moves slowly and has poor maneuverability. Generally, if it stops wherever it stops, it will stop.

When Pi Dengshan heard the words, he glanced at Yang Yifeng: "Xiao Yang, are you going?"

The strength of the Cardiovascular Surgery Department of the Affiliated Hospital of Shonan University is slightly weaker, but this weakness is relative. Compared with other hospitals, it is still superior, but compared with the top strength in the country, it is ordinary First class.

However, Pi Dengshan knew Yang Yifeng and knew that Yang Yifeng was involved in many departments.

After hearing this, Yang Yifeng pursed his lips and said, "Professor Pi, I can take a look."

After getting Yang Yifeng's affirmative reply, Pi Dengshan made a return.

"We have one here, is it NO.11? Mount Piedon." Mount Piedon reported his name.

"Got it, please come here as soon as possible. Thank you!" After the other party rang, the conversation stopped immediately.

Yang Yifeng immediately ran over in the direction pointed by Pi Dengshan.

Zhou Cheng watched Yang Yifeng leave, his eyes moved slightly.

Pi Dengshan explained to others: "Principal Lei explained to me before that Xiao Yang was on the scene for first aid immediately after the accident, and he was probably quite tired, so he should go to the operating room to rest. "

"Now, even if someone is rescued later, the current medical team is still capable."

However, as Peedon Hill spoke.

Suddenly, a firefighter was startled because one of the passing people who were judged as black dead moved his hand!

When he saw it, he was startled, "Huh?", and then quickly turned around and shouted: "It seems that someone here is not dead, doctor!"

Before Zhou Cheng could react, he saw that Piedon Shan looked like a middle-aged man, but he sat and ran away swiftly.

Sitting and running turned from sitting to running, rushing to the direction of the source of the sound.

Zhou Cheng and others quickly started to run away!

It was only a few seconds later than Piedenshan. Of course, because Zhou Cheng was young and in good health, he finally tied with Piedenshan.

When Piedon got to the side of the firefighter, several of his companions had surrounded him, trying to get him out.

Piedon Shan immediately said: "Don't move! Don't move."

Then he ordered: "Go and carefully review the vital signs of all the people who are judged to be dead! Make sure there is nothing wrong."

At the same time, Piedon began to call in the caller: "Reporting team leader, I am Piedon, and I found vital signs among the dead!"

"I'm Piedon Hill, all members of the medical team, all members of the medical team, the personnel who transported the dead, need to confirm the vital signs of all personnel again."

"The vital signs of all personnel need to be confirmed again!"

After Piedenshan sent the voice message, he immediately remembered the sound of clicking, and it is estimated that many people started to panic.

And this scene was completely unexpected by Zhou Cheng.

At the emergency scene, when the death of a person is judged, they will be carefully reviewed, and no black label will be affixed to people!

Thinking of this, Zhou Cheng immediately began to carefully check other people wearing black cuffs!

Vital signs, respiration, pulse, heartbeat, blood pressure, body temperature.

Blood pressure is not easy to measure directly, but others can.

Zhou Cheng turned on the phone, and after measuring his pulse and body temperature, he also checked his reflection to light!

It's just that, after checking one by one, he thought too well, except for the person that Piedon Mountain was dealing with, everyone else lost their vital signs!

However, when several people returned to the location where Piedon Hill was, Piedon Shan immediately said: "Pericardial tamponade!"

"Hurry up and do a cardiac puncture, it might still save you!"

"Liu Wen!"

Immediately someone sent the nearest first aid kit!

"exist!"

"Can you do pericardiocentesis?" Pi Benshan is in general surgery, and Liu Wen is in thoracic surgery.

Some people may misunderstand thoracic surgery and cardiac surgery. In some small hospitals, cardiothoracic surgery is integrated, but in fact, thoracic surgery deals with the lungs and esophagus, not the heart.

"I haven't done it, Professor Pi." Liu Wen said.

Pericardiocentesis is not thoracentesis, everyone has learned it, even epidural puncture, most people have learned it, but pericardiocentesis is extra professional.

"What about you, has anyone done it?"

"I'll call someone if there's no one." Piedon Shan had already looked around, and if no one responded, he would shake someone.

This person had been confirmed dead before, but it was actually a cardiac tamponade, which caused the pulse not to be visible. He also heard a low blunt heart sound through a stethoscope, and there may be excessive bleeding, which led to being misunderstood. judged as dead patients.

The best way at this time is pericardiocentesis, but with this technique, it is not difficult for those who meet, but not for those who are difficult!

Call someone to come, it is not clear whether the patient can survive.

Zhou Chengcheng said, "Professor Pi, I can try."

Piedenshan gave up his seat without saying a word: "Hurry up and wear it!"

"Liu Wen, check for lung contusion and pneumothorax!" Piedenshan said to Liu Wen.

Cardiac tamponade may be due to a blunt blow to the chest, pericardial effusion, or pleural effusion or blood accumulation.

The patient's current breathing is very weak and may be gone at any time.

After all, I don't know how long he was delayed!

Zhou Cheng wasn't bothered either. He had just obtained a proficiency-level emergency "big gift package". Pericardial puncture is a commonly used skill. Although it is not perfect, the proficiency level is enough.

After finding the puncture point, put on gloves and quickly disinfect it with the complex iodine cotton ball that comes with it.

They pierced directly in.

Soon, after the drainage bag was connected, a large amount of bright red blood oozed out.At the same time, after the tamponade contact, the preload became lower and the return blood volume increased, and Pidengshan on the other side looked at Zhou Cheng in surprise.

One side said: "The pulse has picked up!"

"But the patient still has shortness of breath. He should have a pneumothorax. I will need closed chest drainage, and I will transfer him to the surgery cart as soon as possible. It may be necessary to open the chest for exploration."

"Can the family members be contacted right now?" Liu asked.

"I can't even confirm my identity, let alone my family members. If you need an operation, just do it!"

"There is no other way, and it will be gone after waiting for someone."

At this moment, Zhou Chengcheng clamped the drainage bag and said, "Mr. Liu, there is a single valve here, I will close it first."

For pericardial effusion or blood accumulation, too much blood cannot be released at one time, it needs to be released slowly!I believe that a professional doctor should know how to do it.

Liu Wen nodded, followed the transfer team, and went to the direction of the medical vehicle with the patient.

This patient definitely needs an emergency thoracotomy.

"Huh!" After this, Pi Dengshan let out a long breath, looked at Zhou Cheng, and said, "Xiao Zhou, you can do it, you can use any skill. Why didn't you think about going to graduate school? "

"Thank you, Mr. Liu, for the compliment. I may have had bad luck in the exams before." Zhou Cheng just replied, without mentioning the things he failed in the exams many times.

Before, when Zhou Cheng didn't stop to watch the bloody scene, Pi Dengshan felt that Zhou Cheng's heart was very good.

Now that Zhou Cheng said this again, he also said with a thought: "If you have a chance, let's improve your education."

"Let's go there again and see if there is any other place we can help!"

However, only a few people on Piedon Mountain stood up, and even the firefighters who watched nearby applauded: "Is this all rescued? You are indeed a professor."

"That's right, the professors at the Affiliated Hospital of Shonan University are still very powerful."

After a while it becomes.

"Huh? The professor brought the dead back to life?"

"Yes, I have been dead for more than ten minutes."

"Amazing."

At the same time, there were nearby spectators who cheered. They were nearby residents, either taking pictures or taking videos.

However, even if they wanted to post it, it was impossible. Many media platforms now only allow official media to report on such things, and all scenes need to be reviewed manually.

But no matter what, Zhou Cheng's ability has already been recognized by Pi Dengshan.