Section 3

Since you said there was internal bleeding in the right leg, how can you be sure? "

Next, Zhang Yi did not speak.

Instead, use scissors to cut a slit on the patient's right side of his pants.

Then the gap was pulled open, exposing the specific bleeding point of the leg skin to everyone's sight.

Zhang Yi pointed to the obvious bulge and bruise on the inner thigh and said:

"It should be bleeding from the femoral artery of the right leg, and judging from the shape of the patient's right leg at this moment, I suspect he may have a closed fracture. But time is running out, we have to stop the bleeding now!"

Everyone was in an uproar again!

There are all doctors present, and everyone will know if there is bleeding at a glance.

"What the fuck?! Is it really bleeding from the femoral artery?!"

"Amazing! Can you deduce that the right femoral artery is bleeding based on the color of an ankle? Why is Zhang Yi suddenly so powerful?!"

The emergency doctor was also confused. How could there be a fracture?

Did they check if there were any fractures before getting on the bus?

Could it be that the brake was really the cause?

Wang Chenjun looked on in shock!

Among a group of interns, Zhang Yi is indeed the best.

But he has never expressed his doubts and diagnosis in front of so many teachers and leaders like this time!

and……

This diagnosis result was also confirmed by him!

"What's going on with Zhang Yi? Why is he suddenly possessed by a medical god!"

When Qian Zhenggang noticed the symptoms on the patient's right thigh, he immediately reacted.

Even if what Zhang Yi said is not 100% correct, it looks like the femoral artery is indeed bleeding!

So Qian Zhenggang immediately ordered:

"Hurry up and put on a tourniquet to stop the bleeding! Take him immediately for a CT scan to see if there are any fractures!"

"Okay... okay!" Chen Fang nodded in response.

Zhang Yi saw Chen Fang's respectful expression on the man speaking in front of him, and secretly guessed that this man could not be a big leader of the hospital, right?

Qian Zhenggang was wearing casual clothes at the moment, without a white coat and work badge.

So the new interns don't know him.

Because it was an urgent patient, both the patient and the report were sent back within a short time.

The results showed that there was indeed a fracture and a ruptured femoral artery and bleeding!

Looking at the results of the CT scan, Qian Zhenggang looked in disbelief!

"What a coincidence? A closed oblique fracture?! And the tip of the fracture just happened to puncture the femoral artery?!"

Looking at the results in front of him, Qian Zhenggang couldn't help but look at Zhang Yi a few more times.

It’s really amazing, this young man got it all right!

good! It seems that this intern named Zhang Yi can be trained well!

"Fortunately, the tourniquet was tied in time, otherwise the man would have gone into shock immediately. Let's do this, Chen Fang, arrange for someone to do a reboa quickly, and then notify the orthopedic surgery department to prepare the operating room. Seize the time, the patient's life is at stake."

After thinking about it, Qian Zhenggang gave instructions to Chen Fang.

"Okay, Dean Qian! I've arranged for the nurse to prepare things."

What?

Is this person the dean? !

Zhang Yi was shocked!

Did you just show off in front of the dean? ?

Chapter 4: Did you get rid of such an outstanding intern?

"Dr. Chen, the things are here!"

Soon, the nurse handed over the rescue equipment that Qian Zhenggang said was needed for reboa.

reboa, which is the foreign abbreviation of resuscitative aortic balloon hemostasis.

The method of stopping bleeding is similar to that of a urinary catheter.

In layman's terms, it involves puncturing a rubber tube equipped with a guide wire through the skin into an artery.

The head of the rubber tube must also have an expandable balloon.

Use the guide wire to bring the rubber tube to the upper end of the bleeding point and withdraw the guide wire.

Then inject 10-20 ml of gas or physiological saline inside the rubber tube.

Fully expand the balloon in the rubber tube to stop bleeding.

The principle is the same as the method of injecting physiological saline into the head balloon of the urinary catheter to fix the urinary catheter.

At this time, Chen Fang had already put on the condom and was ready to start the operation.

But Dean Qian is here today, so Chen Fang is a little nervous during the operation!

Isn't this just like the teacher watching you do your homework when you were in school?

And this person is not a teacher, but the vice president of Tianhe First People's Hospital!

My immediate boss!

Chen Fang swallowed slightly and found a blood vessel below the bleeding point of the patient's right femur as the needle insertion point.

However, just as Chen Fang began to disinfect his skin, Zhang Yi walked up with a brisk stride!

"Teacher Chen, the needle insertion point should not be at this location!"

Chen Fang's heart:? ? ?

Several other doctors and nurses on the side were also stunned again!

What's going on with Zhang Yi today?

Why do you keep popping up again and again?

It's one thing if you're excellent, but you're just an intern?

How can you, an intern, have any say in this kind of emergency rescue work? !

"Zhang Yi! Your teacher, Chen, has been working in the emergency department for so long. Doesn't he know about the injection point? Please stop causing trouble here and step aside. Don't delay Teacher Chen's operation!"

The speaker was an attending physician who had worked in the emergency department for almost ten years.

His status is higher than that of Chen Fang.

Regarding Zhang Yi's series of reckless behaviors today, he looked at Qian Zhenggang carefully when he spoke.

But Qian Zhenggang didn't seem to have any reaction?

On the contrary...there was also a hint of appreciation for Zhang Yi in his eyes?

Zhang Yi also knew that he must have been reckless today.

But for the sake of the patient's life safety, he simply said it all at once:

"Mr. Chen, this patient is bleeding from the femoral artery. Although the needle insertion position you chose can reach the abdominal aorta as quickly as possible to stop the bleeding. But he still has a big problem, which is a fracture, and the fracture position is still in your insertion. Near the pin point.

If you put the needle insertion point here, what will you do when you go to the operating room? "

After Zhang Yi finished speaking, Chen Fang was stunned.

yes……

If the needle insertion point is placed here, wouldn't it block the best view of the surgery...

Immediately, Chen Fang glanced at the expression of Dean Qian next to him, and the sweat on his forehead almost broke out...

This Zhang Yi... is indeed right, but why are you picking on me in front of the dean? !

Can't you just say it quietly?

It's okay now, the dean's face is dark...

Looking at Chen Fang's expression, Zhang Yi naturally knew that he must be blaming himself.

But for the patient who was gradually becoming comatose on the hospital bed, Zhang Yi had no choice but to bite the bullet again and said:

"Mr. Chen, I think you should insert the needle directly from the common iliac artery in the upper body. There is no visceral damage or bleeding points from the iliac artery to the abdominal aorta. This will provide the best surgical field during the operation. "

Several emergency department doctors around were shocked!

Isn’t Zhang Yi like this usually?

I really saw a ghost today!