Chapter 181 First Aid
Chapter 181 First Aid
An open pneumothorax is when a break in the chest wall opens the pleural cavity to the outside world.
When the pleural rupture is large, or due to adhesion or traction between the two layers of pleura.
Keeping the rupture open, air can freely flow in and out of the pleural cavity during inhalation and exhalation, and the pressure in the pleural cavity changes continuously with breathing.
During inhalation, intrathoracic pressure decreases, and during exhalation, intrathoracic pressure increases.
It can cause a series of pathological and physiological changes, severe respiratory and circulatory dysfunction, and death if not treated in time.
The patient had severe cyanosis, hypoxia, dyspnea, and shock.
First aid must be given immediately.
It was because of the intern's procrastination just now that the patient's condition became more serious.
Chen Dong wiped the rain in front of his eyes: "Don't even think about standing there, give me the gauze quickly."
In the end, the intern really just handed him a piece of gauze stupidly.
Chen Dong was extremely speechless: "You don't even know what is needed for an open pneumothorax?"
The intern stared blankly at Chen Dong with a blank expression on his face.
No need to ask, judging by his appearance, he definitely doesn't know.
"Gauze, cotton pads, and find me a plastic bag."
"If you don't have plastic bags, you can use clothes instead."
The reason for these things is to find an airtight oppressor.
"At the end of the casualty's forced exhalation, the suction wound is capped and bandaged with pressure."
Chen Dong demonstrated it to the intern in an extremely professional way: "The condition of this wounded person is quite serious, and there is definitely no way to deal with it under the current conditions. We can only give him first aid, and then wait for the ambulance to come. Sent to the hospital for further treatment."
"After being sent to the hospital, it is necessary to give oxygen, supplement blood volume, and correct shock; debride the wound, suture the chest wall wound, and perform closed chest drainage; give antibiotics, encourage the patient to cough and expel sputum, and prevent infection; if there is suspected chest internal organ injury or Progressive bleeding requires thoracotomy and exploratory surgery."
Chen Dong explained very delicately.
The intern on the side froze for a moment before realizing that Chen Dong really told him.
He quickly remembered these dry goods in his heart.
"Excuse me, are you a doctor?"
This professional approach and this quick response ability must at least be at the director level, right?
But seeing that his age is not much different from his own, why is there such a big gap?
The intern was full of doubts.
Chen Dong nodded: "I'm from Hua'an Hospital."
The speed of the ambulance was fairly fast, and all the wounded were transported away within half an hour.
During this period, Chen Dong used extremely professional techniques to attract the melon-eaters around him.
His calm attitude and professional approach are shocking.
"This young man is so handsome, is he a doctor? Why didn't you see him wearing a white coat?"
"He is on the same bus as us, and he seems to be going to the imperial capital as well."
"I don't know which hospital's doctor it is. He has such powerful medical skills at a young age. When I get sick in the future, this hospital will be the first thing I consider."
"This level of medical skills is really not a cover. You see, the young man next to him is so frightened that he is almost unable to hold things firmly."
"Yeah, they are obviously about the same age, how can there be such a big difference?"
In fact, it's not because of the intern's problem, it's just that Chen Dong's speed just now was too fast.
Fast, ruthless, accurate.
This sets off the stupidity of the intern next to him.
That intern wants to cry but has no tears, can you blame me?I'm still a child, and I'm still an intern!
Obviously this person is too powerful!
Dean Zheng and the two directors also noticed Chen Dong's actions.
"Dean, it's no wonder you are so optimistic about this man named Chen Dong. This kid is definitely not someone in the pool."
Dean Zheng nodded in satisfaction, as if Director Zhao was not praising Chen Dong, but him: "I was extremely optimistic about him at the beginning, and I intended to let Zhao Zhao marry him, but Luo Hua intended to be ruthless."
"Forget it, this is their young people's business after all, and I, an old man, don't want to get involved too much."
"To put it bluntly, Chen Dong is too good, and my family is not worthy of him."
Whether it was Director Zhao or Director Zhou, this was the first time they heard Dean Zheng say such a thing.
Who in the whole hospital doesn't know that Dean Zheng treasures his daughter the most.
There used to be a doctor who wanted to catch up with the beautiful woman Zheng Zhaozhao through Dean Zheng, but Dean Zheng was called a baby.
He didn't even dare to disclose his phone number.
He can take the initiative to introduce his daughter to Chen Dong, which is enough to prove how much he values Chen Dong.
After some rescue, Chen Dong was soaked all over his body.
"Xiao Chen really thanked you just now."
Whether it was Dean Zheng, Director Zhao, or Director Zhou, none of them felt better. I don't know if it was rain or mud, sweat was mixed together, it was sticky, and it was very uncomfortable.
"It looks like we won't be able to reach the imperial capital today. Let's find a hotel nearby and stay here first."
Dean Zheng looked at the weather and said.
No matter what, let them change into clean clothes first, otherwise they will easily get sick if they continue like this.
Fortunately, they set off two days in advance, otherwise they would definitely not be able to catch up with the exchange meeting.
Director Zhou and Director Zhao both nodded, expressing their approval of Dean Zheng's decision.
Of course, Chen Dong had no objection, he also felt that the wet clothes stuck to his body were uncomfortable.
The four of them left quietly. The doctors and traffic police who were busy cleaning up the scene did not notice their departure.
"It's over, where did that doctor go just now?" The intern was the first to react, and he suddenly looked around, but he didn't see any trace of Chen Dong.
"Have any of you seen the young doctor who saved people just now?"
The people who eat melons shook their heads one after another. They were just taking pictures and posting them on Moments, and they didn't notice at all.
The intern suddenly became a little frustrated, and he didn't even ask for the idol's contact information.
If I knew earlier, I should have asked earlier.
"I think I saw them go."
Among the crowd, a fifteen or sixteen-year-old girl spoke.
"Why did they leave?"
"Is that the guy who saved people just now? I saw him standing over there just now. Why is he gone now?"
"This is going too fast, I haven't even had time to say thank you."
"This is the real way to do good deeds without leaving your name."
The intern clenched his fist, and Chen Dong's actions made him admire even more.
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