radiothebook Chapter 454
Chapter 454
Chapter 454
Lin Feng: “Okay, let the nurse tie you a wooden board to fix it, and then you will be less active…then the bones will grow up slowly, and the cracks will slowly heal… There should be no problems in the future… …”
Talk about the common sense of fractures,
Many people think that fractures cannot be healed.
But it is actually possible.
Because after a fracture, the periosteum will restart osteoblasts to promote the healing of the fracture. For example, a coccyx fracture usually does not require special treatment, just rest, and it can basically heal in about a month.
If the fracture end is displaced significantly, manual or surgical reduction is required and external fixation or internal fixation is required to help the fracture heal.
The villagers were overjoyed when they heard this, but they could heal?
“Thank you doctor!”
The nurse went to deal with it, and then the next patient came.
Still fractured.
With the addition of Lin Feng, the medical team’s treatment speed has been significantly accelerated, especially for fractures 08. Lin Feng often only needs a few manual shifts to reset it quickly.
This speed and proficiency are much better than other regular training and attending orthopedic surgeons.
Orthopedics, dumbfounded!
At this moment,
“Doctor Lin, there is a dizzy person here…”
Another villager was carried in.
Head bleeding,
Unconscious!
More importantly, the patient’s nose had runny mucus.
It’s still a little bloody…
Lin Feng was surprised.
“Cerebrospinal fluid!”
“Head injury!!”
Yes,
In the nose, it was not the nasal mucus, but the cerebrospinal fluid that came out.
Cerebrospinal fluid is generally transparent in color, but it changes when you are sick.
In tuberculous meningitis, the protein content in the cerebrospinal fluid is significantly increased, and the cerebrospinal fluid is slightly yellow; in bacterial meningitis, there is a bacterial infection in the cerebrospinal fluid with a rice soup-like color; subarachnoid hemorrhage or aneurysm caused by head trauma When it ruptures, blood flows into the subarachnoid space, and the cerebrospinal fluid is bloody and bright red.
And right now,
Obviously, it was a head injury!
Among the earthquakes, head injuries have the highest mortality rate among earthquake injuries.
Because the earthquake causes objects to hit, smash, bounce, bump, tear, shake, squeeze, bump, etc., it is easy to cause head injury, and cerebrospinal fluid flows out of the ears and nose through skull fractures.
When ordinary people see this situation, their habit is to raise their heads or block them, but it is actually wrong.
On the one hand, blocking will increase the intracranial pressure.
On the other hand, if it flows back, it may allow bacteria from the outside world to enter the brain and cause encephalitis.
Therefore, you can’t block up, and you can’t look up.
“Quickly, take it to the temporary rescue room!!!”
Lin Feng did not dare to delay, and quickly sent it to the temporary rescue room tent.
Keep everything simple, aseptic conditions cannot be achieved, but we must try our best to achieve…
Enter the rescue room,
Connected to the ECG monitor, blood pressure is a bit low, blood oxygen is also low, obviously the situation is a bit serious!
Because of the limited conditions, there is no way to open the craniotomy now.
Therefore, Lin Feng can only:
·Debridement, debride the external wound with iodophor, then suture…
·Rehydration to prevent shock. Lin Feng assessed the degree of the patient in front of him. It is definitely a severe open type brain injury, which is prone to hypotension and shock.
·It can be determined that there has been a brain pressurization, and mannitol injection…
Here, explain why surgery, debridement, etc., use iodophor instead of 75% alcohol disinfectant.
The principle of alcohol disinfection is:
Alcohol has a strong penetrating ability, which allows it to penetrate the outer membrane of the bacteria and penetrate into the inside of the bacteria. Then, the alcohol interacts with the proteins that constitute the inside of the bacteria to coagulate the protein and make it lose its biological activity, which in turn causes the bacteria to also Loss of biological activity, so as to achieve the effect of sterilization.
So,
If alcohol is used for debridement of incisions and large wounds, it will cause protein to coagulate, and the surface tissue of the wound will die, which is not conducive to healing after sutures.
Therefore, alcohol disinfectant is only suitable for general surface disinfection, hand and skin disinfection, and cannot be used for wounds with gaps.
…
Finally, after the 38th hour…
The busy rescue work finally came to an end.
The remaining wounded are relatively light.
At this moment,
Medical staff can finally take a large-scale rotation and rest.
Before the break,
The reporter found Lin Feng: “Dr. Lin, because of your disappearance, the whole country has paid more attention to your movements recently, so can you make a fight…”
113 Lin Feng was surprised: “Why would they know that I am missing?”
Reporter Kuang Khan: “We reported about you…”
Lin Feng: “……………………”
Quickly take the reporter’s satellite phone, make a call to the family, and girlfriend, and report safety.
Thought for a while,
Lin Feng recorded a video:
“I’m sorry to make everyone worry, but I also apologize for taking up public resources for disaster relief…”
Then,
Lin Feng didn’t talk about his own experience in the video, but just talked about the soldier Zhang Shilin’s participation in the army, beliefs, and the little boy’s salute to the firefighters and soldiers. The teacher protected the students under him when he collapsed, and his colleagues more than 30 consecutive times. Hours are endless…wait for a while…
Try to downplay yourself,
Try to show the greatness of others to the people of the whole country…
Lin Feng took his cellphone and photographed the scenes of other soldiers, doctors and nurses lying all over the ruins and sleeping loudly…
finally:
“They are the greatest people!!”
Click,
release!
. .