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Chapter 21 Rapid On-Site Diagnosis (for further reading)

Chapter 21 On-site rapid diagnosis (please collect and read)

Author: Jiangdi Youbai

Chapter 21 On-site rapid diagnosis (please collect and read)

The Baishui River crosses Sha Town. On the side where Wu Xie's house is located, the road is on a long slope, at least 400 meters upward.

The bicycle released the brakes and slid down, the speed was not low...

The road on the other side of the bridge is relatively flat.

Immediately after the collision, bursts of "squeaking" brakes sounded! A Wuling Hongguang van braked and then swung the steering wheel and passed around the boy, crushing the bicycle to pieces with a clang.

It happened to be lying in the middle. After the driver stopped, he rolled up the window and took a look. He was so frightened that beads of sweat broke out on his forehead.

"A child has fallen down!" The driver of the car that braked first opened the door and yelled.

Wu Xie also immediately returned to the stairs outside the facade and jumped down.

"Little crab, take a quick look at this kid!"

"He is from the house of Lin Zhonghua, who sells electrical appliances." Across the street, an aunt who was familiar with Wu Xie said immediately, and at the same time she made a phone call.

Hearing this, Wu Guonan and Xiang Mei glanced at Wu Xie, walked closer and whispered: "If you're not sure, don't cause trouble. Send him to the hospital directly."

"Dad, call 120!" Wu Xie jumped down the stairs and looked at the scene.

The van was lying across the middle of the road, temporarily stopping traffic coming from both directions.

The child was only wearing short-sleeved denim shorts with a small amount of blood marks. He lay there motionless and did not moan.

"Three dong dong."

"Three dong dong?" This kid, whom Wu Xie knew, shouted twice before he came closer and squatted down, but he didn't respond.

"How is this kid? If I hadn't turned the steering wheel in time, I would have turned." The van driver parked in front of the kid, clearing the road before jumping off.

As he approached, he threw the crushed and flat bicycle away.

Wu Xie didn't reply, but patted his shoulder. After receiving no response, he immediately touched his carotid artery.

I felt the beating of my carotid artery and slowly took a breath.

I began to carefully examine the area around his head where he landed, and found no blood.

"Turn over and take a look?" The aunt across from Wu Xie's house also jumped up and suggested.

"Don't be anxious, wait for the stretcher from the ambulance to come over first." Wu Xie didn't dare to move.

To be honest, he has no experience in emergency rescue, but with his current knowledge base, the advice given to him is that before knowing the patient's condition, don't turn around at will.

"What do you know? Don't say anything." The other aunt's husband cursed.

"We have a lot of people to help." Then he saw many people approaching and suggested to Wu Xie.

Wu Xie slowly touched the patient's chest and abdomen with both hands!

For high-violence injuries, if there is no shock on the spot causing carotid artery arrest, it is necessary to determine whether there are open injuries to the chest and abdomen. If so, if there is any open injury, it may cause death immediately if it is severe.

After all, we don't have any medical equipment or instruments right now, so at least we have to wait for stretchers, gauze, and first aid kits to arrive.

"Ahem!" Wu Xie touched.

The child coughed twice and began to cry.

When he cried, everyone's expressions changed, they seemed distressed or otherwise, but Wu Xie was overjoyed: "Can you hear me?"

"Can you move yourself?"

Being able to cry actively means that there is still some consciousness. If you can speak and move, it means that active consciousness exists and the activity function has not been lost, which is very beneficial to the emergency scene.

He cried out "Ah", moved his fingers with his curled-up hands, and moved his toes, but did not reply.

Upon seeing this, Wu Xie quickly touched his elbows and knees with both hands.

The joints are connected to the long bones, and if there is a fracture, this is where pain will be most quickly stimulated.

The child has no pain reaction!

I just want to try my best to stand up with my hands on my hands.

Wu Xie did not dissuade him this time!

The child couldn't get up, maybe because he didn't use enough strength. "Can you turn over by yourself?"

Wu Xie was almost certain that Lin Dong did not have that kind of fatal injury for the time being.

The traffic jam continues.

Just at this moment, a middle-aged couple hurriedly walked in from the direction of the street up the slope.

The roaring sound came from far to near: "Three dong dong, three dong dong!"

Lin Dong shouted at the top of his lungs.

"Mom!" I don't know where the strength came from, and I struggled to turn sideways, trying to hold myself up, but my strength was still not very good, so I lay down again.

Wu Xie helped with this process.

Taking the opportunity, he immediately began to scan the front of Lin Dong.

The respiratory activity was normal, no abdominal breathing, abnormal respiratory activity and flail chest were seen!

The nose is red and the nosebleeds are oozing down!

There was a tooth on the ground, there was blood at the corner of his mouth, his chin was bald, and there was blood dripping from it.

But that's not the most important thing. When Wu Xie looked down, he could see that something was particularly wrong with Lin Dong's abdomen!

He is very tall, only 1.6 meters tall when he was twelve or thirteen years old. He is thin, but his belly looks a bit bulging at the moment, like a frog!

When Wu Xie saw this, his face suddenly turned pale.

The brain is constantly spinning: ruptured liver? ruptured spleen? Gas in the intestine? Hydroid?

No! This is not a chronic disease.

While Wu Xie's mind was racing, he carefully probed the patient's abdomen with his hand, and found that the abdomen was not as soft as an ordinary person's abdomen, but it was not as hard as peritonitis!

Before they had time to confirm the diagnosis, Lin Zhonghua and his wife had already broken through the crowd of onlookers and approached!

Lin Zhonghua was about to pick up the child, and his wife burst into tears at that time.

"My son..."

And just when Lin Zhonghua was about to reach out to Lin Dong, Wu Xie decisively stretched out his left hand and clamped his palm tightly.

"do not move!"

"Wait for the stretcher!"

Although Wu Xie’s knowledge reserve is just that of an intern!

However, the spleen rupture caused by the damage to the bicycle handlebar faucet is so classic that it is a must-test, so Wu Xie remembers it deeply!

This is a knowledge point that almost all undergraduates must memorize.

"Little crab, I will send him to the hospital personally!" Lin Zhonghua knew that Wu Xie was studying medicine, but he was also worried about his child.

No one took him to the hospital for so long!

"Don't move yet, wait for the stretcher!" Wu Xie was also nervous. If you had to carry him with a ruptured spleen, it would be uncertain whether he could survive the bumps in the road and reach the county hospital!

Just at this time, people from the emergency department of the hospital also arrived, but the car was blocked, so only two people in white coats ran over.

Wu Xie was very famous, and he was still in front of Wu Xie's house. They recognized Wu Xie at a glance: "What's going on, Doctor Wu?"

"If I fell while riding a bicycle, it cannot be ruled out that the bicycle handlebar hit the left upper abdomen before the fall. This is a sign of a frog-shaped abdomen!" Wu Xie pointed at Lin Dong's abdomen.

It is not yet certain that it is a frog-shaped abdomen.

"Tooth loss, mandibular bruise..." Wu Xie reported simply and quickly.

"Stretcher! Give way." One of the older doctors heard this and immediately shouted angrily.

Then he continued to shout: "Give way to the car, stretcher!~"

When he heard Dr. Wei from the emergency department yelling like this, Lin Zhonghua suddenly became at a loss and quickly stopped.

"How to do this?" The eyes of Wu Xie and Wei Yincheng turned.

"Send to the operating room. Or transfer directly to the county hospital! You choose one! Hurry up."

"Stretcher!~"

"The stretcher is here."

The ambulance was in the alley, and two people got off and rushed over with a stretcher. After landing, several people used force at the same time to lift Lin Dong onto the stretcher using the method of carrying spinal injuries!

Wei Yinshan and another doctor from the emergency department quickly carried Lin Dong to the hospital without any further communication with Wu Xie.

Lin Zhonghua and his wife also rushed over. Halfway through, Lin Zhonghua grabbed his wife and said, "Call dad and ask him to send money!"

"Little crab, can you go to the hospital with me?" Wu Xie's decisive stop and few words made Wei Yincheng's expression change drastically and he gained Lin Zhonghua's trust.

Wu Xie glanced at Wu Guonan and Xiang Mei and nodded!

"Okay, let's go together." Wu Xie replied.
Chapter completed!
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