"Dr. Jiang is really amazing... The leg that Dr. Tao said he had to go to the county town to treat was actually healed right away..."

Jiang Yuan was rescuing people inside, but there was a lot of discussion outside at this time. The villagers looked expectantly into the hall from time to time, especially when they heard the old man's son who had just broken his bone said that Dr. Jiang only used

In a short time, the old man's broken bones had been repaired, and there was no need to go to the county seat anymore. The look of hope on the faces of these villagers became even more intense.

Everyone was talking excitedly, when a cry suddenly came from the side. A young woman who was serving the injured suddenly fell on the ground and burst into tears. She was crying and sad at the same time.

He yelled: "Why can't we hold on a little longer in the morning? If we wait until Dr. Jiang comes...then we will be saved...ah..."

Looking at the crying woman, someone nearby hurried over to comfort her, while the others shook their heads and sighed, yes...if Dr. Jiang could have come a few hours earlier, maybe he could have saved more people.

How many lives...

"Hey...this is also fate..."

At this time, Jiang Yuan was quickly taking out several things from the box one by one and putting them on the table aside. Then he watched Dr. Tao pour out a bottle of physiological saline, and then he said with a smile: "Doctor Tao

, is there sodium citrate? If yes, prepare 1g!”

"Sodium citrate?" Dr. Tao scratched his head, and then said: "I remember there should be one, wait until I go to the pharmacy to take a look..."

"Okay!" Jiang Yuan nodded. While preparing all the necessary instruments, he carefully took out a small disposable surgical bag from it.

There are not many such small surgical kits that have been completely sterilized, only eight. However, Jiang Yuan is not worried about using Dr. Tao's at this time. After all, what needs to be done later requires very high materials and sterility.

, if there is something wrong with the materials, or if the disinfection is not strict, accidents can easily happen.

It was so exciting that Dr. Tao ran in with a bottle of medicine. He said excitedly: "Fortunately, I found a bottle, but it will expire in two months!"

"It's okay, as long as it works..." Jiang Yuan smiled, it would be nice to have it, he didn't ask for anything, so he smiled and gestured towards the victory salt water bottle that Doctor Tao had just prepared on the table and said: "

Pour 1g of citric acid into the bottle, being careful to keep it relatively sterile!"

Speaking of the word "relatively sterile", Jiang Yuan was a little helpless. Originally, in this situation, absolute sterility must be guaranteed to be foolproof, but under current conditions, even if it is relatively sterile, it can only be achieved by

Naturally, he can't ask for too much luck.

Even if Dr. Tao is reminded to be relatively sterile, it is just a reminder to him to pay as much attention as possible.

At this time, Dr. Tao also nodded repeatedly to express his understanding. Although he still didn't know what Dr. Jiang was going to do after preparing these things, he trusted Jiang Yuan extremely. Anyway, at this time, he only needed to be responsible for following the arrangements and doing things.

But it is much easier than carrying the burden alone first.

Seeing that Dr. Tao was already prepared, Jiang Yuan did not hesitate at this time. He reached for a pair of sterile gloves and put them on, then picked up the plastic tweezers from the disposable surgical bag, and picked up the iodine complex in the bag.

Use cotton balls and start disinfecting the patient's right chest at the 5th intercostal space and the front axillary line.

Looking at Jiang Yuan's movements, Dr. Tao was slightly stunned, and then he seemed to understand something. He looked at Jiang Yuan with some surprise and said, "Doctor Jiang, are you going to draw fluid from him?"

Jiang Yuan smiled slightly and said, "No...draw blood..."

"Draw blood?" Dr. Tao is a physician after all. He didn't think about it for a moment, but he turned around and looked at the sodium citrate he had just poured into the salt water bottle. Suddenly his eyes lit up and he understood. It turned out that this salt water was

The bottle is used to hold blood, so no wonder sodium citrate is added for anticoagulation...

But when he looked at Jiang Yuan, he felt even more admiration. No wonder Dr. Jiang was so confident and said he could still save someone. It turns out... this can still be done. With this,

Then Li Qi Chang is somewhat sure that he can be saved.

After disinfection, Jiang Yuan reached out to pick up a disposable hole towel and laid it on the fifth intercostal space in the front line of the right axilla. Then he reached out and picked up a 50ml syringe, put on the thick needle, and took off the needle cover.

, carefully penetrated it from the fifth intercostal space to the front axillary line.

This position is one of the best locations for chest puncture. It can avoid puncturing the lungs, and at the same time, it can most conveniently extract fluid or blood accumulation in the chest. It is also a position that ensures that as much fluid as possible can be extracted...

Doctor Tao also held his breath as he watched the translucent needle begin to gush out red blood following Jiang Yuan's movements...

"Come on..." Jiang Yuan took off the syringe, blocked the needle left on the patient's chest with his left thumb, and gestured towards Dr. Tao.

Doctor Tao quickly brought over the saline bottle with sodium citrate added and carefully placed it in Jiang Yuan's hand;

Aiming the syringe at the mouth of the bottle, Jiang Yuan carefully injected 50ml of blood drawn from the syringe into the saline bottle; then he started drawing blood for the second time.

Watching Jiang Yuan draw out the blood again and again, Dr. Tao's eyes became brighter and brighter. He now understood that Dr. Jiang could relieve the pressure in the chest by drawing out the accumulated blood in the patient's chest.

, allowing the lungs compressed by blood accumulation to expand and liberate, thereby restoring function.

At the same time, the blood drawn out can be returned to the patient's body after anticoagulation treatment, greatly alleviating blood loss. It kills two birds with one stone. It restores lung function and allows blood transfusion. This is what Li Qi Chang also

I'm really lucky to have met such a powerful trauma surgeon like Dr. Jiang, and I don't deserve to die. If it were me, I wouldn't have any idea, let alone deal with it like this...

There was a lot of blood in the patient's chest. Jiang Yuan pumped it ten times and turned around to look at the saline bottle. It was already full. Jiang Yuan frowned and thought for a while and said, "Doctor Tao, open another bottle of saline."

..”

Soon, the second salt water bottle was almost half full. Jiang Yuan finally breathed a sigh of relief. There should still be blood in the patient's chest, but Jiang Yuan could no longer pump. Under normal circumstances, no matter whether it was in the chest

Whether it is fluid accumulation or blood accumulation, it is not advisable to draw more than 600-800ml for the first time. Jiang Yuan has already drawn 800ml, so naturally he cannot draw anymore.

Moreover, this can give the patient 800ml of autologous blood, which can almost save his life.

Doctor Tao on the side watched Jiang Yuan start to pull out the needle, and then said excitedly: "Dr. Jiang, should we give him the transfusion now?"

Seeing Dr. Tao staring at the two bottles of blood on the table with excitement, Jiang Yuan smiled and shook his head, saying: "No...it still needs to be filtered...if autologous blood is reinfused, it usually needs to be through autologous blood

There is a return machine, but we don’t have one, so we can only simply filter it!”

Jiang Yuan took out a stack of gauze from the disposable surgical bag, looked at the fine white and smooth surface, and then nodded, it is still a military product. Don't worry, this kind of gauze will not have too many impurities and is sterilized.

Only by being strict can you use it with confidence.

Now he carefully folded the gauze eight layers, then took the blood bottle from Dr. Tao's hand, covered the mouth of the bottle with gauze, tied it with sutures, turned it upside down, and placed it on the completely sterilized blood bottle prepared by Dr. Tao.

On glass measuring cup.

Seeing a line of bright red blood filtering through the gauze from the mouth of the bottle and then flowing into the measuring cup, Jiang Yuan slowly breathed a sigh of relief. After the filtering was completed, the blood transfusion was ready...

There were a total of 800 milliliters of blood. After filtering, only 750 was left. However, Jiang Yuan was quite satisfied. He found two new bottles of physiological saline, pried them open and poured out the saline inside, and then filtered the blood.

Blood was poured into it, then the cap was closed, and the prepared transfusion tube was inserted. A thick blood vessel was found in the crook of the patient's arm. After inserting the blood transfusion needle, the autologous blood transfusion began.

However, before the reinfusion, Jiang Yuan asked Dr. Tao to give the patient an intramuscular injection of diphenhydramine to prevent any possible blood transfusion reaction; although this was an autologous blood transfusion, the possibility of a reaction was extremely small.

, but Jiang Yuanke is not too confident in the filtered blood produced in a relatively sterile state. Injecting this medicine is relatively reliable. Even if there is a small problem, the possibility of a reaction will be greatly reduced.

After hanging up the two blood bottles, Jiang Yuan found a few more large pieces of tape, used the shingled tape sealing method to reset and fix the ribs on the patient's left chest, and asked Dr. Tao to get another bottle.

One bottle of ordinary saline solution was replaced with hemostatic sugar water. Now that the blood has been drawn out, some hemostatic drugs can be used to prevent the patient from bleeding again in the chest cavity.

After doing all this, Jiang Yuan told Dr. Tao to guard here. He dragged the large first aid box out of the emergency room and headed outside.

Jiang Yuan doesn't have much time to spend waiting here now. There are still many people lying outside. Although Dr. Tao has already dealt with it, he still feels that it is more reliable to take another look, in case he could have grown up directly.

If the bones or the like are crooked, or if there are other wounds that have not been treated well, he can deal with them again to avoid leaving people with any regrets like disabilities;

In addition, new injured people were sent here from time to time, Jiang Yuan felt that going out to help would be much more useful than staying here.

Seeing Jiang Yuan dragging the big first aid box out, everyone's eyes lit up, and they asked impatiently: "Doctor Jiang, has Chief Li Qi been rescued?"

Jiang Yuan smiled and nodded: "I am undergoing blood transfusion now. I should be able to wake up in two hours at most..."

Hearing Jiang Yuan's words, everyone was relieved. First of all, although this big guy believed that Dr. Jiang would not lie, Dr. Jiang only said that there was hope, but now Dr. Jiang has said exactly two things.

I'll wake up in an hour...
Chapter completed!