Emergency Doctor Mercenary Road: Chapter 20 The sea of blood shows its true colors
Chapter 20 The Blood Sea Crossflow Shows Its True Color
Tuesday, May 5th.
8:45, Lu Fei walked into the clinic and greeted Chris with a nod. Chris had opened the door and was doing cleaning work. Her body recovered very well, and the mayor kept her promise to hire her as a clinic cleaner. Lu Fei had to pay for her medical expenses, and she still needed to continue taking vascular and antibiotic drugs. Chris didn't talk much, probably because his brain had not fully recovered, but Lu Fei's desk and seat were always the brightest and cleanest.
The clinic in the morning is always busy. In addition, it is the best season for travel. Today, most of the patients who see a doctor are gastrointestinal problems or mountaineering sprains. Busy until the afternoon. Fortunately, although Old Bell was still intoxicated, he could still help a little. It was still okay to prescribe some medicine or a referral form, which was generally quite easy.
After 2:00 p.m., the patients were basically cleared. Lu Fei was thinking about whether to call his mother later. He didn't know which country they were in, and did they remember to bring gifts for themselves.
Kelly ran in nervously with her phone in her hand.
"Jack, emergency! On Highway 50, near the forest road near our town, there was a shootout just now. A large number of gangsters ambushed on the side of the road, trying to rob the cash convoy in transit. Because the PRIS company PMC was in the convoy. The expert team was there, so the robbers couldn't succeed, and they had been beaten and fled. However, many people in the team were wounded by gunshots, especially their captain, who was shot in multiple places, bleeding profusely, and dying.
Because the shootout site is very close to the forest road, they are more than 30 minutes away from us than to Carson. My boss Smith didn't have time to find the mayor, so he called me and asked me to answer him within a minute if our clinic here is capable of saving people.
"Reply to them, I used to be an emergency doctor at Carson St. Cassie Hospital, and I have the ability to save people, but I need a large amount of plasma, either by helicopter with a large amount of plasma of various blood types, or you can organize blood transfusions."
Kelly agreed, quickly picked up the phone that was not hung up in her hand, and contacted there.
"Mandy, get your first aid ready, prepare more balancing fluid for intravenous drip, local anesthetic lidocaine, medical alcohol, all kinds of needles and sutures, hurry up, there are several people with gunshot wounds to be sent.
Doctor Bell, please prepare yourself, in case there are too many injuries and the situation is urgent, you will also be on the way. "
Both Mandy and Bell agreed, and Old Bell helped Mandy to prepare. No matter what, Old Bell was a doctor with medical ethics and understood the importance.
Lu Fei was also a little nervous at this time. He had only dealt with Grant's gunshot wound, and it didn't matter whether he had surgery or not. Fortunately, the system just gave him a drill last night. Does the system know something? Seriously terrified. But it's too late to think about it. He took his first aid kit and took out five scalpels to sterilize.
2 minutes later, "squeak", a sudden brake sounded, and a money-transporting truck came hurriedly outside the clinic and stopped at the door with a flick of its tail. The trunk opened, and a tall, honest-looking man jumped out of the car. Someone in the car placed the wounded on his back. Before he could stabilize, the big man rushed into the consultation room.
"Follow my instructions, put the emergency bed on the bed where the strong nurse is standing, and then tell me the location of the shot and the specific situation, don't talk nonsense." Lu Fei shouted loudly.
The big man put the blood-covered wounded on the emergency bed without hesitation, and three burly men in full armor ran in outside the house. Two strong men, one black, one white, and a white woman.
The tough-faced female man said in an orderly manner: "This is our captain Bell, with gunshot wounds everywhere, the upper right thigh was shot with the most blood flow, the bullet in the abdomen was blocked by a bulletproof vest, I don't know the internal situation of the abdomen, and the right arm was shot with blood. More than that, but the flow rate is not fast, a blood tank was opened on the top of the head, and the blood is still bleeding.
The shootout was over for 10 minutes, and he kept pressing the wound on the car that came. The patient is 40 years old, blood type O, not a special blood type. "
At this time, Old Bell rushed to the side of the hospital bed and hugged the wounded: "Johnson, why are you injured so badly, can you still speak? Don't scare me."
"Dad, I'm afraid I'm in a bad mood today. In fact, for so many years, I have never let go of myself. Everything is not your fault, but God's arrangement. I have already forgiven you. Don't drink any more from now on. Take care of yourself." The wounded lying on the hospital bed said with difficulty. "
Everyone was stunned, and the tough female man murmured: "No wonder the captain must come here, it turned out to be farewell."
Lu Fei did the most unpleasant thing at this time, pulled away the old Bell and shouted: "Don't stop me from saving people, people are not dead yet", he leaned down to check the gunshot wounds everywhere. Old Bell shouted hoarsely on the side: "Jack, we must save him. He is my son. My hand is dead. It's shaking badly. It's all up to you."
Lu Fei said loudly: "Everyone listen to me and act. Old Bell will first check if other people's lives are in critical condition. If you are not in a hurry, bandage the wound first and wait for me to deal with it. Mandy opens the patient's vein channel and starts immediately. Intravenous, 1000ml of balance fluid, is Kelly there?"
"No hurry, you save the captain first." I don't know which big guy interjected.
As Lu Fei spoke, the scalpel had already cut open the pants of the wounded's right leg. Picking up the medical alcohol at hand and pouring it on the wound, the patient groaned and did not move at all.
"Doctor Jack, the intravenous access has been opened, and the intravenous drip has begun."
"Mandy, local anesthesia with lidocaine, hit the top of the patient's right leg. Dr. Bell is going to implement the blood transfusion, and ask Kelly to send someone to donate blood, type O, hurry up."
Old Bell rushed out. Lu Fei had no time to worry about anything else. At a glance, he turned on the scanning function. A bullet entered his abdomen, but there was no major bleeding in his abdomen. He was bleeding from his head and arms, but he did not hit a major blood vessel. At the right thigh, the branch artery was interrupted, the blood flow was constant, and the bullet was still in the body. This is the most critical place!
Mandy just hit the local anesthesia drug-lidocaine on the top of his thigh, Lu Fei tore his pants and opened the wound on his leg with a knife.
"Mandy, get an ECG monitor."
Lu Fei picked up the hemostatic forceps in the first aid kit, and with the help of the three-dimensional image obtained by scanning, he immediately found a branch artery from the **** wound, and clamped it on the top of the blood vessel. He glanced at it and saw that Mandy was still doing it. For ECG monitoring, he picked up the aspirator on the side and sucked out the blood from the wound on his leg. Immediately put on the tweezers, quickly "saw" the bullet, simply pulled the bullet out, and threw it in the basin on the side.
At the same time, Old Bell grabbed Bowen and Grant and came in, and let Bowen lie on the side of the hospital bed first and operate blood transfusion.
"400ml for one person." Lu Fei shouted.
PMC's black man said loudly, "I am blood type O, the third one is me, and the rest of them have the wrong blood type." The other three froze for a while, looked at the black man's shoulder, and said nothing.
Lu Fei couldn't handle this at all. He had already changed the needle holder in his hand, ready to suture the blood vessel.
"Jack, the casualty is in shock," Mandy yelled.
Lu Fei straightened up and rushed to the head of the wounded. Picking up the tracheal intubation device for intubation, he shouted: "Mandy, inject 1 ml of 0.1% epinephrine." Lu Fei inserted the trachea in 10 seconds, then put one hand in front of the wounded's chest and the heart, and knocked suddenly with the other. Hit your hand.
"Heartbeat, Jack." Mandy yelled.
"As long as there are vital signs, don't call me", Lu Fei immediately turned back to the wounded's thigh and began to suture the blood vessels.
The four people standing upright next to each other looked at each other, and everyone's eyes were full of "amazing" eyes.
Lu Fei has no distractions, sutures blood vessels with extremely fast speed, and the sutures are extremely neat and dense, stitching needles in small branch arteries. The action is not slow at all.
"The blood has been lost," Old Bell shouted. Kelly walked in at this time and brought a few strong cowboys.
Lu Fei concentrated on tying the last knot of the sutured blood vessel, loosened the vascular clamp, and observed the blood flow through the branch arteries, and the branch arteries did not seep blood at all. He looked up at the wounded again.
The face of the wounded has slightly improved, but his face is still bluish white. Lu Fei made a quick judgment and put on a slightly thicker thread, whether to suture the head wound or medical alcohol to open the way, but this time he said:
"Everyone is holding the patient. At present, only local anesthesia is too late for general anesthesia. I want to suture the wound on the head and arm, for fear of the patient's struggle."
Hula la, three burly men and a burly female man stretched out their hands together, and eight hands were firmly pressed on the limbs of the wounded. Lu Fei nodded with satisfaction, raised the medical alcohol bottle in his hand, poured it on the wound on the patient's head, and poured some on the wound on his arm. Fortunately, the patient is board-inch, and it is not a big problem. Lu Fei asked them to hold the patient down, cleaned up the debris from the head wound, and sewed the needle directly. The skin was closed with one hand, and the other hand was plunged in. The movement was extremely fast. Everyone listened to the sound of the needle passing through the skin, and several ruthless people also felt their scalps go numb. The main reason was that Lu Fei moved too fast and looked extremely rude. Lu Fei sewed 10 stitches in one minute, closing the needles and tying them. At the same time, he said: "Everyone, don't move, I still have to deal with the injuries of the arms and legs. The blood vessels are only connected to the legs, and the muscles, nerves, and skin are not sutured. Save the life first, and treat the disease later.
The four of them didn't move at all, as if they had been trained in the standing posture of China. Lu Fei glanced at it, and the 3D imaging clearly showed that the bullet was still in his arm. Fortunately, the blood vessel was not interrupted, but it was slightly embedded in the arm. It must have been blocked by something first. Lu Fei picked up the scalpel, cut a little more wound, exposed the surgical field, put on the forceps, went straight in and pulled out, and forcefully pulled the bullet out. After cleaning the wound, I quickly changed the needle and thread, took a look at the wound, felt that the muscle damage was very small, and immediately began to suture the skin wound, and then finished the work.
At this time, there was a second person on the side for a blood transfusion, and the cowboy brought by Kelly was also in front, taking the place of the big black, and the **** was holding their captain.
"Let's go, everyone, you savages crushed him so hard, I don't know they were wounded." Lu Fei knew that basically everyone was fine, so he made a joke.
Congregation PMC "…".
Then he went to the wounded's stomach, no nonsense, cut the body armor and clothes directly, pulled the clothes to expose the stomach, and then sprinkled a round of alcohol directly on the wound, but this time the local anesthesia was very close to the wound, the wounded If there is no response, he may have already passed out from the pain. After a while, Lu Fei successfully took out the bullet from his stomach. The wound was small and the inside was clean, but the suture was troublesome. All layers of muscle, fat and other tissues in the stomach should be sutured one by one with absorbable thread. .
Leaving a drainage tube in the abdomen, Lu Fei turned his attention back to the thigh, the bullet didn't hit the bone, or else the bone **** in the wound would be mixed, it would be troublesome. Seeing that it was the last and most serious injury, Lu Fei slowed down, slowly cleaned the wound, and sutured nerves and muscles.
Lu Fei took time to glance at the patient's ECG monitoring and face, and said loudly: "The wounded lose to the fourth person, you can pause, Mandy measures blood pressure, pay attention to monitoring vital signs. Blood pressure will be reported to me later."
Ten minutes later, Lu Fei had completely sutured the wound inside his thigh, and two minutes later, the skin of the wound was also sutured. Mandy reported his blood pressure four times, all hovering between 70/50 and 90/60.
Lu Fei stood up, glanced at the wounded one last time, turned and left, pointed at the four PMCs, and said, "Come here, I will treat your wounds one by one."
"Your captain won't die."
(end of this chapter)