Excellent hand and heart doctor

Chapter 621 Finally Arrived (Subscribe)
When Lin Jie came to the scene of the car accident, he saw broken car windows all over the road, as well as broken car covers and so on.

There was also a woman with disheveled hair, sitting in the driveway with an unconscious man in her arms, and was shaking the man in her arms while crying.

As she shook, the man vomited blood mouthful.

On the curb a few meters away, there was a deformed motorcycle.

Around this woman, several people stood or sat in twos and threes.

"If you shake it again, your boyfriend will die!"

Lin Jie came up to the woman a few steps, and said sharply, "Put him down quickly, I'm a doctor, let me check it first."

The woman came to her senses immediately, and hastily put the man in her arms on the ground, crying, "Doctor, please save him, please save him, please."

When Lin Jie knelt down and was about to examine the man, a disgusting smell of sour wine rushed straight from the man and woman.

He couldn't help but frown.

Damn, I hope it's not an accident caused by drunk driving.

Lin Jie resisted the nausea caused by the smell of alcohol, and after finding out that the person's carotid artery and breathing were basically normal, he began to feel the person's skull, cervical spine, sternum and hip bones.

During the inspection, the only injury Lin Jie found was two broken right ribs.

Judging from the rich foam in the blood spit out of his mouth, the broken rib should have pierced the right pleura and injured the right lung.

The injury here can only be treated by sending it to the hospital.

After checking that the man's abdomen was soft and that there was no accumulation of water or blood, Lin Jie touched the man's thigh and calf.

When touching his right calf, Lin Jie found that his tibia had a closed fracture, and his calf swelled quite badly.

Continue to probe down, and when he touched the ankle, Lin Jie didn't feel any blood pulse, which is a symptom of no blood supply down the calf.

Compartment Syndrome!
Lin Jie made a judgment in an instant. This is the early symptoms and signs of the muscles and nerves in the fascia chamber formed by bone, interosseous membrane, intermuscular septum and deep fascia due to acute ischemia and hypoxia.

This symptom is usually caused by the hematoma and tissue edema caused by traumatic fracture, which increases the volume of the internal contents, or the external bandage is too tight, and the local compression reduces the volume of the osteofascial compartment, resulting in an increase in the pressure of the osteofascial compartment. .

When the pressure reaches a certain level, the small arteries supplying the muscles can be closed, forming a vicious cycle of ischemia, edema, and ischemia.

When the ischemia time is too long, most of the muscles and nerves will be necrotic, forming contracture deformity, which will seriously affect the function of the affected limb. In more serious cases, it will directly lead to amputation or even life.

The treatment of this disease is relatively simple, that is, to cut the fascia immediately to decompress and restore blood circulation.

Lin Jie shouted to the people around: "Whoever has a knife, who has a knife, I need a knife, any knife will do!"

"Oh, a knife?! I have it, I have it!"

A middle-aged man standing a few steps away hurriedly took off a bunch of keys hanging from his waist, trotted over and handed them over, shouting: "Doctor, doctor, do you think this pocket knife is okay?"

A five or six centimeter long folding fruit knife hung on the key chain.

"You can use it!"

Lin Jie took the key chain and pulled out the blade.

At this moment, there is no condition for disinfection, so we can only make do with it.

Just as he was about to cut the skin of the man's right calf, someone grabbed his arm.

Lin Jie looked up and saw that it was the woman who was holding the man just now.

Her right cheek was scratched and bloodstained, which made her look a bit grim. She asked loudly, "What are you doing?"

Lin Jie explained: "He has compartment syndrome, and he needs to cut the skin and muscles of the calf hematoma, decompress and restore blood circulation, otherwise his leg will be useless."

These words made the woman hesitate.

She looked at Lin Jie and asked, "Are you so sure that if his calf is not cut open, it will definitely be crippled?"

"Well... how old are you this year?"

"Where do you practice medicine?"

"Where did you graduate from medical school?"

"What's your medical license number?"

One question after another came out of the woman's mouth.

As she asked, the woman's expression became firm. Before Lin Jie could respond, she said decisively, "You can cut his legs, but if my husband has any problems, you have to take full responsibility."

Hearing her words, Lin Jie was very angry.

Yaya, I'm trying to save your boyfriend's calf, okay?

Lin Jie, who was complaining in his heart, also understood that his face was too young, and it really didn't look like the face of a qualified doctor.

Lin Jie suddenly noticed something, and asked, "Is he your husband, not your boyfriend?"

The woman nodded and said, "We just went back to our hometown to register last week, but we haven't done the business yet, but legally, we are already husband and wife."

If it's just a relationship between a boyfriend and a girlfriend, she is not considered a legal family member of this person. In the case of emergency treatment, Lin Jie can independently decide on some treatment methods without asking for her consent.

But now, the situation is different.

This woman has the right to decide what kind of treatment this man receives, especially when the man is unconscious.

Lin Jie said in a deep voice, "That would be the best."

He turned up the volume a little, so that several people around him could hear, and said, "I can tell you that I am a licensed doctor."

"Now, your husband needs to cut the calf skin and muscles to relieve the compartment syndrome, otherwise his right calf will probably be useless."

"This is an emergency surgery on the spot, there is no way to do disinfection, it is likely to cause a series of bacterial or viral infections."

"As his legal wife, I need your authorization."

Lin Jie asked solemnly: "Do you agree with me to perform this operation?"

The woman glared at Lin Jie, stared at him for a while, and shouted angrily: "You are shirking responsibility, you are trying to shirk responsibility."

"I know your little trick. You are not sure about your own treatment methods, so you ask for my consent and want to put all the responsibility on me."

At this moment, the siren of an ambulance came faintly.

The woman was overjoyed and shouted, "Go, go!"

"I don't want you to operate on him, I want to wait for a real doctor to save him..."

Lin Jie held back his anger, and reiterated again: "You have to understand, if he doesn't have another operation, his legs will really be useless."

Hearing the sound of the ambulance seemed to be getting louder, the woman yelled at Lin Jie: "Go, I don't want you to save me!"

"I do not believe you!"

Clay figurines also have a three-point earthy nature, and Lin Jie has never received such treatment before.

At that moment, Lin Jie, who was full of anger, returned the key chain in his hand to its owner, ignored the couple, and shouted, "Are there any other wounded?"

"Yes, yes, doctor, here, come here quickly!"

Lin Jie followed the sound, and saw a shirtless man sitting on the curb with a big belly supporting him.

The shout was from the shirtless man.

The man with a big belly held a ball of cotton T-shirt and covered his face with his hands, but the whole T-shirt was soaked in blood, which was very scary.

Lin Jie ran over, and after checking, he found that it was a false alarm.

The man with the belly had a five to six centimeter long laceration on his forehead, and a fractured nasal bone.

There seemed to be a lot of bleeding, but they were all minor injuries.

Lin Jie fit his nasal bone, and simply bandaged the wound on his forehead, and asked, "How did this car accident happen?"

The shirtless man pointed at the couple on the driveway, and said angrily: "They were riding a motorcycle and suddenly broke into the motorway. My brother had to slam the steering wheel to avoid them, and then we were caught by the people behind. The car was hit."

"My brother's face hit the steering wheel and that was it."

Hearing that this was the cause of the car accident, Lin Jie hated the couple even more.

The sound of the ambulance was still ringing, but the first to arrive were two traffic policemen on motorcycles...

Lin Jie checked the other people and found that they were also slightly injured.

After dealing with them briefly, Lin Jie walked towards Zhang Yufei who had been waiting by the side of the road.

Although he looked anxious, he stayed by the side while Lin Jie was treating others, and did not come to disturb him.

This concentration is also quite good.

"Expert Lin, I wanted to apply for a medical helicopter rescue!"

Zhang Yufei greeted Lin Jie, suppressed the anxiety and anger in his heart, and explained: "It's just that Beijing has very strict air control, and my application has not been approved."

"Expert Lin, we still need to trot for a while."

He reminded: "We have less than one hour and three 10 minutes to reach the hospital in the three hours you said, but we are only halfway there."

"And the remaining half way..."

Lin Jie pointed at the traffic policeman's motorcycle, interrupted him, and said, "Nearly 10 minutes have passed. Just listen to the siren of the ambulance, but there is no car coming. It can be seen that the road ahead is also severely blocked."

"But the traffic policeman on the motorcycle arrived ahead of time..."

Zhang Yufei's eyes lit up, and he shouted, "Oh... yes, yes!"

"Motorcycle, motorcycle, why am I so stupid..."

Before he finished speaking, he looked around, and soon saw two high-powered motorcycles on the side of the road.

Zhang Yufei immediately ran towards the motorcycle...

I don't know what kind of generous conditions Zhang Yufei promised. Two motorcycle riders in their 20s were happily carrying Lin Jie and Zhang Yufei on their backs, speeding quickly on the motorway on the right, overtaking one car after another ...

Lin Jie wanted to drive a motorcycle by himself.

Although he had never ridden before, Shen Lanruo said that she had ridden herself, and she rode quite well.

According to past experience, Lin Jie should also be able to ride.

However, now is not the time for experimentation. Lin Jie, who was wearing a helmet, obediently sat on the back seat of the motorcycle and was led to ride.

More than 50 minutes passed, and the neon signboard of "First Military Medical University Affiliated Hospital" towering over the top of a building came into Lin Jie's eyes...

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(End of this chapter)