The road to the rise of great doctors

Chapter 77 Car accident injury

Quickly crossing the road and overcoming obstacles, Liu Dong came to the injured person.

As he walked, he said, "I'm from the hospital next door."

The traffic policeman waved his hand and let him pass.

With the help of traffic police and firefighters, all the injured got out of the car.Either standing, sitting or lying on the ground.Some people groaned and yelled in pain, with curses mixed in, and some people were very silent.
Paramedics watching the ambulance were also arriving.

Liu Dong did not rush to check on those people with loud voices, but took a general glance at all the injured people, and then walked directly towards a taciturn person sitting on the curb.

He took a closer look and found that he was a middle-aged man with a painful expression and pale face. His whole body was shaking a little, and big beads of sweat were flowing down his face.But the man couldn't lift his hand to wipe it.

"It's bad, this person's situation is not good"

"Where are you injured?" Liu Dong asked, but he did not rush to help the man up.

Some injured people cannot move casually.You have to confirm that there is nothing wrong before moving, otherwise it will aggravate the injury.

The middle-aged man's lips moved a few times. Liu Dong got closer and heard, "Hip bone."

"Does your pelvis hurt the most?" He pointed at the man's pelvis and asked.

"What about other places? Does your stomach hurt?" Liu Dong then asked.

"The place where I pee is a little painful." The man seemed to have exhausted all his strength and was struggling to cooperate and seek help.

Liu Dong looked towards the ambulance and found that the emergency personnel had arrived. He quickly waved and said, "Teacher, here, I'm an intern at the nearby hospital. I came here when I saw this situation."

He pointed at the middle-aged man next to him and continued, "This man may have a fractured pelvis. His general condition is not good. He has some signs of shock. Please take a look first."

"Doctor, save me first, I'm still bleeding."

"Doctor, you can't save people in any order, and you can't jump in line."

"Doctor, you can't be like this just because you have an acquaintance."

"Doctor, if you don't bandage me first and let me continue to bleed, I will file a complaint against you!"

The medical staff who came from the ambulance seemed to be used to the noisy noises and were unmoved.

But near the Medical College Affiliated Hospital, the ambulance happened to be on standby and two groups of people came over.And each group has a nurse and a doctor.

One of the groups separately checked the patients' conditions and decided to transfer the heavy ones first, and it would not take much time to transfer them in batches.

Another doctor and nurse heard Liu Dong's cry and knew the urgency of "shock", so they quickly pushed the transfer cart over.The nurse picked up the sphygmomanometer and measured the man's blood pressure. "The high pressure was 90mmHg and the low pressure was 55mmHg."

Next to the nurse was a middle-aged male emergency department doctor wearing ambulance clothes. He had a "law enforcement recorder" style device pinned to the front of his clothes. The red indicator light showed that it was working.

This middle-aged male doctor, who looked like he was very busy at work, came over and nodded to Liu Dong as a greeting.Then he went to the patient and asked a few questions. After learning that the head, chest, limbs, etc. were not injured, after checking the basic condition of the injured, he believed Liu Dong's words [-]%.

With the assistance of Liu Dong, the three people worked hard to lift the injured person onto a stretcher, and then placed the stretcher on the transfer bed.

The nurse and the traffic police shouted, "Comrade police, do you know which car this person was in? Who knows this person? Has his family contacted him? This person is in critical condition and needs to be transferred to the emergency department immediately. Anyone he knows or who is slightly injured You can go together if you order.”

There were no family members of this person at the scene. The traffic police also heard that this person was very serious. After asking him for his phone number, he helped the doctor call his family members. After a brief description, he told him about the car accident and where he lived. Which hospital did you go to? Urge them to come over quickly!

Liu Dong did not go with the car.He took a look at the injured at the scene and found that they were all common injuries that the emergency department could probably handle.But the seriously injured one is not ordinary.

A pelvic fracture can easily become a complex mixed injury.

Complications of pelvic fractures, in addition to hemorrhagic shock caused by trauma, may also occur urethral rupture or other urethral injuries of varying severity. Fractures may be complicated by bladder rupture, rectal rupture, or even pelvic blood vessel rupture.
Liu Dong carried his bag and walked quickly to the sidewalk, then ran towards the hospital.

He went directly to the obstetrics duty room, put his backpack in the cabinet, put on his white coat, closed the door, left the ward, and ran towards the urology ward.

Why go to urology department instead of emergency surgery?

Pelvic fractures are first treated by the orthopedics department, but Liu Dong has not yet rotated to the orthopedics department, and the doctors there may not be willing to take him.

The emergency surgery department may complete the imaging examination as soon as possible based on basic judgment, but this part of the work is nothing new to him, and it feels like simple and repetitive work.

Urology is different!
He had just finished a rotation in the Department of Urology, and the teachers there were familiar with him.Moreover, in view of his excellent performance and rumors that he may become Li Jing's disciple, he will add a bit of intimacy based on the friendship accumulated in the rotation.

Furthermore, in addition to fractures, other possibilities such as bladder rupture and urethra injury are all within the scope of urology.

In case of rectal injury, it belongs to the category of general surgery.Of course, the subspecialties of some hospitals are relatively detailed, and anorectal surgery may also be "a separate branch", so rectal injuries will be classified as anorectal surgery.In the Affiliated Hospital of Medical College, the general surgery department is still a big family. Except for the hepatobiliary surgery department, which is separated into an "independent department", breast, thyroid, hernia, colorectal, gastrointestinal, extravascular, etc. are still mixed in the same department. It’s just that different medical groups have their own specialties or preferences.

When Liu Dong arrived at the door of the urology ward, he saw Wang Lin, the doctor on duty, hurried out.He walked quickly to the elevator, pressed the down button, and then said, "Teacher Wang, I am Xiao Liu. I just finished my rotation in the Department of Urology."

"I know you, young man, you're doing well. What's the matter with you?" Wang Lin asked directly before Liu Dong finished speaking.

Liu Dong did not play catch-up, but went straight to the point and said directly, "I saw a car accident on the side of the road after work. One of the people suspected a pelvic fracture. I think pelvic fractures are often combined with urethral injuries. I have never encountered one when I was in Corey." If you’ve been there, come over and study! Are you going to the emergency surgery clinic?”

Wang Lin nodded and said, "Yes, it should be this patient. Then you come with me to see it. Wait a moment, I will get a tool, and you call me when the elevator is coming. The elevator at this point It’s hard to wait.”

(End of this chapter)