Chapter 304 Blood Pressure Is Almost Gone!

Emergency nights are never peaceful.

It's the worst thing to do here.

For example, Chen Cang at this time, just lay down for less than 10 minutes, when the snoring started to start, a violent and hurried knock on the door suddenly sounded!

It took less than 5 seconds for Chen Cang to open his eyes, turn over and get out of bed, and then open the door urgently.

After the door opened, Xiaolin stood outside the door.

Xiaolin looked flustered, and said anxiously: "Doctor Chen, it's not good, a man riding a motorcycle on the pipeline bridge hit the pipeline next to us. We are the closest here, and we are going to send a car there. We need a follower. Doctor Che!"

Chen Cang's expression changed, and he walked outside, saying as he walked, "Hurry up and call Wang Yong, his second-line, let him come over quickly, and I'll follow you over there."

Xiaolin nodded quickly: "Okay!"

Chen Cang hurriedly ran into the ambulance. The driver, Lao Liu, was ready to go anytime, anywhere.

After Chen Cang sat down, the car ran out instantly.

The pipeline bridge is the closest to the Second Provincial Hospital, only less than 2 kilometers, but the most terrible distance is not.

But the pipeline bridge can't walk the car at all!

Pipeline bridge Pipeline bridge is actually a small bridge built for the pipeline between two rivers. People usually walk on the bridge.

At most, electric vehicles and bicycles can be used, but cars cannot be used at all.

The car can only be driven to the side of the road, and the doctor has to run up to it in person. There is still a long way to go from the road to the bridge. This is undoubtedly a serious obstacle to the rescue!

It took less than two minutes for the car to arrive at the parking spot immediately. Chen Cang opened the door and ran down holding the first aid kit, while the driver, Lao Liu, pushed down the pusher on the 120 car.

I was about to go up, but I found that there were all stairs, and the cart couldn't go up or down at all, so I hurriedly took the stretcher in my arms and rushed up.

It's past one o'clock in the morning!

There was not a single pedestrian on the road.

After waiting for Chen Cang and the driver Lao Liu to run to the pipeline bridge, they saw two young men standing by the side, holding mobile phones in their hands and making a call.

A motorcycle fell to the side, and a man was lying on the ground, whose life and death were unknown!

However, seeing the destruction of the fence, Chen Cang's heart sank!

Hit it like this!

People... are also dangerous.

Chen Cang couldn't think about it, and hurried forward with the driver.

When the two young people saw Chen Cang in white clothes running in a hurry, their eyes lit up.

"Doctor! Right here!"

At this time, the injured person is lying on the railing, half of his body is on the bridge, and he may fall off if he is not careful!

The street lights here are not very bright, and you can only see it vaguely!

There is no blood on the road.

There should be no injuries...

However, looking at the man's appearance, the most worrying thing is whether there is a fracture of the head and neck.

Once there, this help transfer will be very troublesome.

However, in such a posture, there is really no way to rescue, and the man must be taken down.

Chen Cang patted the man on the shoulder: "Comrade! Wake up!"

"Can you hear me, comrade?"

...

Chen Cang called in his ear several times, but saw no response.

Greeting everyone: "Let's lift him down, Lao Liu, you hold your waist, I'll get your head, that... young man, the two of you help hold hands and lift your legs."

The two of them are not very old, maybe they are eighteen or nineteen or in their early twenties, but how can they walk on the bridge without sleeping in the middle of the night.

Chen Cang couldn't think about other things. At this time, saving people was his only thought.

Transporting patients is very particular.

Such a car accident injury is prone to fractures of the body, especially the head and neck, cervical vertebrae...injury in these places.

Once the transport method is inappropriate, it is easy to cause second-degree damage and even aggravate the disease.

Therefore, in the face of emergency patients, we must not rush to transfer, otherwise it is easy to do bad things with good intentions.

But what the two young people did was right!

After transferring the patient to the stretcher, Chen Cang opened the first aid kit, quickly checked his blood pressure, and then patiently observed his breathing and pulse...

At this time, the two young people saw that the street light was not very powerful, so they simply turned on the flashlight of the mobile phone and illuminated the patient.

It didn't take long for the blood pressure to come out. After seeing the value, Chen Cang's complexion suddenly changed!

"60/30mmHg!"

This blood pressure, what the hell is hypotensive shock?

Thinking of this, Chen Cang's expression changed suddenly.

Hypotensive shock...traumatic...

Is there any bleeding?

But I couldn't find the bleeding place for a long time!

What would that be?

Chen Cang suddenly saw the spot illuminated by the flashlight and saw a strange phenomenon.

Chen Cang said quickly, "Give me the flashlight!"

The young man on the side was very cooperative and handed over the flashlight.

Chen Cang hurriedly lowered his gaze!

Distended jugular veins? !

Suddenly, an emergency emergency case appeared in Chen Cang's mind. At this moment, it must be verified!

Chen Cang handed the phone to the other party and hurriedly took out the stethoscope.

The hands are a little tense.

After all, Chen Cang had heard of this disease, but he had never encountered it before. If it were, he might have to organize a rescue immediately.

Can't afford to delay!

Thinking of this, Chen Cang took the listening device and placed it on the heart of the injured person's chest...

Suddenly, a burst of low and distant heart sounds came, and the speed was very fast, like the sound of drums ten miles away, the sound was endless, but it was low and distant!

Chen Cang's face was solemn!

It should be... the triad of cardiac tamponade!

This is an urgent cardiac emergency: acute cardiac tamponade with typical symptoms of Beck's triad.

The main manifestations are increased venous pressure leading to increased jugular venous pressure and jugular venous distention, which is the first feature.

Second, the sudden drop in blood pressure leads to a drop in systolic blood pressure, a decrease in pulse pressure difference, shock, and paradoxical pulses are the second signs.

The third is a decrease in stroke volume, a distant decrease in heart sounds, tachycardia, etc. This is the third sign.

The three signs seem to have put the truth in front of Chen Cang!

At this time, Chen Cang touched the injured person's skin and felt that the skin temperature was dropping.

Chen Cang has determined that the patient must have suffered acute cardiac tamponade caused by trauma. He is currently in a state of shock, and the situation is urgent and life-threatening at any time.

What is cardiac tamponade?

The heart is the power organ that maintains the blood circulation of the human body. It guarantees the blood supply to various organs and tissues of the body.

The pericardium is like the armor of the heart, protecting the outside of the heart. It is a sac-like structure that wraps the heart and the roots of the great vessels entering and leaving the heart.

Between the heart and the pericardium, there is a cavity called the pericardial cavity, which refers to the space between the parietal pericardium and the visceral pericardium on the surface of the heart.

There is a small amount of light yellow liquid in the normal pericardial cavity, which lubricates the surface of the heart. This is like an engine. It has a role of lubricating oil. After all, the heart is just like a piston, beating continuously. If there is a pericardium outside, it needs friction, and this The pale yellow liquid, which is lubricating oil, reduces friction between the heart and the pericardium.

When the traumatic heart ruptures or the intrapericardial blood vessels are damaged, the accumulation of blood in the pericardial cavity is called hemopericardium or cardiac tamponade, which is a rapid cause of death due to cardiac trauma.

Due to the limited elasticity of the pericardium, acute hemopericardial accumulation of up to 150ml can limit blood return to the heart and heart beating, causing acute circulatory failure and subsequent cardiac arrest.

After all, if you think about it, blood accumulates in the pericardial cavity, compressing the heart and unable to beat. In order to continuously provide blood supply to the body, the heart can only desperately contract and relax, contract and relax... This causes the heartbeat to speed up, but the more blood it pumps, the more blood it pumps out. Less and less, because the resistance caused by the pressure outside the heart is increasing!

Soon, the heart can go into cardiac arrest, leading to acute circulatory failure, or even… immediate death!

Therefore, patients are now in critical condition, very dangerous, and may face death anytime, anywhere.

What to do now is to relieve the compression of the heart is the only chance of life for the patient.

ps: There are four chapters to come, five chapters tonight.