In the emergency room, the young man in the car accident excitedly reported to his family that he was safe, but the medical staff started to rescue him on the spot

The 120 ambulance drove into the hospital late at night.

The emergency room was immediately busy. Several nurses were desperately trying to give intravenous drips and infusions to the injured. Doctors were coming in and out, taking turns to diagnose and treat the wounded.

Due to the large number of injured people, the emergency department immediately asked the anesthesiology department for help. They knew that apart from their emergency department, the anesthesiology colleagues were the only ones who were good at rescuing.

That day, our colleague Dr. Wang from the Department of Anesthesiology was on duty. After receiving the call, he rushed to the emergency department immediately.

When he arrived at the emergency department, the scene in front of him shocked him: on three rescue beds side by side, people were all doing chest compressions; on the stretcher, there was a person groaning; in the corridor, a young man was calling home to report that he was safe.

At first, no one was interested in what he said on the phone. However, his voice was so loud that everyone who was busy with the rescue had to listen.

However, the director of the emergency department who had just rushed over from home seemed to have discovered something: when he heard the young man constantly emphasize that he was lucky and was somewhat incoherent, he felt that this was very abnormal. Looking at the young man's state, it seemed that he was in a state of excitement similar to being drunk. But he knew clearly that these people were not drinking, but a group of migrant workers rushing back to the dormitory after work.

Thinking of this, he immediately called Dr. Wang over and said: Go back to the operating room quickly, we may need to prepare for an emergency operation.

When Dr. Wang, who was busy organizing the rescue, heard this, he immediately understood what was going on and returned to the anesthesiology department.

In the emergency room, shortly after Dr. Wang left, the excited young man collapsed.

Fortunately, the emergency department was already prepared. Although he repeatedly claimed that he only had skin injuries, the nurse still gave him an IV. As soon as he fell, a large amount of fluid began to flow into his blood vessels.

Blood pressure measurement showed that his blood pressure was less than 70. His almost lost consciousness, cold limbs and swollen abdomen all showed that the victim might have suffered from hemorrhagic shock of abdominal organs.

Seeing this situation, the director of the emergency department immediately called the general surgery department and asked them to come to the emergency department immediately for diagnosis and to develop a surgical plan.

When the general surgeon arrived, he also targeted the ruptured liver and spleen.

At this point, there was no time to waste. Without the family's signature, we could only report to the hospital leaders while preparing for the operation.

When the injured young man was sent to the operating room, his blood pressure could no longer be measured. Only the almost "idle" heart seemed to indicate that he was still alive.

Almost any anesthetic drug will suppress circulation, further lowering the already low blood pressure. However, human life is at stake. No matter how difficult it is, anesthesia must be used.

The patient suffered from hemorrhagic shock in a short period of time, and it was impossible to wait for blood transfusion and fluid infusion to stabilize the circulation. At that time, the only way was to use light anesthesia, accelerated fluid infusion and a combination of pressor drugs to counteract the circulatory depression caused by anesthetic drugs.

The blood pressure, which was originally unmeasurable, was now over 70 under the treatment of Dr. Wang from the Department of Anesthesiology.

But he knew very well that this was only temporary. If he didn't have surgery to stop the bleeding early, all the measures would be in vain.

Seeing that the anesthesiologists were doing their best to maintain blood pressure, the general surgeon accelerated the operation.

As handfuls of blood clots were cleared out of the abdominal cavity, a large cut on the spleen appeared in front of everyone.

Seeing this, the director of general surgery did not hesitate at all and pinched the splenic artery. Soon, the spleen was removed.

Everyone finally breathed a sigh of relief when they saw that there were no obvious bleeding spots in the abdominal cavity.

After a while, with the efforts of Dr. Wang from the Anesthesiology Department through blood transfusion, infusion and other anti-shock operations, the blood pressure finally gradually returned to normal.

When the operation was over, everyone saw this young face and said in their hearts: This kid saved his life.

[Knowledge Point] For people with a clear history of trauma, if their consciousness becomes very excited, they must be alert to hemorrhagic shock. When hemorrhagic shock occurs, due to the drop in blood pressure, the sympathetic system in the body is overactivated, and a large amount of excitatory transmitters are sent to the brain. At this time, the injured may not show fear in the accident, but rather very excited. If you encounter an injured person with such behavior, you must give priority to rescue. As the bleeding increases, such an injured person will quickly enter a state of shock decompensation until the heart stops beating.

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