Immediately afterwards,
He saw four men covered in mud and water, sliding and falling to the ground in the heavy rain, leaving a trail.
And carrying a simple stretcher made of branches and sheets in their hands, they desperately pushed through the crowd and rushed into the hall.
"Doctor! Doctor!"
Qin Feng, who was sorting the patients, got up quickly when he heard the sound, and looked towards the door.
A villager was carried in, with glaring blood on his head.
"What's the matter with this patient?"
He hurried forward and was stunned when he saw the condition of the injured.
Head bleeding, severe coma!
The most important thing is that there is a substance similar to nasal mucus near the patient's nasal cavity, with a little bloodshot.
Cerebrospinal fluid!
"After he arranged for an emergency evacuation, he found that he hadn't taken his passbook at home, so he went back to look for it. As a result, the house just collapsed, his head was hit by a beam, and he passed out at that time."
One of the villagers explained out of breath.
Hearing this, Qin Feng became more certain in his heart.
Brain injury!
It is undoubtedly cerebrospinal fluid that comes out of the nose.
Cerebrospinal fluid is generally a transparent and viscous liquid, but if a lesion or injury occurs, it will show changes and flow out through the nasal cavity.
Generally, this kind of situation occurs mostly in meningitis. After bacterial infection, the cerebrospinal fluid will be thin and show a rice soup color.
And if it is a subarachnoid hemorrhage caused by head trauma, or a brain tumor rupture, this bloody situation will appear.
The injury in front of him was obviously caused by an intracranial injury.
"Doctor! Is my brother all right?"
A man carrying a stretcher behind him was nervous and anxious.
"There is something wrong, send it to the emergency room!"
Qin Feng's expression changed, and he said solemnly.
"Doctor Qin, our emergency room is already full."
The doctor who was assisting next to him hurriedly lowered his voice and said,
"Let's not talk about the emergency room and ward now, the infusion room and ultrasound room can't be crowded now, they are all injured, and we don't have enough medicine."
Hearing this, Qin Feng frowned, and looked at the ground where he could barely get his feet in, and the room was full of all kinds of minor and serious injuries.
What are they going to do now?
The situation is too bad!
"Now do as I say, remove all patients with mild to moderate injuries and fractures from the ward!
Immediately vacate the emergency room, and all critically ill patients will enter the ward, giving priority to life preservation! "
Now time can't afford to wait, if one more second is delayed, a critically ill patient will face the risk of death,
"Dean! Can you contact the leaders of the village?"
"Ok, Ok."
The dean nodded repeatedly when he heard the words.
"Let them give us a bigger space, preferably a one-story building!
Then transfer all the mild and moderate patients who have received treatment and are waiting, and wait for our medical assistance to go directly to start work.
The medical equipment here is slightly better, leaving only critically ill patients. "
Qin Feng hurriedly told his plan,
"At the same time, let the leaders organize the masses to help build beds, use all available ones, and make sure all the wounded are off the ground.
Send the first aid medicine and equipment I brought to the emergency room, I want to save people immediately! "
"Okay, okay, I will arrange what you said, the place is already being prepared, and we also want to share the pressure as soon as possible."
The dean also explained that he had actually made arrangements before, but it was just because there were too many things to do, and more and more villagers and patients were evacuated from the villages below to the countryside.
The pressure is too much!
Not just him, but all township leaders.
This is not a simple evacuation of the masses and treatment of the wounded, but a battle!
"Enter the emergency room!"
The injured were carried into the emergency room.
There is no operating room, no MRI, no way to detect the condition of the brain, and even a sterile space, let alone surgery.
Keep it simple!
But even so, it is necessary to achieve the purpose of rescue as much as possible.
For debridement, first use iodophor to debride the externally exposed wound, and suture the cortex.
Then, according to the current basic situation of the patient, he performed fluid rehydration. Qin Feng checked his pulse. The injured patient in front of him definitely had a severe open brain injury, and it was accompanied by intracranial hypertension, and he would go into hypotensive shock at any time.
Fortunately, there is no serious compression on the brain at present, and it seems that there should be no massive bleeding in the blood vessels.
"Add a mannitol."
Qin Feng directed the nurse to adjust the rehydration fluid, and then put away the utensils and iodophor.
At this time, povidone iodine is definitely a life-saving thing!
Because a large number of traumas cannot be disinfected with alcohol and hydrogen peroxide!
Alcohol itself has a strong penetrating ability, which means that alcohol can pass through the outer membrane of bacteria and enter the interior of the tract to kill it completely.
Alcohol reacts with the proteins that make up the inside of the bacteria, causing them to coagulate quickly and lose their activity.
Although the bactericidal effect is good, if the debridement of a tearing wound or a large wound causes protein coagulation and the death of wound active tissue, it will affect subsequent suturing and healing.
Therefore, alcohol is generally only suitable for disinfection of the surface of objects, such as hands, skin, etc., to form a continuous sterilization effect within a certain period of time.
In addition, alcohol disinfection is also a kind of torture for the injured!
So at this time, it must be resolved, and alcohol disinfection must not be used until the critical moment.
"How many monitors does your hospital have?"
"Two."
Qin Feng looked at the doctor next to him and asked, and stopped asking after hearing the answer.
Although this is a village, it is better than the villages in Gougouli below. There is a street and a small hospital.
But let alone the capital city, even Jiangcheng is one heaven and one earth.
If you propose a township hospital from Jiangcheng, the conditions are several times better than here. The only thing that can be praised is that the hospital here and the office building of the township leaders are both two floors.
…
"This knee is contused and the tibia is broken. After treatment, send it away immediately!"
"Pneumothorax! Scalpel, tube!"
A scalpel was cut from the side of the chest, and a sterile tube was inserted, which instantly relieved and saved a life.
"Send it to Ward No. 2 for monitoring, and come to me if you have any questions."
From the discovery to the completion of the processing, there is not even a minute before and after, and the speed is simply outrageous.
Now,
Including the physical examination and the window pharmacy in the whole small hospital, there are 5 doctors and 8 nurses in total. All of them were dispatched by Qin Feng and finally regained some normalcy, instead of facing the chaos of countless wounded patients before.
Eight nurses each have a ward, two doctors follow Qin Feng in charge of injury identification, and the other two are in charge of treating mildly injured patients, and then arrange transfer.
Qin Feng's lightning-like emergency treatment left the four doctors dumbfounded.
This is the doctor of the big hospital!
This is how powerful the doctors of Xiehe Hospital are!
At this moment, Qin Feng's white coat, which was almost soaked in muddy water, and the emblem of Xiehe Hospital on his chest, are the backbone of this small hospital!
…
The sky became oppressive and dark under the heavy rain.
"Qin Feng! Here we come!"
After an unknown amount of time, he was busy accepting new patients for pre-diagnosis and triage.
A familiar voice finally rang out, it was Gao Sheng, the director of the emergency department.
"Director Gao, you are finally here."
Hearing the sound, Qin Feng raised his head and watched Gao Sheng and four or five doctors rushing towards him, he finally breathed a sigh of relief.
They are finally here!