Chapter36: Race against death - carotid artery rupture and bleeding

"Xiao Rui!"

The shrill scream of an old man rang out, attracting the attention of everyone around him!

next moment,

Jiang Chu saw it,

An old woman in her fifties rushed towards the child on the ground like crazy. She ignored the broken glass on the ground and knelt down on the ground, picking up the child.

"Xiao Rui, Xiao Rui, what's wrong with you? Don't scare grandma!" The old man's voice was full of panic, fear, uneasiness and helplessness!

"Blood, blood! Why is there so much blood?!"

Suddenly, the old man discovered that the child was constantly bleeding!

Suddenly, the old man became even more flustered and uneasy!

"This child was so careless. He ran wildly and hit the glass that was carried by two people. I don't know where he was injured? So much blood?" Someone who saw the whole process couldn't help but sigh. stand up.

"Put the baby down and don't move!"

At this moment, a middle-aged man rushed over and quickly checked on Xiao Rui's condition.

"I'm Jian Wenguang from the emergency department of the city hospital! Don't panic, call an ambulance quickly, I'll handle it here!"

The relationship between doctors and patients is still very harmonious now. There is no such thing as an old man falling down on the road and being blackmailed, and there are no doctors who are accused of practicing medicine illegally while rescuing people outside the hospital.

Therefore, within a short period of time after Jiang Chu's rebirth, Jiang Chu would encounter two incidents of doctors rescuing people outside the hospital. In a few years, such situations would be extremely rare.

"Okay, okay!" When the old man heard this, he immediately shouted to the people around him as if he had taken a reassurance: "Who can call the emergency number for me? Thank you everyone, thank you everyone!"

"I'll go!" Upon hearing this, a young man immediately ran towards the phone booth in the distance.

At this time, Jiang Chu also came closer.

Jian Wenguang's face was solemn, and the confidence on his face just now had completely disappeared!

Because, Jian Wenguang discovered that Xiao Rui's right carotid artery was scratched by glass and was spurting blood!

The carotid artery is located shallowly and is easily damaged.

At this moment, streams of blood were sprayed outwards at an extremely fast speed and in an astonishing amount!

If this continues, it won't be long before Xiao Rui will suffer from hemorrhagic shock and die!

Waiting for an ambulance, it's too late!

"We must apply pressure to stop the bleeding now!" Jian Wenguang immediately made a decision in his heart!

This is years of clinical experience. Sometimes, the brain has no time to judge, and the hands have already started to implement it!

Compression hemostasis is the most convenient and quick way to stop bleeding in response to trauma and during surgery. It uses external force to compress the blood vessels at the bleeding site to shrink or close them to slow down the blood flow, allowing platelets, fibrin, red blood cells, etc. to function to form thrombus. Thereby further achieving the purpose of hemostasis. It is suitable for small wounds. In serious cases, it cannot last long and is only used to control bleeding when first aid measures are needed.

Generally, depending on the bleeding location, such as the top of the head, face, neck, limbs, trunk, etc., you can flexibly choose acupressure, deep compression or tourniquet binding.

There are two types of compression hemostasis. One is the direct compression method, which uses sterile gauze to directly wrap the wound for about ten minutes. The other method is to use finger pressure to stop bleeding. First, use the index finger or ring finger to find the proximal end of the artery in the wound, determine the pressure point, and then press to block the blood flow to stop bleeding.

At this moment, Jian Wenguang chose acupressure.

"For cervical artery injuries, the pressing point to stop bleeding is at the front edge of the midpoint of the sternocleidomastoid muscle. Press the bilateral common carotid arteries backwards on the fifth transverse process of the cervical vertebra. This can only stop bleeding in a short period of time. It works! But waiting until the ambulance arrives is enough!" Jian Wenguang thought to himself.

"However, you need to pay attention to avoid the trachea to avoid compressing the trachea and causing respiratory depression; avoid compressing both common carotid arteries at the same time to prevent cerebral ischemia and cerebral infarction; do not go higher than the cricoid cartilage to avoid compression of the carotid sinus and cause blood pressure Sudden drop."

These thoughts flashed through Jian Wenguang's mind.

At this time, he had chosen a conventional pressure point, and his right index finger pressed tightly on Xiao Rui's carotid artery.

But, the next moment,

Jian Wenguang's complexion couldn't help but change drastically!

The bleeding doesn't stop!

Still spraying outward quickly!

"how so?!"

Jian Wenguang panicked.

"There is nothing wrong with my operation, why can't I stop the bleeding? What went wrong?" Jian Wenguang's face suddenly broke out in sweat.

"Doctor, why hasn't my grandson's bleeding stopped? It's still bleeding. Doctor, please save the child, please, doctor!" Although the old man didn't understand, he saw that Xiao Rui was still bleeding. , and also knew that the situation was not good!

"You are in the wrong position!" Jiang Chu took a few steps forward, squatted down, and whispered in Jian Wenguang's ear.

Jiang Chu knew that he had to take action, otherwise this child named Xiao Rui would be in serious danger.

"What did you say?" Jian Wenguang was stunned when he saw Jiang Chu.

"The position of carotid artery compression in children is different from that in adults. You choose the position of adults."

Jiang Chu's voice was still very low, only he and Jian Wenguang could hear it.

At the same time, Jiang Chu moved Jian Wenguang's hand without leaving a trace and placed it on another position on Xiao Rui's neck, which was higher than the previous position.

As the position changes,

The bleeding speed of Xiao Rui's neck suddenly slowed down, and the bleeding stopped soon!

"No more bleeding, no more bleeding!" Seeing this, Grandma Xiaorui couldn't help being surprised and happy, and shouted loudly.

When the people around him saw this, they were also amazed.

Unexpectedly, just changing the position can have such a magical effect?

Only Jian Wenguang knew in his heart what a big mistake he had made before!

At the same time, Jian Wenguang's mind quickly flashed through the anatomy of the carotid artery in children and adults, and he couldn't help but feel scared!

What he had just pressed was not Xiao Rui's carotid artery, but his trachea!

Fortunately, the time was short, and Xiao Rui also fainted due to the huge shock of hitting the glass just now.

otherwise,

Before the bleeding is stopped, Xiao Rui will be depressed because he is compressing his trachea!

This young man not only saved Xiao Rui, but also saved himself from a lot of unnecessary trouble!

"Thank you, if it weren't for you just now"

At this moment, Jian Wenguang saw Jiang Chu's appearance clearly and was stunned.

They are both in the same hospital, and the emergency department and general surgery department always overlap.

Although Jiang Chu could not undergo surgery before, he always went to the emergency department for consultation and treated some patients, and he still knew Jian Wenguang.

In his desperation just now, Jian Wenguang didn't notice Jiang Chu's appearance, but when he took a closer look, it turned out to be him!

"Hello, Director Jian!" Jiang Chu said with a smile: "Director Jian acted bravely on the way to work. He has unparalleled skills and calmly saved this child! I will definitely report this matter to the hospital and let everyone know!"

As soon as Jiang Chu finished these words, Jian Wenguang felt grateful and a little ashamed.