Practicing Medical Skills in a Small Clinic-Chapter 189 - 130: Difficult Hemostasis, Saving a Life Brings Great Rewards

Chapter 189: Chapter 130: Difficult Hemostasis, Saving a Life Brings Great Rewards

This person is covered in blood, with blood still gushing from his head. In a short time, a pool of fresh blood had already formed where he fell.

The situation looked horrifying.

"Help... help me!"

The man emitted a weak cry for help, his expression looked very painful, and very weak.

In such a situation, Li Jingsheng dared not move the injured person rashly.

"Don’t worry, I am Dr. Li from Sunshine Clinic, I will think of a way to save you."

This was the first sentence Li Jingsheng said to the injured person.

With his rescue experience, this man’s life was in extreme danger. In such a situation, instilling a strong survival instinct in the patient is very important.

He crouched down and quickly examined the injured person’s injuries.

One arm lay weakly on his side, with the midsection of the humerus bent at a bizarre angle.

Almost without needing to feel it, he could determine this arm was broken.

At least it was to the extent of a comminuted fracture.

More severely, it was likely to be a skin avulsion injury, barely attached by a layer of skin.

This person was wearing a white sleeveless Han shirt with a denim jacket on top, dirty jeans, and white sneakers that had turned black.

Initially, he thought the person beaten was one of those order-maintaining guards, but now it seemed not to be.

At least this man gave Li Jingsheng the feeling of being an unemployed young adult.

He might have been a troublemaker, then beaten by the security personnel of the pharmacy.

To open such a big pharmacy and hire more than twenty people certainly takes some strength.

It’s quite normal to have a fight on the first day of opening if someone runs over to make trouble.

Never mind the famous pharmacies; even before, two certain herbal tea manufacturers and two certain telecom companies often had news of mutual brawling during promotional activities.

Messing with one’s livelihood naturally has very severe consequences.

Li Jingsheng examined the man thoroughly; at least three ribs were fractured, no fractures found in the leg bones, but the front of the lower leg had several bruised large lumps, likely caused by a strong blunt object hit.

The most severe was the head wound, which was gashed and bleeding profusely.

The total blood volume in adults is about four to five thousand milliliters.

The less is even less than 3500 milliliters, the more is only six to seven thousand milliliters. This can be roughly estimated based on weight, equivalent to about 8% of body weight.

If the blood loss exceeds 1000 milliliters in a short time, it can result in shock, coma, or even direct death.

This man was already in a semi-comatose state.

If rescue isn’t provided in time, by the time the ambulance arrives, he will most likely be beyond saving.

Li Jingsheng currently has two hemorrhage control skills, ligation hemostasis and compression hemostasis, both at a proficient level. Equivalent to a senior resident physician’s level, handling slightly challenging hemorrhage control is no problem.

Upon further inspection, he found the man’s head wound was also caused by a blunt object blow.

The source of the bleeding remained unknown.

Attempted compression hemostasis was ineffective, and ligation hemostasis was even less feasible.

Because ligation hemostasis requires finding the ruptured blood vessel and ligating it at the proximal end to stop the bleeding.

If the source of bleeding can’t be found, how can the vessel be ligated?

The assailant was extremely vicious, and Li Jingsheng even discovered by feeling the skull that it was likely shattered.

This was a deadly blow.

The head is naturally one of the most lethal parts of the human body, with fatal possibilities even in boxing, let alone struck hard with a steel pipe.

The skull, in terms of hardness, is second only to the teeth among human bones.

Teeth are used for chewing food and are inside the mouth.

The skull, like other bones, protects vital organs and tissues of the body. Among this class of bones, it’s actually the hardest.

Being directly smashed by someone, the force of the blow was extraordinarily brutal.

Li Jingsheng was most worried about severe damage to the intracranial tissues of the injured.

However, the injured’s current breathing and motor functions were not suppressed, he still knew to crawl up to the clinic entrance to call for help, indicating his consciousness should be clear.

Thus, the possibility of serious brain damage is relatively low.

What needs to be done now is to help the injured quickly stop the bleeding and then further rescue based on the actual situation.

He rapidly completed the examination of the injured and formulated a rescue plan.

However, stopping the bleeding for the injured was facing a predicament.

Admittedly embarrassing, his hemostasis skills were a bit inadequate to stop the injured’s head bleeding.

Practical knowledge from the emergency first aid manual flashed through his mind one by one.

He eagerly recalled the hemostasis parts concerning the head in emergency medicine.

Back in those days, reading that thick emergency medicine book required significant effort.

Later, during rotations in the emergency department, some theoretical knowledge was successfully integrated with practice. Some still remained at the theoretical stage.

This was nothing to be embarrassed about.

Many attending physicians secretly brought a clinic manual the first time they sat in for a consultation.

Some with weaker basic knowledge even brought along an anti-infection medication handbook.

As for the first time for resident physicians to consult, sneaking inside to flip through books was even more commonplace.

After all, most people are not geniuses; they all grow step by step.

Li Jingsheng watched the injured’s life rapidly fade and was extremely anxious.

He was the strongest doctor in the clinic now, and he had to take charge in this rescue.

Fortunately, his doctor level was promoted to the junior attending level.

Allowing him to face such critically ill patients with a shred of composure.