My Medical Skills Give Me Experience Points

Chapter 1310: Chapter 517: Zhou Can the Madman, Disaster Triggered by Venipuncture

"Sir, the patient you want to visit is in that bed."

The nurse, seeing Zhou Can looking around after entering the ward, thought he was searching for the patient he wanted to visit.

Because patients who come in here all need to have their hair and nails cut clean.

Each one ends up bald, and some patients are even wrapped in bandages like mummies, making them hard to distinguish.

"Oh, okay!"

Zhou Can had already guessed that the bed further away was likely Deputy Director Lu’s. There were several doctors and nurses busy around it, using various rescue measures.

Xiang Fei, renowned as the "Nemesis of King Yan," was acting as the chief commander.

He himself was also participating in the high-difficulty rescue work.

"You can only stand by and watch, but be sure not to interfere with the medical staff’s rescue efforts."

The nurse, worried that Zhou Can might cause trouble, gave him a heads-up in advance.

"Understood."

Zhou Can started walking over there.

Since he was wearing a disposable sterile protective suit, the medical staff could immediately tell he was a family member visiting the ward.

Everyone had their own work to attend to, so naturally, no one paid him any mind.

Only the nurse accompanying him stayed by his side. Family visits required one-on-one accompaniment by medical personnel. In case any family member accidentally tampered with other patients’ ventilators, blood perfusion machines, dialysis machines, or monitoring instruments, some actions could cause life-threatening harm to those already fragile patients.

This is one of the reasons why medical staff don’t like family members entering the ICU for visits.

Introducing a stranger brings many unknown risks.

Everyone’s work was already busy enough, and having to divert time and effort to attend to visiting family members added to their workload. Naturally, no one was willing to do it.

As Zhou Can approached bed 13, the nurse quickly called him to stop, telling him not to go any further.

On the bed, Deputy Director Lu’s hair had been shaved, revealing a visible head injury hematoma on the back of his head. His whole face appeared very gray and lifeless.

Moreover, his right hand lay by his side at an unnatural angle; from Zhou Can’s diagnostic experience, it was clear that the hand must have a fracture.

His legs also had severe hematomas, and both legs seemed to have some degree of fracture.

From these fractures and the hematoma on the back of the head, one could basically deduce the posture when Deputy Director Lu landed.

It should have been that his legs landed first, then his body lost balance, and the enormous impact caused his body to hit the ground. Instinctively, his right hand tried to support him, resulting in a fracture. When he fell, the back of his head struck the hard ground.

But the ground should have been flat, like concrete or similar.

If the ground was rocky, or if the spot where the head struck had a corner, it would easily have caused a direct cut and bleeding.

Only when the impact spot was on a flat surface would such a large area hematoma form.

The bruised blood accumulated under the skin.

After understanding Deputy Director Lu’s fall injury process, Zhou Can felt the hope of rescuing him had increased significantly.

According to anatomical structure, the back of the head is closer to important brain tissue.

Even in fighting or combat, hitting the back of the head and the male perineum are usually prohibited areas. These are vulnerable spots.

A heavy blow to the back of the head can easily cause fainting or even immediate death.

The injured area on Deputy Director Lu was approximately at the occipital bone.

The parietal bone was also affected.

It can be estimated that the impact force when he fell was substantial.

Whether the legs landed first is really hard to say. Only the person involved knows.

The cerebellum, cerebrum, and even the pineal gland might have been severely impacted and damaged. As for which area inside the skull is bleeding? What kind of bleeding is it? Such issues can’t be determined by the naked eye alone.

The possibility of diffuse bleeding is quite high.

Of course, there is also a chance of intracranial artery rupture, leading to localized or multi-source bleeding.

Zhou Can looked at the monitor’s screen and dials, with alarms ringing constantly, showing that Deputy Director Lu’s blood oxygen, heart rate, blood pressure, respiration, brain waves—all were abnormal.

The situation was far more severe than imagined.

Central venous pressure monitoring had already been done, and a ventilator was in use.

Deputy Director Lu’s problems seemed numerous, but if the true cause of coma could be identified, perhaps most issues could be easily resolved. If one focused solely on blood pressure, or respiration, or any single problem of blood oxygen, it would be like being blinded by leaves, lost in a confusing scene.

This is the most common mistake made by doctors at and below the chief level.

Due to limited clinical knowledge application ability, they couldn’t take a comprehensive view during diagnosis, making it very easy to confine their thinking to a very narrow scope.

Xiang Fei, a chief-level figure in the Intensive Care Medicine Department at the Provincial People’s Hospital, was undoubtedly a top-notch leader.

His diagnostic thinking surely surpassed the chief level.

His clinical experience was incredibly rich.

Currently, his strategy in commanding the rescue was symptom-based treatment, endeavoring to improve the patient’s blood oxygen saturation, stabilize the patient’s heart rate, increase blood pressure, assist breathing, and so on.

This is also the most commonly used rescue approach in Western medicine clinical practice.

Whichever vital sign was poor, he would assist in correcting it.

In urgent rescue operations for critically ill patients, this was the most effective rescue method.

If time allowed, there would be higher-level rescue methods available.