Chapter 1046: Airplanes... are very dangerous!
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During the conversation, Chen Cang, Sun Guangyu, and Huang Hao stood up.
The chief steward had already become anxious, unaware that such an incident could occur on an airplane.
The woman lay on the ground, and no one dared to move her; her clothes and skirt were in disarray.
But now was not the time to consider that.
Seeing Sun Guangyu and the others stand up, the chief steward was immediately relieved and led them toward the scene.
At this moment, the space was rather dark, and the cabin lights had been turned on to facilitate the rescue.
Upon seeing the woman, Chen Cang and his colleagues immediately frowned.
The man who had called for help was nowhere to be found.
But now was not the time to dwell on that. Chen Cang squatted down and quickly asked, "What's making you uncomfortable?"
The woman's face twisted in pain. "I... I feel like I can't breathe, please help me, it hurts here... it hurts so much!"
The woman pointed to her chest area.
Sun Guangyu and Huang Hao immediately realized—could it be a rib fracture?
Chen Cang hurriedly said, "Bear with me a bit, I'll see what's going on."
As he spoke, Chen Cang pressed on her ribs and the surrounding area with his fingers. "Your ribs are broken. How did you get injured?"
The woman's face turned crimson. "I fell accidentally while using the restroom and hit the doorknob."
Chen Cang and the others could accept this explanation, as her disheveled appearance seemed consistent with her having been in the restroom, but... the flight attendants and the chief steward wore odd expressions.
Chen Cang instructed everyone to first move her to a relatively safe place.
Less than five minutes later, the woman's breathing became increasingly rapid.
Chen Cang watched as her complexion turned pale and her breathing grew labored, and he immediately frowned!
Could it be... a punctured lung, causing a pneumothorax?
At this thought, Chen Cang became anxious.
The damage might not have affected the heart, but rib fractures are prone to puncturing the pleural cavity, or even piercing the lung, creating a negative pressure that compresses it...
This, of course, meant the patient was in more trouble.
Thinking this, Chen Cang began to percuss her chest, and a hollow drum-like sound emerged—the sound of a pneumothorax!
At this point, Sun Guangyu quickly asked, "Do we have a first aid kit on the plane?"
The chief steward nodded, hurriedly ran to fetch it, and soon returned with a kit containing common items like gauze, tweezers, scissors... and lidocaine, appearing to be a typical surgical kit.
But... this was nowhere near sufficient for surgical needs.
Chen Cang next placed three fingers on the woman's neck and soon discovered that the trachea had shifted toward the left side, indicating that her right lung was collapsing.
Trouble!
Chen Cang quickly declared, "The patient's ribs have punctured her right lung; we must perform surgery. When is the earliest we can land?"
Chen Cang's thought was still how to safely and effectively save the woman!
The chief steward relayed Chen Cang's question, and soon the captain responded.
"The nearest airport is two hours away; we are currently over the sea."
This statement dismissed Chen Cang's hope of an emergency landing to transfer the patient.
Two hours—there wasn't enough time!
Given her condition, she couldn't maintain her current state for long.
Each breath she took allowed some air to enter the pleural cavity through the wound in her right lung. This accumulating air created significant pressure, continually straining the injured lung. The lung's native air was depleted while outside air increased, causing the lung to progressively collapse.
Eventually, breathing would become increasingly difficult, until she suffocated!
At this moment, time equated to life!
Chen Cang now finally understood the significance of the system's prompt.
A qualified doctor must not only possess surgical skills but also the ability to adapt on the spot, performing surgery on a patient based on the limited medical environment available.
This was true capability!
Chen Cang took a deep breath, his mind racing with thoughts of the instruments and equipment needed for the upcoming surgery.
He needed a one-way valve device to extract the air.
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Disinfection is needed, and...
Chen Cang began to rummage through the emergency box, which contained many items, but they were all typical household surgical kits, the only difference being some additional medications for heart conditions.
It seemed that international flights were still well-prepared.
At this point, Chen Cang decided to make his own shunt.
"Is there a tube? The kind used for breathing, ventilatory tubes!"
The flight attendant happily brought over a demo oxygen mask, and Chen Cang was immediately pleased.
"Is there oxygen?"
The flight attendant nodded!
Chen Cang continued, "Give her some oxygen."
Then he picked up a mask and snipped the rubber hose.
He then asked, "Do you have a bottle?"
The chief flight attendant asked, "Would this work?"
While speaking, he brought over a brandy bottle and some mineral water.
Chen Cang immediately nodded, good, the brandy was not bad and could be used for sterilization!
He took a mineral water bottle, drilled two holes in the plastic cap, and poured half of the water into it.
Then he covered it, inserted the rubber tube into one hole, and left the other one protruding.
After sealing the bottle, he connected everything…
Thus, a simple shunt was completed.
Now, what needed to be done was a thoracentesis.
In such a situation, Chen Cang felt immense pressure performing a thoracentesis without proper needles or anything.
Chen Cang suddenly asked, "Do you have a clothes hanger, a metal one?"
The attendant nodded, hurriedly ran into the duty room, and brought back a metal clothes hanger. Chen Cang nodded, "This will work!"
The thoracentesis began.
After disinfecting these objects, Chen Cang picked up a syringe to administer local anesthesia, the only pity being that the needle of the syringe, although effective, was feared not long enough.
Thinking this, he gritted his teeth, picked up the metal tube, and inserted it near the incision site.
Even with anesthesia, the pain was still very intense, Sun Guangyu and another person held the patient down, and Chen Cang successfully punctured.
At this time, Chen Cang began to tentatively withdraw with the syringe, and there was no blood!
He sighed with relief!
He had not damaged any major blood vessel, which might be a stroke of luck in this misfortune.
After connecting the rubber hose and securing it with adhesive tape, bubbles suddenly started to appear in the water.
The rescue was successful!
As for extracting the fractured ribs surgically, Chen Cang gave up.
There simply weren't conditions suitable for such a procedure, and under these circumstances, suturing the lung tissue was just a fantasy.
After securing the area around the patient, the woman's breathing soon returned to normal.
Everyone breathed a sigh of relief.
The flight didn't even need to change course as the patient's condition was stable for the time being.
After giving some instructions, Chen Cang returned to his seat.
Huang Hao whispered nearby, "An airplane shock is still… very dangerous."
Sun Guangyu couldn't help but say, "Don't talk nonsense, there are children here."
Huang Hao glanced at Chen Cang and scornfully scoffed.
Chen Cang was taken aback, thinking, "You… who do you look down upon?"
I saved the person, didn't I!
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