"When will the ambulance arrive?" Ruan Bin looked at the woman.

"A call made eighteen minutes ago. ”

After listening to this, Ruan Bin looked at the surrounding area, and there were all kinds of cars jammed before and after, and he didn't know when the ambulance would come.

But for now, let's continue to do CPR and let the injured person's heartbeat get back to heartbeat!

After doing three sets in a row, the tired Ruan Bin was sweating profusely, and the injured person finally recovered his heartbeat, but he was still unconscious, and no one knew if he would lose his heartbeat again in the next second!

"The doctor is coming, the doctor is coming!" I don't know who shouted.

As soon as Ruan Bin turned his head, he saw two male doctors and two female nurses not far away, as well as four stretcher masters carrying two empty stretchers rushing here! At least two ambulances came from the other side.

It seems that due to traffic jams, the ambulance could not drive here, so it should have gotten off some sections of the road and rushed over.

"How is the patient?" asked Hu Dongwei, who was the leader, as he panted for breath.

"Massive posterior peritoneal hematoma with possible rupture of the diaphragm, liver lacerations, and rupture of blood vessels in the abdominal aorta. Just now, the patient suffered a cardiac arrest, I gave cardiopulmonary resuscitation, and now the heartbeat has been restored, but the situation is not optimistic. Ruan Bin said.

Hearing such a professional term from the young man in front of him made Hu Dongwei stunned, "Are you?"

"I'm a doctor and I happen to be nearby. Ruan Bin said.

"Oh......" Hu Dongwei glanced at Ruan Bin in surprise, and immediately shifted his gaze to the patient.

He did a quick examination and found that it was indeed as Ruan Bin said, the patient was very likely to have ruptured diaphragm, liver laceration, ruptured abdominal aorta, and even ruptured other blood vessels!

"Insert a throat to inhale oxygen! Open intravenous access, fluid resuscitation, and administer adrenchine! Send him to the hospital immediately!" Hu Dongwei knew that the patient's condition was critical, and the only first aid measures he could do were these.

If this is the case in the hospital, an open surgery can be performed with abdominal aortic clamp or an urgent thoracotomy to block the descending aorta.

But outside the hospital, you can only beg God to bless you!

There are no conditions and equipment for surgery at all!

"Ding-dong...... System Temporary Mission: Save the life of patient Zhou Xiaofu outside the hospital, and reward [Out-of-hospital First Aid General Surgery] for successful task - Beginner!(This first aid technique is specially designed to concentrate the essence of temporary first aid methods such as the field, outside the hospital, and battlefield!, which allows you to use everything you can use to complete the rescue of the super first aid technique!)"

"[Out-of-hospital First Aid General Surgery]?" Ruan Bin listened to the voice in his head, and he was suddenly excited. Then this is a huge help for first aid in the hospital, in the field, and even in the field.

Many emergency patients often miss out on the best emergency time because they are not in the hospital.

In addition, surgery could not be performed due to the lack of a complete set of medical equipment outside the hospital. As a result, patients could not be treated in time, and countless patients passed away on the way to the hospital.

To tell the truth, when it comes to out-of-hospital first aid, the field doctors dare to say first, and no one dares to say second! Because these doctors have relied on the accumulation of countless lost lives to find countless first-aid methods and methods that you can't imagine, and use everything that can be used around them to perform surgery.

Therefore, the emergency doctors in the hospital cannot be compared with these people at all!

"Wait a minute, how long will it take to get to your hospital?" Ruan Bin immediately asked.

He looked at the other party's clothes, which read- Modu 101 Hospital!

This hospital is also very famous, similar to the reputation of their First Affiliated Hospital in the Demon Capital, which is among the top 30 hospitals in the country, and even a little more than their First Affiliated Hospital.

It seems that this hospital is also the closest to here!

"If you don't get stuck in traffic, fifteen minutes, and now this kind ......of traffic jam situation plus the rush hour after work, it is estimated that it will take half an hour," said another doctor, Lei Chengjin.

"In half an hour, the patient won't be able to last that time!" Ruan Bin shook his head and said. Massive bleeding in the abdominal aorta and rupture of the inferior vena cava. It won't last half an hour at all!

It can last for fifteen minutes at most, and after fifteen minutes, you will definitely lose too much blood and die!

A ruptured abdominal aorta is worse than a ruptured thigh artery.

Ten minutes had already passed.

"Even if we can't hold on, we can't stop the bleeding for him now!" Hu Dongwei shook his head helplessly. Now there are no conditions for surgery, no medical equipment, and no medicine.

"Ah, my husband can't make it to the hospital?" the woman next to her almost fainted when she heard this.

The surrounding onlookers also sympathized one by one.

"What a man!"

"Can't you hold it for half an hour?"

"Let's send it for a try. ”

"I have a way to stop the bleeding for him! Give me ten minutes!" Ruan Bin said categorically.

"What way?" the two doctors and nurses were shocked when they heard this, what can be done here?

"It's too late to explain, take a urinary catheter and give me a knife. By the way, is there a No. 14 needle, is there an arterial guidewire and an occlusion balloon?" asked Ruan Bin anxiously.

That's right, there is currently one more way to block the bleeding of the other party's abdominal aorta, and that is - resuscitation aortic balloon occlusion!

This emergency surgery Jiang Yurong will, after all, he is a doctor of emergency medicine, and he was fortunate to watch Jiang Yurong's surgery video. Of course, this operating room was recorded when she was doing it at the same hospital as she used to do it.

"System!"

[System Points]: 9200

[Resuscivatory aortic balloon occlusion]: Not started+

"Charge 20,000 to go in!" Ruan Bin planned to charge this operation to the world in one go, otherwise he was not sure if he could do this operation outside the hospital.

After charging 22,000 yuan in one go, he had 3,000 yuan left in his bank card.

"Level up!"

"Ding-dong...... Deduct 1000 points, [Resuscivatory Aortic Balloon Occlusion] - Beginner!"

"Ding-dong...... Deduct 3000 points, [Resuscivatory Aortic Balloon Occlusion] - Skilled!"

"Ding-dong...... Deduct 6000 points, [Resuscivatory Aortic Balloon Occlusion] - Director level!"

"Ding-dong...... Deduct 9000 points, [Resuscivasive Aortic Balloon Occlusion] - Expert level!"

"Ding-dong...... Deduct 12,000 points, [Resuscivative Aortic Balloon Occlusion] - world-class!"

[System Points]: 200

"Are you going to have REBOA surgery?" Hu Dongwei saw the things that Ruan Bin wanted, especially when he occluded the capsular ball, he immediately guessed that Ruan Bin was going to have this surgery.

As the attending physician of the emergency department of Modu 101 Hospital, he studied this surgery last year, and he was fortunate to do a few cases in the hospital this year, but they were all done in the hospital. Ultrasound-guided resuscitation of aortic balloon occlusion with thigh artery rupture. For example, the current patient has a ruptured abdominal aorta, which is the most difficult to do, because the blood vessel is in the abdomen, and the thigh artery can be easily found and blocked.

This kind of intra-abdominal artery rupture is only dared to be done by the director and deputy chief physician of their emergency department in their hospital, and even has to be done in the hospital, with the assistance of many medical equipment.

What are you doing outside the hospital, no assistive equipment, no ultrasound, no chest X-ray, nothing of all kinds? Do you think you're a doctor in the world's top emergency team?