Chapter 0019: A Blockbuster (Part I)
The inauguration of the Trauma Emergency Center was also held.
Dean Xia and several vice presidents and directors of the surgical system stood in a row on the steps at the entrance of the emergency department.
The following are the graduate interns of doctors and nurses in various departments, and everyone who is free will come to make up the numbers anyway, and the more people there are, the more lively it will be.
First of all, Dean Xia made impassioned words, and then the directors of each department expressed how to make selfless dedication and work together to develop and grow the center.
In the end, Dean Xia lifted his hand, and the silk red cloth was uncovered.
A few golden words of the trauma emergency center are revealed.
There was a round of applause.
Just a few days later, at around 7 a.m., the dedicated telephone of the trauma emergency center came in handy.
A fire broke out in a nearby factory, and the superiors asked Sanbo Hospital to immediately send helicopters and ambulances to participate in the rescue.
Heaven and earth set out at the same time. The helicopter can carry five people, two crew members, a doctor, a nurse, and one place for the patient. It is equipped with advanced first aid equipment, including ventilators.
The helicopter arrived first and stopped at a football field near the site of the incident.
Doctors and nurses rushed to the accident site on foot with first-aid kits.
Smoke climbed up like a dragon.
The surroundings were chaotic, the armed police formed a huge circle with a separation belt, and the radio kept shouting, but people still gathered around, refused to leave, and pushed each other.
Red fire trucks were scattered all around, and high-pressure water jets staggered against each other, shooting at the collapsed house. Ambulances flashed red lights, one after the other, and parked nearby.
Just this morning, the factory caught fire. The fire was finally extinguished, but the house collapsed, and eleven people were buried inside, eight of whom were firefighters.
Finally dug up another one.
"Get out of the way! Get out of the way! Get out of the way! "Firefighters carried a man out of the smoke on a stretcher.
"Hold on, Hadro! Hold on, you hold on to me! The firefighter on the stretcher shouted, crying, and his voice broke.
"What's the situation?" The deputy mayor who presided over the rescue at the scene, wearing a helmet, immediately rushed forward, and the others followed.
"Our comrades-in-arms, who are conscious, have their right upper limb crushed, broken several times, and a thumb that has not been found." The firefighter said hurriedly.
"Be quick!"
"What's the nearest hospital?"
"Sanbo!"
"Send it to Sanbo Hospital, the ambulance of Sanbo Hospital!"
"Here!" The ambulance also arrived, and the doctor immediately raised his hand, and the first responder ran over and took the stretcher.
Open the refrigerator, count and record the severed limbs one by one, wrap them in sterile gauze, pack them in plastic bags, put them in the refrigerator, and dry and refrigerate. The forearm on the other side has an intravenous access and saline has been infused. There is an automated inspection equipment in the car to draw blood for testing. Call the emergency department to prepare red blood cells and plasma.
"Quick! Back to the hospital. ”
"Report, traffic jams, it's the rush hour for work."
"Traffic jams? Fuck it! Police! You sent a police car, a couple of motorcycles, to clear the traffic, and if you don't give way, you will lift the car for me. The deputy mayor burst into foul language.
"No, we have a helicopter, it's parked on a football field next to it, and we're going to put the patient on the helicopter in a car, and we'll be there soon."
"Helicopters! Good! This patient is handed over to you, and we have someone to come. ”
"Qiangzi, hold it up for me! Brothers, go in again--" Several firefighters rushed into the rubble without hesitation.
"Reporting to the mayor, six people, four firefighters, two workers, one was sent to Sanbo Hospital, and five were sent to the People's Hospital and the Affiliated Hospital of the Medical University."
The deputy mayor finished the call, his head was buzzing, his waist was plugged in, his clothes could be wrung out of the water, and his eyes were staring at the smoking ruins. There are five more people buried inside, whose fate is unknown.
A few days after the establishment of the Trauma Emergency Center, patients were welcomed in this way.
Ding dong!
Mission: Blockbuster Surgery for Heroes - Five-Stage Amputated Limb Replantation!
Reward: 16,000 points + 1 random gift pack!
The five sections are severed, and my scalp is numb when I think about it, and I heard that when the house collapsed, it was hit by a machine, and there were just a few blades on the machine.
Yang Ping and Lao Han went straight to the rooftop, and the special elevator went straight to the rooftop, and the rooftop was already full of people. Next to the tarmac, Director Xiong and a few doctors and nurses were waiting, with a large box next to him, which contained prepared first-aid medicines and equipment.
"Yes, yes, yes! Our helicopter will land immediately, the rescue team has been set up, and all the personnel are in place, so please rest assured that we will complete the mission. Dean Xia was sweating profusely, and the shirt on his back was all wet.
"Director Han, the basic situation, Director Xiong has already told you. The helicopter will come back immediately, wait for you to see the patient, immediately make a plan, gather elite soldiers, and operate quickly, quickly. Dean Xia looked up at the sky.
The helicopter was moving from far to near, the motor was getting louder and louder, hovering slightly over the rooftop, and landed steadily on the tarmac. The wind whipped up by the rotors blew everyone's hair to the side.
The person was carried out on a stretcher and rushed to the elevator entrance on the rooftop. The emergency doctor and nurse immediately caught up with him, almost followed the stretcher, drew blood from the indwelling needle, and sent it to the blood transfusion department for cross-matching. This allows blood to be transfused as soon as possible.
"The preoperative examination is perfect, and the operation is direct!" Director Xiong waved.
"Secretary Luo from the city government is coming. Rescue team - Secretary Luo is the team leader, I am the deputy team leader, you are the chief expert, the headquarters is set up in the conference room of our surgical building, Secretary Luo asked to broadcast the rescue process live in the conference room, Mayor Li held a meeting in the imperial capital, very concerned about the accident, and has rushed back urgently. Dean Xia tried to make it clear in a few words.
"Song Zimo, Lu Xiaowu, and Zhang Lin are already in the operating room, let's go down immediately and prepare for the operation." Old Han became excited.
Soon, Dean Xia arrived in the conference room, and then Secretary Luo and representatives of the armed police, health, and public security all came. The usher will guide you to the front row and take a seat.
"Secretary Luo, please take a seat! We have organized the elite forces of the whole hospital to participate in the rescue, and the chief expert, Professor Han Jiangong, is from the Sixth Hospital of the Magic City and has rich experience in trauma orthopedics. Dean Xia ushered Secretary Luo into the seat.
Secretary Luo put the briefcase on the table with a solemn face: "Well, I just heard from the Health Bureau that Professor Han is a well-known professor in the Department of Trauma and Orthopedics in China. Mayor Li has just spoken with me on the phone for half an hour, instructing us to go all out to save patients and put the people's health first. ”
"Yes, we will live up to the trust of the people. Secretary Luo, you can see the entire rescue process on this screen when you arrive, and direct the rescue throughout the process. ”
"Very good, I was about to mention the live video, and Mayor Li also wanted to see the scene as soon as possible. In addition, in order to strengthen the rescue force, the city contacted Professor Hong Zhigang from the Sixth Hospital of Modu, the country's top orthopedic expert, and he will video link with us to guide the operation. Secretary Luo straightened a strand of hair on his forehead.
"Professor Hong Zhigang is our senior brother of Director Han." Professor Xia explained.
"That's a strong combination." Secretary Luo sat down.
"Xiao Yang, are you sure? No, I'll do it myself. In the locker room, Lao Han asked while changing clothes.
Yang Ping nodded: "No problem, go all out." ”
"Good! Remember, calm down and ensure the quality of the anastomosis, this multi-segment severed limb is heavily contusion, heavy pollution, and any blockage of the anastomosis will lead to the loss of previous efforts. Don't have any psychological burden, I'll bear all the consequences! Just like you did that baby finger replantation, let go of your hands and feet. I repeat, if there is any problem, I will bear all the consequences! ”
"Understood!" Yang Ping had already changed his clothes and put on a mask and hat.
Lao Han took out a cigarette, sniffed it, put it away again, pressed Yang Ping's shoulder with his hand and said, "Go in!" ”
The good quality of the whole hospital is reflected, although busy, but not chaotic, everyone abides by their duties, cooperates with each other, and all the work is carried out in an orderly manner.
The operation is relatively long, and general anesthesia is used with endotracheal intubation.
"The anesthesia is successful, and the operation can begin!" Liang Jing, an anesthesiologist, said calmly, and then added: "The patient has me, you let it go." ”
Lao Han sat in the operating room to command, just like last time, the operation was divided into two groups, two operating tables, Yang Ping and Song Zimo washed the wound at the proximal end, Tian Yuan and Fang Yan washed the severed limb, and the rest of the people participated in helping - positioning, raising hands, and delivering things.
"Come on!" Tian Tian gestured and sent an encouraging look.
Song Zimo also gave a thumbs up: "Come on!" ”
"Come on!" Yang Ping responded, with passion in his heart.
After rinsing, everyone goes to wash their hands.
Song Zimo disinfected the order, and Yang Ping immediately dressed and wore gloves.
Hand washing nurse, Su Yixuan, bright eyes, long eyelashes, flashing, she clenched her little fist and said to Yang Ping: "Brother Ping, come on!" Trust you. ”
The sound of the anesthesia machine aspirating, the itinerant nurse shuttling: "8 units of red blood cells, 1600 ml of plasma, are being transfused." ”
"Blood pressure is stable, vital signs are stable!"
"Microscopic instruments, in place!"
"Microscope, in place"
Preoperative check----
Begin!
Yang Ping began to debride the wound with forceps in his left hand and sharp tissue scissors in his right hand, carefully identifying foreign bodies, necrotic tissues and tissues that had lost vitality, and completely removed them; Trim the skin neatly; Vascular neuromuscular tendons, each one is identified, trimmed, marked.
After the debridement is completed, rinse again. They also performed debridement of the severed limb with Tian Yuan, looking for markers of vascular nerve tendons. The two groups of debrided limbs converged and were flushed again.
The ulna and radius fractures are reduced, the steel plate is pasted, the steel plate is temporarily fixed with the reduction forceps, the drilling sounding tapping, the trilogy is completed in one go, and then the screws are screwed in one by one. Then use 1.5 and 1.0 K-wires to fix the fractures of the palm and fingers.
The severed limb bones are successfully connected, the basic shape is restored, and all that remains is the anostomosis of the ruptured vascular nerve tendon.
Tendon line --!
Anastmostomosis tendon first? Is there a mistake, Lao Han sat a few meters away next to him, staring at the screen on the wall of the operating room: "Xiao Yang, hurry up and anastomose the blood vessels!" Reduces ischemia time. ”
"Don't delay, anastomosis according to the level, from deep to shallow, don't be rigid about anastomosis first, it won't be delayed for too long!" Yang Ping's confident tone.
"In a certain period of time, anastomosis by level can reduce the interference of the blood vessels that have been anastomized, and the quality of the anastomosis is the highest." Yang Ping added that this is confidence in his speed.
Yang Ping's level, Lao Han was completely confident, so he didn't say anything, just focused on the screen to give the necessary support at any time. After all, Yang Ping is still young and inevitably inexperienced.
In fact, when Yang Ping fixed the fracture, he deliberately slowed down the steps. Because he knows that his fracture surgery level is far less than that of amputated limb replantation, but this kind of ulnar and radius fracture is not a problem for any orthopedic attending physician, and it has little impact on the time of the entire operation.
The huge screen is split in half, one half is a video of the surgery; Half of them are connected to Professor Hong Zhigang in the magic capital.
In the magic capital, Professor Hong is having a meeting, a national network conference on trauma and orthopedics, and Professor Hong asked for the live broadcast of the operation to be connected to the platform of video conferencing.
In this way, he can not only guide the entire surgical process remotely, but also let the participants from all over the country watch the live broadcast of the five-stage replantation, after all, the five-stage replantation is very rare, and whether it succeeds or fails, it is an excellent opportunity to communicate.
Also, he wanted to see how his junior brother, Han Jiangong, created miracles.
The first fracture, the first blood vessel.
Start anastomosis.