In the winter in Tokyo, it snows almost every year.

However, the snow in Tokyo is delicate and small, unlike Hokkaido, where every snow comes and goes.

A few days ago, there was a light snowfall, and the roof of the house was covered with a thin layer of snow, and the snow on the road had long been removed.

However, there are also small snow plows cruising around the streets, shoveling snow in time to keep traffic flowing, the snow is not very heavy, and the snow plows do not seem to be working.

The streets are a bit slippery, and there is no snow in sight, and there is a pile of snow at short distances on the side of the road, and occasionally a snowman can be seen.

People do not slow down their hurried pace because of the snow, men in trench coats, women with hats, and occasionally girls in short skirts, hurrying through the streets.

On the highway, there is no trace of snow at all.

Yoshino Koura sat in an ambulance, followed by several ambulances.

They received news that seven cars were rear-ended in a row on the section of the Sangong Bridge, and there were heavy casualties.

Yoshino is no stranger to this section, and the almost right-angled turn in Tokyo's accident-prone area caught many distracted drivers off guard.

A few years ago, when he was a teaching assistant, he was involved in the first aid of this section of the road.

Unexpectedly, a few years later, he came again, and this time he was already a lecturer.

Because of the car accident, the queue of traffic jams has stretched for dozens of kilometers, and there are no illegally parked vehicles on the emergency lane, and there are not even tires crossing the line.

This made the ambulance intervention very smooth, and the ambulance convoy flashed red lights, roared at full speed, and soon arrived at the accident site.

The scene is full of scattered car parts, the traffic police have cordoned off the scene, and the traffic rescue team has also been in place and is carrying out rescue.

The hospital's helicopter had already arrived first, parked on the highway in front of the accident site, and two doctors and nurses had completed the initial examination of the injured.

Each casualty's wrist is equipped with an identification band, and green color means that the vital signs are stable and do not require first aid treatment; Yellow means that first aid is needed, but it is not fatal for the time being; Red represents unstable vital signs and life has been seriously threatened.

"The University of Tokyo Hospital Yoshino Koura!" Yoshino pulled the car door, jumped out, and let out a sigh of relief.

The traffic policeman in a reflective vest greeted him and bowed slightly.

"Mr. Yoshino, please, there are a lot of wounded." Traffic police introduced.

Watanabe, the leader of the helicopter advance team, who is also a senior lecturer-level doctor, came over and reported the results of the initial examination to Yoshino.

There were fifteen wounded at the scene, one of whom, unfortunately, had been labeled black, and the remaining fourteen, four were red, eight were yellow, and two were green.

All the ambulances have opened their doors, and there is no need for Yoshino's command, they have been grouped, the green ones are ignored for the time being, the red ones, each person will be in charge of a separate group, and the remaining yellow ones will also be treated by the group in time.

The members of each group usually cooperate together, whether it is the usual training or the first aid car, they are fixed and cooperative, and the cooperation is very tacit.

A Toyota hatchback with the front and rear of the car completely compressed, the driver's chest was severely squeezed, and the rescue team used tools to cut before moving the casualty to the ground.

"Comatose, multiple rib fractures, severe pulmonary contusion, hemopneumothorax, tension pneumothorax, multiple fractures throughout the body." The doctor in charge of this wounded man carefully examines the patient.

"Thoracostomy!" The doctor adjusted the gloves and ordered.

As soon as the words fell, the nurse had already brought the thoracostomy drainage kit from the car.

The sharp knife pierced through the ribs, poof, and the high-pressure air rushed out, making a short, powerful sound; The pipe was quickly inserted, and a series of blisters immediately erupted from the water bottle.

The patient's breathing was slow and gentle, his face looked a little better, and the doctor's hand did not stop, he groped in the throat area.

"Tracheotomy!" The commands are clear and short.

The nurse handed over the tracheostomy bag, opened it, and the doctor skillfully completed the tracheostomy and inserted the cannula in less than a minute.

At the same time, the nurse took advantage of the doctor's operation to complete the blood collection and put a label, this is the second patient of the Gongqiao Bridge.

"Get in the car, we can go back."

The doctor changed a pair of gloves, and the garbage left over from the operation was put away in a yellow bag.

The stretcher opened, and two stretcher bearers carried the wounded onto the stretcher and sent them to the ambulance, the red patient, who needed to follow all the time, one-on-one.

The other Honda SUV was also not much better, badly deformed.

"Femoral artery tear, to be operated on the spot, please open a suture package." Doctors apply pressure with their bare hands to stop the bleeding.

The nurse opened the suture bag, and the two men began to stop the bleeding of the femoral artery on the spot, and the doctor clamped the femoral artery.

Asked the nurse to observe the blood circulation of the lower limbs, the nurse responded: "The blood circulation is qualified!" ”

"Temporary ligation is possible!" The doctor made a judgment and treated it with simple ligation.

In the third car, the situation was very unoptimistic, the ground was full of blood, and the blood was still spreading, and Yoshino went from red to yellow to green, and every wounded person personally interrogated.

"Comminuted pelvic fracture, pelvic visceral injury, severe perineal rectal tear, excessive bleeding, I used an aortic intervention balloon to stop the bleeding, but it still didn't work." When the doctor saw Yoshino coming, he immediately reported it.

Yoshino visually measured the patient's height a little and said, "Send the balloon up another five centimeters, and next time remember to have experience in judging the location of the bleeding, there are differences in anatomical landmarks for people of different heights." ”

"Understood!"

The doctor carefully pumped the balloon and then sent it up another five centimeters to re-inflate.

Dr. Yoshino was right, five centimeters up, and the bloody lower limbs and perineum were no longer spurting blood.

A mini car was the worst, the driver had already been labeled black, and the woman in the back seat fell into a coma, which was patient No. 1 of Sangong Bridge.

"She's pregnant, oops, something pierced her abdomen and the fetus is already hurt?"

The patient has been moved to a flat stretcher, and the doctor has completed the tracheostomy and connected to the improvised ventilator.

Hemorrhagic shock, blood type comes out, cross-matching, blood transfusion!

"Yoshino-kun, she can't do it, one side of the pupil is dilated!" The doctor needs Yoshino's support.

Intracranial hemorrhage, intracranial hypertension, and brain herniation formation, Yoshino opened the patient's eyelids with two fingers, observed the pupil, and quickly made a judgment.

Prior to becoming an emergency trauma doctor, he trained in both internal medicine and surgery, and was able to perform emergency trauma surgeries on any part of the body independently.

"20% mannitol fast intravenous drip! Open the surgical first aid kit, it's too late to get to the hospital, go to the bone flap to decompress! Yoshino didn't think much of it.

This patient would not have been able to go to the hospital without on-site intracranial decompression, and his years of experience have made his judgment very accurate.

The casualty was put into an ambulance that could perform the operation, and the surgical first aid kit was opened.

The electric head shaver shaved the head, disinfected the sheets, sprayed hand sanitizer, wore double gloves, the scalp was lifted by the knife, the nurse handed over the craniotomy drill, Yoshino drilled a few holes, sawed off the surroundings with a primitive wire saw, a large piece of skull was lifted and removed, and the brain tissue swelled out.

A special sterile protective shield covers the cranial defect, and the removed bone is collected by the nurse and then bandaged.

"She needs a helicopter, can she get on a helicopter?" Yoshino commanded.

The stretcher carried the patient, connected to the ventilator, and got into the helicopter, which also had a blood sample from each casualty, and took it back to cross-match the blood.

"Take off!" Orders from the doctor in charge of pregnant women.

The helicopter slowly lifted into the air, and the huge air currents blew the grass on the side of the highway to the ground.

The pregnant woman was transported by helicopter, and all the other ambulances for the red and yellow wounded departed and returned to the hospital headquarters.

Yoshino looked up at the sky, returned to the car, took out his laptop, wrote a written report on the condition of the wounded, and sent it back to the headquarters, where someone could accept it at any time.

"Help me!" Someone beckoned and shouted.

A Volvo XC90 with the casualty trapped in the driver's seat and needing to be cut to get out.

He was green-labeled, and the group of doctors left behind came to see him at this time.

"Volvo saved him, the strong A-pillar was not deformed, and the space maintained saved his life, this is the space of life." Said the traffic rescuer.

"Boron steel, the ordinary cutter will take a long time!"

Rescuers know the construction of these vehicles very well, and when it comes to rescue, Volvo cutting is the trickiest one.

"Laser cut it!" Another team member suggested.

A laser cutter was removed from the car and placed aside.

"Avoid!"

Rescuers put on goggles, and doctors and nurses avoided them.

Laser cutting, a jet of water helps cool down and quickly evaporates into gas.

After the cut was completed, the driver was carefully removed and the doctor quickly checked again, and the vital signs were stable, and the green label was maintained.

"Help me, I'm not going to do it, take me to the hospital by helicopter!" The man was nervous.

Yoshino patted him: "You're lucky, you're the last one to get on the bus." ”

"Oh my God, my wife, she's still in the car!" The driver suddenly remembered.

"It's okay, she's already in the car and waiting for you, if nothing else, you can go to a movie in the evening." Yoshino comforted him.

His wife is also green labeled, with a slight skin and soft tissue contusion, and his wife is sitting behind the driver's seat, and the car door can be easily opened, so he has already been rescued.

The last one was sent to the ambulance, Yoshino was already sweating, but fortunately, no one honked the horn in the blocked convoy behind him, and everyone waited quietly.

Some people evacuated outside the highway, rubbing their hands constantly, or making phone calls to explain to the company and home the reason for being late.

A man in a trench coat walked over: "Need help?" ”

The traffic police stopped him: "Thank you!" No, there are professionals there, it's going to be good soon, get back to your place and wait quietly. ”

"Good work, Dr. Yoshino!" The traffic police remembered Yoshino's name.

Yoshino waved his hand: "To be honest, I hate to see you, I hope I don't see you again!" ”

The traffic police smiled: "I hope." ”

The last ambulance started and rushed to the hospital.

Yoshino rested on his seat, a little regretful, but there was still a person who was labeled black.

He prayed every time that he would bring back as many black tags as he took out.

But this time it's still one missing.

If only I could have come a little earlier, but it's already soon.