Fourteen wounded people were successfully brought back to the hospital, and the pregnant women picked up by helicopter were already on the operating table.

Yoshino did not fail in his mission, and they were all alive for the time being.

As the doctor in charge of pre-hospital emergency care, Yoshino's job ends the moment the wounded enter the hospital and the handover is completed.

Of course, there are times when the surgeon needs to know the scene in detail, and he will come back to communicate with Yoshino, but in any case, the main work is no longer done by Yoshino.

Let's smoke a cigarette, Yoshino came to the smoking room alone.

He knows that smoking is harmful to health, and he advises others to do the same, but there must be a way to decompress.

"Yoshino, well done!" Sasaki called.

In the ambulance, Yoshino took advantage of the rudimentary conditions to decisively uncover the cranium of the wounded, fully decompress, and remove part of the hematoma.

His judgment based on symptoms and signs was very accurate, most of the hematoma was cleared, and the brain herniation was treated in a timely manner, which bought valuable time for rescue.

Otherwise, now the helicopter will not bring back a living person, but a cold corpse.

"A few years ago, in the same place, I hesitated, in the end I gave up, the wounded man died in the end, I have been in remorse, I keep thinking why, today, I no longer hesitate, whether she can come back alive or not, I did my best, now it's your turn."

Yoshino is just one cog of the whole system, and every cog is working properly when the system works well.

Yoshino and Sasaki are about the same age, Sasaki is already an associate professor, and Yoshino is still lingering as a lecturer, but he doesn't care, saving people is the greatest joy.

"The fetus is five months old, and there is a fetal heartbeat, we called up her previous case data, it took her five years, to go to many hospitals, to conceive the child, it can be seen how eager she is to be a mother, I decided, even the fetus is also saved, Mr. Fujiwara agreed." Sasaki asked Yoshino to share their surgery.

"Great, come on! - "Yoshino has a sense of accomplishment, and if he succeeds, he will have his own share of credit.

However, even saving the fetus is very risky and difficult, and it is not surprising that Sasaki made such a decision, he is always working miracles.

He is the enemy of the Grim Reaper, and he doesn't know how many lives he snatched back from the Grim Reaper.

It took less than 10 minutes from entering the emergency center, completing the examination, and going to the operating table for surgery.

Because I am pregnant, the best test is an MRI, but it is a metal piece that is inserted into the abdomen.

After contacting the car manufacturer, it was determined that it was magnetic, and if magnetic resonance was done, the strong magnetic force would move the metal and pull it out, so the pregnant woman had a CT scan.

Although X-rays are harmful to the fetus, they are already five months gestational age and will not cause malformations, which is relatively insignificant compared to saving his young life.

Hiroshi Arai is undergoing surgery, and infrared real-time monitoring, combined with the image of the CT scan, draws a 3D digital human image, suspended on a clear Sharp plasma screen.

The stereoscopic transparent image can be rotated 306 degrees, and the injured part is marked in yellow, and the blood vessels are marked in red.

The hemoglobin imaging agent reaches the whole body, and the images of each bleeding site are captured, clear and accurate, and the system will prompt the surgeon to prioritize which part and which blood vessel to treat.

Intracranial hemorrhage is also accurately visualized, as is damage to brain tissue.

The infrared monitoring device calculates the degree of contusion of the brain tissue according to the changes in the caloric parameters of the brain tissue and the changes in blood flow, down to each functional area.

Arai was very skillful, using the gap in Yoshino's craniotomy as an approach, carefully pulling out the residual blood clot and completely stopping the bleeding until the red color on the screen disappeared.

The edema of the brain tissue due to trauma will continue for a period of time, during which time the brain tissue needs a larger volume and cannot be compressed in any way, and the original cranial cavity volume cannot meet the requirements.

The new well provides an artificial cover to the patient, which is attached to the surrounding skull, which protects the brain tissue and expands the volume.

Once the edema has resolved, the artificial cover is removed and the patient's cranial cover is placed back in place.

As for the contusion of brain tissue, there is no way to deal with it but to create conditions for it to recover on its own.

This decompression method of uncovering the skull originated in the Sibeli Irizarov Hospital in Russia, and two doctors from the University of Tokyo Hospital sent two doctors to study for a year, and then perfected the technique after returning.

Their use of this technology, both in terms of effectiveness and safety, has far surpassed that of Russia.

Vital signs are stable!

The anesthesiologist said that the doctor liked this phrase the most.

All kinds of invasive and non-invasive monitoring, the data is imported into the supercomputer, and the computer runs at high speed to complete the dynamic change of the digital human.

This data can be almost instantaneous for the host of the hospital's trauma emergency system.

Completed cranial surgery and began thoracic surgery.

Arai decided to use the thoracoscopic technique, in which the mirror enters the thoracic cavity from the intercostal space, and the blood inside is washed away by saline.

Strong squeezing of the front and back, multiple rib fractures, and the broken end of the fracture squeezed and punctured the lung tissue, causing severe lung damage.

Hemostasis and repair, a constant theme in trauma orthopedics.

Single-lung ventilation, in which the injured lung is stopped by the anesthesiologist and is in a collapsed state.

Arai's microscopic technique is very skilled, he calmly cauterizes the ruptured blood vessels one by one to stop bleeding, and the larger blood vessels, cauterizing can no longer achieve the purpose, he sends silver clips in, and clamps the broken end of the blood vessel steadily.

Exploring while stopping the bleeding, there was no problem with the heart and aorta, and all the bleeding points were eliminated.

The clean thoracic cavity is clearly displayed on the screen under the saline rinse.

Begin to repair the lungs, which are soft and fragile, and repair is more difficult.

However, the new well was repaired as much as possible, and various cracks of different shapes were sewn up one by one to restore their proper shape.

The diaphragm also ruptured, and the pressure difference pushed the abdominal organs into the chest.

Arai opened the entrance to the laparoscope and placed another set of lenses and instruments.

The screen of the laparoscopic system begins to split the screen, with the left ribcage and the right abdominal cavity.

The left hand uses a blunt-tipped pusher, which goes through the ribcage; The right hand uses damage-free forceps and goes through the abdominal cavity.

With the cooperation of both hands, one push and one pull, the movement is gentle, and the part of the pancreas and small intestine of the thoracic cavity is herniated, which is sent back to the abdominal cavity, and then returned to the position and straightened out.

The diaphragm was repaired microscopically, and the chest cavity was flushed with normal saline again, and there was no bleeding.

Restore the ventilation of the injured lungs, there is no obvious air leakage, and the repair is qualified.

Also microscopically, the ribs are reduced and fixed minimally with a simple steel wire.

Ten ribs, all reset and fixed, draw out the lens of the ribcage.

Laparoscopic hemostasis of the ruptured mesenteric artery is initiated, followed by repair of the rupture of the intestine and damage to the pancreas.

The liver and spleen are fine, and they dodge the squeeze of the seat, even if the liver and spleen are ruptured, it is not a problem for Arai, it is nothing more than an adjustment of the order of surgery.

Hepatosplenic injury is treated microscopically, followed by pancreatic and small bowel repairs.

Skilled laparoscopic techniques make the surgery look the same as open surgery, but with better results and less damage.

Such a complex thoracoabdominal injury was solved by Arai with a few small holes the size of the little finger.

The baby's heartbeat is still there, and the amniotic fluid is leaking because of the rupture of the fetal membranes in the uterus.

Without amniotic fluid, the fetus cannot survive, and the assistant keeps injecting artificial amniotic fluid to replenish it.

A steel plate, which was supposed to be a structure on the seat, pierced the abdomen of the pregnant woman and, from the front to the back, pierced the body of the fetus.

It is necessary to open the surgery, and laparoscopy can no longer complete this type of surgery.

There were too few fetal trauma surgeries, and Arai was inexperienced, and he only did orthopedic surgery for the fetus.

A five-month-old fetus is only 20 centimeters long, a little longer than two fingers.

A microscope is required to perform the surgery successfully, which is probably the most difficult trauma surgery in the world.

The heating lamp, which is adjusted to shine into the pelvis from different angles, keeps the fetus warm.

Arai cuts open the abdominal cavity and opens the uterus, stopping the bleeding while revealing it, and prepares for the removal of the metal piece.

Usually, in order to reveal the fetus, the fetus must be taken out of the uterus, and it cannot be completely removed, otherwise the fetus can not be kept warm, so only part of it can be removed to facilitate the exposure of the surgical site, and it should be put back into the uterus after it is done.

The operation must be carried out very carefully, otherwise once the placenta is abrupt, the fetus will be in danger of life.

The womb opens and the fetus is revealed, poor little one.

"Sir, it's my turn." Sasaki and Fujiwara have been sitting in the operating room.

"Be careful, both of them will get off the operating table alive." Fujiwara has a lot of confidence in Sasaki.

——

Sanbo Hospital, whether it is the main venue or the branch venue, is broadcasting the operation live on the screen.

"Hiroshi Arai, Orthopedic Instructor—"

On the screen, there is a brief introduction of the surgeon in both English and Chinese.

Everyone is concentrated, no one moves, no one makes a sound, and even drinking water will be controlled to a minimum.

From the head, to the chest, to the abdomen, a young intermediate doctor, the operation is so skillful.

In particular, the application of laparoscopic technology in trauma surgery, exploration without dead ends, meticulous repair, and carpet hemostasis are like teaching demonstrations.

The computerized trauma surgery assistance system based on infrared surveillance, combined with CT scanning, can actually reconstruct a digital human.

What an eye-opener!

These are real technologies and skills, and I am afraid that they cannot be compensated with a keyboard.

Some people have a dry throat and swallow saliva several times, but they are still dry and uncomfortable.

Although it was originally planned to be a young intermediate doctor, it is now a fetal surgery with a senior title, which is reasonable.

The young people with intermediate titles have performed very well, and they are showing a world-class level.

"It's Sasaki's turn!"

Takahashi said to himself, he believed in this junior.

This kind of surgery requires a microscope, but the whole process of the microscope is operated with both hands in the air, which is much more difficult than amputated limbs and replantation of elbows to support the table.

This kind of surgery is the pinnacle of microsurgery, what is a five-stage replantation, Takahashi said contemptuously in his heart.

The lens of the screen is clear and delicate, the uterus opens, and the fetus is revealed.

Sasaki has brushed his hands and is wearing a surgical gown, and he is about to complete an operation that will dazzle the world.