Chapter 105: A Sense of Impotence (Two More Requests for Subscription)

In front of the mounted police, Yu Zhiming, Zhao Shan and more than a dozen other elite soldiers from the hospital rushed to the scene of the accident in three ambulances.

Before getting into the car, Yu Zhiming was advised by Director Zhao.

Upon arrival at the scene, Yu Zhiming will rely on an ambulance to set up a temporary medical center.

He is responsible for the rapid detection of seriously injured people and the provision of emergency treatment as needed.

The purpose is to allow the wounded to have enough time to support them to the hospital for rescue.

Director Zhao Shan also assigned two assistants to Yu Zhiming.

Sun Mingqi, the deputy chief physician from the Department of General Surgery, and Chen Li, an attending physician from the outpatient and emergency department.

On the way to the accident site, Yu Zhiming heard more information about the accident.

A tourist bus carrying nearly 50 passengers rushed down the viaduct nearly 10 meters high for some reason, and rushed right onto the main road under the viaduct.

This made Yu Zhiming's heart tighten.

At this point in time, it's rush hour......

Dr. Sun Mingqi, who was arranged to assist, noticed that Yu Zhiming, who was sitting opposite, had a tense face and an unusually serious expression, and knew that he was nervous.

Sun Mingqi said: "Doctor Yu, when dealing with the seriously injured at the scene of the accident, there is no need for special treatment for fracture injuries, and the first thing to deal with is heavy bleeding, which can kill people in minutes." ”

"Doctor Yu, it's up to you whether you can stop the heavy bleeding."

When Yu Zhiming heard this, he couldn't help but look down at the divine weapon in his hand.

A dilating balloon designed for puncture.

This is a flexible catheter with an inflatable balloon at the tip. Under the guidance of images, it can dilate the narrow cavity organs in the human body, such as blood vessels, digestive tracts, urinary tracts, respiratory tracts, etc.

Without inflating, the tip of the balloon catheter is passed into the target lesion, and the balloon is then inflated at the target lesion.

Once the goal of treatment has been achieved, the balloon can be retracted and the balloon catheter withdrawn outside the body.

Under emergency conditions, this balloon can inflate and obstruct large blood vessels to achieve rapid hemostasis.

This was specially prepared by Director Zhao Shan for Yu Zhiming.

Director Zhao is looking forward to the fact that after Yu Zhiming detects the main bleeding point, he will accurately send the balloon to the top of the broken blood vessel through a precise puncture method, so as to achieve rapid hemostasis and buy time for the transport and rescue of the seriously injured.

Sun Mingqi continued, "The second is visceral injuries, which are mainly treated in an emergency manner, so that the injured can be supported to the hospital. ”

"Also, you have to be ruthless."

Sun Mingqi said cruelly: "Some of the wounded are really serious, we have to give up in time, we have no time to waste." ”

Yu Zhiming nodded and said, "Thank you Dr. Sun for your advice, I have also learned the knowledge of on-site first aid." ”

"It's just that I haven't had the opportunity to practice, and it's such a big treatment scene."

He looked at the thirty-one-year-old Chen Li beside him and said, "Doctor Chen, you have ready paper and pen......

"Follow me to record the injuries of the wounded, so that when they arrive at the hospital, they can quickly get targeted rescue."

Chen Li snorted and said, "Doctor Yu, I will record your flaw detection results one by one......

Seven or eight minutes later, the emergency convoy of Huashan Hospital finally arrived at the scene of the accident where the cordon was raised.

Yu Zhiming got out of the ambulance, and all he heard in his ears were shouts and orders, or suffocating cries and screams......

The next moment, Yu Zhiming received a slap on the back of the head.

"Stupid what? Hurry up and get to work! ”

Yu Zhiming, who came to his senses, saw Director Zhao Shan carrying a big first-aid kit, with two people, passing by him, and running to the accident site where there were still a few wisps of green smoke......

As soon as Yu Zhiming, Sun Mingqi and Chen Li moved the two folding gurneys off the ambulance, two firefighters ran over on a stretcher carrying a wounded man covered in blood.

When the wounded passed the bed, Yu Zhiming's hands were already pressed on the wounded's body.

"Brain...... No problem! ”

"Left lung atrophy, puncture pneumothorax!"

"Left clavicle, left two three, right second chest rib fracture ......"

"Effusion in the peritoneum is about 500 ml, there is a small amount of bleeding in the right kidney, liver, and a ruptured bladder ......"

In only two minutes at most, Yu Zhiming completed the exploration of the wounded's chest and abdominal organs.

This flaw detection speed made Sun Mingqi a little staggered.

He had just finished intubating the wounded and had not had time to treat the wounded man's open fracture of his right arm.

At this time, Sun Mingqi saw that another injured person was sent over by firefighters, and the injured person in front of him had an open fracture of his right arm, which could also be treated in the ambulance.

He told the ambulance medics who were waiting next to him, "Quickly take this wounded man to the hospital." ”

Hearing this, Chen Li tore off the sticky note paper that quickly recorded the injury and pasted it on the wounded's chest......

The second wounded, Yu Zhiming pressed his hand on his chest, and his heart was dark.

His chest collapsed by five or six centimeters.

The heart was pierced by a broken rib, not to mention, it was also flattened.

Yu Zhiming could clearly feel that this heart was on the verge of breaking apart.

But surprisingly, it's still beating!

"Am I hopeless?"

Yu Zhiming looked at the middle-aged man who was still awake and had a clear premonition, and nodded without concealment.

"And how much time do I have?"

Yu Zhiming said honestly: "It's a miracle that you are still awake and can still speak." ”

"Maybe, it's only three or five minutes."

The middle-aged man then said: "The incident happened suddenly, and I still have some important things to explain. ”

"Can you please record my last words?"

Yu Zhiming hurriedly asked Dr. Chen Li to record a farewell video for the dying and wounded man who remained sober and calm......

"I'm Liu Yizhi, my brain is still awake, and now I'm going to make the following arrangements for my death......"

"One, all the shares in my company and in other companies, ...... by my wife and daughter"

On the third casualty that followed, Yu Zhiming finally used an expandable balloon.

His renal artery was torn and bleeding profusely.

Yu Zhiming used a puncture needle to successfully send the dilated balloon into the proximal end of the renal artery after only one puncture, and then inflated and expanded, so that the renal artery was temporarily in a state of obstruction.

From the detection of the renal artery tear, to the localization of the blood vessels, and finally to the completion of hemostasis, it takes no more than one minute.

This once again shocked Sun Mingqi......

"Quick, quick, doctor, save him......"

At the urging of a firefighter, Yu Zhiming ushered in the fourth wounded.

"No need to get out of bed."

Yu Zhiming stopped the two firefighters from crossing the bed and took his hand away from the chest of the man on the stretcher.

"No more heartbeat or breathing, carry him to the other side."

As soon as Yu Zhiming's judgment came out, one of the firefighters couldn't help shouting: "How come? ”

"How so?!"

"He was talking to me just now, saying that he didn't want to die, that he wasn't married yet, and that his parents were still waiting for him to go back for the National Day."

"Doctor, doctor, don't give up, don't many people lose their heartbeat and breathing, and can they be rescued?"

"Save him, please save him!"

Yu Zhiming looked at this firefighter who was a few years younger than himself and still had some youth, and shook his head.

"He's so badly injured that there's nothing we can do about it."

The young firefighter suddenly became emotionally broken, beat his head hard, and cried: "If only I had a little more time just now and rescued him earlier." ”

"Blame me, blame me, woo......"

Seeing the young firefighter like this, Yu Zhiming was also very uncomfortable, and he wished that he had the ability to come back to life.

But he is a young doctor with limited ability......

In the next nearly an hour, Yu Zhiming ushered in eight more seriously injured people one after another.

There are two of them, and Yu Zhiming is incompetent.

For the other six people, Yu Zhiming did his best to give emergency treatment while exploring the injuries of the viscera.

One of the wounded, just used an expanding balloon to stop the bleeding, and Yu Zhiming used five on him.

There was also a wounded man's celiac branch artery torn, and after Yu Zhiming gave him a balloon to stop bleeding, he saw that there was still time, so he continued to perform a minor extracorporeal bypass graft blood supply operation.

Brain cells and cardiomyocytes are sensitive to hypoxia, and cell necrosis occurs within four to six minutes of ischemia.

Other body and tissue cells in the human body are more resistant to oxygen, and cell necrosis generally occurs after 20 minutes.

It should be noted that the occurrence of partial cell necrosis does not mean that the entire organ is useless.

For example, human organs and limbs can still be successfully replanted after being separated from the body for a few hours.

However, necrotic damage at this cellular level is inevitable and requires a long recovery process.

Therefore, the interval between replantation and transplantation surgery is as short as possible.

The shorter the viscera ischemia, the better.

Yu Zhiming partially restored the blood supply of the celiac branch artery of the wounded through internal bypass surgery, which can alleviate the hypoxic injury of some abdominal organs......

After an hour of thrilling busyness, no more wounded were sent to him.

Yu Zhiming also knows this in his heart.

It was difficult for a seriously injured person of the previous level to last an hour without effective treatment.

Less serious wounds do not need to be sent to him.

Finally having a little free, Yu Zhiming's eyes involuntarily turned to the open space not far away.

There were three gray bags with three people lying inside, including the middle-aged man who calmly filmed his last words before!

They lay there quietly, waiting to be transported.

Yu Zhiming felt an indescribable discomfort in his heart, and a deep sense of powerlessness......

Sun Mingqi patted Yu Zhiming on the shoulder a few times and comforted: "Thinking about the good thing, you also saved eight people." ”

Yu Zhiming exhaled a long breath and said, "It's just to save their breath temporarily, and there is still a life-and-death threshold waiting for them when they arrive at the hospital." ”

"I'm thankful that five of them survived."

At this moment, a young doctor ran towards them, shouting loudly as he ran.

"Doctor Yu, come here, you need ...... here"

Please order the first order! Ask for a commuter pass!

(End of chapter)