Chapter 19 A blockbuster (Part 1)
The opening ceremony of the Trauma Emergency Center was held.
Dean Xia, along with several vice presidents and directors of the surgical system, stood in a row on the steps at the entrance of the emergency department.
Below are the doctor and nurse graduate interns from each department. Anyone who has time comes to join in. The more people there are, the more lively it becomes.
First, Dean Xia spoke impassioned words, and then the directors of each department expressed their selfless dedication and concerted efforts to develop and expand the center.
Finally, Dean Xia lifted the silk and red cloth with his big hand.
The golden letters of Trauma Emergency Center are revealed.
There was a roar of applause.
Just a few days later, at around 7 o'clock in the morning, the dedicated hotline of the trauma emergency center came in handy.
A fire broke out in a nearby factory, and superiors asked Sanbo Hospital to immediately dispatch 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 space for the patient. It is equipped with advanced first aid equipment, including ventilators.
The helicopter arrived first and parked at a football field near the incident site.
Doctors and nurses carried first aid kits and rushed to the scene of the accident on foot.
The thick smoke climbed up like a giant dragon.
It was a mess all around. Armed police had formed a huge circle with isolation tape, and the radio kept shouting, but people still gathered around and refused to leave, pushing each other.
Red fire trucks were scattered around, and high-pressure water jets crisscrossed each other, shooting at the collapsed house. Ambulances, one after another, parked nearby with their red lights flashing.
Just this morning, the factory caught fire. The fire was finally extinguished, but the house collapsed and eleven people were buried inside, eight of them firefighters.
Finally dug out another one.
"Get out of the way! Get out of the way! Get out of the way!" Firefighters carried a person out of the smoke on a stretcher.
"Hold on, Qiangzi! Hold on, hold on!" the firefighter holding the stretcher yelled, his voice breaking as he cried.
"What's going on?" The deputy mayor who was in charge of the rescue at the scene, wearing a helmet, rushed forward immediately, followed by others.
"Our comrade-in-arms is awake. His upper right limb was crushed and broken into several sections. There is still a finger that has not been found." The firefighter said hurriedly.
"Hurry!"
"Which is the nearest hospital?"
"Three bets!"
"Send to Sanbo Hospital, Sanbo Hospital's ambulance!"
"Here!" The ambulance also arrived. The doctor immediately raised his hand, and the first responder ran over and took the stretcher.
Open the refrigerator, count and record the broken limbs one by one, wrap them in sterile gauze, then put them in plastic bags, put them in the refrigerator, dry them and refrigerate them. An intravenous channel was opened in the other forearm, and normal saline was injected into it. The car has automated testing equipment and blood tests. Call the emergency department to prepare red blood cells and plasma.
"Quick! Go back to the hospital."
"Report, traffic jam, it is the rush hour for work."
"Traffic jam? Damn it! Traffic police! Send a police car and a few motorcycles to clear the traffic. If you don't give way, your car will be overturned." The deputy mayor swore.
"No, we have a helicopter. It is parked at a football field nearby. We use a car to take the patient to the helicopter. We will be there soon."
"Helicopter! Okay! This patient is handed over to you, and we will have someone arrive later."
"Qiangzi, hold on! Brothers, go in again -" Several firefighters rushed into the ruins without hesitation.
"Reporting to the mayor, six people were rescued, four firefighters, two workers, one was sent to Sanbo Hospital, and the other five were sent to the People's Hospital and the Affiliated Hospital of Medical University respectively."
After the deputy mayor made the call, his head was buzzing, his waist was pierced, his clothes could be squeezed out of water, and his eyes were staring straight at the smoking ruins. There are five more people buried inside, whose life and death are unknown.
A few days after the trauma emergency center was established, patients were welcomed in this way.
The news from the emergency department was disconnected in five parts. It makes my scalp numb just thinking about it. I heard that when the house collapsed, I was hit by a machine, and there happened to be a few blades on the machine.
Yang Ping and Lao Han went straight to the rooftop, which was directly accessible by a special elevator. The rooftop was already full of people. Beside the tarmac, Director Xiong was waiting with several doctors and nurses. Next to him was a large box containing prepared emergency medicines and equipment.
"Yes, yes, yes! Our helicopter will land soon, the rescue team has been set up, and all personnel are in place. Please don't worry, we will complete the task." Dean Xia was sweating profusely, and the shirt on his back was all wet.
"Director Han, Director Xiong has told you the basic situation. The helicopter will be back soon. You guys will see the patient later, formulate a plan immediately, gather elite troops, and perform surgery quickly." Dean Xia looked up at the sky.
The helicopter approached from far away, the sound of its motor getting louder and louder. It hovered over the rooftop for a while and landed steadily on the apron. The wind picked up by the rotor blew everyone's hair to one side.
The person was carried out on a stretcher and rushed to the elevator entrance on the rooftop. Emergency doctors and nurses immediately rushed to meet him, almost following the stretcher, drawing blood from the indwelling needle and sending it to the blood transfusion department for cross-matching. This allows blood to be transfused as quickly as possible.
"The preoperative examination is complete, let's go straight to the surgery!" Director Xiong waved.
"Secretary Luo from the city government is coming. The rescue team - Secretary Luo is the team leader, I am the deputy team leader, and you are the chief expert. The command headquarters is set up in the conference room of our surgical building. Secretary Luo requested that the entire rescue process be broadcast live in the conference room During the process, Mayor Li was in a meeting in the imperial capital. He was very concerned about the accident and rushed back urgently. " Dean Xia tried his best to speak clearly in a few words.
"Song Zimo, Lu Xiaowu, and Zhang Lin are already in the operating room. We will go down immediately to prepare for the operation." Old Han became excited. Soon, Dean Xia arrived in the conference room, followed by Secretary Luo and representatives from the armed police, health, and public security. The usher guides everyone to sit in the front row.
"Secretary Luo, please take a seat! We have organized the entire hospital's elite forces to participate in the rescue. The chief expert, Professor Han Jiangong, is from the Sixth Hospital of Shanghai and has rich experience in trauma and orthopedics." Dean Xia led Secretary Luo to take a seat.
Secretary Luo put his briefcase on the table and said with a solemn expression: "Well, I just heard from the Health Bureau that Professor Han is a well-known professor of trauma and orthopedics in China. Mayor Li just called me and gave instructions - we must do our best to... Go to rescue patients and put people’s health first.”
"Yes, we will definitely live up to the trust of the people. Secretary Luo, you can see the entire rescue process on this screen and direct the rescue throughout the entire process."
"Very good, I was just about to mention the live video broadcast. Mayor Li also wants to see the scene as soon as possible. Also, in order to strengthen the rescue force, the city contacted Professor Hong Zhigang from the Sixth Hospital of Shanghai, the country's top orthopedic expert, to He will have a video connection with us to guide the operation." Secretary Luo tidied a thin strand of hair on her forehead.
"Professor Hong Zhigang is the senior brother of our Director Han." Professor Xia explained.
"That's a strong alliance." Secretary Luo sat down.
"Xiao Yang, are you sure? If not, I'll go in person." Old Han asked while changing clothes in the dressing room.
Yang Ping nodded: "No problem, go all out."
"Okay! Remember, stay calm and ensure the quality of the anastomosis. This multi-segment amputated limb will be severely bruised and contaminated. Blockage of any anastomosis will cause all previous efforts to be wasted. Don't have any psychological burden. I will bear all the consequences! Just like you do It’s like having a broken finger replanted on that baby. Let me go. 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.
Old Han took out a cigarette, smelled it, put it away, put his hand on Yang Ping's shoulder and said: "Go in!"
The good quality of the entire hospital is reflected. Although it is busy, it is not chaotic. Everyone adheres to their duties and cooperates with each other. All work is carried out in an orderly manner.
The operation took a long time, and tracheal intubation was used under general anesthesia.
"The anesthesia is successful, the operation can begin!" Anesthesiologist Liang Jing said calmly, and then added: "The patient has me, you can go ahead and do it."
Lao Han was in command of the operating room. Just like last time, the operation was divided into two groups, with two operating tables. Yang Ping and Song Zimo washed the proximal wound, Tian Yuan and Fang Yan washed the amputated limb, and the rest of the people participated in helping - positioning and lifting. hand, delivering things.
"Come on!" Tian Yuan gestured and gave an encouraging look.
Song Zimo also gave a thumbs up: "Come on!"
"Come on!" Yang Ping responded, feeling very passionate.
After rinsing, everyone went to wash their hands.
Song Zimo disinfected the sheets, and Yang Ping immediately dressed and put on gloves.
Handwashing nurse Su Yixuan, with bright eyes and long eyelashes twinkling, clenched her fists and said to Yang Ping: "Doctor Yang, come on! I believe you."
The sound of the anesthesia machine pumping air and the circulating nurse shuttle: "8 units of red blood cells and 1600 ml of plasma are being transfused."
"Blood pressure is stable and vital signs are stable!"
"Microscopic instruments, in place!"
"Microscope,, in place"
Preoperative check——
start!
Yang Ping used tweezers in his left hand and sharp tissue scissors in his right hand to start debriding the wound, carefully identifying foreign bodies, necrotic tissue and loss of vitality tissue and removing them completely; trimming the skin neatly; finding out each of the blood vessels, nerves, muscles and tendons. Trim, mark.
After debriding this side, rinse again. Together with Tian Yuan, they debrided the severed limbs and looked for markers of blood vessels, nerves and tendons. The two groups of debrided limbs were brought together and rinsed again.
The fracture of the ulna and radius is reduced, the steel plate is affixed, the reduction clamp is temporarily fixed on the steel plate, drilling, depth and tapping are completed in one go, and then the screws are screwed in one by one. Then use 1.5 and 1.0 Kirschner wires to fix the fractures of the palm and fingers.
The bones of the severed limb were successfully connected and the basic shape was restored. All that was left was to anastomose the broken blood vessels, nerves and tendons.
Tendon line--!
Anastomize the tendons first? Is there a mistake? Old Han was sitting a few meters away, staring at the screen on the wall of the operating room: "Xiao Yang, hurry up and anastomose the blood vessels! Reduce the ischemic time."
"No delay, the anastomosis will be done according to the layers, from deep to shallow. Don't be rigid about anastomosing the blood vessels first. It won't take too long!" Yang Ping said confidently.
"Within a certain period of time, anastomosis by layer can reduce interference to the already anastomotic blood vessels, and the quality of the anastomosis is the highest." Yang Ping added that this is confidence in his own speed.
Lao Han was completely confident in Yang Ping's level, so he stopped saying anything and just focused on the screen to provide necessary support at any time. After all, Yang Ping is still young and inevitably lacks experience.
In fact, when Yang Ping fixed the fracture, he deliberately slowed down the steps. Because he knew that his level of fracture surgery was far inferior to that of replantation of severed limbs. However, this type of fracture of the radius and ulna was not a problem for any orthopedic surgeon and had little impact on the time of the entire operation.
The huge screen was divided into two halves, one half was the surgery video; the other half was connected to Professor Hong Zhigang in Shanghai.
In Shanghai, Professor Hong is holding a meeting, a national orthopedic trauma network conference, and Professor Hong requested that the live broadcast of the surgery be connected to the video conferencing platform.
In this way, he can not only guide the entire surgical process remotely, but also let participants across the country watch the live broadcast of five-stage reimplantation. After all, five-stage reimplantation is very rare. Regardless of success or failure, this is an excellent communication opportunity.
Also, he wanted to see how his junior brother, Han Jiangong, could create miracles.
The first fracture, the first blood vessel.
Start to match.
(End of chapter)