A ceremony was held to unveil the Trauma Emergency Center.
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 is free comes to join in. The more people there, 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.
A burst 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.
The helicopter takes off simultaneously in the sky and on the ground. The helicopter can carry five people, two crew members, a doctor, a nurse, and a seat for the patient. It is equipped with advanced first aid equipment, including a ventilator.
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 accident site on foot.
Thick smoke climbs up like a giant dragon.
It was a mess all around. The 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, with high-pressure water jets crisscrossing each other, shooting at the collapsed house. Ambulances flashed red lights, one after another, parked nearby.
Just this morning, a fire broke out in this factory. 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 thick smoke on a stretcher.
"Hold on, Qiangzi! Hold on, hold on!" the firefighter holding the stretcher yelled, with a crying voice and a broken voice.
"What's going on?" The deputy mayor who presided over the rescue at the scene, wearing a helmet, rushed forward immediately, followed by others.
"Our comrade is awake. His right upper limb was crushed and broken into several sections. There is still a thumb that is not found." The firefighter said urgently.
"Be quick!"
"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 amputated limbs one by one, wrap them in sterile gauze, put them in plastic bags, put them in the refrigerator, dry them and refrigerate them. An intravenous channel has been opened in the other forearm, and physiological saline has been infused. There is automation in the car.
Test 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 next to it. We use a car to take the patient to the helicopter. We will be there soon."
"Helicopter! Okay! I'll leave this patient to you, and we'll have someone arrive later."
"Qiangzi, hold on! Brothers, go in again--" Several firefighters rushed into the ruins without hesitation.
"Report 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."
After the deputy mayor made the call, his head was buzzing, his waist was plugged, and his clothes were wringing out water. His eyes were staring straight at the smoking ruins. There were still five people buried inside, whose lives and deaths were unknown.
A few days after the establishment of the trauma emergency center, patients were welcomed in this way.
The news from the emergency department was broken in five parts. My scalp goes 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 dedicated 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, assemble the best troops, and perform the operation quickly and quickly." Dean Xia looked up at the sky. p>
The helicopter approached from far away, and the sound of the motor became 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 way, blood can be transfused as soon as possible.
"The preoperative examination is complete, proceed directly to the operation!" Director Xiong waved.
"Secretary Luo from the municipal 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 having 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 guided 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 looked solemn: "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 talked to me on the phone for half an hour, giving instructions
--We must go all out 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 entire rescue 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 come
At that time, he will have a video connection with us to guide the operation." Secretary Luo tidied a thin strand of hair on his 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." Lao 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 polluted. Blockage of any anastomosis will lead to wasted efforts. Don't have any psychological burden, I will bear all the consequences! Just like you do
That baby's finger is cut off and replanted, so let go. I'll say it again, 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, 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 takes a long time, and tracheal intubation is used under general anesthesia.
"The anesthesia is successful, and 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 charge 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.
Hands, deliver 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 goes to wash their hands.
Song Zimo disinfected the sheets, and Yang Ping immediately dressed and put on gloves.
The hand-washing nurse, Su Yixuan, had bright eyes and long eyelashes, twinkling. She clenched her little fists and said to Yang Ping: "Brother Ping, 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 each blood vessel, neuromuscular tendon, and
Trim, mark.
After debridement here, rinse again. Then, Tianyuan and the others debridement the severed limbs separately, looking for markers of blood vessels, nerves, and tendons. The two groups of debrided severed limbs are brought together and rinsed again.
The fracture of the ulna and radius is reduced, the steel plate is attached, the reduction clamp temporarily fixes the steel plate, the drilling depth is measured and the thread is tapped. The three steps are completed in one go, and then the screws are screwed in one by one. Then 1.5 and 1.0 Kirschner wires are used to fix the fractures in 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 it a mistake? Old Han was sitting a few meters away, staring at the screen on the wall of the operating room: "Xiao Yang, anastomose the blood vessels quickly! Reduce the ischemic time."
"No delay, the anastomosis will be done according to the layers, from deep to shallow, don't be rigid about anastomosis of the blood vessels first, it won't take too long!" Yang Ping's confident tone.
"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 fully confident in Yang Ping's ability, so he stopped saying anything and just focused on the screen to provide necessary support at any time. After all, Yang Ping was still young and inevitably lacked 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 a severed limb. However, this kind of fracture of the radius and ulna was a problem for any orthopedic surgeon.
It is not a problem and has little impact on the entire operation time.
The huge screen is divided into two halves, one half is the surgery video; the other half is connected to Professor Hong Zhigang in Shanghai.
In Shanghai, Professor Hong is having a meeting, a national orthopedic trauma network conference, and Professor Hong requested that the live broadcast of the surgery be connected to the video conference 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.
