"Shall I show you another video? Xiao Song, show it to everyone!" Director Han took his time.
Song Zimo came on stage, plugged a USB flash drive into his computer, and opened a video inside. The video was not as clear as before, but it could still be seen clearly.
A doctor wears gloves and no surgical gown, only a hand-washing gown. The venue seems to be outdoors, because the patient is lying on the ground and the doctor is kneeling, with an open first aid kit next to him.
The doctor simply sterilized the patient's chest and spread a drape, which is usually used for minor surgeries, such as debridement and suturing.
After the paving was completed, he cut open the left intercostal space with a knife, and then used a thoracotomy to open the chest cavity. The blood poured out. He stretched his left hand inside to stop the bleeding with his bare hands. He used the knife in his right hand to cut open the pericardial pericardium, and then changed his hand to hold the chest open.
The needle was equipped with a needle and thread, and sutures were made inside. The whole operation was completed in the blood. Soon, the operation was over, the blood stopped flowing, and the incision was finally closed.
This video seems to be nothing. From beginning to end, it lasts just over three minutes, and you can’t see anything.
Director Han stood up and walked to the podium: "Many people don't understand? This is an operation performed by Fujiwara Masao when he was still a lecturer, that is, when he was the attending physician."
"This operation was performed at the scene of the accident. The entire operation lasted three minutes and twenty-four seconds. A patient with a ruptured heart was disinfected, draped, opened the chest, opened the pericardium, sutured the breach in the heart, and closed the incision. It was completed by one person.
, the whole journey takes three minutes and twenty-four seconds."
"Think about it, everyone, three minutes and twenty-four seconds, is the disinfection enough? Is the chest opening enough? There is blood everywhere, can you find the hole in the heart? How can you sew up the hole in the heart when the blood is gushing out?" "That was the scene of an accident. There was no auxiliary equipment. It was a completely bare-handed operation, relying on extremely skilled surgical skills. Think about it, everyone, is it enough to sew up a wound on a finger in three minutes and twenty-four seconds?"
"This operation has become a classic example of emergency trauma surgery, and no one has surpassed it to this day. This video has been played repeatedly in advanced trauma surgery training courses in the United States and Europe."
Heart rupture! It took more than three minutes to complete. It is really the ultimate hand speed, extraordinary courage and psychological quality. This kind of trauma usually causes death at the scene, because it takes time to wait for rescue at the accident site, and it takes time to get from the scene to the hospital.
, this time is enough for such patients to lose the chance of rescue. Except for freaks like Masao Fujiwara, no one has the courage or the ability to perform this kind of surgery on site.
"This video brings trauma emergency surgery to the extreme. Fujiwara Masao himself is now a professor at the University of Tokyo Hospital, chief professor of orthopedics, and chief professor of the trauma emergency center."
"He trained many doctors, including several talented surgeons, such as the younger generation Takahashi. You will meet Takahashi at this academic conference. He does spinal surgery, whether it is anterior or posterior, it usually takes half an hour, and there is almost no bleeding.
, it took no more than two minutes to repair the aorta at the critical moment, which was already at the level of his teacher."
"There is still more than a month left before the conference. Dr. Yang will take everyone through rounds of training, from surgical operations, first aid procedures to team collaboration. I hope that through this training, everyone's level will rise to a higher level, Tan
Director, can you explain the video just now to everyone?"
Director Han sat back to rest. At this time, the anesthesiologist, operating room head nurse, nurses, and emergency department doctors and nurses came in one after another. The next step was about the academic meeting.
Dean Xia also came in. He waved and Lao Han went out. The two of them went to Lao Han's office to sit for a while.
Dean Xia said happily: "Xiao Yang's establishment problem has been solved. When the time comes, someone from the Human Resources Department will guide him to fill in some information for admission. This time, he will apply for an establishment specifically for him."
In G city, it is very difficult to get admitted to a large hospital. Doctoral files have to be circulated in the talent market for one to three years before they can be admitted. It is still possible. There is no green channel for masters, so there is basically no hope. Some hospitals are far away from being admitted.
No deadline.
Nowadays, an establishment is very precious. This is also an unreasonable part left by the old system, but there is no way. The establishment involves treatment, status and retirement salary. In short, whether there is an establishment makes a huge difference.
Some hospitals say they have canceled the establishment, but this is not complete. Most people cannot get establishment, but there are still some who can. These very few people are the people with great energy.
For example, if Yang Ping, a master's degree student, is not a special talent, it would be impossible for him to get a position in Sanbo. In order to stabilize the talent, Dean Xia and Director Han went to great lengths to find a position specifically for him. p>
"Yes, if the remuneration does not keep up, how can we retain talents?"
"Young man, Old Han, you have to hold on tight and don't let anyone poach you. I heard there's something going on over there in Annex 1."
"Don't worry, we can't dig it up."
"Don't be careless. You must know what you are doing and be sure to stabilize people. Old Su Ai is famous for this."
Dean Xia reminded again: "Others don't know. You and I don't know the identity of Xiao Su in the operating room. It's just that Old Su said hello. We pretend not to know. I'm afraid of this relationship-"
Old Han tapped the table gently, thoughtfully: "I understand this kid, don't worry! Besides, if one day comes, he must leave. You and I can't keep him, so we can only be happy for him."
Dean Xia said: "Lao Su and I have a good relationship. I think he won't be too competitive. The conditions we have provided to Xiao Yang are also good. Xiao Yang should be satisfied, and so should Lao Su.
”
"Lao Xia, don't worry too much about this matter. In my opinion, the eldest lady of the Su family is also a maverick child. If she doesn't go along with you, she comes to our three games. Lao Su doesn't dare to say anything, but secretly greets us and offers help.
Take care of it, but don't dare to let her know. You said, in this case, he can't do anything, right?" Lao Han analyzed.
This chapter is not over yet, please click on the next page to continue reading!
Dean Xia nodded: "In short, we should be careful and try our best to stabilize the talents. We are old, and Sanbo will still rely on them in the future. Looking at these young people, I feel really excited. These children will be better than us in the future.
Yeah."
The two chatted for a while and then returned to the demonstration classroom. Director Tan was explaining the video to everyone. Everyone was attentive. It seemed that the video shocked everyone and everyone saw the real gap.
"This video, without any editing, is their daily rescue record, that is, this is their true level, and all those involved in the rescue are middle- and lower-level doctors."
"Let me say a few more words. The professional titles of Japanese doctors are relatively complicated. Like university hospitals, they are generally divided into teaching assistants, lecturers, associate professors, and professors, which correspond to our resident physicians, attending physicians, deputy chief physicians, and chief physicians. Change them to our professional titles.
, all the people involved in the rescue in this video were attending physicians and residents, and no one with a high professional title took the stage."
"It shows that their overall strength is very high. What you just saw is only part of the rescue. There is also a patient with severe splenic rupture who underwent surgery on the operating cart at the scene. In the entire car accident, except for one patient with brain stem injury who died on the spot,
, all the others were rescued. Of course, this has something to do with the injury, but it also illustrates a problem. When these patients are in their hands, as long as they can be saved, they are already stable, everything becomes controllable, and the probability of successful rescue is
Pushed to the maximum.”
"Look, it only took eight minutes from entering the emergency room to going to the operating table, where all preoperative preparations and CT whole-body scans were completed, and then to going to the operating table for the operation. What kind of speed is this? You can weigh it yourself.
If we go directly from the emergency room to the operating room without any examination, I’m afraid we won’t be able to get to the operating table in eight minutes, right?”
"As soon as I entered the door, I had already received a blood transfusion and went to the operating table. Everything was clear. The operation plan was very thorough and precise. The entire operation only took an hour."
"Every step and every collaboration has been optimized to the extreme. Information communication between pre-hospital first aid, emergency center, CT room, and operating room is very smooth. After entering the hospital, everything is completed in the emergency center, on the same plane and in the same area.
At two minutes, the report and images from the CT room came out, which tested the doctor's ability to read the images. The surgical plan came out with it, very detailed and precise, and it also tested the doctor's decision-making ability."
"We not only learn from them, but in the future, we will also learn from the United States, Germany, and the United Kingdom. As long as they are more advanced than us, we will all learn from them. As long as we work hard and conscientiously, we will definitely surpass them. But what Director Han just said, just rely on your words.
No, to borrow a popular saying today, don’t dream of defeating your opponent with just a keyboard--"
"We also referred to them and several other hospitals, combined with our own actual situation, to improve the process of the trauma emergency center. Let's take a look--"
"Oh, one more thing, why do they transfuse blood so quickly? They provide first aid on site, and the blood transfusion truck follows with blood products. Blood is collected on site, the results are given on site, blood is cross-matched on site, blood is transfused on site, and blood is collected again at the hospital for cross-matching.
For subsequent blood transfusions, if helicopters are dispatched, in addition to transporting the most seriously injured, their helicopters will also bring back blood samples of all the wounded and go to the hospital in advance for cross-matching to prepare for subsequent blood transfusions; they also have a variety of methods to stop bleeding on site. In short,
They really raced against time to stop bleeding and transfuse blood!"
Director Tan finished: "Do you have any comments or questions about the video?"
In normal meetings, during each speech, some people would make jokes to liven up the atmosphere. Today's meeting was very dull, and even the few who usually made fun of them stopped talking.
No one spoke, no one asked questions, and no one even took the opportunity to drink water. The strong pressure made me feel a little breathless.
Fuck! Masao Fujiwara, this freak, please hold a meeting and do a live broadcast with me. You are so powerful, so many people can't surpass you. If you don't compete with Americans and Germans, why are you doing it with us?
Live broadcast at the same venue?
It’s called communication in the euphemistic name, but in reality it’s just stepping on the field and bullying others!
Some people have already cursed in their hearts, which is uncomfortable!
