However, the snow in Tokyo looks delicate and compact, unlike Hokkaido, where every snowfall is gorgeous.
It snowed lightly a few days ago, and the roofs were covered with a thin layer of snow, and the snow on the roads had long been shoveled away.
However, there are also small snow plows cruising on the streets, plowing away the snow in a timely manner to keep traffic flowing smoothly. The snow is not very heavy, and the snow plows do not seem to be playing a role.
The streets are a bit slippery, and there is no snow left. There are piles of snow not far away from the roadside, and occasionally you can see a snowman.
People will not slow down their pace because of snow. Men wear windbreakers, women wear hats, and occasionally girls in short skirts hurriedly walk through the streets.
On the highway, there is no trace of snow at all.
Yoshino Koura was sitting in the ambulance, followed by several ambulances.
They received news that seven cars rear-ended each other on the Shengong Bridge section, causing heavy casualties.
Yoshino is no stranger to this section of road. In a high-accident area in Tokyo, the almost right-angle turn catches many distracted drivers off guard.
A few years ago, when he was still a teaching assistant, he participated in the first aid of car accidents on this section of the road.
Unexpectedly, a few years later, he came again, this time he was already a lecturer.
Due to the car accident, the traffic jam stretched for dozens of kilometers. There were no illegally parked vehicles in the emergency lane, and no tires even crossed the line.
This made the rescue work very smooth. The ambulance team flashed red lights, roared at full speed, and quickly arrived at the scene of the accident.
The scene is littered with car parts. The traffic police have cordoned off the scene, and the traffic rescue team is in place to carry out rescue operations.
The hospital's helicopter has arrived first and parked on the highway in front of the accident scene. Two doctors and nurses have completed the initial examination of the injured.
An identification band was worn on the wrist of each wounded person. Green means that the vital signs are stable and no emergency treatment is needed; yellow means that the vital signs are stable but are not fatal for the time being; red means that the vital signs are unstable and the life is seriously threatened.<
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"Yoshino Koura of the University of Tokyo Hospital!" Yoshino opened the car door, jumped out, and breathed a sigh of relief.
A traffic policeman wearing a reflective vest greeted him and bowed slightly.
"Mr. Yoshino, please, there are many injured people," the traffic police introduced.
Watanabe, the leader of the helicopter advance team, is also a senior lecturer-level doctor. He ran over and reported the results of the preliminary examination to Yoshino.
There are a total of fifteen injured people at the scene. Unfortunately, one of them has been labeled with a black label. The remaining fourteen are four with red labels, eight with yellow labels, and two with green labels.
All emergency vehicles have opened their doors, and there is no need for Yoshino to direct them. They have been divided into groups. The green ones will be ignored for the time being. The red ones will be handled by a separate group for each person. The remaining yellow ones will also receive treatment in a timely manner.
The members of each group usually work together. Whether it is daily training or emergency rescue, they are in a fixed combination and work together very well.
The front and rear of a Toyota hatchback were completely compressed, and the driver's chest was severely squeezed. The rescue team used tools to cut before moving the injured to level ground.
"Comatose, multiple rib fractures, severe lung contusion, hemopneumothorax, tension pneumothorax, and multiple fractures throughout the body." The doctor in charge of the injured carefully examined the patient.
"Closed chest drainage!" the doctor adjusted his gloves and ordered.
As soon as I finished speaking, the nurse had already brought the chest closed drainage kit from the car.
The sharp knife pierced through the ribs, pop, the high-pressure air rushed out, making a short and powerful sound; the pipe was quickly inserted, and a series of blisters immediately appeared in the water-sealed bottle.
The patient's breathing slowed down and his face looked better. The doctor's hand didn't stop as he groped around the throat.
"Tracheotomy!" The command is clear and brief.
The nurse handed over the tracheotomy bag and opened it. The doctor moved skillfully. In less than a minute, he completed the tracheotomy and inserted the cannula.
At the same time, the nurse took advantage of the doctor's break to collect blood and put a label on it. This is Patient No. 2 of Shen Gongqiao.
"Get in the car, we can go back."
The doctor changed into a pair of gloves, and the garbage left by the previous operation was collected in a yellow bag.
The stretcher was opened, and the two stretcher bearers loaded the injured person onto the stretcher and sent him to the ambulance. The red patient needed to be followed all the time, one-on-one.
Another Honda SUV was not much better, severely deformed.
"The femoral artery is torn and requires on-site surgery. Please open a suture bag." The doctor applied pressure with his bare hands to stop the bleeding.
The nurse opened the suture bag, two people began to perform on-site hemostasis on the femoral artery, and the doctor clamped the femoral artery.
Ask the nurse to observe the blood supply of the lower limbs, and the nurse responds: "The blood supply is qualified!"
"Temporary ligation can be performed!" The doctor made a judgment and performed a simple ligation.
In the third car, the situation was very pessimistic. The ground was covered with blood, and the blood was still spreading. Yoshino turned from red to yellow, then to green. Every injured person was personally attended to.
"The pelvis was comminuted, the pelvic internal organs were damaged, the perineum and rectum were severely torn, and there was too much bleeding. I used an aortic interventional balloon to stop the bleeding, but it still didn't work." The doctor saw Yoshino coming and reported immediately.
Yoshino visually checked the patient's height and said: "Send the balloon up another five centimeters. Next time, remember to have experience in judging the location of bleeding. People of different heights have different anatomical landmarks."
"Understood!"
The doctor carefully deflated the balloon, then advanced it another five centimeters and re-inflated it.
Dr. Yoshino was right. Five centimeters higher, the bloody lower limbs and perineum no longer spurted blood.
A mini car is the worst. The driver has been labeled black, and the woman in the back seat fell into a coma. This is the Sanggong Bridge Patient No. 1.
The wounded with the black label were still moved aside, and a team of medical staff performed standard cardiopulmonary resuscitation procedures, checked repeatedly, and finally had to give up.
"She is a pregnant woman. Oops, something pierced her abdomen and the fetus has been injured?"
The patient has been moved to a stretcher on the ground, and the doctor has completed the tracheotomy and connected a simple ventilator.
Hemorrhagic shock, blood type is out, cross-matching, blood transfusion!
"Yoshino-kun, she is dying, one pupil is dilated!" The doctor needs Yoshino's support.
Intracranial hemorrhage, intracranial hypertension, and cerebral herniation occurred. Yoshino opened the patient's eyelids with two fingers, observed the pupils, and made a quick judgment.
Before becoming a trauma emergency doctor, he had rotation training in both internal medicine and surgery. He was able to independently complete trauma emergency surgery on any part of the body.
"Quick intravenous infusion of 20% mannitol! Open the first aid kit for surgery, and don't have time to get to the hospital for craniectomy and decompression!" Yoshino didn't think much.
If this patient had not undergone intracranial decompression on site, she would not have been able to reach the hospital. His years of experience have made his judgment very accurate.
The injured person was put on an ambulance that could perform surgery, and the surgical first aid box was opened.
I shaved my head with an electric razor, disinfected the sheets, sprayed hand disinfectant, and wore double-layer gloves. The scalp was opened by the knife. The nurse handed over the craniotomy electric drill. Yoshino drilled a few holes and cut off the surrounding area with a primitive wire saw.
A piece of skull was opened, and the brain tissue expanded instantly.
A special sterile protective cover covers the skull defect, and the removed bone fragments are collected by the nurse and then bandaged.
"She needs a helicopter, please take her to the helicopter?" Yoshino ordered.
The stretcher bearers carried the patient, connected him to the ventilator, and boarded the helicopter. There were blood samples of each injured person on the helicopter, which were taken back for cross-matching.
"Take off!" the doctor in charge of the pregnant woman ordered.
The helicopter slowly took off, and the huge air flow blew the grass on the side of the highway to the ground.
The pregnant woman was transported by helicopter, and all other red and yellow casualty ambulances set off and returned to the hospital headquarters.
Yoshino looked up at the sky, returned to the car, took out his laptop, wrote a written report on the condition of the injured, and sent it back to the headquarters, where someone would be ready to accept it.
"Help me!" Someone waved and shouted.
In a Volvo XC90, the injured person was trapped in the driver's seat and needed to be cut to get out.
He had a green label, and the remaining group of doctors went over to see him.
"The Volvo saved him. The powerful A-pillar did not deform. The space it maintained saved his life. This is the space for life." said the traffic rescuer.
"For boron steel, ordinary cutting machines will take a long time!"
Rescuers know the structure of these vehicles very well, and the Volvo is the most difficult to cut during rescue.
"Laser cutting!" Another team member suggested.
A laser cutting machine was moved from the car and placed next to it.
"Avoid!"
The rescuers put on goggles, and the doctors and nurses stayed away.
During laser cutting, the water jets help cool down and quickly evaporate into gas.
After the cutting was completed, the driver was carefully removed, and the doctor quickly checked again. The vital signs were stable, and the green label was still maintained.
"Help me, I can't survive, take me to the hospital by helicopter!" The man was very nervous.
Yoshino patted him: "You're lucky enough to be the last one to get on the bus."
"Oh, my God, where's my wife? She's still in the car!" The driver suddenly remembered.
"It's okay. She has already gotten in the car and is waiting for you. If nothing else happens, you can go watch a movie tonight." Yoshino comforted him.
His wife also had a green label and suffered minor skin and soft tissue contusions. She was sitting behind the driver's seat and the door could be opened easily, so she was rescued early.
The last one was sent to the ambulance. Yoshino was already covered in sweat. Fortunately, no one in the congested motorcade behind him honked the horn. Everyone waited quietly.
Some people evacuated to the outside of the highway, constantly rubbing their hands, or making phone calls to explain to the company or home why they were late.
A man in a trench coat came over: "Do you need help?"
The traffic police stopped him: "Thank you! No need, there are professionals here, it will be fine soon. Go back to your place and wait quietly."
"Thank you, Dr. Yoshino!" The traffic policeman still remembers Yoshino's name.
Yoshino waved his hand: "To be honest, I hate seeing you, and I hope I won't see you again!"
The traffic policeman smiled: "I hope."
The last ambulance started and rushed to the hospital quickly.
Yoshino rested on his seat, a little regretful that one person was still labeled black.
He prays every time and brings back as many black labels as he takes out.
But this time there is still one missing.
It would have been nice if I could have come earlier, but it was already very fast.
