At six o'clock, Takahashi and Fujiwara arrived at the department. Because he was not very skilled, Takahashi seemed a little sneaky.
The nurse thought he was a thief, so when she caught him and asked, she found out that he was the new Japanese trainee who arrived yesterday.
He moved the medical records to Zhang Lin's desk, folded them neatly, made tea for Zhang Lin, put the teacups away, sat down again, became familiar with the computer HIS system, logged in his employee number, and then remembered that he got off work yesterday.
Teacher Zhang hasn't taught how to use this system yet. He has been tinkering with it for a long time, but he still hasn't mastered it.
At this time, diligent graduate student Li Guodong also arrived in the department. Takahashi saw the savior and pulled Guodong: "Doctor Li, teach me about this medical order system."
Xiao Li glanced at the computer and said nothing. Takahashi thought he didn't want to, so he turned on his phone and said, "Should I send you a WeChat red envelope?"
Real or fake, I will teach you the HIS system and give out red envelopes, rich people!
"No need for red envelopes. Come on, let me teach you." Xiao Li sat down and demonstrated and explained at the same time.
Takahashi was also a top student in Japan before. As he listened, he actually learned the subject almost as well as he could. Li Guodong was also amazed at the learning ability of this Japanese.
It is said that the Faculty of Medicine at the University of Tokyo is the most difficult to get into in Japan, and those who can get in are all top students with extremely high IQs. It seems that the rumors are true, and Takahashi’s learning ability is indeed strong.
"Shall I send you a red envelope? Add a WeChat message." Takahashi really wants to send a red envelope.
If Li Guodong really wanted this red envelope in the past, his financial situation was relatively poor, so he usually went to some pharmaceutical companies' drug and device promotion meetings for Corey and received one or two hundred in travel expenses.
Now he is working in the Department of Comprehensive Orthopedics, following Yang Ping, and his hands are full, and he does not need the red envelope money. He waved his hand: "Forget the red envelope, add us on WeChat so we can communicate with you if you have anything to do, and I will add you to our group." People came in one after another. Takahashi recorded the abnormalities in the inspection report on the computer. Occasionally he encountered words he didn't understand and used translation software to solve them. There was basically no language barrier.
Zhang Lin came over and saw the neat medical records on the table and the tea that had been brewed. He sat down and wanted to curse a few words but couldn't find the reason for the time being.
"Xiao Gao!"
When Gao Qiao heard Zhang Lin's cry, he immediately ran over and stood beside him.
Zhang Lin picked up the cup and took a sip of tea. It was not bad, but it needed some training: "Xiao Gao, there are a little more tea leaves."
Takahashi immediately took out his notebook and wrote it down. Zhang Lin glanced sideways. He wrote it all down in a notebook. Is it necessary?
After recording, Takahashi said: "Teacher Zhang, I will help you wash the cup today. There are exactly twenty-nine tea leaves in it, so I put twenty-nine tea grains in it this morning. If there are too many, I will reduce it by three tomorrow morning."
, is twenty-six okay?"
Zhang Lin's body tensed up and he was so paralyzed that he actually counted the tea leaves in the cup. The Japanese are very attentive. Zhang Lin pretended to be calm: "Well, it can be done. Tea leaves can be big or small. They cannot be static. At twenty-nine,
On the basis of the size of the tea grains, slight additions and subtractions may be made."
"I understand, Teacher Zhang, I will brew the tea for you based on the quality of the tea." Takahashi found a solution to the problem.
The doctors in the department arrived one after another and handed over their shifts on time at eight o'clock in the morning. Just after they finished their shifts, the trauma emergency center's hotline rang.
The trauma emergency center focuses on microtrauma orthopedics, but other orthopedics are also participants.
Each department of orthopedics, including comprehensive orthopedics, has a dedicated hotline for the trauma emergency center, so that in an emergency, there will be no unanswerable calls.
This phone rang so early in the morning that it made people feel nervous.
"The trauma emergency center requires support, the patient is in the emergency department rescue room!"
Song Zimo put down the phone. Comprehensive orthopedics is the trump card of major orthopedics. If you need comprehensive orthopedics support, you must encounter extremely serious and complex trauma patients.
"The trauma emergency center is requesting support. Everyone except those on duty will be dispatched!"
Illness is an order!
Yang Ping immediately ordered the department staff to take action, and every second counted. He did not dare to waste a second, and rushed to the emergency department with everyone almost running.
Sure enough, it was another car accident, a large car accident, and the tense atmosphere in the emergency department hall has told everyone.
At the entrance of the emergency room, a man sat on a blue plastic chair. He held a four or five-year-old boy in his arms. The child was pale and shivering while holding a schoolbag. There were blood stains on the schoolbag.
"Don't be afraid, mom is fine, she will be fine." The man kept comforting the child.
"Dr. Yang, we're in the emergency room, hurry!" The nurse led the way and the door to the emergency room opened.
"Quick! Aortic interventional balloon to stop bleeding, act quickly!"
Director Tan’s roar.
"No, there is no way to place a catheter in the femoral artery. If you insert a catheter from the subclavian artery, it is impossible to reach the aorta by blind operation!"
It’s still Director Tan’s roar.
"The heartbeat is gone again!" the nurse screamed.
A long string of ventricular fibrillation waves appeared on the ECG monitor screen, which is a sign of cardiac arrest.
"Defibrillation, defibrillation quickly!"
Once Director Tan encounters such a big rescue, he is like a lion, shouting loudly, and the entire rescue room operates at high speed under his urging.
The wounded man was lying on the flat car, his whole body covered in blood, it was too horrible to look at. His entire lower body was crushed and crushed, no different from a meat patty. His intestines were squeezed out from the wound in his abdomen and were scattered everywhere on the flat car. p>
The dark red blood on the flat car was mixed with feces and flowed everywhere. It flowed from all sides of the flat car to the ground and spread on the ground, forming a pool of dark red blood.
Oh my God, the bloody and deformed scenes are extremely stimulating to the senses and suffocating!
One student suddenly covered his mouth and ran to the trash can, whereupon he vomited.
"This is from that department, tell him to get out!" the strong emergency department nurse shouted.
"200 joules! Leave, defibrillate!"
Emergency doctors are well-trained and quickly prepare the defibrillator, turn it on, apply conductive paste, and do it all at once. Holding an electrode in one hand, they place it on the injured person's right subclavian and left apical area.
"The ribs are not broken, the chest is not damaged, and the heart is being compressed!"
Director Tan's gloves and body were covered with blood. His fiery temper was vividly displayed during the rescue, and almost every sound was yelled out.
Tracheal intubation has been completed at the scene long ago, the ventilator maintains the patient's breathing, and cardiac compression and electric defibrillation are performed alternately.
"Yes, my heartbeat has recovered, but my blood pressure has never been measured."
After another defibrillation, the ventricular fibrillation wave on the screen immediately returned to the wavy lines of normal sinus rhythm.
"The blood is here!"
A nurse pushed a pile of blood bags on a cart, rushed over, and stopped beside the bed. Another nurse quickly changed the blood bags, and the blood was injected into the patient's body through bilateral subclavian vein catheters.
Bang bang bang! The ambulance's medicine box made a sound of pushing. The doctor was extremely skilled and pushed in one life-saving medicine through the vein one after another.
This kind of injury looks like the entire lower body was hit repeatedly by a large hammer weighing tens of tons.
Takahashi was deeply stimulated by what he saw. He stood nearby and wanted to do something to help, but he didn't know how to start.
The rescue of this kind of patient has only a symbolic meaning, but each of these doctors and nurses is doing their best, and Takahashi suddenly feels a sense of respect.
"Director Tan——!"
Yang Ping and his men rushed to the side of the flat car.
Director Tan seemed to have withstood several rounds of fierce attacks from the enemy and had run out of ammunition and food. At this time, he saw reinforcements arriving: "Look, the lower half of the body is gone, the abdominal wound was squeezed and exploded, and the intestines and internal organs are a mess. I don't know yet.
The specific situation is that just as I was about to push to the operating room, my heart and breathing stopped, so there is probably no hope."
"If the emergency doctor hadn't reached in, pinched the aorta and stopped the bleeding with his bare hands, he wouldn't have been able to survive now." Director Tan's face was covered in sweat.
The doctor who was trying to stop the bleeding with his bare hands kept his hand inside: "I pinched the aorta, but it still didn't work. The bleeding was violent."
"Aortic clamp, hurry! There are also blood vessel clamps, bring them all."
Yang Ping was very calm, his voice was loud and clear, but there was no trace of impatience or roar. He calmed the entire scene.
The instrument he wanted was pushed in and opened completely. Yang Ping immediately put on gloves and put one hand in to search for blood vessels inside the organs. This was a blind operation and required extreme proficiency in anatomy.
"Don't move your hands for now!" Yang Ping ordered the doctor in the emergency department.
The young doctor never moved from the scene to the hospital, and his hands were already stiff.
Yang Ping's aortic blocking forceps, without being seen, relied on the feel to find the part of the abdominal aorta closest to the diaphragm: "Give me the aortic blocking forceps quickly!"
Domineering, but not rude!
Quick, but not impatient!
Director Tan handed over the aortic clamp, and Yang Ping accurately clamped the aorta. The whole process only took a few seconds.
The bleeding below has been reduced by half, but it is still coming out. Yang Ping's hand continued: "There are blood vessels above the diaphragm that penetrate into the abdominal cavity!"
Either open the chest now, or search for the communicating blood vessels blindly and clamp them one by one with blood vessel clamps to completely stop the bleeding.
"Keep passing the vascular clip to me, the large one, yes!"
Yang Ping did not look back and took the blood vessel clamp. He knew the number of the blood vessel clamp by touch. He groped with his left hand in the abdominal cavity and found a communicating branch on the back of the liver and clamped it.
His extremely skilled anatomy allows him to understand every structure without looking directly. Everywhere he touches, there is a clear anatomy.
There are communication blood vessels near the head of the pancreas and the pedicle of the spleen. These originate from above the diaphragm and block the abdominal aorta, making it impossible to prevent them from bleeding.
More than ten blood vessel clamps were inserted one by one, and the bleeding finally stopped. The entire operation took less than three minutes.
This is how proficient you must be in anatomy to be able to perform such an operation.
Takahashi could see clearly that this was no longer a human operation, but a divine operation. No wonder the academic conference could handle more than a hundred blood vessels calmly.
"Part of the liver can be kept, the spleen needs to be cut off, the rectum needs to be cut off, the bladder and ureters need to be repaired, the pelvis is completely smashed, the pancreas is fine, and the entire pelvic lower limbs need to be cut off---" Yang Ping has already made the decision with the touch of his hands.
Preliminary diagnosis.
The surgeon's hands are a second pair of eyes. Sometimes what cannot be seen with the eyes during the operation can only be identified by the touch of the hands.
"Now send us to the operating room, a dedicated trauma emergency operating room. I'll do the surgery!" Yang Ping was decisive.
"Dr. Yang, I want to see your surgery, is that okay?"
The young doctor who just followed up was the doctor who just stopped the bleeding with his bare hands.
Yang Ping glanced at him and said as he walked: "You are very courageous, you are also familiar with anatomy, and your judgment of the injury is very accurate. The blocking position must be higher."
