Zhang Lin looked at Xu Zhiliang while listening to the phone and asked for support. Obviously, what happened on the phone was beyond Zhang Lin's ability to make decisions.
At the emergency scene, at a critical moment of life and death, one judgment is crucial to one's life. Zhang Lin did not dare to mess around or say a word.
Xu Zhiliang answered the phone calmly, and when he heard it was emergency, he instantly felt like a different person, speaking without any stuttering.
The emergency doctor on the other end of the phone was also well-trained, and his tone was clear and calm:
"Car accident, 17-year-old male, stuck in a deformed car, initial diagnosis: atlanto-occipital joint dislocation, separation of head and cervical vertebrae, no bone and ligament connection, only muscle-skin connection, hands and feet can still move, consider the spinal cord is temporarily
There is no serious damage, but the space inside the car is too small to install a neck brace. Now the rescue team is preparing to cut up the vehicle, what should I do?"
For this situation, the emergency doctor lacks experience and must turn to a surgeon who specializes in cervical spine surgery.
Atlanto-occipital joint dislocation, a fatal injury, is equivalent to losing the real connection between the head and the cervical spine, and the remaining skin-muscle connection has no meaning.
As an emergency doctor, many people will never encounter them in their lifetime, because such injured people are often black-labeled at the scene, and there is no possibility of rescue.
"Listen clearly to me. During the entire cutting process, you can only rely on your bare hands to maintain the fixation and traction of the head and cervical spine. There must be no secondary injury. Absolutely not! Once the cervical spinal cord is damaged, the heartbeat and breathing will stop." Xu Zhiliang
The tone is confident and calm.
He spoke clearly without any stuttering, which made people suspect that his usual stuttering was just an act.
"Understood!" the emergency doctor replied, and took a deep breath.
"Do you need to wait for us to come over?" Xu Zhiliang asked.
The other party refused with certainty: "It's too late. The injured person's body is bleeding heavily. Rescue will begin immediately. I'll try to fix the head and cervical spine with my bare hands."
There is no other option except fixing it with bare hands.
It happened to be Dr. Lu on the other end of the phone. He was very familiar with the doctors of general surgery and often cooperated with him. However, he had never encountered such a case in his career. This was the first time and it might be the last time. He was not sure that he could
Can't do it well.
"There can be no rotation, so that the axis of the head and the cervical spine are consistent; maintain appropriate traction, too large or too small is very dangerous; everything can only rely on the feel of the hand; the hands must be very stable, when carrying---" Xu
Zhiliang did not say any more.
Because if Dr. Lu can successfully put the injured person on the stretcher alive, he will face an equally thorny problem: how to fix the cervical spine to facilitate transportation.
It is impossible to rely on bare hands all the time. It is not an option. Short-term fixation is very dangerous, let alone long-term fixation, but the cervical collar cannot provide stable fixation.
Without reliable fixation, any slight movement during transportation may be fatal.
"How long does it take to cut?" Xu Zhiliang asked.
"Get ready to start now, it will take at least an hour." Dr. Lu's breathing was a little heavy.
"Can you wait until we come over to start cutting and rescue?" Song Zimo reminded from the side.
Xu Zhiliang shook his head: "We can't wait, the injured has active bleeding."
"Are there any vital signs?" Song Zimo asked doubtfully.
"Still awake!" Xu Zhiliang nodded.
It's very rare. I'm really lucky. With this kind of atlanto-occipital joint dislocation, you usually die on the spot with no chance of rescue. But now you are awake.
"The wounded man was stuck in the back seat. Dr. Lu saw the abnormal movement of the wounded man's head. He stretched out his hand and touched it. He felt something was wrong. He felt that the upper cervical vertebrae and the skull were close to separation. Only the skin and muscles were connected, and there was no connection between bones and ligaments." Xu Zhiliang said.
He sat down next to the phone and frowned.
"I wonder if Dr. Lu can handle it?" Song Zimo was quite worried.
Xu Zhiliang was born in the emergency department and is very familiar with Dr. Lu: "It should be possible. This person is relatively calm and works very delicately."
"A living traumatic atlanto-occipital joint dislocation?" August widened his eyes in surprise. He couldn't believe it was true.
After all, it is very rare to find alive victims of atlanto-occipital joint dislocation at the scene of a car accident, and doctors have only seen them in the literature.
The spinal skeleton model was placed on the square table in the office. Song Zimo, Xu Zhiliang, and August gathered around the model and began to study it. Robert also joined in the fun.
"This wounded man's life is in Dr. Lu's hands. I hope he can hold it steady. No matter whether it is a neck brace or a headband vest, it cannot provide reliable fixation at all."
Song Zimo expressed concern.
Xu Zhiliang also thought of this. This is not an ordinary cervical spine injury, but a dislocation of the atlanto-occipital joint. If it is not fixed well, even the slightest movement will be fatal.
"He will die on the spot!" August said bluntly.
How to prevent the injured from joint dislocation and cervical spinal cord injury during transportation is a serious issue, a very serious issue.
"For this kind of wounded, ordinary cervical collars are completely useless and cannot provide reliable fixation." August frowned.
"Unless a custom-fitting brace can be customized on-site, or a perfect head and neck plaster cast can be made on-site."
Song Zimo was thinking and talking while looking at the spinal model. Suddenly, an idea came to his mind.
"Can the brace room go to the scene of the car accident to customize a protective brace? Through on-site rapid prototyping, it can fit and fix the injured person's head and upper body to provide temporary protection?" Song Zimo suggested.
"Good idea. If so, the equipment in the brace room needs to be moved to the scene of the car accident." Xu Zhiliang was awakened by Song Zimo.
Creative thinking and breaking the stereotype of thinking are really needed at critical times.
"Call Old Wei from the brace room and set off?" Xu Zhiliang stood up, "Zhang Lin, ask Old Wei to bring all their guys and contact the emergency department to set off."
"You guys hurry up and set off. I'll report to the professor right away and wait for you at home!" Song Zimo prepared to split up with Xu Zhiliang.
Lao Wei, the man in the brace room, is in his fifties and has a college degree. He used to be a plaster master in the orthopedic plaster room. He is very good at making plasters and braces. His skills are very good. Later, the hospital established a special brace room.
, Lao Wei’s plaster room was upgraded to a brace room and became an independent department.
Carrying the entire studio to the scene of the car accident, Lao Wei had never taken on such a task. When he received a call from Zhang Lin, he cut off the cigarette in his hand.
"Check the equipment and materials, load them into the car, and go to the emergency site to make braces."
When he heard that the task was to make braces on site, Lao Wei's eyes lit up. He had been doing this job for half his life, putting on plasters and making braces. He felt that he was the best in the world and no one was better than him.
Moreover, when he heard that this was a life-saving thing, Lao Wei was even more excited. He has worked in hospitals for half his life and dealt with plaster braces every day. He never thought that this thing could actually save lives.
"Bring a bucket of water!"
Lao Wei directed his two apprentices to move things.
"The incubator needs to be connected to a power supply. Where is the power supply at the emergency site?" said an apprentice.
Lao Wei scolded: "My BYD Tang can be discharged, so what are you afraid of?"
"Move quickly!"
Lao Wei urged his two apprentices.
PS: Everyone has been waiting for a long time. After this period of hard work, the second-tier class has finally been turned into a third-tier class. In the future, there will be more time for coding. Thank you for your persistence. Continue!
