A mounted policeman blew his whistle to clear the way, and more than a dozen elite soldiers from the hospital, including Yu Zhiming and Zhao Shan, took three ambulances and rushed to the scene of the accident at lightning speed.
Before getting on the bus, Yu Zhiming received instructions from Director Zhao.
After arriving at the scene, Yu Zhiming will rely on an ambulance to set up a temporary medical center.
He is responsible for quickly detecting injuries to seriously injured people and providing emergency treatment as needed.
The purpose is to allow the injured enough time to get to the hospital for rescue.
Director Zhao Shan also assigned two assistants to Yu Zhiming.
One is Sun Mingqi, the deputy chief physician from the general surgery department, and the other is Chen Li, the attending physician from the outpatient and emergency department.
On the way to the accident site quickly, Yu Zhiming heard more information about the accident.
A tourist bus carrying nearly 50 passengers crashed down a nearly ten-meter-high viaduct for unknown reasons, and crashed onto the main road under the viaduct.
This made Yu Zhiming feel nervous.
At this time, it is the rush hour after get off work...
Dr. Sun Mingqi, who was assigned to assist, noticed that Yu Zhiming, who was sitting opposite, had a tense face and an extremely serious expression, and knew that he was nervous.
Sun Mingqi reminded: "Doctor Yu, when dealing with seriously injured people at the scene of an accident, no special treatment is needed for fractures. The first thing to deal with is massive bleeding, which can kill people in minutes."
"Doctor Yu, it's up to you to stop the heavy bleeding."
When Yu Zhiming heard this, he couldn't help but lower his head and look at the magic weapon in his hand.
A set of expandable balloons designed for puncture use.
This is a flexible catheter with an expandable balloon at the tip. It can expand narrow cavity organs in the human body, such as blood vessels, digestive tracts, urinary tracts, respiratory tracts, etc., under the guidance of images. p>
Without inflating, send the tip of the balloon catheter into the target lesion, and then inflate the balloon at the target lesion.
After the treatment goal is achieved, the balloon can be retracted and the balloon catheter can be withdrawn outside the body.
Under emergency conditions, this kind of balloon can expand and block large blood vessels to achieve rapid hemostasis.
This was specially prepared by Director Zhao Shan for Yu Zhiming.
Director Zhao was looking forward to it. After Yu Zhiming detected the main bleeding points, he used precise puncture methods to accurately deliver the balloon above the damaged blood vessels to achieve rapid hemostasis and buy time for the transportation and rescue of seriously injured patients. Sun Mingqi continued, "Secondly, the injuries to the internal organs are dealt with in an emergency manner, so that the injured can be supported to the hospital."
"Also, we have to be ruthless in our choices."
Sun Mingqi said cruelly: "Some of the injured who are really seriously injured must be given up in time. We don't have time to waste."
Yu Zhiming nodded and said: "Thank you Dr. Sun for your advice. I have also learned about on-site first aid."
"I just haven't had the chance to practice it, and it's such a big treatment scene."
He looked at the 31-year-old Chen Li next to him and said: "Dr. Chen, get your paper and pen ready..."
"Follow me and record the injuries of the injured so that they can receive targeted rescue quickly when they arrive at the hospital."
Chen Lin snorted and said, "Dr. Yu, I will record your flaw detection results in detail..."
Seven or eight minutes later, the Huashan Hospital emergency team finally arrived at the accident scene where the cordon was set up.
When Yu Zhiming got off the ambulance, all he could hear were shouts and orders, mixed with suffocating cries and screams...
The next moment, Yu Zhiming received a slap on the back of the head.
"Why are you so stupid? Work quickly!"
When Yu Zhiming came to his senses, he saw Director Zhao Shan carrying a big first aid kit and taking two people, passing him and running towards the accident site where there were still a few wisps of smoke coming out...
As soon as Yu Zhiming, Sun Mingqi and Chen Li moved two folding gurneys out of the ambulance, two firefighters came over carrying a wounded man covered in blood on a stretcher.
When the wounded man was crossing the bed, Yu Zhiming's hands were already pressing on the wounded man's body.
"The brain...is fine!"
"Left lung atrophy, puncture pneumothorax!"
"The left clavicle, the second and third left ribs, the second and right chest ribs are broken..."
"About 500 milliliters of abdominal fluid, a small amount of bleeding in the right kidney and liver, and bladder rupture..."
In only two minutes at most, Yu Zhiming completed the inspection of the wounded's chest and abdominal organs for injuries.
This flaw detection speed makes Sun Mingqi a little stunned.
He had just finished intubating the injured person's trachea, but had not had time to deal with the open fracture of the injured person's right arm.
At this time, Sun Mingqi saw another injured person being brought over by the firefighters. The injured person in front of him had an open fracture in his right arm, which could also be treated in the ambulance.
He ordered the waiting ambulance medical staff: "Send this wounded person to the hospital quickly."
Hearing this, Chen Li tore off the sticky note that quickly recorded the injury and stuck it on the wounded man's chest...
For the second wounded person, Yu Zhiming put his hand on his chest and felt depressed.
His chest collapsed by five or six centimeters.
Not only was the heart pierced by a broken rib, it was also crushed flat.
Yu Zhiming could clearly feel that this heart was on the verge of falling apart.
But surprisingly, it is still beating!
"Am I hopeless?"
Yu Zhiming looked at the middle-aged man who was still awake and had a clear premonition, and nodded without concealment.
"Then how much time do I have?"
Yu Zhiming said truthfully: "It's a miracle that you are still awake and able to speak."
"Maybe, there are only three or five minutes left."
The middle-aged man then said: "The incident happened suddenly, and I still have some important things to explain."
"Can you please record your last words for me?"
Yu Zhiming quickly asked Dr. Chen Li to record a farewell video for the dying casualty who remained awake and calm...
"I am Liu Yizhi, my brain is still awake. I will make the following arrangements regarding my posthumous affairs..."
"One, my company and all the shares in other companies are owned by my wife and daughter..."
On the third injured person who followed, Yu Zhiming finally used an expandable balloon.
His renal artery was torn and the bleeding continued.
Yu Zhiming used a puncture needle to successfully deliver the expansion balloon into the proximal end of the renal artery with only one puncture, and then inflated it to temporarily block the renal artery.
From detecting the renal artery tear to locating the blood vessel and finally to hemostasis, it takes no more than one minute.
This once again shocked Sun Mingqi...
"Quick, quick, doctor, save him..."
Under the urging of a firefighter, Yu Zhiming ushered in the fourth wounded person.
"No need to cross the bed."
Yu Zhiming stopped the two firefighters from crossing the bed and took his hand away from the chest of the man on the stretcher.
"There is no heartbeat or breathing, so carry him to the other side."
As soon as Yu Zhiming made this judgment, one of the firefighters couldn't help shouting: "How could it be?"
"How come?!"
"He was talking to me just now, saying he didn't want to die, that he wasn't married yet, and that his parents were waiting for him to go back to celebrate the National Day."
"Doctor, doctor, don't give up. Many people have lost their heartbeats and breathing, but can they still be rescued?"
"Save him, please save him!"
Yu Zhiming looked at this firefighter who was a few years younger than him and still a little green, and shook his head.
"He is too seriously injured and there is nothing we can do."
The young firefighter suddenly broke down. He hit his head hard and cried: "If only I had seized more time and rescued him earlier."
"Blame me, blame me, ugh..."
Seeing the young firefighter like this, Yu Zhiming felt very uncomfortable and wished he had the ability to bring the dead back to life.
But he is just a young doctor with limited abilities...
In the next nearly an hour, Yu Zhiming received eight more seriously injured people.
Among them, two of them, Yu Zhiming, were incompetent.
For the other six people, Yu Zhiming did his best to provide emergency treatment after carefully detecting the injuries to the internal organs.
One of the wounded men only needed five expansion balloons to stop the bleeding. Yu Zhiming used five of them on him.
There was also a wounded patient with a torn celiac artery. After Yu Zhiming performed a balloon to stop the bleeding, he saw that there was still time, so he performed a minor extracorporeal bypass blood supply surgery.
Brain cells and cardiomyocytes are sensitive to hypoxia, and cell necrosis will occur within four to six minutes of ischemia.
Other body and tissue cells in the human body are more resistant to oxygen, and cell necrosis usually occurs after twenty minutes.
It should be noted that the occurrence of partial cell necrosis does not mean that the entire organ is useless.
For example, human organs and limbs can still be successfully replanted after being separated from the body for several hours.
However, necrotic damage at the cellular level is inevitable and requires a longer recovery process.
Therefore, the shorter the interval between replantation and transplantation, the better.
For organ ischemia, the shorter the better.
Through internal bypass surgery, Yu Zhiming partially restored the blood supply of the injured celiac branch artery, which can reduce the hypoxic damage of some abdominal organs...
After an hour of thrilling work, no wounded were sent to him.
Yu Zhiming is also aware of this.
It would be difficult for a seriously injured person of the previous level to survive for an hour without effective treatment.
There is no need to send casualties with minor injuries to him.
Finally having some free time, Yu Zhiming's eyes involuntarily turned to the open space not far away.
There were three gray bags there, with three people lying inside, including the middle-aged man who calmly took the last words before!
They lay there quietly, waiting for their turn.
Yu Zhiming felt an indescribable discomfort in his heart, as well as a deep feeling of powerlessness...
Sun Mingqi patted Yu Zhiming's shoulder a few times and comforted him: "Look on the bright side, you saved eight people."
Yu Zhiming exhaled a long breath and said: "I just saved their breath for the time being. There is still life and death waiting for them when they get to the hospital."
"I am very grateful to God that five of them survived in the end."
At this time, a young doctor ran towards them, shouting loudly as he ran.
"Doctor Yu, come here quickly, we need you here..."
