When a doctor opened a plug-in

After Zhang Yuan saw the connection, the picture there appeared on the big screen, and he was overjoyed!

Director Yu, this is their backbone.

"Director, the patient suspects a severe pelvic fracture, accompanied by a fracture of the left clavicle and the second rib... Now..."

After Zhang Yuan reported the situation, Yu Yonggang suddenly frowned.

If you follow the current vital signs, hemostasis in the chest is the first choice at this time.

However, before that, it is necessary to determine whether there is bleeding in the abdominal cavity, or whether there is bleeding in the pelvis!

Thinking of this, Yu Yonggang did not hesitate: "Prepare for remote ultrasound!"

And here Chen Cang also suddenly said: "Prepare to contact the remote B-ultrasound!"

The two voices were exactly the same, and they were stunned.

However, now is not the time to be surprised.

Soon, the ultrasound doctor began to remotely control the joystick according to the screen, and the images of the patient's chest continued to appear on the big screen.

Chen Cang saw this manipulation, and the pictures over there also began to appear, suddenly a little strange.

The advent of the 5G era will have too great an impact on the emergency department.

For many patients who could not be rescued before, there are many more possibilities.

At least this way of remote control, directing the scene, this will increase the efficiency!

Here, the picture continues to spread.

Soon the picture in the chest appeared, but... this picture made everyone startled!

It's not a massive bleeding in the chest!

In this case... the abdominal cavity?

Chen Cang said quickly: "Do a FAST examination of the abdomen!"

After the ultrasound doctor over there heard it, his face changed!

After a while, the picture appeared instantly.

Chen Cang was overjoyed!

"Abdominal FAST test is positive, intra-abdominal bleeding!"

Now, the bleeding point is determined.

Chen Cang was not satisfied, and said quickly, "Check the pelvis!"

Looking at the joystick, Chen Cang couldn't help being surprised.

With such equipment, emergency doctors do not need to learn color Doppler ultrasound technology!

Chen Cang can watch the film, but he can't check it!

Don't think that color Doppler ultrasound is just smearing and wiping. It's as simple as the depth, range... etc. are very accurate!

At this moment, Chen Cang knew that he had abdominal bleeding, and it was definitely unrealistic to open the stomach.

Opening the stomach at this time will only aggravate the injury, and even cause more damage!

At this time, Chen Cang suddenly thought of a way!

Resuscitation aortic balloon occlusion!

Also REBOA technology!

Now that there is a ready-made ultrasound technology, isn't it possible to use REBOA?

Thinking of this, Chen Cang quickly asked: "Is there a REBOA?"

Zhang Yuan and Yang Hui were taken aback!

REBOA?

This kind of technology...how many are there in China?

The two couldn't help laughing wryly.

But when Yu Yong here heard this word, his eyes suddenly brightened.

indeed!

At this time, using REBOA may be the most appropriate way.

For this hemodynamically unstable pelvic fracture, using REBOA is the most reasonable choice.

It is twice as reliable as opening the chest to clamp the thoracic aorta!

but……

He just learned this technique when he went to Melbourne to study HEMS last month.

So far, their HEMS in London and Melbourne are the only teams in the world that can perform resuscitation balloon artery occlusion (REBOA) outside the hospital!

This difficulty is very high!

And... the most important thing is that it seems that it is not popular in China!

What should I do if I don’t even have a balloon tube?

Yu Yonggang couldn't help but said: "There is no REBOA, but we are now in contact with the London side, and may send someone to learn this technique!"

"Open your chest!"

Indeed, at this time, the chest must be opened to clamp the aorta. In this way, the aorta can be completely cut off in the chest cavity to stop bleeding.

The benefits of this are also obvious, that is, emergency hemostasis can supply blood to the coronary arteries, lungs, and brain, but all organs below the diaphragm may all experience multiple organ failure due to ischemia!

just now!

Problem occurred!

If the bleeding is not stopped, multiple organs will fail due to ischemia, and the patient will die due to heavy bleeding!

If the bleeding is stopped, it only takes 30 minutes to stop the bleeding according to the existing methods. Moreover, it may aggravate the injury and aggravate the infection. At the same time, too long ischemia may cause multiple organ failure.

At this moment, Yu Yonggang felt a little regretful!

At this moment, Yu Yonggang suddenly found a problem!

Poor rehydration response!

There is no sign of a rise in blood pressure!

Systolic blood pressure <90mmHg!

Yu Yonggang couldn't help but make a fist. At this time, it would be great if REBOA technology was available!

If REBOA technology can come in sooner, maybe the patient can be saved?

At this moment, Chen Cang suddenly said: "Ultrasound, ready to locate!"

This sentence shocked everyone immediately!

What ultrasound positioning!

Just now, Chen Cang did not hesitate to learn three-level thoracic surgery: Resuscitation Balloon Occlusion of the Aorta (REBOA) surgery!

This is an interventional thoracic surgery. The level of surgery is not high, but it is very difficult!

After spending 11 skill points, Chen Cang's resuscitation balloon occlusion of the aorta (REBOA) technique has been directly upgraded to a master level!

Then he picked up the puncture tube, urinary tube, syringe... simply made a balloon!

Yang Hui and Zhang Yuan looked at the things in Chen Cang's hands, a little surprised!

"this is……"

"Damn, this is a homemade REBOA?"

Even Yu Yonggang in the hospital was stunned!

This... this also works?

Looking at the REBOA made with the puncture needle, everyone couldn't help but sweat!

Can this work?

At this time, Chen Cang pumped some physiological saline!

Then he said to the big screen: "Where I say super, you super!"

The B-ultrasound doctor hesitated for a moment, should I listen to him?

Although he looks very bluff, quite awesome...

However, the ultrasound doctor glanced at Yu Yonggang.

Yu Yonggang suddenly looked forward to it. To be honest, this was the first time he saw someone using REBOA in China!

And it is a completely homemade REBOA!

There is an unspeakable sense of shock...and surprise!

Chen Cang began to command!

He needs to puncture the balloon through the skin on his chest and place the balloon in zone I, which is the distal end of the thoracic aorta!

This can effectively prevent abdominal bleeding.

At this moment, Chen Cang had already pushed the needle directly in according to the ultrasound display!

After the balloon entered, Chen Cang began to push in the liquid!

Chen Cang said: "Okay!"

As Chen Cang's voice fell, everyone was stunned!

Was the resuscitation balloon occlusion successful?

After a while!

Really less bleeding!

Then the patient's blood pressure began to rise!

Yu Yonggang was suddenly excited!!

Did it succeed?

...

...

ps: Thank you "Shuffler" leader for the 100,000 reward!

Thank you "Armed Provocation, TC" for the 20000 reward!

Thank you friends for your support.

The domestic 5G emergency vehicle has been launched, which is good news!

REBOA technology is about to enter the country, which is also good news!

A new month, please support!