Doctor Started a Plug-in

Chapter 791

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After seeing the connection, Zhang Yuan appeared on the big screen, and he was very happy!

Director Yu, this is their backbone.

“Director, Patient suspects a severe pelvic fracture with a left clavicle fracture, left rib 2…now…”

After Zhang Yuan reported the situation, Yu Yong just frowned.

If you follow the current lifeform sign, then hemostasis in the chest cavity is the first choice.

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 at all: “Prepare for the remote B-mode ultrasound!”

And here Chen Cang suddenly said, “Prepare to contact the remote ultrasound!”

2 The voices were the same, and they froze for a moment.

However, this is not the time for surprise.

Soon, the sonographer began to control the joystick remotely according to the picture, and the picture of Patient’s chest appeared continuously on the big screen.

When Chen Cang saw this manipulation, the picture over there also began to appear, which was a bit novel.

The arrival of this 5G era has had a huge impact on emergency services.

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

At least this remote control, command the scene, how high efficiency will increase!

Here, the picture is constantly spreading.

Soon the picture in the chest appeared, but… this picture surprised everyone!

Not a massive bleeding in the chest cavity!

In this case… Is it the abdominal cavity?

Chen Cang hurriedly said, “Do an abdominal FAST!”

After the ultrasound doctor over there, it was also complexion changed!

After a while, the screen appears instantly.

Chen Cang was very happy!

“Abdominal FAST test is positive, intra-abdominal bleeding!”

Now, the bleeding point is determined.

Chen Cang was not too addicted and quickly said, “Check the pelvis!”

Looking at the joystick, Chen Cang unable to bear was pleasantly surprised.

With such a device, the Emergency Doctor does not need to learn Color Doppler Imaging technology!

Chen Cang will watch film, but he will not do the inspection!

Don’t think that Color Doppler Imaging is just smearing, so simple, depth, amplitude…etc. are very accurate!

At this moment, Chen Cang now understands that abdominal bleeding is definitely unrealistic.

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

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

Resuscitative aortic balloon occlusion!

That is REBOA technology!

Since there are ready-made ultrasound technologies here, is it possible to use REBOA?

Thinking of this, Chen Cang quickly asked, “Is there a REBOA?”

Zhang Yuan and Yang Hui froze for a moment!

REBOA?

This technology… How many are there in China?

2 people unable to bear laugh bitterly.

But after Yu Yong heard the word, his eyes lit up.

indeed!

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

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

The reliability of the thoracic aorta is doubled compared with the thoracotomy!

but……

This technique was just learned when he went to Melbourne to study HEMS last month.

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

This difficulty is very high!

And… the most important thing is that it does not seem to be popular in China yet!

Even if there is no balloon tube, what should I do?

Yu Yonggang said to unable to bear: “There is no REBOA, but we are in contact with London now, and we might send someone to learn this technique!”

“Open your chest!”

Indeed, at this time, it is necessary to open the chest to clamp the aorta, so that the aorta can be completely cut off in the chest cavity to stop bleeding.

The benefit is also obvious, that is, emergency hemostasis can supply blood to the coronary arteries, lungs, and brain. However, all organs below the diaphragm may have multiple organ failure due to ischemia!

just now!

Problem occurred!

If you do not stop bleeding, many organs will fail due to ischemia, and the Patient will also die due to massive bleeding!

But if hemostasis, hemostasis according to existing methods, only 30 minutes, and it may increase the damage and infection, and at the same time the ischemia time is too long to cause multiple organ failure.

At this moment, Yu Yonggang felt a little sorry!

At this time, Yu Yonggang suddenly found a problem!

Poor fluid response is poor!

There was no sign of blood pressure rebounding at all!

Systolic blood pressure <90mmHg!

Yu Yonggang could not bear to make a fist, how good would it be to have REBOA technology at this time!

If REBOA technology can come in early, maybe the Patient can save it?

At this time, Chen Cang suddenly said: “Ultrasound, ready to position!”

This sentence surprised everyone suddenly!

What ultrasound positioning!

Just now, Chen Cang did not hesitate to learn Level 3 Department of Thoracic Surgery surgery: resuscitating aortic balloon occlusion (REBOA) surgery!

This is Department of Thoracic Surgery interventional surgery, the level of surgery is not high, but it is very difficult!

After spending 11 skill points, Chen Cang’s resuscitation aortic balloon occlusion (REBOA) technology was directly upgraded to 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 and were a little stunned!

“this is……”

“I rely on, this is a homemade REBOA?”

Even Yu Yonggang at Hospital was stunned!

This…is this okay?

Looking at the REBOA made with a puncture needle, everyone is unable to bear and squeezed the sweat!

Can this work?

At this time, Chen Cang took some saline!

Then he said to the big screen: “Where I say super, you’re super!”

Doctor B ultrasound hesitated for a moment, shall I listen to him?

Although he looks bluffing, it’s quite awesome…

However, Dr. B looked at Yu Yonggang.

Yu Yonggang suddenly looked up, to be honest, this is the first time he saw someone in China using REBOA!

And it is completely homemade REBOA!

There is an unspeakable shock…and surprise!

Chen Cang began to command!

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

Here can effectively prevent abdominal bleeding.

At this time, Chen Cang has pushed the needle directly according to the ultrasound display!

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

Chen Cang said: “Okay!”

As Chen Cang’s words fell, everyone froze!

Is resuscitative aortic balloon occlusion successful?

After a while!

The amount of bleeding is really less!

Immediately after the Patient’s blood pressure began to rise!

Yu Yong was just excited! !

Did it succeed?

……