The Godfather of Surgery

In winter in Tokyo, it snows almost every year.

However, the snow in Tokyo is delicate and small, unlike Hokkaido, where every snow is gorgeous.

It snowed lightly a few days ago, and the roofs were covered with a thin layer of snow, and the snow on the roads had long been removed by people.

However, there are also small snow plows cruising the streets to remove snow in time to keep traffic flowing, the snow is not very large, and the snow plows do not seem to be working.

The street was a bit slippery, and no snow could be seen. Not far from the roadside, there was snow piled up, and occasionally a snowman could be seen.

People will not slow down their hurried footsteps because of the snow. Men in trench coats, women with hats, and occasionally girls in short skirts, rush through the streets.

On the highway, there is no trace of snow at all.

Yoshino Koura sat in the ambulance, followed by several ambulances.

They received news that seven vehicles rear-ended in a row at the Gongqiao section, causing heavy casualties.

Yoshino is no stranger to this section of the road. In Tokyo’s high accident-prone area, the almost right-angle turn caught many distracted drivers off guard.

A few years ago, when he was still a teaching assistant, he participated in the first aid of a car accident in this section of the road.

Unexpectedly, a few years later, he came again, this time he was already a lecturer.

Because of the car accident, the traffic jam team has stretched for dozens of kilometers. There are no illegally parked vehicles in the emergency lane, and no tires even cross the line.

This made the intervention of the ambulance work very smoothly. The ambulance team flashed red lights, whistled at full speed, and quickly arrived at the accident site.

At the scene, there are scattered car parts everywhere. The traffic police have blocked the scene, and the traffic rescue team has also been in place and is carrying out rescue.

The helicopter from the hospital has arrived first and stopped on the highway in front of the accident scene. Two doctors and nurses have completed the initial examination of the wounded.

The wrists of each wounded were wearing identification tapes. Green means that the vital signs are stable and no first aid is needed; yellow means that emergency treatment is required but is not fatal for the time being; red means that the vital signs are unstable and the life has been seriously threatened.

Tokyo University Hospital Yoshino Koura! Yoshino opened the car door, jumped out, and sighed.

A traffic policeman in a reflective vest greeted him and bowed slightly.

Mr. Yoshino, please, there are many wounded. The traffic police introduced.

Watanabe, the leader of the helicopter advance team, is also a senior lecturer-level doctor. He ran over and reported the results of the initial inspection to Yoshino.

There were a total of fifteen wounded at the scene, one was unfortunately already marked with black tags, and the remaining fourteen were with red tags, eight with yellow tags, and two with green tags.

All the ambulances have their doors opened, and Yoshino’s command is not needed. They have been divided into groups. The green ones will be ignored for the time being, the red ones will be handled by a separate group, and the remaining yellow ones will also be treated in groups in a timely manner.

The members of each group usually cooperate with each other. Whether it is the usual training or emergency rescue, they are all fixed and cooperate very well.

The front and rear of a Toyota hatchback were completely compressed, and the driver's chest was severely squeezed. The rescue team used tools to cut it before moving the wounded to level ground.

In a coma, multiple rib fractures, severe pulmonary contusion, hemopneumothorax, tension pneumothorax, multiple fractures throughout the body. The doctor in charge of the wounded examined the patient carefully.

Close chest drainage! The doctor adjusted his gloves and ordered.

As soon as the words fell, the nurse had brought the chest cavity closed drainage kit from the car.

The sharp knife pierced from the intercostal space, and the high-pressure airflow rushed out, making a short and powerful sound; the pipe was quickly inserted, and a series of blisters immediately appeared in the water-sealed bottle.

The patient's breathing was slow and gentle, and his face looked better. The doctor's hand didn't stop, he groped around the throat.

Trachotomy! The command was clear and brief.

The nurse handed over the tracheostomy bag, opened it, and the doctor was skilled. In less than a minute, the tracheotomy was completed and a cannula was placed.

At the same time, the nurse took advantage of the gap between the doctor's operations to complete the blood collection and put a label on it. This is patient No. 2 in Sangongqiao.

Get in the car, we can go back.

The doctor changed a pair of gloves, and the garbage left by the operation was collected in a yellow bag.

The stretcher was opened, and two stretchermen put the wounded on the stretcher and sent them to the ambulance. The red patient, they need to follow them all the time, one-on-one.

The other Honda SUV wasn't much better, badly deformed.

The femoral artery is torn. For on-site surgery, please open the suture bag. The doctor pressed with bare hands to stop the bleeding.

The nurse opened the suture pack, the two men began to perform on-site hemostasis on the femoral artery, and the doctor clipped the femoral artery.

Ask the nurse to observe the blood supply of the lower extremities, and the nurse responds: The blood supply is qualified!

Temporary ligation is possible! The doctor made a judgment and gave a simple ligation.

In the third car, the situation was not optimistic. The ground was full of blood, and the blood was still spreading. Yoshino went from red to yellow to green. Every wounded person took care of him personally.

Pelvic comminuted fracture, pelvic viscera injury, severe perineal rectum tear, too much bleeding, I used aortic interventional balloon to stop the bleeding, but it still didn't work. The doctor saw Yoshino coming over and immediately reported.

Yoshino checked the height of the patient slightly, and said, Send the balloon up another five centimeters. Next time, remember that you must have experience in judging the location of bleeding. People with different heights have different anatomical landmarks.

clear!

The doctor carefully deflated the balloon, then sent it up another five centimeters to re-inflate.

Dr. Yoshino was right, five centimeters further up, the bloody lower limbs and perineum no longer spurted blood.

A miniature car is the worst, the driver has been labelled black, the woman in the back seat is in a coma, this is the patient of No. 1 Samgongqiao.

The black-labeled wounded was moved aside, and a team of medical staff performed standard CPR, repeated checks, and finally had to give up.

She's pregnant, oops, something pierced her belly and the fetus has been injured?

The patient has been transported to a stretcher on the ground, and the doctor has completed the tracheotomy and connected a simple ventilator.

Hemorrhagic shock, blood types come out, cross-matching, blood transfusions!

Yoshino-kun, she is dying, one side of the pupil is dilated! The doctor needs Yoshino's support.

Intracranial hemorrhage, intracranial hypertension, and brain herniation, Yoshino opened the patient's eyelids with two fingers, observed the pupils, and quickly made a judgment.

Before becoming an emergency trauma doctor, he trained in both internal medicine and surgery, and he was able to independently perform emergency trauma operations on any part of the body.

Quick intravenous drip of 20% mannitol! Open the first aid kit for surgery, it's too late to go to the hospital, decompression with bone craniectomy! Yoshino didn't think much.

If this patient did not decompress the brain on the spot, she would not be able to get to the hospital. Years of experience made his judgment very accurate.

The wounded was taken to an ambulance capable of performing surgery, and the surgical first aid kit was opened.

An electric razor shaves the head, sterilizes the sheets, sprays hand sanitizer, wears double gloves, the scalp is opened by the knife, the nurse handed over the craniotomy electric drill, Yoshino drilled a few holes, sawed around with the original wire saw, a large The skull was opened, and the brain tissue swelled out instantly.

A special sterile protective cover covers the defect of the skull, and the removed bone pieces are collected by the nurse and then bandaged.

She needs a helicopter, send her to the helicopter? Yoshino ordered.

The stretcher carried the patient, connected to the ventilator, and boarded the helicopter. The helicopter also had blood samples from every wounded person and took them back for cross-matching.

Take off! ordered the doctor in charge of the pregnant woman.

The helicopter took off slowly, and the huge airflow blew the grass on the side of the highway to the ground.

The pregnant woman was transported by helicopter, and the ambulances of all the other red and yellow wounded were set off and returned to the hospital headquarters.

Yoshino looked up at the sky, returned to the car, took out his laptop, wrote a written report on the condition of the wounded, and sent it back to the headquarters, where someone could accept it at any time.

Help me! someone beckoned and shouted.

In a Volvo XC90, the wounded was trapped in the driver's seat and needed to be cut to get out of the trap.

He was a green tag, and a group of doctors left behind to see him only then.

Volvo saved him, and the powerful A-pillar did not deform. The space it maintained saved his life. This is the space for life, said the traffic rescuer.

Boron steel, ordinary cutting machines will take a long time!

Rescuers knew the construction of these vehicles very well, and the Volvo was the toughest to cut when it came to rescue.

Laser cut! suggested another team member.

A laser cutter was removed from the car and placed next to it.

avoid!

Rescuers put on goggles, doctors and nurses avoided.

Laser cutting, the jet of water helps to cool down, and quickly evaporates into a gas.

After the cutting was completed, the driver was carefully removed, and the doctor quickly checked again. The vital signs were stable, and the green label was still maintained.

Save me, I can't do it anymore, take me to the hospital by helicopter! The man was very nervous.

Yoshino patted him: You are lucky, you were the last to get on the bus.

Oh my god, where's my wife, she's still in the car! the driver suddenly remembered.

It's okay, she got in the car long ago and is waiting for you. If nothing happens, you can go to a movie at night. Yoshino comforted him.

His wife is also a green label, with minor skin and soft tissue contusion. The wife is sitting behind the driver's seat, and the door can be easily opened, so he was rescued early.

The last one was sent to the ambulance. Yoshino was sweating all over. Fortunately, no one honked the horn in the convoy behind him, and everyone waited quietly.

Some people evacuated to the outside of the highway, kept rubbing their hands, or made phone calls, explaining the reason for being late to the company and to their family.

A man in a trench coat came over: Need help?

The traffic police stopped him: Thank you! No need, there are professionals, it will be fine soon, go back to your place and wait quietly.

It's hard work, Dr. Yoshino! The traffic police still remembered Yoshino's name.

Yoshino waved his hand: To be honest, I hate seeing you, I hope not to see you again!

The traffic policeman smiled: I hope.

The last ambulance started and rushed to the hospital.

Yoshino rested on the seat, a little regretful, there was still one person who was labeled black.

He prayed every time and brought back as many black tags as he took out.

But this time there was one missing.

It would have been nice to have come a little earlier, but it's already very fast.