godfather of surgery

Chapter 19 A Blockbuster
The inauguration ceremony of the trauma emergency center was held.

President Xia led several vice presidents and the director of the surgical system to stand in a row on the steps of the emergency department gate.

Below are the doctor and nurse postgraduate interns from each department. Anyway, everyone who is free will come to make up the number. The more people there are, the more lively they appear.

First, Dean Xia gave an impassioned speech, and then the directors of each department expressed their selfless dedication and concerted efforts to develop and grow the center.

In the end, Dean Xia lifted his hand, and the silk red cloth was lifted.

A few golden characters of the trauma emergency center are exposed.

There was a round of applause.

Just a few days later, at [-]:[-] in the morning, the dedicated line of the trauma emergency center came in handy.

A nearby factory caught fire, and superiors demanded that Sanbo Hospital immediately dispatch helicopters and ambulances to assist in the rescue.

Set off in the sky and on the ground at the same time.The helicopter can carry five people, two crew members, a doctor, a nurse, and a space reserved for patients.It is equipped with advanced first aid equipment, including a ventilator.

The helicopter arrived first and stopped at a football field near the scene of the incident.

Doctors and nurses walked to the accident site with first aid kits.

The smoke climbed up like a giant dragon.

The surroundings were messy, the armed police used isolation belts to form a huge circle, and the radio kept shouting, but people were still surrounding, refusing to leave and pushing each other.

Red fire trucks were scattered around, and high-pressure water jets intersected each other, shooting at the collapsed house.Ambulances flashed red, one after the other, parked nearby.

Just this morning, the factory caught fire.The fire was finally put out, but the house collapsed and eleven people were buried, eight of them were firefighters.

Finally found another one.

"Get out of the way! Get out of the way! Get out of the way!" The firefighters used a stretcher to carry a person out of the thick smoke.

"Hold on, Qiangzi! Hold on, hold on for me!" the fireman holding on to the stretcher shouted, his voice cracked.

"What's the situation?" The deputy mayor in charge of the rescue at the scene, wearing a helmet, rushed up immediately, and the others followed.

"Our comrade-in-arms, awake, was crushed on his right upper limb, several pieces were broken, and one finger was not found." The firefighter said hurriedly.

"be quick!"

"Which is the nearest hospital?"

"Sanbo!"

"Send to Sanbo Hospital, the ambulance of Sanbo Hospital!"

"Here!" The ambulance also arrived, the doctor immediately raised his hand, and the paramedics ran over to take the stretcher.

Open the refrigerator, count the broken limbs one by one, wrap them in sterile gauze, put them in plastic bags, put them in the refrigerator, and refrigerate them.Intravenous access has been opened in the forearm on the other side, and normal saline has been infused.There are automated testing equipment on the car, blood testing.Call the emergency department to prepare red blood cells and plasma.

"Quick! Go back to the hospital."

"Report, traffic jams, it's rush hour for work."

"Traffic jam? Damn it! Traffic police! You sent a police car and a few motorcycles to clear the traffic. If you don't give way, you'll blow the car up for me." The deputy mayor swears.

"No, we came to the helicopter, parked at a football field next to it, and we used the car to send the patient to the helicopter, which will be there soon."

"Helicopter! Good! This patient has been handed over to you, and we will be there later."

"Qianzi, hold on for me! Brothers, go in again—" Several firefighters rushed into the ruins without hesitation.

"Reported to the mayor, six people were rescued, four firefighters, two workers, one was sent to Sanbo Hospital, and five were sent to People's Hospital and Affiliated Hospital of Medical University."

After the deputy mayor finished the phone call, his head was buzzing, his waist was tucked in, his clothes could be twisted out of the water, and his eyes were staring at the smoking ruins.There are also five people buried inside, whose life and death are unknown.

A few days after the trauma center was established, patients were welcomed in this way.

The news from the emergency department, the five-stage disconnection, made my scalp numb when I thought about it. I heard that when the house collapsed, it was hit by a machine, and there were just a few blades on the machine.

Yang Ping and Lao Han went straight to the rooftop, and the special elevator went straight to it. The rooftop was already full of people.Beside the apron, Director Xiong waited with several doctors and nurses, and beside him was a large box containing prepared first aid medicines and equipment.

"Yes, yes, yes! Our helicopter will land immediately, the rescue team has been established, and all personnel are in place. Please rest assured, we will complete the task." Dean Xia was sweating profusely, and the shirt on his back was all wet.

"Director Han, Director Xiong has already told you the basic situation. The helicopter will be back soon, and you will see the patient later, make a plan immediately, gather elite soldiers, and operate quickly and quickly." President Xia looked up at the sky.

The helicopter went from far to near, and the motor sound became louder and louder. It circled slightly above the rooftop and landed steadily on the apron.The wind gusted by the rotors blew everyone's hair to one side.

The man was carried out on a stretcher and rushed to the elevator entrance on the rooftop.The emergency doctor and nurse immediately greeted him, almost following the stretcher, drawing blood from the indwelling needle and sending it to the blood transfusion department for cross-matching.This will allow for a blood transfusion as soon as possible.

"Preoperative examination is complete, direct surgery!" Director Xiong waved.

"Secretary Luo of the municipal government is coming. The rescue team--Secretary Luo is the team leader, I am the deputy team leader, you are the chief expert, the headquarters is set up in the conference room of our surgical building, and Secretary Luo requested that the whole process of the rescue be broadcast live in the conference room During the process, Mayor Li held a meeting in the imperial capital and was very concerned about the accident, so he has rushed back." President Xia tried to make it clear in a few words.

"Song Zimo, Lu Xiaowu, and Zhang Lin are already in the operating room. Let's go down immediately and prepare for the operation." Lao Han was excited.

Soon, President Xia arrived at the conference room, followed by Secretary Luo and representatives of the armed police, health, and public security.The waiter guides you to the front row to be seated.

"Secretary Luo, please take a seat! We have organized the elites of the whole hospital to participate in the rescue. The chief expert, Professor Han Jiangong, is from the Sixth Hospital of the Magic Capital and has rich experience in trauma and orthopedics." President Xia introduced Secretary Luo to the seat.

Secretary Luo put the briefcase on the table with a solemn expression: "Well, I just heard from the Health Bureau that Professor Han is a well-known professor of trauma and orthopaedics in China. Mayor Li just spoke to me on the phone for half an hour and gave instructions. --We must go all out to rescue patients and put people's health first."

"Yes, we must live up to the people's trust. Secretary Luo, you can watch the entire rescue process on this screen and direct the rescue throughout."

"Very well, I was just about to mention the live video, and Mayor Li also wanted to see the scene as soon as possible. Also, in order to strengthen the rescue force, the city contacted Professor Hong Zhigang from the Sixth Hospital of the Magic City, a top orthopedic expert in the country, to From time to time, he will connect with us via video link to guide the operation." Secretary Luo straightened the thin strands of hair on his forehead.

"Professor Hong Zhigang is our director Han's brother." Professor Xia explained.

"That's a strong alliance." Secretary Luo sat down.

"Xiao Yang, are you sure? No, I'll go there myself." Old Han asked while changing clothes in the locker room.

Yang Ping nodded: "No problem, go all out."

"Okay! Remember, hold your breath and ensure the quality of the anastomosis. This multi-stage amputation will cause severe contusion and pollution. Any blockage of the anastomosis will lead to the failure of all previous efforts. Don't have any psychological burden, and all the consequences will be borne by me! Just like you do Let go of hands and feet like that baby's severed fingers are replanted. I repeat, if there is any problem, I will bear all the consequences!"

"Understood!" Yang Ping had already changed his clothes and put on a mask and hat.

Lao Han took out a cigarette, smelled it, put it away, put his hand on Yang Ping's shoulder and said, "Go in!"

The good quality of the whole hospital is reflected. Although it is busy, it is not chaotic. Everyone abides by their duties and cooperates with each other, and all work is carried out in an orderly manner.

The operation time is relatively long, and general anesthesia is used with endotracheal intubation.

"The anesthesia is successful, and the operation can begin!" Anesthesiologist Liang Jing said calmly, and then added: "The patient has me, you can let it go."

Lao Han was in command of the operating room. Like last time, the operation was divided into two groups, two operating tables. Yang Ping and Song Zimo washed the proximal wound, Tian Yuan and Fang Yan washed the severed limb, and the rest participated in the help--positioning, lifting hand, deliver something.

"Come on!" Tian Yuan gestured, sending encouraging glances.

Song Zimo also gave a thumbs up: "Come on!"

"Come on!" Yang Ping responded with passion in his heart.

After rinsing, everyone go to wash your hands.

Song Zimo disinfected the shop, and Yang Ping immediately dressed and put on gloves.

Handwashing nurse Su Yixuan, with bright eyes and long eyelashes twinkling, clenched her small fist and said to Yang Ping, "Dr. Yang, come on! Trust you."

The sound of the anesthesia machine is pumping, and the circuit nurse is shuttled: "8 units of red blood cells, 1600 ml of plasma, are being transfused."

"Stable blood pressure and stable vital signs!"

"Microscopic instruments, in place!"

"Microscope, in place"

preoperative check-
Start!
Yang Ping's left hand tweezers, right hand sharp tissue scissors, began to debride the wound, carefully identify foreign bodies, necrotic tissue and deactivated tissue, and remove them completely; trim the skin neatly; blood vessels, nerves, muscles and tendons, each one found, Trim, mark.

After debridement here, rinse again.They also debride the severed limbs with Tian Yuan, looking for markers of blood vessels, nerves and tendons.The two groups of debridements were merged together and rinsed again.

The fracture of the ulna and radius is reduced, the plate is attached, the plate is temporarily fixed by the reduction forceps, the drilling is done for sounding and tapping, and the trilogy is completed in one go, and then the screws are screwed in one by one.Then use 1.5 and 1.0 Kirschner wires to fix the fractures of the palm and fingers.

The bones of the severed limb were successfully connected, and the basic shape was restored.

Tendon line --!

Staple the tendon first?Did he make a mistake? Old Han sat a few meters away and stared at the screen on the wall of the operating room: "Xiao Yang, quickly anastomos the blood vessels! Reduce the ischemia time."

"No delay, anastomosis according to the level, from deep to shallow, don't stick to the blood vessels first, it won't take too long!" Yang Ping said confidently.

"In a certain period of time, the anastomosis can be done in layers, which can reduce the interference to the blood vessels that have been anastomosed, and the quality of the anastomosis is the highest." Yang Ping added that this is his confidence in his speed.

Lao Han was completely confident in Yang Ping's level, so he didn't say anything, just focused on the screen to give necessary support at any time.After all, Yang Ping is still young and inevitably inexperienced.

In fact, when Yang Ping fixed the fracture, he deliberately slowed down the steps.Because he knew that the level of his fracture operation was far inferior to the replantation of a severed limb. However, this fracture of the ulna and radius is not a problem for any orthopaedic attending physician, and it has little impact on the entire operation time.

The huge screen was divided into two halves, one half was the video of the operation; the other half was connected to Professor Hong Zhigang of the Magic City.

In the magic city, Professor Hong is holding a meeting, a national trauma orthopaedic network meeting, and Professor Hong asked to connect the live broadcast of the surgery to the platform of the video conference.

In this way, he can not only guide the entire surgery process remotely, but also let the participants across the country watch the live broadcast of five-stage replantation. After all, five-stage replantation is very rare. Regardless of success or failure, this is an excellent communication opportunity.

Also, he wanted to see how his junior brother, Han Jiangong, created miracles.

The first fracture, the first blood vessel.

Start to match.

(End of this chapter)