godfather of surgery

Chapter 195 The ultimate hand speed

"Shall I show you another video? Xiao Song, show it to everyone!" Director Han took it easy.

Song Zimo came to the stage, plugged a USB flash drive into the computer, and opened a video inside.The video is not as clear as before, but it can still be seen clearly.

A doctor was wearing gloves, no surgical gown, but a hand sanitizer. The venue seemed to be outdoors, because the patient was lying on the ground, and the doctor was kneeling, with an open first aid kit next to it.

The doctor simply sterilizes the patient's chest and spreads a layer of drape, which is usually used for minor operations, such as debridement and sutures.

After spreading, he made a cut from the left intercostal space with a knife, and then opened the chest cavity with a chest opener, and the blood gushed out. The needle was equipped with a needle and thread, and sutures were made inside. The whole operation was completed in the blood. Soon, the operation was over, the blood stopped gushing, and the incision was finally closed.

This video seems to be nothing, from the beginning to the end, just over 3 minutes, nothing can be seen.

Director Han stood up and walked to the podium: "Many people didn't understand? This is an operation performed by Masao Fujiwara when he was a lecturer, that is, when he was the attending physician."

"This operation was performed at the scene of the accident. The whole operation took three minutes and 24 seconds. A patient with a ruptured heart was disinfected, draped, opened the chest, opened the pericardium, sutured the wound on the heart, and closed the incision. One person completed the whole process. Three minutes and 24 seconds."

"Think about it, everyone, three minutes and 24 seconds, is it enough to disinfect? ​​Is it enough to open the chest? There is blood everywhere, can you find the breach in the heart? How to suture the breach in the heart when the blood is gushing like a fountain?"

"That was the scene of the accident. There was no auxiliary equipment, and the operation was performed completely with bare hands, relying on extremely skilled surgical skills. Think about it, everyone, is it enough to suture a wound on a finger in three minutes and 24 seconds?"

"This operation has become a classic example of trauma emergency surgery, and no one has surpassed it so far. This video has been repeatedly played in advanced trauma surgery training courses in the United States and Europe."

Broken heart!It was completed in more than three minutes, which is really extreme hand speed, extraordinary courage and psychological quality. This kind of trauma usually dies at the scene, because it takes time to wait for rescue at the scene of the accident, and it takes time to get from the scene to the hospital. This time It is enough to make such patients lose the chance of rescue. Except for freaks like Fujiwara Masao, no one has the courage and ability to perform this kind of surgery on the spot.

"This video brings trauma emergency surgery to the extreme. Masao Fujiwara is now a professor at the Affiliated Hospital of the University of Tokyo, the chief professor of the Department of Orthopedics, and the chief professor of the Trauma Emergency Center."

"He has trained many doctors, including a few talented surgeons, such as the younger generation Gao Qiao. You will see Gao Qiao at this academic conference. He does the spine, regardless of the anterior or posterior approach. It usually takes half an hour and there is almost no bleeding. , It takes no more than 2 minutes to repair the aorta in a critical moment, which has reached the level of his teacher."

"There is still more than a month before the meeting. Dr. Yang will lead everyone to conduct round after round of training, from surgical operations, first aid procedures to teamwork. I hope that through this training, everyone's level will be raised to a higher level. Tan Director, can you explain to everyone the video just now?"

Director Han sat back in his seat to rest. At this time, anesthesiologists, head nurses in the operating room, nurses, and doctors and nurses from the emergency department all came in one after another. The next step was the topic of the academic meeting.

Dean Xia also came in, he waved, Lao Han went out, and the two sat in Lao Han's office for a while.

Dean Xia said happily: "Xiao Yang's staffing problem has been solved. When the time comes, the personnel department will have a special person to guide him to fill in some documents for the staffing. This time, he will apply for a staffing staff."

In City G, it is very difficult for large hospitals to be enrolled. The doctor’s files must be in the talent market. It will be possible to be enrolled for one to three years. It is still possible. There is no green channel for a master’s degree. no period.

Now a staffing is very precious, which is also an unreasonable place left by the old system, but there is no way. The staffing involves treatment, status and retirement salary.

Some hospitals say that the quota has been cancelled, but it is not complete. It is just that most people cannot get the quota, but there are still some people who can get it. These very few people are people with great energy.

Like Yang Ping, a master, if it is not a special talent, it would be impossible to get an establishment in Sanbo. In order to stabilize the talent, Dean Xia and Director Han went to great lengths to obtain an establishment for him.

"Yes, if the salary doesn't keep up, how can we retain talents?"

"Young man, old Han, you have to be careful, and you can't be poached. I heard that there is movement in Fuyi."

"Don't worry, I can't dig it."

"Don't be careless, you have to know in your heart, and you must be steady, old Su Ai is famous."

Dean Xia reminded again: "No one else knows, you and I don't know the identity of Xiaosu in the operating room, but Lao Su said hello, we pretended not to know, I'm afraid of this relationship—"

Old Han tapped on the table lightly, thoughtfully: "I understand this kid, don't worry! Besides, if there is such a day, he must go, you and I can't keep it, I can only be happy for him."

Dean Xia said: "Old Su and I have a good relationship, I think he should not be too competitive, the conditions we provide to Xiao Yang are also good now, Xiao Yang should be satisfied, and so should Lao Su. "

"Old Xia, don't worry too much about this matter. In my opinion, the eldest lady of the Su family is also a maverick child. If you don't want to go, come to our Sanbo, Lao Su dared not say anything, and secretly greeted us and said to help. Take care of it, but don't dare to let her know, you said, in this situation, he can't do anything, right?" Lao Han analyzed.

Dean Xia nodded: "Anyway, let's be careful and try our best to secure talents. We are old, and Sanbo will depend on them in the future. Looking at these young people, I am really excited. These children will be stronger than us in the future. ah."

The two chatted for a while and returned to the demonstration classroom. Director Tan was explaining the video to everyone. Everyone was paying attention. It seemed that this video shocked everyone a lot, and everyone saw the real gap.

"This video, without any editing, is their daily rescue record, that is, this is their real level, and all the doctors involved in the rescue are middle and lower level doctors."

"Let me say a few more words. The professional titles of Japanese doctors are more complicated. Like university affiliated hospitals, they are divided into teaching assistants, lecturers, associate professors, and professors. Corresponding to our resident physicians, attending physicians, deputy chief physicians, and chief physicians, we replace them with our professional titles." In this video, all the attending physicians and resident physicians participated in the rescue, and none with high professional titles appeared on stage."

"It shows that their overall strength is very high. What you have just seen is only a part of the rescue. There is also a patient with severe spleen rupture who underwent surgery on the scene of the surgery car. The whole car accident, except for a brainstem injury at the scene, died on the spot. , and all the others were rescued. Of course, this has something to do with the injury, but it also illustrates a problem. When these patients are in their hands, as long as they can be saved, they are already stable. Everything has become controllable. Pushed to the max."

"Look, from entering the emergency room to going to the operating table, all preoperative preparations and CT body scans were completed in the middle, and it took only 8 minutes to go to the operating table for surgery. What is the speed, let's weigh it yourself. We went directly to the operating room from the emergency department without any examination, so I’m afraid we won’t be able to go on the operating table for surgery in 8 minutes, right?”

"As soon as I entered the door, I had already received a blood transfusion, went to the operating table, and everything was cleared up. The operation plan was very detailed and precise, and the entire operation took only one hour."

"Every step and every collaboration has been optimized to the extreme. The information communication between the pre-hospital first aid, the emergency center, the CT room, and the operating room is very smooth. After entering the hospital, everything is completed in the emergency center. The same plane and the same area. In 2 minutes, the report and images from the CT room came out, which tested the doctor's ability to read the film, and the operation plan came out together, which was very detailed and accurate, which also tested the doctor's decision-making level."

"We not only learn from them, but in the future, we will also learn from the United States, Germany, and the United Kingdom. As long as we are more advanced than us, we must learn. As long as we work hard, we will definitely be able to surpass them. But Director Han said just now, with words No, to borrow a popular saying these days, don’t dream of beating your opponent with a keyboard—”

"We also referred to them, as well as several other hospitals, combined with our own actual situation, to improve the procedures of the trauma emergency center, let's take a look—"

"Oh, there is one more point, why are they transfusing blood so quickly? They gave first aid on the spot, and the blood transfusion truck followed with blood products. The blood was collected on the spot, the results were released on the spot, the blood was cross-matched on-site, the blood was transfused on-site, and the blood was collected and cross-matched again at the hospital. For subsequent blood transfusions, if a helicopter is dispatched, in addition to transporting the most seriously wounded, their helicopters will also bring back blood samples from all the wounded, and cross-match blood to the hospital in advance to prepare for subsequent blood transfusions; Stop bleeding and transfuse, they really race against time!"

Director Tan finished speaking: "Do you have any comments, or doubts about the video?"

In normal meetings, during the intervals between speeches, some people would make jokes to brighten up the atmosphere. Today's meeting was very dull, and even the usual funny people didn't speak.

No one spoke, no one asked questions, and no one even took the opportunity to drink water. The strong pressure made me feel a little out of breath.

Hold!Masao Fujiwara, you weirdo, please hold a meeting and do a live broadcast with Sanbo, you are so good, so many people can't surpass you, why don't you compete with Yankees and Germans, what are you doing with us live streaming?
It's called communication in the name, but it's actually fucking stepping on the field and bullying people!

Some people have already cursed foul words in their hearts, it's uncomfortable!
(End of this chapter)