Chapter 791

Zhang Yuan saw that after the connection, the picture over there appeared on the big screen. He was immediately happy!

Director Yu, this is their backbone.

"Director, the patient is suspected to have a serious pelvic fracture, accompanied by a left clavicle fracture and a left rib II... Now..."

After Zhang Yuan reported the situation clearly, Yu Yong frowned at first.

According to the current vital signs, intrathoracic hemostasis 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: "prepare for remote B-ultrasound!"

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

Their voices were the same and they were stunned.

However, this is not the time to be surprised.

Soon, the ultrasound doctor began to remotely control the joystick according to the picture, and the picture of the patient's chest constantly appeared on the big screen.

Chen Cang saw this control, and the picture over there began to appear. Suddenly, it was a little novel.

The arrival of the 5g era has a great impact on the emergency department.

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

At least such remote control and command of the scene will increase the efficiency!

Here, the picture continues to spread.

Soon the picture in the chest appeared, but... This picture stunned everyone!

Not massive bleeding in the chest!

In this case... Is it abdominal cavity?

Chen Cang hurriedly said, "do abdominal fast examination!"

When the ultrasound doctor over there heard that, his face also changed!

After a moment, the instant picture appears.

Chen Cang was immediately delighted!

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

Now, the bleeding point is determined.

Chen Cang was not satisfied and hurriedly said, "check your pelvis!"

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

With such equipment, emergency doctors don't have to learn color ultrasound technology!

Chen Cang can watch movies, but he can't check!

Don't think that color Doppler ultrasound is just painting. It's so simple. The depth, amplitude... And so on are very accurate!

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

At this time, laparotomy will only aggravate the injury and even cause more damage!

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

Resuscitation aortic balloon occlusion!

Reboa technology!

Since there is ready-made ultrasound technology here, can reboa be used?

Thinking of this, Chen Cang hurriedly asked, "is there a reboa?"

Zhang Yuan and Yang Hui were stunned!

REBOA？

This technology... How many are there in China?

They couldn't help laughing bitterly.

But when Yu Yonggang heard the word, his eyes lit up.

you bet!

At this time, reboa may be the most appropriate method.

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

Compared with thoracotomy, the reliability of clamping thoracic aorta is twice as high!

But

This technology was just learned when he went to Melbourne to study hems last month.

So far, in London and Melbourne, their hems is the only team in the world that can do resuscitation balloon artery occlusion intervention (reboa) outside the hospital!

This kind of difficulty is very high!

And... Most importantly, it seems that it has not been popularized in China!

Not even a balloon tube. How?

Yu Yonggang couldn't help saying: "there is no reboa, but now we have contacted London and may send someone to learn this technology!"

"Open your chest!"

Indeed, at this time, it is necessary to open the chest and clamp the great artery. In this way, the great artery can be completely cut off in the chest to stop bleeding.

This benefit is also obvious, that is, emergency hemostasis can supply blood to the coronary artery, lung and brain, but all organs below the diaphragm may have multiple organ failure due to ischemia!

Now?

There's a problem!

If you do not stop bleeding, multiple organs will fail due to ischemia, and patients will die due to massive bleeding!

If hemostasis, according to the existing means, hemostasis can only take 30 minutes. In addition, it may aggravate injury and infection. At the same time, too long ischemia time may cause multiple organ failure.

At this moment, Yu Yonggang felt sorry!

At this time, Yu Yonggang suddenly found a problem!

Poor rehydration response!

There's no sign of blood pressure rising at all!

Systolic blood pressure < 90mmHg!

Yu Yonggang couldn't help clenching his fist. It would be great if there were reboa technology at this time!

If reboa technology can come in early, maybe the patient can be saved?

At this time, Chen Cang suddenly said, "ultrasound, prepare for positioning!"

This sentence startled everyone at once!

What ultrasonic positioning!

Just now, Chen Cang did not hesitate to learn the tertiary thoracic surgery: resuscitation aortic balloon occlusion (reboa) surgery!

This is thoracic surgery intervention. The operation level is not high, but it is very difficult!

After spending 11 skill points, Chen Cang's resuscitative aortic balloon occlusion (reboa) technology was directly upgraded to the master level!

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

Yang Hui and Zhang Yuan looked at the things in Chen Cang's hands and were stunned!

"This is..."

"Shit, this is homemade reboa?"

Even Yu Yonggang in the hospital was stunned!

This... This is OK?

Looking at the reboa made with a puncture needle, everyone couldn't help sweating!

Will this work?

At this time, Chen Cang pumped some normal saline!

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

Doctor B-ultrasound hesitated for a moment. Should I listen to him?

Although he looks bluffing, he's awesome

However, doctor B-ultrasound took a look at Yu Yonggang.

Yu Yonggang suddenly looked forward to it. To tell the truth, this is the first time he saw someone using reboa in China!

And it's 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 in front of his chest and place the balloon in zone I, the distal end of the thoracic aorta!

This can effectively prevent abdominal bleeding.

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

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

Chen Cang said, "OK!"

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

Did resuscitation aortic balloon occlusion succeed?

After a while!

The amount of bleeding is really small!

Then the patient's blood pressure began to rise!

Yu Yong was very excited when he first stopped!!

Did you succeed?

……

……

PS: thank the leader of "shuffler" for his 100000 reward!

Thanks for the 20000 reward of "armed provocation, TC"!

Thank you for your support.

Domestic 5g ambulance has been launched, which is good news!

Reboa technology will soon enter China, which is also good news!

A new month, please support!