godfather of surgery

Chapter 728 Craftsmanship
The cutting machine carefully dismembers the car, trying to avoid too much vibration, or causing accidents due to a sudden dismemberment of a certain part.

Dr. Lu was close to the car window, using the car window as the fulcrum of both upper limbs, and firmly fixed the head of the wounded with both hands, keeping the head and cervical spine on the same axis without any rotation, and then pulled the head with a little force. Use traction to maintain this position.

In order to fix the movement in place, Dr. Lu's body is in an uncomfortable position, which is very hard.

"Let me stand for you for a while." Dr. Zhou from the emergency department proposed, he knew that this job was too hard and tiring

Dr. Lu shook his head: "It's okay, I'll talk about it if it doesn't work."

This job requires experience, and Dr. Lu has found the feeling that it is easy to make mistakes when changing people midway.

"Dad, I'm going to be late for the exam—" the boy said weakly.

"Beibei, don't talk, hold on." The lower body of the father in the driver's seat was completely stuck in the deformed vehicle.

This is a family of three. The mother was not stuck, so she was successfully rescued and has been sent to the hospital.

However, the father and child were stuck by the deformed car, and they had to dismember the deformed car in order to be rescued successfully.

"52 grams of hemoglobin!"

The nurse reports the latest results.

One of the emergency teams equipped by Sanbo Hospital is a mobile inspection vehicle, which can conduct simple blood routine, biochemical, liver and kidney function tests to detect problems early.

Such a low hemoglobin level indicated that some part of the body outside the field of vision was actively bleeding, and the boy would die of excessive blood loss at any time.

Comminuted pelvic fracture?
A thought flashed in Dr. Lu's mind. If it was a comminuted pelvic fracture and traumatic atlanto-occipital dislocation, this guy didn't know if he would be able to get through this. After all, as an emergency doctor, Dr. Lu had seen too many life and death.

"Dad, I can't hold on anymore, I really want to sleep." The boy was very tired due to excessive blood loss.

"Boy, hold on." The father couldn't turn his head, and was very anxious.

"Don't worry, we're here, don't move around." Doctor Lu comforted the boy, trying to stabilize the wounded man's emotions.

While the cutting was in progress, Dr. Lu's upper limbs were extremely sore and numb, but he still gritted his teeth. He knew that he was holding a life in his hands, and the boy's life and death were in his hands.

"I'll stand for you for a while." Doctor Zhou asked again.

Doctor Lu still shook his head.

Even if Dr. Zhou has rich experience, there is no extra space to complete the handover between the two people. Mistakes in the handover are inevitable. Dr. Lu can only grit his teeth and persist until the end.

"Be careful! We're going to pry this side hard."

"The rescue team keeps in touch with Dr. Lu at any time so that Dr. Lu can prepare in advance.

When a metal part is completely cut off, it may cause a change in space, which will cause a sudden change in force on the head and neck to produce shear or pull.

Dr. Lu tried hard to find the feeling of his limbs. Amid the numbness and soreness, he tried hard to find that sense of autonomy, so that his brain could still control the ends of his limbs, maintain this posture, and adjust the strength of his hands at any time. To deal with some unexpected occurrences.
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Director Wei's car rushed to the scene.

"Where? Where?"

Director Wei, led by the emergency doctor, came to the car being cut.

"The person is stuck inside! It is suspected of traumatic atlanto-occipital joint dislocation, and I will be rescued later. Please order a personal brace."

Director Wei didn't talk nonsense, and waved: "Pull the wire, boil the water, and get ready to start work."

The so-called boiling water is a constant temperature water tank, which can maintain the temperature of the water at 40-60 degrees. At this temperature, his plastic material can become soft, and then use the soft material to make a fixed brace next to the body to fix the head, neck and chest. , so that the head, neck and chest cannot move freely.

Traumatic atlanto-occipital dislocation requires very high braces. Director Wei is going to fight in person and dedicate his lifelong learning.

Director Wei was a plasterer at first, but with the development of the times, there are fewer and fewer patients with plaster casts. Director Wei has no sense of accomplishment, so he studied braces. He combined ancient plasters with modern braces and created his own There are many external fixation methods and tools. In the field of orthopedic external fixation devices, Director Wei is an expert. At least he has been studying this for most of his life. Today, he can use technology to save people. Director Wei is very excited.

"Pull a drain plug out of my car and boil water!"

The two apprentices had never seen this scene before, and they were a little at a loss. Director Wei was a little angry: "What are you doing in a daze, boil water, and prepare to start work."

Only then did the apprentices wake up and start to work, pulling out the power strip from the car, filling the water tank with water, and taking out some polymer materials.

Everything was ready, but the rescue and cutting had not yet been completed. Director Wei stood on tiptoe, poked his head, and looked inside.He observed the wounded from different angles, hoping to obtain some data through visual inspection.

After turning around the car more than ten times, Director Wei began to cut the materials on the spot.
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"Dad, I'm going to be late for the exam—"

The boy's tone was even lower, so low that he couldn't hear it unless he got close.

My father was so anxious that he almost cried: "Beibei, it's okay, we don't care about that now, hold on, hold on."

Finally, the space in the back seat was dismembered, and a sharp metal angle from somewhere scratched Dr. Lu's arm, piercing the skin and subcutaneous arterioles and veins, and blood spurted out.

Regardless of the injury to his own arm, Dr. Lu immobilized the wounded man's head and neck. Dr. Zhou took out a bandage to help Dr. Lu bandage it up.

"Don't move!" Doctor Lu sternly said.

At this time, no one can move his hand. If he misses, it will be his life.

"Slow down, slow down! Get on the stretcher!" Dr. Lu commanded everyone.

Everyone cooperated skillfully, slowly removed the wounded, leveled the wounded, and then carefully transferred them to the stretcher.

Director Wei brought out a piece of tailored polymer material from the water tank, which was somewhat translucent and dripping with water.Director Wei proficiently and gently inserted the material into the back of the head and neck, and then both sides advanced to outflank it.

Quickly and gently massage the thenars of both hands to smooth the soft material and allow it to shape optimally.

The apprentice wanted to help, but Director Wei stopped him: "Don't move!"

Normally, he wished his apprentice could do more, but now, he just wants to do it by himself. Traumatic atlanto-occipital joint dislocation is no joke, a small movement can kill a person.

"Don't move around, look at my technique, try to use the big and small thenar parts, it should be light and even, this technique has high technical content." Director Wei said while doing it.

He's not bragging, if it doesn't matter if it's a little bit close at ordinary times, it's a life if it's a little bit close at this time.

The brace pays attention to fit, the more fit the better, but it cannot restrict breathing in the chest, so it is necessary to achieve the best balance.

It's like sewing a well-fitting dress on a person on the spot temporarily, so it's very skillful.

There is a time limit for the brace material to change from soft to hard, about ten minutes. The whole process must be completed within this time, otherwise it will be very troublesome to rework. Ordinary patients will have to do it all over again, and this kind of wounded person cannot do it all over again.

Director Wei is like a skilled clay sculptor. The brace is slowly shaped through the seemingly repetitive and simple smoothing movements of his hands.

Soon, the beautiful and fitting brace was magically presented in front of everyone.

"success!"

Director Wei let go of his hand, looked at his work with a smile, and then lightly flicked the shell of the brace with his fingers.

"Can you get in the car?" Dr. Lu asked worriedly.

Director Wei nodded and took out a cigarette: "Don't worry, get in the car, just be careful."

Everyone carefully carried the boy into the ambulance again. Dr. Lu checked the reflexes of the wounded's limbs and breathed a sigh of relief.

"Don't think that our craftsmanship has no technical content. Everyone will serve dim sum in the future. Look, our craftsmanship can still save people today." Director Wei taught his apprentices proudly.

Usually, the two apprentices were listless and always felt that there was no future in plaster casts and braces, so they were only thinking about how to change jobs.

This made Director Wei very upset, so he used today's successful case to educate his apprentices.

PS: It takes mid-August to start a daily shift, and the real third-tier shift starts in mid-August, and it is currently a pseudo-third-tier shift.

(End of this chapter)