medical treatment

Chapter 106 Feeling Powerless (Second Watch Subscription)

A mounted police siren cleared the way, Yu Zhiming, Zhao Shan and more than a dozen elite soldiers from the hospital rushed to the scene of the accident in three ambulances.

Before getting into the car, Yu Zhiming got Director Zhao's instructions.

After arriving at the scene, Yu Zhiming will rely on an ambulance to set up a temporary medical center.

He is responsible for rapid flaw detection of the seriously injured and emergency treatment as needed.

The purpose is to allow the wounded to have enough time to support to the hospital for rescue.

Director Zhao Shan also assigned two assistants to Yu Zhiming.

One is Sun Mingqi, the deputy chief physician from the general surgery department, and the other is Chen Li, the attending physician from the outpatient and emergency department.

On the way to the accident site quickly, Yu Zhiming heard more information about the accident.

A tourist bus carrying nearly 50 passengers rushed down the viaduct nearly ten meters high for unknown reasons, and just rushed into the main road under the viaduct.

This made Yu Zhiming's heart tighten.

At this time, it is rush hour...

Dr. Sun Mingqi, who was arranged to assist, noticed that Yu Zhiming, who was sitting opposite, had a tense face and a very serious expression, and knew that he was nervous.

Sun Mingqi pointed out: "Doctor Yu, when dealing with the seriously injured at the scene of the accident, there is no need for special treatment for fractures. The first thing to deal with is heavy bleeding, which can kill people every minute."

"Doctor Yu, it's up to you to stop the bleeding."

When Yu Zhiming heard this, he couldn't help but look down at the magic weapon in his hand.

A set of inflatable balloons designed for puncture.

This is a soft catheter with an inflatable balloon at the tip.Under the guidance of images, it can expand the narrow hollow organs in the human body, such as blood vessels, digestive tracts, urinary tracts, respiratory tracts, etc.

In the case of no inflation, the tip of the balloon catheter is sent into the target lesion, and then the balloon is inflated at the target lesion.

After the therapeutic purpose is achieved, the balloon can be retracted and the balloon catheter withdrawn outside the body.

In emergency conditions, this balloon can expand to block large blood vessels and achieve the purpose of rapid hemostasis.

Director Zhao Shan specially prepared this for Yu Zhiming.

Director Zhao was looking forward to it. After Yu Zhiming detected the main bleeding point, he used precise puncture methods to accurately send the balloon above the damaged blood vessel to achieve rapid hemostasis and buy time for the transfer and rescue of the seriously injured.

Sun Mingqi went on to introduce, "Secondly, the visceral injuries should be dealt with first-aid, so that the wounded can support themselves to the hospital."

"Also, it is necessary to choose cruelly."

Sun Mingqi said cruelly: "Some wounded who are seriously injured should be given up in time. We have no time to waste."

Yu Zhiming nodded and said, "Thank you, Dr. Sun, for your guidance. I have also learned the knowledge of on-site first aid."

"It's just that I haven't had the chance to practice it, and it's such a big rescue scene."

He looked at the 31-year-old Chen Li beside him, and said, "Dr. Chen, prepare your paper and pen..."

"Follow me and record the injuries of the wounded, so that when they arrive at the hospital, they can receive targeted rescue quickly."

Chen Li hummed, and said, "Doctor Yu, I will record all the results of your flaw detection..."

Seven or eight minutes later, the emergency team of Huashan Hospital finally arrived at the scene of the accident where the cordon was pulled up.

When Yu Zhiming got out of the ambulance, his ears were full of shouts and orders, mixed with suffocating cries and screams...

The next moment, Yu Zhiming received a slap on the back of the head.

"What are you doing stupidly? Hurry up and work!"

Yu Zhiming, who came to his senses, saw Director Zhao Shan carrying a big first-aid kit, leading two people, passing by him, and ran to the accident site where a few wisps of green smoke were still coming out...

Yu Zhiming, Sun Mingqi, and Chen Li had just moved the two folding gurneys out of the ambulance when two firefighters ran over carrying a bloody wounded man on a stretcher.

When the wounded was passing the bed, Yu Zhiming's hands were already on the wounded's body.

"The brain... is fine!"

"Left lung shrinkage, puncture pneumothorax!"

"Left clavicle, left second and third, and right second sternal rib fracture..."

"About five hundred milliliters of peritoneal effusion, a small amount of hemorrhage in the right kidney and liver, ruptured bladder..."

In just two minutes at most, Yu Zhiming completed the inspection of the wounded's chest and abdomen.

This flaw detection speed made Sun Mingqi a little speechless.

He had just finished intubating the wounded man, and he hadn't had time to deal with the open fracture of the wounded man's right arm.

At this time, Sun Mingqi saw that another wounded person was brought over by firefighters, and the wounded person in front of him had an open fracture of his right arm, which could also be treated in an ambulance.

He told the ambulance medical personnel waiting on the side: "Take this wounded person to the hospital quickly."

Hearing this, Chen Li tore off the post-it note that quickly recorded the injury, and pasted it on the wounded man's chest...

No. 2 wounded, Yu Zhiming pressed his hand on his chest, feeling a little dark in his heart.

His chest collapsed five or six centimeters.

Not to mention that the heart was pierced by a broken rib, it was also crushed flat.

Yu Zhiming could clearly feel that this heart was on the verge of breaking apart and collapsing.

But amazingly, it's still beating!

"Am I hopeless?"

Yu Zhiming looked at the middle-aged man who was still awake and had a clear premonition, and nodded without hiding anything.

"Then how much time do I have?"

Yu Zhiming said truthfully, "It's a miracle that you are still awake and can talk."

"Maybe, only three to five minutes."

The middle-aged man immediately said: "The incident happened suddenly, and I still have some important things to explain."

"Would you please help me record my last words?"

Yu Zhiming hurriedly asked Dr. Chen Li to record a farewell video for this dying wounded who remained awake and calm...

"I'm Liu Yizhi, my brain is still awake, and now I'm making the following arrangements for my affairs..."

"One, my company and all shares in other companies, by my wife and daughter..."

On the next third wounded, Yu Zhiming finally used the expandable balloon.

His renal artery was torn and he was bleeding profusely.

Yu Zhiming used a puncture needle to successfully send the expansion balloon into the proximal end of the renal artery with only one puncture, and then inflated it to temporarily block the renal artery.

It takes no more than 1 minute from detection of renal artery tear, to locating the blood vessel, and finally to the completion of hemostasis.

This once again shocked Sun Mingqi...

"Quick, quick, doctor, save him quickly..."

Amid the urging of a firefighter, Yu Zhiming ushered in the fourth wounded.

"There's no need to go to bed."

Yu Zhiming stopped the two firefighters from crossing the bed, and took his hands away from the chest of the man on the stretcher.

"No heartbeat or breathing, carry him to the other side."

As soon as Yu Zhiming made this judgment, one of the firefighters couldn't help shouting: "How could it be?"

"how come?!"

"He was talking to me just now, saying that he didn't want to die, that he wasn't married yet, and that his parents were still waiting for him to go back to celebrate the National Day."

"Doctor, doctor, don't give up, can't many people be rescued without heartbeat and breathing?"

"Save him, please save him!"

Yu Zhiming looked at this young firefighter who was a few years younger than himself, and shook his head.

"He's injured too badly and there's nothing we can do."

The young firefighter suddenly broke down emotionally. He beat his head hard and cried, "If only I hadn't lost time just now, I would have rescued him earlier."

"Blame me, blame me, woo woo..."

Seeing the young firefighter like this, Yu Zhiming also felt very uncomfortable, wishing that he had the ability to bring the dead back to life.

But he is just a young doctor with limited abilities...

In the next nearly an hour, Yu Zhiming ushered in another eight seriously wounded.

There were two of them, and Yu Zhiming was powerless.

For the other six people, Yu Zhiming tried his best to give emergency treatment while investigating the visceral injuries.

For one of the wounded, Yu Zhiming used five expansion balloons to stop the bleeding.

There was also a wounded man whose celiac branch artery was torn. After Yu Zhiming performed balloon hemostasis on him, he saw that there was still time, so he went on to perform a minor operation on extracorporeal bypass blood supply.

Brain cells and cardiomyocytes are sensitive to hypoxia, and cell necrosis will occur within four to six minutes of ischemia.

Other organisms and tissue cells in the human body have stronger oxygen resistance, and cell necrosis generally occurs after 10 minutes.

It should be noted that the occurrence of partial cell necrosis does not mean that the entire organ is useless.

For example, human organs and limbs can still be successfully replanted several hours after being separated from the body.

However, necrotic damage at the cellular level is inevitable and requires a longer recovery process.

Therefore, the shorter the interval between replantation and transplantation, the better.

Visceral ischemia, the shorter the better.

Through intracorporeal bypass surgery, Yu Zhiming partially restored the blood supply of the celiac branch arteries of the wounded, which can alleviate the hypoxic damage of some abdominal organs...

After an hour of thrilling work, no more wounded were brought to his side.

Yu Zhiming is also aware of this.

It is difficult for a seriously injured person of that level to survive for an hour without effective treatment.

The wounded with minor injuries do not need to be sent to him.

Finally having some free time, Yu Zhiming's eyes turned involuntarily to the open space not far away.

There were three gray bags, and there were three people lying in them, including the middle-aged man who calmly took pictures of his last words!

They lay there quietly, waiting for their transfer.

Yu Zhiming felt an indescribable discomfort in his heart, as well as a deep sense of powerlessness...

Sun Mingqi patted Yu Zhiming on the shoulder a few times, and comforted him: "Thinking about the good, you have saved eight people."

Yu Zhiming let out a long breath and said, "It's just to save their breath for the time being. When they arrive at the hospital, there will be a life-and-death barrier waiting for them."

"Among them, if five of them survive in the end, I'm very thankful."

At this time, a young doctor ran towards them, shouting loudly as he ran.

"Doctor Yu, come here quickly, we need you here..."

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(End of this chapter)