Chapter 791: 791
If audio player doesn't work, press Stop then Play button again
After Zhang Yuan saw the connection, there was a picture on the big screen.
Director Yu, this is their backbone.
"Director, the patient suspects a severe pelvic fracture with a fracture of the left clavicle, a second left rib ... now ..."
After Zhang Yuan reported the situation, Yu Yong frowned suddenly.
If you follow the current vital signs, hemostasis in the chest is the first choice at this time.
However, before this, 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 also did not hesitate: "Ready for remote B-ultrasound!"
And here Chen Cang also said suddenly: "Ready to contact the remote B-ultrasound!"
The two voices were exactly the same, and suddenly hesitated.
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 continuously appeared on the large screen.
When Chen Cang saw this manipulation, the pictures over there also began to appear, and suddenly there was something new.
The arrival of this 5G era will have too much impact on emergency departments.
For many patients who could not be rescued before, there are many more possibilities.
At least this remote control, command the scene, how much efficiency will increase!
Here, the picture continues to spread.
Soon the picture in the chest appeared, but ... this picture made everyone a little surprised!
Not a major bleeding in the chest!
Then ... is it the abdominal cavity?
Chen Cang said quickly: "FAST!"
After the ultrasound doctor heard that, his face changed too!
After a while, the instant screen appears.
Chen Cang immediately rejoiced!
"A positive abdominal FAST test, bleeding in the abdominal cavity!"
The bleeding point is now determined.
Chen Cang was still not addicted and quickly said, "Check the pelvis!"
Looking at the joystick, Chen Cang couldn't help but be surprised.
With such equipment, emergency doctors do not need to learn color ultrasound technology!
Chen Cang will watch the film, but he will not check it!
Don't think that color ultrasound is just smearing, it's that simple, the depth, the amplitude ... and so on are very accurate!
At this moment, Chen Cang made it clear that the abdominal cavity was bleeding. It would be unrealistic to open the belly.
Opening at this time will only aggravate the injury and even cause more damage!
At this time, Chen Cang thought of a way!
Resuscitation aortic balloon occlusion!
That's REBOA technology!
Now that ultrasound technology is available here, isn't it just right to use REBOA?
Thinking of this, Chen Cang asked quickly: "Is there a REBOA?"
Zhang Yuan and Yang Hui stumbled!
REBOA?
This technology ... how many are there in the country?
They could not help but grin.
But after Yu Yong here heard the word, his eyes flashed.
indeed!
At this time, using REBOA may be the most appropriate method.
For this hemodynamically unstable pelvic fracture, using REBOA is the most reasonable option.
Compared with the open chest clip to close the aorta, the reliability is doubled!
but……
This technique was just learned when he went to Melbourne to study HEMS last month.
So far, their HEMS in London and Melbourne are the only teams in the world who can do resuscitation balloon arterial blockage (REBOA) outside the hospital!
This is very difficult!
And ... the most important thing is that it doesn't seem to be popular in China yet!
I don't even have a balloon tube. What should I do?
Yu Yonggang couldn't help but say: "There is no REBOA, but we are now in contact with London and may send someone to learn this technique!"
"Open your chest!"
Indeed, at this time, the aorta must be opened and the aorta clamped, so that the aorta can be completely truncated to stop bleeding in the thoracic cavity.
This benefit is also obvious, that is, emergency hemostasis can supply blood to the coronary arteries, lungs, and brain, but all the organs below the diaphragm may have multiple organ failure due to ischemia!
right now!
Problem occurred!
If the hemorrhage is not stopped, multiple organs will fail due to ischemia, and the patient will also die due to major bleeding!
However, if hemostasis is stopped, there is only 30 minutes to stop bleeding according to the existing methods. Moreover, it may also aggravate injury and infection, and at the same time, ischemia may cause multiple organ failure.
At this moment, Yu Yonggang was a bit sorry!
Just then, Yu Yong suddenly found a problem!
Poor fluid response!
There is no sign of an increase in blood pressure!
Systolic pressure
Please report us if you find any errors so we can fix it asap!
After Zhang Yuan saw the connection, there was a picture on the big screen.
Director Yu, this is their backbone.
"Director, the patient suspects a severe pelvic fracture with a fracture of the left clavicle, a second left rib ... now ..."
After Zhang Yuan reported the situation, Yu Yong frowned suddenly.
If you follow the current vital signs, hemostasis in the chest is the first choice at this time.
However, before this, 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 also did not hesitate: "Ready for remote B-ultrasound!"
And here Chen Cang also said suddenly: "Ready to contact the remote B-ultrasound!"
The two voices were exactly the same, and suddenly hesitated.
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 continuously appeared on the large screen.
When Chen Cang saw this manipulation, the pictures over there also began to appear, and suddenly there was something new.
The arrival of this 5G era will have too much impact on emergency departments.
For many patients who could not be rescued before, there are many more possibilities.
At least this remote control, command the scene, how much efficiency will increase!
Here, the picture continues to spread.
Soon the picture in the chest appeared, but ... this picture made everyone a little surprised!
Not a major bleeding in the chest!
Then ... is it the abdominal cavity?
Chen Cang said quickly: "FAST!"
After the ultrasound doctor heard that, his face changed too!
After a while, the instant screen appears.
Chen Cang immediately rejoiced!
"A positive abdominal FAST test, bleeding in the abdominal cavity!"
The bleeding point is now determined.
Chen Cang was still not addicted and quickly said, "Check the pelvis!"
Looking at the joystick, Chen Cang couldn't help but be surprised.
With such equipment, emergency doctors do not need to learn color ultrasound technology!
Chen Cang will watch the film, but he will not check it!
Don't think that color ultrasound is just smearing, it's that simple, the depth, the amplitude ... and so on are very accurate!
At this moment, Chen Cang made it clear that the abdominal cavity was bleeding. It would be unrealistic to open the belly.
Opening at this time will only aggravate the injury and even cause more damage!
At this time, Chen Cang thought of a way!
Resuscitation aortic balloon occlusion!
That's REBOA technology!
Now that ultrasound technology is available here, isn't it just right to use REBOA?
Thinking of this, Chen Cang asked quickly: "Is there a REBOA?"
Zhang Yuan and Yang Hui stumbled!
REBOA?
This technology ... how many are there in the country?
They could not help but grin.
But after Yu Yong here heard the word, his eyes flashed.
indeed!
At this time, using REBOA may be the most appropriate method.
For this hemodynamically unstable pelvic fracture, using REBOA is the most reasonable option.
Compared with the open chest clip to close the aorta, the reliability is doubled!
but……
This technique was just learned when he went to Melbourne to study HEMS last month.
So far, their HEMS in London and Melbourne are the only teams in the world who can do resuscitation balloon arterial blockage (REBOA) outside the hospital!
This is very difficult!
And ... the most important thing is that it doesn't seem to be popular in China yet!
I don't even have a balloon tube. What should I do?
Yu Yonggang couldn't help but say: "There is no REBOA, but we are now in contact with London and may send someone to learn this technique!"
"Open your chest!"
Indeed, at this time, the aorta must be opened and the aorta clamped, so that the aorta can be completely truncated to stop bleeding in the thoracic cavity.
This benefit is also obvious, that is, emergency hemostasis can supply blood to the coronary arteries, lungs, and brain, but all the organs below the diaphragm may have multiple organ failure due to ischemia!
right now!
Problem occurred!
If the hemorrhage is not stopped, multiple organs will fail due to ischemia, and the patient will also die due to major bleeding!
However, if hemostasis is stopped, there is only 30 minutes to stop bleeding according to the existing methods. Moreover, it may also aggravate injury and infection, and at the same time, ischemia may cause multiple organ failure.
At this moment, Yu Yonggang was a bit sorry!
Just then, Yu Yong suddenly found a problem!
Poor fluid response!
There is no sign of an increase in blood pressure!
Systolic pressure
After Zhang Yuan saw the connection, there was a picture on the big screen.Director Yu, this is their backbone."Director, the patient suspects a severe pelvic fracture with a fracture of the left clavicle, a second left rib ... now ..."After Zhang Yuan reported the situation, Yu Yong frowned suddenly.If you follow the current vital signs, hemostasis in the chest is the first choice at this time.However, before this, 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 also did not hesitate: "Ready for remote B-ultrasound!"And here Chen Cang also said suddenly: "Ready to contact the remote B-ultrasound!"The two voices were exactly the same, and suddenly hesitated.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 continuously appeared on the large screen.When Chen Cang saw this manipulation, the pictures over there also began to appear, and suddenly there was something new.The arrival of this 5G era will have too much impact on emergency departments.For many patients who could not be rescued before, there are many more possibilities.At least this remote control, command the scene, how much efficiency will increase!Here, the picture continues to spread.Soon the picture in the chest appeared, but ... this picture made everyone a little surprised!Not a major bleeding in the chest!Then ... is it the abdominal cavity?Chen Cang said quickly: "FAST!"After the ultrasound doctor heard that, his face changed too!After a while, the instant screen appears.Chen Cang immediately rejoiced!"A positive abdominal FAST test, bleeding in the abdominal cavity!"The bleeding point is now determined.Chen Cang was still not addicted and quickly said, "Check the pelvis!"Looking at the joystick, Chen Cang couldn't help but be surprised.With such equipment, emergency doctors do not need to learn color ultrasound technology!Chen Cang will watch the film, but he will not check it!Don't think that color ultrasound is just smearing, it's that simple, the depth, the amplitude ... and so on are very accurate!At this moment, Chen Cang made it clear that the abdominal cavity was bleeding. It would be unrealistic to open the belly.Opening at this time will only aggravate the injury and even cause more damage!At this time, Chen Cang thought of a way!Resuscitation aortic balloon occlusion!That's REBOA technology!Now that ultrasound technology is available here, isn't it just right to use REBOA?Thinking of this, Chen Cang asked quickly: "Is there a REBOA?"Zhang Yuan and Yang Hui stumbled!REBOA?This technology ... how many are there in the country?They could not help but grin.But after Yu Yong here heard the word, his eyes flashed.indeed!At this time, using REBOA may be the most appropriate method.For this hemodynamically unstable pelvic fracture, using REBOA is the most reasonable option.Compared with the open chest clip to close the aorta, the reliability is doubled!butThis technique was just learned when he went to Melbourne to study HEMS last month.So far, their HEMS in London and Melbourne are the only teams in the world who can do resuscitation balloon arterial blockage REBOA outside the hospital!This is very difficult!And ... the most important thing is that it doesn't seem to be popular in China yet!I don't even have a balloon tube. What should I do?Yu Yonggang couldn't help but say: "There is no REBOA, but we are now in contact with London and may send someone to learn this technique!""Open your chest!"Indeed, at this time, the aorta must be opened and the aorta clamped, so that the aorta can be completely truncated to stop bleeding in the thoracic cavity.This benefit is also obvious, that is, emergency hemostasis can supply blood to the coronary arteries, lungs, and brain, but all the organs below the diaphragm may have multiple organ failure due to ischemia!right now!Problem occurred!If the hemorrhage is not stopped, multiple organs will fail due to ischemia, and the patient will also die due to major bleeding!However, if hemostasis is stopped, there is only 30 minutes to stop bleeding according to the existing methods. Moreover, it may also aggravate injury and infection, and at the same time, ischemia may cause multiple organ failure.At this moment, Yu Yonggang was a bit sorry!Just then, Yu Yong suddenly found a problem!Poor fluid response!There is no sign of an increase in blood pressure!Systolic pressure
