Chapter 317

At six o'clock, Takahashi and Fujiwara arrived in the department. Because he was not very skilled, Takahashi seemed a little sneaky.

The nurse thought the thief was coming from, but when she grabbed him and asked, she realized that it was a new Japanese trainee who arrived yesterday.

He moved the medical records to Zhang Lin's desk, folded them neatly, brewed tea for Zhang Lin, placed the tea cups, sat down, familiarized himself with the HIS system of the computer, and logged in his job number. Only then did he remember that he got off work yesterday. Teacher Zhang hasn't taught how to use the system yet.

At this time, the diligent graduate student Li Guodong also arrived in the department. Gaoqiao saw the savior and grabbed Guodong: "Dr. Li, teach me about this doctor's order system."

Xiao Li glanced at the computer but didn't speak. Takahashi thought he didn't want to, so he lit up his phone and said, "Can I send you a WeChat red envelope?"

True or false, teach you the HIS system, as well as red envelopes, local tyrants!

"There is no need for the red envelope, come, I will teach you." Xiao Li sat down and explained while demonstrating.

Takahashi used to be a Japanese scholar. He listened and listened, and he was inseparable from his studies. Li Guodong was also amazed at the Japanese's learning ability.

It is said that the Faculty of Medicine of the University of Tokyo is the most difficult exam in Japan, and those who can get in are all academic masters with a high IQ. It seems that the rumors are true, and Takahashi's learning ability is indeed strong.

"I'll send you a red envelope? Add a WeChat." Takahashi really wanted to send a red envelope.

In the past, Li Guodong really wanted this red envelope, because his economic conditions were relatively poor, and he usually relied on Keli to open some pharmaceutical companies' drug and equipment promotion conferences for one or two hundred travel expenses.

Now in the Department of General Orthopedics, following Yang Ping, his hands are full. Not bad for this red envelope, he waved his hand: "Forget the red envelope, add a WeChat, if you have something to communicate with, I will pull you into our group."

People came in one after another. Takahashi recorded the abnormality in the inspection report to the computer. Occasionally encountered words that he did not understand, and used translation software to solve them. Basically, there was no language barrier.

Zhang Lin came over and saw the neat medical records on the table and the tea that had been brewed. He sat down and wanted to scold a few people, but he couldn't find a reason for the time being.

"Little Gao!"

When Gaoqiao heard Zhang Lin's cry, he immediately ran over and stood beside him.

Zhang Lin picked up the cup and took a sip of tea. It was not bad, but he had to be trained to some extent: "Xiao Gao, there is a little more tea leaves."

Takahashi immediately took out a notebook to record it, Zhang Lin glanced sideways, and wrote it down in a notebook, is it necessary?

After recording, Gaoqiao said: "Mr. Zhang, today I will help you wash the cup, and there are exactly 29 tea residues in it, so I put 29 tea granules this morning. If there are more, I will reduce it by three tomorrow morning. , is twenty-six ok?"

Zhang Lin's body tightened and he was paralyzed. He actually counted the tea leaves in the cup. The Japanese were careful enough, Zhang Lin pretended to be calm: "Well, it's okay to do things. The tea leaves can be big or small, and they cannot be static. On the basis of the tea granules, slight additions and subtractions are made according to the size of the tea grains.”

"Understood, Teacher Zhang, I will help you brew according to the quality of the tea." Takahashi found a solution to the problem.

Corey's doctors arrived one after another and handed over the shift on time at 8:00 in the morning. Just after the shift was over, the special line of the trauma emergency center rang.

The trauma emergency center is dominated by microtrauma orthopaedics, but other orthopaedics are also participants.

Every department of Orthopedics, including Comprehensive Orthopedics, has a dedicated line for the trauma emergency center, so that in an emergency, there will be no situation where the phone cannot be answered.

Early in the morning, the phone rang so deeply that people's hearts shuddered.

"The Trauma Center is asking for support, the patient is in the emergency room!"

Song Zimo put down the phone. Comprehensive orthopedics is the trump card of large orthopedics. If comprehensive orthopedics support is needed, it must be an extremely serious and complicated trauma patient.

"The trauma emergency center asks for support, except for those on duty, all of them are dispatched!"

Illness is an order!

Yang Ping immediately ordered the staff of the department to act, every second counted, he did not dare to delay a second, and rushed to the emergency department with everyone almost running.

Sure enough, it was another car accident, a large-scale car accident, and the tense atmosphere in the emergency department hall has been told to everyone.

At the entrance of the emergency room, a man was sitting on a blue plastic chair. He was holding a four- or five-year-old boy in his arms. The child's face was pale, and he was shivering while holding a schoolbag. There was blood on the schoolbag.

"Don't be afraid, mom is fine, it must be fine." The man kept comforting the child.

"Dr. Yang, in the emergency room, hurry up!" The nurse led the way, and the door of the emergency room opened.

"Quick! Aortic intervention balloon to stop bleeding, hurry up!"

Director Tan's roar.

"No, the femoral artery can't be catheterized, and the subclavian artery can't be catheterized, and the aorta can't be reached by blind maneuvers!"

It was Director Tan's roar.

"The heartbeat is gone again!" the nurse screamed.

On the screen of the ECG monitor, a long string of ventricular fibrillation waves appeared, which is a manifestation of cardiac arrest.

"Defibrillation, defibrillate!"

Once Director Tan encounters such a big rescue, he is like a lion, shouting loudly, and the entire rescue room is running at high speed under his urging.

The wounded was lying on the flat car, covered in blood, terrible to see. The entire lower body was crushed and smashed, no different from meat patties. The intestines were also squeezed out from the abdominal wound, scattered on the flat car, everywhere.

The dark red blood on the flat car, mixed with feces, flowed everywhere, from the surrounding of the flat car to the ground, spreading out on the ground, forming a pool of dark red blood.

My God, the bloody and deformed scene is extremely stimulating to the senses, it is suffocating!

A Gu Peisheng covered his mouth all of a sudden, ran to the trash can, and vomited out.

"This is from that department, tell him to get out!" the strong emergency department nurse shouted.

"200 joules! Leave, defibrillate!"

The emergency physicians are well-trained and quickly prepare the defibrillator, turn it on, apply the conductive paste, and put one electrode in each hand to the casualty's right subclavian and left apex.

"No broken ribs, no damage to the chest, heart compressions!"

There was blood everywhere on Director Tan's gloves and body. His fiery temper was vividly realized during the rescue, and almost every sound was a roar.

Endotracheal intubation had already been completed at the scene, the ventilator maintained the patient's breathing, and cardiac compressions and electrical defibrillation were performed alternately.

"Yes, the heartbeat has recovered, and the blood pressure has never been measured."

After another defibrillation, the ventricular fibrillation on the screen immediately returned to normal sinus rhythm wavy lines.

"Blood is here!"

A nurse pushed a pile of blood bags with a cart, ran over, and stopped by the bed. Another nurse quickly replaced the blood bags, and the blood was infused into the patient's body through bilateral subclavian vein catheters.

clap clap clap! The sound of the ambulance's medicine box pulling out and advancing, the doctor is extremely skilled, and one after another life-saving medicine is pushed from the vein.

This kind of damage, the entire lower body seems to be formed after being repeatedly beaten by a large hammer of dozens of tons.

Takahashi was deeply stimulated and stood beside him, wanting to help with something, but didn't know how to start.

The rescue of this kind of patient has only symbolic meaning, but each of these doctors and nurses did their best, and Takahashi suddenly felt a sense of respect.

"Director Tan—!"

Yang Ping led someone to the side of the flat car.

Director Tan seemed to have withstood several rounds of the enemy's onslaught and ran out of ammunition and food. At this time, he saw the arrival of reinforcements: "Look, the lower body is completely gone, the abdominal wound was squeezed and exploded, and the intestines and internal organs are in a mess, I don't know yet. In the specific situation, I just wanted to advance to the operating room, but my heartbeat and breathing stopped, so I guess there is no hope."

"If the emergency doctor hadn't put his hand in and squeezed the aorta to stop the bleeding with bare hands, it wouldn't have lasted now." Director Tan's face was sweating.

The hand of the doctor who stopped the bleeding with bare hands was always inside: "I pinched the aorta, but it still doesn't work. The bleeding is fierce."

"Aortic block clamps, quick! There are also vascular clamps, bring all the vascular clamps."

Yang Ping was very calm, his voice was loud and clear, but there was no trace of impatience or roar, and the whole scene was stunned by him.

The equipment he wanted was pushed in and fully opened. Yang Ping immediately put on gloves, reached in with one hand, and searched for blood vessels in the organs. This was a blind exercise and required extreme proficiency in anatomy.

"Don't move your hand for now!" Yang Ping ordered the emergency department doctor.

The young doctor had not moved from the scene to the hospital, and his hands were already stiff.

Yang Ping's aortic occlusion forceps, without being able to see, used his hand to find the part of the abdominal aorta closest to the diaphragm: "Quickly, give me the aortic occlusion forceps!"

Domineering, but not rude!

Quick, but not rushed!

Director Tan handed over the aortic blocking forceps, and Yang Ping accurately clamped the aorta. The whole process only took a few seconds.

The bleeding below has been reduced by half, but it is still coming out. Yang Ping's hand continues: "There are communicating blood vessels above the diaphragm that penetrate the abdominal cavity!"

Either open the chest now, or blindly look for the communicating blood vessels and clamp them with blood vessel clips one by one to completely stop the bleeding.

"Continue to hand me the blood vessel clip, the big one, yes!"

Yang Ping didn't look back, took the blood vessel clip, and knew by touch what size it was. He groped in the abdominal cavity with his left hand. On the back side of the liver, he found a communication branch and clamped it.

The extremely skilled anatomy allows him to clearly understand every structure without looking directly, and the anatomy is clear wherever his hands are.

Near the head of the pancreas, and next to the spleen pedicle, there are communicating blood vessels, which originate from above the diaphragm, blocking the abdominal aorta and unable to stop their bleeding.

More than a dozen blood vessel clips were put in one by one, and the bleeding finally stopped. The entire operation took less than three minutes.

This is the level of proficiency in anatomy to be able to do such an operation.

Takahashi could see clearly that this was no longer a human operation, but a divine operation. It was no wonder that more than a hundred blood vessels could be handled calmly at the academic conference.

"Part of the liver can still be retained, the spleen needs to be cut off, the rectum needs to be cut off, the vesicoureter needs to be repaired, the pelvis is all crushed, the pancreas is fine, and the entire lower pelvis needs to be cut off--" Yang Ping has already made it with the touch of his hand initial diagnosis.

The surgeon's hands are the second pair of eyes. Sometimes the eyes cannot see during the operation, and they are identified by the touch of the hands.

"Now send to the operating room, a special operating room for trauma emergency, I will do the surgery!" Yang Ping is decisive and firm.

"Dr. Yang, I want to see your surgery, can I?"

The young doctor just followed up, the doctor who had just stopped the bleeding with bare hands.

Yang Ping glanced at him and said as he walked, "You are very courageous, you are very familiar with anatomy, and you are also very accurate in judging the injury. The position of the block should be higher."

"Dr. Yang!"

Takahashi immediately followed.