When the Doctor Uses A Hack

Zhang Yuan saw the connection go through and the screen display the remote scene, instantly feeling elated!

Director Yu, this was their backbone.

"Director, the patient is suspected of having a severe pelvic bone fracture, accompanied by a fracture of the left clavicle, left rib two... now..."

After Zhang Yuan reported the situation clearly, Yu Yonggang also frowned immediately.

Given the current vital signs, hemostasis within the thoracic cavity would be the primary choice now.

However, before that, it was necessary to confirm whether there was bleeding in the abdominal cavity or the pelvis!

Thinking of this, Yu Yonggang didn't hesitate at all, "Prepare for remote B-ultrasound!"

At the same time, Chen Cang also suddenly said, "Prepare to contact for remote B-ultrasound!"

Their voices sounded exactly the same, which momentarily startled them.

But now was not the time to be surprised.

Soon, the ultrasound doctor started to remotely control the joystick according to the screen, and images of the patient's chest kept appearing on the big screen.

When Chen Cang saw this operation and that the images started to appear, he was somewhat intrigued.

The advent of the 5G era had a huge impact on emergency medicine.

For many patients who previously could not be rescued, there were now many possibilities.

At least, with such remote control to direct the scene, what an increase in efficiency that was!

On this end, the footage kept transmitting.

Soon the image inside the thoracic cavity appeared, but... this image stunned everyone!

It was not a major hemorrhage in the thoracic cavity!

If that were the case... was it the abdominal cavity?

Chen Cang quickly said, "Perform an abdominal FAST exam!"

The ultrasound doctor on the other side heard this and his complexion changed instantly!

A moment later, the image appeared instantaneously.

Chen Cang felt a surge of elation!

"Abdominal FAST examination positive, there is bleeding within the abdominal cavity!"

Now, the point of bleeding was determined.

Chen Cang wasn't satisfied yet, he quickly said, "Check the pelvis!"

Watching the joystick, Chen Cang couldn't help but feel ecstatic.

With such equipment, emergency doctors would not need to learn color Doppler ultrasound techniques!

Chen Cang could read the images, but he didn't know how to perform the examination!

Don't think that color Doppler ultrasound is just smearing around; it's not that simple, the depth, amplitude… everything is precise!

At this moment, Chen Cang understood, with abdominal bleeding, it was definitely unrealistic to perform a laparotomy.

To do a laparotomy at this time would only exacerbate the injury, and might even cause more harm!

At this moment, Chen Cang suddenly thought of a method!

Resuscitative Endovascular Balloon Occlusion of the Aorta!

Also known as REBOA technology!

Since there was ready access to ultrasound technology here, wasn't it perfect for using REBOA?

Thinking of this, Chen Cang quickly asked, "Do you have REBOA?"

Zhang Yuan and Yang Hui were momentarily taken aback!

REBOA?

How many in the country have this technology...?

They couldn't help but let out a wry smile.

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

Indeed!

At this time, using REBOA might be the most appropriate method.

For this kind of hemodynamically unstable pelvic fracture, using REBOA was the most rational choice.

Its reliability was twice that of thoracotomy and clamping of the thoracic aorta!

But...

This technology he had just learned last month while attending an HEMS training in Melbourne.

Up to now, London and Melbourne's HEMS were the only few teams in the world that could perform out-of-hospital Resuscitative Balloon Aortic Occlusion intervention (REBOA)!

The difficulty was high!

And... most importantly, it seemed to have not yet been popularized in the country!

Without even the balloon catheter, how to proceed?

Yu Yonggang couldn't help but say, "We don't have REBOA, but now we are in contact with London, and they may send someone to learn the technique!"

"Perform thoracotomy!"

Indeed, at this moment, it was necessary to perform thoracotomy to clamp the aorta; this way, it was possible to completely interrupt the blood flow in the thoracic cavity for hemostasis.

The advantages are obvious: emergency hemostasis can supply blood to the coronary arteries, lungs, and brain, but all organs below the diaphragm might fail due to ischemia!

Now!

The problem has arisen!

If bleeding is not stopped, multiple organs will fail due to ischemia, and the patient will die from massive hemorrhage!

If hemostasis is achieved with current methods, there are only 30 minutes, and it may aggravate the injury, increase the risk of infection, and cause multiple organ failure due to prolonged ischemia.

At this moment, Yu Yonggang felt a twinge of regret!

It was then that Yu Yonggang suddenly noticed something!

The response to fluid resuscitation is poor!

There's no sign of blood pressure recovery whatsoever!

Systolic pressure

Yu Yonggang couldn't help clenching his fist, wishing for the REBOA technique at this time!

Could the patient have been saved if the REBOA technique had been introduced earlier?

Right at that moment, Chen Cang suddenly said, "Ultrasound, prepare for localization!"

This statement startled everyone!

What ultrasound localization!

Just before, Chen Cang had unhesitatingly learned the level-three thoracic surgery: Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) procedure!

It's a thoracic interventional surgery—not high in level, but very difficult!

After spending 11 skill points, Chen Cang's mastery of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) technique had directly advanced to expert level!

He then picked up a catheter, a urinary catheter, a syringe... and made a simple balloon!

Yang Hui and Zhang Yuan looked at the object in Chen Cang's hands, somewhat astonished!

"This is..."

"Damn, is this a homemade REBOA?"

Even Yu Yonggang at the hospital was stunned!

This... can this work?

Watching the REBOA made with a puncture needle, everyone couldn't help but sweat!

Could this really work?

At that moment, Chen Cang drew some saline solution!

Then he said to the big screen, "You ultrasound where I tell you to!"

The ultrasound doctor hesitated for a moment, thinking whether to listen to him or not.

Although he looked impressive, almost awe-inspiring...

But then, the ultrasound doctor glanced at Yu Yonggang.

Yu Yonggang suddenly felt expectant; to be honest, this was the first time he had seen the use of REBOA in China!

And it was a completely homemade REBOA!

There was an indescribable sense of shock… and of pleasant surprise!

Chen Cang began to direct the operation!

He needed to insert the balloon through the skin in front of the chest and position it in Zone I, at the distal end of the thoracic aorta!

This could effectively prevent abdominal bleeding.

At that moment, Chen Cang had already pushed the needle through as indicated by the ultrasound display!

After inserting the balloon, Chen Cang began to infuse the liquid!

Chen Cang said, "All set!"

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

Was the Resuscitative Endovascular Balloon Occlusion of the Aorta procedure a success?

After a moment!

The bleeding indeed decreased!

Then the patient's blood pressure began to rise!

Yu Yonggang was immediately thrilled!!

Could it really have been a success?

...

...

ps: Thank you to the Alliance Hierarch "Shuffler" for the 100,000 reward!

Thank you "Armed Provocation TC" for the 20,000 reward!

Thank you for the support, friends.

The 5G emergency vehicles have been launched in China, which is good news!

The REBOA technique is also about to enter China, which is more good news!

It's a new month, seeking support!