When the Doctor Uses A Hack

"The systolic pressure has risen to 90! The blood pressure is now 90/60 mmHg!"

In the sixth emergency room of the emergency center, Doctor He Zhuyu exclaimed with joy!

A systolic pressure of 90 mmHg is a turning point!

For the human body, this blood pressure is already sufficient for basic blood transportation.

Hearing this exclamation, Yu Yonggang also snapped back to reality!

He could never have imagined that this unfamiliar young man could actually perform a REBOA procedure outside the hospital!

An out-of-hospital surgery compared to an in-hospital REBOA procedure performed with assistive equipment is significantly different.

And what Chen Cang did, with his improvised aortic balloon made of a puncture needle and a urinary catheter... actually achieved distal aortic occlusion.

Yu Yonggang couldn't help but be astonished.

Setting aside the technical aspect, simply completing this procedure under ultrasound guidance is already quite remarkable.

Yu Yonggang couldn't resist pinching the bridge of his nose, trying to calm himself down.

He swiftly called out to the staff nearby:

"Emergency blood matching from the blood transfusion department!"

"Prepare operating room number one!"

"Emergency team one, get ready for surgery!"

"..."

Orders were continuously issued; emergency response is about everyone playing their role!

What the external staff needed to do was stabilize the patient's vital signs and strive to transfer the patient to the hospital safely.

What follows is for the rescue personnel to carry out rapid resuscitation, by any means necessary, to save the patient's life.

In simpler terms, the outsiders were essentially hanging on to the patient's life, delivering them to the hospital, then through emergency services, keeping the patient alive and handing them off to the relevant department to cure them!

This is the mission of emergency services!

It is also the core value of the entire emergency center hospital.

Meanwhile, Yang Hui and Zhang Yuan, looking at the aortic balloon in Chen Cang's hand, couldn't help but say, "Just this... thing? Can't we do it in our country?"

Indeed!

In Zhang Yuan's eyes, it seemed... not that difficult after all...

Last week, Director Yu had personally shown a PPT, talking about this leading out-of-hospital emergency technique from abroad: the Resuscitative Endovascular Balloon Occlusion of the Aorta procedure!

They were planning to send someone to learn about it soon.

At that time, everyone was very excited after seeing the technique because its emergence was truly significant for the patients.

Zhang Yuan was astounded, lamenting the technological gap...

But now, seeing Chen Cang's "knockoff version of the aortic balloon," he couldn't help but sigh.

So it was just this simple.

It seems he had overestimated places like London and Melbourne...

He would have to do some research when he got back, maybe he could make a significant contribution!

Over here, Chen Cang, watching the patient's vital signs, couldn't help but say, "Increase the oxygen flow, hyperventilate! Prepare corticosteroids!"

At this moment, Chen Cang had clearly become the commander on the scene.

After all, the rescue of a patient with a severe pelvic fracture and unstable hemodynamics is still quite challenging.

Here, Chen Cang kept issuing various medical orders!

And the skills of Zhang Yuan and Yang Hui were very proficient!

This brought some satisfaction to Chen Cang.

Such solid fundamentals they had.

Having such a group to assist was surely a happy thing.

Thinking of this, Chen Cang felt that Wang Qian and the others should really strive hard.

Ignorance was bliss until he realized the startling difference.

Every junior doctor's basic emergency skills were so solid, calm and composed.

About a few minutes later, all the intubation, resuscitation, hemostasis, fluid replenishment… had been perfected for the patient.

That is to say, they were ready to leave!

Chen Cang then looked at the two and said, "Pay attention to bleeding in the chest cavity on the way. I saw scattered bleeding points on the ultrasound earlier, and the second and third ribs had penetrated the pericardium. Be very careful not to damage the coronary arteries! During the surgery, it's best to choose the sub-sternum for opening the chest because the bone structure there is the sturdiest, and you can also perform thoracoabdominal surgery at the same time, reducing the risks associated with multiple surgical openings!"

After he finished speaking, Chen Cang got up and got off the ambulance!

At that moment, Chen Cang turned around again and said, "You guys are excellent!"

Feeling moved, Chen Cang got out of the vehicle.

Yang Hui and Zhang Yuan were left somewhat at a loss.

Zhang Yuan hesitated for a moment, "He's so awesome!"

Yang Hui nodded blankly, "And very handsome!"

Zhang Yuan was stunned, "What good is being handsome!"

Yang Hui glanced at the steady numbers on the cardiac monitor and murmured to herself, "Handsome adds points to awesome!"

The driver, Lao Yue, started the vehicle and left stylishly!

Chen Cang watched the stylish Type B fire truck, the high-tech 5G technology coverage, the remotely controlled ultrasound technology… Solid technical expertise from the front-line external hospital staff, and couldn't help but become emotional!

Life in the big city is really different!

When can such technology be transferred to Dongyang to build an emergency network covering the entire Anyang City?

Chen Cang's thoughts went far, even to the day when emergency facilities would cover the whole country, creating a world-class emergency rescue network, using 5G technology and modern methods to achieve remote control rescue!

Just thinking about it was exciting!

As the ambulance drove off, Zhang Yuan suddenly glanced back at Chen Cang, who was watching them.

All of a sudden he said, "Yang Hui, did he just praise us?"

Yang Hui was startled, "He praised me, said I was excellent!"

Zhang Yuan rolled his eyes, "He was clearly praising me!"

Yang Hui, "You, a big man, competing with me, a woman, over a man's praise, pervert!"

"Look at him, saving lives at every turn, and then leaving without a fuss. What are you fighting with me for, for credit..."

"Right, did you remember what he said just now? After hearing the last sentence, I forgot everything that came before!" said Yang Hui, looking at Zhang Yuan.

...

...

After Chen Cang got off the vehicle, people watched the ambulance leave and then scattered themselves.

Just as Chen Cang was about to leave, he suddenly heard a male voice calling out.

"Chen Cang!"

Chen Cang turned around and instantly saw the thirty-something-year-old policeman looking at him, and it hit him that he had forgotten his belongings!

"Sorry, I got a bit distracted and forgot!"

Chen Cang quickly took his bag and luggage, thanking the policeman.

The policeman smiled, "Don't mention it! I should be thanking you."

Chen Cang nodded, greeted him, and left.

After all this commotion, it was already quite late, around half past eleven.

Chen Cang figured that by now the medical affairs office at the hospital would have closed for lunch, so he decided to rest at noon and see about it in the afternoon.

In the meantime, Yu Yonggang had finished contacting the operating room, preparing the pre-hospital reception for the patient, and suddenly remembered something!

Who was that young man?

He almost forgot to ask!

Such resuscitative endovascular balloon occlusion of the aorta techniques could be exchanged with the hospital.

After all... Yu Yonggang had only tried it once himself at a conference in London.

Thinking of this, he quickly picked up the phone and called Zhang Yuan.

"Zhang Yuan, is that young man still there?"

Zhang Yuan shook his head, "He left after the patient stabilized."