Chapter 791: : This is ... REBOA technology?

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 <90mmHg!
Yu Yonggang couldn't help but fist, how good it is to have REBOA technology at this time!
If the REBOA technology can come in earlier, maybe the patient can still be saved?
At this moment, Chen Cang suddenly said: "Ultrasonic, ready to locate!"
This sentence surprised everyone!
What ultrasound positioning!
Just now, Chen Cang did not hesitate to learn the tertiary thoracic surgery: resuscitation aortic balloon occlusion (REBOA) surgery!
This is a thoracic surgery intervention. The operation level is not high, but it is very difficult!
After spending 11 skill points, Chen Cang's resuscitation aortic balloon occlusion (REBOA) technology has been directly upgraded to the master level!
Then he picked up the puncture tube, urine tube, syringe ... and simply made a balloon!
Yang Hui and Zhang Yuan looked at the things in Chen Cang's hands, and they were a little bit confused!
"this is……"
"I depend, is this REBOA?"
Even Yu Yonggang who was in the hospital was choked!
This ... this too?
Looking at REBOA made with a puncture needle, everyone couldn't help but pinch their sweat!
Can this work?
At this time, Chen Cang pumped a little saline!
Then he said to the big screen, "Where I say super, you are super!"
Doctor B hesitated for a moment. Should I listen to him?
Although he looks bluffing, it's awesome ...
However, Doctor B ultrasound glanced at Yu Yonggang.
Suddenly, Yu Yonggang also looked forward to it. To be honest, this is the first time he saw someone in China use REBOA!
And it's completely homemade REBOA!
There is a sense of shock ... and surprise!
Chen Cang began to command!
He needs to puncture the balloon across the skin of the chest, and place the balloon in the I area, which is the distal end of the thoracic aorta!
This can effectively prevent abdominal bleeding.
At this time, Chen Cang had pushed the needle directly in accordance with the ultrasound display!
After the balloon entered, Chen Cang began to push the liquid!
Chen Cang said, "Okay!"
With Chen Cang's words falling, everyone stopped!
Successful resuscitation aortic balloon occlusion?
After a while!
The amount of bleeding really is less!
Then the patient's blood pressure started to rise!
Yu Yong was immediately excited! !!
Did it succeed?
...
...
ps: Thank you "Shuffler" for the 100,000 reward!
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Thank you friends for your support ~ EbookFREE.me ~ Domestic 5G ambulance has been launched, this is good news!
REBOA technology is also entering the country, which is also good news!
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