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Chapter 791: Is this REBOA technology?(1/2)

After Zhang Yuan saw that the picture on the screen appeared on the big screen, and was immediately delighted!

Director Yu, this is their backbone.

"Director, the patient suspected that he had a serious pelvic fracture, accompanied by a left clavicle fracture, and the left rib two... Now..."

After Zhang Yuan made a clear return to the situation, Yu Yong immediately frowned.

If you follow the current vital signs, bleeding in the chest cavity is the first choice.

However, before this, it is necessary to clarify whether there is bleeding in the abdominal cavity or whether there is bleeding in the pelvis!

Thinking of this, Yu Yonggang did not hesitate at all: "Prepare for a remote B-ultrasound!"

And here Chen Cang suddenly said: "Prepare to contact remote b-ultrasound!"

The two of them had a similar voice and were stunned for a moment.

However, now is not the time to be surprised.

Soon, the ultrasound doctor began to remotely control the joystick according to the screen, and the images of the patient's chest continued to appear on the large screen.

When Chen Cang saw this control, the picture on the other side began to appear, and it was suddenly a little novel.

The arrival of the 5g era has a great impact on emergency departments.

For many patients who were unable to rescue before, there are many more possibilities.

At least, remote control and command the scene in this way will increase the efficiency!

Here, the picture keeps spreading.

Soon the picture in the chest appeared, but... this picture made everyone a little stunned!

Not a heavy bleeding in the chest!

In this case... is it the abdominal cavity?

Chen Cang hurriedly said: "Do abdomen fast examination!"

After hearing the ultrasound doctor over there, his face changed!

After a moment, the picture appears instantly.

Chen Cang was immediately delighted!

"The abdominal fast test was positive, and there was bleeding in the abdominal cavity!"

Now, the bleeding point has been confirmed.

Chen Cang was not satisfied and hurriedly said, "Check the pelvis!"

Looking at the joystick, Chen Cang couldn't help but feel surprised.

With such equipment, emergency doctors don’t need to learn color ultrasound technology!

Chen Cang can watch movies, but he can't do the check!

Don’t think that color ultrasound is just smearing, so simple, depth, amplitude, etc. are all very accurate!

At this moment, Chen Cang now knew that abdominal bleeding and opening the abdomen would definitely be unrealistic.

Opening the abdomen at this time will only aggravate the damage and even cause more damage!

At this time, Chen Cang suddenly thought of a solution!

Resuscitation of aortic balloon blockade!

Just reboa technology!

Since there is ready-made ultrasound technology here, isn’t it just right to use reboa?

Thinking of this, Chen Cang hurriedly asked, "Is there any reboa?"

Zhang Yuan and Yang Hui were stunned for a moment!

reboa?

How many of this kind of technology are there in China?

The two couldn't help but smile bitterly.

But Yu Yong, who was here, suddenly his eyes lit up after hearing this word.

indeed!

At this time, using reboa may be the most appropriate method.

For this hemodynamic unstable pelvic fracture, the use of reboa is the most reasonable choice.

It is twice as reliable than opening the chest clamp and closing the chest aorta!

but……

This technique was just learned when he went to Melbourne to study Hems last month.

So far, only London and Melbourne’s Hems are the only teams in the world that can perform resuscitational balloon artery blockade intervention outside the hospital!

This is very difficult!

And...the most important thing is that it seems that it has not been popular yet in China!

Even if you don’t have a balloon tube, how to do it?

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 technology!"

"Open your chest!"

Indeed, at this time, the chest must be opened to clamp the major artery, so that the major artery can be completely cut off and stopped bleeding in the chest cavity.

This benefit is also obvious, that is, emergency hemostasis can provide blood to the coronary artery, lungs, and brain, but all organs in the diaphragm may all suffer from ischemia and multi-organ failure!

Now!

The problem arises!

If the bleeding is not stopped, multiple organs will fail due to ischemia, and the patient will also die due to heavy bleeding!

If the bleeding is stopped, the existing measures will only last 30 minutes. Moreover, it may aggravate the damage and aggravate the infection, and at the same time, the ischemia time is too long to cause multiple organ failure.

At this moment, Yu Yonggang felt a little regretful!

At this moment, Yu Yong suddenly discovered a problem!

Poor fluid replenishment reaction!

There is no sign of blood pressure rebounding at all!

Systolic pressure <90mmhg!

Yu Yonggang couldn't help but clench his fists. How great would it be if there was reboa technology at this time!

If the Reboa technology could come in earlier, maybe the patient could still be saved?

At this moment, Chen Cang suddenly said: "Ultrasound, prepare for positioning!"

This sentence shocked everyone!

What ultrasound positioning!

Just now, Chen Cang studied tertiary thoracic surgery without hesitation: resuscitation aortic balloon blockade (reboa) surgery!

This is a thoracic surgery interventional surgery, the surgery level is not high, but it is very difficult!

After spending 11 skill points, Chen Cang's resuscitation aortic balloon blocking technique was directly upgraded to the master level!

Then he picked up the puncture tube, urethra, syringe... and made a simple balloon!

Yang Hui and Zhang Yuan looked at the things in Chen Cang's hands and were a little surprised!

"This is……"

"Damn, is this homemade reboa?"

Even Yu Yonggang, who was in the hospital, was stunned!

This...this is OK?

Looking at the reboa made with the puncture needle, everyone couldn't help but feel sweaty!

Can this work?

At this time, Chen Cang took some saline!

Then he said to the big screen: "If I say it's super, you will be super!

Doctor B Chao hesitated for a moment, should I listen to him?

Although he looks very intimidating, he is quite awesome...

However, Doctor B Superb glanced at Yu Yonggang.

Yu Yonggang suddenly became expectant. To be honest, this was the first time he saw someone using reboa in China!

And it's a completely homemade reboa!
To be continued...
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