Chapter 792 This Is... REBOA Technology?

Chapter 792 This is... REBOA Technology

After Zhang Yuan saw the connection, the picture over there appeared on the big screen, and he was instantly overjoyed!

Director Yu, this is their backbone.

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

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

According to the current vital signs, intrathoracic hemostasis is the first choice at this time.

However, before that, 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 didn't hesitate at all: "Prepare for remote B-ultrasound!"

And here Chen Cang also suddenly said: "Get ready to contact the remote B-ultrasound!"

The two of them had the same voice, and they were stunned for a moment.

Now is not the time to be surprised, though.

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

When Chen Cang saw this manipulation, the picture over there began to appear, and it was suddenly a little novel.

The arrival of the 5G era has a huge impact on emergency care.

For many patients who could not be rescued before, there are many more possibilities.

At least this way of remote control and commanding the scene 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 intra-thoracic hemorrhage!

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

Chen Cang said quickly: "Do abdominal FAST examination!"

When the ultrasound doctor over there heard it, his expression changed!

After a while, the momentary screen appeared.

Chen Cang was instantly overjoyed!

"Positive abdominal FAST test, intra-abdominal bleeding!"

Now, the bleeding point is determined.

Chen Cang was not satisfied, he said quickly, "Check the pelvis!"

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

With such equipment, emergency doctors do not need to learn color ultrasound technology!

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

Don't think that the color Doppler is just smearing, it's that simple, the depth, amplitude...etc are all very precise!

At this moment, now Chen Cang is clear, abdominal bleeding, it is definitely unrealistic to open the abdomen.

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 way!

Resuscitative Aortic Balloon Occlusion!

Also REBOA technology!

Since there is ready-made ultrasound technology here, isn't REBOA just right?

Thinking of this, Chen Cang quickly asked, "Is there a REBOA?"

Zhang Yuan and Yang Hui were stunned for a moment!

REBOA?

This kind of technology... how much is there in China?

The two couldn't help but laugh bitterly.

But when Yu Yong here heard the word, his eyes suddenly lit up.

indeed!

At this time, using REBOA may be the most appropriate way.

For this hemodynamically unstable pelvic fracture, the use of REBOA is the most reasonable option.

It is twice as reliable as thoracic clipping of the thoracic aorta!

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 that can perform resuscitative balloon arterial occlusion (REBOA) outside the hospital!

This is very difficult!

And... the most important thing is that it doesn't seem to be popular in China!

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 in contact with London now, and we may send someone to learn this technology!"

"Open your chest!"

Indeed, at this time, it is necessary to open the chest to clamp the aorta, so that the aorta can be directly and completely cut off in the thoracic cavity to stop the bleeding.

The advantage of this is also obvious, that is, emergency hemostasis can supply blood to the coronary arteries, lungs, and brain, but all organs below the diaphragm may all suffer from multi-organ failure due to ischemia!

Now!

A problem occurred!

If the bleeding does not stop, multiple organs will fail due to ischemia, and the patient will die due to massive hemorrhage!

And if hemostasis, according to the existing means, only 30 minutes of hemostasis, and it may aggravate the injury, 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 Yonggang suddenly discovered a problem!

Rehydration response is poor!

Blood pressure shows no signs of picking up at all!

Systolic blood pressure <90mmHg!

Yu Yonggang couldn't help clenching his fists, it would be great to have REBOA technology at this time!

If REBOA technology can come in earlier, maybe the patient can still be saved?

At this moment, Chen Cang suddenly said, "Ultrasound, prepare to locate!"

This sentence shocked everyone!

What ultrasound positioning!

Just now, Chen Cang learned the third-level thoracic surgery without hesitation: resuscitative balloon aortic occlusion (REBOA) surgery!

This is an interventional thoracic surgery. The surgery level is not high, but it is very difficult!

After spending 11 skill points, Chen Cang's Resuscitation Balloon Occlusion of the Aorta (REBOA) technique was 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, a little stunned!

"This is……"

"Damn, is this a homemade REBOA?"

Even Yu Yonggang who was in the hospital was stunned!

This... is this okay?

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

Will this work?

At this time, Chen Cang took some physiological saline!

Then he said to the big screen: "Where I say super, you super!"

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

Although he looks very intimidating, quite arrogant...

However, the ultrasound doctor glanced at Yu Yonggang.

Yu Yonggang suddenly looked forward to it. To be honest, this was the first time he saw someone using REBOA in China!

And it's a completely homemade REBOA!

There is an indescribable sense of shock...and a surprise!

Chen Cang began to command!

He needs to puncture the balloon through the skin of the chest and place the balloon in zone I, which is the distal end of the thoracic aorta!

This can effectively prevent abdominal bleeding.

At this time, Chen Cang had already pushed the needle in according to the ultrasound display!

After the balloon entered, Chen Cang began to push the liquid!

Chen Cang said: "Okay!"

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

Resuscitative Balloon Aortic Occlusion Successful?

It's been a while!

The amount of bleeding is really less!

Immediately after the patient's blood pressure began to rise!

Yu Yonggang was instantly excited! !

Did it succeed?

...

...

ps: Thanks to the "Shuffler" leader for the 100,000 reward!

Thanks for the 20,000 reward from "Armed Provocation, TC"!

Thank you friends for your support.

The domestic 5G ambulance has been launched, which is good news!

REBOA technology is also entering the country soon, which is also good news!

It's a new month, please support!