Chapter 106: Feeling of Powerlessness (Second update, please subscribe)
With mounted police blaring their sirens to clear the way, Yu Zhiming, Zhao Shan, and more than a dozen other elite soldiers from the hospital rushed to the scene of the accident in three ambulances at lightning speed.
Before getting on the car, Yu Zhiming received instructions from Director Zhao.
After arriving at the scene, Yu Zhiming will set up a temporary medical center with the help of an ambulance.
He is responsible for quickly examining seriously injured patients and providing emergency treatment as needed.
The purpose is to allow the injured to have enough time to get to the hospital for emergency treatment.
Director Zhao Shan also assigned two assistants to Yu Zhiming.
One is Sun Mingqi, deputy chief physician from general surgery, and the other is Chen Li, attending physician from outpatient and emergency department.
On the way to the accident site quickly, Yu Zhiming heard more information about the accident.
A tourist bus carrying nearly fifty passengers, for unknown reasons, rushed down the nearly ten-meter-high overpass and landed on the main road under the overpass.
This made Yu Zhiming feel nervous.
This time is the rush hour...
Dr. Sun Mingqi, who was assigned to assist, noticed that Yu Zhiming, who was sitting opposite him, had a tense face and an extremely serious expression, and knew that he was nervous.
Sun Mingqi reminded him, "Doctor Yu, when treating seriously injured people at the scene of an accident, fractures don't require special treatment. The first thing to deal with is heavy bleeding, which can be fatal in a matter of minutes."
"Doctor Yu, whether we can stop the heavy bleeding depends on you."
When Yu Zhiming heard this, he couldn't help but look down at the magical weapon in his hand.
A set of expansion balloons specially designed for puncture.
This is a soft catheter with an inflatable balloon at the tip. It can expand narrow cavities in the human body, such as blood vessels, digestive tract, urinary tract, and respiratory tract, under the guidance of images.
Without expansion, the tip of the balloon catheter is advanced into the target lesion, and then the balloon is inflated at the target lesion.
After the treatment goal is achieved, the balloon can be deflated and the balloon catheter can be withdrawn outside the body.
Under emergency conditions, this balloon can expand and block large blood vessels, achieving the purpose of rapid hemostasis.
This was specially prepared by Director Zhao Shan for Yu Zhiming.
Director Zhao was looking forward to it. After Yu Zhiming found the main bleeding point, he would use precise puncture methods to accurately deliver the balloon above the damaged blood vessel to achieve rapid hemostasis and buy time for the transfer and rescue of the seriously injured.
Sun Mingqi continued, "Secondly, injuries to internal organs are the main focus, and emergency treatment is the priority, ensuring the injured can survive until they reach the hospital."
“Also, you have to be ruthless in making choices.”
Sun Mingqi said cruelly: "Some of the wounded who are seriously injured must be abandoned in time. We have no time to waste."
Yu Zhiming nodded and said, "Thank you, Doctor Sun, for your guidance. I have also learned about first aid."
"It's just that I've never had the opportunity to practice it, especially in such a large rescue scene."
He looked at the 31-year-old Chen Li next to him and said, "Doctor Chen, please prepare paper and pen..."
"Follow me and record the injuries of the wounded so that they can receive targeted and quick rescue when they arrive at the hospital."
Chen Li hummed and said, "Doctor Yu, I will record all your flaw detection results without missing a single one..."
Seven or eight minutes later, the Huashan Hospital's ambulance team finally arrived at the accident scene where a cordon was set up.
Yu Zhiming got out of the ambulance, and all he could hear were shouts and commands, mixed with suffocating cries and screams...
The next moment, Yu Zhiming was slapped on the back of his head.
"What are you doing? Get to work!"
When Yu Zhiming regained consciousness, he saw Director Zhao Shan carrying a large first aid kit and two other people passing by him, running towards the accident site where a few wisps of green smoke were still rising...
Yu Zhiming, Sun Mingqi and Chen Li had just unloaded two folding beds from the ambulance when two firefighters came running over carrying a bloody wounded man on a stretcher.
When the wounded person crossed the bed, Yu Zhiming's hands were already on the wounded person's body.
"Brain...no problem!"
"Left lung collapsed, puncture pneumothorax!"
"Left clavicle, left second and third ribs, right second rib fractures..."
"About 500 milliliters of peritoneal fluid, slight bleeding in the right kidney and liver, and a ruptured bladder..."
It took Yu Zhiming only two minutes at most to complete the examination of the injured man's chest and abdominal internal organs.
Sun Mingqi was a little stunned by the speed of the flaw detection.
He had just finished intubating the injured person and had not had time to treat the open fracture of the injured person's right arm.
At this time, Sun Mingqi saw another injured person being sent over by firefighters. The injured person in front of him had an open fracture of his right arm and could also be treated in the ambulance.
He then instructed the ambulance medical staff waiting nearby, "Quickly send this injured person to the hospital."
Hearing this, Chen Li tore off the note that had quickly recorded the injury and stuck it on the injured man's chest...
Yu Zhiming put his hand on the chest of the second wounded man, and his heart darkened.
His chest sank five or six centimeters.
Not only was his heart pierced by a broken rib, it was also flattened.
Yu Zhiming could clearly feel that this heart was on the verge of breaking into pieces and collapsing.
But surprisingly, it was still beating!
"Am I hopeless?"
Yu Zhiming looked at the middle-aged man who was still sober and had a clear premonition, and nodded without hiding anything.
"So how much time do I have left?"
Yu Zhiming spoke frankly, "It's a miracle that you're still conscious and able to speak."
"Maybe, only three to five minutes."
The middle-aged man then said, "This happened suddenly, and I have some important matters to attend to."
"Could you please record my last words for me?"
Yu Zhiming quickly asked Dr. Chen Li to record a farewell video for the dying patient, who remained conscious and calm...
"I am Liu Yizhi. I am still conscious and am making the following arrangements regarding my afterlife..."
"First, my company and all the shares in other companies are owned by my wife and daughter..."
On the third injured person who came right after him, Yu Zhiming finally used an expandable balloon.
His renal artery was torn and he was bleeding profusely.
Yu Zhiming used a puncture needle and successfully delivered the expansion balloon into the proximal end of the renal artery with just one puncture, and then inflated it, temporarily putting the renal artery in a state of obstruction.
From detecting the renal artery rupture, to locating the blood vessels, and finally to stopping the bleeding, it took no more than one minute.
This once again shocked Sun Mingqi...
"Hurry, hurry, doctor, save him..."
At the urging of a firefighter, Yu Zhiming welcomed the fourth injured person.
"No need to cross the bed."
Yu Zhiming stopped the two firefighters from moving over the bed and took his hands off the chest of the person on the stretcher.
"He has no heartbeat or breathing. Carry him to the other side."
As soon as Yu Zhiming made this judgment, one of the firefighters couldn't help but shout, "How could it be?"
“How could it be?!”
"He was just talking to me, saying he didn't want to die, that he wasn't married yet, and that his parents were waiting for him to come back for National Day."
"Doctor, doctor, please don't give up. Aren't there many people who have lost their heartbeat and breathing who can be resuscitated?"
"Save him, please save him!"
Yu Zhiming looked at the firefighter who was a few years younger than him and still a little green, and shook his head.
"He was so badly injured, there was nothing we could do."
The young firefighter suddenly broke down, hit his head hard, and cried, "If only I had saved a little more time and rescued him earlier."
"Blame me, blame me, wuwu..."
Seeing the young firefighter like this, Yu Zhiming felt very uncomfortable and wished he had the ability to bring the dead back to life.
But he is just a young doctor with limited abilities...
In the next hour, Yu Zhiming received eight more seriously injured people.
There were two of them that Yu Zhiming was powerless to deal with.
For the other six people, Yu Zhiming not only examined their internal injuries, but also provided emergency treatment to the best of his ability.
For one of the injured, Yu Zhiming used five expansion balloons just to stop bleeding.
Another injured person had a torn abdominal artery. After Yu Zhiming used a balloon to stop the bleeding, he saw that there was still time, so he performed a minor extracorporeal blood supply surgery on him.
Brain cells and myocardial cells are sensitive to hypoxia, and cell necrosis will occur after four to six minutes of ischemia.
Other organs and tissue cells in the human body have stronger oxygen resistance, and cell necrosis usually occurs after twenty minutes.
It should be noted that the occurrence of partial cell necrosis does not mean that the entire organ is useless.
For example, human organs and limbs can still be successfully replanted several hours after being removed from the body.
However, necrotic damage at the cell level is inevitable and requires a long recovery process.
Therefore, the shorter the interval between replantation and transplantation surgery, the better.
If the internal organs are ischemic, the shorter the better.
Yu Zhiming performed an internal bypass surgery, partially restoring the patient's celiac artery blood supply, alleviating hypoxic damage to some abdominal organs.
After a thrilling hour, no more wounded were sent to him.
Yu Zhiming also understood this.
For those seriously injured people like before, it would be difficult for them to survive for more than an hour without effective treatment.
There is no need to send the wounded with less serious injuries to him.
Finally having some free time, Yu Zhiming's gaze involuntarily turned to the open space not far away.
There were three gray bags with three people lying inside, including the middle-aged man who had calmly filmed the suicide note before!
They lay there quietly, waiting for transfer.
Yu Zhiming felt an indescribable discomfort in his heart, as well as a deep sense of powerlessness...
Sun Mingqi patted Yu Zhiming's shoulders a few times and comforted him, "Look at it brightly. You saved eight people."
Yu Zhiming let out a long breath and said, "We only saved their breath temporarily. When they get to the hospital, there are still life-threatening situations waiting for them."
"I'm very thankful that only five of them survived."
At this time, a young doctor ran towards them, shouting loudly as he ran.
"Doctor Yu, come here quickly, we need you here..."
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(End of this chapter)
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