godfather of surgery

Chapter 229

In winter in Tokyo, it snows almost every year.

However, the snow in Tokyo looks exquisite and small, unlike Hokkaido, where every snow comes gracefully and gorgeously.

There was a light snowfall a few days ago, and the roofs were covered with a thin layer of snow, and the snow on the road surface had been cleared away by people long ago.

However, there are still small snowplows cruising on the street to remove the snow in time to keep the traffic flowing. The snow is not very heavy, and the snowplows seem to have no effect.

The streets are a bit slippery, and there is no snow to be seen. There is piled snow not far from the roadside, and occasionally a snowman can be seen.

People will not slow down their hurried pace because of the snow. Men wear windbreakers, women wear hats, and occasionally girls in short skirts, rushing past on the street.

On the highway, there is no trace of snow at all.

Yoshino Koura was sitting in the ambulance, followed by several ambulances.

They received news that seven cars rear-ended in a row on the Cangong Bridge section, causing heavy casualties.

Yoshino is no stranger to this section of the road. The almost right-angled turn in an area with a high incidence of accidents in Tokyo caught many distracted drivers by surprise.

A few years ago, when he was still a teaching assistant, he participated in the first aid of car accidents on this section of the road.

Unexpectedly, a few years later, he came again, this time he was already a lecturer.

Because of the accident, the traffic jam has stretched for dozens of kilometers. There are no illegally parked vehicles on the emergency lane, and no tires even cross the line.

This made the intervention of the ambulance work very smooth. The ambulance team flashed red lights, roared forward at full speed, and soon arrived at the accident site.

At the scene, there were scattered auto parts everywhere. The traffic police had sealed off the scene, and the traffic rescue team was also in place and was carrying out the rescue.

The hospital's helicopter has arrived first and stopped on the highway in front of the accident site. Two doctors and nurses have completed the initial examination of the wounded.

An identification belt was worn on the wrist of each wounded person. Green means that the vital signs are stable and no emergency treatment is required; yellow means that emergency treatment is required but not fatal for the time being; red means that the vital signs are not stable and life has been seriously threatened.

"Tokyo University Hospital Yoshino Koura!" Yoshino opened the car door, jumped out, and let out a sigh of relief.

A traffic policeman in a reflective vest greeted him, bowing slightly.

"Mr. Yoshino, please, there are many wounded." The traffic police introduced.

Watanabe, the leader of the helicopter advance team, is also a senior lecturer-level doctor. He ran over and reported the results of the initial inspection to Yoshino.

There were a total of fifteen wounded at the scene. Unfortunately, one had already been labeled black, and the remaining fourteen had four red labels, eight yellow ones, and two green ones.

All the ambulances have opened their doors, and there is no need for Yoshino to direct them. They have already been divided into groups. The green ones will be ignored for the time being, and the red ones will be taken care of by a separate team. The remaining yellow ones will also be treated by the group in time.

The members of each group often cooperate together. Whether it is usual training or emergency rescue, they are all in a fixed match, and the cooperation is very tacit.

In a Toyota hatchback, the front and rear of the vehicle were completely compressed, and the driver's chest was severely squeezed. The rescue team used tools to cut the wounded before moving the injured to flat ground.

"Coma, multiple rib fractures, severe lung contusion, hemopneumothorax, tension pneumothorax, multiple fractures throughout the body." The doctor in charge of the wounded examined the patient carefully.

"Closed chest drainage!" The doctor adjusted his gloves and ordered.

As soon as the words were finished, the nurse had already brought a closed chest drainage kit from the car.

The sharp knife pierced through the ribs, puffed out, and the high-pressure air rushed out, making a short and powerful sound; the pipe was quickly inserted, and a series of blisters immediately appeared in the water-sealed bottle.

The patient's breathing slowed down, and his face looked better. The doctor's hand didn't stop, he was groping around the throat.

"Tracheostomy!" The order was clear and short.

The nurse handed over the tracheotomy kit and opened it. The doctor moved skillfully. In less than 1 minute, the tracheotomy was completed and the cannula was inserted.

At the same time, the nurse took advantage of the gap between the doctor's operations to complete the blood collection and put a label on it. This is patient No. [-] of Shengong Bridge.

"Get in the car, we can go back."

The doctor changed a pair of gloves, and the garbage left by the operation just now was put away in a yellow bag.

The stretcher was opened, and two stretchers carried the wounded onto the stretcher and sent it to the ambulance. The red patient, they need to follow all the time, one-on-one.

The other Honda SUV wasn't much better, badly out of shape.

"The femoral artery is torn. On-site surgery is required. Please open the suture bag." The doctor pressed with bare hands to stop the bleeding.

The nurse opened the suture bag, and two people started to stop the bleeding on the spot of the femoral artery, and the doctor clipped the femoral artery.

Ask the nurse to observe the blood supply of the lower extremities, and the nurse responds: "The blood supply is qualified!"

"Temporary ligation is possible!" The doctor made a judgment and performed a simple ligation.

In the third car, the situation was very bad. The ground was covered with blood, and the blood was still spreading. Yoshino went from red to yellow to green, and every wounded person personally took care of it.

"Pelvic comminuted fracture, pelvic visceral injury, perineum and rectum were severely torn, and there was too much bleeding. I used the aortic interventional balloon to stop the bleeding, but it still didn't work." Seeing Yoshino coming, the doctor reported immediately.

Yoshino visually inspected the patient's height and said, "Send the balloon up another five centimeters. Next time, remember that you need experience in judging the location of the bleeding. There are differences in anatomical landmarks for people of different heights."

"understand!"

The doctor carefully deflated the balloon, then sent it up another five centimeters, and re-inflated it.

Dr. Yoshino was right, five centimeters higher, the bloody lower limbs and perineum stopped spurting blood.

A miniature car is the worst, the driver has been tagged black, the woman in the back seat is in a coma, this is Sangong Bridge Patient No. [-].

The black-labeled wounded were still moved aside. A group of doctors and nurses performed standard cardiopulmonary resuscitation, checked repeatedly, and finally had to give up.

"She's pregnant, oops, something pierced her abdomen, the fetus has been injured?"

The patient has been moved to a stretcher on the ground, the doctor has completed the tracheotomy and connected a simple ventilator.

Hemorrhagic shock, blood type out, cross-match, blood transfusion!

"Yoshino-kun, she's dying, one side of her pupil is dilated!" The doctor needed Yoshino's support.

Intracranial hemorrhage, intracranial hypertension, and brain herniation, Yoshino opened the patient's eyelids with two fingers, observed the pupils, and quickly made a judgment.

Before becoming a trauma emergency doctor, he had rotation training in internal medicine and surgery, and he was able to independently perform trauma emergency operations on any part of the body.

"Quick intravenous infusion of 20% mannitol! Open the first aid kit for the operation, and before going to the hospital in time, the bone craniectomy is needed to decompress!" Yoshino didn't think too much.

If this patient did not decompress the intracranial on the spot, she would not be able to reach the hospital. Years of experience made his judgment very accurate.

The wounded were sent to an ambulance capable of performing surgery, and the surgical first aid kit was opened.

Shaving with an electric razor, disinfecting sheets, spraying hand sanitizer, wearing double-layer gloves, the scalp was lifted by the knife, the nurse handed over the electric drill for craniotomy, Yoshino drilled a few holes, and cut off the surrounding area with a primitive wire saw. A piece of the skull was lifted, and the brain tissue instantly swelled out.

A special sterile protective cover covers the skull defect, and the removed bone fragments are put away by nurses and then bandaged.

"She needs a helicopter, please send her to the helicopter?" Yoshino ordered.

The stretcher carried the patient, connected to the ventilator, and boarded the helicopter. There were also blood samples from each wounded person on the helicopter, which was taken back for cross-matching.

"Take off!" ordered the doctor in charge of the pregnant woman.

The helicopter lifted off slowly, and the huge airflow blew the grass on the side of the highway to the ground.

The pregnant woman was transported by helicopter, and the ambulances for all other red and yellow wounded were sent back to the hospital headquarters.

Yoshino looked up at the sky, returned to the car, took out his laptop, wrote a written report on the condition of the wounded, and sent it back to the headquarters, where someone would accept it at any time.

"Help me!" Someone waved and shouted.

In a Volvo XC90, the wounded was trapped in the driver's seat and needed cutting to get out.

He was labeled green, and the remaining group of doctors went to see him at this time.

"Volvo saved him. The powerful A-pillar didn't deform, and the space it maintained saved his life. This is the space for life," said the traffic rescuer.

"Boron steel, ordinary cutting machine will take a long time!"

Rescuers know the anatomy of these vehicles well, and Volvos are the trickiest to cut.

"Let's laser cut!" suggested another team member.

A laser cutter was removed from the car and placed beside it.

"avoid!"

Rescuers put on goggles, and doctors and nurses avoided.

Laser cut, the sprayed water column helps to cool down, and quickly evaporates into gas.

After the cutting was completed, the driver was carefully removed, and the doctor quickly checked again. The vital signs were stable, and the green label was still maintained.

"Help me, I'm dying, take me to the hospital by helicopter!" The man was very nervous.

Yoshino patted him: "You are lucky, you were the last one to get on the bus."

"Oh, my God, where is my wife, she is still in the car!" The driver suddenly remembered.

"It's okay, she got in the car a long time ago and is waiting for you. If there are no accidents, you can go to a movie tonight." Yoshino comforted him.

His wife also had a green label, and suffered minor skin and soft tissue contusions. The wife was sitting behind the driver's seat, and the door could be easily opened, so he was rescued early.

The last one was sent to the ambulance, and Yoshino was already covered in sweat. Fortunately, no one in the congested convoy behind him honked their horns, and everyone waited quietly.

Some people evacuated to the outside of the highway, constantly rubbing their hands, or making phone calls to explain the reason for being late to the company or home.

A man in a windbreaker came over: "Do you need help?"

The traffic police blocked him: "Thank you! No need, there are professionals here, and it will be ready soon. Go back to your place and wait quietly."

"Thank you, Doctor Yoshino!" The traffic policeman still remembered Yoshino's name.

Yoshino waved his hand: "To be honest, I hate seeing you, and hope not to see you again!"

The traffic policeman smiled: "I hope."

The last ambulance started and rushed to the hospital at full speed.

Yoshino rested on the seat, a bit regretful, there was still one person who was labeled black.

He prayed every time, and brought back as many black labels as he brought out.

But this time there is still one missing.

It would be great if I could come earlier, but it is already very fast.

(End of this chapter)