Surgery Godfather Chapter 512 - 512 468 Two Choices

Chapter 512: Chapter 468: Two Choices Chapter 512: Chapter 468: Two Choices The last 8 units of AB type blood from the blood bank are being transported to Sanbo Hospital. Afterwards, an ergency procedure is initiated to gather relatives and volunteers for urgent on-site blood donation, which will take so ti. For now, only these 8 units are available for rescue.

“This one is the driver, and there’s a student next door. Both have severe injuries. Director Han says you need to evaluate them.”

Dr. Lv provides a brief overview of the patients’ conditions. Whether they can be saved or not depends solely on Yang Ping. No one else can act as quickly.

At the end of the ergency surgery corridor, two policen stand at the large doorway. The female driver is suspect of drunk driving. She drove straight into a crowd without any attempt to brake. After her first collision with the crowd was blocked by an obstacle, she reversed and then accelerated, hitting another group of people. She intentionally targeted crowded places. This is considered a cri.

After understanding the situation, Yang Ping quickly glances at the CT images on the screen. The abdon and pelvis are a ss; multiple large blood vessels must have ruptured. If she were to be treated conservatively for the ti being, relying on blood transfusion and fluid replacent to resist shock, it would be impossible to maintain a blood volu balance. Even if a pelvic external fixation fra is temporarily installed to maintain pelvic volu, it still couldn’t balance the volu. There are bleeding points everywhere.

If intervention departnt is asked to perform embolization, it is impossible to embolize so many places, and there is no ti.

The fastest and most effective thod is the application of aortic balloon occlusion technology.

A puncture from one relatively intact femoral artery will deliver the balloon into the abdominal aorta. It can then expand within the abdominal aorta, blocking it and almost entirely stopping all bleeding below this plane, significantly reducing blood loss.

The balloon can even be delivered to a higher position to control bleeding, cooperating with blood transfusion and fluid replacent to temporarily stabilize blood pressure, buying ti for surgery.

This operation can be completed in just one or two minutes.

A plan rapidly ford in Yang Ping’s mind, and he imdiately ordered:

“Prepare for REBOA!”

REBOA, Resuscitative Endovascular Balloon Occlusion of the Aorta!

Dr. Lv, who had followed, imdiately took out the REBOA kit from the surgery room’s storage cabinet as soon as he heard Yang Ping’s order.

This equipnt is always ready in the ergency operating room, but no one can apply this technology as proficiently as Yang Ping.

Director Ouyang and Old Jin arrived at this ti. Yang Ping handed over this patient to them and went to the next room with Song Zimo and others to see the student.

“You start with REBOA!”

Yang Ping gave an instruction and imdiately went to the operating room No. 2 next door.

There are currently 6 operating rooms in the ergency departnt, all of which are integrated examination and operating multifunctional rooms.

“Hypovolemic shock, pelvic comminuted fracture, sacral comminuted fracture, bilateral femoral shaft fracture, multiple rib fractures, hemothorax, diastinal hematoma, lung rupture, severe pelvic comminution, blood pressure cannot be maintained—”

The ergency doctor in charge of this patient reported the condition to Yang Ping.

“This female student, a high school student, has the most severe injuries, along with the driver we just saw.”

Dr. Lv followed over again; he was in charge of on-site ergencies and needed to report the patients’ conditions to Yang Ping at all ti.

Screen images flashing past, Yang Ping made an imdiate diagnosis. This patient’s condition was extrely similar to the previous one; they were both on the brink of life and death.

“REBOA!”

Without waiting for the ergency doctor to act, Little Five directly took out the REBOA kit from the cabinet, opened it, and Yang Ping and Song Zimo put on gloves. Song Zimo acted as the assistant.

Puncture, insert the sheath, deliver the shrunken aortic occlusion balloon through the sheath.

Based on the patient’s height, CT scan images, image ratios, the amount of bleeding in each part, Yang Ping quickly judged the precise anatomical location of each segnt of the patient’s aorta and the height at which the balloon needed to be delivered.

With swift actions, the balloon was delivered to the appropriate location and imdiately inflated. The inflated balloon instantly blocked the aorta’s lun, similar to closing the main valve of tap water, thereby controlling the majority of bleeding.

However, this is only a temporary asure to stop bleeding. If we want the patient to survive, we need to supplent blood to maintain the perfusion of important organs. The delivery of oxygen requires an adequate amount of blood.

During this window period, we have to seize the ti to perform surgery and achieve long-term hemostasis. Only then will the patient have a chance to survive.

This kind of surgery is nothing more than a race against bleeding.

Stopping the bleeding and transfusing blood before massive blood loss causes organ failure can all be reversed; if we fail to stop the bleeding and transfuse blood before organ failure, vital organ ischemia and hypoxemia will cause a domino effect, leading to a state of exhaustion from which it is impossible to recover.

“Continue transfusing blood! Prepare for surgery, I’ll go check next door. I’ll be right back.”

In the next room, Dr. Jin and Director Ouyang are performing a puncture and inserting the aortic balloon, but due to their less accurate judgnt of the location, they are slowly pushing it up, correctly inflating the balloon.

“Too low! Go up, again, go up more!”

Yang Ping simply did it himself, pushing the balloon almost fifteen centiters higher before inflating it.

“You continue with this one, I need to go back to the next room.”

Yang Ping was only here to help insert the balloon, completing the ergency hemostasis.

When Yang Ping returned to operating room No. 2, Song Zimo had already completed the disinfection process and was preparing for thoracotomy. They both held full surgical privileges and didn’t need the assistance of the Thoracic Surgery Departnt.

The Departnt Director of Thoracic Surgery stood at the door, saw that the surgeons were Yang Ping and Song Zimo, did not say a word, and changed his consultation target.