It took only 6 minutes from reception to surgery Xianyang Central Hospital staged Fast and Furious

Shaanxi Network News (correspondent Pan Yitong in the early morning) in life, we always can not avoid the occurrence of some accidents, such as sports injuries, car accidents, falls and so on, although we do not want to see, but accidents are everywhere.

"Ding~", at 00:40 on September 6, a message was received in the WeChat group of the Trauma Center of Xianyang Central Hospital.

Du Quan, deputy chief physician of the Department of Urology, received a call from a patient with severe kidney injury caused by trauma in a grass-roots hospital, contacted Ju Zhenxing, the person in charge of the trauma center, and fed this information back to the working group. A rescue race against time has begun...

More than an hour ago (11 p.m. on September 5), a 34-year-old young man at the Jingyang construction site fell from a height and was in critical condition.

Before the patient comes to the hospital

Du Quan, deputy chief physician of the Department of Urology, immediately contacted the head of the trauma center, Ju Zhenxing, after receiving a call from the local doctor, and a rescue race against time kicked off...

00:42 After receiving the information, Ju Zhenxing immediately contacted the local doctor to further understand the situation and assessed the patient's injury through the CT film sent from WeChat

00:45 After preliminary diagnosis, considering the patient's hemorrhagic shock, closed abdominal injury, kidney rupture, there may be a combination of hepatosplenplenic, spinal injury and pelvic fracture, the injury is complex and serious, and the need for upward rotation is not excluded

00:48 The "Trauma Center" urgently starts the trauma treatment process, prepares for emergency rescue in advance, and the general duty of hospital administration and nursing arrives at the emergency department at the first time to ensure coordination, and the on-duty trauma team is on standby

00:50 According to the patient's condition, Ju Zhenxing contacted the general surgery department and hepatobiliary surgery department to pay attention to the information in the group at any time, assisted the grass-roots hospital to conduct consultation and treatment, and notified the ICU and the blood transfusion department to prepare for emergency surgery

01:00 At this time, the patient has been falling from a height for 2 hours, blood pressure 70/50, confusion, shock, considering the patient's critical condition and limited conditions in the local hospital, it is decided to transfer to the central hospital for further treatment

01:02 At this time, the patient's blood pressure has dropped to 60/30, and the blood pressure is still difficult to maintain in time for three-way infusion, and the patient's consciousness is becoming more and more blurred

Subsequently, through the WeChat group of the trauma center, the central hospital and the local hospital jointly carried out emergency treatment of patients, established deep vein catheters, and carried out blood transfusions and fluids

01:22 The patient is escorted by a local hospital ambulance to the central hospital

01:48 According to the information transmitted by WeChat, the procedures related to the patient's surgery, blood matching and hospitalization have been completed, and the green channel of the central hospital has been fully unblocked! At this time, the patient is expected to arrive at the hospital in 40 minutes, and all the rescue personnel involved are waiting in the emergency department to pray that the patient will arrive safely

High energy ahead

02:24 Patient arrives safely! Entered the emergency room, but at this time, the patient was still in a state of severe shock, confusion, blood pressure 74/40. The relevant experts immediately launched multidisciplinary MDT

02:30 The patient leaves the emergency department and goes straight into the operating room, and the ruptured right nephrectomy is performed by the Urology Department, and the general surgery department and the hepatobiliary surgery department participate on the same stage

It took only 6 minutes from entering the emergency room to getting on the operating table.

An hour and a half after surgery...

04:00 The patient's right nephrectomy was successfully completed, and after laparotomy, the intestinal contusion was serious, and the general surgery continued to operate and relay treatment

05:45 The rescue was successfully completed, the patient's blood pressure recovered, the vital signs were stable, and he was transferred to the ICU

How fast is 6 minutes of trauma treatment?

Let's simulate, suppose, in the past, the treatment of trauma patients, first by the emergency department doctor trauma assessment, and then according to the type of trauma by the corresponding department for consultation, admission to the specialty for relevant preoperative preparation, complex injuries also need to initiate multidisciplinary MDT...

The above series of preparations is bound to consume a certain amount of time and delay the "golden period" of treatment.

According to statistics, patients with severe trauma have a mortality rate of up to 30% in the 1 hour after injury.

Time is life, and rescue is a race against time. Fortunately, through the rapid green channel of the trauma center, the doctor helped him catch the vitality.

After learning the news of the successful rescue, the WeChat group of the Trauma Center of Xianyang Central Hospital has praised and cheered for this speed rescue!

This time, the trauma treatment only stayed in the emergency room for 6 minutes before going straight to the operating room. It was another beautiful victory after the establishment of the trauma center, breaking the fastest emergency response time of the trauma center of the central hospital.

In order to improve the level of trauma treatment, especially severe trauma, Xianyang Central Hospital actively implements the relevant requirements of the state, provinces and municipalities, strengthens the construction of regional coordinated treatment of trauma, and launched the establishment of a trauma center in May 2019.

The trauma center integrates resources from the emergency department, the department of critical care medicine, general surgery, hepatobiliary surgery, orthopedics, urology, blood transfusion and other disciplines, forms a real-time information docking platform, strengthens multidisciplinary joint diagnosis, rapid response, collaborative linkage, and uses the fastest and optimal process to achieve seamless docking of trauma patients from 120 to all aspects of emergency treatment in the hospital, seize the golden treatment time, and improve the rescue success rate of trauma patients.

Through the network platform, help and guide county-level trauma treatment centers and grass-roots hospitals to deal with emergencies in the process of trauma patient treatment and upward transfer.

Establish a linkage working mechanism with the provincial trauma treatment center, build a smooth provincial, municipal and county three-level trauma patient grading diagnosis and treatment, referral, remote consultation system, and promote the continuous improvement of the level of regional trauma treatment.

The information in the WeChat group of the trauma center is constantly flashing, and the members of the trauma center are sticking to it day and night, responding at any time, attacking quickly, and liking them!