"Through the joint efforts of the Nanning traffic police and the trauma treatment team of our second hospital, the patients have survived the difficulties involved in danger!" The patient's consciousness is back to consciousness today, and the vital signs are normal! The replanted right hand and right calf are in good blood luck! At 12:47 noon on October 29, Zhang Bo, director of the Trauma Treatment Center of the Second Hospital of Nanning City, posted a video of "15-hour life and death rescue" in the circle of friends, accompanied by the above text.
What is the touching story of the 15-hour life-and-death rescue? It all started on October 28. (Previously reported: Urgent!) Nanning police and medical jointly travel to and from the city of Long'an to escort the seriously injured who have been shocked).
Both hands and feet were strangled, and multi-department linkage rescue
At about 10:44 a.m. on October 28, the Second People's Hospital of Nanning City received an urgent request for help from the Medical Federation Unit, Long'an County People's Hospital, and a critically injured person needed to be urgently referred to the Second Municipal Hospital for further rescue. After receiving the request for help, the Nanning Traffic Police Command Center immediately activated the "Life Rescue Green Wave" emergency support mechanism, and the ambulance was escorted by iron to the emergency department of the Second People's Hospital of Nanning City.
Chen Yu, a police officer of the command center of the traffic police detachment who tracked the rescue road condition broadcast throughout the process, told reporters that after receiving the alarm, the Nanning traffic police command center launched the "life rescue green wave" emergency support mechanism for the first time, and guaranteed it through video tracking, signal light green wave and traffic police iron escort mode. At the same time, the traffic police department also used the radio, official microblog and other channels to broadcast the whole process to remind passing vehicles to pay attention to giving way. At 13:21 that day, the ambulance drove past Natong, and the iron cavalry team was already on standby at the manhole toll station. "At 13:50, the ambulance got off the highway, the signal light green wave and the iron riding escort mode were turned on at the same time, and under the escort of the iron horse, the ambulance smoothly arrived at the hospital at 14:00 through South Station Avenue, Baisha Avenue and Wuyi Road!" Chen Yu introduced that because the green wave channel for life rescue was opened in time, the ambulance was unimpeded along the way and arrived at the hospital in the shortest possible time.
On the way back to Nanning from Long'an, the doctors paid attention to and monitored the changes in the patient's condition at any time through the 120 remote monitoring system and the network working platform of the Trauma Emergency Center of the Second Municipal Hospital.
The trauma treatment center immediately launched the "trauma emergency response system of the trauma emergency center", and Zhang Bo, director of the trauma treatment center, organized a multidisciplinary emergency consultation, formulated a rescue plan, and waited in the emergency department.
A multidisciplinary treatment team is composed of directors of anesthesiology, ICU, trauma hand surgery, emergency department, gastrointestinal surgery, thoracic surgery, neurosurgery, and blood transfusion department, who have made relevant preparations based on the patient information obtained in the early stage.
As soon as the patient arrives, the hospital begins to provide intense and methodical life support. The trauma team responded calmly, making decisive decisions and developing surgical plans.
Considering the complexity and variability of the condition, after joint discussion by the multidisciplinary joint treatment team of the Trauma Center, it was decided to perform 8 operations, including "right upper limb amputation reimplantation + right lower limb amputation reimplantation + chest closed drainage + head avulsion injury debridement suture + abdominal penetrating injury exploration + left tibia fibula open fracture external fixation mechanism fixation + left thigh debridement VSD negative pressure suction".
At 2:35 p.m. on the same day, the patient was prepared for the operation while fighting shock and was sent to the operating room by the emergency department.
"We have opened a green channel for emergency patients, and the patients can go from entering the hospital gate to the operating room in no more than 40 minutes, ensuring the efficiency of treatment." Zhang Bo, director of the Trauma Treatment Center, said.
Eight surgeries in sync create a miracle of severed limb replantation
Performing 8 surgeries simultaneously is a huge challenge for every member of the multidisciplinary joint treatment team, as the complexity and difficulty of the procedure is greatly increased compared to a single procedure.
In the operating room, under the guidance of Liao Yan, director of the Department of Anesthesiology and Blood Transfusion, the patient was immediately given 16U of red blood cells, 2160 ml of plasma, 40U of cryoprecipitation, and 3 copies of platelets... A series of rescue measures were carried out in an intense and orderly manner.
After the thoracic closed drainage, head avulsion wound debridement and suturing, and abdominal penetrating injury exploration, Director Zhang Bo immediately arranged for 6 microsurgery experts to reimplant the patient. Cui Xiangrong, He Hui, Xiong Kai, three deputy chief physicians led Xie Yi, Feng Jincheng, Ran Fenghua and other young doctors to divide into 3 groups and race against the clock to start the operation.
Among them, Cui Xiangrong's group will completely debride the wound of the right upper limb, and debride the blood vessels and nerves that can be anastomated under the microscope, and make a sign for backup; the group of deputy chief physician He Hui will debride the severed right lower limb, while looking for arteries, veins and nerves and do a good job of marking; Xiong Kai's group of deputy chief physicians will completely debride the left leg and prepare for the fracture external fixation surgery.
The air seemed to be condensing, and the tense surgical atmosphere was carried out with the assistance of two microscopes. Performing 3 surgeries simultaneously is self-evidently difficult for every member of the microscopy team. After many challenges and 10 hours of arduous surgery, the final surgery of the severed limb was successfully reimplanted. After the operation, the patient is transferred to the Intensive Care Unit for further monitoring.
Launch efficient linkage Multidisciplinary collaboration has yielded results
Zhang Bo, director of the Trauma Treatment Center, said that for the rescue of trauma patients, it is necessary to race against time. The treatment of trauma patients requires a fast, efficient and integrated treatment system.
It is understood that the injured Aunt Luo, 44 years old this year, was accidentally caught in the machine while working in Long'an, and when she was sent to the hospital, her right forearm and right calf were broken, her lower leg was fractured, and she suffered multiple wounds and lacerations throughout her body, her breathing was not smooth, and she was shocked, which was very critical. "Her condition was so serious that there was bleeding in the skull, and the hospital dispatched medical staff from three departments to participate in the operation, and colleagues in the department of thoracic surgery and gastrointestinal surgery first performed related surgeries on her, and finally our department performed a dissection limb reimplantation operation until 00:00 a.m. on the 29th." Zhang Bo and his colleagues successfully treated the patient after an overnight struggle, "At present, it is mainly anti-infection, and the next 10 days are critical periods. ”
After the operation, the patient was transferred to the intensive care department for further monitoring, because the operation of the limb is very strict on the time requirements, the sooner the better, so for the rescue process of the police and medical joint traffic police department to respond quickly to the whole process of protection, the hospital also sincerely expressed its gratitude.
Greetings to Nanning traffic police and medical staff!
Kudos to Nanning's "Life Rescue Green Wave"!
Cheers for Aunt Luo!
Source: Nanning Evening News Nanning Bao client (Nanning Traffic Police, Nanning Second People's Hospital photo)