Chinese medicine: When you do things to the extreme

Chapter 300 Technical Barriers (Subscription Request)
After all, Professor Lin Changhong was Zhou Yanqing's leader. He saw that Zhou Yanqing's girlfriend came to accompany him for dinner and felt it was not appropriate to disturb him. After Zhou Yanqing finished eating, he chose to send Chen Yu away first, and then rushed to the director's office as soon as possible.

Zhou Yanqing knocked on the door gently, and a voice came from inside saying "come in".

"Director Lin, Professor Yang, Sister Qin, Brother Guodong..." Zhou Yanqing called people one by one.

Professor Lin Changhong was probably organizing a study meeting within the group, so he called over several key people.

Zhou Yanqing had not sat down yet after calling everyone when Zheng Qi from the Department of Neurosurgery and Lan Zhuozhi from the Department of Cardiac Surgery arrived one step later.

Seeing that most people had arrived, Lin Changhong closed his notebook, then turned on the newly installed projector in the director's office and projected the PPT on the computer onto the wall.

The title of the document is particularly eye-catching.

Polytrauma is the leading cause of death and disability worldwide! ~
After seeing everyone sit down, Lin Changhong said, "Let's have a small meeting. We're mainly going to talk about some things in our trauma center from a macro perspective."

"Multiple injuries are defined as situations where two or more parts of the human body are severely injured simultaneously or successively due to the same injury. Due to its characteristics of "high mortality rate, serious injuries, and easy misdiagnosis", special attention should be paid to the three death peaks in clinical rescue!"

"I mentioned this before, but I didn't tell you in detail about these peaks of death."

"The first peak of deaths occurred within a few minutes of the accident! ~"

"According to the human anatomy, among multiple injuries, the injury rate of the limbs is the highest, followed by road and brain injuries, and the mortality rate of craniocerebral injuries is relatively the highest."

"According to incomplete statistics, 50% of all accidental injury deaths are instantaneous."

"The main causes of death are severe trauma to the brain, brain stem, and upper spinal cord, or tearing of large blood vessels such as the heart's aorta, asphyxiation due to various reasons, shock caused by massive bleeding, and severe damage to important organs."

"That is to say, in our trauma center, we only have a chance to save 50% of the patients at the scene!"

"This data is very shocking." Lin Changhong presented group of data. Zhou Yanqing and others had no idea where the data came from.

But no one has ever doubted the truthfulness of Lin Changhong's words.

Everyone's expression turned serious, including Zhou Yanqing.

Doctors can also calmly accept the death of patients in front of them, but they will never wish for their patients to die.

After Lin Changhong scanned everyone's expressions, he continued, "We have no way to deal with the first peak of deaths on the spot, because no one can predict the future and wait on the spot."

"So, what we want to focus on is the second peak of deaths."

"The second peak of deaths occurred within two hours after the accident. The main causes of death during this period were massive bleeding caused by multiple injuries such as hemothorax, liver and spleen rupture, pelvic and fracture injuries."

"This time is also known as the 'golden time' for rescue. If the rescue is timely and appropriate, most patients can be saved from death. The rescue method depends on the patient's condition. The main measures include rapid hemostasis, relieving airway obstruction, and fixing fractures."

"The third peak of deaths occurs in the weeks after the injury. This is not what we are discussing today."

Lin Changhong continued, "The deaths that have occurred in our hospital's trauma center this month are mainly due to the following reasons."

"First, there was massive subarachnoid hemorrhage, resulting in brain herniation and central nervous system necrosis." "There is no way to save the patient. We can only try our best to rescue him. This is an absolute technical barrier at present."

"Brain death only takes five minutes..."

"Without scientific and technological breakthroughs, no one can help. The neurosurgery department of Xiangya Hospital is already at the top of the rescue and treatment level in China and even in the world."

"Dr. Zheng Qi and Dr. Gong Zhenyu both have very good skills and can handle most common craniocerebral injuries. As for some cases that cannot be handled, it is not certain that the professor will be able to handle them well."

"Secondly, the patients who died in our trauma center this time were mainly concentrated in the following aspects."

"Rupture of the liver and spleen. Comminuted fracture and destruction of the pelvis."

"Damage to the aorta!~"

"Strictly speaking, the death mechanism of liver and spleen rupture is very similar to that of comminuted fractures of the aorta and pelvis. The golden time for treatment is within ten minutes."

"If there is a delay, even if the patient is sent to us, it will be useless. Unless the bleeding is stopped on the spot, the patient will die. The patient died during the transportation."

"So, what we are trying to achieve is non-destructive injuries to solid organs, such as severe trauma and contusions."

"Destructive injuries to the limbs, hemipelvis, thigh area, shoulder. Or such injuries are complicated by substantial damage to multiple organs."

"For example, the sixth patient who died in our trauma center this week had a diagnosis that could be broken down into these categories."

"Destructive damage to the right upper arm, rupture of the brachial artery, rupture of the spleen, burst liver, intestinal damage, and rupture of both external iliac arteries."

"The right thigh is damaged, the femoral artery is ruptured, and the femoral vein is ruptured..."

"After this patient was admitted to the hospital, we immediately performed emergency treatment and stopped the bleeding."

“But in fact, it’s too late.”

"Let's review this patient's basic condition carefully. Can we find a more scientific treatment procedure?"

"Should the hemostasis of the large arteries take precedence over the hemostasis of the arteries of the limbs? This is one of the key points we want to explore. If we can figure this out, the rescue process for hemorrhagic diseases in our trauma center will be more smooth, and we can form a promotional plan and spread it to other colleagues." Lin Changhong's tone was calm and unhurried.

There was no inflammatory temptation at all, but it was this straightforward tone that stunned everyone right from the start.

Perhaps, whether it is Huang Yaqin or Zhou Yanqing, they are only thinking about how to improve their skills.

Lin Changhong's perspective has become how to make other peer technologies better so that they can better target and treat clinical diseases.

The guidelines should be revised to summarize, generalize, explore and formulate plans for the diagnosis and treatment sequence of emergency trauma with high mortality rates, and even cover the original guidelines.

"Professor Yang, you are a vascular surgeon, can you please tell me what you think?" After Lin Changhong asked the question, he began to solicit opinions without any hesitation...

(End of this chapter)