Chapter 437 Run over by an armored vehicle
437 was crushed by an armored vehicle
Su Yang's speech made the conference room silent for a while.
Everyone stopped talking and didn’t know what to say. No matter how powerful you are, no matter how rich your department is, it is not as good as the "going joint logistics, and the whole-region joint logistics" of a medical training and a joint logistics force!
Su Yang’s two moves are like killer moves!
Nothing else can compare.
The meeting ended in this depressing atmosphere.
The dean had just announced the end of the meeting, and Zhang Tong's cell phone vibrated. He picked up his cell phone and looked at it habitually. If it was just a normal phone call, it would definitely not answer it, but sometimes they would have special tasks, so they had to take a look.
Seeing the caller ID, Zhang Tong's eyebrows froze, and soon, he answered the phone.
His call ended soon.
After hanging up the phone, he turned his head and said a few words to Li Qiulin. Then, he looked at Su Yang and the others, as well as several people from the orthopedics department and said, "You stay for a while."
Su Yang was stunned.
He didn't know what was going on.
Soon, Zhang Tong came over and said, "I just received a call from the leader of an armored force. One of their soldiers was accidentally crushed by an armored vehicle while training. The situation was very critical. You should go back immediately to prepare for the treatment. The injured are being transported by helicopters."
After hearing this, Su Yang nodded quickly.
Soon, he walked out with several people from the emergency department, and the orthopedics also followed.
Su Yang was the first, but after only a few steps, Zhang Tong stopped him: "Su Yang, wait for me!"
Su Yang stopped and waited for Zhang Tong.
Dean Li Qiulin and Zhang Tong walked towards him together.
Zhang Tong lowered his voice and said to Su Yang: "Su Yang, this injured little soldier is the child of a superior leader, so..."
Su Yang was stunned when he heard this, and soon he understood.
No wonder people called Zhang Tong directly, so that's the case.
After coming back to his senses, he immediately made a statement, saying that he would do his best to cure the little soldier.
Su Yang hurried back to the emergency room.
The three deputy directors and one director of the emergency department were all on guard, and the director of orthopedics and one deputy director also stood aside.
Su Yang also lowered his head and had a cold face.
He was thinking about the next treatment in his mind.
Foot crush?
Or an armored vehicle?
The situation must be very serious, maybe it will be intercepted?
But it is obvious that no matter from the perspective of doctors, patients, or patients' families, they do not want such a situation to happen!
So he must try every means to avoid amputation!
But what if the situation is too serious?
As a weight-bearing part of people's daily walking, the foot is easily injured by external forces. In recent years, there have been more and more trauma caused by motor vehicles to crush the foot. The back of the foot is weak because the skin is close to the tendons and bone soft tissue. When crushed by external forces, it is easy to cause decoil injury. The soft tissue of the skin is often crushed and severely caused skin fragmentation and inactivation or large-scale defects, and it is impossible to use in situ suture or back-retrieval, which causes soft tissue defects in the foot; the wound is easily infected and difficult to heal itself, and the disability rate and amputation rate are relatively high.
Su Yang quickly entered the system space and searched for relevant data for research.
In fact, he wanted to check the information after being crushed by an armored vehicle. Unfortunately, there are very few such information in China or abroad and it is impossible to find it at all. He can only find some cases in car accidents, which can only be used as reference.
After a while, the roar of the helicopter sounded.
Hearing the voice, everyone immediately rushed out with the flat cart.
I received the patient in a short while.
The patient was already in a coma and was in a serious condition. The skin avulsion was extensively avulsed from the left dorsum to the ankle and the mid-distal end of the soles of the feet, the skin defect area was 24cm×12cm, and some tendons, blood vessels, phalanx bones were exposed, phalanx, metatarsal, tarsal fractures, and skin soft tissue damage were all uncoiled, the skin was severely crushed, the contamination was severe, and there was no activity.
Seeing the patient's situation, everyone's expression became a little solemn. The situation was very complicated. The simplest treatment was naturally amputation, but it was obvious that unless it was absolutely necessary, everyone would not let such a thing happen.
Traditional treatments generally use pressurized bandaging and gypsum fixation techniques, but skin necrosis often occurs after surgery.
"I don't know if the VSD treatment will be better?" Li Tang, director of the emergency department, frowned, as if he was talking to himself.
Negative pressure sealing drainage technology (vacuum -sealing -drainag e vsd) is a new treatment method developed in recent years that has a clear effect on skin soft tissue crushing injuries.
This technology was first created by the 1992 Institute of Dr. Fleischmann, a Ph.D., in the orthopedic field, in the treatment of soft tissue defects and infectious wounds.
In 1994, Professor Qiu Huade and others were the first to introduce this new type of drainage technology in the country.
In recent years, many scholars at home and abroad have applied it to the treatment of various acute and chronic complex wounds or to promote the survival of transplanted skin.
After nearly ten years of clinical application and active development, vsd technology has become a standard treatment model for treating multiple wounds in orthopedics and surgical fields.
So, what comes to mind is naturally this treatment method.
However, different people will still have different results when dealing with the same treatment method.
Su Yang is naturally very proficient in this technology, but in order to cure the patient quickly and well, he decided to enter the system space for experimental treatment first, do it a few more times, and accumulate more experience.
He quickly entered the system space and started experimental treatment.
The first step is early debridement.
Su Yang first used a lot of normal saline, iodine and hydrogen peroxide to wash the wound alternately.
Afterwards, tissue scissors are used to remove locally crushed and inactivated soft tissues such as skin, fascia, and muscles.
If there is blood circulation in the surrounding wound, the flap tissue will be retained.
After defat removal and grinding, 3-0, suture in situ;
Because the patient has a fracture, the part that has a fracture is fixed with a K-S-C needle.
Finally, the wound surface is covered with a closed negative pressure drainage device (vsd).
Use VSD dressing, cover it on the wound and sew it to fix it, and then use 75% alcohol to degreasate the skin around the wound.
Cut or splice according to the wound size
If necessary, the number of treatments can be increased according to the wound recovery situation.
After the operation 3-5 �
1-2 From weekly replacement vsd
Chapter completed!