93 Tracheal incision

Su Yang's movements were very fast. He finished dealing with three of the four injured in just a few seconds. He used the same process, first doing cardiopulmonary resuscitation, and waited until the injured recovered from breathing, and immediately began to deal with the next one.

Soon, he had only one wounded person.

But the wounded was in trouble.

His burn was on the face, and it was a deep burn.

At this time, the wounded had no breathing and heartbeat and was already unconscious. Of course, although his condition seemed a bit dangerous, it was relatively mild compared with the other three, and at least could be delayed. The other three could not be delayed for a second. This is the principle of battlefield first aid. If one is the easiest to die, save one first. If you can't save it, even if you have a breath, you have to give up immediately.

The injured person may have caused suffocation due to respiratory edema.

Therefore, if you are in a hospital, a fibrolaxis must be performed immediately, which is extremely critical to assessing the necessity of tracheostomy.

Laryngeal burns can be divided into congestive, edema, and obstructive according to the fiber laryngoscopy.

Obstructive conditions require immediate tracheotomy, edema type requires close observation and follow-up, and incision is performed if necessary. Congested types are generally treated conservatively.

Respiratory edema, including the formation of throat blisters, is a gradual process. No serious abnormalities were found in fiber laryngoscopy two or three hours after the injury, which does not mean that it will not occur in the future. For patients with facial burns, close observation is required, and fibroscopy is repeated if necessary.

Of course, Su Yang had no conditions to do such a check at this time, and he could only rely entirely on his own judgment.

For situations where you are unsure of your mind and do not know whether to cut it off, the principle of battlefield rescue is to cut it off without hesitation.

For inhalation damage, it is better to kill the wrong ones than to let go.

If you let one go, you may lose your life.

This is the case with the wounded in front of him.

"System diagnosis!" Su Yang made a judgment himself and immediately issued an order.

"Ding--The injured person is a burn on the face and neck with inhalation injury. In moderate condition, tracheotomy must be performed!"

When Su Yang heard this diagnosis, he felt relieved.

That's good, just like his judgment.

He prepared immediately.

Because the conditions are limited, his preparation is actually not complicated, it is very simple, and it will be done soon!

He first put the injured person on his shoulder pads and placed his head upward.

If conditions permit, a disinfection towel should be used at this time and anesthetized with 1% lidocaine infiltration before the neck.

But at this time the patient was already in a coma and there were not such good conditions, so the anesthesia was spared.

Everything was ready, he took out his sterile gloves and put them on, and took out his scalpel.

He first made a longitudinal incision in the anterior middle of the neck, reaching the annular cartilage, and to the suprachia of the sternum, incising the skin and subcutaneous tissues, and separated the anterior cervical muscle along the white line of the anterior middle of the neck to the anterior fascia of the trachea.

The sharp knife made the front wall of the trachea 2                                                                                                                                                                                                                                                        

After the tracheotomy, he did other first aids, and soon the injured person recovered his breathing and heartbeat.

At this point, the last burn patient also came alive.

Next, Su Yang began to treat the burn patient with wounds, first rinsed with cold water to the injured person's burn location. In some places, the burns were a bit serious, and in some places the clothes and skin were already mixed together. He first rinsed with cold water, then carefully cut them and removed them. His movements were very gentle. Although the injured person kept screaming in pain, his movements did not cause secondary damage due to strong avulsion.

After the treatment was completed, Su Yang quickly tore off a note, wrote the injury status and handling procedures of the injured person on the note, and then pasted the note on the injured person's chest.

After doing all this, the helicopter on the warship had already flew over with several military doctors.

The helicopter was carefully parked on the fore deck of the ship because it was a merchant ship and the fore deck was small, so ordinary helicopters would definitely not dare to land. Fortunately, the navy's pilot's skills were very good and he landed the helicopter steadily.

He Qiong and his men jumped off the plane and rushed to Su Yang quickly.

"How is the situation?" He Qiong asked with a serious face.

"All the wounded have been lifted to the deck. Some people were very mildly injured. I have already dealt with it. I can ignore them for the time being. Now there are five serious burns and four severe burns. I have undergone emergency treatment and there is no life danger for the time being. The other is facial burns. I have undergone tracheostomy and my vital signs have recovered, but follow-up treatment must be carried out immediately. The most serious one is the last one. The calf was blown off. I have already done treatment, but to protect the calf, I must undergo a lower limb replantation immediately. Oh, by the way, there is another wounded man who was cut off a finger by the militants and also needs to undergo a broken finger replantation."

Su Yang briefly introduced the situation.

After hearing this, He Qiong immediately had a clear concept in his mind. Which one should be rescued and treated immediately, which one could be temporarily released. She had already made a judgment in her mind. She immediately turned around and issued instructions to several military doctors, and the military doctors immediately became busy.

After that, He Qiong returned to Su Yang and carried the injured person who had a tracheotomy onto the plane with Su Yang. When she squatted down, she glanced at the incision of the trachea.

Um?

Her brow suddenly froze.

Soon, she raised the injured person with Su Yang and asked, "Your incision is not a conventional tracheal incision, can you tell me?"

"Of course." Su Yang nodded: "My tracheotomy is an improved tracheotomy. This modified tracheotomy is simple to operate in patients with head, face and neck burns and inhalation injuries, and has a precise effect. It is convenient for intraoperative cannula and postoperative replacement of cannula, which can reduce the risk of bleeding after intraoperatively."

"When I was studying in Beijing 301 Hospital, I saw the doctor inside use this kind of incision." He Qiong heard his words and said.

Well?

Su Yang was stunned and didn't understand what it meant.

His improved tracheotomy was actually what he saw in a paper published in 2011 when he was systematically looking up the literature. People said that this method is effective, so he remembered it and he naturally used it just now.

But what He Qiong meant...

It seems that someone misunderstood and thought that he learned this surgery from 301.

This misunderstanding is a bit big!

But he didn't explain!

How to explain it?

So he just smiled and remained silent.

He Qiong looked back at him, and a strange color appeared in her eyes, but she didn't say much, but just carried the wounded onto the plane with Su Yang.

The helicopter took off quickly. Because the warship was coming here and the ship was also going back there, the distance between the middle was not far. Not long after, everyone returned to the warship.
Chapter completed!