(Thanks to the two book friends for their 1,000 coins rewards!)

After confirming the location, Ruan Bin operated the arterial guide wire retrogradely through the common femoral artery and entered the external iliac artery!

"What kind of operation is this? Can't you understand?"

"Will you not hurt the injured person if you insert it randomly like this?"

Many onlookers around were holding their mobile phones while recording, while talking.

They don’t understand what kind of surgery this is at all. I guess many doctors from third- and fourth-tier municipal hospitals don’t know about this surgery!

"Go in!"

One more step away from success!

The catheter sheath should be rinsed with saline, and then Ruan Bin sent through the arterial guide wire to a 30-cm long sheath to establish the pathway platform.

Since this balloon is relatively thin, it is directly implanted through the 7f sheath!

At this time, be very careful when applying the guidewire or blood vessel sheath. If resistance is encountered, stop immediately. Once the vein sheath is successfully implanted and confirmed to be in place, the guidewire and pointed dilator can be removed. At this time, be careful when drawing blood through the sheath, otherwise be careful that the sheath is not in the blood vessel lumen or is pushed onto the wall of the blood vessel.

All of this was perfectly completed through his rich experience and predictions.

Then, insert the balloon catheter!

This part of the operation is usually carried out under x-ray perspective. At this time, since there is no condition, Ruan Bin is still implanted entirely based on experience.

A long arterial guide wire is implanted through the sheath tube and sent into the abdominal aorta. In fact, at this time, if there is no x-ray fluoroscopy or ultrasound, it is difficult to ensure that it is still in the thoracic aorta or enters the visceral branch or aortic arch.

Still blind fucking!

However, Ruan Bin used world-class experience to use body surface markers and catheter markers to determine how long the guide wire has entered, and at the same time, he used his rich experience to determine which direction entered the abdominal aorta!

"I wonder if it has entered the abdominal aorta?" Hu Dongwei looked at his little heart and thumped. To be honest, they were even more nervous than Ruan Bin at this time.

But he found that the young doctor in front of him didn't even have a drop of sweat, and the expression on his face was calm. How big is this person's heart?

At this moment, Ruan Bin had already sent the guidewire into the balloon catheter to reach the predetermined position, without any hindrance! In other words, his transportation was smooth and there was no error. If there is a general mistake, stop sending it into the catheter once it encounters resistance!

"It has entered the abdominal aorta!" Ruan Bin finally breathed a sigh of relief.

Now it’s the last step to fill the balloon embolize and stop bleeding!

Generally, it is best to fill the balloon under fluoroscopic monitoring. It is very important to maintain the position of the long sheath just below the balloon to provide support and prevent the filled balloon from being rushed down by blood flow. The balloon contacts the wall of the aortic vessel and completes the filling when the syringe feels resistance. The guidewire should be left in the balloon catheter to support the catheter to avoid balloon displacement.

But now Ruan Bin still needs to be fucked blindly!

He can't see the sac inside, and the place where the artery rupture is ruptured, should he fill the caudal end of the abdominal aorta or put it in a little more?

At this point, it can only be a test.

The patient has a huge posterior peritoneal hematoma, which proves that the bleeding point is left and right. Then the place where the abdominal aorta rupture is definitely at the pelvic position, at most it is at the upper point.

Almost always!

Based on the position of the pelvic bone, Ruan Bin sent some catheters into it, and then began to fill the capsule at a point at the position of the pelvic bone!

"Okay! Send it to the hospital immediately!" Ruan Bin said.

"Stop the bleeding?" Hu Dongwei was stunned. He looked at the time. It was only 9 minutes since the operation began, and it was so terrifying!

"You will know when you look at your blood pressure." Ruan Bin said with a smile.

"My God, my blood pressure has stabilized! It has not dropped again!" Lei Jincheng exclaimed.

Shocking, so shocking!

Today they didn't expect to witness a pre-hospital (infield) reboa surgery!

This is definitely the first case in China!

The doctor in front of me is so scary, right? His level is completely the same as that of the doctors in the world's best emergency team, and even better.

All are blind fucking!

"This...doctor, you are definitely the first reboa in China! And it took only 9 minutes, and the speed is simply amazing." Hu Dongwei originally wanted to call the other party's doctor, but suddenly he found that he didn't know the other party's name.

"Okay, this doesn't matter. Let's send the patient to the hospital for the next treatment first." Ruan Bin said lightly.

"Okay, OK!" At this time, the two of them realized that although the heavy bleeding had stopped now, they had to be sent to the hospital immediately for surgery to repair the ruptured blood vessels. Otherwise, there would be no blood supply below the pelvis. Over time, it would definitely lead to necrosis and paralysis!

"By the way, this doctor, what's your name? Let's go to the hospital with us? I'm afraid I'm worried that the patient will have some difficult situations on the way. You also need to register your information." Hu Dongwei said with a respectful tone.

"Okay!" Ruan Bin nodded and continued, "My name is Ruan Bin."

Since the ambulance is still parked a few hundred meters away, there is still a traffic jam here.

So I put the patient carefully on the stretcher, took several other slightly injured patients, and hurried towards the ambulance.

Get in the car.

After several exchanges, Ruan Bin found out the names of these two people.

"Doctor Ruan, do you think the patient can probably resume the circulation?" Lei Jincheng asked. Although the blood was stopped, if the circulation could not be restored, the situation would be very bad.

"No accident, the circulation should be restored in five minutes after stopping the bleeding." Ruan Bin said confidently.

"The patient's vital signs are currently stable and should be able to stay in the hospital." Hu Dongwei checked again and said excitedly.

All of this is attributed to Ruan Bin’s reboa!

"By the way, Dr. Ruan, which hospital are you from? It's really amazing! This pre-hospital reboa will definitely shock the domestic medical community!" At this time, Lei Jincheng regarded Ruan Bin as his idol.

After all, it is the first reboa in China!

"I am a resident at Wucheng County Hospital and am now studying at the First Affiliated Hospital of the Magic City." Ruan Bin said.

"The resident doctor at Wucheng County Hospital?" Hu Dongwei and the others were stunned after hearing this. They felt that Ruan Bin could make the first reboa in China, and they should be a very famous genius doctor.

But what did the other party say about Wucheng County? They had never even heard of the name of this county. They were still a resident!

This reversal thunder makes them sour inside and outside.

When did the inhabitants of county hospitals become strong here these days? Shouldn’t they be learning first-level surgery and seeking to study second-level surgery?

"Yes, what's wrong?" Ruan Bin asked.

"Uh, no, nothing. By the way, Dr. Ruan, did you graduate from medical school?" Hu Dongwei didn't give up. Maybe the other party was a top student?
Chapter completed!