If you want to explore the indications of a new theory, it is almost impossible to do without the huge amount of data to pay the price of bleeding.

Could Xu Qiu also list the indications?

...

"What we are talking about next is the indications, timing, and the treatment characteristics of various injuries!"

Xu Qiu's words excited the audience.

Really there!

Xu Qiu actually studied the damage control theory thoroughly?

Everyone's faces were filled with joy that could not be concealed at this moment, and they all raised their ears and listened attentively.

Xu Qiu continued:

“There are two basic conditions for using injury control surgery.

"First, the injury severity score is greater than 16 points. Second, the expected operation time is greater than two hours."

If the operation time exceeds 16 minutes, the injury control can be considered if the operation time exceeds two hours...

It is conceivable how difficult it is to wear the operation.

The capped 75 points and the expected seven or eight hours of surgery... Only Xu Qiu dared to pick up the scalpel.

Everyone's hearts were filled with storms.

Xu Qiuze continued: "In addition to the two basic conditions, there are also a series of physiological hazard parameters.

"First of all, the indicators related to special triplets, namely acidosis, serum ph less than 7.3; body temperature less than 35 degrees; and prothrombin time in coagulation disorders is greater than 16 seconds, and coagulation activation enzyme time exceeds 50 seconds

...

"The fourth one is a large amount of blood loss. As long as the required blood transfusion is greater than 10u, it can be considered a large amount of blood loss and blood transfusion.

"Fifth, the patient's circulation during rescue or during surgery is severely unstable and the hemodynamic condition is poor.

"The end is serious liver injury, serious pancreatic and duodenal injury and large abdominal blood vessel damage, and high swelling of the abdominal viscera, which leads to inability to close the abdomen...

"The above six dangerous parameters, as long as any of them appear and both basic conditions are met at the same time, can be considered for injury control surgery."

...

“Then, it is the time to apply the injury control surgery.

"This is difficult to solve by teaching. If you want to accurately control the timing, there are not many tricks, you can only rely on the amount of surgery and experience to build up.

“But I can still provide three suggestions.

"First, avoid excessive resuscitation before effective hemostasis. If resuscitation is forcibly performed, this process will delay a lot of time, and it is very likely that the best conditions for injury control surgery will be missed.

"The second is to predict the development of the disease. When the patient is predicted to have dangerous parameters, injury control surgery can be performed in advance. In this case, sequelae and risk can be further reduced, and a greater success rate of surgery can be ensured, and better

Prognosis.

"The last point is to determine the implementation plan for injury control surgery in a timely manner based on the comprehensive analysis of different types of trauma, locations of multiple injuries, and severity."

Article 3 is the most difficult for ordinary doctors to understand.

But all the experts were present, and the guaranteed old doctors at the deputy director level, so they immediately understood what Xu Qiu meant with just a word.

Patients with various abdominal organ injuries often suffer from clinical injuries. For such patients, conventional damage control judgment methods are not applicable. At this time, the third point should be followed, namely, the laparotomy is performed first, and after the abdomen is performed.

, and then based on the damage to the abdominal organs seen by the naked eye, we will decide whether to perform injury control surgery or routine surgery...

"What a perfect theory..." In the auditorium, the directors of the Temple of Heaven were already stunned.

They thought this was just a routine surgical tutorial, but they didn't expect to give them a big surprise at the beginning!

The two theories of golden time alone and damage control are enough to bring huge improvements to various departments.

"It's so worth it!"

"Doctor Xu is simply a treasure book of humanoid medicine..."

"Although Lin Medical has cooperated with our Brain Surgery Center, we seem to have also been placing Academician Xu's thigh!"

Everyone couldn't help but start talking in a low voice.

However, when they saw Xu Qiu speak again, everyone immediately calmed down and their eyes were locked on him.

"There are four key nodes in injury control surgery.

"Hearing, abdominal organ processing, resuscitation, and timing of reoperation.

"I only talk about one principle of stopping bleeding, palliative and stop bleeding, and stop bleeding for multiple injuries, as long as you can control bleeding in the fastest time.

"The focus is on the treatment of abdominal organs.

"I will explain this more in detail, and I will also hand it over to the various subjects of the Temple of Heaven in the form of a paper version.

"Severe liver injury requires the use of pringle to block the blood flow into the liver. The safe time limit for blocking the liver blood flow within 20 minutes at room temperature. In addition, active bleeding in the wound is also necessary to clean up the free damaged liver tissue.

, fill the liver wound and the upper and lower parts of the liver.

"Extra attention should be paid to hemostasis pressure here. The treatment of liver damage does not require bleeding, as long as it can control bleeding. If the pressure is too high, the liver, bile duct and liver blood vessels are very likely to cause tear.

"The second is pancreatic injury. The treatment method mainly depends on the difficulty of planning the damage of the main pancreatic duct. The principle is to control bleeding, thoroughly debride, preserve pancreatic function and sufficient drainage. If severe and extensive damage occurs in the pancreatic head and duodenum, it will be immediately

Pancreatic duodenectomy is performed, but the digestive tract cannot be reconstructed!

"There are also spleen rupture, kidney rupture, and large blood vessel damage..."

Xu Qiu detailed the various situations that may be encountered in clinical practice.

No one spoke in the auditorium, and everyone held their breath. They all knew very well that this was an opportunity for the Temple of Heaven to develop from a comprehensive junior high school in terms of brain surgery to comprehensive development.

This academic lecture lasted for four hours.

When it ended, it was already dusk.

It was not until Xu Qiu was about to leave that the senior officials of the Temple of Heaven who were still in a daze woke up as if they were dreaming and quickly stood up to see him off.

Slap—

Thunderous applause sounded, and Xu Qiu still had a peaceful smile on his face, and he nodded slightly to everyone.

Academician Su and Academician Cui stepped forward and saw Xu Qiu farewell in person.

This time, Xu Qiu talked about too much.

What the Temple of Heaven gained is not only the complete pelvic rupture technique, but also the experience and ability to deal with severe and frequent injuries.

This has taken a crucial step in the path to becoming a comprehensive junior high school student.

...

On the third day, Xu Qiu returned to the doctor.

What he came with was also an agreement to formally establish a strategic cooperation between Temple of Heaven and Linyi.

On the same day, the Temple of Heaven and Linyi issued an announcement at the same time.

"Tiandu Temple of Heaven Hospital and Linyi and Linhai University Medical College have officially established a strategic cooperative relationship!"

"Lin Medical, Linhai University Medical College officially established a strategic cooperative relationship with Tiandu Temple of Heaven Hospital!"

Seeing this news, the industry was shocked.

"Damn, has Linyi, who is in full swing, cooperated with the old strong hospital Temple of Heaven?"
Chapter completed!