【緊急】いのちの最前線に立ち続ける救急医の過去
Can you place it between the pubic bone and this area ? Yeah, you can. Here’s the forceps. We need to decide which kind of surgery to do. If I don’t have to remove it, I won’t. Whether it’s remote health care, or disaster health care Helping people in need is the fundamental concept. A day in July People that come to the emergency room or come by the ambulance those are people that are in need. By working in places like that, It’s likely that I’ll be helping those in need. Good morning. At 8:30 I’ll greet the applicants here, and then … (ringing) But it appears someone has just called for an ambulance Looks like we’ll have to skip the conference again. Good Morning The vitals haven’t changed have they ? They’re around 95 at the moment. Got it. Good morning. Do you understand ? Are you still in pain ? Mr. (Retracted) Started to feel chest pain at around 5am today It seems that its a usual occurrence, but it was much worse today. I don’t consider medicine as something that is just “dynamic” or “dramatic. When I spoke to some of the resident doctors They said it didn’t feel so rushed, because there were many elderly people with common conditions brought in today. Some may say that “It’s a bit different from the emergency care than what I imagined.” But truthfully, the people who came in today we’re in serious trouble. Does this hurt ? Not that part ? Is the pain in this area ? It seems there’s still a possibility of pleural infiltration or other such diseases. Please administer an ECG (Heart Signal Test) Shall I take the call from the ambulance ? Hi, I’ve received your call. This is Inaba from Emergency. Thank you for your work today. There’s a lot of ambulances today.Maybe from heat stroke? I don’t think it’s that. But there’s still a lot of people being brought in. There are more people suffering from bee stings than heat stroke. Bees? Please take it from here Thank you. This is troubling. Yeah. It is. Did it suddenly become painful? No … it’s always like this. I see. Should we do the lung ultrasound now? Do you know the bat sign ? The bat wing sign. There are ribs here. Here as well. It looks like a bat wing, So looking at it this way,
I don’t think it’s pneumothorax. However it’s possible it’s pleural effusion Based on the ultrasound, it’s the usual type. I think it looks like this because of the atelectasis. Let me take another look. Let’s ultrasound the heart as well. Check serum biosynthesis and coagulation (regarding blood sample) Don’t check the cardiac system. If you suspect something, you should check it But try to avoid unnecessary tests please since i’ll be conducting a surgery in a moment. Everyone is working, so I’ll get going. Hi there Yes I wonder which room we’re in ..? Okay, it’s 6. Good Morning! We’re recording. Oh! That’s cool. Oh, it’s a usual thing. There’s a set way to wash your hands here. There’s even a test. If you don’t pass, you can’t concentrate on your debut. Can I get a foot stool please. Sorry I’m late. All good. Ah, this is called a spotted abdominal wall hernia. At another hospital, she had surgery for uterine cancer but Ithe wound opened up, and the intestines started to protrude. This is surgery to fix that. The intestines are positioned lower The intenstines are moving lower. If it moves, does that mean it’s not attached ? Yeah. You have to raise it so all its movements are visible. We have to decide what kind of surgery to go with, right? I’m still unsure. Lets use a gauze for now. The really important part of surgery is creating the field of vision It’s very important for the person performing the surgery to clearly see the dangerous areas and to be able to properly see what they need to focus on. We refer to it as the surgical field, and expanding the surgical field is an important responsibility of the assistant This is 2D, but the body is 3D so it can’t be helped that some parts get compressed or obscured. Shall I cut the top a little more? Yes. Stich this to the bottom to reduce the empty space. Take a photo of this area. I wonder if this will fix it. I think so. Thank you very much. Thank you Doctor Kawai Thank you for your work. Was it successful ? When it comes to the success or failure of surgery, you often hear ‘The surgery was successful’ in dramas, but we don’t say that. “We did a good surgery” that’s all we say. Alright, let’s go. I said I wouldn’t take a picture ~ but it looks like this. My wife’s bento. She always makes a delicious bento. Last time there was miso soup wasn’t there ? Was there miso soup last time? I wonder if I was concious of the interview last time. Usually there’s not. I think it’s better if you cut this part. (laughs) Why did you decide to go into emergency medicine in the first place? Originally, at Saiseikai Hospital I was training in surgery for a long time During that time, my father suddenly collapsed from a heart attack and passed away the next day Since he was in the countryside it took a long time for the ambulance to arrive. Even though I was much farther away, I ended up getting there before my father before he was brought by the ambulance. I was waiting like this, in my casual clothes, but I just borrowed some gloves while waiting for my father to be brought in.” He was brought in with a loud crash My father came in, gasping for air in that moment, all I could do was perform chest compressions in a way, giving him CPR There was a lot of frustration Even though I had become a doctor, I felt like I couldn’t do anything when my father collapsed After my father passed away, I started thinking about emergency care and things like that. In rural areas, since one ambulance happened to be out on another call, it took a really long time, so there are issues with the system too. I thought I wanted to study emergency care a bit more. I want to treat people with the same kind of illness as my father. Since I was trained in surgery I wanted to use my surgical skills. At that time, I thought I wanted to do something to save people who are currently at risk of losing their lives. It will heal faster if we stitch it, so lets do that. The injection is slightly painful. About a month and a half later, my first son was born. We often talk as a family about how if my father had lived a little longer he would have been able to see his grandsons face. So, I gave my son a part of my fathers name. If my father hadn’t had died at that time I wouldn’t have been in this emergency room, and I wouldn’t have been with PeaceWinds Japan Even my sons name would be different. My father dying at that time How do I say this .. It was like God telling me to take this path Or perhaps, my father wanted to risk his life to teach me something important. It’s going to sting a little bit. Alright. Does it hurt a lot ? I’m fine. You can endure ? Yeah, very strong. It doesn’t hurt right now does it ? It will end without any pain, just like this. You did well with the anesthesia Finished! Can you call his mother? Thank you for your work. We completed our work quickly today. I’m going home to eat with my son now. Thank you. Thanks. Take care. Thank you for watching until the end To save many people, please support the channel as well. Thank you.
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