I can extract side effects.

Chapter 419 Actual combat exercise, upgrade completed

Sure enough, after the Jiangsu province's medical activities to the countryside were reported, it aroused the attention of the Ministry of Health as expected.

After a detailed investigation, the Ministry of Health affirmed the important role of portable color ultrasound in primary medical care.

This can also be regarded as a top-down administrative affirmation and encouragement, which is of great significance.

As soon as the news came out, the health commissions of other provinces and cities were shocked.

In fact, during this period of time, Sanqing's portable color Doppler ultrasound has been spread in the top three hospitals across the country, but this thing can only be regarded as a good supplement in large hospitals.

Portable color Doppler ultrasound is mainly used in outpatient services, community services, large medical examination vehicles, or field ambulance and other scenarios.

Although popular within the hospital, its use is limited, it has not been fully explored, and it has received sufficient attention.

It was not until the first-level units such as township health centers made their debut and directly replaced the role of desktop color Doppler ultrasound that they became a blockbuster and radiated endless vitality.

As a result, other provinces began to add Sanqing portable color Doppler ultrasound to the equipment procurement list.

Some people in high positions in the medical system even saw the great role of technology in changing medical care and promoting medical reform.

For a long time, there have been problems in the medical system that it is difficult and expensive for the masses to see a doctor.

Expensive medical treatment has been greatly alleviated with the implementation of centralized medical procurement, the reduction of drug prices, the development of domestic equipment, and the popularization of medical insurance.

But the difficulty of seeing a doctor has always been a mountain in people's minds.

Large hospitals are overcrowded, and it is difficult to find a number one, while grassroots medical institutions and small hospitals are crowded and difficult to maintain.

With the development of the economy and the progress of urbanization, many small counties are no longer far behind big cities in terms of living facilities.

But in terms of medical care, there is still a huge difference between big cities and small counties.

At the same time, the shortage and waste of medical resources coexist, forming a great contrast.

In big cities, many people have a small cold, so they can find a nearby hospital to see, but he refused to go to a non-tertiary hospital.

Be sure to ask for a day off, take the subway for an hour and a half, come to the most powerful hospital in Haishi or Beijing, queue for two hours, let the doctor take a look, queue for another half hour, and get a bag of pharmacies at the door available medicines.

Only in this way can his mind be cleansed, get [-]% satisfaction, and go home to take medicine with peace of mind.

Otherwise, I feel that this first-tier city is useless.

In a small county town, some people were suffering from cancer and heart and brain diseases. Even though they had already felt the pain and showed the initial symptoms, he still refused to go to the hospital.

Or, being forced by family members to go to the hospital for an examination, but nothing is wrong, or even meeting a quack doctor, prescribing a bunch of expensive medicines, taking them blindly, and watching his condition develop to an advanced stage.

At this time, it is often powerless to recover.

Even if he went to the best hospital in the provincial capital, it was useless and he could only resign himself to fate.

He didn't know that when he first felt uncomfortable, if he had a careful examination of the whole body, or met an experienced doctor, he could diagnose it early and treat it in time, so he could live a healthy life.

This is the tragedy of grass-roots hospitals. They have neither sophisticated medical equipment nor experienced doctors. Even if doctors want to save lives, they are powerless.

There are many reasons for this phenomenon. Ordinary people tend to say that it is all due to the excessive concentration of high-quality medical resources, and ordinary people can only go to first-tier cities for medical treatment.

But more reasons are due to a series of factors such as unclear division of labor among medical institutions at all levels, insufficient coordination, poor equipment, and lack of high-quality doctors.

The division of labor is unclear and the coordination and connection are insufficient. This has been improving and can be completely resolved.

The country has also been promoting medical reform in an attempt to solve this problem, the most important of which is the hierarchical diagnosis and treatment system.

The intention of this system is to have different levels of medical institutions undertake different treatments according to the severity, severity, urgency, and difficulty of treatment, and make timely two-way referrals according to the changes in the condition, so as to establish an effective system. Orderly diagnosis and treatment order to ensure that patients receive appropriate treatment.

That is to say, once people get sick, they first go to a nearby primary hospital for the first checkup, and the general practitioner decides whether to refer them based on the severity and severity of the condition.

After confirmation, referral patients will be gradually referred upwards in the order of primary medical institutions, secondary medical institutions, and tertiary medical institutions.

Critically ill patients can leapfrog to the top and be sent directly to tertiary hospitals.

Patients with common diseases, frequently-occurring diseases, and patients with chronic diseases with a clear diagnosis and stable condition should be referred to the lower level. They should not go to the tertiary hospitals for nothing, but should be transferred to the nearby primary hospitals for routine treatment.

In this way, medical institutions at all levels cooperate with each other, make two-way referrals, and rationally divert patients, which can alleviate the problem of overcrowding in large hospitals and insufficient patients in grassroots hospitals.

Overseas developed countries have also adopted this system to triage patients according to their conditions, thereby alleviating the medical pressure on the entire society.

This set of system is perfectly designed, and it seems that there is nothing wrong with it. If it is implemented smoothly, it will definitely play the role as imagined.

But the implementation of any system is often the biggest problem.

The ideal is full, but the reality is very skinny.

To build a solid bridge between ideal and reality, strong technical support is necessary.

The first problem is accurate diagnosis.

With a clear diagnosis, in order to judge whether to refer.

Otherwise, it’s okay to say that if a seriously ill patient is not diagnosed and stays in a basic hospital, delaying treatment and dying, then something serious will happen.

The human body is a very complex system. Without experienced doctors and high-end inspection equipment, it is difficult to see clearly from the superficial level, and it is easy to make mistakes.

No one can bear the consequences.

However, it is difficult to cultivate experienced doctors. Even if they are trained and thrown away at the grassroots level, they will not be willing to stay at the grassroots level if they go to high places.

Therefore, among the four major pain points of unclear division of labor, insufficient coordination and connection, poor equipment, and lack of high-quality doctors, we can only solve the problems of coordination and connection and poor equipment first.

And this belongs to the category that technological progress can solve.

If grass-roots hospitals can be equipped with high-precision inspection equipment, often conduct physical examinations for ordinary people, and diagnose some emerging diseases, it will naturally kill many diseases in their infancy.

With the development of modern communication and network technology, patients’ electronic medical records can be conveniently circulated between hospitals. Various things such as registration, admission, referral, and medical insurance payment can be operated on the mobile phone, which is very convenient.

Even further, when telemedicine can be realized, there will not be too much shortage of high-quality doctor resources.

Patients can make an appointment locally and receive remote diagnosis and treatment from senior experts.

It's like a low-profile version of flying knife surgery.

In fact, patients are very clear in their hearts, where they can see a good disease, and where they can't, they all know.

If you can see a cure in your hometown, the people will not look far away.

Only for diseases that cannot be cured locally, they will travel thousands of miles to the capital to see a doctor.

And when they can diagnose the disease early in the grass-roots hospital and treat it successfully, they will be truly convinced and trust the local hospital thoroughly.

Fortunately, among the four major factors that make it difficult to see a doctor, Sanqing happens to be able to solve one of them.

Continuously promote the development of medical equipment, manufacture sophisticated equipment, and popularize it to grass-roots hospitals with cost advantages, so as to benefit the common people. This is the direction of Sanqing's efforts.

In terms of medicine, it is already doing so, and the next step is to flex its muscles in terms of equipment.

The advent of portable monitors and portable color Doppler ultrasound is just the beginning of this great cause.

Soon, portable color ultrasound became popular all over the country, and various orders flew in like snowflakes.

At this time, Lu Tingfeng was conducting in-depth research in the military, so he was not overwhelmed by the order.

In the eastern theater, a certain military training ground.

The sound of cannons boomed, the smoke filled the air, and the earth was trembling from the bombardment.

A live ammunition tactical exercise simulating defense operations in border areas is underway.

Lu Tingfeng and several engineers, dressed in blue camouflage uniforms, were lying on a small hillside in full armor, staring intently at the exercise below.

Their eyes were wide open, their mouths opened and closed, they were so shocked that they couldn't speak, they could only gasp.

Suddenly, there was a rapid call from the intercom next to him.

"03, 03, 02 call, 02 call, 6 meters forward in the direction of 100 o'clock, two of our soldiers were injured by enemy artillery fire."

Lu Tingfeng turned his head and saw the field medical team of the 120 hospital one or two meters away, and they had already heard the sound and moved in an instant.

Two military doctors in blue camouflage uniforms rushed out immediately and rushed down the mountain.

"Let's go, why are you standing there, stupid?" Lu Tingfeng slapped Wang Dali next to him hard on the shoulder, waking Wang Dali who was in a daze with his mouth open.

The two quickly got up, and followed after scrambling.

After a few minutes, arrive at the predetermined area.

The two military doctors paused, fell to the ground suddenly, crawled through the enemy's fire suppression, and crawled over to the wounded.

"Here, are we also like this?" Wang Dali looked at the boss timidly.

Lu Tingfeng glared at him: "Hurry up, be more conscious."

After finishing speaking, he fell to the ground intact according to the posture of the two of them just now, and crawled forward.

Fortunately, the firepower here quickly decreased, and after a while, the two arrived at the wounded in disgrace.

The two military doctors nodded at them and smiled kindly, obviously seeing what they had just done.

Wang Dali took a closer look and saw two wounded lying on the ground without saying a word.

The military doctor immediately carried the two wounded, and moved them behind an abandoned concrete wall next to them.

It is relatively hidden here, so you can safely carry out the initial dressing.

"Fracture of upper arm, bandaged and splinted."

"The thigh artery is bleeding, and the tourniquet is spun, and then sprayed with hemostatic agent to stop the bleeding."

"Chest trauma, triangular bandage bandage."

……

The military doctors explained to the two while starting a series of battlefield rescue actions.

"After the bleeding is stopped and bandaged, we will take the wounded back. After a while, we will crawl forward with the wounded sideways with our bare hands. Be careful."

Wang Dali was stunned again: "It's too awesome to lead someone sideways with bare hands."

"Hehe, the basic operation." The military doctor grinned, showing his white teeth.

The two military doctors were swift in their hands and feet, and quickly performed preliminary treatment on the wounded, and they fell to the ground again.

It's just that this time, he was facing the sky, turned half sideways, hugged the wounded under the armpit with both hands, and then put the wounded's legs on his own, just relying on the strength of his back and legs, he crawled forward towards the way he came.

Wang Dali looked admiring, this movement is too difficult, it would be impossible for him to do it.

Not to mention hugging someone, even if I move my limbs, I can't crawl as fast as the two military doctors.

Lu Tingfeng also nodded in admiration.

The two stopped talking, holding back their energy secretly, not wanting to fall behind.

Not long after, he was out of the line of fire and returned to the hillside.

Just as the two military doctors put the wounded down, they only heard a whistle, and the deputy captain waved in the distance.

Both of them didn't have time to wipe off their sweat, so they ran away and followed the deputy captain to another combat area to search and rescue.

And here, there are already many people lying on the ground.

The left-behind military doctors of the medical team immediately inspected the wounded and classified them according to the wounds.

Infectious wounded are sent to the isolation room, and those in critical condition are sent to the serious injury treatment group or the operation group.

The lightly wounded were sent to the containment and disposal team.

Seeing the wounded being carried away on stretchers one by one, Wang Dali felt dazzled and saw the world.

Of course, he didn't forget to record them one by one.

"Let's go and see the serious injury group." Lu Tingfeng walked by and said lightly.

The two entered the military tent, and there were hospital beds inside, and the seriously wounded were lying on the white sheets.

The military doctors and nurses were very busy, with serious faces and quick movements.

The nurses checked the wounded one by one, quickly opened the venous access, and connected the ECG monitor.

The military doctors inspected the injuries and quickly issued medical orders. At the same time, they performed cricothyroid membrane puncture on the wounded, implemented closed thoracic drainage, and performed emergency rescue.

The two looked at it for a while, carefully recorded all the details of the operation, and then walked towards the operation team.

The operation group is on the medical vehicle, which has a small space but better facilities.

The shadowless surgical lights on the roof shone brightly. The doctors and nurses were all wearing blue plastic protective suits and masks. It was obvious that the environment was sterile.

The two stood at the window and looked in, only to see a wounded person lying on the operating bed.

At this time, the military doctor had already made a diagnosis.

"Acute subdural hematoma of the brain and femur fracture of the lower extremity."

"Very critical! Act now!"

"Stop the bleeding in the lower extremities first, and then urgently perform drilling and drainage of the hematoma!"

The military doctor roared loudly, and the nurse quickly sprayed hemostatic agent to stop the bleeding.

After some operations, the vital signs of the wounded finally stabilized.

"Followed by debridement and external fixation of the lower extremities, and then sent to the containment team for postoperative recovery."

The military doctor's tone calmed down, and he worked with the nurse again.

The two looked at each other silently, recording everything in front of them.

Not long after, the two turned around the entire medical camp.

Here, they saw a lot of medical equipment, very complete.

There are biochemical detectors, mobile X-ray DR, electrocardiograph and so on.

With the full cooperation of the medical security team, the doctors and nurses promptly and quickly provided technical support such as biochemical tests, X-ray scans, bedside ECG examinations, and remote consultations according to treatment needs and changes in injuries, to ensure that the wounded and sick received efficient and accurate treatment. .

"What an eye-opener!"

Wang Dali muttered to himself, this was the sentence he said the most this day.

Lu Tingfeng's face was full of red, and he was extremely excited. He slapped Wang Dali on the shoulder and said excitedly.

"Diligent, there is a lot to be done in field medicine."

"Through this front-line ambulance drill with real guns and live ammunition, we understand what medical equipment soldiers really need. When developing equipment, we can closely follow actual combat, serve actual combat, and create a truly useful military medical all-in-one machine."

"In addition, how can a man never go to the battlefield, this time the wish has been fulfilled, I am so relieved!"

******
Just when the R&D team was experiencing the flames of war.

In the Sanqing headquarters, Wei Kang was at his desk, looking at the documents leisurely.

He sat up straight with a sudden jerk.

Because, a familiar mechanical voice sounded in my mind again.

"Congratulations to the host, AIDS in China has been completely eliminated."

"The intermediate medical system has been successfully upgraded."

"Please check it out soon!"

(End of this chapter)