Medical road

In general, the relevant department is responsible for the rescue of the patient, but this person is a compound injury at first glance. Looking at the color of this blood, it is estimated that the rectum was punctured and the large vein was damaged after entering the pelvic cavity.It can be considered that luck is not bad enough, if it is a large artery, such a long time, acute total heart failure will lose blood and die!

Fluid resuscitation for patients with severe bleeding is a very necessary means, but which fluid resuscitation is best first, the clinical debate has not yet come to fruition!The principle requires that the electrolyte concentration of the liquid is similar to that of normal plasma; the osmotic pressure and permeation volume are similar to those of whole blood; and the principle of maximizing volume expansion and optimal oxygenation with the least amount of liquid.The literature in the past 20 years believes that early liquid resuscitation crystalloids are better than colloidal fluids. The former includes glucose and electrolytes, and the latter includes plasma, plasma substitutes and whole blood.

Simply put, in the current shock rescue, whether to infuse blood or balance fluid first is a matter of constant debate, what about the other.

This kind of internal organ bleeding must be performed while rescuing shock and performing surgery, actively looking for bleeding points, and then stopping the bleeding.Only if the bleeding is stopped, can it be considered hopeful to save life.

Ouyang is not there, this operation is controversial. In the past, the director of the anorectal department would not be involved in this kind of thing. It is better to do more than less. Anyway, this kind of thing is carried by the general public.He was happy to do his hemorrhoids.

But when Zhang Fan underwent a major operation for rectal cancer in the anorectal department, he couldn't sit still. His authority was almost knocked out by Zhang Fan. If you don't find this place now, it will not be estimated in the future. Good job.Now it is said that he is at the level of cutting his ass!

There is no way to bear it.He also counted on the doctor below to give him an old-age wife, "Prepare for surgery!" He looked at the rescued patient and made a sound first. He thought about it, and opened his stomach to perform only the operation on his anorectal part.

The director of General Foreign Affairs and the director of Urology did not speak, he was embarrassed!No one took the stage, and the director of the medical office quickly contacted Ouyang when he saw that his posture was wrong.The boss is not the second, and there is no strong superior, and he really can't hold the directors with eyes above his head.

I was rescued here at the hospital. When preparing for the operation, the wounded’s family members in the harbor had already shaken the sky. They were looking for people everywhere. Now they can only ask for relationships, find people, and find people with energy, otherwise the wounded who are thousands of miles away. They can't do anything.

With a big family and a big business, there are a lot of internal affairs. I hope that he will live, that he will die, and that he will be half-dead. It is not surprising that the money is moving!If you are a small family, as long as you have the ability, you will definitely use your strength in one direction.

The phone of the patient's bodyguard kept ringing, and the phone of the frontier boss kept ringing.What a mess, the people in the wounded's house are playing games!The game between surgery and transfer, a boss of this level, his wife may not be able to call the shots!

Ouyang got down with the phone, and the superiors greeted him, and he didn't directly issue an order, just a word, and did his best.This is an attitude.The calls of the leaders are very particular, must, certain, and do their best. They all represent different levels of attention.

After Ouyang entered the emergency department, the directors of several repair mantras of surgery also spoke up.

"How to do it? Who will do it?" Ouyang asked. The leaders are concerned about different levels, so she also cares about the doctors' business, and does not want to put pressure on the doctors. The identity of the patient is not revealed.

"Dean, this is an anorectal injury, I am in charge! But considering the hemorrhage, I apply for assistance from other departments." said the director of the anorectal department.

"Okay!" Ouyang said after looking at him.Then he said to the director of General Surgery and Urology: "Prepare for surgery." The matter was confirmed in a few words.

The anorectal director has a low face and a mediocre level, so I still ask the director of general surgery and urology, which is probably an ordinary subordinate to help.But it is enough. In fact, this operation looks dangerous. As long as you open the abdominal cavity quickly and find the bleeding point, there is no difficulty except for the speed requirements, and it is not a surgery that requires lymphatic cleaning and reconstruction.

When they were discussing the operation, the psychiatric director of the emergency department was not idle. He had to hang his life before the operation could be performed. What is a hang is, first of all, to ensure the circulation, the oxygen in the circulation!

Zhang Fan doesn't like gossip, let alone curious about the intrigue of several directors. What he cares about is disease and rescue.The director of the heart, the expert of the provincial hospital, even if she was rushed to the municipal hospital that year, but her shock resuscitation, in the city hospital, self-confessed second, no one dares to recognize the first!This is the qualification!

The principles and methods of early fluid resuscitation are exquisite, that is: early, rapid, and adequate volume expansion is the key to successful shock rescue.

Ren Li stood calmly in front of the hospital bed, crossed her hands, held her arms, and gave an oral doctor's order without thinking, "Establish four intravenous infusion channels, quickly infuse 1500ml of balanced salt solution, and 500ml of dextran 70 (medium dextran). The pump speeds up the infusion."

Then he looked at the ECG monitor and directly ordered: "Manually measure blood pressure! Quickly." The nurse was too busy, a little busy, Zhang Fan stepped forward and took the blood pressure monitor and quickly started measuring blood pressure. It's not a time for poise.

"7030mmhg. The pulse is very fast." Zhang Fan reported while measuring."Blood transfusion, intravenous whole blood pressure and rapid intravenous infusion of 300ml. Dexamethasone into the pot." Ren Li continued, Ren Li also fight!This kind of rescue method is a bit dangerous!Once you have a bad grasp, it is a big deal!

This kind of person is not short of money, so he released a hundred thousand yuan when he was admitted to the hospital!awesomeness.

"The blood pressure has risen, and the pulse is still fine. The director can operate!" Zhang Fan said to Ren Li.

"Okay, the rest is up to your surgery." The principle of this first aid is also very simple. In layman's terms, there is fish in the bowl, and a hole is broken at the bottom of the bowl. The water must be added at a certain speed, not only to ensure that the fish is filled. Water demand must be maintained so that it cannot overflow all at once!Then continue to maintain this balance, waiting for surgical hemostatic treatment.

This is skill!

The nurse pushed the bed and brought a fixed liquid rack, quickly out of the emergency department, and ran to the operating elevator.The director of the anorectal, headed out, he was about to enter the operating elevator.

"Which is the chief surgeon?" An assistant lady stopped the director of the anorectal department.

"Ok?"

"Which one of you is the chief surgeon?" The bodyguard translated. In the harbor, people with a strong family power may not choose assistants for office work. Moreover, their old-fashioned families who tend to be British most reject Mandarin.

They speak either English or local dialect!And also advertise a certain identity by speaking English!

"This is our chairman, the chairman with a net worth of more than four billion, are you sure?" This woman didn't know whether it was intentional or unintentional. Anyway, it was just a word, the depressing anorectal director, she didn't dare to enter the elevator immediately!I guess this woman is an undercover agent!

Others don’t know if they are in a hurry. The frontier boss must be in a hurry. He doesn’t understand business matters, but he also knows from his expression that the relationship is not small or the interest involved is not small.

"Dean Ou, I am a friend of the Secretary-General, please help! Be sentimental!" The frontier boss was frightened to death. At this time, threatening the doctor by saying this kind of words meant that he was here to smash the scene!

Ouyang, who was about to go wild, stopped his anger and looked at the frontier boss. The boss was a little over 1.8 meters tall, half-bent over, looking down at the old lady who was over one meter and six in a pleading manner.

Ouyang looked at the head of the anorectal department, who was a little stunned, and said, "Say, tell her loudly!" A woman was frightened before the operation, Ouyang couldn't bear it!

"Me! Me!" The director of the anorectal department was a little bit incoherent!The pot in Ouyang's stomach is open, so unbelievable!Is more money great!

The people who came from their age are very conflicted. At present, many of the old-fashioned wealthy consortiums in China are of their generation, but it is their generation who really look down on the wealthy!

Ouyang glanced at the director of the anorectal department with contempt, then looked back at the group of doctors who had just come out of the emergency department and said: "Who is sure, stand up! Don't look down! I can't afford to lose this person!"

"Me!" Director of Urology!

"Me!" General Wai's director.

"Me!" Deputy Director of Urology.

"Me!" Puwai's deputy director!

"Dean! You don't need to work, I can do it!" Zhang Fan said loudly, standing on the edge of the crowd.

"Okay, it's you! Let the young doctor go!" Ouyang said!

When the frontier boss heard that the youngest doctor was asked to go, he was directly softened!Paralyzed!Thousands of llamas flew in my heart!