Medical road

Rescue, especially the rescue of critically ill patients, is directly a battle between doctors and patients with time and pain.At this time, we must first clarify the priority.

When Zhang Fan is a guest at the Stone Town Hospital, what is most worried about is the poor instructions. Although this possibility is not high, other people are not fools. At this time, someone will come out to take the responsibility, who will object?However, if you don't be afraid of 10,000, you are afraid of the accident. This thing is almost not fault-tolerant.Therefore, Zhang Fan kept his face black and stared intently.

The dean of the Stone Town Hospital was about to bend his waist and bowed directly.He took the lead, and the doctors and nurses below had no objection.In some cases, it is really necessary to prevent the dispute of spirit.

Needless to say, the medical squad is fully prepared.The waist is straight, just waiting for orders.In the smell of rotten eggs in the emergency department, Zhang Fan ordered.

"The dean organizes personnel to donate blood. Other irrelevant personnel are evacuated from the emergency department." After speaking, he continued: "Liu Yaowen, Lu Shuyan." The tone was serious.No way. At this time, it won't work if it is not strict. In order to make the doctors and nurses in Stone Town more obedient, Zhang Fan has a harsh face.

"Here!" The two took a step forward at the same time.

"Cut the airway open to keep the airway open."

"Yes!" Burns, especially those with inhalation injuries, must ensure that the airway is unobstructed. The patient's throat has been swollen, and it will become more and more swollen, until the airway is blocked and the wounded suffocates.In the hospital, generally the cut organ is either an anesthesiologist or an ICU doctor.

Zhang Fan is worried that the doctors in Stone Town can only rely on his own people.This is the team!A team that knows each other.

"Bao Yin!"

"Here!" The big breasted girl stood up.

"Record." Zhang Fan said.Rescue, especially this kind of rescue, should be rescued if the rescue is alive, and the rescue record will definitely be discussed.Even if nothing happened afterwards, Zhang Fan had to guard.

Burns are no better than other injuries.Slashing wounds and bleeding, as long as the bleeding is stopped in time and the shock is corrected, people will live.But burns are not good, this is a compound injury, especially this kind of chemical burn that can be counted, it's too TM.

Burns, large amounts of various sulfides and carbides adhere to the surface.They are constantly doing various chemical reactions, which directly lead to aggravation of damage.At this time, the patient is like sweating, and the oil and water all over the body are constantly leaking from the surface of the body.Just like pearls, really, it must not be an exaggeration, directly on the burnt, coke-like black skin, there is a necklace of oily and smooth pearls.

Zhang Fan's brain is turning rapidly now.This kind of rescue is the most important thing to do.Rehydration is the most important thing, to ensure a smooth respiratory tract, to fight infection, and to correct shock. No one is not the first thing.

"Doctor Zhang, give the order!" The director of the emergency department of Stone Town Hospital, looking at Zhang Fan hesitated, said directly with a cry.There is no way, he knows it himself, the technology is not good, and he can't get the trust of others!Zhang Fan is still young after all, and he takes "people" too simple.

At this time, I'm afraid that no one will take the lead. As long as someone takes the lead, after all, they are doctors and nurses formally trained in China, not the so-called butchers with extra fees.

"Order it!" The other medical staff in the emergency department also took a step forward and said in a deep voice.In the same emergency department, the patient was lying in bed, the wounded was in danger, and the pain of distrust was only known by personal experience. It was really uncomfortable.

"Okay! The head nurse!" Zhang Fan nodded.

"Here!" The voice peculiar to middle-aged women came out.

"Assign two or three nurses to initially clean the wounds of the wounded. Use benzalkonium bromide. Be sure not to damage the blisters."

"Yes. Wang Min and Chen Jing benzalkonium bromide cleans the wound."

"Open the venous channel, all four channels are opened. Deep venous channel is used when necessary."

"Yes."

Rehydration for burns is very troublesome, especially for large-area skin injuries. Sometimes the refill fluid does not leak out quickly.It is directly leaking while infusion.

This kind of rescue is different from general ischemic injury. This kind of rescue is a step-type rescue. If you fail to go up one step, or if you don't deal with it properly, it will directly collapse and the various systems will collapse.

There is nothing to say. At this time, the wounded are like walking on the blade, and one carelessness is death.First make an accurate estimate.An accurate estimate of the burned area of ​​the wounded.

It sounds like nonsense, but it is accurate and predictive.Yes, this is the terrible nature of burns.There is no time for careful consideration, but the doctor in charge of the rescue must know how much fluid should be infused in what area.Especially for this kind of large-scale rescue, the requirements for a doctor's comprehensive level are quite high.

At this time, it is impossible to have two or three doctors of internal medicine and surgery to discuss, there is no time, and there is no room for doctors to discuss.The young man lying on the bed relies on Zhang Fan for life and death.

The human body is actually a pack of liquid, a pack of balanced neutral liquids neutralized by various ions.The scary thing about scalds is not the loss of fluid. The scary thing is that it causes various ion disorders in the body. When the ions are disordered, the various balances in the human body are broken.

Then, there was a big crash.Simply put, such as the heart, the level of a potassium ion can cause a heart strike.The same is true for other organs.With a stab, it might be done. At most, it is a scar, but this kind of ion disorder, and it still leaks like a sieve, is the most dangerous.

"5% glucose, dextran, cefixime, potassium chloride, insulin, calcium chloride~~" Zhang Fan kept verbal doctor's orders and kept watching the wounded.

For burns, the most powerful in the world is the US Army Burn Research Institute. The first-aid measures for scalds developed by them are implemented in hospitals all over the world.

However, some of the small details, which is accumulated with human life, which is experience, which can not be bought by money, will others tell you?No, so I have to explore it myself.

And Zhang Fan is like a lame now, the surgery can be brightened up, general medicine.But in today's situation, he still can't do it, he has to do it, he must do it even while gritting his teeth.It was too late for the laboratory to report back, and it kept checking while rescuing.

Tendon reflexes, pupils, respiration, pulse, heart rate, blood pressure, urine, all indicators, Zhang Fan kept checking and paying attention, and then the brain summarizes, then judges, and then gives instructions, not for a moment. If there is a mistake, there is no time to delay.The muscles of Zhang Fan's body were tightening.The wounded was walking on the blade, so he was dancing on the blade.

Outside the hospital, only the various police lights flashed, and the crowds lined up quietly.Firefighters with black sweats, medical staff in white coats, and police officers with national emblems all lined up.

Donating blood, far away from the city, can only draw blood on the spot."Hurry up and deal with your burns. You see, your arm is injured like this. How can you draw blood?" The little nurse who took the blood said to a fireman.

"It's okay, I will deal with it after the blood draw, first draw the blood." The tears were spinning, but there was a smile, white teeth, and blackened face.

"Go! You are not missing, don't get infected again." The detachment leader came out and said to the firefighter with his blood drawn arm.

"Captain, let me smoke it, otherwise I feel uncomfortable, really, uncomfortable~~ There are only a few of us left in our class! Captain, only a few of us are left. Pharaoh will recover next month. But~~, Captain~!"

"Yes! He is restored, he is going to be restored!" The detachment leader burst into tears and muttered to himself.

The wind blew gently, and the faint smell of rotten eggs hovered over the hospital, and the leaves were shaking gently, like the laughter of the past.