Medical road

It is the sweetheart that can not be burned by wildfire.Lao Wang, a firefighter who was demobilized immediately.As a result~~, his fiancee is still waiting for her lover to marry her.The setting sun is her red makeup, waiting for the lover to return home, but it is ~~.

"Doctor Zhang, no. The blood pressure of the wounded is getting lower and lower." The director of the emergency department was sweating.Zhang Fan has already seen that the liquid is already the largest, and it is estimated that the patient will experience heart failure no matter how old.But the body fluid couldn't make up, the input didn't flow out as fast, and the wounded's system was about to collapse.

"Knife!" Zhang Fan did it.For this kind of wounded, the family members will not be able to come back for a while, and all the handling of the wounded, the superior has been given to Zhang Fan.In any case, as long as there is a ray of possibility, Zhang Fan will fight for him to snatch someone from the king.

Medical and international exchanges are very frequent, but there are many things that are not in-depth, and it is really impossible to learn.For example, for this burn, the US Army Burns Research Institute gave a rescue guide, and the details will not be released.

In actual rescue work, the most important thing is some details.Everyone knows what needs to be done after scalding, but there are so many details. There are not many and concentrated scalded patients for decades, and it is impossible to accumulate. How can we get together such a large and complex scalded patients?It's war.

"What?" After all, it is not his own hospital, and the staff are not familiar with each other, the head nurse asked in confusion.

"Scalpel! Ready to cut." Zhang Fan said again.The wounded man’s trachea has already been cut, what else to cut, the head nurse was puzzled, but the pace did not stop, neatly prepared all the necessary equipment.

This kind of rescue, especially this kind of unsure rescue, who dares to move?But without moving, there is no hope.Moved, maybe there is hope, maybe~~.

Now Zhang Fan is very calm, quietly and quickly wearing sterile gloves, the blue smoke from talcum powder slowly rises, Zhang Fan gritted his teeth.

There is no superior doctor platform and Ouyang as the backstage, but Zhang Fan still decides to use the knife.No matter what, as long as there is a glimmer of hope, we can't let it go.

"Alcohol cotton ball." A calm and emotionless voice finally emerged from Zhang Fan.Lu Shuyan looked at Zhang Fan in surprise. Although Zhang Fan was very domineering during the operation, he had never spoken like this.

She didn't know what Zhang Fan was going to do.However, she helped set this place.No reason, just to be able to share a little bit of Zhang Fan's pressure afterwards, not a comrade-in-arms.

"Give it to me." Lu Shuyan spoke, took the curved plate from the nurse, and walked to Zhang Fan's side while pushing the ambulance. Without much talking, she started to install the scalpel.

"Ka!" After putting the scalpel in and handing it to Zhang Fan calmly, she walked to Zhang Fan's side with gauze in her hand.Zhang Fan turned his head and glanced at Lu Shuyan.

Like Lu Shuyan, he glanced at Zhang Fan. Although he didn't speak, he could see a firmness in the other's eyes.This is the healer, the healer who wants to wrestle with death.

For disinfection, Zhang Fan will cut the wound eschar and open the fascia tissue to decompress.The heat expands and the cold shrinks, everyone knows, but now in this situation, the wounded is like burned plastic, the skin and muscle tissue shrink together.

The surface of the body is like a pressurized hood. Regardless of other things, this pressure directly causes a large amount of fluid to leak out. As much fluid can be pressed out by this pressure.

Although the incision can decompress, the bleeding is certain by opening this layer of pressurized cover. Will this bleeding increase the loss of fluid in the body?Could the patient die of heart failure at the time of the incision?

Zhang Fan didn't know, but what he knew was that if the cover was not opened, the patient would definitely die, which was a matter of time.There is not much time to think about it, the god of death is already at the door.

What Zhang Fan hopes at this time is that the old Eurasian lady can stand behind him and say: "Cut!" Medical care is not only about the growth of technology, but also the maturity of the mentality. This takes time and wants to be in a short time. There is a price to go through this process, and it is impossible to do it in vain.

Sweat!Already soaked Zhang Fan's back.But his hand was very steady, without a trace of tremor.In the place where the patient was severely burned, Zhang Fan took the knife according to the texture of the muscle.

According to the level of anatomy, Zhang Fan shot.First is the chest, one layer, one layer, and it reaches the fascial layer directly.The circular eschar on the chest was cut open by Zhang Fan, but no trace of blood was seen.Continue to cut, wrap around the chest, and cut directly to the deep fascia.Finally, I saw blood.

Standing at the shadowless lamp and looking down, it was like a plow. Zhang Fan made several long incisions directly on the wounded's chest, from the left armpit to the right armpit.

The first layer is scorched skin, and the second layer is burned muscles, fleshy muscles.Only the third layer can be seen the pink tissue, bright red blood, and then the pleura.

These tissues are all necrotic tissues, no anesthesia is required, and the wounded have no pain at all.

While cutting, looking at the various testing equipment of the wounded, heart rate, blood pressure, breathing.The ticking, ticking oil drop is like a death knell knocking in Zhang Fan's heart.

Continue to cut, the thigh is already like a burnt ham, and the surface is also like a ham with a lot of oil and water.Cut, since the knife is moved, there is no way out.

Thighs, back, abdomen.All cut open, the wounded who were originally charred, can't be seen at this time.The burnt black tissue and skin that were originally compacted together, after being cut open, directly opened a long opening.The organization that was originally the inner layer was turned up.

Just like wearing a torn floral dress, the openings everywhere, the open wounds, black, red, and pink are mixed together, and the whole body is like an open mouth.

Burn, the wound may be sterile in a short time.However, this semi-ripe organism is a very good culture medium, and it will not take long for a large number of bacteria to invade.

This level of bacteria is not something common diseases can have. For example, there are 100 bacteria in bilateral diffuse pyelonephritis, and the number of burns is seven times that, which is a direct magnitude change.

Bacteria of this order of magnitude can cause the death of a patient without directly invading deep tissues, which is called burn wound sepsis.

"Dr. Zhang, the blood pressure has stabilized." The director of the emergency department said in a slightly relaxed tone.

Before Zhang Fan could speak, Zhang Yanfeng of the Respiratory Department spoke: "Dr. Zhang, prepare a few antibiotics." The Respiratory Department is dealing with bacteria almost every day, and Zhang Yanfeng knows the current situation too well.

"Sanlian, external sulfadiazine silver. Prepare for blood transfusion, and then it's up to God's will." After the decompression, Zhang Fan didn't even dare to get out of the air. Now although the patient's blood pressure has been stabilized and the internal environment has been preserved, A large number of external bacterial forces are also coming soon.

There are wolves and tigers behind.