Medical road

Zhang Fan's red eyes rounded, but he couldn't say a word.As long as you are a doctor, you have to listen to other people's orders, because they are superior doctors and chief doctors.This is the rule, just like the army.

Puff, puff, footsteps from far and near."No. We are responsible for the sick number." The slightly rickety old lady came.

With a tired face, Ouyang followed a group of experts from the tea market and set off all night. The armed police and 120 drivers dared to drive like this. The average driver had the guts and didn’t have the skills. Do you want to die?

"President!" Zhang Fan was almost crying, the people in the backstage were really happy.

"I'm the director of the Burns Department of the General Hospital of the Army. The superior sent us to take over the patients." Soldiers usually go straight, not to mention the soldiers from higher-level hospitals.

"I didn't receive this order, I only knew that my superiors asked me to set up a rescue team. Here, Stone Town, belongs to the city of Chasu, and we are the directly superior hospital of Stone Town Hospital. Besides, we are the first doctors of the patients." Zhang There is no way to deal with others.Higher-level hospitals don't worry about lower-level hospitals, it's obvious, but Ouyang is different.

The old lady didn't even look at the director of the military region. What happened to the director? Is there no director under my hand?It's useless for the other party to come to the dean, and she is not their subordinate.

In fact, this line of business is like this. The two military hospitals are very competitive. Military hospitals are not as good as local hospitals, and local hospitals are not as good as military hospitals.Especially the bosses of military hospitals rarely go to local hospitals, and it is impossible for experts from local hospitals to go to military hospitals.

"How about it, can I still hold on?" The old lady looked at Zhang Fan, although her face was serious, but her eyes were amiable. Really, the old lady was really satisfied with Zhang Fan.

"Report to the dean, you can insist."

"Okay. Now there is a rescue meeting. Are you attending?" After speaking, he asked the director of the Army General Academy.This is how the old lady protects the calf, she can't tolerate others to say that her heart is too much, let alone the heart that stayed up all night.

But this has to work, she will definitely not let this group of troops go.However, she would definitely not let go of the initiative. A large group of people drove the night away all night, and finally came to help others. Ouyang was definitely not happy.

In a word, it took the initiative directly."Participate." Nothing, neither did the director. The old lady didn't look like it was good. He was here to save people, not to fight a temper.Let's talk about the meeting first, let's see the high and low in the meeting.

"Prepare the conference room. Secure the guardianship here and bring the list of your hospital. Who are the directors and head nurses of the ICU here." After Ouyang glanced at the director of the Army General Hospital, he faced the hospital in Stone Town. Long said.

Ouyang directly looked down on this kind of factory and mine hospital, just as the General Hospital looked down on the Chasu City Hospital.But she is better than others, because she has this qualification. In her hands, the Chasu City Hospital is already the best in the Chasu City. This is the strength.

"Okay! Okay! I'll prepare now." The head of the stone city has a big head, Ouyang Hong, he knows too well, the female man in the medical system of Chasu City, the female man who is mad at every disagreement.

A group of logistics staff from Stone Town Hospital quickly prepared the office.Companies are rich, and hospitals are not bad. The interior decoration of the office is very high-end. I don't know which one of the world's top 500 conference rooms is.

"This!" After the venue was set up, the director of the Stone Town Hospital looked at the director of the Provincial Capital Military Region Hospital and then at Ouyang, he didn't know what to say.

"Who is the attending doctor of the wounded, who is the host, introduces the condition, no more nonsense, time waits for no one, no one is sick." Ouyang said blankly.

"Good! Good!" The head of the Stone City Hospital's teeth were almost crushed."Mother, if you are not as skilled as a person, you are not a person!"

After Ouyang finished speaking, he glanced at Zhang Fan.Zhang Fan understood that when he walked quickly to the stage of the conference, he didn't need to open the medical record because he knew it well.

"Last night at 8 o'clock in the evening, due to a sudden disaster, Li Qiang, a firefighter of the armed police, was accidentally burned while fighting the fire. After rushing to the Stone Town Hospital, the patient developed symptoms of shock. The injuries were obvious, including the head, chest, back and both lower limbs. Large area burns. The burn area is about 45%, and most of them are deep third-degree injuries. The local skin is obviously carbonized. When admitted to the hospital, the heart rate is significantly increased, and the blood pressure and pulse pressure is significantly narrowed, and then decreases. Respiration is shallow and fast. Laboratory Return~~"

Zhang Fan quickly introduced his condition.Want to be concise and very comprehensive.The medical industry pays attention to classical Chinese, which should be concise but rich in content.The main complaint of a patient requires only a few words, but it must cover the patient's condition, especially the old patient's number in internal medicine. The condition of the old patient's life-long illness can be complicated and complicated, but the doctor writes the main complaint with just that few words If you want to be comprehensive, you have to consider it for a long time.

"After the patient was admitted to the hospital, tracheotomy was performed in the emergency department, the wound was cleaned, the respiratory tract was cleaned, and after the shock was corrected, the patient's vital signs could not be significantly improved. During the anti-shock period, the patient's breathing, blood pressure, and heart rate did not change significantly. Taking into account the patient's burns During the acute exudation period, and the large area of ​​surface tissue was carbonized, there was a situation of leakage while transfusion. Therefore, the patient was treated with decompression and incision, and the patient's condition was significantly improved."

After introducing the condition, Zhang Fan quickly recounted the rescue process at that time.These things seemed to be printed in his mind, and he spoke out without any stumbling.After speaking, Zhang Fan did not step down because he knew that someone would ask questions.

Sure enough, one of the soldiers in the military hospital said, "Is it necessary to cut? Does the use of antibiotics take into account drug resistance? Why use anti-anaerobic antibiotics, this is the surface of the body, is this necessary?"

Zhang Fan’s treatment can be said to be very clear, that is, life-saving and there are no major problems. However, for this treatment, especially for this very critical rescue, many treatment measures have not been clearly specified, which means that the medical industry has not been unified. It's very controversial to use that one or not.

Especially this anaerobic bacteria, as the name suggests, anaerobic bacteria are bacteria that hate oxygen. Generally speaking, there are not many such bacteria on the body surface. However, one of Zhang Fansan’s antibiotics is an antibiotic against anaerobic bacteria. This point was pointed out by the doctor of the military hospital. In fact, this is not to find faults, but to differ in ideas.

However, if Zhang Fan can't explain, this is the problem, this is the big problem.The director of the Department of Dermatology at Chasu City Hospital also frowned, and she did not understand Zhang Fan's medication.

"It was necessary to cut it. At that time, the wounded had formed a circular eschar, and the tightened body had become a lot of pressure. It was originally an acute exudation period, and shock cannot be corrected without cutting." Zhang Fan said clearly.

This kind of so-called questioning is actually very nonsense. There was no one at the time of the rescue, and after the rescue, it was troublesome. Especially for this kind of special rescue, someone would definitely question it.

There are thousands of people, not to mention that there is no clear and standardized rescue. Now that the industry is becoming more and more refined, doctors are less and less daring to take action. Just ten minutes or even a few minutes. If you make a mistake, you have to keep practicing and practice your hands.Therefore, a rescue, especially a large-scale rescue, can almost become a highlight in a doctor's resume or file.

Who is the better doctor of the same level?Just look at the introduction.Whoever presides over many large-scale rescues will be bullied.Not at all ambiguity, large-scale emergency rescue, will he dare to take over if there is no one or two?Dare not!

Rescue requires the comprehensive quality of doctors to be too high. This is why there is a chain of contempt inside the hospital. Doctors outside Shenwai despise orthopedics. Because of many large-scale rescues, directors outside Shenwai dare to go. Orthopedics may not dare, not who makes money. Because of more money and less.