Medical road

"Quickly, get into the surgical cart." Zhang Fan commanded while checking.Rescue, especially the rescue of critically ill patients, is really a consideration of the overall quality of the doctor and the doctor team.

For trauma patients, we must first determine five aspects, 1, cycle.2. Breathe.3. Chest and abdomen activities.4. Exercise.5. Talk.

"Where are you uncomfortable? Are you thirsty? Can't you hold your breath?" Zhang Fan ran on the stretcher while yelling to the squad leader of the armed police who was lying on the stretcher.

Zhang Fan stared at the patient's chest, looked at the patient's expression, and used words to test the patient's reaction.

This is the experience, this is the experience that the doctor summed up in the work, a few words have almost figured out the general situation of the wounded.

Without this experience, if you silly wait to put the wounded on the examination table, and then slowly measure the blood pressure and listen to the heartbeat, the wounded will be delayed by the doctor if they die.

This is the value of a mature doctor.In the medical world, knowing and understanding are two different things, and being able and proficient are even more two realms.

The chemical fiber fabric that was applied to the wounded was burnt and melted one piece, and then kept one piece, just like a colorful moldy room beam, where you can see the appearance of people.

"Quickly, Xu Xian, take the pliers and peel off the foreign body from the wounded person. Be careful. You must avoid secondary injuries."

"Yes!"

Xu Xian held the pliers, bit by bit, slowly picking up the foreign objects stuck to the patient.

There was a sentence in his heart, he couldn't say it, and he was sad, unable to speak:

"Why is he wearing synthetic clothes?"

Zhang Fan didn't have time to pay attention to these, he said one by one verbally:

"Open intravenous access! Enough antibiotics to ensure electrolyte balance, fast!"

Young nurses can no longer get their hands. The wounded are covered with burns. It is difficult to find a piece of intact skin. How to find blood vessels and how to get needles!

At this time, all nurses at the head nurse level were all around.Almost all were blind punctures, where the blood vessels could be seen, all based on experience, with red eyes, looking distressedly at the wounded armed police soldier.

At this time, the venous channel is the lifeline for burn patients.What is afraid of burns? What is afraid of is not getting the corresponding complications under control in the first time.

For large-scale injuries, the first thing that appears is the digestive tract. When the skin is burned, the brain is directly down. Really, the brain is silly at this time, and it doesn’t know what to do, and then the digestive tract has an instant stress response. .

The digestive tract is also scared, a lot of neuroendocrine secretion of hormones, which means to let the body escape quickly.

However, the brain is down and the blood vessels in the digestive tract are strongly constricted, and I am afraid of injury.

Then it protects the mucosal ischemia of the digestive tract, and the stomach and duodenum containing acid-base solutions directly cause large areas of ulceration and bleeding.

There is also cerebral edema. I obviously didn't burn my head, but my brain was already scared to urinate at this time.

I filled myself with water to avoid (a) pregnancy and (a), the swollen ones can’t be swollen anymore, as if to say, I am so big, are you not afraid, are you not afraid, come here again, I Just blow it up for you!

"Heart rate is abnormal, and breathing is distressed! Zhang Yuan, the vital signs of the wounded are obviously abnormal."

"Cut the airway, hurry up!"

Zhang Fan directly ordered the trachea to be cut. Ren Li who was next door also faced the same situation. Moreover, it was not only a scald, but a young recruit as well as a serious crush.

Really, super compound injury!When oxygen and painkillers were given to the child, the young man awoke a little bit. The first sentence didn’t mean it hurts. Didn’t it mean that I was still saved?

Instead, "I am ashamed of our company!"

A word, a short sentence, made the busy doctor beside him cry instantly.

"No, boy, you are a hero."

"Haha!" With a shy expression on his blistered face, he fainted gently.

"Quick, blood transfusion, quick!" Ren Li shouted with tears on her face. To tell the truth, she, a director of cardiology, has seen too much life and death, and she is almost numb.

But today, this still young boy hurts Ren Li's deepest weakness in his heart.

...

The two most capable generals under his hand were already busy and couldn't get started, but the fire continued, and the injured continued to appear.

Ouyang looked at the head of the medical department in a frantic state, she pulled it away, then picked up the microphone and shouted: "Attention emergency team, now all follow my instructions, one group and two groups follow me, now on the line, hurry, there is no doctor. They are not professional."

The old lady dumped the head nurse who was supporting her, and brought a bunch of young people to the line of fire.

"Dean, I'll go, you are here to direct."

The director of the medical office hurriedly pulled Ouyang.

"You go, can you! Get out of the way!" Apart from anything else, the old lady pushed aside the director of the medical office, and brought a group of young doctors to the line of fire.

"Don't run, bow your head and bend over!" Ouyang saw a soldier running fast and shouted directly after he picked up the megaphone.

In the event of a fire, you must not sprint, because if you accidentally inhale the flame while running, you will directly burn your respiratory tract and face, and you must bend your head down.

"Quickly, carry the wounded person out of here, and cover his wound with wet gauze.

Give him a tetanus injection!"The old lady's already hoarse voice kept giving instructions on the line of fire.

With the backbone, the efficiency of doctors has improved a lot.

"As for you, you put on a protective hat for me, Jia Yuehui, are you very hot? You don't even know how to protect yourself, how to protect others, can you still expect you to save people! If you can't hold on, just give it to me Go back, I don’t want to rescue you here."

The eagle-eyed old lady was patrolling everything. When Dr. Jia from the respiratory department secretly lifted the helmet to take a breath, the old lady cursed over her head and face.

Jia Yuehui is a real male doctor, but his name is very feminine. The young man kept running on the fire field and kept trying to rescue him. After more than four hours, his sweat soaked his clothes, cold and hot, and hot again. It's cold.

I couldn't help but want to take a breath, but Ouyang saw it.After scolding, Dr. Jia didn't get hot anymore, he didn't hold back his breath, and his waist didn't count. He gritted his teeth and continued to deal with the wounded.

Under Ouyang's command, the severity of the wounded is different. The transfer of the transfer and the on-site disposal that can be dealt with on-site have greatly improved the efficiency at a time.

With the efforts of everyone, the fire began to extinguish little by little, and began to shrink little by little.

The Chinese people are very strange. On weekdays, in a peaceful environment, you look down on me and I look down on you.

However, in the event of a disaster, everyone immediately became a family, regardless of each other.

The Chinese state said that natural disasters are ruthless and people are compassionate, which is good at all, although the Chinese people are also well-known for fighting in their nests.

Not to mention other things, just talk about the border, because there are almost no aborigines in this fast place. In ancient times, because of the abundant water and grass, waves of wars never stopped.

Then the Mengren washed this place. Lao Kang beat the Mengren here to death. It can be said that there are almost no indigenous people here, the frontiers, and the teas. That is to say, this is the chassis of the Chinese, because The group of people who beat their lives to death are all for the highest peak of China's rights.

Without the aborigines, there is a treasure land with abundant water plants and good weather, and then gangs of people came here.

One by one from Dongshan came to mine in the frontier, and from Nanhe, from village to village, they directly ruled the recycling and electromechanical industries here.

In Sanchuan, a fellow villager pulls a fellow villager, the vegetable market is full of "yaodie!", the Sanchuan restaurant on the street, one family is connected.

The villagers in Su Province, near the frontier, came here with a few mu of land when they were at home, and they all became landlords.

The people of Shaanxi Province control the decoration industry here, and Lao Biao is the big pharmaceutical company here, not to mention the temperate people, who bought leather and sold leather shoes.

There are many people, the source is complicated, and then they look down on each other.There is a saying in the frontier, "South River has big crotch, you don't need a basket when you buy vegetables, you save potato eggs, you can eat but not dry! Sanchuan..."

This phenomenon can often be seen on weekdays, when two drunks fight.One shouted: "I X you fairy board."

Another shouted, "You are the one who is hungry!"

Then the onlookers listened, this is a fellow, you have to help, and then fighting alone turns into a gang fight, and the police catches them, why fight?Both groups said it was inexplicable.

On weekdays it seems like fighting each other, but in the face of disasters, the people from the provinces who look down on each other face the fire. A piece of homeland!Isn't it for this piece of land that has nurtured Chinese people since ancient times?

...

In the operating car, Ren Li's side, the recruit's injury was greater than the burn, and his burn was relatively not very serious. After the rescue, although the young man's face was scorched, his vital signs were stable.

There was a little problem with Wang Yanan and Naduo.Even if the black tiger is injured, he is still a fighter.

When the black tiger was carried on the surgical cart, he had to prepare his skin. The dog was not wearing protective clothing, and suddenly the burning tree burned the dog quite badly.

But when Wang Yanan took the blade to prepare the dog's skin, although he was already weak and dying now.

However, when watching Wang Yanan holding a sharp weapon, Heihu still bared his teeth and made a low growl warning sound, don't come here, I bite!

"Don't do this, I have to shave your hair clean before I can treat you. Obedient, good, are you obedient."

Wang Yanan kept crying and persuaded this special soldier, but the dog didn't understand. You wear a mask and a hat, and cover it like a robber. Can it listen to you!

That is to say, I can't get up now. If I can get up, I guess I can tear Wang Yanan.

Seeing that the dog was almost dying, the one standing on the side was cruel, took off his mask and gloves, leaned directly, and gently stroked and stroked with his warm hands.

"Heihu behaved, Heihu is obedient, and when you are done, I will give you candy. Obedient."

Then, he winked at Wang Yanan vigorously, and said in a low voice: "Get started, even if you bite, you still bite me. Come on, it's almost gone."

Wang Yanan glanced at that flower, then nodded, and directly began to shave.

While shaving, Wang Yanan said in a crying voice: "What should we do now, how should we deal with this."

The girl is also stupid. She has never raised a dog or learned how to treat a dog. Looking at the weak dog, she only shed tears in distress.

"Have you never attended an animal experiment class!" That Duo yelled anxiously. She couldn't wait to get started and replace Wang Yanan. It's a pity that she is a cardiologist, and using a knife is not her strong point.

"I forgot it a long time ago, and at that time it was handled according to people."

"Where you treat it according to people, it is also a fighter!"

"Weight?" Wang Yanan adjusted her emotions, and she was anxious just now. When Naduo said that, she reacted.

Then, really start to calculate the amount of fluid and calculate the operation according to the human treatment.

When he warmed his hands and slowly calmed the black tiger in a pleased tone, the dog slowly settled down. It seemed to know that these weird people in blue clothes were not bad people.

Slowly pain and weakness, the dog seemed to know that his injury was very serious, and slowly, tears flowed gently from his big eyes.

"Quick, it's going to be dead, it seems like saying goodbye again, quick, Ya Nan, please, hurry up, you must save it."

That one was going crazy directly, she could feel the black tiger getting weaker and weaker.

Heihu's head gently leaned against her body, as if returning to its childhood, as if returning to its training ground, as if returning to the barracks where the bugle commanded and laughed.

Ren Li's group was taking a breath, but Zhang Fan's armed police squad leader was getting worse.

Burns, mild burns can be treated as normal burns, fluid rehydration to relieve pain and anti-infection.

But severe burns are a kind of holistic, systemic damage. In medicine, once the systemic is touched, it is definitely not a good thing.

For example, systemic lupus erythematosus and systemic sclerosis, as long as they carry the three words systemic, are diseases that make doctors a headache.

Burns, deep burns, the surface skin has begun to dry up due to the damage of blood vessels, and various inflammatory factors in the deep tissues of the skin are still constantly attacking each other.

The current skin of the armed police squad leader is like the magma flowing out after a volcano erupts. The surface layer seems to have cooled, but the inner layer is still surging.

And because of the drying up of the surface skin, the loss of elasticity is like a hooping spell, or a tights, getting tighter and tighter.

The increase in pressure directly caused the cells in the body to rupture, and the clear cell fluid mixed with blood, mixed with fat, slowly leaked from the body of the armed police squad leader.

The liquid mixed with oil and water directly penetrates the dressing of the operating bed.

"Prepare for the operation, hurry, and ask if the physician next door can be freed."

The fluid mixed with oil and water, a large amount of body fluid was lost, and the first hit was the injured kidney.

With the loss of a large amount of fluid, the brain began to protect itself, and the blood directly gave up on the kidneys.

Time, now is a race against time.

"In Yuan Zhang, the vital signs of the wounded at the secretary's side have stabilized."

"Quickly, let the physicians come over. The patients here are going to be dying and must be operated on. I need their technical support."

"Yes!"

...

The wind and the fire subsided slowly, and the wind from Huochang Mountain, like the warm wind blowing in spring, slowly passed the rescuers.

Those who knew and those who didn't know each looked at each other, and they were all black. Only at the moment when they cracked their mouths and laughed, their white teeth could tell that they were smiling.

"Come on, come and help me. Ouch, my waist!" The fire went out, and Ouyang, who was cursing with steely voice, held on to his waist and couldn't move a step.

"Warriors, how are the soldiers' injuries." The leader of the line of fire did not dare to ask this question since the fire began.

When the fire was extinguished, he asked with difficulty.

"Two people were seriously injured, and countless minor injuries. The monitor of the third shift of the search and rescue brigade is dead, and the doctors are trying their best to rescue them."

"They are all qualified soldiers, they are all good soldiers!" As he said, tears rolled in his eyes.

"The few people they rescued were poached." As the assistant's instructor, his teeth almost broke his lips.For these few of them, my own soldiers...

"I killed them..." broke out, and the leader broke out directly in front of everyone.

The instructor, the team quietly leaned in the ear of the leader, "Leave it to the border police, don't hand it over! We must give our soldiers an explanation."