Medical road

"Secretary, quickly, you separate two groups of people and start to correct the shock, Director Zhao, you and Lao Chen's group, and Lao Wang, you and me, quickly, get the operation first."

Zhang Fan gave orders to the director Ren Li in his heart and Zhao Quanping, the director of Puwai.

This kind of traumatic shock must not be ambiguous. Any examination or conversation must be delayed.

There is no delay for a minute and a second. At this time, what kind of doctor's self-protection, what is worried about the patient's accident, the doctor will be implicated.

At this time, they don't even think about it, this is responsibility, this is responsibility.

If at this time, he is still worried about the consequences and afraid of taking responsibility, then this doctor will wear a white coat for nothing.

At this time, the bleeding must be stopped while correcting the shock.

Human sympathy and compassion are just like feelings, and they are countless.For example, compared with other industries, doctors and police have a higher threshold of sympathy and compassion.

They are accustomed to seeing life and death separation and the sinister world.The longer you work in this industry, the more you will become a face.

For example, even if you retired when you are a police officer, you can see his face and know the public prosecutors that cannot escape.

The same goes for doctors.

This sublimation perception is different from human innate perception, such as touch.

Human emotions use less, and touch more sensitively, such as touching the mass of the human body.

A skilled person can feel the mass when the diameter is one centimeter.

Unskilled people won't work. It is estimated that the masses will be larger to feel.

Regardless of it, it is a little bigger. When the mass changes from a benign tumor to a malignant tumor, it is actually a little bit worse.

Of course, Zhang Fan's current sensitivity can be perceived at a mass of about 0.8cm, which is comparable to color Doppler ultrasound.

This is the experience gained from a large number of physical examinations. For example, sometimes when sleeping at night, Zhang Fan can't help but give Shao Hua a breast examination.

This is subconscious, but in fact this check should be mastered by every man.

Don't men like big and fullness?In fact, the larger the breast, the easier it is to grow breast tumors.

This kind of inspection is simple, not too difficult, and not so esoteric.It can be said that as long as there is one hand.

Everyone has rubbed the oil on their faces. In fact, this check is like this. Put your four fingers together, starting from the armpits, and push your fingers slightly into the fat.

Then start from the armpit and slowly move down. Of course, it can be a little faster if you have experience.

Start a circle around the breast from the armpit, and finally pinch the five fingers at the small pimple in the center to feel whether there is a foreign body.

Really, don't look like it's funny.In fact, when it’s okay, this check will not only adjust the relationship between the husband and wife, but also prevent trouble for your lover.

It is definitely a good thing that kills two birds with one stone.

Don't just be hungry like a child, without any technical content.

This sensitivity can be exercised the day after, and the human body is actually very particular about blood loss.

Most of the deaths caused by trauma are usually due to shock.

It can be said that shock is the real culprit.In fact, many diseases of the human body have serious consequences because of blood.

For example, AIDS, the three ways of transmission, actually think about it carefully, they are all related to blood, why not talk about kissing, but talk about form teaching?

This is because between friction, the cell membrane falls off, causing the superficial capillaries to rupture, so the virus enters the blood vessels.

This is the entry of viruses that cause infection in the blood.

How much bleeding can be fatal.

For normal adults, the weight of blood accounts for about 7% to 8% of body weight. Under normal circumstances, this ratio is constant and generally does not exceed 10%.

And when the blood loss does not reach 8% of the blood volume, in fact, for the body, this blood will not have obvious clinical symptoms.

People who contract blood vessels will raise blood pressure to normal levels, so the body's vasculature is very good.

When the blood loss is 10% of the weight, the body fluid in the body enters the blood vessels and acts as a filler for vascular pressure.

Then the liver quickly synthesizes albumin, so to speak, it can recover in one day.

The body is not afraid of chronic blood loss.

For example, a female period, a cycle, between about 100 to 300 ml of blood, more or less different from person to person.

In a week's time, to be honest, this bit of blood, it is estimated that it hasn't flowed clean, the body's metabolism has already come again.

This is also the reason why women have no physical discomfort during their menstrual period.

This is also the reason why women have fainting due to the fierce blood flow after the first day of the women's period and the beginning of the second day.

The loss is so fast that the body cannot compensate for it.

Moreover, this kind of physiological chronic blood loss can also stimulate the regeneration of blood vessels. Therefore, the elasticity of blood vessels in women who have not entered menopause is better than that of men.

Cardiovascular disease is much lower than that of men. This is why men are extremely prone to sudden death. There are no official holidays!

The body is really not afraid of chronic blood loss. Sometimes, when the blood loss is as high as 30%, the body will experience shock.

However, when rapid blood loss occurs, it is different. In this case, there is no need to lose much. Once it exceeds 10%, shock will occur.

Because at this time, the body's compensation mechanism can no longer achieve the function of equalizing blood pressure. First of all, blood pressure cannot rise.

Many people have heard of shock, but what shock is actually, in layman's terms, is that hemoperfusion is impaired.

There are many types of shock, such as blood loss.

There is also fluid loss such as severe diarrhea and vomiting.Especially children, many children died of diarrhea and high fever in the early years.

Everyone feels that diarrhea is not serious now, because the medical environment and sanitary conditions have improved a lot.

Diarrhea and prolapse of the anus seems to be the most serious condition.

To be honest, no one can die from anal prolapse.But a lot of fluid loss, life-threatening in minutes, severe diarrhea, in fact, it is similar to the effect of spurting blood from a ruptured artery.

In the past, once diarrhea occurred, it meant that black and white impermanence had already stood by the side of people.

In addition to blood loss and fluid loss, there are burns, infections, heart dysfunction, allergies, and strong nerve stimulation.

These can cause shock in the human body.In fact, if you take a closer look, the mechanisms of these causes are different.

The consequences are the same, all of which cause blood flow to appear obstructed.Allergies, a large area of ​​allergies, can lead to increased blood vessel permeability.

Just like after a bee stings a person, why does a person swell up like a hairy face?

In fact, bee stings make the body produce a lot of factors that fight with allergies.

When allergic substances fight with these factors, the blood vessels, originally silk stockings, suddenly become fishnet stockings.

Then all the blood ran from the blood vessels to the cells, and the human body quickly turned into a big bun like a balloon filled with water.

Intense nerve stimulation will cause capillary spasm, and then the blood flow will have problems, and then it will become shock.

For example, some people may feel dizzy and numb after a strong laugh or cry. In fact, this is the early stage of shock.

Laughing, this is not nonsense, this stuff makes sense.

Correcting shock, how to correct it, is actually to find a way to make the perfusion sufficient.

For example, for hemorrhagic, a balanced salt solution that is estimated to lose twice to three times the amount of blood is first administered intravenously.

In fact, this is to first stabilize the acid-base balance of the body with a balanced salt solution, and then use this liquid to trick the body to raise its blood pressure.

Once the blood is lost, the acid-base balance and blood pressure of the body cannot be corrected.

So, this is directly the full collapse of the reservoir and the dam, and all organs have been damaged invariably. Once this result occurs, the Jade Emperor will be fine.

Therefore, at such a moment, the great nurse reflects her importance.

Blood vessels, normal human blood vessels, are actually like vermicelli, plump and smooth, and sometimes poorly skilled nurses can’t get in.

why?Because this thing is sleek, it can evade. When a sharp weapon is pierced in, the outer membrane of the blood vessel is like the mucus on the fish body, slippery, and it can evade to a limited extent.

Often some nurses pierced in, but looked back and took a look. The painful patient grinned. This is the nurse returning the needle after the blood vessel evaded.

The ischemic blood vessels are actually glued together like two pieces of white paper. At this time, it is much harder than smooth. There is no chance to look back. It must be hit with a single blow, otherwise it will have to be found in another place. Blood vessels.

To make a simple analogy, put a piece of pork on two pieces of paper and give you a needle.

You are required to pierce the pork and pierce the first layer without breaking the second piece of paper.

Moreover, you have to let the needle go through the gap between paper and paper.

To be honest, you may not be able to do it when you calm down.

And the nurses, after this time, the flat car ran fast, and the nurse not only had to keep up with the speed of the flat car, but also put the needle in it.

Really, this is all the ability to exchange blood and tears and slap in the face.

The head nurse of the emergency center, the head nurse of the operating room, the head nurse of the orthopedics department, the head nurse of the cardiology department, the head nurse of the respiratory department...

It can be said that almost the most skilled nurses in the whole hospital have arrived, four people, one flat car, two upper limbs and two lower limbs.

They bend their waists, lower their heads, hold the patient's arm or ankle in one hand, and hold the needle in the other. They must move quickly with small steps under their feet to keep up with the speed of the flat car.

Why can't the pace be too big? It's not that you're afraid of pulling the egg, but that the pace is too big and your hands are unstable!To be honest, this industry is too nonsense.

On the one hand, the situation is urgent, while listening to Zhang Fan's urging voice: "Is the venous channel open? Quickly, if it doesn't work, then go away, I'll come!"

Really, it didn't even last for two minutes. There was sweat under the head nurse's cap. It was nervous and urgent. It was a sports battle.

Really difficult!

The head nurse in the operating room doesn't seem to have an ambiguity with Zhang Fan. What is the way of living in the workplace.

Zhang Fan never took it seriously, not only couldn't take it seriously, but also pretended to be shy and avoiding.

If he really takes it seriously, I guess the head nurse can slap him over!

The head nurse in the operating room looked at the demon in the devilish air, and smuggled perfume and lipstick every day, but his skills were really awesome.

The first one opened up a vein in a man's upper limb.While running, the head nurse in the operating room shouted: "Venous access in the upper right limb is open!"

The coquettish voice of the female voice, in such a crisis situation, seemed so nice, and it seemed that the head nurse's voice was so coquettish!

One sound, two sound...Eight venous channels for a man and a woman, like the teletubbies, were all erected before entering the elevator.

The suspended liquid bubbled up and quickly entered the patient's body.This is the ability, this is the embodiment of a hospital's comprehensive capabilities.

They and they are the mainstay of the hospital.

The police car came and went away, and the patient was put on the operating table amidst the rapid whining.

"Quickly, Lao Li, I will disinfect, you will spread the bills, and the anesthesia will be performed at the same time, so I can't wait."

The chief surgeon of male surgery is Zhang Fan, and the chief surgeon of women is the director of General Wai and the director of heart and chest.

The operation begins!

The heavier the rain, the faint redness can be seen on the street.

However, sadness cannot be washed away by the heavy rain.