Rescue, especially the rescue of critically ill patients, is directly a battle between doctors and patients against time and pain. At this time, we must first clarify the priorities.
When Zhang Fan was a guest at Stone City Hospital, what he was most worried about was poor instructions. Although this possibility was not high, the others were not fools. If someone took responsibility at this time, who would object? However, if you are not afraid of ten thousand, you are afraid of the worst. There is almost no room for error in this matter. Therefore, Zhang Fan looked attentively with a dark face.
The director of Stone City Hospital almost bowed, almost bowed. He took the lead and the doctors and nurses below had no objections. Sometimes we really have to guard against conflicts of temper.
Needless to say, the medical team is fully prepared. The waist is straightened, waiting for the order. Amidst the smell of rotten eggs in the emergency department, Zhang Fan ordered.
"The dean organized people to donate blood. Other unrelated personnel were evacuated from the emergency room." After that, he continued: "Liu Yaowen, Lu Shuyan." His tone was stern. There was no way, at this time, it would be impossible not to be strict at all. In order to make the doctors and nurses in Stone City more obedient, Zhang Fan had a harsh look on his face.
"Here!" The two of them took a step forward at the same time.
"Cut the airway and ensure the respiratory tract is open."
"Yes!" For burn victims, especially those with inhalation injuries, the airway must be kept clear. The patient's larynx is already swollen and will become more swollen until it blocks the airway and suffocates the casualty. In hospitals, usually the person who cuts the organs is either an anesthesiologist or an ICU doctor.
Zhang Fan couldn't trust the doctors in Stone City, so he had to rely on his own people. This is the team! A team that knows each other well.
"Baoyin!"
"Here we come!" The big-breasted girl stood up.
"Record." Zhang Fan said. Rescue, especially this kind of rescue, should be carried out if the patient is rescued, but if the patient is not rescued, the record of the rescue must be discussed. Even if nothing happens afterwards, Zhang Fan has to guard against it.
Burns are no different than other injuries. In case of severe bleeding due to cuts, as long as the bleeding is stopped in time and the shock is corrected, the person will survive. But burns are not good, this is a compound injury, especially this kind of injury that can be regarded as a chemical burn, which is too fucking ridiculous.
Burns, large amounts of various sulfides and carbides attached to the surface. They are constantly performing various chemical reactions, which directly leads to the aggravation of damage. At this time, the patient feels as if he is sweating, with oil and water all over his body oozing out from the surface of his body. Just like pearls, really, it must not be an exaggeration, directly on the burnt, coke-like black skin, there is a smooth pearl necklace hanging.
Zhang Fan's brain was spinning rapidly now. Almost every aspect of this kind of rescue is top priority. Rehydration is important, ensuring respiratory tract is unobstructed, fighting infection is important, and correcting shock is important, none of them is not important.
"Doctor Zhang, give the order!" The director of the emergency department of Stone City Hospital looked at Zhang Fan and said with a tearful voice. There is no way, he knows it himself, if the technology is not good, he will not be trusted by others! After all, Zhang Fan is still young and views "people" too simply.
At this time, I am afraid that no one will take the lead. As long as someone takes the lead, they are still doctors and nurses formally trained in China, not the so-called butchers who increase fees during surgery.
"Give the order!" Other medical staff in the emergency department also took a step forward and said in a deep voice. In the same emergency room, the patient is lying on the bed, the injured is in danger, and the pain of not being trusted can only be known by personal experience. It is really uncomfortable.
"Okay! Head nurse!" Zhang Fan nodded.
"Arrived!" The unique voice of a middle-aged woman came out.
"Assign two to three nurses to initially clean the wounded's wounds. Use benzalkonium bromide. Be sure not to damage the blisters."
"Yes. Wang Min and Chen Jing are cleaning the wounds with benzalkonium bromide."
"Open the venous channel, all four channels. If necessary, perform deep venous channel."
"yes."
Replenishing fluids for burns is very troublesome, especially for large-scale skin damage. Sometimes the fluid replenished does not leak out quickly. It's just leaking while infusing.
This kind of rescue is different from ordinary ischemic injuries. This kind of rescue is a step-by-step rescue. If you cannot go up a step, or if it is not handled well, it will directly lead to collapse, a big collapse of various systems.
There is nothing to say. At this time, the wounded person is like walking on a knife edge, and one mistake can lead to death. First make an accurate estimate. An accurate estimate of the casualty's burn area.
It sounds like nonsense, it needs to be accurate and it is an estimate. Yes, this is the horror of burns. There is no time to consider it carefully, but the doctor in charge of the rescue must have an idea of how much fluid needs to be injected into the area. Especially this kind of large-scale rescue requires a very high comprehensive level of a doctor.
At this time, it is impossible for two or three medical and surgical doctors to discuss. There is no time and no room for doctors to discuss. At this time, there can only be one voice, the voice between life and death. The young man lying on the bed depended on Zhang Fan for life and death.
The human body is actually a bag of liquid, a bag of balanced neutral liquid neutralized by various ions. The terrible thing about burns is not the loss of fluid. What's terrible is that it causes various ion disorders in the body. Once the ions are disordered, various balances within the human body are broken.
Then, there was the big collapse. To put it simply, for example, in the heart, a level of potassium ions can cause the heart to stop working. The same goes for other organs. It might be possible to stab the wound with a knife and sew it open, or at most it would just be a scar, but this kind of ion disorder, which is still leaking like a sieve, is the most dangerous.
"5% glucose, dextran, cefixime, potassium chloride, insulin, calcium chloride~~" Zhang Fan kept giving verbal medical orders while observing the condition of the injured.
When it comes to burns, the most powerful one in the world is the U.S. Army Burn Institute. The first aid measures for burns they formulated are being implemented in hospitals around the world.
However, will people tell you which of these small details are accumulated with human lives and which are experiences? Experience that money cannot buy? No, so I have to explore by myself.
And Zhang Fan is like a cripple now. Surgery can be used to shine, as is internal medicine. But in today's situation, whether he can do it or not, he must do it, gritting his teeth and doing it. It was too late for the laboratory to report back, so we kept checking while rescuing.
Tendon reflexes, pupils, respiration, pulse, heart rate, blood pressure, urine, all the indicators, Zhang Fan kept checking and paying attention, and then his brain gathered them together, then made judgments, and then gave instructions, without waiting for a moment. If there is a mistake, there is no room for delay. All the muscles in Zhang Fan's body were tense. The wounded man walked on the blade, and he was dancing on the blade.
Outside the hospital, only the flashing police lights were flashing, and a huge crowd lined up quietly. Firefighters with dark sweats, medical staff in white coats, and policemen with national emblems were all lining up.
Donating blood, far away from the city, you can only draw blood on site. "Go and take care of your burn. Look, your arm is so injured. How can you draw blood?" The little nurse who drew blood said to a firefighter.
"It's okay. I'll go and take care of it after I finish drawing the blood. Draw the blood first." The tears were swirling, but there was a smile on his face, with white teeth and a blackened face.
"Go! You are not missing. Don't get infected again." The detachment leader came out and said to the firefighter while holding the arm where blood had been drawn.
"Captain, just let me smoke, otherwise I will feel uncomfortable, really, uncomfortable~~ We are the only ones left in our class! Captain, we are the only ones left. Lao Wang will recover next month, But~~, Captain~!”
"Yes! He has recovered, he is going to recover!" The detachment leader said to himself with tears streaming down his face.
The wind blew gently, and the faint smell of rotten eggs lingered over the hospital. The leaves trembled gently, just like the laughter of the past.
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