What wildfire cannot burn is the sweetheart. Lao Wang, a firefighter who is about to be demobilized. As a result, his fiancée is still waiting for her lover to marry her. The setting sun is her red makeup, waiting for her lover to return home in fine clothes, but what is waiting is~~.
"Doctor Zhang, no. The wounded man's blood pressure is getting lower and lower." The director of the emergency department was sweating. Zhang Fan has already seen that the liquid is already at its maximum level, and if it is larger, the patient will probably suffer from heart failure. But the body fluids cannot be replenished, and the input is not flowing out quickly, and the wounded person's system is about to collapse.
"Knife!" Zhang Fan fought hard. The family members of this kind of wounded will not be able to come for a while, and all the handling has been left to Zhang Fan by his superiors. No matter what, as long as there is a chance, Zhang Fan will fight for it and snatch people from the hands of the King of Hell.
Medical and international exchanges are very frequent, but many things are really impossible to learn without going in depth. For example, for this burn injury, the U.S. Army Burn Institute provides only a rescue guide, the details of which will not be released.
In actual rescue work, the most important thing is the details. Everyone knows what needs to be done after a burn, but there are so many details. Without a large number and concentration of burn patients for decades, it would be impossible to accumulate them. How can such a large and complex number of burn patients be collected? That is war.
"What?" After all, it was not our own hospital and the staff were unfamiliar with each other. The head nurse asked in confusion.
"Scalpel! Prepare to make an incision." Zhang Fan said again. The wounded man's trachea has been cut open. What more needs to be cut? The head nurse looked puzzled, but without stopping, he neatly prepared all the necessary instruments.
Who dares to do this kind of rescue, especially this kind of unreliable rescue? But if you don't move, there will be no hope. Moved, maybe there is hope, maybe~~.
Zhang Fan was very calm now, wearing sterile gloves quietly and quickly. The green smoke from the talcum powder slowly floated up, and Zhang Fan gritted his teeth.
There was no superior doctor to stand up, and there was no Ouyang to back him up, but Zhang Fan still decided to go under the knife. No matter what, as long as there is a glimmer of hope, we cannot 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 dominating during the operation, he had never spoken like this before.
She didn't know what Zhang Fan was going to do. However, she helped decide this situation. Not for any reason, just to share some of Zhang Fan's pressure afterwards. He is not a comrade-in-arms.
"Give it to me." Lu Shuyan said, took the bending plate from the nurse, pushed the ambulance to Zhang Fan's side, and without saying much, started to install the scalpel.
"Stuck!" After installing the scalpel and handing it to Zhang Fan calmly, she walked to Zhang Fan's side, holding gauze in her hand. Zhang Fan turned his head and glanced at Lu Shuyan.
Like Lu Shuyan, she glanced at Zhang Fan. Although she didn't say anything, she could see a firmness in the other person's eyes. This is the doctor, the doctor who wants to fight with death.
For disinfection, Zhang Fan needs to incise the eschar and open the fascial tissue to decompress. Everyone knows that heat expands and contracts with cold, but in this situation, the injured are like burned plastic, with the skin and muscle tissue shrinking together.
The surface of the body is like a pressurized cover. Apart from anything else, this pressure directly causes a large amount of fluid to leak out. This pressure can squeeze out as much fluid as you replenish.
Although incision can reduce pressure, bleeding is bound to occur when the pressurized cover is opened. Will this bleeding increase the loss of internal fluids in the body? Could it be that the patient died of heart failure right when the incision was made?
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 was not much time to think about it, Death was already at the door.
At this time, Zhang Fan hoped that the old lady Eurasia could stand behind him and say: "Take it!" Medical treatment not only requires the growth of technology, but also the maturity of mentality. This takes time. If you want to do it in a short time There is a price to pay for going through this process, and it is impossible to get it in vain.
Sweat! It has already soaked through Zhang Fan's back. But his hands were very steady, without any trembling. Where the patient was severely burned, Zhang Fan operated according to the texture of the muscle.
According to the anatomical level, Zhang Fan took action. Start with the chest, layer by layer, directly reaching the fascial layer. The ring-shaped eschar on the chest was cut open by Zhang Fan, but no trace of blood was seen. Continue to cut around the chest and directly cut into the deep fascia. Finally, I saw blood.
Standing under the shadowless lamp, Zhang Fan made several long incisions on the wounded man's chest, from the left armpit to the right armpit, just like plowing the ground.
The first layer is burnt skin, and the second layer is scalded muscles, muscles that smell like meat. Only in the third layer can pink tissue and bright red blood be seen, and further down is the pleura.
These tissues are all necrotic tissue and do not require anesthesia. The injured will not feel any pain at all.
While cutting, he looked at the various testing instruments of the wounded, including heart rate, blood pressure, and respiration. The ticking, ticking oil drops were like a death knell in Zhang Fan's heart.
Continue to cut, the thigh is already like a burnt ham, and the surface is also like a ham brushed with a lot of oil and water. Tsk, now that the knife has been used, there is no way out.
Thighs, back, belly. All were cut open, and the originally charred wounded could no longer be seen. The charred tissue and skin that were originally tightly packed together were cut open, and a long opening opened up. The tissue that was originally the inner layer was turned up.
It was like wearing a torn floral dress, with holes and open wounds everywhere, black, red, and pink mixed together, and the whole body looked like an open mouth.
For burns, the wound surface may become sterile within a short period of time. However, this half-cooked 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 found in ordinary diseases. For example, the number of bacteria in bilateral diffuse pyelonephritis is 100, and the number in burns is seven times that, which is a direct change in magnitude.
Bacteria of this magnitude can lead to patient death without directly invading deep tissue, which is the so-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 from the respiratory department spoke up: "Doctor Zhang, prepare to administer some antibiotics." The respiratory department deals with bacteria almost every day, and Zhang Yanfeng is very aware of the current situation.
"Three times, topical silver sulfadiazine. Prepare for blood transfusion, and then it depends on God's will." After the incision and decompression, Zhang Fan did not even dare to breathe. Although the patient's blood pressure has been stabilized and the internal environment has been preserved, A large number of external bacterial troops are coming soon.
There is really a wolf in the front and a tiger in the back.
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