Zhang Fan's red eyes widened, but he couldn't say a word. As long as you are a doctor, you have to obey other people's orders, because they are the superior doctor and the chief doctor. This is the rule, just like the army.
Knock, knock, the sound of footsteps coming from far to near came. "No need. We will be responsible for the sick patients." A slightly rickety old lady came.
With a tired look on his face, Ouyang, followed by a group of experts from Chasu City, set off overnight and drove all the way. Only the armed police and 120 drivers dared to drive like this. Ordinary drivers have the courage but not the skills to drive so fast at night. Don't you want to die?
"Dean!" Zhang Fan was about to cry. He was so damn happy to have a backstage.
"I am the director of the burn department of the Army General Hospital. We are sent by our superiors to take over the patients." Soldiers usually go straight, let alone soldiers from higher-level hospitals.
"I didn't receive this order. I only know that my superiors asked me to set up a rescue team. Here, Stone City, belongs to Chasu City, and we are the direct superior hospital of Stone City Hospital. What's more, we are the first doctors for patients." Zhang There is nothing you can do against others. It's obvious that higher-level hospitals don't trust lower-level hospitals, but Ouyang is different.
The old lady didn't even look at the director of the military region. What's wrong with the director? Don't I have a director under me? It's useless even if the other party comes to the dean, she is not their subordinate.
In fact, this industry is like this. Competition between military and local hospitals is very fierce. Military hospitals are not as popular as local hospitals, and local hospitals are not as popular as military hospitals. In particular, bosses from military hospitals rarely go to local hospitals to perform acupuncture, and it is impossible for experts from local hospitals to go to military hospitals to perform acupuncture.
"How about it? Can you still persist?" The old lady looked at Zhang Fan. Although her face was serious, her eyes were friendly. Really, the old lady was very satisfied with Zhang Fan.
"Report to the dean, you can insist."
"Okay. Now let's hold a rescue meeting. Will you participate?" After speaking, he asked the director of the Army General Academy. The old lady is such a protective person, she won't tolerate others talking about her pet peeves, let alone her pet peeves who stayed up all night.
But if this is a job, she will definitely not let this group of soldiers go. But she would definitely not let go of the initiative. Ouyang would definitely not be happy with a large group of people traveling all night and finally coming to do something for someone.
In one sentence, the initiative was taken away directly. "Participate." Nothing happened, and neither did the director. This old lady didn't seem to be a good person. He was here to save people, not to fight with each other. Let's have a meeting first and let's talk about it later. Let's see who is better at the meeting.
"Prepare the conference room. Ensure the monitoring here, and get the list of your hospital. Who are the director and head nurse of the ICU here." Ouyang glanced at the director of the Army General Hospital, and then looked at the hospital in Stone City. Chang said.
Ouyang directly looked down upon this kind of factory and mine hospital, just as the General Hospital looked down on Chasu City Hospital. But she is better than others because she has this qualification. In her hands, Chasu City Hospital is already the leader in Chasu City. This is strength.
"Okay! Okay! I'm going to prepare now." The dean of Stone City has a big head. Ouyang Hong, he knows very well that the tomboy of Chasu City's medical system will get angry if he disagrees with her.
A group of Stone City Hospital logistics staff quickly prepared the office. The company is rich, and the hospital is not short of money. The interior decoration of the office is very high-end. I don’t know if it is a conference room from a Fortune 500 company.
"This!" After the venue was set up, the director of Stone City 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 injured, who will be the host, and introduce the condition. No need to talk nonsense. Time waits for no one, and the condition waits for no one." Ouyang said expressionlessly.
"Okay! Okay!" The director of Stone City Hospital's teeth were almost broken. "Mom, if you are not as skilled as others, then you are not a human being!"
After Ouyang finished speaking, he glanced at Zhang Fan. Zhang Fan understood and quickly walked to the podium at the venue without opening the medical records, because he knew it well.
"At about 8 o'clock yesterday evening, due to a sudden disaster, our armed police fire officer Li Qiang was accidentally burned while fighting a fire. After being rushed to Stone City Hospital, the patient developed shock symptoms. The injuries were obvious, including the head, chest, back, and lower limbs. Extensive burns. The burn area is about 45%, and most of them are deep third-degree injuries. The local skin is obviously carbonized. The heart rate increased significantly on admission, and the blood pressure and pulse pressure significantly narrowed and then decreased. Breathing was 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. There are only a few words for a patient's chief complaint, but it must cover the patient's condition, especially for elderly patients in the internal medicine department. The conditions of life-long patients can be as complicated as they are, but doctors only have a few words to write the chief complaint. , if you want to be comprehensive, you have to think about it for a long time.
"After the patient was admitted to the hospital, a tracheotomy was performed in the emergency department, the wound was cleaned, the respiratory tract was cleaned, and the shock was corrected, but the patient's vital signs still could not be significantly improved. During the anti-shock period, the patient's breathing, blood pressure, and heart rate did not show significant changes. Considering the patient's burn injury In the acute exudation stage, there was a large area of carbonization of the surface tissue, and there was leakage while transfusion. Therefore, the patient was treated with decompression and incision, and the patient's condition improved significantly."
After introducing the condition, Zhang Fan quickly explained the rescue process at that time. These things seemed to be imprinted in his mind, and he spoke them out without any hesitation. After finishing speaking, Zhang Fan did not step down because he knew that someone would ask questions.
Sure enough, one of the soldiers at the military hospital spoke up, "Is it necessary to make an incision? Does the use of antibiotics take drug resistance into consideration? 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. It is life-saving and there are no major problems. However, for this treatment, especially for this kind of very critical rescue, many treatment measures are not clearly specified, which means that the medical industry has not been unified. It is very controversial whether to use which one or not.
Especially this anaerobic bacteria. As the name suggests, anaerobic bacteria are bacteria that hate oxygen. Generally, there are not many such bacteria on the body surface, but one of Zhang Fan's three antibiotics is an antibiotic against anaerobic bacteria. The doctor at the military hospital pointed out this. In fact, this is not looking for trouble, but a difference in philosophy.
However, if Zhang Fan can't explain it clearly, it's a problem, it's a big problem. The director of the dermatology department of Chasu City Hospital also frowned. She didn't understand Zhang Fan's medication.
"It was necessary to make an incision. At that time, ring-shaped eschar had formed on the injured person, and the tightened body had already created a considerable pressure. It was originally in the acute exudation stage, and the shock could not be corrected without incision." Zhang Fan said clearly.
This so-called questioning is actually very nonsense. There is no one during the rescue, and it will be troublesome after the rescue. Especially for a rescue of this special nature, someone will definitely raise questions.
There are thousands of people with different faces, not to mention that there is no clear standard for this kind of rescue. Now that the industry is becoming more and more sophisticated, doctors are increasingly afraid to take action. In just a few minutes or even a few minutes, they can’t think If you make a mistake, you have to keep working hard and keep practicing. Therefore, a rescue operation, especially a large-scale rescue operation, can almost become a highlight in a doctor's resume or file.
Among doctors of the same level, who is more awesome? Just look at the introduction. Whoever presides over the most large-scale rescue operations is the best. There is no ambiguity at all. How dare he take over a large-scale critical rescue operation if there are no twos and threes? Don't dare!
Rescue requires a very high overall quality of doctors, which is why there is a chain of contempt within the hospital. Doctors from the Department of Surgery look down upon those in the Department of Orthopedics. This is because in many large-scale rescue operations, the director of the Department of Surgery may not dare to do it, but those in the Department of Orthopedics may not. It’s not about who makes the money. The reason is more money and less money.
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