"Burn infection is currently the main factor threatening the lives of patients. Three military hospitals in my country have given reference guidelines. 52% of burn patients died of infection. The Cincinnati Burn Center in the United States reported that patients with large-scale burns died of infection. Accounting for 75%." Zhang Fan opened his mouth and came. These data were obtained when he was transferred to the dermatology department.
Medicine is considered a science. When you cannot perform surgery or convince the other party on treatment, you can only rely on data. If these data are not specially prepared, it would be very difficult for ordinary doctors to just open their mouths. These data are not needed for treatment. This is the difference between doctors and scholars. Things in the world are so nonsense. If you want to be a good doctor, , it’s really not easy.
"This has little to do with the use of antibiotics against anaerobic bacteria. I think the use of three antibiotics against anaerobic bacteria is wasteful. It not only occupies the channel, but also easily causes drug resistance." The doctor from the military hospital interrupted Zhang Fan directly.
The battle of ideas seems to be very mild, but in fact the swords and swords here can be fatal if not careful. Once you grasp one point, everything about you can be overthrown, and then the responsibility will be passed on to you.
When life is at stake, a small matter can be magnified to the point where ordinary doctors cannot bear it, not to mention that the wounded man is still a hero.
Ouyang felt something was wrong. She turned around and looked at the doctor in her hospital. Her meaning was very clear: help! She knew Zhang Fan. Surgery was very good, but internal medicine was mediocre. Zhang Fan would almost collapse if he was a cardiologist.
And she knew this kind of thing too well. A little carelessness would lead to endless troubles. She was worried that Zhang Fan was too young and some things were not that simple.
A unit, especially a medical unit, if there is no special competition, is actually very united. You help me, I help you, and walk cautiously and slowly in this special industry.
The director of the respiratory department, Jumabike, was about to speak. Zhang Fan nodded to him and motioned for him to wait a moment. Then, Zhang Fan continued: "Where there is decay, there must be bacteria! Although burns are mostly bacilli. However, after using spectrum antibiotics, the effect is still not obvious. Why? It is because anaerobic bacteria are missing."
"Do you have any basis for what you say? Is there any laboratory data? Where does this come from? This is treatment, this is human life, it's not just what you say." One of the doctors in the army started to get a little on the line.
In fact, how should I put it? my country's burn department has taken too many detours. Compared with other departments, this subject is really not easy.
The European and American blockades in the early years, especially those involving war, really did everything to the strictness of our country's blockade. That year, during a war in the south of our country, a large number of soldiers were burned.
The entire medical system, especially the military medical system, is constantly trying to find ways and means to do everything possible.
For example, after comprehensive debridement, after the injured was admitted to the hospital, multiple surgeons were gathered to conduct comprehensive debridement on the patient, but the result was still unsuccessful and the infection remained the same.
Then there is aseptic isolation, which is quite strict aseptic isolation. Medical staff entering the ward must take a shower, wear isolation gowns, and wear antibacterial chewing gum. Every pen and piece of paper entering the ward must be strictly disinfected. The infection continues.
These are human lives! The results were verified by the lives of countless soldiers.
"Haha!" Zhang Fan smiled expressionlessly. Did he really mean it was necessary? Is this necessary?
"First of all, there are various pathogens in the human body. Bacteria that were not pathogenic have become pathogenic under such large-scale trauma. And why do we fail to achieve the expected results after using a large number of broad-spectrum antibiotics? , it’s because of anaerobic bacteria. After the U.S. military’s war in Afghanistan, their Telplitz Research Center clearly pointed out that burns should be treated with antibacterial agents as soon as possible, and antibiotics must be used first against anaerobic bacteria.”
Zhang Fan directly threw out the results in the system. Infection is a subject that occupies a large space in the surgical system. When Zhang Fan was studying the basics of liver surgery, he didn’t know how many times he read it. Zhang Fan's step-by-step improvement was really not in vain.
"This, but there is a lot of controversy at the moment. I think it needs to be discussed as it occupies such a precious liquid channel." The tone of the military doctor who raised the question immediately dropped several notches. There was no way, the other party was too capable, and such a niche journal They can all dabble in it, but he has nothing to say.
This kind of journal should only be read by doctors in the military burn department, because the medical industry also has a branch for battlefield first aid, and the Telplitz Center is just a small center for the US military to study battlefield burns. He has also read it, so he was speechless. .
The director of the burn department of the main hospital was also surprised. There were not many doctors in their hospital who could read such journals. After all, the war seemed to be far away.
Almost all the doctors in Chasu City have never heard of this center, but this does not stop them from being proud! Ouyang's frown slowly relaxed, and the corners of his mouth began to turn up slightly, proud! Zhang Fan didn't embarrass her, so she stood up for him in vain.
"It seems that Dr. Zhang is confident! What's next? Can you ensure that the patient survives the bacterial outbreak?" The director of the Scald Department of the main hospital spoke up, getting to the point.
Zhang Fan was speechless and speechless. Treatment, especially this kind of antibacterial treatment, has too many unexpected factors. Even if there is a 99% chance, it cannot be guaranteed to be safe, not to mention that this kind of treatment currently cannot reach such a high rate.
"Even if you don't use anti-anaerobic bacteria treatment, can you ensure that the patient can survive this dangerous period safely? Are non-anti-anaerobic bacteria spectrum antibiotics correct?" Ouyang spoke directly before the other party finished speaking.
"However, this is the current treatment plan of our army."
"Nothing may be correct! Can you ensure that the wounded survive the dangerous outbreak safely?"
This becomes a fruitless debate, meaningful or meaningless? I don't know, but what Zhang Fan is sure of is that no one can convince anyone.
"Okay, let's not discuss this issue for now. What should we do now?" The director of the general hospital turned red with anger.
"Hmph!" Ouyang went through a lot of arguments, especially ideological or fruitless line arguments, when she was young. The director of the general hospital was her opponent.
"The patient is lying on the hospital bed. I understand the doctor's mood, but now is not the time to discuss this matter. Now, I give the order." Ouyang slapped him back. The old lady is really strong, with a sharp mind and sharp language, and she is no match for ordinary people. . After she took the initiative, she started giving orders directly, without giving you a chance to breathe.
As soon as this was said, all the doctors from Chasu City Hospital stood up and listened attentively. No matter how dissatisfied the doctors from the main hospital were, they had to carry it out. There was no way. It was not that the national army did not work hard, but that the other side was too cunning.
"I am the team leader, the director of the Scald Department of the General Hospital and the director of Stone City Hospital are the deputy team leaders. I am responsible for the overall condition of the injured, coordinate with the top and bottom, and report in a timely manner.
The director of the Dermatology Department of Chasu City and the deputy director of the Scald Department of the General Hospital led the deputy director of Shitucheng, his ICU director, and head nurse as the first group to monitor the patient's skin and life conditions 24 hours a day.
The director of the Respiratory Department of Chasu City, the director of cardiology, and doctors from the main hospital serve as the support team. They comprehensively analyze the patient's condition in a timely and accurate manner, estimate the patient's condition, adjust treatment at any time, and are on call 24 hours a day.
Zhang Fan led other staff to form the second group, making preparations for all surgeries and being on call 24 hours a day. "
After saying that, Ouyang looked at everyone present and continued: "Now, put aside the dispute and go all out. As the highest-ranking leader at present, I will give everyone a vaccination first. If anyone is not careful during the rescue period, Shirking responsibility, no matter which system you are in, I will never give up.
The hero lying on the bed has paid such a heavy price. As doctors, as his last and only hope, we must not let him feel cold. On duty! "
White coats, everyone put on the white coats of Stone City Hospital and entered their respective posts.
"Record heart rate, pulse, and blood pressure every ten minutes. Administer hormones and increase colloid rehydration." The figures in the ICU were shaking, and the families of firefighters thousands of miles away set off with the help of the local government.
Silent tears spread across this thousand-mile journey.
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