"Quick, carry it into the operating cart." Zhang Fan directed and inspected at the same time. Rescue, especially the rescue of critically ill patients, is really a consideration of the comprehensive quality of doctors and medical teams.
For trauma patients, five aspects must first be determined: 1. Circulation. 2. Breathe. 3. Chest and abdominal activities. 4. Exercise. 5. Talk.
"What's wrong with you? Are you thirsty? Can you hold your breath?" Zhang Fan held on to the stretcher and ran while shouting at the armed police squad leader who was lying on the stretcher.
Zhang Fan stared at the patient's chest, looked at the patient's expression, and used words to test the patient's reaction.
This is experience, this is the experience that doctors have summed up in their work. In just a few words, they can almost understand the general situation of the injured.
Without this experience, if you stupidly wait to put the wounded person on the examination bed, and then slowly measure the blood pressure and listen to the heartbeat, the doctor will delay the death of the wounded person.
This is the value of a mature doctor. In the medical field, knowing and understanding are two different things, and knowing and being proficient are two different realms.
The chemical fiber fabric applied to the wounded body was burnt, melted, and remained, just like the colorful and moldy beams, with no trace of the human appearance.
"Quick, Xu Xian, use pliers to peel off the foreign objects on the wounded person. Be careful. Be sure to avoid secondary injuries."
"yes!"
Xu Xian took the pliers and slowly picked up the foreign object attached to the patient's body bit by bit.
There was something in his heart that he couldn't express. He was so sad that he couldn't open his mouth:
"Why is he wearing synthetic clothes?"
Zhang Fan didn't have time to pay attention to this. He gave out verbal doctor's orders one after another:
"Open the intravenous channel! Enough antibiotics to ensure electrolyte balance, quick!"
The young nurse couldn't help anymore. The wounded man was covered in burns. It was difficult to find a piece of intact skin, how to find a blood vessel, and how to insert a needle!
At this time, all the nurses around were head nurses. Almost all were done blindly, and no blood vessels could be seen. They all relied on experience. With red eyes, they looked at the wounded armed police soldiers with distress.
At this time, for burn patients, intravenous access is the lifeline. What is the fear of burns? What is fearful is that the corresponding complications are not controlled at the first time.
For large-scale injuries, the first thing that appears is the problem of the digestive tract. The skin is burned, and the brain immediately shuts down. Really, the brain is stupid at this time, it doesn’t know what to do, and then the digestive tract instantly responds to stress. .
The digestive tract is also afraid. A large amount of neuroendocrine hormones begin to secrete, which means that the body will escape quickly.
However, the brain is down, the blood vessels in the digestive tract are strongly constricted, and I am deeply afraid of being hurt.
Then the mucosa that protects the digestive tract is ischemic, and the stomach and duodenum, which contain acid-base solutions, will directly suffer from large-scale ulceration and bleeding.
There was also cerebral edema. It was obvious that the brain was not burned, but the brain was already scared to pee at this time.
I filled myself up like a condom filled with water. It is swollen and cannot be swollen anymore. It seems that I am so big, aren't you afraid? Aren't you afraid? Come here again, I am. I'll blow it up for you!
"The heart rate is abnormal and the breathing is in distress! Zhang Yuan, the casualty's vital signs are obviously abnormal."
"Tracheotomy, quick!"
Zhang Fan directly ordered the tracheotomy to be cut. Ren Li, who was next door, also faced the same situation. Moreover, not only was she burned, the young recruit Danzi was also seriously injured.
Really, a super compound injury! When the oxygen and painkillers were given to the child, the young man regained consciousness a little. The first sentence he said was, "It doesn't mean it hurts. Isn't it saying that I can still be saved?"
Instead, "I've embarrassed our company!"
One sentence, a short sentence, made the busy doctor next to him burst into tears instantly.
"No, kid, you're a hero."
"Haha!" With a shy expression on his face covered with blisters, he fainted slightly.
"Hurry, blood transfusion, hurry!" Ren Li, with tears on her face, shouted loudly. To be honest, as a director of the Department of Cardiology, she had seen too much life and death, and she was almost numb.
But, today, this young man, who was still very young, hit the deepest weakness in Ren Li's heart, which hurt her very much.
…
The two most capable generals under his command were already too busy to take their hands off their hands, but the fire continued, and injured people continued to appear.
Ouyang saw the director of the medical department in a hurry. She pulled away, then picked up the microphone and shouted: "Attention first aid team, all listen to my command now, one group and two groups follow me, get on the line of fire now, hurry, there are no doctors, They are unprofessional."
The old lady got rid of the head nurse who was supporting her, and led a group of young people to the front line of fire.
"Dean, I'll go and you'll take command from here."
The director of the medical department hurriedly pulled Ouyang.
"Go, can you? Get out of my way!" Without saying a word, the old lady pushed away the director of the medical department and led a group of young doctors and young nurses into the line of fire.
"Don't run, lower your head and bend over!" Ouyang saw a soldier running fast, picked up the loudspeaker and shouted.
During a fire, you must not run fast, because if you accidentally inhale the flames while running, your respiratory tract and face will be burned directly. You must bow your head and bend down.
"Quickly, carry the wounded man out of here and cover his wound with wet gauze.
Give him a tetanus shot! "The old lady's hoarse voice kept giving instructions on the line of fire.
With the backbone, the efficiency of doctors has improved a lot.
"As for you, put on your protective hat. Jia Yuehui, are you very hot? You don't even know how to protect yourself. How can you protect others? How can you be expected to save others? If you can't hold on, give it to me. Go back, I don’t want to rescue you here.”
The old lady with eagle eyes inspected everything. When she saw Dr. Jia from the respiratory department secretly lifting his helmet to take a breath, the old lady scolded him directly.
Jia Yuehui, a real male doctor, but with a very feminine name, the young man kept running and rescuing people on the fire scene for more than four hours. His clothes were soaked with sweat, and he became cold and hot again. It's cold.
I couldn't help but want to take a breath, but Ouyang saw it. After a round of scolding, Dr. Jia lost his temper, his anger, and his waist. He gritted his teeth and continued to treat the wounded, just like a chicken blood injection.
Under Ouyang's command, the wounded were different in severity. They were transferred when needed and handled on-site. The efficiency improved a lot for a while.
With the efforts of everyone, the fire began to extinguish little by little and began to shrink little by little.
Chinese people are very strange. On weekdays, in a peaceful environment, you look down on me and I look down on you.
However, when a disaster occurs, everyone immediately becomes a family, regardless of each other.
There is a saying in China that natural disasters do not affect people but they are sentimental. This is absolutely true, although Chinese people are also famous for fighting among themselves.
If we don’t talk about anything else, let’s talk about the border area, because there are almost no aborigines in this fast place. In ancient times, this area had abundant water and grass, so waves of wars never stopped.
Then the Mongolians cleaned up this place, and Lao Kang fought with the Mongolians here to the death. It can be said that here, in the border area, there are almost no aborigines. In other words, this is the base of the Chinese people, because A group of people fighting life and death are all for the peak of China's power.
There were no aborigines, but this was a treasure land with abundant water and grass and good weather. Then groups of people came here.
People from Dongshan came to the frontier one after another to mine, and people from Nanhe came from village to village and directly dominated the recycling and electromechanical industries here.
In Sanchuan, fellow villagers pull together fellow villagers. The market is filled with the sound of "yaodie!" and there are Sanchuan restaurants on the street, one after another.
The fellow villagers from Su Province, which is close to the border, came here with only a few acres of land when they were at home, and they all became landlords.
People from Shaanxi Province control the decoration industry here, and my cousin is directly a major pharmaceutical company here, not to mention people from temperate zones, who buy leather and sell leather shoes.
There are many people, the sources are complicated, and then they look down on each other. There is a saying circulating in the border areas, "Nanhe has big crotch, so you don't need a basket to buy vegetables. You can eat potatoes and eggs in Suzhou but not dry them! Sanchuan..."
This phenomenon can often be seen on weekdays, with two drunk men fighting. One yelled: "I x you Xianren Banban."
Another shouted, "You are the most hungry!"
Then the onlookers heard that this is a fellow villager and they need help. Then the fight turned into a group fight. When the police caught him, why were they fighting? Both groups said it was baffling.
On weekdays, they seem to be fighting on their own, but when faced with disasters, people from all provinces who look down upon each other face the fire, holding hands, shoulder to shoulder, and rushing up shouting slogans. What is it for? A piece of home! Isn’t it just for this piece of land that has given birth to Chinese people since ancient times!
…
In the operating car, on Ren Li's side, recruit Danzi's injuries were greater than his burns. His burns were relatively not serious. After resuscitation, although the young man's face was charred, his vital signs had stabilized.
Wang Yanan and Na Duo had a little problem. Even if Black Tiger is injured, he is still a warrior.
After the black tiger was carried to the operating cart, the skin had to be prepared. The dog was not wearing protective clothing, and the tree that suddenly caught fire burned the dog quite badly.
But when Wang Yanan was holding the blade to prepare the dog's skin, he was already so weak that he was already dying.
However, when he saw Wang Yanan holding a sharp weapon, Black Tiger still bared his teeth and tried his best to roar a warning, "Don't come here, I'm biting!"
"Don't be like this, I have to shave you clean before I can treat you. Be obedient, be good, be obedient, okay?"
Wang Yanan kept persuading this special warrior with a crying voice, but the dog didn't understand. You were wearing a mask and a hat, covering it like a robber. Can it listen to you?
That is to say, I can't get up now. If I could get up, I would probably be able to tear Wang Yanan apart.
Seeing that the dog was about to die, Naduo, who was standing on the side, felt sad, took off his mask and gloves, leaned over directly, and gently stroked and stroked the dog with his warm hands.
"Hei Hu is good, Black Tiger is obedient. When you get better, I will give you sweets. Be obedient."
Then, he gave Wang Yanan a hard wink and whispered: "Hurry up, even if you bite, you're still going to bite me. Hurry up, it's dying."
Wang Yanan glanced at Na Duo, then nodded and started shaving directly.
While shaving, Wang Yanan said with a crying voice: "What should I do now? How should I deal with this?"
The girl was also stupid. She had never raised a dog, and she had never learned how to treat a dog. Looking at the weak dog, she was so distressed that she shed tears.
"Have you never taken an animal experiment class?" Naduo shouted anxiously. She wished she could replace Wang Yanan. Unfortunately, she was a cardiologist, and operating under the knife was not her forte.
"I forgot about it a long time ago. Besides, things were handled according to people at that time."
"Just treat it as a person, it is also a warrior!"
"Weight?" Wang Yanan adjusted her emotions. She was anxious just now, but when Na Duo said this, she came to her senses.
Then, we really start to calculate the amount of fluid and surgery according to the person's treatment method.
After the warm hands and the gentle tone slowly comforted the black tiger, the dog slowly calmed down. It seemed to know that these weirdos in blue clothes were not bad people.
Slowly becoming painful and weak, the dog seemed to know that he was seriously injured. Slowly, tears flowed gently from his big eyes.
"Hurry up, it's dying. It seems to be saying goodbye. Hurry up, Ya Nan, please, hurry up. You must save it."
Na Duo was going crazy, she could feel Hei Hu getting weaker and weaker.
The black tiger's head leaned gently against her body, as if he had returned to his childhood, as if he had returned to his training ground, as if he had returned to the barracks with bugles and laughter.
Ren Li's group took a breather, but Zhang Fan's situation with the armed police squad leader was getting worse and worse.
Burns, mild burns can be treated as ordinary burns, including rehydration, pain relief and anti-infection.
But severe burns are a kind of overall and systemic damage. In medicine, once systemic injuries are touched, it is definitely not a good thing.
For example, systemic lupus erythematosus and systemic sclerosis, as long as they have the word systemic, are diseases that give doctors a headache.
Burns, deep burns, the surface layer of skin has begun to dry up due to damage to blood vessels, while various inflammatory factors in the deep tissue of the skin are still attacking each other.
The current skin of the armed police squad leader is like the magma flowing out after a volcanic eruption. The surface layer seems to have cooled, but the inner layer is still surging.
And because the surface skin dries up and loses its elasticity, it becomes tighter and tighter like a tight-fitting curse or a tight suit.
The increase in pressure directly caused the cells in the body to begin to rupture. Clear cell fluid mixed with blood, mixed with fat, slowly seeped out from the entire body of the armed police squad leader.
The liquid mixed with oil and water directly penetrated the dressing on the operating bed.
"Prepare for surgery. Quickly, ask if the internist can be freed next door."
The liquid mixed with oil and water causes a large amount of body fluid loss, and the first thing it hits is the kidneys of the wounded.
With the loss of a large amount of fluid, the brain begins to protect itself, and the blood directly abandons the kidneys.
Time, now we are racing against time.
"Zhang Yuan, Secretary Ren's vital signs of the injured have stabilized."
"Quickly, let some internists come over. The patient here is dying and needs surgery. I need their technical support."
"yes!"
…
The wind and fire slowly subsided, and the wind from Huochang Mountain was like the warm wind blowing in spring, slowly blowing past the rescue workers.
People they knew and people they didn't know were all looking at each other, and it was so dark that only the moment they opened their mouths to smile, and their exceptionally white teeth, could you tell they were smiling.
"Come on, come on, give me a hand. Ouch, my waist!" The fire was out, and Ouyang, who was cursing in a steely voice, held on to his waist, unable to walk even one step.
"Soldiers, how are the injuries of the soldiers?" The leader of the fire line did not dare to ask this question since the fire started.
When the fire was out, he asked with difficulty.
"Two people were seriously injured and numerous minor injuries. The third shift leader of the search and rescue brigade is dying, and the doctors are doing their best to rescue them."
"They are all qualified soldiers, all good soldiers!" As he said this, tears welled up in his eyes.
"The few people they rescued were poachers." As the deputy's instructor, his teeth almost broke his lips. For these few, my own soldiers...
"I killed them,..." broke out, and the leader broke out directly in front of everyone.
The instructor quietly whispered in the leader's ear, "Leave it to the border police, don't hand it over to the place! We must give an explanation to our soldiers."
