Except for some special professions, most people rarely see collective rescue scenes. This kind of scene, really, I hope people who have never seen it will never encounter it in their lifetime. In addition to leaders, such scenes often involve ordinary people in special professions, such as police, soldiers, firefighters, and people engaged in dangerous fields such as coal mining and chemical industry. To be honest, it is not a good thing to see such scenes.
During individual rescue, it seems that the emergency room of the hospital is very chaotic, with doctors shouting and nurses yelling. In fact, it is not the case. This is just to prevent some useful details from being missed. Looking at the medical staff running around, it is actually not chaotic at this time.
We often see doctors in good order, and that’s when everyone needs to worry about whether something has happened.
And now it's all in order. Medical care is a group that seeks common ground while reserving differences. When individuality or characteristics are not revealed, that is when everyone faces the most worries. Like many things, you can be a little bit arrogant or even have a bad temper on weekdays, but in times of danger, give it a try.
Waiting, especially when a large number of patients are about to enter the hospital, it is hard to describe the mood of doctors. But if you look for an example, it may actually be similar to going on a blind date or going to a bathing center to find a girl. When the date or girl hasn’t shown up yet.
At this time, men are usually nervous and excited, excited and depressed. This is a complicated mentality, and doctors are actually the same. The younger the doctor is and the less experienced the doctor is in such large-scale battles, the more complex his mentality will be.
In my mind, I imagined that I could become a superman. When a critically ill patient came to me, when everyone was in despair, I would jump out and save the patient. However, my hands with rubber gloves and legs wrapped in white coats were trembling slightly. It doesn't count that he or she is just a Chu Ge. Sometimes Chu Ge still feels the urge to urinate, even though he just peed ten minutes ago.
However, people like Ouyang, Ren Li, and Zhang Fan have already passed this stage of anxiety and excitement. At this time, they were just accumulating adrenaline, waiting for the moment to explode. All jobs require passion, and this is often the highlight of a doctor's career.
If divided into ranks, Zhang Fan and the others are already in a rank that is clear in their eyes but not clear in their hearts.
When a patient enters the hospital, usually there are individual emergency rooms, that is, a few nurses. If the patient's condition is critical, at most a few more doctors will come out, and then swarm them, like a group of big white geese released from the goose pen to forage for food. The tadpole ran towards the toad in fear.
But when there are a large number of critically ill patients, it is different. Must be well organized. There are four or five doctors in a row, and there are about five or six rows in front and behind. The queue cannot be short or long. If it is short, it will cause chaos in the scene, and if it is long, it will cause inconvenience in movement.
It's a bit like musketeers lining up to be shot. Following the commander's command, one row finished shooting and the other row moved forward.
"Male, about 27 years old, left femur fracture, massive bleeding, shock! It is suspected that the pelvis is displaced, and a venous channel has been established!" The health soldier who got out of the explosion-proof vehicle immediately shouted out the patient's general confidence. This was during the handover. .
As soon as Zhang Fan heard this, he immediately shouted: "Wang Yanan, Orthopedics Operating Room No. 1!"
"Yes!" Wang Yanan led several doctors from the orthopedics department and several nurses from the orthopedics department to quickly push the flat cart. Several people shouted 1, 2, 3 in unison, and then the patient was moved to the flat cart. While the nurse checked the venous channel, Wang Yanan and the others A doctor was running while checking.
This division of labor is developed through constant practice on daily basis. Wang Yanan checked the lower body of the wounded person, another checked the patient's upper body, and another doctor checked the patient's brain, performing a series of basic vital sign checks such as light emission.
"Xue Xiaoqiao, brain surgery room No. 3!"
"Xue Fei, Emergency Department Operating Room No. 2."
Patients who need surgery are triaged one by one. Those who are critical and need immediate surgery are all sent to the main operating room of the hospital. Some patients with mild symptoms but still need to be treated are arranged in the emergency operating room of the emergency department.
To be honest, this kind of command requires someone who knows the hospital well, is particularly familiar with the doctors, and must be well-versed in various diseases. Otherwise, he would never be able to direct such a scene. Not to mention ordinary doctors, even some senior deputy directors may not be able to command.
Commanding at this moment is almost always about giving orders casually, otherwise the rescue will stall and the rhythm will be disrupted.
Don't look at Zhang Fan standing at the gate of the emergency center making arrangements one by one. It seems very relaxed, but he not only has to arrange the patients in front of him, but also has an idea in mind to reserve an operating room in case of critical illness. If you don't know the patient's number in your mind, and you can't turn around in the operating room, you are a sinner.
Therefore, it is difficult to be the leader of a special industry, and it is even more difficult for a layman to be the leader of a special industry. He used to think that Ouyang had a bad temper, and would raise his eyebrows when he said something wrong. Now he finally understood why Ouyang had a bad temper.
When the patient is right in front of you, but either there are not enough doctors on hand, or there are not enough operating rooms, and you see the patient dying, but there is nothing you can do, this feeling of depression is very uncomfortable. Even a lady can turn into a shrew.
"Zhang Yuan, the patient's right arm has a crush injury and has developed ischemic necrosis..."
What does this mean? It means amputation. In car accidents, this kind of crushing injury is the number one enemy of doctors. Don't look at the broken bones of the thigh that are exposed like dog teeth. The wound is so big that a baby can be stuffed into it.
However, as long as this kind of injury is sent to the hospital before the shock reaches organ failure, the doctor can put it together like building blocks and patch it up for the patient. This is not possible with crush injuries, especially ischemic crush injuries.
The limbs were obviously intact, but the doctor had no choice but to cut off the necrotic limbs or organs as soon as possible. Otherwise, if necrosis and infection occurred, the consequences would be unimaginable.
"Have you contacted the family?" Zhang Fan's hair stood on end. He not only has to direct rescue personnel, but is also responsible for making decisions on important issues.
For example, right now, when an organ is removed, and it is an important organ, the patient's family will be unable to contact him for a while, and the time cannot be delayed for too long. What should I do?
"I don't know. We are very busy now. We prioritize rescuing people and other things have not been carried out yet." The traffic policeman could only say this in response to Zhang Fan's inquiry.
In a medical accident, when a patient loses consciousness or is unable to contact his immediate family, hospital leaders and even the doctor himself must have the obligation and responsibility to choose the best treatment for the patient.
Moreover, in this special situation, everything focuses on rescue, and almost everything takes the green channel. From treatment costs to rescue costs, they are all matters after the fact.
"You are his attending doctor now, and you have the right to choose the treatment method you think is best!" Zhang Fan did not check the patient number, so he could only delegate power. Because he couldn't take care of it, he really couldn't take care of it.
"Hurry! She is dying. The car window frame has penetrated into her chest." When more than a dozen patients had been triaged, the most critical patient came. During the rescue, one is almost given away one after another.
The armed police did not have enough cars, so they requisitioned them directly on the highway, giving priority to official vehicles and public transportation vehicles, followed by private vehicles.
Some are reasonable, seeing this situation, and save people first without saying a word, while others are unreasonable, fearing that their car will be stained with blood.
A young woman was unlucky when the car rolled down the valley. The position she was sitting in happened to be the first to touch the ground. The car window shattered in an instant, and the metal of the window frame cracked.
Then the metal frame transformed into her chest.
When the patient appears, it is beyond description.
A thin young woman was lying on a stretcher. Four people were carrying the stretcher, and seven or eight people were holding on to the iron frame that was half a person's height.
"You can't move. If you move even a little bit, blood will come out. We can only cut off the car window. Come on, help her, she's still alive!"
A few armed policemen with immature faces, even the beards of children had not yet grown, were covered in blood, and their hands were covered with blood, supporting Tie Kuangzi. They tried their best to keep the metal car windows from moving as they sped along. Without them, even nine lives would have been lost on the road.
Zhang Fan took the lead and ran over.
The down jacket worn by the wounded person was no longer visible. Under her right breast, a window frame as thick as a fist was inserted into her chest like an iron pestle. The blood all over his body was mixed with countless glass particles that looked like blood diamonds.
Under the early morning sunlight, it glows with red light, making it look particularly eerie. It's like wearing a red diamond dress.
Fortunately, the glass of this window is not shoddily made. After it breaks, it will be full of small particles.
Zhang Fan touched the carotid artery and followed the cart towards the operating room. There are many particularly good departments in China now, as well as many general departments. For example, cardiothoracic surgery is a hospital department, especially some High-precision departments have not developed in a few years or even decades, and there is no improvement at all based on short-term blood transfusions.
Now, Zhang Fan has no one to send to this patient. Because of this difficult cardiothoracic surgery, almost no one except Zhang Fan could perform it at Chasu City Hospital.
Zhang Fan accepted the patient number.
Ouyang stood in the command position with a livid face. The winter morning wind blew by, and the gray hair slightly moved on Ouyang's forehead.
"Call and ask the medical staff from the first and second branches to gather at this hospital quickly. Contact the regional blood bank. Call the direct flight team and ask them to rush to the incident point immediately. Be quick."
Ouyang knew that the later a patient was rescued, the less time they could delay on the road.
