Chapter 359

Rescue, especially the rescue of critically ill patients, is directly a battle between doctors and patients with time and pain. At this time, we should first clarify the primary and secondary.

When Zhang Fan visited stone city hospital, he was most worried about the poor command. Although this possibility is not high, others are not fools. At this time, if someone comes out to take responsibility, who will object? However, there is almost no fault tolerance in this matter. Therefore, Zhang Fan directly blackened his face and stared.

The president of stone city hospital is about to bend his waist and bow directly. He took the lead, and the doctors and nurses below had no objection. Sometimes the dispute of spirit and spirit can't be avoided.

The medical team, needless to say, has been fully prepared. Straight waist, waiting for orders. In the smell of rotten eggs in the emergency department, Zhang Fan ordered.

"The president organized people to donate blood. Other irrelevant personnel shall be evacuated from the emergency room. " Then he said, "Liu Yaowen and LV Shuyan." In a stern tone. There's no way. At this time, it's impossible not to be strict. In order to make the doctors and nurses in stone city more obedient, Zhang Fan's face is harsh.

"Here!" The two stepped forward at the same time.

"Cut the airway to ensure smooth airway."

"Yes!" Burn, especially the wounded with inhalation injury, must ensure that the airway is unobstructed. The patient's throat has been edema and will become more and more swollen until the airway is blocked and the wounded suffocate. In the hospital, the general organ incision is either an anesthesiologist or a doctor in the ICU.

Zhang Fan doesn't trust the doctor in stone city. He has to rely on his own people. This is the team! A team that knows each other.

"Baoyin!"

"Here!" Big breast girl stood up.

"Record." Zhang Fan said. Rescue, especially this kind of rescue, should be saved alive. If the rescue is not alive, the rescue record must be taken out for discussion. Even if it doesn't happen afterwards, Zhang Fan has to guard against it.

Burns are no more severe than other injuries. Slash wound bleeding, as long as timely hemostasis and then correct shock, people will live. But burns can't. this is a compound injury, especially one that can be counted as chemical burns. It's too TM.

Scald, a large number of various sulfides and carbides are attached to the surface. They keep doing all kinds of chemical reactions, which directly lead to the aggravation of damage. At this time, like sweating, the patient was covered with oil and water constantly seeping from the body surface. Just like pearls, really, it must be no exaggeration. Directly on the charred, coke like black skin, there is a pearl necklace with oil and water smooth.

Zhang Fan's brain is turning rapidly now. This kind of rescue is almost the first thing to do. Rehydration, ensuring smooth respiratory tract, anti infection and correcting shock are the most important.

"Doctor Zhang, give orders!" The director of the emergency department of stone city hospital, looking at Zhang Fan, hesitated and said directly with a cry. No way, he knows that his technology is not good and can not be trusted by others! Zhang Fan is still young after all. It's too simple to see "people".

At this time, I'm afraid no one will take the lead. As long as someone takes the lead, they are still doctors and nurses formally trained in China, not butchers who increase fees during surgery.

"Give orders!" Other medical staff in the emergency department also took a step forward, said in a deep voice. In the same emergency, the patient is lying in bed, the wounded is in danger, and the pain of being distrusted can only be known through personal experience. It's really hard.

"Good! Head nurse! " Zhang Fan nodded.

"Here!" The unique voice of middle-aged women came out.

"Two or three nurses were assigned to clean the wounds of the wounded initially. Benzalkonium bromide was used. Do not damage blisters. "

"Yes. Wang Min and Chen Jing cleaned the wound with benzalkonium bromide. "

"Open the venous channel and all four channels are open. Deep venous access if necessary. "

"Yes."

The rehydration of burns is very troublesome, especially for large-area skin damage. Sometimes the rehydration fluid does not leak out quickly. Directly means leaking while infusion.

This kind of rescue is different from the general ischemic injury. This rescue is a step-by-step rescue. If one step does not go up or is not handled properly, it is a direct collapse, and the collapse of all systems.

There is nothing to say. At this time, the wounded is like walking on the blade. One carelessness is death. First make an accurate estimate. An accurate estimate of the scald area of the wounded.

It sounds like bullshit. Be accurate and estimate. Yes, that's the horror of scalding. There is no time for careful consideration, but the doctor in charge of the rescue must know how much liquid to lose in how large an area. In particular, this large-scale rescue requires a doctor's comprehensive level to be quite high.

At this time, it is impossible to get two or three internal surgery doctors to discuss. There is no time and no room for doctors to discuss. At this time, there can only be one voice, the voice between life and death. The young man lying in bed depends on Zhang Fan.

In fact, the human body is a package of liquid, a package of balanced neutral liquid neutralized by various ions. The terrible thing about scald is not the loss of liquid. The terrible thing is that it leads to all kinds of ion disorders in the body. As soon as the ions are disordered, all kinds of balance in the human body will be broken.

Then there was the crash. Simply put, for example, the heart, a high or low potassium ion can lead to a heart strike. The same is true of other organs. With a stab, it may be done. At most, it is a scar, but this ion disorder and leakage is the most dangerous.

"5% glucose, dextran, cefixime, potassium chloride, insulin, calcium chloride ~ ~" Zhang Fan kept oral doctor's orders while constantly observing the situation of the wounded.

Scald, the most powerful in the world is the U.S. Burn Research Institute. The first-aid measures for scald formulated by them are implemented by hospitals all over the world.

However, will people tell you some of the small details, which are accumulated with human life, which are experience that money can't buy? No, so I have to grope for it myself.

And Zhang Fan is now like a lame man. Surgery can be taken out to shine. Internal medicine is general. But in today's situation, he still can't go up. He must go up and bite his teeth. The laboratory didn't have time to return. While rescuing, it kept checking.

Tendon reflex, pupil, respiration, pulse, heart rate, blood pressure, urine, all indicators, Zhang Fan kept checking and paying attention, and then the brain summarized, judged, and then gave instructions. There can be no mistake or delay at any moment. Zhang Fan's muscles are tightening all over his body. The wounded walked on the blade, and he danced on the blade.

Outside the hospital, there were only all kinds of police lights flashing, and the dark crowd lined up quietly. Firefighters with black sweat, medical staff in white coats and police with national emblem are all lining up.

Blood donation, far from the city, can only be taken on site“ Go and deal with your scald. Look at your arm. It's hurt like this. How can you draw blood? " The little nurse who drew blood said to a fireman.

"It's all right. I'll deal with it after I draw blood. Draw blood first." Tears in the rotation, but a smile, white teeth, blackened face.

"Go! I don't need you. Don't get infected again. " The leader of the detachment came out and said to the fireman, holding his bloody arm.

"Captain, let me smoke, or I feel uncomfortable. Really, uncomfortable ~ ~ there are only a few of us left in our class! Captain, we're the only ones left. Lao Wang will recover next month, but ~ ~, Captain ~! "

"Yes! He's recovering, he's recovering! " The detachment leader was full of tears and muttered to himself.

The wind blew gently, and the faint smell of rotten eggs lingered over the hospital. The gentle leaves rattled and trembled, like the laughter of the past.