Chapter 360

It's your sweetheart who can't burn out by wildfire. Lao Wang, a firefighter who will be demobilized immediately. As a result ~ ~, his fiancee is still waiting for her lover to marry her. The setting sun is her red makeup, waiting for her lover to return home in good clothes, but what comes is ~ ~.

"Doctor Zhang, No. The blood pressure of the wounded is getting lower and lower. " The director of the emergency department was sweating. Zhang Fan has seen that the fluid is the largest, and it is estimated that patients with heart failure will occur. The body fluid can not be replenished. The input is not as fast as the outflow. The wounded's system is about to collapse.

"Knife!" Yes, Zhang Fan. The family members of the wounded can't come for a while and a half. The superior has handed over all the disposal to Zhang Fan. In any case, as long as there is a chance, Zhang Fan will fight for it and rob people from the king of hell.

Medical and international exchanges are very frequent, but many things are not in-depth and really can't be learned. For example, this burn is a rescue guide given by the U.S. Burn Research Institute, and the details will not be released.

In the actual rescue work, the most important thing is some details. Everyone knows what needs to be done after scalding, but there are many details. Without a large number of and concentrated scald patients for decades, they can't accumulate. How can we collect such a large number of and complex scald patients? That's war.

"What?" After all, it's not their own hospital. The staff are not familiar with each other. The head nurse asked in wonder.

"Scalpel! Ready to cut. " Zhang Fan said again. The wounded's trachea has been cut. What else to cut? The head nurse wondered, but he didn't stop. He neatly prepared all the necessary instruments.

Who dares to move this rescue, especially this uncertain rescue? But if you don't move, there is no hope directly. Moved, maybe there is hope, maybe ~ ~.

Now Zhang Fan is very calm, quiet and fast, wearing sterile gloves. The blue smoke from talc powder floats slowly. Zhang Fan bites his teeth.

There was no superior doctor platform and no Ouyang as the backstage, but Zhang Fan decided to use the knife. In any case, as long as there is a glimmer of hope, we can't let it go.

"Alcohol cotton ball." A calm and emotionless voice finally emerged from Zhang Fan. LV Shuyan looked at Zhang Fan in surprise. Although Zhang Fan was very dominant during the operation, he had never said so.

She doesn't know what Zhang Fan is going to do. But she fixed the venue for me. Not why, just to share some of Zhang Fan's pressure afterwards, not his comrades in arms.

"Give it to me." LV Shuyan said, took the bend from the nurse's hand, pushed the ambulance to Zhang Fan's side, didn't say much, and directly began to install the scalpel.

"Card!" After loading the scalpel and giving it to Zhang Fan calmly, she came to Zhang Fan with gauze in her hand. Zhang Fan turned to look at LV Shuyan.

Like LV Shuyan, she glanced at Zhang Fan. Although she didn't speak, she could see a firmness in the other party's eyes. This is the healer, the healer who wants to break his wrist with death.

After disinfection, Zhang Fan should cut the eschar and open the fascia tissue for decompression. We all know that heat expands and cold shrinks, but now in this situation, the wounded are like burned plastic, and the skin and muscle tissue shrink together.

The body surface is like a pressurized cover. Apart from others, this pressure will directly lead to a large amount of liquid exudation. How much liquid can be pressed out by this pressure.

Although incision can reduce pressure, but opening this pressurized cover, bleeding is certain. Will this bleeding aggravate the loss of fluid in the body? Will the patient die of heart failure directly at the time of incision?

Zhang Fan doesn't know, but what he knows is that without opening this cover, the patient will die, that is, the length of time. There's not much time to think about it. Death is already at the door.

At this time, Zhang Fan hoped that the Eurasian old lady could stand behind him and say, "cut!" Medical treatment requires not only the growth of technology, but also the maturity of mentality. This takes time. If you want to go through this process in a short time, you have to pay a price. It is impossible to come in vain.

Sweat! It has soaked Zhang Fan's back. But his hand was very steady without a trace of trembling. Where the patient was badly scalded, Zhang Fan cut according to the texture of the muscle.

According to the anatomical level, Zhang Fan shot. First, the chest, one layer, one layer, directly reaching the fascia layer. The circular eschar on the chest was cut by Zhang Fan, but there was no blood. Continue cutting, around the chest, directly to the deep fascia. Finally, I saw the blood.

Standing in the shadowless light, it was like ploughing. Zhang Fan made several long incisions directly from the left armpit to the right armpit on the wounded's chest.

The first layer is charred skin, and the second layer is scalded muscle, which emits meat fragrance. On the third layer, you can see pink and tender tissue, bright red blood, and then the pleura.

These tissues are necrotic, do not need anesthesia, and the wounded have no pain at all.

While cutting, he looked at various detection instruments of the wounded, including heart rate, blood pressure and respiration. Ticking, ticking oil drops are like the death knell in Zhang Fan's heart.

Continue to cut, the thigh is already like a scorched ham, and the surface is also like a ham brushed with a lot of oil and water. Cut, since the knife is used, there is no way back.

Thighs, back, abdomen. All cut open. The originally charred wounded can't be seen directly at this time. The burnt black tissue skin, which was originally compressed together, was cut open and opened a long hole directly. The original inner tissue was turned up.

It's like wearing a broken flower dress. Everywhere there are holes and open wounds. Black, red and powder are mixed together, and the whole body is like an open mouth.

Burn, the wound may be sterile in a short time. However, this semi cooked organism is a very good medium, and a large number of bacteria will invade soon.

This number of bacteria can not be possessed by ordinary diseases. For example, there are 100 bacteria in bilateral diffuse pyelonephritis, and the number of burns is seven times that of it, which is a direct change of magnitude.

This order of magnitude of bacteria can lead to the death of patients without directly invading deep tissues, that is, the so-called burn wound sepsis.

"Doctor Zhang, the blood pressure has stabilized." The director of the emergency department said in a slightly relaxed tone.

Before Zhang Fan spoke, Zhang Yanfeng of the respiratory department spoke: "Dr. Zhang, prepare several antibiotics." The respiratory department is dealing with bacteria almost every day. Zhang Yanfeng knows the current situation too well.

"Sanlian, silver sulfadiazine for external use. Prepare for blood transfusion, and then it depends on Providence. " After decompression, Zhang Fan didn't even dare to leave the atmosphere. Now, although he has stabilized the patient's blood pressure and kept the internal environment, a large number of external bacterial forces are coming.

It's really a wolf before a tiger.