Chapter 362

Zhang Fan's eyes turned red, but he couldn't say a word. As long as you are a doctor, you have to obey others' orders, because they are superior doctors and chief doctors. These are the rules, just like the army.

Cluttering, cluttering, came from the footsteps far and near“ no need. We are responsible for the patient to the end. " Here comes the slightly bent old lady.

Ouyang, with a tired face, followed by a group of experts from the tea vegetable City, set out all night and galloped all the way, that is, the armed police and 120 drivers dare to drive like this. Ordinary drivers have the courage and don't have the technology. They don't want to die when they soar at night!

"Dean!" Zhang Fan is almost crying. People with backstage are really happy.

"I'm the director of the burn department of the Army General Academy. The superior sent us to take over the patient. " Soldiers are usually straightforward, not to mention soldiers in higher-level hospitals.

"I didn't receive this order. All I know is that my superior asked me to set up a rescue team. Here, stone city, belongs to tea vegetable City, and we are the direct superior Hospital of stone city hospital. Besides, we are the patient's first doctor. " Zhang Fan has nothing to do with his superiors. The superior hospital is not at ease with the subordinate hospital. It is obvious, but Ouyang is different.

The old lady didn't even look at the director of the military region. What's the matter with the director? Don't I have a director? It's no use for the other party to come to the dean. She's not their subordinate.

In fact, this line of work is like this. There is great competition between military and civilian hospitals. Military hospitals do not bird local hospitals, and local hospitals do not bird military hospitals. In particular, the leaders of military hospitals rarely go to local hospitals, and the experts of local hospitals can't go to military hospitals at all.

"How, can you insist?" The old lady looked at Zhang Fan. Although her face was serious, her amiable eyes were really satisfied with Zhang Fan.

"Report to the Dean, you can insist."

"OK. Now there's a rescue meeting. Will you join? " Then he asked the director of the Army General Academy. The old lady is so protective of her calf that she can't tolerate others to say her heart meat, not to mention the heart meat that has been boiled all night.

But this has to work. She will certainly not let go of these troops. However, she certainly won't let go of the initiative. A large group of people rushed all night and finally came to fight people. Ouyang must be unhappy.

In a word, it takes the initiative directly“ Participate. " There's no way, neither does the director. The old lady doesn't look like a good stubble. He's here to save people, not to fight for spirit. Let's talk about the meeting first. I'll see you at the meeting.

"Prepare the meeting room. Protect the custody here and bring the list of your hospital. Who are the director and head nurse of the ICU here? " Ouyang looked at the director of the Army General Academy and said to the president of stone city.

Ouyang directly looks down on this kind of factory and mine hospital, just as the general hospital looks down on the tea vegetable city hospital. But she is better than others because she has this qualification. In her hand, the tea vegetable city hospital has been in charge of the cow's ear in the tea vegetable city. This is strength.

"Good! OK! I'll prepare it now. " The president of stone city is big. Ouyang Hong knows too well that women in the medical system of tea vegetable city are angry when they disagree.

A group of logistics personnel from stone city hospital quickly prepared the office. The enterprise is rich, and the hospital is not poor. The interior decoration of the office is very high-grade. I don't know which conference room is the world's top 500.

"This!" After the venue was arranged, the president of shitoucheng hospital looked at the director of the provincial military region hospital and Ouyang. He didn't know what to say.

"Who is the attending doctor of the wounded and who will be the host to introduce the condition? No more nonsense. Time doesn't wait and the condition doesn't wait." Ouyang said expressionless.

"Good! Good! " The president of stone city hospital's teeth are almost broken“ Mother, if you are not as skilled as a man, you are not a man! "

Ouyang finished and looked at Zhang Fan. Zhang Fan understood that he walked quickly to the podium of the venue. He didn't have to open the medical records because he knew it well.

"At about 8 o'clock last night, due to the sudden disaster, Li Qiang, a fire officer and soldier of our armed police, was accidentally burned while fighting the fire. After being rushed to stone city hospital, the patient developed shock symptoms. The injury was obvious, and the head, chest, back and both lower limbs were scalded in a large area. The burn area is about 45%, and most of them are deep third degree injuries. Local skin is obviously carbonized. At admission, the heart rate increased significantly, the blood pressure and pulse pressure narrowed significantly, and then decreased. Breathe shallow and fast. Lab return ~ ~ "

Zhang Fan quickly introduced one side of the disease. Want to be concise and very comprehensive. What the medical industry pays attention to is just like classical Chinese, which should be concise but rich in content. There are only a few words for a patient's main complaint, but it must cover the patient's condition, especially the elderly patients in internal medicine. How complex and complex the condition of the elderly patients in a lifetime, but the doctor has to consider it for a long time if he wants to be comprehensive.

"After admission, the patient underwent tracheotomy in the emergency department, cleaned the wound, cleaned the respiratory tract, and corrected the shock, but still could not significantly improve the patient's vital signs. During the anti shock period, the patient's respiration, blood pressure and heart rate did not change significantly. Considering the acute exudation stage of burn and large-area carbonization of surface tissue, there is leakage while conveying. Therefore, the patient was treated by decompression and incision, and the patient's condition was significantly improved. "

After introducing the condition, Zhang Fan quickly said the rescue process at that time. These things were like things printed in his mind and said them without stumbling at all. After that, Zhang Fan did not step down, because he knew that someone would ask questions.

Sure enough, one of the soldiers in the military hospital said, "is it necessary to cut it? Does the use of antibiotics take into account drug resistance? Why is it necessary to use anti anaerobic antibiotics, which is the surface of the body? "

Zhang Fan's treatment can be said to be very clear, that is, to save life, and there is no big problem, but this treatment, especially this very critical rescue, many and many treatment measures are not clearly specified, that is to say, the medical industry has not been unified. It is very controversial to use that instead of that.

In particular, anaerobic bacteria, as the name suggests, are bacteria that hate oxygen. Generally, there are not many such bacteria on the body surface, but one of Zhang Fan's three consecutive antibiotics is an anti anaerobic antibiotic, which was put forward by the doctors of the military hospital. In fact, this is not a fault, but a different idea.

However, if Zhang fan can't explain, this is the problem, this is the big problem. The director of the dermatology department of the tea vegetable city hospital also frowned. She didn't understand Zhang Fan's medication.

"It was necessary to cut. At that time, the wounded had formed a circular eschar, and the tightened body had become a lot of pressure. It was originally an acute exudation period, and the shock could not be corrected." Zhang Fan made it clear.

This so-called question is actually very bullshit. There is no one during the rescue. After the rescue, it is a troublesome thing. Especially for the rescue of this special nature, someone will definitely question it.

Thousands of people and thousands of faces, not to mention that there is no clear and standardized rescue, and the industry is becoming more and more refined. Now, doctors are more and more afraid to do it. In a short period of more than ten minutes, or even a few minutes, if they don't want to make mistakes, they will keep practicing their liver and hands. Therefore, a rescue, especially a large-scale rescue, can almost become a highlight in a doctor's resume or file.

Who is more awesome than doctors of the same level? Just look at the profile. Whoever presides over more large-scale rescue will be a cow. It's not vague at all. Don't he dare to take over the large-scale critical rescue? afraid to!

The comprehensive quality of doctors is too high for rescue, which is why there is a chain of contempt in the hospital. Doctors outside God despise orthopedics, because many large-scale rescue, directors outside God dare to go, orthopedics may not dare, not because who makes more money and less money.