"Come on, get into the operating car." Zhang Fan inspected while directing. Rescue, especially the rescue of critically ill patients, is really a consideration of the comprehensive quality of doctors and doctor teams.
Trauma patients should first determine five aspects: 1. Circulation. 2. Breathe. 3. Chest and abdomen activities. 4. Exercise. 5. Talk.
"What's wrong with you? Are you thirsty? Can you hold your breath?" Zhang Fan, holding the stretcher, ran and shouted at the armed police monitor lying on the stretcher.
Zhang Fan stared at the patient's chest, looked at the patient's expression, and tested the patient's response with language.
This is the experience. This is the experience summarized by the doctor in his work. In a few words, he has almost figured out the general situation of the wounded.
Without this experience, the wounded will be put on the examination bed, and then slowly measure their blood pressure and listen to their heartbeat. If the wounded don't die, they will be delayed and hung up by the doctor.
This is the value of a mature doctor. In the medical field, knowing and understanding are two different things, and knowing and proficiency are two more realms.
The chemical fiber fabric applied to the wounded was scorched, melted, and then retained, just like the colorful and moldy beam, where can we see the appearance of people.
"Come on, Xu Xian, take pliers to peel off the foreign matters on the wounded. Be careful. Be sure to avoid secondary damage. "
"Yes!"
Xu Xian took pliers, bit by bit, and slowly clamped the foreign body pasted on the patient.
There was a sentence in his heart that he couldn't say. He was sad and couldn't open his mouth:
"Why is he wearing chemical fiber clothes?"
Zhang Fan didn't have time to pay attention to these. He said one oral doctor's order after another:
"Open the venous channel! Sufficient antibiotics to ensure electrolyte balance, fast! "
Young nurses can't do it anymore. The wounded are covered with scalds. It's difficult to find a piece of intact skin. How to find blood vessels and how to enter needles!
At this time, all around one side were head nurses. Almost all of them are blind. Where can we see blood vessels? All with experience, red eyes and distressed eyes, they look at the wounded armed police soldiers.
At this time, the venous channel is the lifeline for burn patients. What is the fear of burn? The fear is that the corresponding complications are not controlled at the first time.
For a large area of injury, the first problem is the digestive tract. When the skin is scalded, the brain will go down directly. Really, the brain is stupid at this time. It doesn't know what to do, and then the digestive tract will have a stress reaction in an instant.
The digestive tract is also afraid. A large number of neuroendocrine began to secrete hormones, which means to let the body escape quickly.
However, when the brain goes down, the blood vessels in the digestive tract contract strongly, and I am deeply afraid of being hurt.
Then protect the mucosal ischemia of the digestive tract. The tissues containing acid-base solution, such as the stomach and duodenum, are directly ulcerated and bleeding in a large area.
There is also brain edema. Obviously, it didn't burn the head, but the brain was scared to pee at this time.
I want to fill myself with water to avoid (a) pregnancy (a). The swelling can't be swollen anymore. It seems that if I'm so big, aren't you afraid? Aren't you afraid? If you come again, I'll blow it up for you!
"Abnormal heart rate and respiratory distress! Zhang Yuan, the vital signs of the wounded are obviously abnormal. "
"Airway incision, come on!"
Zhang Fan directly ordered the tracheotomy. Ren Li next door also faced the same situation. Moreover, it was not only scalded, young recruits' eggs, but also seriously injured.
Really, super compound injury! When oxygen and painkillers were given to the child, the young man woke up a little. In the first sentence, it didn't mean pain, didn't it mean I could still be saved,
But, "I'm ashamed of our company!"
A word, a short word, made the busy doctor nearby burst into tears in an instant.
"No, boy, you're a hero."
"Ha ha!" With a shy expression on his blistered face, he fainted gently.
"Come on, blood transfusion, come on!" Ren Li, with tears on her face, shouted loudly. To tell the truth, she is a director of Cardiology. She sees too much life and death and is almost numb.
However, today, this young man, who is still green and astringent, hit Ren Li's innermost weakness very painful, very painful.
……
The two most capable generals at hand have been busy, but the fire continues and the injured people continue to appear.
Ouyang looked at the director of the medical office in a hurry. She opened it, then picked up the microphone and shouted, "attention of the first aid team, now all listen to my command, one group and two groups follow me. Now get on the line, quick, there is no doctor, they are not professional."
The old lady got rid of the chief nurse who was holding her and took a group of young people to the line of fire.
"Dean, I'll go. You command here."
The director of the medical office hurriedly pulled Ouyang.
"You go, can you! Get out of the way! " Without saying a word, the old lady directly pushed away the director of the medical office and took a group of young doctors and young nurses on the line of fire.
"Don't run, bend down!" Seeing a soldier running fast, Ouyang directly picked up the loudspeaker and shouted.
In case of fire, you must not run quickly, because if you accidentally absorb the flame when running, you will directly burn your respiratory tract and face, so you must bow down.
"Come on, get the wounded out of here and cover his wound with wet gauze.
Give him tetanus! " The old lady's hoarse voice kept giving instructions on the line of fire.
With the backbone, doctors' efficiency has improved a lot.
"As for you, put on your protective hat for me. Jia Yuehui, are you very hot? You don't even know how to protect yourself. Can you expect you to save others! If you can't insist, get back to me. I don't want to rescue you here. "
The eagle eyed old lady patrolled everything. When she saw Dr. Jia in the respiratory department secretly lifting his helmet to catch his breath, the old lady scolded directly.
Jia Yuehui is a real male doctor, but his name is very feminine. The young man has been running and rescuing on the fire for more than four hours. His sweat has soaked his clothes, cold and hot, hot and cold.
I couldn't help taking a breath, but Ouyang saw it. After a scolding, Dr. Jia was no longer hot, his breath was no longer held, and his waist was no longer counted. Like beating chicken blood, he continued to deal with the wounded with his teeth.
Under the command of Ouyang, the severity of the wounded is different. The transfer that should be transferred and the on-site disposal that can be handled on site have greatly improved the efficiency at one time.
With the efforts of everyone, the fire began to extinguish and shrink bit by bit.
Chinese people are very strange. On weekdays, in a peaceful environment, you don't look up to me. I look down on you.
However, in case of the disaster, everyone immediately became a family, regardless of the each other.
There is a Chinese saying that natural disasters have no lovers. It's all right, although the Chinese people are famous for fighting in secret.
Other things aside, let's talk about the frontier, because there are almost no aborigines in this fast place. In ancient times, because of the abundant water and grass, waves of wars never stopped.
Then the Mongols washed it again. Lao Kang fought with the Mongols here. It can be said that there are almost no aborigines here, in the frontier and tea, that is to say, this is the chassis of the Chinese people, because a group of people killed by the fighting are all for the highest peak of Chinese rights.
There are no aborigines here. It is a treasure land with abundant water and grass and good weather. Then a group of people came here.
Dongshan, one after another, came to the frontier to open mines, and Nanhe, village by village, directly dominated the recycling and electromechanical industry here.
In Sanchuan, villagers pull villagers, and the vegetable market is full of "yaodie!" Sound, there are three Sichuan restaurants on the street, one by one.
The villagers in Su Province, close to the frontier, who didn't have a few mu of land at home, came here and became landlords.
Shaanxi people control the decoration industry here. Old watches are the major pharmaceutical enterprises here, not to mention temperate people. They buy Leather and sell leather shoes.
Many people, complex sources, and then look down on each other. There is a saying in the frontier, "Nanhe has a big crotch. You don't need a basket to buy vegetables. Save potato eggs. You can eat but not dry! Sanchuan... "
This phenomenon can often be seen on weekdays. Two drunks fight. One shouted, "I x you immortal board."
Another shouted, "you're hungry!"
Then the onlookers heard that this was a fellow townsman. They had to help. Then the fight alone turned into a group fight. As soon as the police caught it, why did they fight? Both groups said it inexplicably.
On weekdays, it seems that they fight on their own, but in the face of disaster, people from all provinces who don't look at each other rush up in the face of fire, hand in hand, shoulder to shoulder, shouting slogans, for what, isn't it just for a home! Isn't it for the land where Chinese people have been born and raised since ancient times!
……
In the operating car, Ren Li's side, the egg injury of the recruit is greater than the burn, and his burn is not very serious. After rescue, although the young man's face is charred, his vital signs have been stable.
Wang Yanan and that flower have a little problem. Even if the black tiger is injured, he is also a soldier.
When the black tiger was carried to the operating vehicle, he had to prepare his skin. The dog didn't wear protective clothing. Suddenly, the big tree on fire burned the dog very badly.
But when Wang Yanan took the blade to prepare the skin for the dog, although he was weak, he was dying now.
However, when Wang Yanan was holding a sharp weapon, the black tiger still bared his teeth and tried to give a low roar warning. Don't come here. I bite!
"Come on, I'll shave your hair before I can treat you. Be obedient, good, will you be obedient? "
With a cry, Wang Yanan kept persuading the special soldier, but the dog didn't understand. You wear a mask, a hat and cover like a robber. Can it listen to you!
I can't get up now. If I can get up, I think I can tear Wang Yanan apart.
Seeing that the dog was dying, the heart standing on one side was cruel. He took off his mask, took off his gloves, leaned directly over, and gently stroked and stroked with his warm hands.
"Black tiger is good. Black tiger is obedient. When you are well, I'll give you sugar. Be obedient. "
Then, he winked at Wang Yanan and whispered, "come on, even if you bite me, it's going to die."
Wang Yanan looked at the flower, then nodded and directly began shaving.
While shaving, Wang Yanan said with a cry: "what should I do now? How should I deal with it."
The girl is also stupid. She has never had a dog or learned how to treat the dog. Looking at the weak dog, she only shed tears.
"Haven't you ever had an animal experiment class!" The flower cried anxiously. She wanted to replace Wang Yanan. Unfortunately, she was a cardiologist and using a knife was not her specialty.
"I forgot. Besides, it was handled according to people at that time."
"Well, you treat it according to people. It is also a soldier!"
"Weight?" Wang Yanan adjusted his mood. He was just worried. When the flower said so, she reacted.
Then, really according to people's treatment methods, start to calculate the amount of fluid and calculate the operation.
When he warmed his hands and calmed the black tiger slowly, the dog slowly settled down. He seemed to know that these strange people in blue were not bad people.
Slowly pain, weakness, the dog also seems to know that his injury is very serious, slowly, tears flow gently from his big eyes.
"Come on, it's dying. It seems to say goodbye again. Come on, Asian man, please, hurry up and save it."
The flower was going crazy. She could feel the black tiger getting weaker and weaker.
The black tiger's head leaned gently against her body, as if it had returned to its childhood, as if it had returned to its training ground, as if it had returned to the barracks with bugle instructions and laughter.
Ren Li's group gasped for breath, but Zhang Fan's armed police squad leader is getting worse and worse.
Scald, mild scald can be treated according to general burns, rehydration, analgesia and anti infection.
However, severe scald is a kind of holistic and systematic injury. In medicine, once it touches systematicness, it is definitely not a good thing.
For example, systemic lupus erythematosus and systemic sclerosis, as long as they carry the word systemic, are directly diseases that give doctors a headache.
Scald, deep scald, the surface skin has begun to dry up due to vascular damage, and 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 the volcanic eruption. The surface layer seems to have cooled, but the inner layer is still surging.
And because of the drying up of the surface skin and the loss of elasticity, it is like a hoop curse, or a tights, getting tighter and tighter.
The increase of pressure directly makes the cells in the body begin to rupture. The clear cell fluid is mixed with blood and water, mixed with fat, and slowly exudes from the whole body of the armed police squad leader.
The oil-water mixed liquid directly penetrated the dressing of the operating table.
"Prepare for the operation. Come on. Ask if there is room for a physician next door."
The fluid mixed with oil and water and a large amount of body fluid are lost. The first hit is the wounded's kidney.
With the loss of a large amount of liquid, the brain began to protect itself, and the blood gave up the kidney directly.
Time, now is a race against time.
"Zhang Yuan, Secretary Ren, the vital signs of the wounded over there have been stable."
"Come on, let the physicians come over. The patients here are dying. They must have surgery. I need their technical support."
"Yes!"
……
The wind and fire slowly subsided, and the wind of the fire mountain slowly blew through the disaster relief personnel like the warm wind in spring.
Those who know and those who don't know each other look at each other. It's dark. Only when they crack their mouth and laugh, can they see that they are laughing.
"Come on, give me a hand. Oh, my waist! " The fire went out, and the abusive Ouyang held his waist and couldn't move a step.
"Soldiers, how are the soldiers injured?" The leaders of the fire line did not dare to ask this question since the fire.
When the fire went out, he began to ask hard.
"Two people were seriously injured and countless others were slightly injured. The third squad leader of the search and rescue brigade is dying, and the doctors are trying their best to rescue him. "
"They are all qualified soldiers. They are all good soldiers!" As he spoke, tears rolled in his eyes.
"The people they saved were poachers." As a deputy instructor, his teeth are almost biting his lips at this time. For their own soldiers
"I killed them,..." broke out, and the leader broke out directly in front of the people.
The instructor, quietly lying in the leader's ear, said, "give it to the border police, don't give it to the place! We must give our soldiers an account. "