Chapter 1174

Except for some special occupations, ordinary people rarely see the scene of collective rescue. This kind of scene, really, I hope I don't meet people I haven't seen all my life. In addition to leaders, such scenes are often ordinary people with special occupations, such as police, soldiers, firefighters, and people engaged in dangerous fields such as coal mining and chemical industry. To tell the truth, it's not a good thing to see such scenes.

In the individual rescue, it seems that the emergency room of the hospital is very chaotic. Doctors shout and nurses shout. In fact, it is not. It is just to prevent some useful details from being omitted. Looking at the medical staff running around, in fact, it's not chaotic at this time.

We often see that the doctors are in order. At this time, we need to worry about whether something has happened.

And now it's in order. Medical treatment is a group of seeking common ground while reserving differences. When personality or characteristics are not obvious, it is the time when everyone is most worried. Like many things, you can play a little temper or even a little temper on weekdays, but when it's dangerous, try one.

Waiting, especially when a large number of patients are about to enter the hospital, the mood of doctors is really hard to describe, but if you look for an example, it may be similar to a blind date or going to the bath center to find a sister, but the blind date or sister has not yet appeared.

At this time, men are generally nervous and excited, excited and depressed. This is a complicated state of mind, and so are doctors. The younger the doctor is, the less he has experience in such a large-scale battle, the more complicated his mentality is.

In my mind, I imagined that I could become a superman and come to a critical patient. When everyone was desperate, I jumped out and saved the patient. But my hands with rubber gloves and my legs wrapped in a white coat betrayed him or her in a slight trembling. He or she was just a first brother. This doesn't count. Sometimes the first brother would feel that his urine was surging. He only peed ten minutes ago.

However, people like Ouyang, Ren Li and Zhang Fan have already passed this uneasy and excited stage. At this time, they are just accumulating adrenaline, waiting for the moment of outbreak. In fact, all work needs passion. Often this time is the highlight of the doctor's career.

If they are divided into segments, Zhang Fan is already a segment with code in their eyes and no code in their hearts.

When the patient enters the hospital, usually, the individual emergency department, that is, several nurses. If the patient is in critical condition, at most, there are more doctors, and then they rush forward, just like a group of big white geese released from the goose pen to look for food, rushing to the little tadpole of the toad.

When there are a large number of critically ill patients, it is different. It must be orderly. There are four or five doctors in a row. There are about five or six columns in front and back. The queue cannot be short or long. If it is short, it will cause scene disorder, and if it is long, it will cause inconvenience to move.

It's a bit like the Musketeers in line to shoot. With the command of the commander, one row is finished and the other row goes forward.

"Male, about 27 years old, left femoral fracture, massive hemorrhage, shock! Pelvic displacement is suspected, and the venous channel has been established! " The health soldier who got down from the explosion-proof vehicle shouted out the patient's general confidence at the first time, which was during the handover.

Zhang Fan immediately shouted, "Wang Yanan, orthopedic operating room 1!"

"Yes!" Wang Yanan quickly pushed the flat car with several orthopedic doctors and nurses. Several people sang one, two and three in unison. Then the patient was translated to the flat car. The nurse checked the venous channel while Wang Yanan and their doctors ran while checking.

This division of labor is practiced through constant practice on weekdays. Wang Yanan examined the lower body of the wounded, another examined the upper body of the patient, and a doctor examined the patient's brain, such as light emission and other basic vital signs.

"Xue Xiaoqiao, No. 3 operating room outside the brain!"

"Xue Fei, emergency department, operating room 2."

Patients who need surgery are shunted one by one. Those who need immediate surgery in critical cases go to the general operating room of the hospital. Some mild diseases that still need to be treated are arranged in the emergency operating room of the emergency department.

To tell the truth, this kind of command must have a good understanding of the hospital, be particularly familiar with doctors, and be confident of various diseases. Otherwise, you can't command such a scene. Let alone ordinary doctors, some senior deputy directors may not be able to command.

The command at this time is almost always to say the command at random, otherwise the rescue will stop and the rhythm will be disturbed.

Don't look at Zhang Fan standing at the gate of the emergency center one by one. It seems very easy, but he not only needs to arrange the patients in front of him, but also needs to have a number in his heart. He should reserve an operating room. Once there are critical patients, he doesn't have a number in his heart, and the operating room can't turn around, which is a sinner.

Therefore, it is not easy for a leader in a special industry to do it, and it is even harder for a layman to be a leader in a special industry. In the past, he thought Ouyang had a bad temper and raised his triangular eyes when he said something wrong. Now he finally realized why Ouyang had a bad temper.

When the patient is in front of you, but there are not enough doctors or enough operating rooms in your hand. When you see the patient dying, there is no way, this feeling of suffocation is very uncomfortable. A lady will become a bitch.

"Zhang Yuan, the patient's right arm was crushed and had ischemic necrosis..."

What does that mean? It means amputation. During the car accident, this kind of crush injury is the doctor's number one enemy. Although the bone stubble of thigh fracture is exposed irregularly like dog teeth, the wound is big enough to be stuffed into a doll.

However, this kind of injury, as long as it is sent to the hospital before the shock reaches organ failure, the doctor can sew you like a building block, and the patient can be straightened. And crush injury, especially ischemic crush injury.

Obviously, the limbs are intact, but the doctor has no choice but to cut off the necrotic limbs or organs as soon as possible, otherwise once necrotic infection occurs, the consequences are unimaginable.

"Have you contacted your family?" Zhang Fan's hair stood up. He should not only direct the rescue of personnel, but also be responsible for the decision of important issues.

For example, now is the removal of an organ, but also the removal of important organs. The patient's family members will not be able to contact for a while and a half, and the time can't be delayed too long. What should we do?

"I don't know. I'm busy now. I give priority to saving people. Other things haven't been carried out yet." The traffic police can only say so when they answer Zhang Fan's inquiry.

In medical malpractice, when patients lose consciousness or cannot contact their immediate relatives, hospital leaders and even doctors themselves must have the obligation and responsibility to choose the best treatment for patients.

Moreover, in this special case, everything focuses on rescue, and almost everything goes through the green channel. From the cost of treatment to the cost of rescue, it is an afterthought.

"You are his attending doctor now. You have the right to choose the best treatment you think!" Zhang Fan has no doctor number and can only delegate power. Because he can't care, he can't care.

"Come on! She can't. The window frame of the car was inserted into her chest. " When more than a dozen patients had been shunted, the most critical patient came. When rescuing, almost one is saved and one is sent.

Armed police cars are not enough. They are requisitioned directly on the highway, giving priority to official vehicles and public transport vehicles, followed by private vehicles.

Some are reasonable. Seeing this situation, they save people without saying a word. Some are unreasonable. They are afraid that their car will be contaminated with blood.

A young woman was unlucky when her car rolled down the valley. Her seat was just the first place to touch the ground. The window broke instantly, and the metal of the window frame broke.

Then the metal frame was inserted into her chest.

When the patient appears, it can't be described.

A thin young woman was lying on a stretcher, four people carrying the stretcher, and seven or eight people holding an iron frame half a person high.

"You can't move. If you move a little, blood will come out. We can only cut off the car windows. Come on, help her, there's still gas! "

Several young armed police with faces and even beards are children who have not yet grown up. They hold tie kuangzi with blood all over their body and hands. They worked hard to keep the metal window motionless all the way. Without them, even nine lives died on the road.

Zhang Fan took the lead and ran over.

The down jacket worn by the wounded had long been invisible. Under the right chest, a fist thick window frame was inserted into her chest like an iron pestle. The blood all over the body is mixed with countless glass fragments like blood diamonds.

In the early morning sun, flashing a little red light, it looks particularly strange. It's like a dress with a red diamond.

Fortunately, the glass of this window is not shoddy. After it is broken, it is full of small particles.

While touching the carotid artery, Zhang Fan ran with the flat car towards the operating room. Now there are many special and good departments, as well as many general departments, such as cardiothoracic surgery. A hospital department, especially some high-end departments, has not developed for a few years or even decades. Relying on a short blood transfusion, he can't see any improvement at all.

Now, the patient, Zhang Fan, has no one to send. Because of this difficulty of cardiothoracic surgery, in the tea vegetable city hospital, almost no one can do it except Zhang Fan.

Zhang Fan accepted the patient.

Ouyang stood in the command position with an iron face. The wind blew in the winter morning, and the gray hair moved slightly on Ouyang's forehead.

"Call and ask the medical staff who can be drawn out from the first branch and the second branch to quickly gather in our hospital. Contact the regional blood bank. Call the direct flight team and ask them to hurry up immediately. "

Ouyang knows that the later the patient is rescued, the less he can delay on the road.