Chapter 1283

There is a great shortage of doctors in the emergency operating room.

At present, most of what doctors can do is to protect the wounded from the earthquake area when rescuing the survivors.

Bleeding hemostasis, coma fragility, and rescue that can be rescued. As for follow-up treatment, the patient must be transferred to the secondary backup hospital.

Because this operation is not sawing wood. The saw is too slow to use the axe. For example, the operation of thigh and femur fracture is a bone fracture without talking about the rescue of hemorrhagic shock or any other symptoms of the patient. Such operation is not early preparation.

Not to mention postoperative treatment, just one operation time, at least about an hour. Therefore, there are five emergency operating rooms. Even if there are operations, there can be few. Therefore, the operations at this time are actually emergency treatment.

For example, for those with broken limbs, find ways to stop bleeding and protect the broken limbs, and then give the patients symptomatic treatment, and then transfer them out for specific treatment in the second-line hospital.

However, without surgery, people will die. If it is too late to run, we should first consider saving lives.

Medical assistance is very different from other assistance.

Disasters in China are classified into five levels: minor disasters, minor disasters, medium disasters, major disasters and catastrophic disasters.

A thousand deaths are a disaster. And according to the current statistics of disaster medicine, 95% of disaster deaths occur before the victims arrive at the hospital. Moreover, the most terrible thing is that 72% of the incidents in the Asia Pacific region do not have the ability to deal with 50 casualties at one time.

So when a big event comes, onlookers see the excitement, and for the injured individual, no matter how big the snowflake is, as long as it falls on the top of his head, it is a disaster.

Therefore, when I see the protest parade for wearing masks or not, I really don't know what it's like in my heart.

Haven't they been beaten by disease?

In the treatment of large-scale casualties, the first thing is to judge and mark the obvious parts of the wounded: I means immediate treatment, II emergency treatment, III light, 0 death!

The on-site medical personnel are divided into two categories: the evaluation group and the treatment group.

Specially assigned person for evaluation and treatment.

The treatment was divided into four groups: Red Group, yellow group, green group, and then the transport group of group o.

In case of large-scale disasters, it is allowed to assess the light wounded as the heavy wounded on site. Moreover, the principles of treatment for large-scale disasters are as follows:

Help first, then the wounded, first the heavy, then the light.

Therefore, the treatment at this time is often cruel. Doctors consider saving lives and saving lives quickly, rather than carefully considering other aspects.

For example, when a male lower body is injured at ordinary times, even if it is broken, it can be removed only after the doctor passes through the patient, with the consent of his family, and even after consulting with a superior expert.

In a disaster, if there is necrosis, the doctor will gouge out the cow in order to save your life. At this time, there is no chance for you to stand up and say I'm ok.

"Come on, electric knife!"

The child's leg hit the pelvis, slightly damaged the lower legs on both sides, and the femur was like a branch of a green bamboo pressed by a heavy object.

That is, if a child is an adult, it may break even more.

Zhang Fan is the main surgeon. The operation has begun.

Anatomy, hemostasis, Zhang Fan and Wang Yanan cooperate quickly, even without sound, just like two robots.

"Wang Yanan, what about Wang Yanan? There are not enough doctors. Patients with pelvic fractures have massive bleeding. People have been in shock. Come on!"

Outside the operating room, Lao Gao kept receiving patients. He allocated the operating room for patients and the doctor for the first time.

Orthopedic doctors are obviously not enough at this time.

Zhang Fan listened in his ears and was anxious in his heart.

"You go and get the next operation."

Hearing Lao Gao's anxious voice, Zhang fan can only let Wang Yanan leave.

"What to do here!" Wang Yanan was also anxious.

"Bayin, help me!"

Bayin's hand wiping the instrument with gauze paused and looked at Zhang Fan slightly at a loss.

To tell you the truth, let a general attending doctor compare his vision with Ba Yin and his vision of surgery.

Maybe, Bayin is really better. Because Bayin's job is the operating table, she doesn't have to deal with the patient, give the doctor's order, and talk to the patient. She is an instrument nurse.

Moreover, Bayin has not seen 1000 or 800 operations since she became a nurse. Sometimes, when young doctors do simple operations, Bayin can give a word or two! To the point.

However, it is difficult for Bayin to operate as an assistant.

"Come on, what are you doing?" Zhang Fan roared.

Bayin did not refute, put down the gauze and stood in the position of the operating table assistant.

"You live a little, don't be as motionless as wood!" The sadness in Zhang Fan's heart turned into anger.

……

The rain finally ended and the sun showed his face.

One hour, ten hours.

Twenty hours.

The soldiers kept searching, not to mention people. Even the search and rescue dogs were tired and wailing.

Doctors are also hungry and thirsty. They eat chocolate and drink glucose. I don't dare to drink, because I have to go to the bathroom when I drink too much.

The original sweet chocolate is like eating fat meat. It's sweet and greasy, and it has to nausea from time to time.

"I didn't expect to eat chocolate and vomit one day." In another operation, Wang Yanan frowned and said to the head nurse around him.

The head nurse nodded gently. She didn't feel like talking. If she changed time and place, it's estimated that the head nurse would have something to say.

It's too depressing. During the operation in the hospital on weekdays, we don't talk much except when we are on the same stage with Zhang Fan, but as long as we are not on the same stage with Zhang Fan, we still talk very often.

Today, everyone is silent.

Hold on, hold on, hold on.

What else to say and how to say it.

Now the big troops can't come in. They are a light here. They are working, and the wounded have hope. The light can't go out.

Xue Fei's legs were muddy and bloody. He didn't know whether it was the blood of the wounded or his own.

Wiping his face and looking at the setting sun, he really wanted to find a place to sleep.

really

However, hearing the cries of the soldiers in the distance, he set off again with the stretcher group of doctors and nurses.

It's getting darker and darker.

The helicopter running the wounded again is estimated to be the last one today.

There is no shortage of materials, really, not at all.

"Rotate! In this way, if the doctors are tired, they will delay treatment even more. "

Lao Gao has to raise his legs with his hands when walking.

Into Zhang Fan's operating room, Zhang Fan is already the fourth operation.

The child on the first set was corrected for shock and ran out immediately after fixing the fracture. I don't know if I can hold Zhang Fan's leg in the future. Because the skin damage is too serious, I don't have the opportunity and time to transplant skin for him at this time.

Bayin continued to cooperate with Zhang Fan's operation with tears in her mouth. At first, the young woman was holding tears for the people in the disaster area, and then she was scolded by Zhang Fan.

Tea vegetable hospital, no one has been scolded by Zhang Fan!

Really, the little young woman is wronged. If she were at ordinary times, Bayin would have cried loudly, but not today!

"The superior informed us that we should stick to it for another ten hours. After ten hours, the road into Jinzhi will be opened. If we insist on ten hours now, we can treat patients for ten more hours. Director Gao, you can go to each operating room to cheer everyone up.

Let's stick to it. When we are in the hospital, sometimes there is no one. We are on duty for 72 hours. We all stick to it. It's only ten hours. We can do it! "

Zhang Fan doesn't lift his head. He knows that he can't compare with usual.

Where can the intensity of weekdays be compared with now.

However, there is no way but to insist.

The state has launched a class I response and mobilized experts with experience and means in earthquake disasters to form an expert group. Various hospitals, especially provincial hospitals that can adapt to the plateau operation, have also sent medical teams to Jinzhi.

The operation of the helicopter has really made great contributions.

Many of the wounded were sent to the secondary rescue station.

In the rescue station, Zhao Jingjin is the leader of the rescue team. Lao Zhao is busy with the operation with the doctors. The doctor from the bird market has long been usurped by Ouyang and integrated into the tea element treatment group.

Now Ouyang is the commander in chief here.

Whether you are wearing the license plate of side a or side o, whether you are wearing a white coat or a green military uniform, you should listen to Ouyang's orders here, and the orders of external leaders are not as big as Ouyang's orders.

Because this time is equal to war!

……

When it was dark, the troops running forward rushed to the disaster area. When the helicopter comes out, it needs to transport patients and materials. They can only rush in by climbing mountains and rivers on the 11th Road.

"Comrades, the paratrooper comrades in arms have gone in, and the helicopter brigade has also gone in. Now only we are still on the road. Work hard, comrades and tea vegetable doctors can run in. Can't our old tiger regiment go in.

Can we promise? "

"No!"

"Yes, we can't promise. Today, before the sun sets, we must enter the disaster area. We are the children of the people. We come from the people. When the people suffer, we have to refuel even if we are tired.

Comrades, are you bitter? Think about the 25000 Red Army. Are you tired? Think about the old revolutionary predecessors! "

In the burst of troops, the cadres kept cheering, and the soldiers' clothes were wet, dry and wet.

……

In the 13th inning with bright lights, large equipment kept coming and going, and the roaring sound of machines seemed to say to God, "we are not satisfied, we are not afraid!"

The sun finally set, and the silver moon slowly climbed up.

The soldiers with sweat and mud forced their troops 50 kilometers into the disaster area on a 5000 meter plateau.

A group of young doctors have operated continuously for nearly twenty hours.

This is the Chinese traitor!