Chapter 669： Medical records from the front line

Provincial Second Hospital, operating room.

Everyone flew up.

The retired orthopaedic director has been in the operating room for nearly 24 hours, during which he only ate a meal and at other times stood on the operating table.

There are so many injured people, and they are endless.

The equipment nurse is doing it, her eyes are red, and one can't help but cry out directly on the stage.

As a person in the operating room, what kind of things have not been seen? Anything that is miserable and sad again can be seen as an outsider.

But this time, they didn't do it.

The director of the old scene has been silent, but stubbornly refused all requests for him to step down and take a break, even from the requirements of the medical office.

Amputation, after completing a batch of patients, and sending a batch, it seems to be invincible.

In the end, the director did not want to see. When I am older, my legs and feet are inconvenient. If I have to go to the front line, I have to drag on two or three people to take care of myself.

He plays his biggest role in his own way.

just……

The number of amputated patients is simply too much, and the amputation surgery done in a lifetime is not as much as the 24 hours.

This is still the premise that most of the serious problems are sent to Huaxi for treatment.

The second hospital of the province, in Rongcheng, the comprehensive strength of medical care is not ranked high, about the top five.

That's it, there are still countless serious wounded people being sent over.

Director Jing has been stunned for nearly 24 hours and his body has been overdrawn. The usual joke on the operating table, to introduce the nurses to the nurses, and so on, did not say a word.

The atmosphere throughout the operating room was compressed and the air pressure was at least 5 Pascals.

He carefully used all his energy on the patients. Those seriously injured people were bruised and crushed by heavy objects. They were not treated in a short period of time. The compartment syndrome was present. The scope of amputation was larger than expected. A lot.

I tried very hard to keep more limbs for the injured, but he could not.

Osteofascial compartment syndrome, often caused by traumatic hematoma and tissue edema, the volume of the indoor contents is increased or over-tightened, and local pressure forces the volume of the compartment of the fascia to decrease, resulting in increased pressure in the compartment of the fascia.

When the pressure reaches a certain level [8.7kpa (65mmHg) for the forearm and 7.3kpa (55mmHg) for the lower leg], the small arteries supplying the muscles can be closed, forming a vicious circle of ischemia-edema-ischemia.

This is an acute symptom that is more common in clinical practice.

Usually, it is enough to cut the decompression, and there is no need to amputate.

However, in the face of natural disasters, almost all the wounded were not treated for the first time, contrary to the situation when the song and dance were flat. Even most patients also have heavy pressure on the limbs, and huge pressure directly leads to ischemic necrosis of the limbs.

The edema surface gradually spreads and spreads and spreads continuously. Caused by ischemic necrosis, the compartment of the compartment has continued to appear in the compartment.

The scope of amputation has expanded, and many of the limbs that are not cut off at all have been intercepted by King Jing. He believes that he is committing a crime.

But if you don't do this, it will inevitably lead to more and more complications, which will make the injured person into more difficult infections and poisoning.

Taking great pressure and self-blame, Jing’s silent surgery, one after another.

He knows that three or five operating rooms next door are arranged for orthopedic surgery; others are mainly neurosurgery.

The general surgery, thoracic patients are not too many, because of organ bleeding or pneumothorax, it is difficult for serious wounded to persist for more than 48 hours.

A middle-aged male seriously wounded person was carried down and his right thigh was cut off.

If you are in normal times, the injured person only needs to fix the fracture, and it is impossible to cut the decompression.

But now, I have to cut off a thigh...

"The next one." The director's nephew has been completely dumb, and the sound of desperately squeezing out, even he himself can't hear what he just said.

Another patient was taken to the operating table, and the director was sitting on the stool in the operating room with an intermittent period of time. The little doctor under his command is responsible for the preparation of the patient, pre-operative disinfection and other preparations.

On the chest of the patient, there was a tight plastic bag with medical tape. The orthopaedic surgeon did not hesitate to remove the tape and threw the plastic bag into the red trash can.

The roving nurse saw this scene, she had just slept for a few hours, and her mental head was still very good.

Yes, I only slept for two or three hours from the previous day, and the rest of the time was at work, which was already able to make people collapse.

But in the current situation, she is the most energetic person in it.

The roving nurse is aware of what might be important in a plastic bag, such as the identity of a patient, so that the patient's family can look for it.

She used a round pliers to clip the plastic bag out of the red trash can and opened it to take a look.

"This patient's limb edema is not heavy, director. Su sister, ready..." The orthopaedic surgeon said half, and the words were interrupted by the visiting nurse.

"This is the medical record left by the frontline doctors," said the visiting nurse Shen Sheng.

“Hey?” The orthopedic surgeon didn’t understand, the front line? Doctors? Medical history?

There is nothing on the front line, and some places have to be aired. The air is dropped once and the cost is at least one hundred yuan per bottle.

Even so, most of the water and food cannot fall into the hands of the victims because of the weather. The front-line general commander does not count the cost, and continues to airdrop regardless of the price.

Missing things are lacking, and doctors leave medical records on the front line?

Director Jing’s eyes opened and he reached out and said, “Show me.”

A piece of facial tissue was handed to the director of Jing, the whole piece of paper was wet, and it was very heavy and heavy.

He looked at the messy handwriting above and his nose was sour.

This is a medical treatment under what kind of difficult conditions...

Although there is no personal experience, but Director Jing can imagine.

I saw it for nearly three minutes Jing Director was silent and said nothing. The hand that carefully held the tissue paper shivered slightly, and the more it trembled.

“Director?” The patrolling nurse only took a look and handed the facial tissue to Director Jing. Her situation with the director was somewhat wrong, and she immediately asked.

Director Jing did not speak, rubbed his face with a big hand, and said that the patient had a slightly stable mood: "This patient had a thrombectomy on the front line, which was 6 hours ago."

"..." The visiting nurse was paralyzed.

"..." The orthopaedic surgeon who is disinfecting is also paralyzed.

Under the conditions of the front line, can you do the embolectomy?

Severe trauma, the difficulty of thrombectomy is much more difficult than the general thrombosis of cardiovascular and cerebrovascular diseases.

Because the original normal physiological anatomy is destroyed, the embolus is dense and dense and difficult to remove.

In the second hospital of the province, it is rare to do this kind of surgery. Is there anyone on the front line?