Path of Medicine With a System

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Rescue, especially the rescue of critically ill patients, is directly a battle between doctors and patients against time and pain. At this time, we must first clarify the primary and secondary.

When Zhang Fan was a guest at Stone City Hospital, what he was most worried about was poor instructions. Although the possibility of this was not high, the others were not fools. If someone came forward to take responsibility at this time, who would object? However, if you are not afraid of 10,000, you are afraid of just in case. There is almost no fault tolerance in this matter. Therefore, Zhang Fan stared intently with a dark face.

The dean of Stone City Hospital was about to bend his waist, and he bowed directly. He took the lead, and the doctors and nurses below had no objections. Sometimes the conflict of spirits is really unavoidable.

Needless to say, the medical team is fully prepared. Back straight, waiting for the order. Amidst the smell of rotten eggs in the emergency department, Zhang Fan ordered.

"The dean organized people to donate blood. Other irrelevant personnel were evacuated from the emergency department." After speaking, he continued: "Liu Yaowen, Lu Shuyan." The tone was strict. There was no way, at this time, it was impossible not to be strict at all. In order to make the doctors and nurses in Stone City more obedient, Zhang Fan had a stern look on his face.

"Here!" The two stepped forward at the same time.

"Cut the airway to ensure the smooth flow of the airway."

"Yes!" Burns, especially those with inhalation injuries, must ensure that the airway is unobstructed. The patient's throat is already swollen, and it will become more and more swollen until it blocks the airway and suffocates the wounded. In hospitals, the general organ incision is either an anesthesiologist or a doctor in the ICU.

Zhang Fan was worried about the doctors in Stone City, so he had to rely on his own staff. This is the team! A team that knows each other well.

"Baoyin!"

"Here!" The big-breasted girl stood up.

"Record." Zhang Fan said. Rescue, especially this kind of rescue, should be rescued alive, and the rescue records of the rescue will definitely be discussed. Even if nothing happens afterwards, Zhang Fan has to guard against it.

Burns are no worse than other injuries. If the wound is bleeding profusely, as long as the bleeding is stopped in time and the shock is corrected, the person will survive. But burns are not good, this is a compound injury, especially this kind of burn that can be regarded as a chemical burn, it's too fucking ridiculous.

Burns, a large number of various sulfides and carbides adhere to the surface. They are constantly doing various chemical reactions, which directly lead to the aggravation of the damage. At this time, the patient, like sweating, seeped oil and water from the surface of the body non-stop. Just like pearls, really, it must not be an exaggeration, directly on the burnt, coke-like black skin, there is an oily and smooth pearl necklace.

Zhang Fan's brain is spinning rapidly now. Almost everything in this kind of rescue is the first priority. Rehydration is the most important, ensuring the smoothness of the airway is the most important, anti-infection is the most important, and shock correction is the most important, and none of them is not the most important.

"Doctor Zhang, give the order!" The director of the emergency department of Stone City Hospital looked at Zhang Fan hesitantly, and said directly in a crying voice. There is no way, he knows it well, if the technology is not good enough, he will not be trusted by others! After all, Zhang Fan is still young, and he sees "people" too simply.

At this time, I am afraid that no one will take the lead. As long as there are people who take the lead, they are still doctors and nurses trained by Hua Guo after all, not the so-called butchers who increase fees during surgery.

"Order!" The other medical staff in the emergency department also took a step forward and said in a deep voice. In the same emergency room, the patient is lying on the bed, the wounded are in danger, and the pain of not being trusted can only be known by personal experience. It is really uncomfortable.

"Okay! Head nurse!" Zhang Fan nodded.

"Here!" came out the unique voice of a middle-aged woman.

"Assign two to three nurses to initially clean wounds. Use benzalkonium bromide. Be sure not to damage the blisters."

"Yes. Wang Min and Chen Jing clean the wound with benzalkonium bromide."

"Open the venous access, and open all four channels. If necessary, perform a deep venous access."

"yes."

The rehydration of burns is very troublesome, especially for large areas of skin damage.

Sometimes the liquid added is not leaking out quickly. It is directly leaking while infusion.

This kind of rescue is different from general ischemic injury. This rescue is a step-by-step rescue. If you can't go up a step, or if you don't handle it well, you will collapse directly, and each system will collapse.

There is nothing to say. At this time, the wounded are like walking on the edge of a knife, and one mistake will kill them. Make an accurate estimate first. An accurate estimate of the burn area of ​​the wounded.

It sounds like nonsense, to be precise is to estimate. Yes, that's the horror of burns. I don't have time to think about it carefully, but the doctor who presides over the rescue must have a good idea of ​​how much fluid to infuse for a large area. Especially for this kind of large-scale rescue, the requirements for a doctor's comprehensive level are quite high.

At this time, it is impossible to discuss with two or three medical and surgical doctors. There is no time and no room for doctors to discuss. At this time, there can only be one voice, the voice between life and death. The life and death of the young man lying on the bed depended on Zhang Fan.

The human body is actually a pack of liquid, a pack of balanced neutral liquid neutralized by various ions. What is terrible about scalds is not the loss of fluid, but the terrible thing is that it leads to various ionic disorders in the body. Once the ions are disturbed, various internal balances in the human body will be broken.

Then, there is the big crash. Simply put, such as the heart, the level of a potassium ion can cause the heart to go on strike. The same goes for other organs. Stabbing and stitching might fix it, at most it will be a scar, but this kind of ion disorder, and the situation where it is still leaking like a sieve is the most dangerous.

"5% Glucose, Dextran, Cefixime, Potassium Chloride, Insulin, Calcium Chloride~~" Zhang Fan kept giving verbal doctor's orders while observing the condition of the wounded.

For burns, the world's most powerful is the U.S. Army Burn Institute. The first aid measures for burns formulated by them are being implemented by hospitals all over the world.

However, some of the small details, how can they be accumulated with human lives, what is experience, experience that money can't buy, will people tell you? No, so you have to figure it out yourself.

And Zhang Fan is like a cripple now, the surgery can be taken out, and the internal medicine is general. But in today's situation, he still can't do it, he has to do it, and he has to do it. It was too late for the laboratory to report back, and they kept checking while rescuing.

Tendon reflexes, pupils, respiration, pulse, heart rate, blood pressure, urine, all indicators, Zhang Fan kept checking and paying attention, and then the brain summed up, then judged, and then gave instructions. If there is a mistake, there is no room for delay. All the muscles in Zhang Fan's body tensed up. The wounded walk on the edge of the knife, so why not dance on the edge of the knife.

Outside the hospital, there were only various police lights flashing, and a huge crowd of people lined up quietly. Firefighters with black sweat, medical staff in white coats, and policemen with national emblems all lined up.

Blood donation, far away from the city, can only draw blood on the spot. "Hurry up and deal with your burns. Look at your arm, it's so injured, how can you draw blood?" The little nurse who drew blood said to a firefighter.

"It's okay, I'll take care of it after I draw the blood, draw the blood first." The tears were spinning, but there was a smile on his face, white teeth, and a blackened face.

"Go! There is no shortage of you, don't get infected again." The detachment leader came out and said to the firefighter while holding his bleeding arm.

"Captain, let me smoke, otherwise I feel uncomfortable, really, uncomfortable~~ There are only a few of us left in our class! Captain, there are only a few of us left. Old Wang will recover next month. But~~, Captain~!"

"Yes! He's recovered, he's about to recover!" The detachment leader burst into tears and muttered to himself.

The wind blew gently, and the faint smell of rotten eggs lingered over the hospital, and the gently shaking leaves were like the laughter of the past.

. m.