Path of Medicine With a System

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It is the sweetheart who can't be burned by wild fire. Lao Wang, a firefighter who is about to be demobilized. As a result~~, his fiancée was still waiting for her lover to marry her. The setting sun is her red makeup, waiting for her lover to return home, but what is waiting is~~.

"Doctor Zhang, no. The blood pressure of the wounded is getting lower and lower." The director of the emergency department was sweating. Zhang Fan has already seen that the liquid is already the largest, and the patient will probably suffer from heart failure no matter how big it is. But the body fluid can't be replenished, the input is not as fast as the outflow, and the wounded's system is about to collapse.

"Knife!" Fight, Zhang Fan fight. The family members of this kind of wounded will not be able to come for a while, and the superiors have already handed over all the disposal to Zhang Fan. In any case, as long as there is a chance, Zhang Fan will fight for it, to snatch him from the hand of Hades.

Medical and international exchanges are very frequent, but there are many things that cannot be learned without in-depth knowledge. For example, for this burn, the U.S. Army Burn Research Institute gave a rescue guide, and the details will not be released at all.

In the actual rescue work, the most important thing is some details. Everyone knows what needs to be done after being scalded, but there are so many details. Without a large number of scalded patients who have been concentrated for decades, it is impossible to accumulate them. How can we gather such a large number of complicated scalded patients? That is war.

"What?" After all, it wasn't my own hospital, and the staff were not familiar with each other, so the head nurse asked puzzled.

"Scalpel! Prepare to cut." Zhang Fan said again. The trachea of ​​the wounded has been cut, what else should be cut, the head nurse was puzzled, but she didn't stop walking, and quickly prepared all the equipment needed.

This kind of rescue, especially this kind of unsure rescue, who would dare to do it? But if you don't move, there is no hope. Moved, maybe there is hope, maybe~~.

Now Zhang Fan is very calm, quietly and quickly wearing sterile gloves, the green smoke from the talc powder slowly drifting up, Zhang Fan gritted his teeth.

There was no senior doctor on the platform, and there was no Ouyang as the backstage, but Zhang Fan still decided to use the knife. No matter what, as long as there is a glimmer of hope, it cannot be let go.

"Alcohol cotton balls." A calm and emotionless voice finally came from Zhang Fan. Lu Shuyan looked at Zhang Fan in surprise. Although Zhang Fan was very domineering during the operation, he had never said anything like that before.

She didn't know what Zhang Fan was going to do. However, she helped decide this occasion. No reason, just to share some of Zhang Fan's pressure afterwards, not a comrade-in-arms.

"Give it to me." Lu Shuyan said, took the bender from the nurse's hand, pushed the ambulance to Zhang Fan's side, and started to install the scalpel without saying much.

"Card!" After loading the scalpel and calmly handing it over to Zhang Fan, she walked to Zhang Fan's side, holding the gauze in her hand. Zhang Fan turned his head and glanced at Lu Shuyan.

Like Lu Shuyan, she glanced at Zhang Fan. Although she didn't speak, she could see a kind of firmness in the other's eyes. This is the doctor, the doctor who wants to wrestle with death.

For disinfection, Zhang Fan needs to incise the eschar and open the fascia to decompress. Everyone knows that it expands with heat and contracts with cold, but in this situation, the wounded are like burnt plastic, with skin and muscle tissue shriveled together.

The surface of the body is like a pressurized cover, not to mention other things, this pressure directly causes a large amount of fluid to seep out, and this pressure can squeeze out as much fluid as you replenish.

Although incision can reduce pressure, but opening this layer of pressurized cover, bleeding is certain. Will this bleeding lead to aggravated loss of body fluid? Could it be that the patient died of heart failure at the time of the incision?

Zhang Fan didn't know, but what he did know was that if the cover wasn't removed, the patient would definitely die, which was a matter of time. There was not much time to think about it, and the god of death was already at the door.

How much Zhang Fan hopes at this time, the old lady Ouya can stand behind him and say: "Cut!" Medical care requires not only the development of technology, but also the maturity of mentality.

This takes time. If you want to go through this process in a short period of time, you have to pay a price. It is impossible to do it for nothing.

sweat! It has soaked through Zhang Fan's back. But his hands were very steady, not trembling at all. Where the patient was severely burned, Zhang Fan cut the knife according to the texture of the muscle.

According to the anatomical level, Zhang Fan made a move. First is the chest, layer by layer, directly reaching the fascia layer. The ring-shaped eschar on the chest was cut open by Zhang Fan, but there was no trace of blood. Continue cutting around the chest and cut directly into the deep fascia. Finally, I saw blood.

Standing at the shadowless lamp and looking down, Zhang Fan made several long incisions directly on the wounded chest, from the left armpit to the right armpit, as if plowing the ground.

The first layer is scorched skin, the second layer is scalded muscles, muscles exuding the smell of meat. The pink tissue and bright red blood can be seen on the third layer, and the pleura is further down.

These tissues are all necrotic tissues, no anesthesia is needed, and the wounded have no pain at all.

While cutting, he looked at the various testing instruments of the wounded, such as heart rate, blood pressure, and respiration. The ticking, ticking oil drops were like the death knell beating on Zhang Fan's heart.

Continue to cut, the thigh is already like a burnt ham, and the surface is like a ham with a lot of oil and water. Cut, since the knife is used, there is no way out.

Thighs, back, belly. All cut open, the wounded who were originally scorched black could not be seen directly at this time. The scorched black tissue skin, which was originally compressed, opened a long opening after being cut open. The tissue that was originally the inner layer was turned upside down.

As if wearing a torn floral dress, there are holes everywhere, open wounds, black, red, and pink mixed together, and the whole body looks like an open mouth.

For burns, the wound surface may be sterile in a short period of time. However, this kind of half-cooked body is a very good medium, and it doesn't take long for a large number of bacteria to invade.

This number of bacteria is not available in common diseases. For example, the number of bacteria in bilateral diffuse pyelonephritis is 100, while the number of burns is seven times that, which is a direct change in magnitude.

Bacteria of this order of magnitude can lead to the death of patients without directly invading deep tissues, which is the so-called burn wound sepsis.

"Doctor Zhang, the blood pressure has stabilized." The director of the emergency department said in a slightly relaxed tone.

Before Zhang Fan could speak, Zhang Yanfeng from the Department of Respiratory Medicine said, "Doctor Zhang, prepare to prescribe some antibiotics." The Respiratory Department deals with bacteria almost every day, and Zhang Yanfeng is well aware of the current situation.

"Sanlian, external use of silver sulfadiazine. Prepare for blood transfusion, and then it will depend on God's will." Zhang Fan did not even dare to breathe out after the decompression. Although the patient's blood pressure was stabilized and the internal environment was preserved, but A large number of bacteria troops from the outside are also coming soon.

It is really a wolf in the front and a tiger in the back.

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