Path of Medicine With a System

three hundred and fifty-five 3

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Zhang Fan stared round his red eyes, but couldn't say a word. As long as you are still a doctor, you have to obey other people's orders, because he is the superior doctor and the chief doctor. This is the rule, just like the army.

Knock, click, footsteps came from far and near. "No need. We will take care of the sick ones to the end." The slightly stooped old lady came.

Ouyang with a tired face, followed by a group of experts from Chasu City set off overnight, speeding all the way, only the drivers of the armed police and 120 dared to drive like this, ordinary drivers have the guts but not the skills, so they soared at night, Don't die yet!

"Principal!" Zhang Fan was about to cry, people who have a backstage are so fucking happy.

"I'm the director of the Burn Department of the Army General Hospital. The superior sent us to pick up the patients." Soldiers usually go straight, let alone soldiers from superior hospitals.

"I didn't receive this order. I only know that my superiors asked me to set up a rescue team. Here, Stone City belongs to Chasu City, and we are directly under the superior hospital of Stone City Hospital. Besides, we are the first doctors for patients." Zhang There is no way for anyone to deal with them. It is obvious that higher-level hospitals are worried about lower-level hospitals, but Ouyang is different.

The old lady didn't even look at the director of the military region, what's wrong with the director, don't I have a director under my command? It's useless even if the other party comes to the dean, she is not their subordinate.

In fact, this business is like this. The competition between the military and local hospitals is very fierce. The military hospitals are not as good as the local hospitals, and the local hospitals are not as good as the military hospitals. In particular, the bosses of military hospitals seldom go to local hospitals for acupuncture, and it is impossible for experts from local hospitals to go to military hospitals for acupuncture.

"How about it, can you still persist?" The old lady looked at Zhang Fan with a serious but amiable look in her eyes. Really, the old lady was really satisfied with Zhang Fan.

"Report to the dean, you can persist."

"Okay. Now we have a rescue meeting. Are you going to participate?" After speaking, he asked the director of the Army General Academy. The old lady is such a protective calf, she can't tolerate others talking about her heart, let alone the heart that has been up all night.

But this has to work, and she will definitely not let this group of troops go. But she will definitely not let go of the initiative. A large group of people have been driving all night, and Ouyang is definitely not happy to come to help someone in the end.

In a word, the initiative was directly taken away. "Participate." No way, and neither does the director. This old lady doesn't seem to be a good person. He is here to save people, not to fight. Let's have a meeting first, let's see the high and low at the venue.

"Prepare the meeting room. Ensure the guardianship here, and bring the list of your hospital. Who are the director and head nurse of the ICU here?" Ouyang glanced at the director of the Army General Hospital, and then turned to the hospital in Stone City. Long said.

For this kind of factory and mine hospital, Ouyang directly looked down on it, just like the General Hospital looked down on Chasu City Hospital. But she is better than others because she has this qualification. In her hands, Chasu City Hospital has already taken the lead in Chasu City. This is strength.

"Okay! Okay! I'm going to prepare now." The dean of Stone City has a big head, Ouyang Hong, he knows it too well, the female man in the medical system of Chasu City, the female man who gets mad at the slightest disagreement.

A group of support staff from Stone City Hospital quickly prepared the office. The company is rich, and the hospital is not short of money. The interior decoration of the office is very high-end. I don't know if it is a meeting room of the world's top 500.

"Here!" After the venue was set up, the director of Stone City Hospital looked at the director of the provincial capital military hospital, and at Ouyang, but he didn't know what to say.

"Who is the doctor in charge of the wounded, who is the host, and introduces the condition, so there is no need to talk nonsense, time waits for no one, and the condition waits for no one." Ouyang said expressionlessly.

"Good! Good!" The president of Stone City Hospital was about to grit his teeth. "Mother, if you are not as skilled as a human, you are not human!"

After Ouyang finished speaking,

He glanced at Zhang Fan. Zhang Fan understood, walked quickly to the stage at the venue, and didn't even need to open the medical records, because he knew it well.

"At around 8 o'clock yesterday evening, due to the sudden disaster, our armed police fireman Li Qiang was accidentally burned while fighting the fire. After being rushed to the Stone City Hospital, the patient developed symptoms of shock. The injury was obvious, with head, chest, back, and lower limbs injured. Extensive burns. The burn area is about 45%, and most of them are deep third-degree injuries. The local skin is obviously carbonized. The heart rate increased significantly when admitted to the hospital, and the blood pressure and pulse pressure were significantly narrowed and then decreased. Breathing was shallow and fast. Laboratory Return~~"

Zhang Fan quickly introduced his condition. Want to be concise, and very comprehensive. What the medical industry pays attention to is like classical Chinese, which should be concise but rich in content. A patient's main complaint is only a few words, but it must cover the patient's condition, especially the elderly patients in the internal medicine department. The condition of a lifetime old patient is as complicated as it is, but the doctor's main complaint is only a few words. , If you want to be comprehensive, you have to think about it for a long time.

"After the patient was admitted to the hospital, a tracheotomy was performed in the emergency department, the wound was cleaned, the respiratory tract was cleaned, and the shock was corrected, but the patient's vital signs could not be significantly improved. During the anti-shock period, the patient's respiration, blood pressure, and heart rate did not change significantly. Considering the patient's burn In the acute exudation stage, and a large area of ​​surface tissue was carbonized, there was a situation of infusion and leakage. Therefore, the patient was treated with decompression and incision, and the patient's condition improved significantly."

After introducing the condition, Zhang Fan quickly talked about the rescue process at that time. These things seemed to be imprinted in his mind, and he said them without any hesitation. After speaking, Zhang Fan did not step down because he knew that someone would ask questions.

Sure enough, one of the soldiers in the military hospital said, "Is it necessary to incision? Does the use of antibiotics take into account drug resistance? Why are anti-anaerobic antibiotics used? This is the surface of the body. Is this necessary?"

Zhang Fan's treatment can be said to be very clear, it is life-saving and there is no big problem, but this treatment, especially this very critical rescue, many, many treatment measures have not been clearly specified, which means that the medical industry has not yet been unified. Whether to use that or not is very controversial.

Especially this anaerobic bacteria, as the name suggests, anaerobic bacteria are bacteria that hate oxygen. Generally, there are not many such bacteria on the body surface, but one of Zhang Fan's three antibiotics is an antibiotic against anaerobic bacteria. The doctor at the military hospital pointed out that, In fact, this is not finding fault, but a difference in concept.

However, if Zhang Fan can't explain it, then this is a problem, and this is a big problem. The director of the Dermatology Department of Chasu City Hospital also frowned, she also didn't understand Zhang Fan's medication.

"It was necessary to incision. At that time, the wounded had already formed a ring-shaped eschar, and the tightened body had already become a considerable pressure. It was originally an acute exudation period, and the shock could not be corrected without incision." Zhang Fan said clearly.

This kind of so-called questioning is actually very nonsense. No one was there during the rescue, and it is troublesome after the rescue. Especially for this special type of rescue, there will definitely be people who will question it.

Thousands of people have thousands of faces, not to mention that there is no clear and standardized rescue, and now that the industry is becoming more and more refined, doctors are less and less afraid to take action. In just a short ten minutes, or even a few minutes, you can't think of it. If you make a mistake, you have to keep working hard and practicing your hands. Therefore, a rescue, especially a large-scale rescue, can almost always become a highlight in a doctor's resume or file.

Among doctors of the same level, who is more powerful? Just look at the introduction. Whoever presides over the most large-scale rescues will win. Unambiguous at all, large-scale critical rescue, no one in twos and threes, would he dare to take over? dare not!

Rescue requires a high level of comprehensive quality of doctors, which is why there is a chain of contempt within the hospital. Doctors outside of Shenwai look down on orthopedics, because in many large-scale rescues, the director of Shenwai may not dare to do it, but the orthopedics may not dare, and it is not who makes money. More money and less sake.

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