Path of Medicine With a System

The genius remembers the address of this site in one second: [] The fastest update! No ads!

"Burn infection is the main factor that threatens the lives of patients at present. Three military hospitals in my country have given reference guidelines. 52% of burn patients died of infection. According to the report of the Cincinnati Burn Center in the United States, patients with large area burns died of infection. It accounts for 75%." Zhang Fan opened his mouth and said, these data were all obtained when he was transferred to the dermatology department.

Medicine is considered a science, and when it is impossible to convince the other party in terms of surgery or treatment, it can only rely on data. If these data are not specially prepared, it will be very difficult for ordinary doctors to come if they want to open their mouths. The treatment does not use these data. This is the difference between doctors and scholars. Things in the world are so nonsense. I want to be a good doctor. , it's really not easy.

"This has nothing to do with the use of antibiotics against anaerobic bacteria. I think it is a waste to use the triple antibiotics against anaerobic bacteria. It not only occupies the channel, but also easily causes drug resistance." The doctor at the military hospital directly interrupted Zhang Fan's words.

The battle of ideas seems to be very gentle, but in fact, the slightest carelessness of swords and swords can be fatal. Grasp one point, you can directly overthrow everything about you, and then push back the responsibility.

A matter of life and death, a little thing can be magnified to the point that ordinary doctors can't bear it, not to mention that the wounded is still a hero.

Ouyang felt something was wrong, she turned her head to look at the doctor in her hospital, her meaning was very clear, help me out! She knew Zhang Fan well. Surgery was excellent, but internal medicine was mediocre. Zhang Fan, who was a cardiologist, was about to collapse.

And she knows this kind of thing too well, a little carelessness will cause endless troubles, she is worried that Zhang Fan is too young, some things are not that simple.

A unit, especially a medical unit, if there is no special competition, is actually very united. You help me, and I help you. Walk slowly and cautiously in this special industry.

The director of the respiratory department, Jumabek, was about to speak. Zhang Fan nodded to him, motioning him to wait a moment. Then, Zhang Fan continued: "Where there is rot, there must be bacteria! Although most of the burns are bacilli. However, after using spectrum antibiotics, the effect is still not obvious. Why? It is because of the omission of anaerobic bacteria."

"Is there any basis for what you said? Is there any laboratory data? Where did this statement come from? This is treatment, this is human life, and you are not just talking about it." One of the doctors in the army began to be a bit on the line.

In fact, this matter, how should I put it, the burn department in our country has taken too many detours. Compared with other departments, this department is really not easy.

The European and American blockades in the early years, especially those related to war, are really all-encompassing for the strict blockade of our country. Back then, in a war in the south of our country, a large number of soldiers were burned.

The entire medical system, especially the medical system of the military, has gone on and on, and it can be said that there are all kinds of ways to do it.

For example, comprehensive debridement, after the wounded was admitted to the hospital, a number of surgeons were assembled to conduct a comprehensive debridement on the patient, but the result was still not good, and the infection remained the same.

Then there is aseptic isolation, which is quite strict aseptic isolation. Medical staff who enter the ward must take a bath, wear isolation gowns, and have antibacterial chewing gum in their mouths. Infection continues.

These are human lives! The results verified by the lives of countless soldiers.

"Hehe!" Zhang Fan smiled expressionlessly. Did he really want to say it was necessary? Is this necessary?

"First of all, there are various germs in the human body. The non-pathogenic bacteria have become pathogenic bacteria under such a large area of ​​trauma. Why can't we achieve the expected results after using a large number of broad-spectrum antibiotics? , because of anaerobic bacteria. After the US military’s war in Afghanistan, their Telplitz Research Center clearly pointed out that burns should be antibacterial in the first place, and antibiotics must first be used against anaerobic bacteria.”

Zhang Fan directly threw out the results in the system. Infection is a subject that takes up a lot of space in the surgical system.

Zhang Fan did not know how many times he saw it when he was in the basics of liver surgery. Zhang Fan's step-by-step improvement was really not in vain.

"This, but there is a lot of controversy at the moment. It takes up such a precious liquid channel, I think it needs to be discussed." The tone of the military doctor who raised the question immediately dropped several notches. Can dabble, he has nothing to say.

This kind of journal should also be read by doctors in the military scald department, because the medical industry still has a field for first aid on the battlefield, and the Telplitz Center is just a small center for the US military to study battlefield burns. He also read it, so he was speechless .

The director of the Burn Department of the General Hospital was also surprised. There are not many doctors in their hospital who can read such journals. After all, the war seems to be far away.

The doctors here in Chasu City have hardly heard of this center, but this does not prevent them from being proud! Ouyang's frowned brows slowly let go, and the corners of his mouth began to curl up slightly, proud! Zhang Fan didn't embarrass her, nor did she stand up for him in vain.

"It seems that Dr. Zhang has a plan in his mind! What's next? Can you ensure that the patient survives the bacterial outbreak?" The director of the scald department of the general hospital spoke, pointing to the point.

Zhang Fan was speechless and speechless. Treatment, especially this kind of antibacterial treatment, there are too many unexpected factors, even if there is a 99% chance, it is not guaranteed to be safe, not to mention that this kind of treatment has not yet reached such a high rate.

"Even if you don't use anti-anaerobic bacteria treatment, can you ensure that patients can safely pass through this dangerous period? Are non-anti-anaerobic bacteria spectrum antibiotics correct?" Before the other party finished speaking, Ouyang said it directly.

"However, our army currently has this treatment plan."

"Which may not be correct! Can you ensure that the wounded survive the dangerous outbreak?"

This becomes a fruitless debate, meaningful or not? I don't know, but what Zhang Fan can be sure of is that no one can convince anyone.

"Okay, let's not discuss this issue for now, what should we do now?" The director of the general hospital blushed with anger.

"Hmph!" Ouyang had gone through a lot of arguments, especially this kind of ideological or fruitless line debate when he was young, and the director of the general hospital was her opponent.

"The patient is lying on the hospital bed. I understand the doctor's mood, but now is not the time to discuss this matter. Now, I order." Ouyang hit back. The old lady is really strong, with a sharp mind and sharp language, and ordinary people are not opponents at all. . After she took the initiative, she started to order directly, without giving you a chance to breathe.

As soon as these words were said, all the doctors in the Chasu City Hospital stood up and listened attentively. No matter how angry the doctors of the General Hospital were, they had to carry out.

"I am the team leader, the director of the scald department of the general hospital, and the president of Stone City Hospital are the deputy team leaders. I am responsible for the overall condition of the wounded, coordinate and report in a timely manner.

The director of the dermatology department of Chasu City and the deputy director of the scald department of the general hospital led the vice president of Stone City, the director of the ICU, and the head nurse as the first group to monitor the patient's skin and vital conditions 24 hours a day.

The director of the Respiratory Department of Chasu City, the director of cardiology, and the doctors of the General Hospital are the backup team, who timely and accurately comprehensively summarize the patient's situation, estimate the patient's condition, adjust the treatment at any time, and are on call 24 hours a day.

Zhang Fan led other staff to prepare for all operations for the second group and was on standby 24 hours a day. "

After finishing speaking, Ouyang looked at everyone present, and continued: "Now, put aside the dispute and go all out. As the leader with the highest position at present, I will give you a vaccination first. If anyone is not paying attention during the rescue, Shirk responsibility, no matter which system you belong to, I will never let it go.

The hero lying on the bed has already paid such a high price. As doctors, as his last and only hopeful doctor, we must not let him feel chilled. Go to work! "

White coats, everyone put on the white coats of Stone City Hospital and entered their respective posts.

"Heart rate, pulse, and blood pressure should be recorded every ten minutes. Add hormones and increase the amount of colloidal fluid." The figures in the ICU shook, and the family members of the firefighters who were thousands of miles away set off with the help of the local government.

Silent tears sprinkled the road of thousands of miles.

. m.