Chapter 359: Like a great laugh

Chapter 359
Rescue, especially for critically ill patients, is directly a battle with doctors and patients with time and pain. At this time, the primary and secondary must be clarified first.
Zhang Fan was a guest at Stone Town Hospital, and the most worrying thing was that the instructions were not smooth. Although this possibility is not high, no one else is a fool. At this time, someone comes out to take responsibility, who will object? However, don't be afraid of 10,000, just in case, this thing is hardly fault-tolerant. Therefore, Zhang Fan was directly blackened and stared.
The director of Stone Town Hospital was about to bend his waist and bowed. He took the lead, and the doctors and nurses below had no objection. Sometimes the battle of spirits cannot be prevented.
The medical team, needless to say, is fully prepared. The waist bar is straight, waiting for the order. In the smell of stinky eggs in the emergency department, Zhang Fan ordered it.
"The dean organized the staff to donate blood. Other unrelated personnel were evacuated from the emergency department." After that, he continued, "Liu Yaowen and Lu Shuyan." There is no way, at this time, it is not strict at all. In order to make the doctors and nurses in Stone City more obedient, Zhang Fan's face is harsh.
"Here!" The two took a step forward at the same time.
"Cut the airways to keep the airways clear."
"Yes!" Burns, especially those who suffer from inhalation injury, must ensure the airway is unobstructed. The patient's throat has become edema, and will become more and more swollen until the airway is blocked and the victim is choked. In hospitals, incisions are usually made either by the anesthesiologist or the ICU doctor.
Zhang Fan was not assured that the doctors in Stone Town had to rely on himself. This is the team! A team that knows each other.
"Baoyin!"
"Here!" The big-breasted girl stood up.
"Record." Zhang Fan said. Rescue, especially this kind of rescue, should be alive, and the rescue record that is not alive must be taken out for discussion. Even if it doesn't happen afterwards, Zhang Fan has to defend.
Burns are no more damaging than others. Cut and bleeding, as long as the bleeding is stopped in time and the shock is corrected, people will live. Can not burn, this is a compound injury, especially this kind of chemical burn can be counted, too much TM.
Scalds and large amounts of various sulfides and carbides adhere to the surface. They are constantly doing various chemical reactions, which directly leads to aggravation of damage. At this time, the patient, like sweating, was constantly exuding oil from the body surface. Just like pearls, really, they must not be exaggerated, directly on the burnt, coke-like black skin, hanging a smooth pearl necklace.
Zhang Fan's brain is now spinning rapidly. This rescue does almost everything. Nothing is more important than rehydration, ensuring airway patency, anti-infection, and correcting shock.
"Doctor Zhang, order it!" The director of the emergency department at Stone Town Hospital looked at Zhang Fan a little hesitantly and said directly in a crying voice. No way, he knew for himself that technology couldn't work and he couldn't get people's trust! After all, Zhang Fan is still young, and it is too simple to see "people".
At this time, I am afraid that no one will take the lead. As long as someone takes the lead, after all, they are still doctors and nurses formally trained by China, not the so-called butchers that increase fees during surgery.
"Order it!" Other medical staff in the emergency department also took a step forward in unison, Shen Sheng said. In the same emergency department, the patient was lying in bed, the wounded was in danger, and the pain of being untrusted was only known through personal experience. It was really uncomfortable.
"Okay! Head nurse!" Zhang Fan nodded.
"Come!" Came the voice unique to middle-aged women.
"Assign two or three nurses to clean the wounded area. Use benzalkonium bromide. Be sure not to damage the blisters."
"Yes. Wang Min and Chen Jing benzalkonium bromide clean the wound."
"Open the venous channel, all four channels are open. If necessary, deep vein access."
"Yes."
The rehydration of burns is very troublesome, especially for large areas of skin damage. Sometimes the rehydration fluid does not leak out quickly. It is directly leaking while infusion.
This kind of rescue is different from general ischemic injury. This rescue is a stepped rescue. If one step does not go or is not handled well, it is a crash, and each system crashes.
There is nothing to say, at this time the wounded was walking on the edge of a knife, and one accident was death. Make an accurate estimate first. An accurate estimate of the area burned by the wounded.
It sounds like nonsense, it is accurate and estimated. Yes, this is the terrible nature of burns. I do n’t have time to think about it carefully, but how big the area is and how much fluid to infuse, the doctor in charge of the rescue must know. In particular, this large-scale rescue requires a high level of comprehensive doctors.
At this time, it is impossible to talk to two or three doctors of internal medicine and surgery. Without time, doctors are not allowed to discuss. At this time, there can only be one voice, the voice between life and death. The young man lying in bed depends on Zhang Fan.
The human body is actually a bag of liquid, a balanced neutral liquid neutralized by various ions. The scary part of scalding is not the loss of liquid. The terrible thing is that it causes various ionic disorders in the body. Once the ions are disturbed, the various internal balances of the human body are broken.
Then there was a big crash. Simply put, like the heart, the level of a potassium ion can cause a heart strike. The same is true of other organs. With a stab, you might get it stumped, at most it is a scar, but this ion is disordered, and it is still the most dangerous situation like a sieve.
"5% glucose, dextran, cefixime, potassium chloride, insulin, calcium chloride ~~" Zhang Fan kept talking orally and constantly watching the situation of the wounded.
Scalds, the world's most powerful is the US Army Burns Research Institute. They have developed first-aid measures for scalds, which are being implemented in hospitals around the world.
However, some of these small details are accumulated by human life, which is experience, experience that money cannot buy, will people tell you? No, so I have to explore by myself.
And Zhang Fan is now like a mule. Surgery can be taken out and brightened, and internal medicine is average. But in today's situation, he still can't get on, he has to get on, he has to grit his teeth. The laboratory report was too late, and rescued and inspected constantly.
Tendon reflex, pupil, respiration, pulse, heart rate, blood pressure, urine, all the indicators, Zhang Fan keeps checking, keeps watching, then the brain summarizes, then judges, and then gives instructions. There is a mistake, and there is no room for delay. Zhang Fan's muscles were tightening. The wounded walked on the blade, why didn't he dance on the blade.
Outside the hospital, only a variety of police lights flickering, and the crowd of black people lined up quietly. Black sweaty firefighters, medical staff in white coats, and police with national emblems are all lined up.
Blood donation, far from the city, can only be drawn on the spot. "Hurry up and deal with your scald. Look at your arm, it's so broken, how can you draw blood?" The little blood-sucking nurse said to a firefighter.
"It's okay, I'll deal with it after the blood is drawn, and draw blood first." Tears were spinning, but a smile on his face, white teeth, and a black face.
"Go! There is no shortage of you, don't get infected again." The captain came out and said to the firefighter holding the blood-stained arm.
"Captain, let me smoke, otherwise I feel uncomfortable, really, uncomfortable ~~ We have only a few of us in the class! Captain, we are only a few of us. Pharaoh is about to recover next month, But ~~, Captain ~! "
"Yeah! He's recovering, he's recovering!" The captain of the detachment burst into tears and murmured in his mouth.
The wind blew gently, the faint smell of rotten eggs lingering over the hospital, the leaves gently trembled, like the laughter of the past.
sick,
Really, the first thing to break is the mentality!
Sorry, everyone
It took several days to adjust my mindset.
Thank you all, immortal!
(End of this chapter)