Chapter 360: Before Wolf and Tiger, he wants Ouyang

Chapter 360 Before the Wolf and the Tiger, He Wants Ouyang
The wildfire is endless. Pharaoh, a fireman demobilized immediately. As a result, his fiancee is still waiting for her lover to marry her. Can Yang is her red makeup, waiting for Qinglang Yijin to return to her hometown, but it 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 fluid is already the largest, and no matter how old the patient is, it is estimated that heart failure will occur. But the body fluid couldn't make up, the input didn't flow out quickly, and the wounded system was about to collapse.
"Knife!" Fighted, Zhang Fan did. This kind of wounded, the family members will not be able to come at one and a half, all disposal, the superior is equivalent to all have been handed over to Zhang Fan. In any case, as long as there is a silver lining, Zhang Fan will have to fight to people from the king.
Medical and international exchanges are very frequent, but some things are not deep and really cannot be learned. Such as this burn, the US Army Burns Research Institute is also a rescue guide, the details of which will not be released.
And the actual rescue work, the most important thing is some details. Everyone knows what to do after a scald, but there are so many details. There are no large and concentrated scald patients for decades, and there is no way to accumulate. How can I get together such a large number of complicated scald patients? That is war.
"What?" After all, it was not his own hospital, and the staff were unfamiliar with each other, the head nurse asked wonderingly.
"Scalpel! Ready to cut." Zhang Fan said again. The trachea of ​​the wounded had already been cut, what else should be cut? The head nurse was wondering, but the steps did not stop, and Lisuo had all the necessary equipment ready.
Who dares to move this kind of rescue, especially this kind of unsure rescue? But without moving, there is no hope directly. Moved, maybe there is hope, maybe ~~.
Now Zhang Fan is very calm, quietly and quickly wearing sterile gloves, the green smoke from talcum powder, slowly floating, Zhang Fan gritted his teeth.
There was no senior doctor's platform, and there was no Ouyang to do the back office, but Zhang Fan still decided to move the knife. In any case, as long as there is a glimmer of hope, you cannot let it go.
"Alcohol cotton ball." A calm and unemotional voice finally emerged from Zhang Fan. Lu Shuyan looked at Zhang Fan in surprise. Although Zhang Fan was very domineering during the operation, she never said so.
She didn't know what Zhang Fan was going to do. However, she settled in this place. If not, I can share Zhang Fan's pressure afterwards, not comrades-in-arms.
"Here." Lu Shuyan said, took the curved plate from the nurse, pushed the ambulance and walked to Zhang Fan's side. Without much words, she began to install a scalpel.
"Card!" After installing the scalpel and handing it to Zhang Fan calmly, she went to Zhang Fan, holding gauze in her hand. Fan Zhang glanced at Lu Shuyan.
Like Lu Shuyan, she glanced at Zhang Fan. Although she didn't speak, she could see a firmness from the other side. This is the healer, the healer who wants to rub his wrist with death.
For disinfection, Zhang Fan should cut open the wounded scorch and open the fascial tissue for decompression. Everyone knows thermal expansion and contraction, but in this case, the wounded are shrunk together with skin and muscle tissue like burned plastic.
The surface of the body is like a pressurized hood. Apart from this, this pressure directly causes a large amount of liquid to ooze out. How much liquid can be squeezed out by this pressure.
Although the incision can reduce the pressure, the pressure of this layer of cover is opened, and the bleeding is constant. Will this bleeding cause the fluid loss in the body to increase? Will the patient die directly from heart failure at the time of the incision?
Zhang Fan doesn't know, but what he does know is that without opening this hood, the patient will surely die, that is, the length of time. Not much time to think about it, the of death is already at the door.
How hopeful Zhang Fan is at this time, the old Eurasian lady can stand behind him and say, "Cut!" Medical treatment not only requires the growth of technology, but also the maturity of the mentality. This takes time, and wants to be in a short time There is a price to go through this process, it is impossible to think of it in vain.
Sweat! Already soaked in Zhang Fan's back. But his hands were very solid, without a trembling. In the place where the patient was very scalded, Zhang Fan cut the knife according to the texture of the muscles.
According to the anatomical level, Zhang Fan shot. First the chest, one layer, one layer, directly deep into the fascia layer. Zhang Fan of the chest was cut open by Zhang Fan, but no blood was seen. Continue to cut around the chest to the deep fascia. Finally, saw the blood.
Standing at the shadowless lamp and looking down, it was just like plowing the ground. Zhang Fan made several long incisions directly from the left armpit to the right armpit.
The first layer is scorched skin, and the second layer is burned muscles, exuding fleshy muscles. Only the third layer can see the pink tissue, bright red blood, and then down to the pleura.
These tissues are all necrotic and do not require anesthesia, and the wounded have no pain at all.
While cutting, look at the various detection instruments of the wounded, heart rate, blood pressure, and breathing. The ticking, ticking oil droplets are like a death knell knocking on Zhang Fan's heart.
Continue to cut, the thighs are already like a burnt ham, and the surface is like a ham with a lot of oil and water. Cut, since the knife is moved, there is no retreat.
Thighs, back, abdomen. All cut open, the original black wounded can not be seen at this time. The scorched tissue tissue that was originally cramped was cut open and opened a long mouth directly. What was originally an inner layer was turned up.
As if wearing a broken flower dress, the mouths, open wounds, black, red, and pink are mixed together, and their bodies are like open mouths.
Burns, wounds may be sterile within a short time. However, this semi-cooked organism is a very good medium, and it will not take long for a large number of bacteria to invade.
This level of bacteria is not available for general diseases. For example, there are 100 bacteria in bilateral diffuse pyelonephritis, and the number of burns is seven times that, which is directly an order of magnitude change.
Bacteria of this order of magnitude can cause patient death without directly invading deep tissues, which is also called burn wound sepsis.
"Dr. Zhang, the blood pressure has stabilized," the director of the emergency department said slightly lightly.
Before waiting for Zhang Fan to speak, Zhang Yanfeng of the respiratory department said: "Doctor Zhang, prepare a few antibiotics." Respiratory department is almost dealing with bacteria every day. Zhang Yanfeng knows the situation now.
"Sanlian, topical silver sulfadiazine. Preparing for blood transfusion, the next thing is God's will." After cutting off the decompression, Zhang Fan didn't even dare to come out. Although now it is considered to stabilize the patient's blood pressure and to maintain the internal environment, but A large number of external bacterial forces are coming.
There really are wolves and tigers before.
(End of this chapter)