It is the sweetheart that the wildfire does not burn. Lao Wang, a firefighter who was about to be demobilized. As a result~~, his fiancée is still waiting for her lover to marry her. The remnant sun is her red makeup, waiting for her lover to return to her hometown, but waiting for ~~.

"Dr. Zhang, no. The wounded's blood pressure was 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 big the patient is, it is estimated that heart failure will occur. But the body fluids 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 fights. For this kind of wounded, the family members will not be able to come for a while, and all the disposals will be handed over to Zhang Fan by the superiors. In any case, as long as there is a glimmer of possibility, Zhang Fan has to fight for it and snatch people from the hands of Hades.

Medical and international exchanges are very frequent, but many things are not in-depth, and it is really impossible to learn. For example, for this burn, the U.S. Army Burn Research Institute gave a rescue guide, and the details of it would not have been released.

And the most important thing in the actual rescue work is some details. Everyone knows what needs to be done after a scald, but there are so many details, and without the large and concentrated number of scald patients in the past few decades, how can we gather such a large and complex number of scald patients? That is, war.

"What?" after all, it wasn't your own hospital, and the staff weren't familiar with each other, the head nurse asked in confusion.

"Scalpel! ready to cut. Zhang Fan said again. The wounded man's trachea has been cut, what else is to be cut, the head nurse is puzzled, but the footsteps have not stopped, and Lisuo has prepared all the necessary equipment.

Who would dare to move this kind of rescue, especially this kind of rescue without any certainty? But if it does not move, there will be no hope directly. moved, maybe there was hope, maybe ~~.

Now Zhang Fan is very calm, quietly and quickly wearing sterile gloves, the green smoke from talcum powder slowly floated 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 go under the knife. In any case, as long as there is a glimmer of hope, it cannot be left alone.

"Alcohol cotton balls. A calm and emotionless voice finally emerged from Zhang Fan. Lu Shuyan looked at Zhang Fan in surprise, although Zhang Fan was very dominant during the operation, he had never spoken like this.

She didn't know what Zhang Fan was going to do. However, she helped with this field. No why, just to be able to share a little bit of Zhang Fan's pressure afterwards, not a comrade-in-arms.

"Give it to me. As Lu Shuyan spoke, she took the curved disc from the nurse's hand, pushed the ambulance and walked to Zhang Fan's side, and without saying much, she directly began to install the scalpel.

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

Lu Shuyan glanced at Zhang Fan, although he didn't speak, he could see a firmness in the other party's eyes. This is the healer, the healer who wants to wrestle with death.

For disinfection, Zhang Fan had to cut open the eschar and open the fascia tissue to decompress. Everyone knows that the heat expands and the cold shrinks, but in this situation, the wounded are like burned plastic, and the skin and muscle tissue are wrinkled together.

The surface of the body is like a pressurized hood, and if nothing else, this pressure directly causes a large amount of fluid to leak out, and the amount of liquid can be pressed out by the pressure of replenishing the liquid.

Although the incision can reduce the pressure, but when the pressure cover is opened, the bleeding is certain, will this bleeding lead to the aggravation of the loss of body fluid? Will the patient die of heart failure directly at the time of incision?

Zhang Fan didn't know, but what he knew was that if he didn't open this hood, the patient would definitely die, which was a matter of time. There wasn't much time to think about it, the Grim Reaper was already at the door.

At this time, Zhang Fan hoped that the old lady of Eurasia could stand behind him and say: "Cut!" Medical treatment is not only about the growth of technology, but also about the maturity of mentality, which takes time, and if you want to go through this process in a short time, you have to pay a price, and it is impossible to think in vain.

Sweat had already soaked Zhang Fan's back. But his hands were very steady, without a trace of trembling. In the place where the patient was very badly burned, Zhang Fan went under the knife according to the texture of the muscles.

According to the anatomical level, Zhang Fan made a move. First the chest, layer by layer, directly down to the fascial layer. The annular eschar on the chest was cut open by Zhang Fan, but no trace of blood was seen. Continue to cut, wrapping around the chest, cutting directly to the deep fascia. Finally, blood was seen.

Standing at the shadowless lamp and looking down, it was like plowing, Zhang Fan made several long incisions in the chest of the wounded, from the left armpit to the right armpit.

The first layer is burnt skin, and the second layer is scalded muscles, muscles that smell like flesh. In the third layer, you can see the pink tissue, bright red blood, and then the pleura.

These tissues are all necrotic tissues, and there is no need for anesthesia, and the wounded do not feel any pain at all.

While cutting, I looked at the various detection instruments of the wounded, heart rate, blood pressure, and breathing. The ticking, ticking oil droplets are like a death knell in Zhang Fan's heart.

Continue to cut, the thigh is already like a charred ham, and the surface is like a ham brushed with a lot of oil and water. Cut, since the knife is moved, there is no way back.

Thighs, back, abdomen. All the wounded were cut, and the wounded who were originally scorched black could not be seen directly at this time. The scorched tissue skin that was originally tightly packed together was cut open and the long opening was directly opened. The tissue, which was originally the inner layer, was turned upside down.

It was like wearing a torn flower dress, the cuts everywhere, the open wounds, black, red, and pink mixed together, and the whole body was like an open mouth.

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

For example, the number of bacteria in bilateral diffuse pyelonephritis is 100, and the number of burns is seven times that of it, which is directly an order of magnitude change.

This order of magnitude of bacteria can cause death without directly invading deep tissues, which is known as burn wound sepsis.

"Dr. Zhang, my 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 respiratory department spoke: "Doctor Zhang, prepare a few combinations of antibiotics." "The respiratory department is dealing with bacteria almost every day, and Zhang Yanfeng knows the current situation too well.

"Three-in-a-row, silver sulfadiazine for external use. Prepare for a blood transfusion, and then it's up to providence. "After cutting and decompressing, Zhang Fan didn't even dare to get out of the atmosphere, although now it is considered to stabilize the patient's blood pressure and protect the internal environment, but a large number of external bacterial troops are also coming.

It's really a wolf and a tiger.

。 m.