355 Three, two, three
Zhang Fan's eyes were red, but he couldn't say a word. As long as you are still a doctor, you have to obey the orders of others, because they are senior doctors and chief doctors. That's the rule, just like the army.
Boom, pop, the sound of footsteps from far and near. "No, I don't. We will take care of the sick number to the end. "The slightly rickety old lady is here.
Ouyang, who looked tired, was followed by a group of experts from Chasu City who set off overnight, speeding all the way, that is, the armed police and the drivers of 120 dared to drive like this.
"Dean!" Zhang Fan was about to cry, the people in the background were really happy.
"I am the director of the burn section of the Army General Hospital. Our superiors sent us to take care of the patients. "Soldiers, in general, go straight, let alone soldiers in higher-level hospitals.
"I didn't receive this order, I just knew that my superiors asked me to set up a rescue team. Here, Stone Town, belongs to Chasu City, and we are a direct superior hospital of Stone Town Hospital. Moreover, we are the first doctor of the patient. "Zhang Fan has no way to deal with the master's family. It is obvious that the higher-level hospitals are not at ease with the lower-level hospitals, but Ouyang is different.
The old lady didn't even glance at the director of the military region, what's wrong with the director, is there no director under me? Even if the other party comes to the director, it is useless, and she is not their subordinate.
In fact, this line of work is like this, the competition between the military and local hospitals is very large, the military hospitals are not so much the local hospitals, and the local hospitals are not so much the military hospitals. In particular, the bigwigs of military hospitals rarely go to local hospitals to go to acupuncture points, and it is impossible for experts from local hospitals to go to military hospitals to go to acupuncture points.
"How is it, can you still persevere?" The old lady looked at Zhang Fan, although her face was serious, but her amiable eyes, really, the old lady was really very satisfied with Zhang Fan.
"Report to the dean, you can insist. ”
"Good. Now for the rescue meeting. Are you participating?" he asked, turning to the director of the Army General Hospital. The old lady is such a calf protector, she can't tolerate others talking about her heart, let alone the heart of the night.
But this has to work, and she will definitely not let go of this gang of sub-army. But the initiative, she will definitely not let go, a large group of people rushed all night road, and finally came to give someone a hand, Ouyang She was definitely not happy.
In a word, it directly took away the initiative. "Participate. "No, neither is the director, this old lady doesn't look good, he's here to save people, not to do a battle of will. Let's have a meeting first, let's see the high and low in the venue.
"Prepare the meeting room. Secure the guardianship here, and bring the list of your hospitals. Who is the director and head nurse of the ICU here? After Ouyang glanced at the director of the Army General Hospital, he said to the director of Stone Town.
For this kind of factory and mine hospital, Ouyang directly looked down on it, just as 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 is already in Chasu City, this is the strength.
"Okay, okay! I'll get ready now. "The dean of Stone Town has a big head, Ouyang Hong, he knows too well, the female man in the medical system of Chasu City, the female man who goes crazy when he disagrees.
A group of support staff from Stone Town Hospital quickly prepared their offices. The company is rich, the hospital is not bad for money, and the interior decoration of the office is very high-grade.
"This!" After the venue was set up, the director of the Stone Town Hospital looked at the director of the provincial capital military hospital, and then looked at Ouyang, he didn't know what to say.
"Who is the attending doctor of the wounded, who is the host, introducing the condition, no more nonsense, time waits for no one, the condition waits for no one. Ouyang said expressionlessly.
"Good, good!" the director of Stone Town Hospital was about to crush his teeth. "Mother, if your skills are not as good as people, you are not human!"
After Ouyang finished speaking, he glanced at Zhang Fan. Zhang Fan understood, walked quickly to the podium of the venue, and did not need to open the medical records, because he knew it in his heart.
"At about 8 o'clock yesterday evening, because of a sudden disaster, Li Qiang, a firefighter of our armed police, was accidentally burned while fighting the fire. After being rushed to Stone Town Hospital, the patient developed symptoms of shock. The damage was obvious, with extensive burns on the head, chest, back, and both lower limbs. Burns are about 45% of the area, and most of them are deep third-degree injuries. Significant carbonization of the skin locally. On admission, the heart rate increases markedly, and the blood pressure and pulse pressure narrows markedly and decreases. Breathe shallow and fast. Lab Returns~~"
Zhang Fan quickly introduced the condition of one side. I want to be concise and very comprehensive. The medical industry is as particular as classical Chinese, which should be concise but rich in content. A patient's chief complaint is only a few words, but it must cover the patient's condition, especially the geriatric disease number of internal medicine, how complex and complex the condition of a lifetime of old patients is, but the doctor writes the chief complaint with just a few words, and if you want to be comprehensive, you have to consider it for a long time.
"After the patient was admitted to the hospital, after performing a tracheotomy, cleaning the wound, cleaning the airway, and correcting the shock in the emergency department, the patient's vital signs could not be significantly improved. During the anti-shock period, there were no significant changes in the patient's breathing, blood pressure, and heart rate. Considering the acute exudation period of the patient's burn injury and the carbonization of a large area of the surface tissue, there is a situation of leakage while infusion. Therefore, the patient was treated with decompression 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 were like things imprinted in his mind, and he said them without stumbling at all. After finishing 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 spoke, "Is there a need for incision? Is the use of antibiotics taking into account drug resistance? Why use anti-anaerobic antibiotics, which are the surface of the body, is it necessary?"
Zhang Fan's treatment can be said to be very clear, that is, to save his life and there is not much of a problem, but this treatment, especially this very critical rescue, many, many treatment measures are not clearly specified, that is to say, the medical industry has not been unified, and it is very controversial to use that and not that.
Especially this anaerobic bacteria, anaerobic bacteria, as the name suggests, are bacteria that hate oxygen, and there are generally not many such bacteria on the body surface, but one of Zhang Fan's three antibiotics is an antibiotic against anaerobic bacteria, which was mentioned by the doctor in the military hospital, in fact, this is not to find fault, but to have a different concept.
However, if Zhang Fan can't explain it, this is the problem, this is the big problem. The director of the dermatology department of Chasu City Hospital also frowned, and she didn't understand Zhang Fan's medication.
"It was necessary to cut it, at that time the wounded had already formed an annular eschar, and the tightened body had become a considerable pressure, which was already an acute exudative phase, and the shock could not be corrected without cutting. Zhang Fan said it clearly.
This kind of so-called questioning, in fact, is very nonsense, no one at the time of rescue, and it is a troublesome thing after the rescue, especially the rescue of this special nature, there will definitely be people who will question it.
Thousands of people, not to mention that there is no clear standard of rescue, the industry is becoming more and more refined, doctors are more and more afraid to take action, just in just ten minutes, or even a few minutes, if you can't make a mistake, you have to keep the liver, keep practicing your hands. Therefore, a rescue, especially a large-scale rescue, can almost become a highlight in a doctor's resume or file.
Who is the better doctor at the same level? Just look at the profile. Whoever presides over the large-scale rescue will be the best. There is no ambiguity at all, large-scale critical rescue, no one dares to take over?
The comprehensive quality of the doctor is too high for rescue, which is why there is a chain of contempt within the hospital, and the doctors outside the gods look down on the orthopedics, because of many large-scale rescues, the directors outside the gods dare to go on, and the orthopedics may not dare, not because of who makes more money and less money.
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