Rescue, especially for critically ill patients, is a battle between doctors and patients against time and pain. At this time, we must first clarify the priorities.

Zhang Fan was a guest at Stone Town Hospital, and what he was most worried about was that the instructions were not smooth, although this possibility was not high, and no one else was stupid, at this time, someone came out to take responsibility, who would oppose it? However, if you are not afraid of 10,000, you are afraid of what happens, and there is almost no fault tolerance in this matter. Therefore, Zhang Fan directly blackened his face and stared intently.

The director of Stone Town Hospital was about to bend his waist and bowed directly. He took the lead, and the doctors and nurses below had no objections. There are times when the battle of wills really can't be left unguarded.

The medical squad, needless to say, is fully prepared. The waist bar is straight, just waiting for the order. In the smell of rotten eggs in the emergency department, Zhang Fan ordered.

"The dean organized people to donate blood. Other unrelated personnel are evacuated from the emergency department. After speaking, he continued: "Liu Yaowen, Lu Shuyan." The tone was stern. No way, at this time, it is not good not to be strict at all, in order to make the doctors and nurses in Stone City more obedient, Zhang Fan's face is harsh.

"Here!" both stepped forward at the same time.

"Cut the airway and keep the airway open. ”

"Yes!" burns, especially those with this kind of inhalation injury, must ensure that the airway is open, the patient's larynx is already swollen, and it will become more and more swollen until the airway is blocked, suffocating the casualty. In hospitals, it is common to cut organs either by anesthesiologists or ICU doctors.

Zhang Fan is not worried about the doctors in Stone Town, and he can only rely on his own people. This is a team! a team that knows each other.

"Bao Yin!"

"Here!" the big-breasted girl stepped forward.

"Record. Zhang Fan said. Rescue, especially this kind of rescue, rescue is supposed to be alive, and the rescue record of rescue or not must be taken out for discussion. Even if it won't happen afterwards, Zhang Fan has to guard against it.

Burns are no more than other injuries. Cutting and bleeding, as long as the bleeding is stopped in time and the shock is corrected, the person will live. But burns can't be done, this is a compound injury, especially this kind of chemical burn, which is too TM to rip.

Scalds, a large amount of various sulfides and carbides are attached to the surface. They are constantly engaged in various chemical reactions, which directly lead to the aggravation of the damage. At this time, the patient is like sweating, and the oil and water all over the body are constantly oozing from the surface of the body. Just like pearls, really, it must not be an exaggeration, directly on the charred, charcoal-like black skin, hanging from the oily and smooth pearl necklace.

Zhang Fan's brain is spinning rapidly now. This kind of rescue is almost all the first thing. Hydration is the first priority, ensuring the patency of the respiratory tract is the first priority, anti-infection is the first priority, and correcting shock is the first priority.

"Doctor Zhang, give the order!" "The director of the emergency department of Stone Town Hospital, looking at Zhang Fan with a little hesitation, said directly with a crying voice. There is no way, he knows that his technology is not good, and he will not be trusted by others! After all, Zhang Fan is still young, and he sees "people" too simply.

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 in Huaguo, not the so-called butchers who add fees during surgery.

"Give the order!" the other medical staff in the emergency department also took a step forward and said in a deep voice. In the same emergency department, the patient is lying in bed, the wounded are in danger, and the pain of not being trusted can only be known by personal experience, which is really uncomfortable.

"Okay! head nurse!" Zhang Fan nodded.

"Here!" came out the voice peculiar to a middle-aged woman.

"Two or three nurses were assigned to preliminarily clean the wounds. With benzalkonium bromide. Be sure not to damage the blisters. ”

"Yes. Wang Min and Chen Jing cleaned the wound with benzalkonium bromide. ”

"Open the intravenous channel, all four channels open. Deep venous access is done if necessary. ”

"Yes. ”

Hydration for burns is very troublesome, especially for large areas of skin, and sometimes the fluid is not leaking out quickly. It is directly leaking while infusion.

This kind of rescue is different from the general ischemic injury, this rescue is a kind of ladder rescue, a step can not go up, or not dealt with well, it is directly a rush, a big collapse of each system.

There is nothing to say, at this time the wounded are like walking on the edge of a knife, and one mistake is death. First of all, you have to make an accurate estimate. An accurate estimate of the burned area of the casualty.

It sounds like, but it's accurate and predictable. Yes, that's the terrible nature of burns. I don't have time to think about it carefully, but the doctor who presides over the rescue must know how much fluid to infuse in what area. In particular, this kind of large-scale rescue requires a doctor's comprehensive level to be quite high.

At this time, it is impossible to get two or three doctors of medicine and surgery to discuss, there is no time, and there is no room for doctors to discuss, at this time there can only be one voice, the voice between life and death. The young man lying on the bed depends on Zhang Fan.

The human body is actually a packet of liquid, a packet of balanced neutral liquid neutralized by various ions. The terrible thing about a burn is not the loss of fluid, but the terrible thing is that it leads to various ion disorders in the body, and once the ions are disordered, the various balances within the human body are broken.

Then, there was the Great Collapse. To put it simply, for example, in the heart, a high or low potassium ion can cause a heart strike. The same is true for other organs. A stab, a sewing may be done, at most it is a scar, but this kind of ion disorder, and it has been leaking like a sieve is the most dangerous.

"5% glucose, dextroside, cefixime, potassium chloride, insulin, calcium chloride~~" Zhang Fan kept giving verbal orders, while constantly observing the condition of the wounded.

Scalds, the most awesome in the world is the U.S. Army Burn Research Institute, and the first aid measures they have developed for scalding are being implemented by hospitals all over the world.

However, there are some small details, which are accumulated with human life, which are experience, and which are experiences that money can't buy? No, so you have to explore them yourself.

And Zhang Fan is now like a cripple, surgery can be taken out to shine, internal medicine. But in today's situation, he still can't get on, he has to go, and he has to go up with gritted teeth. The laboratory report is too late, and while rescuing, it keeps checking.

Tendon reflexes, pupils, breathing, pulse, heart rate, blood pressure, urine, all the indicators, Zhang Fan kept checking, paying attention, and then the brain summarized, then judged, and then said the instructions, there is no room for mistakes, no delay for a moment. The muscles in Zhang Fan's whole body were tense. The wounded walked on the blade, and he didn't dance on the blade.

Outside the hospital, only the various police lights were flashing, and the crowd was quietly queuing. Firefighters in black sweat, paramedics in white coats, and policemen with national coats are all lining up.

Blood donation, far away from the city, can only be drawn on the spot. "Hurry up and deal with your burns, look at this arm of yours, it's all injured like this, how can you draw blood." The little nurse who drew blood said to a firefighter.

"It's okay, I'll deal with it after I'm done drawing blood, and I'll draw blood first. Tears were swirling, but there was a smile, white teeth, and a blackened face.

"Go, don't miss you, don't get infected again. The detachment leader came out, holding the arm that had drawn blood and said to the firefighter.

"Captain, just let me smoke, otherwise I feel uncomfortable, really, uncomfortable~~ There are only a few of us left in our class! Captain, there are only a few of us left. Lao Wang will be restored next month, but~~, captain~!"

"Yes, he's recovered, he's going to recover!" the detachment leader muttered to himself with tears in his eyes.

The wind blew gently, and the faint smell of rotten eggs hovered over the hospital, and the gentle leaves shook like the laughter of the past.

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