"Secretary Ren, quick, you divide two groups of people and start correcting the shock, Director Zhao, you and Lao Chen are in a group, Lao Wang, you and I are in a group, quickly, go to surgery first." ”

Zhang Fan gave orders to Ren Li, the director of the heart, and Zhao Quanping, the director of the general outside.

This kind of traumatic shock must not be ambiguous, and all examinations and conversations must be postponed.

Not a minute or a second can be delayed, at this time, what doctor's self-protection, what is worried that after the patient has an accident, the doctor will be implicated.

At this time, they don't think about it, this is responsibility, this is responsibility.

If at this time, he is still worried about the consequences and is afraid of taking responsibility, then this doctor will wear a white coat in vain.

At this point, the bleeding must be stopped while correcting the shock.

Human sympathy and compassion are actually numerous, just like feelings. For example, doctors and police officers have a higher threshold of compassion and mercy than other professions.

They are accustomed to life and death parting and the sinister world. The longer you have been in this industry, the more you will be face-painted.

For example, even if you retire as a police officer, you can see his face and know that you can't escape the public procuratorate.

The same goes for doctors.

This sublimated perception is different from the innate perception of the person, such as the sense of touch.

Human emotions are less and less used, and the more touch is used, the more sensitive it becomes, such as touching the lump of the human body.

Skilled people can feel the lump when it is one centimeter in diameter.

Not for those who are not proficient, it is estimated that the lump will be a little larger to be felt.

Don't look at it, it's a little bigger, often when the mass changes from a benign tumor to a malignant tumor, it's actually just a little bit worse.

Of course, Zhang Fan's current sensitivity can be perceived by the lump at about 0.8cm, which is comparable to color ultrasound.

This is the experience gained from a large number of physical examinations, for example, sometimes when he sleeps at night, Zhang Fan can't help but give Shao Hua a breast examination.

This is subconscious, but in fact, this test should be mastered by every man.

Don't men like to be big and like to be plump. In fact, the larger the mammary gland, the more likely it is to grow breast tumors.

This kind of examination is very simple, not that difficult, and the technique is not very profound. It can be said that as long as there is one hand.

Everyone has rubbed oil on their faces, in fact, this examination is like this, four fingers together, starting from the armpits, four fingers slightly forced, fingertips into the fat.

Then start in the armpits and move slowly downwards, slowly, of course, a little faster if you have experience.

Start with the armpit and circle around the mammary gland, and finally pinch the five fingers at the small pimple in the center to feel if there is a foreign body.

Really, don't look like it's particularly funny. In fact, when it's okay, check it like this, which not only regulates the relationship between husband and wife, but also prevents your lover from happening.

It's definitely a good thing to kill two birds with one stone.

Don't just be like a hungry kid and have no technical content at all.

This sensitivity can be exercised, and the human body is actually particular about the loss of blood.

Most deaths due to trauma are often due to shock.

It can be said that shock is the real culprit. In fact, many diseases in the human body cause serious consequences because of blood.

For example, AIDS, the three ways of transmission, in fact, if you think about it carefully, they are all related to blood, why not talk about kissing, but about physical education?

This is because between frictions, the cell membrane breaks off, causing the superficial capillaries to rupture, so the virus enters the blood vessels.

This is the entry of the virus into the bloodstream resulting in infection.

And how much bleeding can be fatal?

In a normal adult, the weight of blood is about 7% to 8% of body weight, and under normal circumstances, this proportion is constant, generally not more than 10%.

And the amount of blood loss, when it does not reach 8% of the blood volume, in fact, for the body, this blood will not show obvious clinical symptoms.

When people constrict blood vessels, blood pressure will rise to a normal level, so the body's vasculature is very good.

When the amount of blood lost is 10% of the weight, the body's fluids enter the blood vessels and act as a filling for vascularization.

The liver then synthesizes albumin quickly, so to speak, and recovers in a day, so to speak.

Chronic blood loss, the body is not afraid at all.

For example, a woman's menstrual period, a cycle, is about between 100 and 300 ml of blood, more or less different from person to person.

In a week's time, to be honest, this bit of blood is estimated to have not flowed clean, and the body's metabolism has already come again.

This is also the reason why women do not have any abnormal physical discomfort during the menstrual period.

This is also the reason why women faint on the first day of menstruation and after the beginning of the second day, the blood flow is more ferocious.

The loss is too fast, and the body can't compensate for it.

Moreover, this physiological chronic blood loss can also stimulate the regeneration of blood vessels, so the elasticity of blood vessels in women who have not entered menopause is better than that of men.

Cardiovascular disease is much lower than that of men, which is why men are extremely prone to sudden death.

Chronic blood loss, the body is really not afraid, sometimes, when the loss of blood is as high as 30%, the body will go into shock.

However, when rapid blood loss occurs, it is different, in this case, you don't have to lose much, once it exceeds 10%, shock will appear.

Because, at this time, the body's compensatory mechanism can no longer achieve the function of balancing blood pressure, first of all, blood pressure cannot get up.

Shock, many people have heard of it, but what shock is, in fact, in layman's terms, is a disorder of hemoperfusion.

There are many types of shock, such as blood loss.

There is also severe diarrhea and vomiting, which is a loss of fluid. Especially children, many children often die of diarrhea and high fever in the early years.

People now think that diarrhea is not serious, and that is because the medical environment and sanitation conditions have improved a lot.

Now the diarrhea is pulled out of the anus and seems to be the most serious condition.

To be honest, prolapsed anus can't kill anyone. But a large amount of fluid loss, killing people in minutes, severe diarrhea, in fact, in layman's terms, is actually similar to the effect of arterial rupture and blood spurting.

In the past, once diarrhea appeared, it meant that black and white impermanence was already on the side of people.

In addition to blood and fluid loss, there are burns, infections, heart dysfunction, allergies, and intense nerve irritation.

All of these can lead to shock. In fact, if you take a closer look, the mechanisms of these etiologies are different.

The consequences are the same, they are all blood flow disorders. Allergies, large-scale allergies, can lead to increased permeability of blood vessels.

Just like after a bee stung a person, why is a person swollen like a full head?

In fact, it is because of the bee sting that the body produces a lot of various factors that fight with allergic substances.

As soon as allergic substances fight with these factors, it eventually leads to the blood vessels, which were originally stockings, and suddenly become fishnet stockings.

Then all the blood runs from the blood vessels to the cells, and the human body quickly turns into a big bun as if it has been inflated with water from a balloon.

Intense nerve stimulation causes capillaries to spasm, and then blood flow problems occur, and then it becomes shock.

For example, some people will feel dizzy and numb all over their body after laughing and crying strongly, but in fact, this is the pre-shock stage.

Laughing to death, it's not a nonsense, this thing makes sense.

Correcting shock, how to correct it, is actually to find a way to make the perfusion sufficient.

For example, in the case of hemorrhagic loss, a balanced salt solution of two to three times the estimated loss is given intravenously.

In fact, this is to first use a balanced salt solution to stabilize the body's acid-base balance, and then use this liquid to trick the body and make its blood pressure rise.

Loss of blood once the body's acid-base balance and blood pressure cannot be corrected.

Then, this is directly the complete collapse of the reservoir dam, and the damage to all organs invariably, once this result occurs, the Jade Emperor will not have a way to come down.

So, at this moment, the awesome nurse shows her importance.

Blood vessels, normal human blood vessels, are actually like a vermicelli, full and smooth, and nurses with poor skills sometimes can't get into it.

Why? Because this thing is sleek, it can dodge, and when a sharp weapon pierces it, the outer membrane of the blood vessel is like the mucus on the fish's body, slippery, and it can dodge to a limited extent.

Often some nurses plunge in, only to look back and dig it out, and the painful patient grinned, which is after the blood vessel dodging, the nurse returned the needle once.

At this time, it is much more difficult than being sleek, and there is no chance to even look back and dig out, so you must hit it with one blow, otherwise you have to change places and find blood vessels.

To use a simple analogy, put a piece of pork on two pieces of paper and give you a needle.

You are required to pierce the pork, pierce the first layer, and not hurt the second piece of paper.

Also, you have to keep the needle moving in the gap between the paper and the paper.

To be honest, when you are calm, you may not be able to do it.

And the nurses, after this time, the flat car is running fast, and the nurses not only have to keep up with the speed of the flat car, but also have to stick the needle into it.

Really, it's all blood, tears and slaps.

The head nurse of the emergency center, the head nurse of the operating room, the head nurse of the orthopedic department, the head nurse of the cardiology department, the head nurse of the respiratory department .......

It can be said that almost all the most skilled nurses in the hospital came, four people with a flat car, both upper limbs, and two lower limbs.

They bend over, keep their heads down, grasp the patient's arm or ankle in one hand, hold the needle in the other, and must move quickly to keep up with the speed of the flat cart under their feet.

Why can't the steps be too big, it's not that I'm afraid of pulling the egg, but that the steps are too big and the hands are unstable! To be honest, this industry is too nonsense.

On the one hand, the situation is urgent, and on the other hand, I have to listen to Zhang Fan's urging: "Is the venous channel open, hurry, if it doesn't work, go away, I'll come!"

Really, not even for two minutes, the head nurse's nurse hat was covered with sweat, nervous, urgent, and TM was a sports battle.

It's really hard!

The head nurse in the operating room, don't look at the usual ambiguity with Zhang Fan, which is someone's way of survival in the workplace.

Zhang Fan never took it seriously, not only could he not take it seriously, but he also pretended to have a shy and evasive expression.

If he really takes it seriously, it is estimated that the head nurse will be able to slap him!

The head nurse in the operating room looked demonic, secretly spraying perfume and applying lipstick every day, but people's skills were really good.

The first one opened the veins of the man's upper limbs. While running, the nurse in the operating room shouted loudly: "The venous access to the right upper limb has been opened!"

The coquettish voice of the female voice, in this crisis situation, is particularly good, and the voice of the head nurse is so coquettish!

One, two...... Eight venous passages, one man and one woman, like Teletubbies, were all erected before they entered the elevator.

The suspended liquid bubbled and quickly entered the patient's body. This is the ability, this is the embodiment of the comprehensive ability of a hospital.

They and they are the mainstay of the hospital.

The police car came and went, and with a rapid whining, the patient was sent to the operating table.

"Quick, Lao Li, I'll disinfect, you lay the order, and the anesthesia will be carried out at the same time, so you can't wait. ”

The chief surgeon of the male surgeon is Zhang Fan, and the chief surgeon of the female surgeon is the director of general surgery and the director of cardiothoracic surgery.

The operation begins!

The heavier the rain becomes, the fainter the red can be seen on the street.

However, sadness cannot be washed away by heavy rain.