"Quick, get into the trolley. Zhang Fan inspected while commanding. Rescue, especially for critically ill patients, is really a consideration of the comprehensive quality of doctors and doctors.

Trauma patients, first of all, to identify five aspects, 1, circulation. 2. Breathe. 3. Chest and abdomen activities. 4. Exercise. 5. Speak.

"Where are you uncomfortable, are you thirsty, can you hold your breath?" Zhang Fan held on to the stretcher, and while running, he shouted at the armed police squad leader lying on the stretcher.

Zhang Fan stared at the patient's chest, looked at the patient's expression, and tested the patient's reaction with words.

This is the experience, this is the experience summed up by the doctor in his work, and the general situation of the wounded is almost clear in a few words.

Without this experience, stupidly waiting for the wounded to be placed on the examination bed, and then slowly measuring blood pressure and listening to the heartbeat, the wounded will be delayed by the doctor if he does not die.

This is also the value of a mature doctor. In the medical world, knowing and understanding are two different things, and knowing and being proficient are two different realms.

The chemical fiber fabric applied to the wounded is burned, melted, and then retained, just like the green and moldy beams, where can you still see the appearance of people.

"Quick, Xu Xian, use pliers to peel off the foreign objects on the wounded, be careful. It is important to avoid secondary injuries. ”

"Yes!"

Xu Xian took the pliers, little by little, and slowly picked up the foreign objects that were pasted on the patient's body.

He had a sentence in his heart that he couldn't say, and he was so sad that he couldn't open his mouth:

"Why did he wear synthetic clothes?"

Zhang Fan didn't have time to pay attention to these, he said one after another verbal medical instructions:

"Open the intravenous channel! Sufficient antibiotics to ensure electrolyte balance, fast!"

The young nurse can't get his hands on it anymore, the wounded are covered with burns, and it is difficult to find a piece of intact skin, how to find blood vessels, how to get needles!

At this time, all the nurses gathered on the side were at the level of head nurse. Almost all of them are blind, where can you see the blood vessels, all based on experience, red eyes, distressed looking at the armed police soldiers covered with wounds.

At this time, for burn patients, venous access is the lifeline. What is the fear of burns, what I am afraid of is that the corresponding complications are not controlled in the first place.

Large-scale damage, the first thing that appears is the problem of the digestive tract, the skin is burned, the brain is directly down, really, the brain at this time is stupid, it doesn't know what to do, and then the digestive tract instantly has a stress response.

The digestive tract is also afraid, a large number of neuroendocrine secretions begin to secrete hormones, which means that the body escapes quickly.

However, the brain is down, and the blood vessels in the digestive tract are strongly constricted, and they are also deeply afraid of being harmed.

Then protect the mucosal ischemia of the digestive tract, and the stomach, duodenum, these tissues containing acid-base solutions, are directly large-scale ulceration and bleeding.

There is also cerebral edema, obviously it didn't burn to the head, but the brain was already scared to urinate at this time.

I filled myself with water to avoid (a) pregnancy (a) condom, the swollen can no longer swell, as if to say, Lao Tzu is so big, aren't you afraid, aren't you afraid, you come over again, Lao Tzu will blow up for you!

"The heart rate is abnormal, and the breathing is in distress! ”

"Airway incision, quick!"

Zhang Fan directly ordered the trachea to be cut, and Ren Li, who was next door, also faced the same situation, and not only burns, but also serious smashes from the young recruits.

When oxygen and painkillers were given to the child, the young man sobered up a little, and the first sentence didn't mean that it hurts, didn't it mean that I could still be saved?

Rather, "I'm a disgrace to our company!"

One sentence, a short sentence, made the busy doctor on the side cry instantly.

"No, kid, you're a hero. ”

"Hehe!" with a shy expression on his blistered face, he fainted slightly.

"Hurry, blood transfusion, hurry!" Ren Li, who had tears on her face, shouted loudly, to be honest, she was a director of the cardiology department, and she had seen too much life and death, and she was almost numb.

But, today, this young man, who is still very young, hit the deepest weakness in Ren Li's heart very painfully, very painfully.

......

The two most capable generals under his command were too busy to spare their hands, but the fire continued, and the wounded kept appearing.

Ouyang looked at the director of the medical department in a hurry, she pulled it away, and then picked up the microphone and shouted: "Attention to the first aid team, now all obey my command, one group and two groups follow me, now go to the line of fire, quickly, there are no doctors, they are not professional." ”

The old lady shook off the head nurse who was supporting her on the side, and took a group of young people to the line of fire.

"Dean, I'll go, you're here to command. ”

The director of the medical office hurriedly pulled Ouyang.

"You go, can you do! Get out of the way!" Without saying a word, the old lady directly pushed away the director of the medical department, and took a group of young doctors and young nurses to the line of fire.

"Don't run, keep your head down and bend over!" Ouyang saw a soldier running fast, and directly picked up the megaphone and shouted.

When there is a fire, you must not sprint, because if you accidentally inhale the flame while running, you will directly burn your respiratory tract and face, and you must bow your head and bend down.

"Quick, carry the wounded out of here and cover his wounds with wet gauze.

Inject him with tetanus!" The old lady's already hoarse voice kept giving orders in the line of fire.

With the backbone, the efficiency of the doctors has increased a lot.

"What about you, you put on a protective hat for me, Jia Yuehui, are you very hot, you don't even know how to protect yourself, how to protect others, can you still be expected to save people! ”

The eagle-eyed old lady inspected everything, and when she saw Dr. Jia from the respiratory department secretly lifting her helmet and wanting to take a breath, the old lady directly scolded her head and face.

Jia Yuehui, a real male doctor, but the name is very feminine, the young man kept running on the fire ground, kept rescuing, more than four hours, sweat soaked through his clothes, cold and hot, hot and cold.

I really couldn't help but want to take a breath, but I was seen by Ouyang. After scolding, Dr. Jia was no longer hot, his breath was no longer suffocating, and his waist was not counted, as if he had been beaten with chicken blood, he gritted his teeth and continued to deal with the wounded.

Under Ouyang's command, the severity of the wounded was different, and the transfer of the transfer and the on-site disposal that could be handled on the spot improved the efficiency a lot for a while.

With the efforts of everyone, the fire began to be extinguished little by little, and began to shrink little by little.

Chinese people are very strange, on weekdays, when you are in a peaceful environment, you don't look down on me, I look down on you.

However, when a disaster strikes, everyone immediately becomes a family, regardless of each other.

There is a saying in Huaguo that natural disasters are ruthless and people are affectionate, which is not bad at all, although Chinese people are also famous for fighting in the nest.

Don't talk about anything else, let's talk about the frontier, because there are almost no aborigines in this fast place on the frontier, and this area has never stopped because of the abundance of water and grass in ancient times.

Then the Mongolian people washed here, Lao Kang fought with the Mongolian people here, so to speak, here, the frontier, Chasu, almost no aborigines, that is to say, here is the chassis of the Chinese people, because a group of people who fought and died were all for the highest peak of Chinese power.

There are no aborigines, there is a treasure land with abundant water and grass, wind and rain, and then a group of people came here.

Dongshan, one after another, came to the frontier to open mines, and Nanhe, village by village, directly ruled the recycling and electromechanical industries here.

In Sanchuan, the villagers pull the villagers, the vegetable market is full of the sound of "yaodie!", and the Sanchuan restaurants on the street are one after another.

The villagers of Su Province, who were close to the frontier, came here with a few acres of land when they were at home, and they all became landlords.

The people of Shaanxi Province control the decoration industry here, and Lao Biao is directly a big pharmaceutical company here, not to mention the temperate people, who buy leather and sell leather shoes.

There are many people, the sources are complex, and then they look down on each other. There is a saying in the frontier, "Nanhe has a big crotch, you don't need a basket to buy vegetables, and you can't eat or dry the artichoke eggs in Su Province......!"

This phenomenon can often be seen on weekdays, with two drunk men fighting. One shouted: "I X you immortal plank." ”

The other shouted, "Hunger is yours!"

Then the onlookers heard that this was a fellow countryman, and he had to be helped, and then the solitary fight turned into a group fight, and the police arrested him, why did they fight?

On weekdays, it seems that they are fighting for each other, but in the face of disasters, the people of the various provinces, who look down on each other, rush up hand in hand, shoulder to shoulder, shouting slogans in the face of the fire, for something, for a piece of homeland! Isn't it for this piece of land that has given birth to and nurtured Chinese people since ancient times?

......

In the operating car, on Ren Li's side, the recruit's egg smashing was greater than the burn, and his burns were relatively not very serious.

Wang Yanan and Na Duo had a little problem. Even if the black tiger is injured, he is still a warrior.

When the black tiger was lifted to the operation car, he had to prepare the skin, but the dog was not wearing protective clothing, and suddenly the tree that caught fire burned the dog quite badly.

But when Wang Yanan was holding the blade to prepare the skin for the dog, although he was already so weak that he was now dying.

However, when he saw Wang Yanan holding a sharp weapon, the black tiger still bared his teeth and tried to let out a low warning sound, don't come here, Lao Tzu bites!

"Don't do this, I'm going to shave your hair before I can treat you. Obedient, good, are you obedient. ”

Wang Yanan kept persuading this special warrior with a crying voice, but the dog didn't understand, you were wearing a mask, wearing a hat, and covering it like a robber, could it listen to you!

That is, I can't get up now, if I can get up, I guess I can tear Wang Yanan apart.

Seeing that the dog was dying, the flower who was standing on the side was ruthless, took off his mask, took off his gloves, leaned over directly, and gently stroked and stroked with his warm hand.

"Black Tiger is good, Black Tiger is obedient, when you are well, I will give you candy. Obedient. ”

Then, he gave Wang Yanan a hard look, and whispered: "Get started, even if you bite, it will bite me, hurry, it's almost gone." ”

Wang Yanan glanced at Naduo, then nodded and started shaving directly.

While shaving, Wang Yanan said with a crying voice: "What should I do now, how to deal with this." ”

The girl is also stupid, she has never had a dog, and she has never learned how to treat dogs, looking at the weak dog, she only shed tears in distress.

"Haven't you ever taken an animal experiment class!" Na Duo shouted anxiously, she couldn't wait to replace Wang Yanan, but unfortunately she was a cardiologist, and using a knife was not her forte.

"I forgot about it, and at that time, it was also dealt with according to people. ”

"You can treat it according to people, it is also a warrior!"

"Weight?" Wang Yanan adjusted her mood, she was also anxious just now, and when she said this, she reacted.

And then, really the way people are treated, start counting the amount of fluids, counting the surgery.

When the hands were warmed, the tone of the cut slowly soothed the black tiger, and the dog slowly settled down, as if it also knew that these strange people in blue clothes were not bad people.

Slowly the pain and weakness, the dog seemed to know that his injury was very serious, and slowly, tears flowed gently from his big eyes.

"Hurry, it's dying, it's like saying goodbye, hurry, Yanan, please, hurry up, you must save it." ”

That one was going crazy, and she could feel the black tiger getting weaker and weaker.

The black tiger's head rested lightly against her body, as if it had returned to its childhood, as if it had returned to its training ground, as if it had returned to the barracks where the military trumpet commanded and laughed.

Ren Li's group took a breath, but the situation of the armed police squad leader on Zhang Fan's side was getting worse and worse.

Burns, mild burns can be treated as general burns, rehydration to relieve pain and anti-infection.

But severe burns are a kind of holistic, systemic injury, and in medicine, once it touches the system, it is definitely not a good thing.

For example, systemic lupus erythematosus and systemic sclerosis, as long as they carry the word systematic, they are directly diseases that cause headaches for doctors.

Burns, deep burns, the surface of the skin has begun to dry up due to the damage of blood vessels, and various inflammatory factors in the deep tissues of the skin are still attacking each other.

The current skin of the armed police squad leader is like the magma that flowed out after a volcanic eruption, the surface layer looks cooled, but the inner layer is still surging.

And because the superficial skin dries up, the loss of elasticity is like a tightening spell, or a straitjacket, getting tighter and tighter.

The increase in pressure directly caused the cells in the body to begin to rupture, and the clear cell fluid mixed with blood and water, mixed with fat, slowly seeped out of the whole body of the armed police squad leader.

The liquid mixed with oil and water penetrates directly into the dressing of the operating table.

"Prepare for surgery, quick, ask if there is an internist next door. ”

A large amount of bodily fluids were lost due to the mixture of oil and water, and the first thing that hit was the kidneys of the wounded.

With the loss of a large amount of fluid, the brain begins to protect itself, and the blood directly gives up the kidneys.

Time is a race against time.

"Zhang Yuan, Secretary Ren's vital signs of the wounded have stabilized. ”

"Quick, let the internists come over a few, the patients here are dying, they have to operate, I need their technical support. ”

"Yes!"

......

The wind and fire slowly subsided, and the wind from the fire field mountain slowly blew through the disaster relief personnel like a warm wind blowing in spring.

Those who know each other and those who don't know each other all look at each other, and it is black, only the moment they open their mouths and laugh, and the extra white teeth can see that they are laughing.

"Come on, come and help me. Oh, my waist!" The fire was extinguished, and Ouyang, who was scolding with a steel voice, held his waist and couldn't move a single step.

"Fighters, how are the injuries of the fighters. "The leaders of the line of fire did not dare to ask this question from the beginning of the fire.

When the fire was extinguished, he asked with difficulty.

"Two people were seriously injured, and countless minor injuries were made. The leader of the third squad of the search and rescue brigade is dying, and the doctors are doing their best to save them. ”

"They are all qualified soldiers, they are all good soldiers!" he said, tears rolling in his eyes.

"The people they rescued were poachers. "As the instructor of the deputy, my teeth are about to burst my lips at this time. For the sake of them, their own soldiers......

"I killed them,......" broke out, and the leader broke out directly in front of everyone.

The instructor quietly lay in the ear of the leader, "Leave it to the border police, don't hand it over to the locality!" We must give an explanation to our soldiers. ”