Chapter 33: The Little Girl Who Was Burned
The outpatient clinic is the best place to find out how high a person's medical skills are.
"Mom, I'm afraid of pain, don't see a doctor, I don't want to see a doctor!" Outside the outpatient clinic, a crying little girl kept making noise, she struggled with her strength to feed, and the little girl's mother was finally angry and slapped her on the buttocks, and then she was taken into the surgical clinic.
Seeing Lin Chen, the little girl suddenly became even more scared.
"Mom, I'm afraid, I'm afraidγγγγγγ The little girl cried.
The little girl's mother was angry at this time, and she angrily pointed at the little girl and said, "Cry to me again, and I will slap you again."
Seeing the little girl trembling at her mother, when the tears from her eyes reached her lips, her small mouth that was open in fear was stretched into silk, revealing her white tiger teeth.
Lin Chen stood up, he hurriedly stopped the little girl's mother and said, "Don't lose your temper with the child, what's wrong."
The little girl's mother said sadly: "Today when I was cooking, my daughter was thirsty and wanted to drink water, I didn't look at it, she poured boiling water from the thermos bottle and accidentally burned her hand, doctor, look at her right hand, the blisters are scalded out."
After the little girl's mother finished speaking, she suddenly cried, yes, that mother didn't feel sorry for her child.
Lin Chen hurriedly comforted: "Let me see the child first."
She hurriedly pulled out the tight hand that the little girl was holding from her body, and scolded sharply: "Let you pour water yourself, you still refuse to show it to the doctor when it is scalded like this, hurry up and take it out to show this handsome doctor."
The little girl's little mouth, which had been frightened at this time, opened her little belly, and she was about to cry immediately.
Lin Chen hurriedly said: "Children don't cry, don't cry, we don't have injections, just look at your hands."
The little girl trembled and said, "No injections?".
Lin Chen nodded and said, "No injections, the child will show his hand to his uncle, and he will go home after reading it."
The little girl looked at Lin Chen with disbelieving eyes, and she slowly stretched out her hand holding her mother and put it in front of Lin Chen.
On the back of this small left hand, the originally cute little hand was scalded red by boiling water, and there were several blisters on the back of the hand, and the blister in the center of the back of the hand was the largest, and it could be shaken.
This is a second-degree burn, it can be seen that the temperature of the boiling kettle is at least 80 degrees or more, such a water temperature will be hot and red if it stays on the child's hand for a second or two, and the little girl's skin is tender, and blisters will soon occur.
This kind of blister cannot be disposed of casually, and it is necessary to come to the hospital to find a doctor to disinfect it, and then apply scald ointment to prevent wound infection.
Many times, it is the child who accidentally knocks over the boiling kettle or other accidents and burns his hands, but this little girl is thirsty and pours boiling water to drink, what a fairy little girl, although her mother slapped her ass because she refused to show the doctor, but it can also be seen that her mother is nervous.
Lin Chen comforted the child's mother and said: "The blisters on the back of the child's hand should be treated, if you don't treat it, it is easy to get infected, and the child's hand will be even more red and swollen at that time, take the child with me to the dressing room."
The little girl's mother nervously asked, "Doctor, will there be a scar on the back of her hand?"
Under normal circumstances, a severe burn may leave a scar, especially if a girl has a scar on her hand, it will not look good. But this little girl is not long after the burn, it is still a shallow second-degree burn, as long as she comes to the doctor on time to change the dressing and care, she will not leave a scar after healing.
Lin Chen said: "Fortunately, the child's hand came to the doctor in time, if it was late, or if he casually dealt with the blisters on the back of his hand, it would really leave a scar."
In the dressing change room, neat bottles are filled with 75% alcohol, painless iodine, hydrogen peroxide, 0.9% normal saline, etc.
The burns on the little girl's hands cannot be disinfected with 75% alcohol, and after alcohol disinfection, the skin is constricted and the blood vessels are extremely vascular, and there is a violent stimulation to the wound, which will cause the child to suddenly have severe pain and make the dressing change invisible.
Hydrogen peroxide is also not advisable, there is also a stinging sensation, and a large number of bubbles will be produced after contact with the wound, and even more frightened children will not be able to change the medicine when they withdraw their hands;
Lin Chen's hand finally came to the painless iodophor medicine bottle, and only the painless iodophor was suitable for such a dressing change. He skillfully opened the painless iodophor bottle, poured about 10ml of painless iodophor into a small medicine cup from the bottle, and then took out a 250ml bottle of sachet of saline from the cabinet and cut off a corner of the bagged saline with scissors.
"Little friend, wash your hands for your uncle, you see that your hands are so dirty, we don't give injections" Lin Chen whispered to the little girl.
The little girl's eyes revealed that she still couldn't believe Lin Chen, but she was afraid of her mother's spanking and said in fear: "If you can't get an injection, wash your hands."
"Well, uncle promised you, I will definitely not give injections" After Lin Chen finished speaking, he quickly rinsed the girl's left hand with normal saline first, washed the dirt between her fingers, and then rinsed her left hand with painless iodine and saline alternately.
When he rinsed to this point, Lin Chen took the pillow in his right hand and quickly punctured the blister on the back of the little girl's hand, and with the other hand, he used sterile gauze to suck the water in the blister.
The water in the blister is the tissue fluid of the hand, and the water in the blister is hot at this time due to the high temperature of the boiling water. Seeing that the blisters on her hands were punctured by the doctor at some point, the water flowed out, and the little girl couldn't control her crying anymore.
"Please hold the child's hand, we will apply scald medicine, and it will be fine after bandaging," Lin Chen said.
The little girl's mother nodded hurriedly and held the little girl's hand again.
To change the dressing for children, it is not only necessary to be fast, but also to really disinfect. This tests a doctor's most basic medical skills, and the children are even more uncooperative after being nervous and scared, resulting in the interruption of dressing changes.
Lin Chen quickly applied the scald ointment to the back of the little girl's hand, and used tweezers to clip a small cotton ball to spread the scald ointment evenly on the back of the hand, and then put a piece of sterile gauze on the back of the little girl's hand and said: "The child doesn't cry, you see that your uncle conjured a butterfly on the back of your hand."
Children love small animals, especially flying animals, and they will be curious.
As soon as she heard Lin Chen say that she turned into a butterfly in her hand, the little girl immediately stopped crying.
At this time, Lin Chen continued to cover a piece of gauze, and then picked up the bandage and wrapped it around the back of the little girl's hand three times and said, "Look, little child, I'll make you a little butterfly on the back of your hand, it will fly."
After Lin Chen finished wrapping the bandage, he carefully tied a butterfly-shaped knot on the back of the little girl's hand, and trimmed the corners with scissors, and there was really a butterfly resting on the back of the little girl's hand.
The little girl smiled and looked happily at the butterfly on the back of her hand.
Lin Chen said to the little girl's mother at this time: "Don't touch the water with the back of the child's hand these days, and come over tomorrow to change the medicine."
The little girl's mother nodded hurriedly and walked out of the dressing room.