Deng Changle secretly complained in his heart.

Even in a top hospital like Dongshan Hospital, equipped with a top-level medical team and drugs, the most successful rescue record of the burn department of Dongshan Hospital is only 56% of patients with II° and III° burns

Good guys, these three patients in Yuezhong are Wang Bang as soon as they come up, how can they be saved?

Just when Deng Changle hesitated, Director Yang Xingliang saw that the foreign aid had arrived, and quickly took off his gloves and opened the door:

"Is it Director Deng? Ah, I'm looking forward to you, hurry, the patient is in critical condition, and now there is no urine, and the next thing is up to you top experts. ”

Without waiting for Deng Changle to refuse, Director Yang personally took the surgical gown and prepared to let the experts in Shanghai and Haihai change into it, not giving them a chance to refuse at all.

"No, Lao Yang, you have done a good job of debridement of this patient, there is no need to change people, this is ......"

Deng Changle didn't want to take over the patient at all, and wanted to turn around and return to Huhai immediately, but unfortunately Yang Xingliang didn't give him a chance at all, and Zuo Liwei from the Yuezhong Hospital next to him also came to assist.

"Director Deng, don't be polite, you see that we have so many little doctors, everyone is waiting for you to teach us a lesson."

Qi Guomin, the director of the superstitious big city hospital next to him, is also constantly pleading:

"Director Deng, you must make a move, without you and the experts, my life as a worker and master would not be guaranteed, please, please."

It's okay now, and it's time to drive the ducks up the tree completely.

Deng Changle opened his mouth wide, and he couldn't say anything if he refused, so he had to stomp his foot heavily:

"Change your clothes, let's get on."

It doesn't matter if the other doctors from Huhai Hospital come, anyway, it doesn't matter to them whether the patient is dead or alive, and this kind of seriously injured patient practice is of great benefit to increase clinical experience.

Fifteen minutes later, the burn team of the First Affiliated Hospital of the Provincial Province was all withdrawn, and the medical team of Dongshan Hospital was replaced.

Yang Xingliang changed his clothes and finished eliminating the poison, and he didn't want the red envelopes, and immediately took his subordinates to "escape" from Yuezhong as quickly as possible.

He was a smart man, and judging from the attitude of the Viethung Hospital, as well as the condition of the patients, he knew that the three seriously injured were definitely hot potatoes.

It is the Yuegang Mill that is not cured and offended, and it is Chen Qi, the cow of the Yuezhong Hospital, who is cured and offended, for a red envelope to take his own future, this business is not cost-effective, and it is best to leave early.

As soon as the team of the First Hospital of Haiyi left, the doctors of Dongshan Hospital were miserable.

They came this time with 5 doctors and 3 nurses, and they carried some secret recipes for burns with them.

During the debridement, the three seriously injured people shouted that one was miserable.

Chen Qi and Zhang Xing quietly hid behind the glass window to see how the experts in Shanghai were debrided, if it weren't for the requirements of sterility, he couldn't wait to grab a handful of melon seeds to eat melons.

"Hey, this debridement is really rough enough, I guess I'm in a hurry......"

"Yo, this buttocks are charred, and the saline moistening and soaking time is too short, how can this be revealed?"

"It's over, this patient is in extreme pain, blood pressure drops, and his heartbeat is about to stop."

As soon as Chen Qi's cool voice fell, Chi Shanjun in the middle ward caused cardiorespiratory arrest due to severe pain and low blood volume, and a sharp decrease in circulating blood volume.

Deng Changle saw that he had just taken over and "died", and he was so angry that his head was full of black lines:

"Quickly, the patient's heartbeat is gone, immediately perform cardiopulmonary resuscitation, and the adrenaline injection is ready for ......"

Director Qi was also anxious when he saw it:

"Why did one die, how did one die? Ahh

Chen Qi pouted on the other side:

"Idiot, there is no need for an international double director like me, with these Mongolian doctors, I am embarrassed to shout."

Fortunately, the patient's heartbeat and breathing recovered after intense resuscitation.

Zhang Xing asked quietly behind him:

"Dean Chen, if we rescue us, what should we do now?"

"Of course, first put on the ventilator, first to ensure that the patient's vital signs can be maintained, and secondly, a large amount of fluids must be given immediately to replenish the patient's blood volume, otherwise the patient will die a second time."

Ventilators, the Vietnamese People's Hospital really has them, but Dr. Huhai also has to be able to use them.

Chen Qi looked at the rescue in the window and said:

"Also, Ding Xinjuan's mother and daughter's injuries are actually more serious than those of the three Vietnamese steel mill workers, you must know that their mother and daughter are covered with a thick layer of ash at the bottom of the pot, which is also dirtier, so I used hibernation therapy during debridement to avoid irritation to the patient.

If you look at these Shanghai experts, they only know that the debridement time is too long to affect the prognosis, so they can no longer care about the severe pain of the patient's birth, and it is not an exaggeration to say that the worker Chi Shanjun died of pain just now.

In the last rehydration channel, they opened two channels, but not the large veins in the neck, and I saw that there were no instruments in the tools they carried that could monitor hemodynamic indicators such as central venous pressure, pulmonary artery wedge pressure, and cardiac output.

If nothing else, the workers of the Vietnamese steel mill who rescued them this time were bound to overturn, and the lives of these three workers were estimated to be unsaved. ”

Zhang Xing was anxious when he heard this:

"Dean Chen, since we have a way and you also have new technology, why don't we talk about it again and let our Vietnamese Hospital participate in the rescue, we can't watch the workers and masters die, right?"

Chen Qi turned his head and glanced at his henchman lightly, thinking that this guy's thinking is definitely good, but unfortunately he doesn't understand people's hearts too much, and to put it bluntly, he is naïve.

If you want to send technology to your door, you have to be happy to accept it.

But he didn't want to preach, and he could only experience the great principles of life by himself, so he didn't care and said:

"Yes, I also want to participate in the rescue, after all, these workers are fellow villagers, why don't you go and talk to Director Qi of the Yue Steel Plant?"

Zhang Xing did not doubt that he had him, and nodded heavily: "Okay, dean, I'll go and tell Director Qi now." ”

Chen Qi choked when he heard this, thinking that it was good to be young, his head was iron enough!

Qi Guomin was outside the burn ward, comforting his family:

"You can rest assured, we have invited the best experts from Huhai Dongshan Hospital in the country, and we are doing our best to rescue them, no matter how much it costs, our Yue Steel Mill will not frown."

"Director Qi, Wen Jie is the pillar of my family, you must save my family Wen Jie!"

"Factory director, whether my son is dead or alive, it's all up to you!"

"Factory Director ......"

"Director Qi, Director Qi!"

Qi Guomin was comforting him again and again, so he turned around when he heard someone calling him behind him, "Ah...... So who, what's wrong? ”

"Director Qi, I am Zhang Xing, deputy director of the Department of Burn Surgery of Vietnam-Zhong Hospital, and I want to tell you something."

Qi Guomin was still confused, looking at the young doctor in front of him and still coming back to his senses:

"What's the matter, you say!"

Zhang Xing straightened his expression and said seriously:

"Director Qi, the Department of Burn Surgery of Vietnam Hospital is currently equipped with the world's most advanced rescue machines and monitoring instruments, we also have the best burn medicines, and our Dean Chen also has a set of fluid rehydration programs and skin grafting programs that we have researched ourselves.

At the beginning, we had rescued several patients with severe burns in Africa, so our team was more experienced, and now there are loopholes in the treatment of experts in Shanghai, and I think it is better to involve Dean Chen and our team to save the lives of patients. ”

Zhang Xing thought that after he said these words, Director Qi should be impressed by him, and then sincerely invited the Vietnamese Central Hospital to participate in the rescue.

As a result, what he got back was a chuckle from Director Qi:

"Hehe, these words were taught to you by Dean Chen, right?"

"No, it's my ......"

"Young man, it's a good thing to be ambitious, but you can't be used as a gun, can the level of your Vietnamese Hospital be compared with other people's Dongshan Hospital? Be self-aware! ”

After speaking, Director Qi patted Zhang Xing's shoulder, and walked away by himself, not giving Zhang Xing a chance to explain at all.

"Director Qi, you can't do this, you ......"

On the other side, Chen Qi is still eating melons, looking at some practices of the Burn Department of Huhai Hospital from the perspective of his later generations, how to see how wrong.

For example, the doctors in Huhai Hospital did not do aseptic operation, which is the most basic operating norm in the burn department.

You must know that the Vietnamese People's Hospital uses a "sterile ward" for patients with extensive burns, which is very advanced to reduce the risk of microbial infection.

But Dr. Huhai's hand touched this and that, and when he changed hands, he still touched the patient's body surface, and Chen Qi frowned, thinking that he was blind to such a good sterile ward.

Just when Chen Qi vomited in his heart, after seeing the depressed Zhang Xing coming back out of the corner of his eye, he knew in his heart that this guy must have touched a gray nose.

"How? Did the Vietnamese steel mill involve us in the rescue? ”

Zhang Xing was so angry that his face turned red:

"Dean Chen, this Director Qi is too much, he looks down on our Vietnamese Traditional Chinese Hospital, and says that we can't compare with the experts in Shanghai, which is simply unreasonable."

Chen Qi glanced at this subordinate, and secretly vomited in his heart that nerds don't understand people's hearts.

The reason why the people of Qi spent a lot of money to invite experts from Shanghai, Haihai and provincial cities to come to treat the wounded is because of this attitude.

is similar to a performance, showing how he attaches importance to the people, how he thinks of everything, and how he does whatever it takes.

This is all for the 30,000 workers of the whole factory, for the families of the 38 burned workers, and for the higher-level leaders.

More precisely, it is related to his black gauze hat.

As long as the performance is in place, even if a few workers die in the end, Qi Guomin has done his best as the factory director, and the punishment can be lightened at that time, and maybe he can go to work with illness and continue to be the factory director.

Therefore, the leaders of the Vietnamese steel mill will not hand over the workers to the local hospital for rescue.

If it's a gastrointestinal disease, it's okay to say, but the Vietnamese Hospital of Traditional Chinese Medicine has not yet made a splash in the field of burns, and it is normal for people to have suspicions.

"Okay, okay, don't complain, don't we still have two patients with large-scale burns on our hands, the Yue Steel Mill doesn't trust us, let's compare with Dongshan Hospital to see who has higher ability and who can save the patient."

Again, 60% of the burned area is a life-and-death line that has been agreed upon by the medical community for 80 years.

Now the Vietnamese and Central Chinese hospitals have concentrated 5 patients with burn areas of more than 70%, and even 3 of them have patients with burn areas of more than 90%, and the news has spread throughout the entire Yangtze River Delta health system in an instant, followed by the national burn department.

It just so happened that on November 20, the annual meeting of the "Chinese Society of Burn Surgery of the Chinese Medical Association" was to be held in Shanghai, and what happened in Vietnam and China aroused great interest from Peng Yongyan, chairman of the committee.

Peng Yongyan is the director of the Southwest Hospital of the Third Military Medical University in Shuangqing City, and his specialty is the burn department.

As an industry leader, he knows better than anyone that it is not uncommon for patients with clinical burns to reach 90%, but so far, why has there not been a single successful case of rescue in the world?

It shows that this difficulty system is too high.

Others may laugh at Yuezhong Chen Qi for not doing his job again, but Peng Yongyan doesn't see it that way.

Chen Qi, a grassroots doctor who graduated from a health school, can toss plastic surgery, hand surgery, gastrointestinal surgery, and become a director of the international society, can he be viewed with common sense?

Therefore, Peng Yongyan decided to go to Yuezhong to see the excitement before the annual meeting, anyway, Huhai is not far from Yuezhong.

At this time, it was already nighttime at the Viet-Central Hospital.

Deng Changle's team completed the debridement of the three seriously injured people, which can be described as nine deaths, Chi Shanjun's heartbeat and breathing stopped twice, and everyone was shocked into a cold sweat.

Then it's time to start getting through the second hurdle -—— rehydration.

Burn patients lose a lot of water through the body surface in a hot environment.

Secondly, burn patients generally have skin damage, losing the protective barrier of the skin, and the body will lose more heat and water.

Massive water loss may lead to hypovolemic shock in burn patients who require fluid therapy.

In addition, rehydration is not simply hydration, burn patients will lose a lot of electrolytes in addition to water loss, and patients may have acid-base imbalance and electrolyte imbalance, so electrolyte replacement is also required.

Patients with burns who develop an infection also require anti-infective therapy.

Therefore, debridement is easy to pass, and rehydration is difficult.

What to make up? How much to make up? It's easier said than done, the harder it is.

In the ward, Zeng Chu handed a piece of draft paper to Deng Changle:

"Mr. Deng, this is our newly converted rehydration plan, according to the course of the disease, 4500ml of crystal gel liquid has been injected in the past 8 hours."

Deng Changle was unhappy when he heard it:

"Why did you make up so much fluid? How is this calculated? It's the Chongqing formula, right? Nonsense, how can such a little liquid be enough? I didn't see that the patient had already died twice because of lack of blood volume. ”

Zeng Chu nodded: "Okay, Mr. Deng, I'll immediately recalculate it according to our Shanghai formula." ”

In the 80s, there was no unified formula for burn rehydration in China, and there were currently three formulas in China: Chongqing formula, Shanghai formula, and Nanjing formula.

Among them, the Chongqing formula, that is, the rehydration mode developed by Professor Peng Yongyan of Southwest Hospital, is currently the main rehydration formula in China.

But how could Shanghai adopt the formula of a southwest rural hospital?

Of course, they had to develop their own so-called state-of-the-art rehydration methods.

Therefore, a number of hospitals in Shanghai, mainly Dongshan Hospital, jointly launched a "Shanghai formula", and began to fight with the "Chongqing formula".

So what's the difference between the two? Or is it different from the mainstream rehydration mode in later generations? How effective is the treatment? (End of chapter)