This is Chi Shanjun's third cardiac and respiratory arrest.

Coupled with such severe burns, it is not surprising that the first "sacrificed" person will appear.

Chen Qi said that he was still a little anxious when he said that he was watching the excitement.

It's one thing to watch the excitement from the sidelines, but it's another thing to see death and not save it, so he decided to remind the Huhai experts.

As soon as the door of the ward opened, Chen Qi stuck his head in:

"That, Director Deng, why don't we let this patient take over from the Vietnamese Hospital? We are all ready to rescue machines and people. ”

Deng Changle and his assistants were in a hurry, and when they heard Chen Qi's words, they thought that this guy was talking about the wind and cold, so they were angry and said coldly:

"Don't bother Dean Chen, we will rescue it ourselves."

Chen Qi didn't continue to persuade him, and Director Qi at the door of the ward was also angry:

"Dean Chen, what are you making a mess about, haven't you seen that other Shanghai experts are busy? You'd better hurry up and rescue your mother and daughter. ”

"Am I messing around? OK，OK。 ”

Chen Qi didn't want to say anything more, so he felt very congested, this is really hard to persuade damn ghosts.

Retreating to his hospital room, Chen Qi sighed heavily, people in small cities are superstitious about big cities, and people in big cities are superstitious about foreign countries, which is really a sad chain of contempt.

If God comes to score at this time, then on the scoreboard, Viet Chung Hospital uses iodophor + hibernation therapy for disinfection, +2 points.

Huhai Hospital still uses traditional debridement, scab removal, and disinfection, resulting in the patient going into shock due to pain, -2 points.

Chi Shanjun was finally rescued again, and he regained his spontaneous heartbeat and breathing, I have to say that the vitality of this worker master is really tenacious, and the level of Dongshan Hospital as a top hospital is not bragging.

Then it's time for the third level.

Extensive burns are no longer allowed to be bandaged, only exposure therapy.

But the patient is so exposed to the air, even in a sterile ward, it is dangerous, and the wound needs to be cared for with medication.

So at this time, you need to apply "burn cream".

Chen Qi used sulfadiazine silver chlorpyrimidine Taiqing damycin paste for Ding Xinjuan's mother and daughter, which was the most commonly used burn cream in later generations, or in this era, abroad.

Sulfadiazine silver ointment can not only resist infection, but also protect the wound, the efficacy is relatively certain, and it is also one of the mainstream drugs.

As for the side of Higashiyama Hospital, they are also discussing what kind of burn ointment to use.

Ji Guoping looked at Deng Changle, the leader of the team: "Old Deng, we brought a lot of ointment, which one do you use?" You give me an idea. ”

After speaking, Ji Guoping opened a wooden box, in which there were many glass bottles, with labels attached to them.

The bottles and jars are filled with all kinds of traditional Chinese medicine burn ointments, which are all developed by Dongshan Hospital according to the ancient prescriptions of major Chinese medicine or folk home remedies.

These are all treasures, and they are the key to Dongshan Hospital's ability to stand out in the national burn department.

Many people are against TCM, and even many medical staff are against TCM, which is actually unnecessary.

The most famous representative of this is Dr. Ning Fanggang (online name Burn Superman Bao) of Jishuitan Hospital.

He is a good doctor, and if he can enter the top hospital in the capital after graduating with a doctorate, he must be a talent, and his IQ exceeds that of most people.

It's just that he went a little crazy later, purely for the sake of opposition, and while he scolded Chinese medicine for being unscientific, his own extreme attitude was also unscientific.

As a burn doctor, he actually understands in his heart that TCM burn plasters are effective for burns, because he is also using TCM plasters in clinical practice, such as Zhenshi burn plaster.

Of course, he denied it later, but in the past few years, he can't find anything after searching for human flesh, and it's useless to deny it.

The famous burn ointment also includes Jingwanhong ointment, Meibao moist burn ointment, Lianbai burn ointment, purple flower burn ointment, Sanhuang pearl ointment and so on.

The clinical application is indeed effective.

But one of the biggest problems with Chinese medicine is that you have to explain why these Chinese medicines work? What is the principle? What is yin, yang, hot, cold, these are not good.

For example, folk home remedies, burn scalding effect "badger oil", is there any effect?

Yes.

But why does it work? Which ingredient works? How does it work on burn wounds? What is the right dose? What are the side effects of using too little or too much? Is there anything that can be done to target side effects? Wait a minute.

You have to study all of this thoroughly, and you have to explain it clearly, and you can't be fooled with the phrase "I thought it worked since ancient times".

Don't write anything on the instructions "tonify and nourish qi, moisturize skin and muscle, detoxify and reduce swelling", what is supplementation? What is Qi?

Therefore, instead of "anti-Chinese medicine", it is better to "oppose unscientific Chinese medicine".

Traditional Chinese medicine also needs to keep pace with the times, to develop, not to rest on its laurels, don't hold the old set of saying that "the ancestral family law cannot be changed", the Qing Dynasty is dead, and some insistence is unnecessary.

Regardless of the character of the burned superman Po, some of the points he put forward later are actually reasonable, he thinks:

First, the traditional Chinese medicine is verified by modern medicine, and if it is proved to be effective, it will be incorporated into the modern medical system.

Second, it is strictly forbidden to publicize the efficacy without statistical evidence, and it is strictly forbidden to induce patients to refuse the formal treatment plan.

Third, it can be supplemented by regular treatment, but the treatment must be harmless and free of heavy metals and other toxic substances.

Fourth, for diseases that have no effective means of modern medicine, traditional Chinese medicine can be the first choice for treatment, but it must be harmless.

In fact, this is also for the good of patients, there is a unified standard, harmless, transparent This is also the general trend of the future, can not be assessed casually by Mr. Chinese medicine, one money, two money, three money, not even a standard, this is not good.

If traditional Chinese medicine is really standardized, scientifically researched, and formalized, it actually has a lot to offer.

For example, Tu Youyou's grandmother, she and her team found inspiration in ancient Chinese medicine books, and then used modern medicine to refine artemisinin to treat malaria, and finally won the Nobel Prize in Medicine.

Cow or not?

Therefore, there is no need to bar, any refined Chinese medicine is not considered traditional Chinese medicine, and this kind of portal view is not necessary.

To paraphrase a sentence from Lord Deng: No matter whether the cat is white or black, it is a good cat if it catches a mouse.

The same is true in clinical practice, whether it is Chinese medicine or Western medicine, as long as you have an effect, it is a good medicine, and it is worth applying and promoting for the benefit of patients.

Gongjing will only make his own path narrower and narrower, and everything must be people-oriented.

Inside the ward of Viet Chung Hospital.

Hearing Dr. Ji Guoping's inquiry, Deng Changle glanced at the various burn ointments in the box, and suddenly his eyes were fixed on the innermost ceramic bottle:

"Don't take out the ordinary ointment, now the patient's burns are too serious, and the ordinary ones don't have any effect, just go to the Tianshan Snow Lotus Ointment."

Snow lotus burn ointment, the name of Chinese patent medicine, the main ingredients are Tianshan snow lotus and comfrey.

It has the effect of clearing heat and detoxifying, reducing swelling and relieving pain, building muscle and closing the mouth, and is suitable for burns and scalds caused by various reasons.

This ointment has become a swan song in later generations.

Why?

In 1996, China listed Tianshan Snow Lotus as a second-class protected plant, Tianshan Snow Lotus is the only snow lotus plant listed in the "Red Book of Chinese Plants", is a third-class endangered species in China, and the national documents have expressly prohibited the mining of wild snow lotus.

To put it bluntly, the Tianshan Snow Lotus has become a prison seat, and some people may be secretly picking and using it, but it is absolutely impossible to produce it industrially.

In later generations, there was also a "compound snow lotus ointment" sold on the market, but the effect was not good, of course, this also became a "proof" that traditional Chinese medicine has no effect.

"Use Tianshan Snow Lotus Cream?"

Ji Guoping and other assistants were still a little distressed when they heard this, the Tianshan Snow Lotus is only available in the high-altitude areas of the Qinghai-Tibet Plateau, the yield is not high, and it is not easy to transport and preserve.

This is no longer a question of whether it is expensive or not, but the source is too scarce, even the inventory of Dongshan Hospital is not much.

"Lao Deng, we don't have much Tianshan Snow Lotus Cream, these three seriously injured people use it up, and they will run out in the blink of an eye, and there is no way to explain it when they go back."

Deng Changle's face was blue:

"What to confess or not, now the patients are injured like this, whether their lives can be saved or not have to be put a question mark, Chen Qi from the Vietnamese Hospital is still watching our jokes, if three patients are dead, and his two patients are saved, then our face will be lost to the world." Everyone cheered up and came up with the best medicine and level, we can't lose this battle! ”

Everyone saw that Director Deng was shocked, and they also knew the seriousness of the matter.

So bottles of precious Tianshan Snow Lotus Paste were wiped off the patient's body as if they didn't need money, and a bottle of medicine was 200 yuan, and a bottle was 10 bottles.

When Director Qi heard that the rescue cost was so high, he also gritted his teeth:

"Yes, no matter how much money we have, we will pay for it, give me the best medicine!"

The Judge God appeared again.

The two sides should have been tied at this level, because Chen Qi took out the most classic burn ointment in later generations, while Dongshan Hospital took out the most precious burn ointment in this era.

It's really hard to say who is worse in terms of efficacy between the two, so it can only be regarded as a tie.

The Vietnamese People's Hospital still leads by 2 points.

After applying the ointment, the rehydration continued, and the principle of rehydration for burns was "crystal first and then glue".

Crystal solutions include isotonic saline, sodium lactate Ringer injection, hypertonic salt solution and other sodium-containing solutions.

Colloidal solutions include plasma, albumin, appropriate amounts of whole blood or red blood cells, and plasma substitutes such as dextran, gelatin succinate, and hydroxyethyl starch.

Now the two sides have reached the second round of rehydration, and the colloidal fluid is used.

Zeng Chu came to ask for instructions again: "Teacher Deng, what should we make up for colloidal fluid first?" ”

Deng Changle thought for a while: "First apply hydroxyethyl starch, and then immediately negotiate with the Vietnamese Hospital, we need a large amount of albumin and plasma." ”

"Plasma?" Facing the doctors at Dongshan Hospital, Chen Qi's eyes began to roll after hearing this:

"Comrade Zeng, we don't have much plasma in the Vietnamese Hospital, you see our own patients are now waiting for plasma products."

Zeng Chu was young in the end, and he was anxious when he heard it:

"What can I do? Patients without plasma can't support it at all, or Dean Chen, if you think of a way, if you really can't do it, you will mobilize the whole hospital staff to donate blood. ”

If there is not enough blood, the first thing is to ask medical staff to donate blood, and doctors and nurses are really at a loss, and this kind of blood donation is unpaid.

When the medical staff is drained, the local troops, or local university students, will be considered.

Now it is the workers of the Vietnam Iron and Steel Mill who are being saved, and there are more than 30,000 workers in the Vietnam Iron and Steel Plant. Who to look down on?

Chen Qi is also bad, of course he doesn't want his employees to suffer, so he quietly proposed:

"Comrade Zeng, there are more than 30,000 workers in the Yuegang Iron and Steel Plant, and a random 180 people is enough for you to use blood, but the director of the factory Qi said that you must rescue the wounded at all costs, you go and tell him, let him bring all the workers and masters of the Yuegang Iron and Steel Plant, and let them donate blood by themselves."

As soon as Zeng Chu heard that it made sense, people from their own units always had to contribute, so he ran to the door of the ward again.

"Director Qi, Director Qi, now the patient needs a large amount of plasma products, the inventory of the Vietnamese and Chinese hospitals has been urgent, and someone needs to donate blood, or you go back to organize the workers and masters, and it is best to come to some workers to donate blood."

When Director Qi heard it, this is a trivial matter, isn't it just blood donation.

"Okay, no problem, how many workers do you need me to pull?"

There are few workers in this year who know their blood type, so just in case, Zeng Chu decided to have a "lion mouth":

"Why don't you call 100 people to donate blood first, after all, not everyone's blood is qualified."

If the blood type does not match, it cannot be used if there is an infectious disease, and it cannot be used if there is a chronic disease.

When the factory director Qi heard this, he waved his hand: "How can 100 people be enough, pull 300 people over first, you can pump the blood, my workers, you must save them." ”

Chen Qi was lying behind the door and listened to it happily, and now the blood of Ding Xinjuan's mother and daughter also fell.

Because the blood drawing work must be drawn by the nurses of the Vietnamese Central Hospital, the blood drawn will also be tested by the laboratory examination of the Vietnamese Central Chinese Hospital and the classification and reprocessing of the blood room.

In this turn or two, how much blood was drawn and how much blood was used is a confused account.

Chen Qi took the opportunity to "embezzle" the blood donations of some workers, and by the way, he could also save a lot of money for Ding Xinjuan's mother and daughter.

In the 80s, blood could be bought and sold, and Xu Sanguan, the protagonist of "Xu Sanguan Selling Blood", survived the difficulties of life by selling blood.

There is also a Wenlou County, cough cough, I can't say much, Professor Gao Yaojie was forced to live overseas for this reason.

In short, selling blood to make money is also one of the means for some poor people to make money, ordinary people can make money by selling blood, and your hospital also needs to sell blood several times the price, which ordinary people can't afford.

(I'm talking about the eighties, not now, ahem, dog-headed life.) ）

Chen Qi is preparing to catch a sheep wool, and he is ready to pick up like Ge You.

When they heard that their workers were in danger and needed to donate blood, more than 500 people came to Hula Circle, many of whom came voluntarily.

The Viet Cong Hospital immediately arranged for more than 10 young nurses to come to the stage to draw blood.

Bags of blood products were then sent to the laboratory and hematology departments...... (End of chapter)