Skin grafting needs to be carried out in the operating room, and the sterility level in the rescue room is actually very low, which is not as clean as the "debridement room" of anorectal surgery. Although the charred skin must be cleaned at the time of skin grafting, washing it also means that the deeply damaged muscle tissue will be exposed directly to the air – which is extremely risky.

The Burn Unit is a very special department, and their work is very different from other departments. The scope of work of the burn department also includes internal medicine, surgery, plastic surgery, anesthesia, life support, anti-infection, rehabilitation and so on. Moreover, in the treatment of severe burns, each of these directions requires the doctors of the burn department not only to "understand", but also to be proficient.

If the emergency department is a special soldier among doctors, then the emergency burn department is a position that only a truly experienced battlefield veteran in the special forces can be qualified for.

Severe burns are a type of condition that needs to be taken seriously in any hospital, and the burn department of the Fourth Central Hospital has been on first-level alert since Zhao Weihong was carried to the emergency room and confirmed that she would be sent to the Fourth Central Hospital. Two of the three doctors on duty entered the operating room at the same time and began to change clothes and brush their hands, while the other doctor on duty came to the emergency room to communicate with Sun Lien and others.

In fact, it stands to reason that the patient's family should participate in the case communication, so that when the emergency department and the burn department are handed over for consultation, the patient's family can also directly know what kind of risks their relatives will face. Although it is somewhat cruel, it does improve the understanding of the patient's family and can reduce the risk of possible doctor-patient conflict to some extent.

But Zhao Weihong's daughter is really ...... It makes the doctors a little uncertain. Now that they have the signature permission of District Chief Ouyang, everyone is happy to save trouble, and directly bypassed the district mayor's wife, who is still in the hospital, and began to discuss the handover.

"For optimal pain relief, the patient is now in an opioid state. "It is Xu Yourong who presides over the handover work, after all, she is a licensed doctor, and she is more confident than newcomers like Sun Lien who have not yet passed the qualification of a licensed doctor, and it is also convenient to exchange opinions with the doctors in the burn department. "Immediately after admission, we gave the patient advanced airway support and jugular vein catheterization, and now we have more than 500 ml of fluids. The heartbeat dropped from 144 beats per minute at the time of admission to 110, blood pressure began to rise gradually, and vital signs ...... stable," Xu Yourong paused and continued, "When I asked about the medical history just now, the family mentioned that the patient had a small nasal needle knife before the burn, and the length of the nasal blade was about fifteen centimeters......

There was an exclamation in the conference room, and the emergency doctors attending the meeting had just heard the news, their eyes widened, and they unconsciously shouted out their hearts, "?!"

"Although the patient's burn injury is still the main problem, I strongly recommend that the neurosurgeon be consulted as soon as possible to determine the patient's brain injury. Xu Yourong waited for the exclamation to subside a little and continued, "It is certain that the patient's cerebellum and brain stem are not injured, otherwise we would not have been able to stabilize her vital signs." But this ...... Exactly how much damage this witch doctor-like treatment has caused will have to be clarified as soon as possible. ”

The atmosphere in the conference room was a little depressing, and after being silent for a while, the doctor from the burn department who came to pick up the patient looked at each other and nodded, "Give the patient a preoperative injection and prepare to send it to the contaminated operating room." Let's rub the old lady's back. After the burn wound is almost treated, the bed is transferred directly to the hybrid operating room, and the MRI there is used to confirm the brain injury. ”

Zhao Weihong's transport situation is more complicated than that of ordinary patients. Due to the effect of strong opioid analgesics, Zhao Weihong's respiratory center was actually in a state of complete inhibition. Now she doesn't have any spontaneous breathing, just lives on the work of the ventilator. If she was to be transported to the operating room, she would have to deal with breathing problems. Although with the advancement of technology, life support equipment has shrunk from the size of "the whole room" to the size of "one fifth of a room". But the ventilator was still too big to be put into the elevator with the bed. What's more, there are no power outlets in elevators and hallways for ventilators – that's simply not realistic.

"Press it with your hands. Sun Lien has not yet transported a patient who is not breathing spontaneously, and after coming out of the conference room, Sun Lien took a look at the gap and went to consult Dr. Cao Yanhua. The answer I got was as expected, "Pressing the airbag by hand along the way, anyway, it will only take about ten minutes." ”

Simple breathing airbag, commonly known as balloon. It is a hollow plastic ellipsoid about the size of half a basketball. The outlet end of the balloon can be attached to the interface of the breathing mask or directly inserted into the advanced airway interface, and then squeezed rhythmically, which can act like a ventilator. It's just that after all, this kind of extrusion is all done by human hands, and it is really not suitable for long-term use. But it is more than enough for short-distance transshipment.

"I thought we would have some portable rechargeable ventilators in our hospital. Sun Lien smiled embarrassedly, "After all, the hospital is a compound operating room and a helicopter platform......

Dr. Cao Yanhua pursed his lips, "You can't always pursue everything too advanced, so won't it become unusual?" Speaking of this, he suddenly remembered something, and asked mysteriously, "Do you know why the operating room in our hospital is still a spring door?"

Sun Lien had only been to the operating room in the morning, and was naturally impressed by the door in the operating room that needed to be pushed with his buttocks, "I don't know, why?"

"The old director of Ningyuan Hospital is the director who just retired before the enrollment of your students, and he studied in France back then. Dr. Cao Yanhua seized the time to gossip and said, "In France in the 80s, the hospital equipment was very advanced. Among them is the electric surgical door that is the same as the automatic door of a spaceship, and there is a pedal at the door, which can be opened by pressing on it. ”

Sun Lien nodded, "I've heard a few friends say that they also have this kind of automatic door in their hospital. ”

Then, one day, the old dean visited an operation in the operating room. Cao Yanhua continued to laugh in a low voice and said, "The patient at that time was an American traveling in France, he had megacolon, and the French doctor who was the chief surgeon of the operation chose an electric knife in order to reduce bleeding. ”