LIGHTNOVELONLINE I can see the status bar
Chapter 54 Burns
Chapter 54 Burns
Where in life do not meet.
The "Drip Stain, Drop Stain" ambulance rushed to the entrance of the emergency hall with its siren on, while the idle male doctors headed by Liu Tangchun stood in a row at the entrance of the emergency hall.
The white coat was blown up by the cold wind at the door, Liu Tangchun and others stood at the door of the emergency hall without saying a word.The expressions on the faces of the police officers and security guards in the police department behind them were somewhat helpless.
"Female, 67 years old, with severe burns on her back. Impaired consciousness..." The emergency doctor in front of the hospital pushed the car and was about to run to the emergency room, but as soon as he looked up, he was startled by the situation in front of him.
"Doctor, help!" The middle-aged woman who had left the emergency room two hours ago was now in tears.She staggered out of the ambulance, her knees softened, and she just sat down on the ground.
Liu Tangchun nodded to the policeman behind him, "Please video the whole process." Then he made a gesture to the doctors beside him, and Sun Li'en and others rushed forward and pushed Zhao Weihong and the bed into the emergency room.
Liu Tangchun stood next to the middle-aged woman with another policeman, "Go and register and pay the fee. Officer Wang will ask you a few questions."
Officer Wang nodded to the middle-aged woman, took out his notebook and pen and said, "It's important to save people, you go to register first, and then call the family to come. How did the patient get injured? Did he go to any clinic?" Do fire therapy?"
After all, Sun Li'en is younger, so he is naturally indispensable for things like pushing the bed at the door.However, Cao Yanhua and others had more than five patients on hand, so they really didn't have any extra experience to admit such a critically ill patient.Sun Lien's treatment team, which had just been established less than three hours ago, received the first case in this way.
"Zhao Weihong, female, 67 years old, third-degree burns, broken corpus callosum." Above Zhao Weihong's head, there appeared such a line of words.
After taking a closer look at Zhao Weihong's appearance, Sun Li'en noticed something was wrong.Zhao Weihong, who was lying on her side on the bed, exposed her back—all her burns were concentrated on her back, and her entire back had been burnt to a large area of gray, and there were not even blisters on the burnt part.This shows that the burn on her back has reached the most serious third degree-all the dermal cells under the burnt part have been completely dead.Moreover, the muscle tissue under the skin may have also been severely damaged. To put it bluntly, Zhao Weihong's back is now in a burnt state - the skin is carbonized, but it is not known how much it is cooked inside.
Burns were the most obvious and direct injury, but what alarmed Sun Lien the most was the rupture of the corpus callosum.
The corpus callosum is an extremely important structural organization in the human brain.It is responsible for connecting the left and right hemispheres of the human brain.Information is exchanged between the two hemispheres, and through the close cooperation of the two hemispheres, normal thinking ability, text reading ability, etc. can be formed.Even ordinary daily activities actually require the coordination of the corpus callosum to be possible.
Such an important structure is located in the center of the brain, below the cingulate gyrus and above the thalamus.The corpus callosum itself is actually a large stretch of tough bundles of nerve fibers running across.There is no way this structural damage could have been caused by the burn.
However, corpus callosum injury is not a life-threatening symptom, and this is not under the jurisdiction of the emergency department for the time being.The current job of the emergency room is to save Zhao Weihong's life from extensive burns.
"Establish an advanced airway, and put on an ECG monitor." Sun Lien directed several nurses who came to help.She usually calls her sister with a sweet mouth, but now she has an advantage.The nurses swiftly pushed the ventilator, and Xu Yourong grabbed the scalpel and rushed to Zhao Weihong's side. After the nurses had disinfected her throat, she reached down and cut directly under Zhao Weihong's thyroid cartilage. a hole.
After separating the tissues and muscles above the trachea with vascular forceps, Xu Yourong cut open Zhao Weihong's trachea again.Throwing away the scalpel, Xu Yourong grabbed the curved forceps that had been placed beside him.Using extremely rough means, he inserted the curved forceps into the trachea, and after separating the trachea, he said to Sun Li'en, who was standing by, "Intubation!"
Sun Lien inserted the trachea into the incision, and then pulled out the tube core in the ventilation catheter.Xu Yourong loosened the vascular clamp and curved forceps, and began to fix the catheter with the assistance of the nurses.
"Please come to the burn surgery department for consultation." Sun Lien took two steps back and looked at Zhao Weihong who was lying on his side on the hospital bed.The nurses had connected the ventilator to the ventilation tube, and the status bar showed nothing new.Still fractured corpus callosum and extensive burns.
"Establish at least five venous channels." After thinking for a while, Sun Lien gave new instructions to the nurses. "Thank you for your hard work, everyone, please have supper tonight."
The ECG monitoring finally started to work.Zhao Weihong's condition is quite critical, her heart rate is as high as 144 beats per minute, and her blood pressure is only 85/55.This is a typical shock symptom after a severe burn.Due to the natural reaction of the human body, a large amount of body fluid seeps out near the wound.This leads to severe hypovolemia in burn patients-the largest water reserve in the body is actually blood.
When the blood volume decreases, the total amount of blood flowing in the blood vessels will naturally decrease a lot.This causes the blood pressure of the human body to drop rapidly, and in order to make up for the lack of blood supply caused by low blood pressure, the heart starts beating like crazy, trying to pump more blood to all parts of the body to maintain life.
At this time, the most important task is to establish the intravenous access needed for a large amount of fluid replacement as soon as possible.It is even possible to puncture the tibia directly for rehydration if necessary.However, it is difficult to entrust these tasks to nurses. Zhao Weihong, who lost a lot of body fluids, has almost shriveled surface veins. veins, they are still a little helpless.
"The doctor from the anesthesiology department will be here soon." Xu Yourong corrected Sun Li'en's order from the side, "Wait for the anesthesiology department to come for the jugular vein rehydration. The limb rehydration is of little significance now."
"Prepare the crystalloid..." Sun Lien quickly calculated the amount of fluid needed by the patient based on the formula in his heart, "Contact the blood bank, and adjust 500ml of plasma first..." He glanced at the heartbeat that was still rising, " Adjust [-] ml of balance solution. Add another bottle of fentanyl, and distribute the pump according to the total volume of [-] ml, with a flow rate of [-] ml per hour."
Fentanyl is a controlled and powerful analgesic, 80 times more effective than morphine.For burn patients, what they need most is not debridement or anti-infection treatment.It's this powerful analgesic.
The pain caused by extensive burns can directly cause mental breakdown.
The pain of extensive burns can drive people crazy.Even morphine paled in the face of this pain.
How unbelievable the feat of the martyrs of *** can be seen from this.
Only the strongest of convictions were able to achieve such a feat.
salute!
(End of this chapter)
Where in life do not meet.
The "Drip Stain, Drop Stain" ambulance rushed to the entrance of the emergency hall with its siren on, while the idle male doctors headed by Liu Tangchun stood in a row at the entrance of the emergency hall.
The white coat was blown up by the cold wind at the door, Liu Tangchun and others stood at the door of the emergency hall without saying a word.The expressions on the faces of the police officers and security guards in the police department behind them were somewhat helpless.
"Female, 67 years old, with severe burns on her back. Impaired consciousness..." The emergency doctor in front of the hospital pushed the car and was about to run to the emergency room, but as soon as he looked up, he was startled by the situation in front of him.
"Doctor, help!" The middle-aged woman who had left the emergency room two hours ago was now in tears.She staggered out of the ambulance, her knees softened, and she just sat down on the ground.
Liu Tangchun nodded to the policeman behind him, "Please video the whole process." Then he made a gesture to the doctors beside him, and Sun Li'en and others rushed forward and pushed Zhao Weihong and the bed into the emergency room.
Liu Tangchun stood next to the middle-aged woman with another policeman, "Go and register and pay the fee. Officer Wang will ask you a few questions."
Officer Wang nodded to the middle-aged woman, took out his notebook and pen and said, "It's important to save people, you go to register first, and then call the family to come. How did the patient get injured? Did he go to any clinic?" Do fire therapy?"
After all, Sun Li'en is younger, so he is naturally indispensable for things like pushing the bed at the door.However, Cao Yanhua and others had more than five patients on hand, so they really didn't have any extra experience to admit such a critically ill patient.Sun Lien's treatment team, which had just been established less than three hours ago, received the first case in this way.
"Zhao Weihong, female, 67 years old, third-degree burns, broken corpus callosum." Above Zhao Weihong's head, there appeared such a line of words.
After taking a closer look at Zhao Weihong's appearance, Sun Li'en noticed something was wrong.Zhao Weihong, who was lying on her side on the bed, exposed her back—all her burns were concentrated on her back, and her entire back had been burnt to a large area of gray, and there were not even blisters on the burnt part.This shows that the burn on her back has reached the most serious third degree-all the dermal cells under the burnt part have been completely dead.Moreover, the muscle tissue under the skin may have also been severely damaged. To put it bluntly, Zhao Weihong's back is now in a burnt state - the skin is carbonized, but it is not known how much it is cooked inside.
Burns were the most obvious and direct injury, but what alarmed Sun Lien the most was the rupture of the corpus callosum.
The corpus callosum is an extremely important structural organization in the human brain.It is responsible for connecting the left and right hemispheres of the human brain.Information is exchanged between the two hemispheres, and through the close cooperation of the two hemispheres, normal thinking ability, text reading ability, etc. can be formed.Even ordinary daily activities actually require the coordination of the corpus callosum to be possible.
Such an important structure is located in the center of the brain, below the cingulate gyrus and above the thalamus.The corpus callosum itself is actually a large stretch of tough bundles of nerve fibers running across.There is no way this structural damage could have been caused by the burn.
However, corpus callosum injury is not a life-threatening symptom, and this is not under the jurisdiction of the emergency department for the time being.The current job of the emergency room is to save Zhao Weihong's life from extensive burns.
"Establish an advanced airway, and put on an ECG monitor." Sun Lien directed several nurses who came to help.She usually calls her sister with a sweet mouth, but now she has an advantage.The nurses swiftly pushed the ventilator, and Xu Yourong grabbed the scalpel and rushed to Zhao Weihong's side. After the nurses had disinfected her throat, she reached down and cut directly under Zhao Weihong's thyroid cartilage. a hole.
After separating the tissues and muscles above the trachea with vascular forceps, Xu Yourong cut open Zhao Weihong's trachea again.Throwing away the scalpel, Xu Yourong grabbed the curved forceps that had been placed beside him.Using extremely rough means, he inserted the curved forceps into the trachea, and after separating the trachea, he said to Sun Li'en, who was standing by, "Intubation!"
Sun Lien inserted the trachea into the incision, and then pulled out the tube core in the ventilation catheter.Xu Yourong loosened the vascular clamp and curved forceps, and began to fix the catheter with the assistance of the nurses.
"Please come to the burn surgery department for consultation." Sun Lien took two steps back and looked at Zhao Weihong who was lying on his side on the hospital bed.The nurses had connected the ventilator to the ventilation tube, and the status bar showed nothing new.Still fractured corpus callosum and extensive burns.
"Establish at least five venous channels." After thinking for a while, Sun Lien gave new instructions to the nurses. "Thank you for your hard work, everyone, please have supper tonight."
The ECG monitoring finally started to work.Zhao Weihong's condition is quite critical, her heart rate is as high as 144 beats per minute, and her blood pressure is only 85/55.This is a typical shock symptom after a severe burn.Due to the natural reaction of the human body, a large amount of body fluid seeps out near the wound.This leads to severe hypovolemia in burn patients-the largest water reserve in the body is actually blood.
When the blood volume decreases, the total amount of blood flowing in the blood vessels will naturally decrease a lot.This causes the blood pressure of the human body to drop rapidly, and in order to make up for the lack of blood supply caused by low blood pressure, the heart starts beating like crazy, trying to pump more blood to all parts of the body to maintain life.
At this time, the most important task is to establish the intravenous access needed for a large amount of fluid replacement as soon as possible.It is even possible to puncture the tibia directly for rehydration if necessary.However, it is difficult to entrust these tasks to nurses. Zhao Weihong, who lost a lot of body fluids, has almost shriveled surface veins. veins, they are still a little helpless.
"The doctor from the anesthesiology department will be here soon." Xu Yourong corrected Sun Li'en's order from the side, "Wait for the anesthesiology department to come for the jugular vein rehydration. The limb rehydration is of little significance now."
"Prepare the crystalloid..." Sun Lien quickly calculated the amount of fluid needed by the patient based on the formula in his heart, "Contact the blood bank, and adjust 500ml of plasma first..." He glanced at the heartbeat that was still rising, " Adjust [-] ml of balance solution. Add another bottle of fentanyl, and distribute the pump according to the total volume of [-] ml, with a flow rate of [-] ml per hour."
Fentanyl is a controlled and powerful analgesic, 80 times more effective than morphine.For burn patients, what they need most is not debridement or anti-infection treatment.It's this powerful analgesic.
The pain caused by extensive burns can directly cause mental breakdown.
The pain of extensive burns can drive people crazy.Even morphine paled in the face of this pain.
How unbelievable the feat of the martyrs of *** can be seen from this.
Only the strongest of convictions were able to achieve such a feat.
salute!
(End of this chapter)
Tip: You can use left, right, A and D keyboard keys to browse between chapters.