There is no place in life where we don’t meet each other.
The ambulance rushed to the entrance of the emergency hall with its siren on. The idle male doctors headed by Liu Tangchun stood in a row at the entrance of the emergency hall.
Their white coats were 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 behind them were somewhat helpless.
"Female, 67 years old, severe burns on her back. She has impaired consciousness..." The pre-hospital emergency doctor pushed the cart and prepared to run to the emergency room. But as soon as he raised his head, he was startled by the formation in front of him.
"Doctor, help me!" The middle-aged woman who left the emergency room with high spirits two hours ago was now in tears. She staggered out of the emergency vehicle, her knees went weak, and she just fell into tears.
Sitting on the ground buttocks.
Liu Tangchun nodded to the policeman behind him, "Please video the whole process." Then he signaled to the doctors beside him. Sun Lien and others swarmed up and pushed Zhao Weihong and the bed into the emergency room.
Liu Tangchun and another police officer stood beside the middle-aged woman, "Go and register and pay the fee. Officer Wang will ask you a few questions."
Officer Wang nodded towards the middle-aged woman, took out his notebook and pen and said, "It's more important to save people. You go and register first, and then call your family to come. How was the patient injured? Which clinic did he go to?
Doing fire therapy?”
After all, Sun Lien is younger, so he is indispensable for things like pushing the bed at the door. Cao Yanhua and others have more than five patients on hand, and they really have no extra experience to treat such a severe patient. Sun Lien was established less than three hours ago
In this way, the treatment team received the first case.
"Zhao Weihong, female, 67 years old, third degree burns, corpus callosum rupture." Such a line appeared above Zhao Weihong's head.
After taking a closer look at Zhao Weihong's appearance, Sun Lien 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 a large area of gray had been burned out on her entire back.
There were not even blisters on her back. This shows that the burns on her back have reached the most severe third-degree burns, and all the cells in the dermis have been completely dead. Moreover, the muscle tissue under the skin is likely to have been severely damaged.
To put it bluntly, Zhao Weihong's back is now in a burnt state and the skin is carbonized, but it is unknown how cooked it is inside.
Burns are the most obvious and direct injuries, 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 normal thinking ability can be formed through the close cooperation of both hemispheres.
Text reading ability, etc. Even ordinary daily activities actually require the coordination of the corpus callosum to be completed.
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 horizontal bundle of tough nerve fibers. This kind of structural damage cannot be caused by burns.
However, damage to the corpus callosum is not considered a life-threatening symptom, and it 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 despite extensive burns.
"Establish an advanced airway and put on the ECG monitor." Sun Lien directed several nurses who came to help. Usually he was sweet and sweet, but now he showed his advantage. The nurses quickly pushed the ventilator, and Xu Yourong copied it.
He picked up the scalpel and rushed to Zhao Weihong's side. After the nurses disinfected the lower part of her throat, they reached down and made an incision directly under Zhao Weihong's thyroid cartilage.
After using vascular forceps to separate the tissue and muscles above the trachea, Xu Yourong took out the knife again and cut open Zhao Weihong's trachea. Throwing away the scalpel, Xu Yourong grabbed the curved forceps that had been placed beside him for a long time. Using extremely rough methods
He inserted the curved forceps into the trachea, separated the trachea and said to Sun Li'en who was standing by, "Intubate!"
Sun Lien inserted the trachea into the incision, and then pulled out the stylet in the ventilation tube. Xu Yourong loosened the vascular clamp and curved clamp, and began to fix the catheter with the assistance of the nurses.
"Invite 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 did not display any new content. It was still
Rupture of the corpus callosum and extensive burns.
"Establish at least five intravenous channels." After thinking for a moment, Sun Lien gave new instructions to the nurses. "Thank you for your hard work, I will treat you to a midnight snack tonight."
The electrocardiogram monitoring finally started working. Zhao Weihong's condition is quite critical, with a heartbeat of 144 beats per minute and a blood pressure of 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 fluids are near the wound.
Exudation. 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 naturally decreases a lot. This causes the human body's blood pressure to drop rapidly. In order to make up for the lack of blood supply caused by low blood pressure, the heart begins to beat like crazy, trying to pump more blood.
The blood is pumped throughout the body to maintain life.
At this time, the most important task is to establish the intravenous channels required for large amounts of fluid replenishment as soon as possible. If necessary, the tibia can even be directly punctured for fluid replenishment. However, it is difficult to leave these tasks to nurses. Zhao Weihong has lost a lot of body fluids through the surface veins.
Almost all of them are shriveled. Even though the nurses in the emergency room of the Fourth Central Hospital have gone through many battles, they are still somewhat helpless when faced with the shriveled veins in their limbs.
"The doctor from the anesthesiology department will be here soon." Xu Yourong corrected Sun Lien's order from the side, "Waiting for the anesthesiology department to do the jugular vein catheter rehydration. There is little point in rehydrating the limbs now."
"Prepare crystalloid..." Sun Lien quickly calculated the amount of fluid rehydration the patient needed based on the formula in his mind, "Contact the blood bank and transfer 500 ml of plasma first..." He took another look at his heartbeat, which continued to rise, "
Prepare one thousand milliliters of balancing solution. Add five milligrams of fentanyl, and set the pump to 24 milliliters, with a flow rate of one milliliter per hour."
Fentanyl is a powerful controlled analgesic, with an analgesic effect 80 times that of morphine. For burn patients, what they need most is not debridement or anti-infection treatment. It is this powerful analgesia.
Painkiller.
The pain caused by extensive burns can directly lead to mental breakdown.