This doctor is very stable

Chapter 721 Rescue burn patients

The ambulance arrived steadily at the door of the emergency department.

Director Qin rushed forward immediately, and Lin Ran quickly opened the rear door of the ambulance.

I saw that the firefighter who was too in the ambulance had passed out, and his entire face was burned into charcoal black.

The area below the neck and chest was burnt red and blistered.

First aid for burn patients should be rehydrated immediately.

Severe edema will be caused by burns on the affected surface. At this time, if the water in the human body is not replenished in time, the patient will die of dehydration.

But the doctor following the ambulance had obviously given the patient rehydration in time.

The patient is already receiving sodium chloride solution, crystalloid solution, and electrolytes.

In principle, the first aid for burns is crystal first, then colloid, and saline first, then sugar water.

Burn rehydration first aid also has its own formula in it.

3% to 5% of the burn area is mild burn.

5% to 10% of the burn area is moderate burn.

Burn area greater than 10% is severe burn.

Rehydration: The amount of rehydration on the first day includes: physiological needs + cumulative loss + continued loss

生理需要量=60~80ml/kg(去除口服部分），用1/4~1/5张含钠液补充
Cumulative losses:
Quantitative: mild dehydration 50ml/kg
Moderate dehydration 50~100ml/kg
Severe dehydration 100~120ml/kg qualitative

低渗性脱水：2/3张~等张含钠液；等渗性脱水：1/2~2/3张；高渗性脱水：1/3~1/4张定速：累计损失量8~12h内补足，滴速：每小时8~10ml/kg
Continued loss: the amount of fluid that continues to be lost after the rehydration starts, generally use 1/3~1/2 sodium-containing solution.

Lin Ran cooperated with the nurses to land the patient steadily.

The doctor who followed the car also jumped out of the car, and Director Qin immediately asked, "How is the patient and the fluid replacement?"

The middle-aged doctor who followed the car said, "The patient has about 15.00% of the burn area, mainly on the face, neck and chest, especially the face is more serious. The patient is in a coma. The patient's vital signs did not show much in the ambulance. Fluctuation, after the patient was found on the scene, we made sure that the patient’s mouth and nose were severely burned, so we made sure that it was unblocked on purpose... For rehydration, the current replenishment is normal saline, which has [-] ml..."

After a preliminary understanding of the patient's condition, Director Qin's heart also stabilized.

As long as the vital signs are stable, the patient should be able to be rescued when he arrives at the hospital with timely rehydration and timely debridement of the burn.

"Quickly, quickly, push the patient into the No. [-] emergency room."

In addition to rehydration, the second step in rescuing burn patients is to debride the burn surface to prevent infection, which can also relieve the patient's continuous dehydration to a certain extent.

Lin Ran also joined the ranks of pushing the bed, and they quickly pushed the patient into the emergency room with neat and vigorous steps.

After Director Qin washed his hands, he began to clean the patient's wound.

Lin Ran looked at the firefighter whose face was scorched black and was in awe!
Director Qin's debridement work is not slow.

Although the rescue of burn patients is not as open and closed as the rescue of other open trauma patients.

But in fact, the difficulty of rescue is equally high.

A little carelessness will cause an emergency for the patient!
Director Qin has just completed less than one-third of the debridement work for the patient.

Director Liu Dongping from the Burn Department walked in.

Severely burned patients need to be rescued, so he, the director of the burn department, will naturally be there.

Especially the people from brother units!
Just now, he received the order from the dean to save the person at all costs.

"How is Lao Qin?"

Director Qin didn't raise his head, and said directly, "The patient hasn't suffered from heart failure, arrhythmia and other emergencies, but it is still not optimistic. You can see that the patient's face is severely burned, and the burn area of ​​the whole body reaches about [-]%. Burnt, the situation inside is also not optimistic!"

……

Outside the rescue room, the patient has just been pushed into the rescue room.

A group of firefighters in fireproof suits rushed in and went straight to the nurse's desk, "Did the nurse, our captain, send you here for rescue? How is the person now?"

When the little nurses at the nurse's desk came, seven or eight firefighters felt tense in vain, and then they felt warm again when they saw their whole bodies in pitch black!
Looking at the situation, these firefighters should have just experienced a fire rescue work.

Then she hurriedly said, "Some people thought that comrades from the fire department were sent to our hospital. Don't worry, the patients are being rescued right now!"

Seeing that there was something wrong with the nurse at the front desk, the head nurse hurried over and said, "Are you injured anywhere? Shall we let the doctor take care of it first?"

One of the taller firefighters looked at the head nurse and said urgently, "No, no, no... tell us first, where is our captain rescue?"

The head nurse had no choice but to point them in the direction, "Rescue Room No. [-], your team leader is rescuing there, and..."

"Whoa, whoa, whoa..."

As soon as her words fell, the group of firefighters all ran towards the rescue room.

The feelings between them are beyond the comprehension of ordinary people.

Training together, fighting side by side, every fire is a test of life and death for their firefighters.

They all risked their lives to save lives and fires.

Every time they were born and died together, and now their captain is lying in the rescue room for rescue.

This makes them not in a hurry!
How can you not be anxious!
If they could, they really wished that it was themselves who were rescued!
Seeing this, Li Huifang, a new nurse in the emergency department, looked at the little nurse next to the nurse's platform and said, "You go and call the doctor to come over and examine them, and prepare water and food too. If you need money, ask me to reimburse you."

"it is good……"

The little nurse ran away immediately after hearing what the head nurse said. In fact, she cried just now!
A real man with iron blood and tenderness!
The group of firefighters came to the rescue room and kept stretching to see the situation in the rescue room clearly.

But they didn't dare to make a sound, for fear of disturbing the doctor inside to rescue their captain!
……

Rescue the interior.

With the cooperation of Liu Dongping, Qin and Yang quickly completed the debridement of the patient's burnt surface and applied external medicine.

Qin Yang straightened his body and said, "Now it depends on the fate of the patient."

Immediately afterwards, he looked at the nurse at the side and asked, "The patient's family is here?"

"It hasn't come yet, but the leaders and colleagues of their unit have come, and they need to be responsible."

Director Qin nodded, and looked at Director Liu, "Director Liu, please help me watch first, I'll go out and find out the basic situation of the patient."

After the patient is admitted to the hospital, he must complete the information.

"Okay, you go."

Liu Dongping nodded in response. He was thinking about the follow-up treatment of the patient while speaking.

The patient's face was severely burned.

If the patient does not undergo surgery after being out of danger, let alone a normal life, it may be difficult to survive for a long time!

(End of this chapter)