Doctor's Life Simulator

Chapter 44 Director Wei and Liu Feng's Amazement: A Genius-Like Idea
In the meeting room of the first aid team, Wei Guoqiang continued to sit in the army.

But at this moment, Liu Feng, the attending governor, hurried over.

"Director Wei, what do you want me to do for you?"

When Wei Guoqiang saw Liu Feng, his eyes were full of appreciation and respect:
"Liu Feng, the rescue has already begun. Due to the large number of patients with severe burns, there will inevitably be patients with sepsis. Therefore, I need you to bring a team to carry out continuous blood purification treatment. This time, it happens that you have returned from your studies at the First Affiliated Hospital of Zijingang University, and it is time to show your results."

Hearing Wei Guoqiang's arrangement, Liu Feng obviously nodded, but there was still a trace of regret on his face:

"Unfortunately, there is not enough time, otherwise, if I have a month to carry out this continuous blood purification treatment, at least I can train a team of surprise soldiers who can be used for rescue. It is a pity, the vacant equipment .”

Although conventional hemodialysis can also treat sepsis, compared with continuous blood purification, continuous blood purification is significantly better than traditional hemodialysis in terms of efficiency and effect. In this critical moment, that is The difference between life and death.

Wei Guoqiang is also slightly regretful, but having a small team is better than nothing.

"Liu Feng, then you can go."

Liu Feng nodded, turned around and was about to leave, but after walking a few steps, he turned back and looked at Wei Guoqiang, hesitant to speak.

"Liu Feng, if you have any ideas, just bring them up? Don't worry about whether it's suitable or whether you will offend others. As long as you think it's right, just bring it up."

Wei Guoqiang is such a fine person, it's not obvious that Liu Feng has any concerns, but he feels uncomfortable if he doesn't talk about it.

Liu Feng looked at Director Wei and said, "Director Wei, although this remark offends some people, after this refresher training, I have gained some new understanding of burn rehydration. I think many old doctors in our department Some of the fluid rehydration schemes are too conservative and outdated. There is often a tendency to increase and increase, often causing patients with acute rise and fall, cerebral edema, pulmonary edema, wound deepening and adverse reactions of abdominal compartment syndrome."

As a cutting-edge doctor of the new generation, Liu Feng is stronger than the old doctors in terms of comprehensive quality, and continued:

"However, in a short period of time, I can't come up with a universal plan. Based on my experience, I can make a personalized fluid replacement plan according to specific patients. However, this batch of patients, and Under such an emergency situation, even if I can formulate a plan one-on-one, I still have no skills.”

Seeing the problem, but unable to come up with a solution, Liu Feng was also in a dilemma, looking at Wei Guoqiang with some pain.

Wei Guoqiang smiled wryly: "Liu Feng, I'm very pleased that you can think of this. In fact, I don't know what you are worried about, but the optimal formula for this kind of sudden large-scale burn , It needs a lot of experience and data to support and deduce. We don't have this condition, we don't have this time, and we don't have seven or eight years of accumulation, it is almost impossible to get a result."

"Now we can only design the rehydration plan according to the experience of each doctor. Although excessive rehydration may occur, this ratio is still acceptable. The overall situation is the most important thing for you now. The most important thing for you now is to carry out continuous blood purification therapy and strive to let Many more patients survived."

Wei Guoqiang also had no choice.

Liu Feng pulled the corner of his mouth and forced a smile: "I will try my best, Director Wei, you have worked hard too."

While the two were talking, there was a knock on the door of the conference room.

"Please come in."

Wei Guoqiang responded, looked towards the door, and was slightly taken aback, "Qin Lang, why are you here?"

Because of Qin Lang's opening report before, Wei Guoqiang's command arrangement this time was calm, so his favorability for Qin Lang is still very high.

It's just that he was a little puzzled, what is this little guy doing here now.

Liu Feng also looked at the little doctor, a little puzzled. At this time, these little doctors shouldn't be cooperating with the attending physicians for emergency rescue.

Facing the suspicious gazes of the two, Qin Lang cut to the chase:
"Director Wei, I was not researching the topic of first aid for patients with sudden large area burns before, so I searched and collected a large number of domestic and foreign journals, treatments, and the most cutting-edge theoretical research. Combined with our rescue activities this time , I think I have some ideas about burn rehydration, and I want to communicate with the director and report."

Hearing Qin Lang's words, Liu Feng frowned slightly, a little unbelievable that such a small doctor dared to talk wildly about such a grand subject.

However, he is also somewhat interested in the content of this burn rehydration solution.

Wei Guoqiang was in a different mood. After all, Qin Lang had given him too many surprises. Maybe he really found something useful among the piles of materials.

Wei Guoqiang waved to Qin Lang excitedly: "Qin Lang, come here and explain in detail."

"Director Wei, you actually value this little doctor so much."

Liu Feng at the side looked at this handsome young doctor again, hoping that he could say something.

The time was urgent, and Qin Lang didn't make a long speech, but said directly and very concisely:

"Director Wei, batches of burn patients have the characteristics of centralized treatment, serious injuries, many complications, and difficult treatment. Among them, rehydration for burns in the early stage is particularly important. According to a large amount of data from domestic and foreign journals, Jinling's formula for rehydration for burns is the most important. Best Rehydration Formula”

Qin Lang directly analyzed the various advantages and disadvantages one by one. Wei Guoqiang and Liu Feng beside him were both senior experts, and they quickly understood and agreed with Qin Lang's point of view.

"Qin Lang, what you said is very reasonable. It is true that Jinling's formula for rehydration for burns has a single reference index, and the method of calculating the amount of rehydration is simple and fast. The calculation of the amount of rehydration is accurate and realistic. Effective fluid resuscitation, but has its limitations."

As expected of an elite attending physician, Liu Feng quickly discovered the flaws. Of course, it is very rare for Qin Lang to come up with this conclusion, which makes him feel ashamed.

Wei Guoqiang did not speak, and was also calculating the calculation in his mind. However, such a plan alone still could not impress him, and it was directly popularized in the department. After all, every doctor has a habitual rehydration formula, and the Jinling burn rehydration formula is uniformly adopted. These arguments and advantages are not enough to convince everyone.

Qin Lang smiled lightly, and the report to the insider was smooth:
"Therefore, on the basis of Jinling's formula for rehydration for burns in the early stage, the PICC tube was inserted, and the femoral artery was punctured to connect the PICCO sensor to analyze and detect the patient's hemodynamics and provide fluid management."

Hearing Qin Lang's imaginative and groundbreaking supplementary fluid replacement technology, both Wei Guoqiang and Liu Feng's breaths were slightly stagnant.

Then, the whole operation process was rehearsed in their minds. They were very familiar with simple PICC tube insertion and PICCO sensor, but the combination of these three made them feel suddenly enlightened and amazing.

In particular, Liu Feng, who recently studied at the First Affiliated Hospital of Zijingang University, said in surprise:
"Pulse continuous cardiac output detection (PICCO) technology is indeed very sensitive and repeatable for hemodynamic detection. It can indeed effectively detect cardiac output, cardiac function index and end-diastolic volume of the left ventricle of the heart, so that it is more real It can accurately display the hemodynamic indicators of patients, so as to accurately guide the control of the infusion process.”

"As for peripherally punctured central meridian catheter (PICC), it can solve the problem. Because of the large area of ​​skin damage and the destruction of many body surface veins, patients with extensive burns do not have good conditions for venipuncture. Moreover, using PICC rehydration has the advantages of fast infusion speed, long maintenance time, and easy fixation, which can greatly reduce the workload of nursing staff and improve the efficiency of nursing work, which is insufficient for the rescue of such batches of wounded. It is simply the perfect solution.”

"This is really a genius idea, which can greatly promote the innovation of resuscitation fluid for large numbers of burn patients. Qin Lang, which journal did you read about and who invented it?"

Liu Feng has great enthusiasm for scientific research, so he was very excited at the first time, and wanted to know the pioneer.

"Liu Zhizhi, we are running out of time. I will tell you in detail when the rescue is over."

Qin Lang didn't want to say more, so he interrupted Liu Feng's question.

Wei Guoqiang on the side also laughed loudly: "Liu Feng, what Qin Lang said is right, rescue is the most important thing now. This is indeed a subversive rehydration solution. Now go to the whole department to popularize it immediately. Qin Lang, you have done a good job. He is truly a member of my department."

(End of this chapter)