Since 1981 Health School

Chen Qi pretended not to know, and Director Yang was even more embarrassed. He didn't know how to explain that he didn't take the initiative to grab the business.

The director of the nearby Yue Steel Factory, Qi, will not be used to Chen Qi's stink.

"Dean Chen, Director Yang was called by me. There are so many workers in our Yue Steel Factory who are in danger. As the factory manager, I must protect their health, so please invite experts from the provincial capital and Shanghai to come here on your own initiative. Come to the consultation, then you can cooperate with each other."

"Are there any experts from Shanghai coming over?"

Chen Qi was even more upset. The First Provincial Affiliated Hospital belonged to the same system, and experts from other provinces were invited here. This completely disrespected the Yuezhong People's Hospital.

According to Chen Qi's previous temper, you don't trust me, so why are you here? I don't want to serve you any more, so get the hell out.

But now that he is the dean, this resentment can only be kept in his heart. After all, saving people's lives is the first priority, and it is also a political task.

Didn't you see that all the leaders in the city rushed here? If he is the pick at this time, then the big hat of disrespecting the workers and disregarding the life and death of the patients will be taken down again.

But Chen Qi still has to stab a few words:

"Director Qi, it would be great for you to send the workers directly to Shanghai. It also shows the importance that your Yue Steel Factory attaches to the workers."

Qi Guomin was upset when he heard it. The director of a large factory with a family of 30,000 people and an existence like a local emperor, how could he stand this kind of irony?

"It seems that Dean Chen has an opinion, but I think as a doctor, saving lives is the first priority, and you can't take it out on the patient, right? So please invite experts. Just established, how much experience and level do you have..."

Chen Qi sneered after hearing this, ready to use moral kidnapping.

"Director Qi is right. Since Director Qi trusts experts in the provincial capital and outside the province, there is nothing wrong with us. Director Yang, the three seriously injured will be handed over to you."

Director Yang was even more embarrassed when he heard it:

"President Chen, you can't do this. This is Yuezhong People's Hospital. Who doesn't know that Yuezhong Hospital has a high standard."

Chen Qi waved, and walked out of the ward without even looking at the director.

When Lao Guo and Zhu Huoyan heard the quarrel in the next ward, they rushed over, and when they saw Chen Qi's uneasy expression, they pulled him aside:

"Chen Qi, what's going on? Why is Yang Xingliang from the provincial capital also here?"

"Director Yang was invited by the Yue Steel Factory. They also invited an expert team from Shanghai. They are already on their way. The Qi people obviously don't trust our Yue TCM Hospital. Let's not be sentimental and hand over the seriously injured. Leave it to the doctors in the other hospital."

Lao Guo raised his eyebrows when he heard this, and his face darkened.

"Damn, how can such a thing happen, the wild ghost replaced the rightful owner? This is a slap in the face of our Yuezhong Hospital, Qi Guomin is going to die!"

No matter how calm Zhu Huoyan is, he will get angry when he encounters such a bad thing:

"Our burn department came here just after opening, and we will still be able to hold our heads up in front of colleagues in the future? If we die at that time, we will say that our Yuezhong Hospital is not good enough, and if it is cured, it means that the doctors in other hospitals are high-level. It is us anyway. Suffer."

The little follower next to him, Zhang Xing, asked weakly: "Dean Chen, do I still need to calculate the amount of fluid replacement?"

"Forget it, of course it has to be counted," Chen Qi sneered:

"The burn area of ​​the three seriously injured patients exceeded 80%, and the squad leader surnamed Lu had burns reaching 90%. Such severely burned patients did not have our monitoring equipment, my imported antibacterial drugs, and my rehydration plan. The skin grafting plan, it’s no wonder they survived, they will cry at some point.”

Chen Qi had already prepared a one-stop service, which was to create a miracle in the burn world, but now that he was cut off, he felt as upset as he could be.

After Lao Guo calmed down, he was a little worried:

"Chen Qi, don't be foolish, we can't let people catch the pigtails. When the patient dies, they will put the blame on us. It seems that the three seriously injured people can't be saved. The burn area is too big. , the situation is too pessimistic.”

Lao Guo has been doing debridement just now, so he naturally knows the situation of the three seriously injured.

Chen Qi let out a long sigh:

"I would have set my heart on the bright moon, but the bright moon shines on the ditch. Sometimes it is fate. Forget it, let them toss. I will just cure Ding Xinjuan, Song Yan, mother and daughter."

Suddenly Chen Qi thought of something:

"Zhang Xing, put away all the equipment we imported from the United States, and return all the antibiotics I personally provided. Since the experts from the provincial capital and Shanghai have come, they always have their own skills, let them do it themselves. Bar."

"Okay!" Zhang Xing listened to Chen Qi 100%, and immediately went to clean up the machines that had been taken out.

Director Burn Ke Luo next to him was a little embarrassed: "Dean, this, is this inappropriate? It seems that we are too stingy."

Chen Qi rolled his eyes while walking:

"What's inappropriate? These American machines were the first batch imported from China, and I taught you for a week before you learned how to use them. Even if I leave all the monitoring machines today, these experts from the outer court may not be able to use them. Leave them to waste.

Isn't Yue Steel Factory not short of money? Don't you look down on us? Then let them figure it out on their own, why should we stick our faces to their cold asses? By the way, I also want to compare with them. The burn treatment of our Yuezhong is more advanced, and the experts from other hospitals are more powerful! "

In fact, Chen Qi didn't say a word. He took out some equipment from the space hospital, which didn't exist in this world. He and Chen Qi were the only ones who could operate these equipment.

Today, without him, Chen Qi, in the burn department, there is really no one who can play well.

Lao Guo clapped his hands together: "Well said, if you have ambition, then let's put all our energy into rescuing Ding Xinjuan's mother and daughter!"

Different positions lead to different needs of the two parties, whether intentionally or not, indirectly forming a situation of competition.

Ding Xinjuan's mother and daughter and the workers of the Yuegang Plant, the same seriously injured, the same large area of ​​burns, 2:3 situation, and even Ding Xinjuan's mother and daughter became seriously ill because they had been delayed for a month.

Now it depends on who can rescue their own patients.

After Chen Qi left with the doctors and nurses from the Yuezhong Hospital, Qi Guomin took a sip.

"What the hell, is it as simple as treating a stomachache in the burn surgery department? He's not happy if you say a few words to him, it's so interesting!"

Although Qi Guomin is only at the top level, which is half a level lower than Chen Qi, but he and Chen Qi belong to the two systems, and Yue Steel Factory is the local snake in Yuezhong City, a large factory with 30,000 people, and has a stronger sense of superiority, so He was not afraid of Chen Qi at all.

Yang Xingliang was extremely embarrassed, and regretted that he should not have agreed to come to Yuezhong.

Who doesn't know that Chen Qi and his immediate boss's immediate boss, Principal Li of Haidong Medical University, are so nice to wear a pair of trousers, and it will not be a matter of a word to deal with him, a little burn doctor.

So he also wanted to shirk it. Isn't there an expert from Shanghai.

"Director Qi, the top priority now is to continue debridement. The Yuezhong Hospital has been cleared halfway, and we have to continue. When the experts from Shanghai and Shanghai arrive, let them make up their minds about how to deal with it next."

Director Qi nodded gratefully: "Okay, okay, then I will leave it to Director Yang."

But when Yang Xingliang and his assistants changed into surgical gowns and prepared to do debridement, they were dumbfounded. Why? Because the worker's burn area and degree far exceeded his imagination.

He had looked through the glass window a few times before, so he couldn't see clearly. Now he stood in front of the patient and knew that the car was about to overturn today.

The little assistant next to him was about to jump out of his heart:

"Director Yang, this, such a severe burn, has exceeded 60% of the red line. Is there any chance of rescue?"

Yang Xingliang also scratched his head:

"Our burn department has an iron rule. Patients with more than half of the third-degree burns will definitely die. Let alone half of these patients, I think more than 80%. This is troublesome."

The little assistant was a little sad: "No wonder the Yuezhong Hospital just left with a shake of their hands. They probably don't want to participate in the rescue at all."

"Don't talk about it, let's treat a dead horse as a living horse doctor. Let's start debridement first, Xiao Hu. By the way, you can accurately count the burn area. Let's wait for Shanghai experts to take over."

There is also a formula for the evaluation of burn area. Generally speaking, the area covered by an adult's palm is 1%, which is the simplest "palm method" calculation.

There is also a "rule of nines" calculation, the formula is as follows:

Three, three, five, six, seven, thirteen, thirteen, twenty-one, double buttocks account for five perineums, thirteen calves and seven feet, women's feet minus hips plus one.

How to explain it? It means that the head, face, and neck are 3%, hands 5%, double forearms 6%, double upper arms 7%, trunk front 13%, trunk back 13%, double thighs 21%, and perineum 1%. %.

Buttocks (5% of adult males, 6% of adult females), bipedal (7% of adult males, 6% of adult females).

This adds up to 100% of the adult body surface area, and the doctor needs to calculate how much the burn area accounts for.

There are two special things here. One is that adult women are special. Generally speaking, women have big buttocks and small feet, so when calculating the area, the feet should be -1 and the buttocks should be +1.

Another special thing is that children have big heads and small lower limbs. The calculation formula is: the percentage of the area of ​​the head, face and neck is [9+(12-age)]%, while the percentage of the area of ​​the lower limbs and buttocks is [46-(12-age)]% .

Readers saw these data and thought it was the author's digital data. In fact, the author wrote it to tell everyone that being a doctor is not so easy, and it is not just a search on Baidu.

Doctors have to memorize too much content, and all the data must not be wrong, otherwise the consequences will be more serious.

The burn area formula and calculation are just the simplest basic questions, and the sub-question will make people scratch their heads with the fluid rehydration formula later on. Even Zhang Xing, a top student like Zhang Xing, needs to use paper and pen to do the calculations, and mental calculations simply don't work.

In the evening of the same day, experts from Shanghai and Shanghai rushed to Yuezhong Hospital after five hours.

Deng Changle got out of the car, and before he could breathe a sigh of relief, he heard screams, which echoed in the yard for a long time, covering even the noise from the construction site next door.

"Hey, what is this Yuezhong Hospital doing? Those who don't know think it's a concentration camp?"

After speaking, Deng Changle looked around, but he didn't see Chen Qi, the dean, coming to welcome the Shanghai expert group, so he couldn't help but feel a little disappointed.

Those who came to welcome the experts from Shanghai, apart from Qi Guomin, the director of the Yue Steel Plant, only Zuo Liwei, the chief of the medical department of the Yue Zhong Hospital, the other deans, Shu Ji, and even the vice dean were too lazy to show up.

Zuo Liwei is a slick-faced person, so he could naturally hear the irony in Dr. Huhai's words, so he quickly explained:

"Director Deng, the screams are the scalded workers of the Yuezhong Iron and Steel Plant who are undergoing debridement. This is excruciatingly painful, tsk tsk tsk~~~"

Deng Changxi was a little surprised:

"No way, we came from Shanghai, and the travel time plus preparation time has exceeded 6 hours. Are you still cleaning?"

There are many hazards of prolonged debridement time. The first one is that a large area of ​​the wound is directly exposed to the air, which is more likely to cause infection.

The other is that the human body lacks skin protection. After a burn, a large amount of body fluid is lost, which will aggravate the decline in circulating blood volume, which will lead to water and electrolyte disorders, internal organ damage, and even shock.

Another key point is to listen to the screams. The heart-piercing pain brought about by debridement is hard for ordinary people to bear. When the time comes, the patient will die due to over-reaction.

Therefore, under the premise of ensuring safety, debridement should be as fast as possible.

Zuo Liwei didn't want his hospital to take the blame, so he introduced:

"Director Deng, the seriously wounded are now being taken over by Director Yang from the No. 1 Hospital of Haiyi Hospital. The slightly wounded are being treated by our Yuezhong Hospital. The screams you heard are from the severely wounded in the burn department on the second floor."

After hearing this, Deng Changle silently gave a bad review to the burn doctors in Haidong Province.

"Then let's hurry up and rescue. Our expert team from Shanghai City is here, and it happens to give you a valuable learning opportunity."

The five doctors who came from Shanghai Dongshan Hospital laughed at the same time, and their laughter was full of superiority.

Zuo Liwei thought to himself: I am full of confidence now, don't go back to Shanghai crying later.

"Okay, okay, we can rest assured that the experts from Shanghai are here. I hope that the experts can teach us a good lesson and let me see what the highest level of the burn department in China is like."

Deng Changle nodded slightly when he heard this, and waved his hand: "Let's go, let's see the patient first."

After entering the ward and seeing the burn patients on the hospital bed, Deng Changle and other Shanghai experts could no longer laugh.

Because the patients on the hospital bed were no longer human. After debridement, looking through the glass now, there are only a few bloody people. The yellow, white and black burnt wounds exposed the deep and severe burns.

Deng Changle didn't even need to count, he knew it after a rough glance, and said worriedly to the assistant beside him:

"The burn area of ​​the two patients on the left is almost 90%, and the one on the right is better, about 75%, but the recovery is limited. These three patients may not be saved."

Director Qi became anxious when he heard this:

"Director Deng, you must save our workers and masters. No matter how much it costs, use the best medicine, as long as they can save their lives, we will recognize even the disabled."

Deng Changle secretly groaned in his heart, this visit to the doctor was not easy.