Since 1981 Health School Chapter 632

  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 business.

   Next to him, Director Qi of the Yue Steel Factory 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.

  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 **** 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 lives of the patients will be removed again.

  But if it is time to stab, 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 reflects 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, who is like an emperor, how can 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 when he heard this, and it was a moral kidnapping move.

   "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, this is impossible. 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.

  Old Guo and Zhu Huoyan heard the quarrel in the next ward and hurried over, and when they saw Chen Qi's expression was not good, 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."

  Old 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 encountering 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 originally prepared a one-stop service to create a miracle in the burn world, but now that he has been cut off, he is as upset as he is.

  Lao Guo was a little worried after he calmed down:

"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."

  Old 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 originally set my heart on the bright moon, but the bright moon shines on the ditch. Sometimes it is fate. Forget it, let them toss it. I will just cure Ding Xinjuan, Song Yanzi, 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! "

  Actually, Chen Qi still didn't say a word. He took some equipment out of the space hospital, which doesn't exist in this world. The only person who can operate these equipment is Chen Qi.

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

  Old Guo clapped his hands: "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 unintentionally, indirectly forming a situation of competition.

  Ding Xinjuan's mother and daughter and the workers of the Yuegang Factory, 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's up to who can save their own patients.

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

   "What the hell, is it as simple as curing a stomachache in the Burn Surgery Department? He is not happy if he says a few words, 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 comfortable to wear a pair of trousers, that it will not be a matter of saying a word about 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 come up with an idea on how to deal with it next."

  Director Qi nodded gratefully when he heard that: "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.

  Before, he glanced through the glass window a few times, 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 heart of the little assistant next to him is about to jump out:

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

  Yang Xingliang also scratched his head:

   "Our burn department has an iron rule. More than half of the patients with 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 the palm of an adult is 1%, which is the simplest calculation of the "palm method".

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

  Three three three, five six seven, thirteen, thirteen, twenty one, double buttocks account for five perineums, thirteen calves and seven feet, female 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% for adult males, 6% for adult females), bipedal (7% for adult males, 6% for adult females).

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

   There are two specialties 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-questions are given, and the formula for rehydration will make people scratch their heads. Even a top student like Zhang Xing needs to use a pen and paper to calculate, and mental calculations simply don't work.

  In the evening of that day, experts from Shanghai and Shanghai rushed to Yuezhong Hospital after 5 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 the dean Chen Qi coming to welcome the Shanghai expert group, so he couldn't help but feel a little disappointed.

   To welcome the Shanghai experts, apart from Qi Guomin, the director of the Yue Steel Plant, only Zuo Liwei, the chief of the medical department, came from the Yue Zhong Hospital.

  Zuo Liwei is a well-rounded person, so he can naturally hear the irony in Doctor 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 hurts so much, tsk tsk tsk~~~"

  Deng Changxi was a little surprised:

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

  Long debridement time has many hazards. The first one is that large-scale wounds are 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, resulting in 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 if he fails to breathe.

  So debridement should be as fast as possible while ensuring safety.

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

   "Director Deng, now the seriously wounded are 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."

  Deng Changle listened, and silently gave a bad review to the burn doctors in Haidong Province.

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

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

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

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

  Deng Changle nodded slightly after hearing this, and waved his hand: "Go, let's go see the patient first."

   After entering the ward and seeing the burn patients on the hospital bed, Deng Changle and other Shanghai experts couldn't laugh anymore.

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

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

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

  Factory Manager 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 inwardly, this visit was not easy.

Chapter end