Two Hundred and Fourteen Square Inches Between the Heroic

"Secretary Ren, hurry up, you divide into two groups and start to correct the shock, Director Zhao, you and Lao Chen are in a group, Lao Wang, you and me are in a group, hurry up, go to the operation first."

Zhang Fan gave orders to Ren Li, the director in his heart, and Zhao Quanping, the director of general surgery.

This kind of traumatic shock must not be ambiguous, any examination and any conversation must be delayed.

At this time, what is the doctor's self-protection, what is the worry that the doctor will be implicated after the patient has an accident.

At this time, they don't even think about it, this is responsibility, this is responsibility.

If at this moment, he still thinks about the consequences and is afraid of taking responsibility, then this doctor will wear a white coat in vain.

At this time, the bleeding must be stopped while correcting the shock.

People's sympathy and pity are actually like feelings, they are countless. For example, compared with other industries, doctors and policemen have a higher threshold of sympathy and compassion.

They are used to the separation of life and death and the sinister world. The longer you work in this industry, the more face-like you will become.

For example, even if he is retired as a policeman, just looking at his face, he knows that he cannot escape the public prosecution.

So do doctors.

This sublimated perception is different from a person's innate perception, such as the sense of touch.

Human emotion is that the more you use it, the less you use it, and the more you use it, the more sensitive your sense of touch becomes, such as touching a lump on the human body.

Skilled people can feel it when the diameter of the mass is less than one centimeter.

Unskilled people can't do it. It is estimated that the mass should be bigger to feel it.

Don't look at it, it's a little bigger. Often when the mass changes from a benign tumor to a malignant tumor, it's actually just a little bit worse.

Of course, with Zhang Fan's current sensitivity, he can detect lumps as small as 0.8cm, comparable to color Doppler ultrasound.

This is the experience gained from a lot of physical examinations. For example, sometimes when sleeping at night, Zhang Fan can't help but give Shao Hua a breast examination.

This is subconscious, but in fact, this inspection should be mastered by every man.

Don't men like to be big and plump? In fact, the larger the breast, the easier it is to develop breast tumors.

This check is very simple,

It's not too difficult, and the technology is not too esoteric. So to speak, as long as there is one hand.

Everyone has rubbed oil on their faces. In fact, this check is like this. Put your four fingers together, start from the armpit, use a little force with your four fingers, and stick your fingertips into the fat.

Then start from the armpit and move down slowly, slowly, of course, if you have experience, you can go a little faster.

Start from the armpit and turn around the breast gland, and finally pinch the five fingers at the small lump in the center to feel if there is any foreign body.

Really, don't look at it as if it's very funny. In fact, when there is nothing to do, checking in this way can not only adjust the relationship between husband and wife, but also prevent problems for your lover.

Definitely a good thing that kills two birds with one stone.

Don't just act like a child who is hungry and has no technical content at all.

This sensitivity can be exercised the day after tomorrow, and the human body is actually particular about blood loss.

Most of the deaths caused by trauma are often caused by shock.

It can be said that shock is the real culprit. In fact, many diseases of the human body are caused by blood and cause serious consequences.

For example, AIDS, the three ways of transmission, in fact, think about it carefully, are all related to blood, why not talk about kissing, but talk about physical education?

This is because the cell membrane falls off during the friction, causing the superficial capillaries to rupture, so the virus enters the blood vessels.

This is where the virus enters causing an infection in the blood.

And how much bleeding does it take to be fatal?

For normal adults, blood accounts for about 7% to 8% of body weight. Under normal circumstances, this ratio is constant and generally does not exceed 10%.

As for the blood loss, when it does not reach 8% of the blood volume, in fact, for the body, this amount of blood will not cause obvious clinical symptoms.

When people constrict blood vessels, blood pressure will rise to normal levels, so the body's vascular system is very good.

When the amount of blood loss is 10% by weight, the body fluid enters the blood vessels and acts as a filler to increase the pressure of the vessels.

The liver then rapidly synthesizes albumin, so to speak, within a day.

Chronic blood loss, the body is not afraid at all.

For example, a woman's period, a cycle, is about 100 to 300 ml of blood, which varies more or less from person to person.

In a week, to be honest, this little blood probably hasn't drained completely yet, the body's metabolism has already come through.

This is also the reason why women have no abnormal physical discomfort during their menstrual period.

This is also the first day of women's menstruation, and after the beginning of the second day, the blood flow is more violent, and the reason why women faint.

The loss is too fast, and the body cannot compensate.

Moreover, this physiological chronic blood loss can also stimulate the regeneration of blood vessels. Therefore, the elasticity of blood vessels in women who have not entered menopause is better than that in men.

Cardiovascular disease is much, much lower than that of men, which is why men are extremely prone to sudden death. There is no period!

The body is really not afraid of chronic blood loss. Sometimes, when the blood loss is as high as 30%, the body will go into shock.

However, when rapid blood loss occurs, it is different. In this case, there is no need to lose much. Once it exceeds 10%, shock will appear.

Because, at this time, the body's compensatory mechanism can no longer achieve the function of equalizing blood pressure. First of all, blood pressure cannot rise.

Many people have heard of shock, but what exactly is shock, in layman's terms, is an obstacle to blood perfusion.

There are many types of shock, such as blood loss.

There is also severe diarrhea and vomiting such loss of fluid. Especially children, many children in the early years often died of diarrhea and high fever.

Everyone feels that diarrhea is not serious now, because the current medical environment and sanitation conditions have improved a lot.

Now the diarrhea and prolapse of the anus seem to be the most serious situation.

To be honest, anal prolapse can't kill people. However, a large amount of fluid loss can kill people every minute, and severe diarrhea, in fact, is more popular, but it is actually similar to the effect of arterial rupture and blood spurting.

In the past, once diarrhea occurred, it meant that black and white impermanence had already stood by people's side.

In addition to blood loss and fluid loss, there are burns, infections, cardiac dysfunction, allergies, and strong nerve irritation.

These can lead to shock in the human body. In fact, if you take a closer look, the mechanisms of these causes are different.

The consequences can be the same, all causing blood flow obstruction. Allergies, large areas of allergies, can lead to increased vascular permeability.

Just like why people become swollen like hairy hair after a bee stings them.

In fact, it is because the bee sting makes the body produce many factors that fight with allergens.

Once the allergens fight with these factors, the blood vessels that were originally silk stockings will suddenly become fishnet stockings.

Then all the blood ran from the blood vessels to the cells, and the human body quickly became a big bun like a balloon filled with water.

Strong nerve stimulation will cause capillary spasm, and then there will be problems with blood return, and then it will become shock.

For example, some people will feel dizzy and numb after a strong laugh or cry. In fact, this is the early stage of shock.

Laughing dead, this is not a nonsense, this thing makes sense.

To correct the shock, how to correct it is actually to find a way to make the perfusion sufficient.

For example, if it is hemorrhagic, the balanced salt solution that is twice to three times the estimated blood loss should be infused intravenously.

In fact, this is to use balanced salt solution to stabilize the body's acid-base balance, and then use this liquid to trick the body into raising its blood pressure.

Once the blood is lost, the body's acid-base balance and blood pressure cannot be corrected.

Then, this directly means that the dam of the reservoir collapsed in an all-round way, and all organs were damaged at the same time. Once this result occurs, the Jade Emperor will have nothing to do when he comes down.

Therefore, at this moment, the awesome nurse reflects her importance.

Blood vessels, normal human blood vessels, are actually like a vermicelli, plump and smooth, and nurses with poor skills sometimes can't get in.

Why? Because this thing is smooth, it can dodge it. When a sharp weapon is pierced in, the outer membrane of the blood vessel is like the mucus on a fish. It is slippery, and it can dodge to a limited extent.

Often some nurses go in, only to look back and dig out again, and the painful patient grimaced. This is because the nurse returned the needle once after the blood vessel evaded.

And the ischemic blood vessels are actually stuck together like two pieces of white paper. At this time, it is much more difficult than being smooth, and there is no chance to look back. You have to hit it with one blow, or you have to find it in another place. blood vessels.

To make a simple analogy, put a piece of pork on two pieces of paper and give you a needle.

You are required to pierce the pork and pierce the first layer without damaging the second sheet of paper.

Moreover, you need to let the needle advance in the gap between paper and paper.

To be honest, you may not even be able to do it when you are calmed down.

As for the nurses, after this time, the flat car is running fast, and the nurses not only have to keep up with the speed of the flat car, but also have to insert the needle.

Really, it's all blood and tears and slaps in the face.

The head nurse of the emergency center, the head nurse of the operating room, the head nurse of the orthopedics department, the head nurse of the cardiology department, the head nurse of the respiratory department...

It can be said that almost all the nurses with the best skills in the hospital have come, four people on one flat car, with both upper and lower limbs.

They bent over, lowered their heads, grabbed the patient's arm or ankle with one hand, and held the needle in the other. They had to move fast and small to keep up with the speed of the flat car.

Why can't the steps be too big? It's not because I'm afraid of breaking the egg, but because if the steps are too big, my hands will be unstable! To be honest, this industry is too crap.

While the situation was urgent, Zhang Fan's urging voice was still heard: "Is the venous access open? Hurry up. If not, go away. I'll come!"

Really, it didn't even take two minutes, the head nurse's cap was covered in sweat, tense, urgent, and it was a fucking athletic battle.

Really difficult!

Although the head nurse in the operating room seems to have an affair with Zhang Fan, it's not his way of life in the workplace.

Zhang Fan never took it seriously, not only couldn't take it seriously, but also pretended to be shy and avoiding it.

If he really took it seriously, the head nurse might slap her back!

The head nurse in the operating room looked like a monster, and secretly sprayed perfume and lipstick every day, but her skills were really good.

The first opened a vein in the man's upper body. While running, the head nurse in the operating room shouted loudly: "The venous access to the right upper extremity has been opened!"

The delicate voice of the female voice, especially in this crisis situation, is so pleasant, especially the head nurse's voice is so charming!

One sound, two sounds... the eight vein channels of a man and a woman, like the Teletubbies, were all erected before entering the elevator.

The suspended liquid was bubbling, and had quickly entered the patient's body. This is the ability, and this is the embodiment of a hospital's comprehensive capabilities.

They and they are the mainstay of the hospital.

The police car came and went, and amidst the rapid whine, the patient was sent to the operating table.

"Hurry up, Lao Li, I will disinfect, you lay the sheets, and the anesthesia will be carried out at the same time, so we can't wait."

Zhang Fan is the main surgeon for men, and the director of general surgery and cardiothoracic surgery for women.

Surgery begins!

The rain is getting heavier, and a trace of red can still be seen vaguely on the street.

However, sadness cannot be washed away by heavy rain.