MTL - Doctor’s Life Simulator-Chapter 42 The astonishment of Director Wei and Liu Feng: a genius idea

In the meeting room of the emergency team, Wei Guoqiang continued to sit in the Central Army.

At this time, Liu Feng, the chief clerk, rushed over in a hurry.

"Director Wei, you came to me, what's your order?"

When Wei Guoqiang saw Liu Feng, his eyes were full of admiration and respect:

"Liu Feng, the rescue has been launched now. Since there are many patients with severe burns in a large area, 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's time for you to show your achievements when you return from your studies at the First Affiliated Hospital of Zijingang University."

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 a team of extraordinary soldiers can be trained for rescue. It's a pity, that one 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. 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 a few steps, he turned back and looked at Wei Guoqiang, hesitating to say anything.

"Liu Feng, put it up if you have any ideas? Don't worry about whether it is suitable or not, and whether it will offend people. As long as you think it is right, put it up."

For someone like Wei Guoqiang, he couldn't see that Liu Feng was worried, but he felt uncomfortable if he didn't say it.

Liu Feng looked at Director Wei and said, "Director Wei, although this is a bit offensive, after this training, I have gained some new understanding of burn rehydration. I feel that many old doctors in our department have Some of them are too conservative and outdated. They often tend to increase in number, which often causes patients to suffer from acute rise and fall, cerebral edema, pulmonary edema, deepening of the wound and adverse reactions of intraperitoneal space syndrome.”

As a new-generation doctor, Liu Feng has better comprehensive qualities than the old doctor, and continued:

"However, in a short period of time, I can't come up with a universal plan. Based on my experience, I can do a personalized rehydration plan according to specific patients. However, this kind of batch of patients, and Under such a state of emergency, even if I can formulate a plan one-on-one, it will be ineffective."

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 gave a wry smile: "Liu Feng, I'm very relieved that you can think of this. In fact, I don't know what you are worried about, but this kind of sudden batch of large area burns is the best formula for rehydration. , It requires a lot of experience and data to support and deduce. We do not have this condition nor the time, and without the accumulation of seven or eight years, it is almost impossible to get the result. "

"Now we can only design the rehydration plan according to each physician's experience. Although there may be excessive rehydration, this ratio is still acceptable. The overall situation is the most important thing. The most important thing for you now is to go for continuous blood purification therapy, and strive to make More patients survived."

Wei Guoqiang was also helpless.

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?"

Due to Qin Lang's opening report before, Wei Guoqiang's command arrangement this time was calm, so his favorability to Qin Lang was still very high.

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

Liu Feng also looked at the little doctor and was a little puzzled. At this time, these little doctors should not be cooperating with the attending physicians to carry out emergency rescue.

Facing the suspicious eyes of the two, Qin Lang got straight to the point:

"Director Wei, I was not studying the topic of first aid for sudden large-scale burn patients, 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 want to share some ideas with the director about the burn rehydration."

Hearing Qin Lang's words, Liu Feng frowned slightly, in disbelief that such a small doctor dared to speak madly to study such a grand subject.

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

Wei Guoqiang was in a different mood. After all, Qin Lang gave him too many surprises. It's hard to believe that he really found something useful among the piles of information.

Wei Guoqiang waved to Qin Lang a little excitedly: "Qin Lang, come and talk about it in detail."

"Director Wei, you think so highly of this little doctor."

Liu Feng on the side looked at the handsome young doctor again, expecting him to say something.

The time is urgent, and Qin Lang does not go into a long discussion, but directly and very concisely said:

"Director Wei, batches of burn victims have the characteristics of concentrated treatment, serious injuries, many comorbidities, and difficult treatment. Among them, the early burn rehydration is particularly important. According to a large number of data in domestic and foreign journals, the Jinling burn rehydration formula is The best rehydration formula..."

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

"Qin Lang, what you said makes sense. Indeed, the Jinling burn rehydration formula has a single reference index, and the method for calculating the rehydration volume is simple and fast. Effective fluid resuscitation, but has limitations..."

Liu Feng is worthy of being an elite attending physician, and he soon discovered the flaws. Of course, it was very rare for Qin Lang to come up with this conclusion, which made him feel ashamed.

Wei Guoqiang didn't say anything, but he was also thinking about the measurement in his heart. However, just such a plan could not impress him. He directly popularized it in the department. After all, every doctor has a habitual rehydration formula, and the Jinling burn rehydration formula is uniformly used. These arguments and advantages are not enough to convince everyone.

Qin Lang smiled lightly, and the report to the expert was smooth:

"So, on the basis of the previous Jinling burn rehydration formula, a tube was inserted, and the femoral artery was punctured to connect the sensor to analyze and detect the patient's hemodynamics and give rehydration management."

Hearing Qin Lang's unrestrained and pioneering fluid supplementation assistance technology, Wei Guoqiang and Liu Feng both breathed a little stagnant.

Then, the entire operation process is rehearsed in their minds, simple tube placement, and sensors, UU reading www. They are all very familiar with uukanshu.com, but the combination of these three makes them have a sense of stunned and amazing feeling.

In particular, Liu Feng, who recently studied at the First Affiliated Hospital of Zijingang University, said in surprise:

"Pulse continuous cardiac output detection () technology is indeed very sensitive and repeatable for hemodynamic detection. It can indeed effectively detect cardiac output, cardiac function index and left ventricular end-diastolic volume, so as to more realistic Display the patient's hemodynamic indicators to accurately guide the control of the infusion process."

"As for the peripheral puncture of the central meridian catheter (), it can be solved. Due to the large area of ​​skin damage in patients with large-area burns, many surface veins have been destroyed, and they do not have good conditions for venipuncture. Moreover, the use of fluid replacement It 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. , is simply the perfect solution.”

"This is really a genius idea. It can greatly promote the innovation of rescue and rehydration for a large number of patients with large-area burns. Qin Lang, you saw this in that journal, who invented it."

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

"Master Liu, now we are in a hurry. When the rescue is over, I will tell you in detail."

Qin Lang didn't want to say more and interrupted Liu Feng's inquiry.

Wei Guoqiang, who was on the side, also laughed loudly: "Liu Feng, Qin Lang is right, rescue is the most important thing now. This is indeed a subversive fluid replacement solution. Now go to all departments to popularize it immediately. Qin Lang, you have done a good job, Truly a fortunate member of my department."