MM Racing Chapter 129
Chapter 129
"It's okay. The injured will be assessed and treated according to the nine-point burn method."
Xiao Chenguang walked to the injured.
"Face, both forearms burned, burn area 3+6, total burn area 9%, obvious blisters can be seen on the skin surface, deep second-degree burns, prepare to clean the surface, disinfect and rehydrate."
Xiao Chenguang quickly calculated the burn area of the injured person in front of him according to the new nine-point surgical burn area assessment, and then carried out corresponding treatment.
The new nine-point assessment is a formula that must be memorized in the burn department.
That is, "three three three, five six seven, thirteen thirteen one, five seven seven three twenty-one."
This is a bit like the "Nine Nine Multiplication Table" that children memorized when they were in elementary school.
It divides the body surface area into multiple areas according to the body parts, such as burns on both hands account for 5% of the human skin area, both thighs account for 21%, and perineum accounts for 1%.
Fortunately, the burn area of the wounded in front of him was not large. As long as the treatment is proper, timely fluid replenishment, prevention of wound exudation and dehydration, and infection prevention, there will generally be no sequelae.
Just as Xiao Chenguang was about to breathe a sigh of relief, a cry of surprise suddenly sounded.
"Boss, look at that!"
Lin Gaoyang pointed to the gate of the compound not far away, his eyes widened.
A "human-shaped black charcoal" that looked like a burnt body ran straight out.
Xiao Chenguang followed the instructions and took a closer look, his heart pounding.
God!
This is not black charcoal, it is clearly a patient with a large area of burns.
The head, neck, face, arms and calves, and any exposed skin are now extremely charred, as if covered with a thick layer of oil.
The clothes on his body are torn and black as graphite, as if they are fused with the skin inside, and the color cannot be distinguished.
The hair, eyebrows, and beard are broken at the touch and scattered in the wind.
Huchi, huff!
His rapid breathing caused his chest to rise and fall rapidly, and his entire throat was accompanied by obvious wheezing sounds.
His already swollen face seemed to be coated with a layer of tar, and it was terribly shiny.
His eyeballs were wide open like copper bells, and his eyes were filled with indescribable panic.
The appearance of the charcoal man startled everyone present.
"The total burn area is as high as 82%, which is a very severe burn patient, and his life may be in danger at any time."
"Go get cold water, a rescue box, and prepare emergency intubation equipment!"
For such a horrible wounded, everyone moved without waiting for Xiao Chenguang to give orders.
The wounded in front of him were too serious and needed to be monitored and rescued on the spot.
Sure enough.
When the wounded just stepped out of the compound, his strong desire to survive could no longer support his horrible injuries.
His lungs could not breathe, and he suddenly pinched his neck with his hands, his eyes red, like a trapped beast struggling on the lifeline.
Plop!
The next second, the man's eyes went dark, his body fell straight down, and he lost consciousness instantly.
"Severe allergic reaction caused by smoke and dust, laryngeal edema!"
The diagnosis that popped up in Xiao Chenguang's mind instantly made him rush to the patient's side.
At this time, the skin on the wounded's neck had become thicker.
In addition to the edema caused by the burned skin, the most fatal thing is the swelling of the epiglottis and throat tissues in the internal structure of the neck.
Unlike the thyroid cancer patient I met before, the man in front of me was more because of inhaling a large amount of irritating and harmful gases.
The body function passively opens the immune barrier, causing edema of the tissues around the airway, closing the trachea, and preventing smoke and dust from further damaging the lungs.
But in this way, oxygen in the air cannot enter the lungs through the trachea.
Gas exchange is blocked, the lungs cannot circulate effectively, and the wounded will suffocate and coma due to lack of oxygen within a few minutes.
In severe cases, the body will directly die of shock.
Xiao Chenguang did not dare to delay. He turned the head of the injured person to the side and quickly cleaned the secretions blocking his mouth.
The jelly-like black viscous substance was cleaned out. Xiao Chenguang held the patient's auricles on both sides with his fingers and lifted them up with force.
A gap was forcibly opened in the swollen soft tissue around the airway.
With the opening of the airway, the breathing of the injured person improved to a certain extent.
"Wake up, can you hear me? Don't fall asleep, gasp for air!"
Xiao Chenguang shouted loudly to the injured person, but the latter still closed his eyes and was unconscious.
"Boss, intubate."
Lin Gaoyang ran over with the intubation box at the moment the injured person fell to the ground.
He was very experienced in tracheal intubation.
"I'll open the airway, you do it!"
Xiao Chenguang held the head of the injured person, his hands never leaving his body, and handed the task of intubation to Lin Gaoyang.
"Okay."
Lin Gaoyang did not hesitate and immediately took out the laryngoscope and No. 7 catheter from the box, connected them, and prepared for intubation.
Seeing that he was ready, Xiao Chenguang slightly exerted force with both hands to lift the head of the injured.
Seeing this, Lin Gaoyang followedInsert the laryngoscope with a strong force, and press the front end of the laryngoscope against the patient's upper jaw.
He held the handle of the laryngoscope tightly with his left hand, and the granite-like arm muscles instantly tightened and pulled up with force.
Wheezing...
A strong airflow of smoke and dust gushed out of the airway of the injured.
Lin Gaoyang ignored the pungent smell sprayed on his face, lowered his body and looked down at the epiglottis of the injured with the help of the light in front of the laryngoscope.
"Boss, no! The epiglottis of the injured is severely narrowed, only the size of a thick needle, and the surrounding tissues are still pressing inward little by little!"
Lin Gaoyang took the tracheal tube, entered from one corner of the injured person's mouth, and guided it along the laryngoscope to the epiglottis.
He turned the tube and tried to enter, but the narrow epiglottis opening was not even half the diameter of the No. 7 tube in his hand.
Even if he changed to a tube with a special caliber for children, it would not pass smoothly.
Seeing that the epiglottis was closing, Lin Gaoyang was anxious.
At this time, the nurse who was establishing vital signs on the side had just put the blood oxygen saturation clip on the wounded.
The instrument instantly burst into a piercing alarm.
"The wounded's blood oxygen is only 35%, and it is still dropping!"
The nurse's anxious voice came, and at this moment a layer of gray appeared on the wounded's burned face.
The blood oxygen saturation continued to drop, and the wounded's hypoxia had reached a fatal level.
Everyone looked at Xiao Chenguang.
One of the most feared situations for tracheal intubation is difficult airway.
Born with epiglottis stenosis, adenoids hypertrophy, small mandible, and now laryngeal edema.
It can be said that the sickle of the god of death has been placed on the wounded's neck. If he is not careful, he will not be able to come back.
"Is there a tracheotomy kit in the car?"
Xiao Chenguang decisively gave up tracheal intubation and chose other methods.
He was ready to use the knife to directly cut the wounded's trachea.
Although it was first aid on the spot, the conditions in all aspects could not be compared with the rescue in the hospital.
But the situation was urgent, and saving people was the first priority.
As for the damage to the injured person's larynx, it could be ignored for now.
However, just as they were about to perform an emergency tracheotomy, the panicked voice of the nurse came.
"Director Xiao, this visit was too urgent, and the tracheotomy kit was still being disinfected in the hospital supply room, and was not brought in the car."
The nurse was just about to go to the car to find it, and suddenly remembered that the emergency tracheotomy kit today had expired and needed to be sterilized again, so it was not brought in the car.
Thinking of this, the nurse's eyes turned red in an instant.
After all, the nurses on the car need to check the rescue equipment and medicines on the 120 car every day when they go to work.
But now, she didn't bring the tracheotomy kit. Although there are other factors, this is not a reason.
Even if the emergency tracheotomy kit is taken for disinfection, the operating room kit can be borrowed first for emergency use.
At this moment, because of her mistake, it is very likely that the patient will die due to delayed treatment.
Thinking of this, the nurse felt like she was falling into an ice cave. Guilt and uneasiness came over her at the same time. The high-intensity pressure almost made her collapse.
"Don't panic. It's okay if you open the package. Please help me get a 10ml syringe, saline, infusion set, and hard guidewire from the rescue box."
The expected overwhelming scolding did not appear. Xiao Chenguang's calm words almost made the nurse cry.
She immediately cheered up and quickly prepared the supplies according to Xiao Chenguang's requirements.
"Boss, are you going to do a cricothyroidotomy?!"