"Where is Chen Qi? Look for him. Find someone quickly."

When Qi Yunming was shouting hysterically, all the Chinese doctors went to the camp to find someone, and they only had to dig three feet into the camp?

It’s not that there are no surgeons in the camp, but such a critically ill patient is obviously not something ordinary people can handle?

The doctors in the medical aid group to Africa, naturally, like their African counterparts, the first thing they thought of was the miracle doctor Chen Qi.

It can be seen from this aspect that Chen Qi has actually become the core of everyone unknowingly. This is the advantage and disadvantage of technical authority.

The bad thing is that when Chen Qi is away, everyone is like headless flies.

The patient was in critical condition, but the attending doctor could not be found. This made the Teodoro family members who rushed over almost crazy, and the black soldiers also went berserk. The hospital was in chaos and the atmosphere became tense.

At this time, the little nurse Chen Li quietly raised her hand:

"Qi Chu, Director Chen said before that he wanted to go outside to find weapons to defend our hospital, so he drove out in a car."

Qi Zhiming slapped his head:

"Yes, yes, yes, he said he was going out. I'm confused. How could this guy find weapons? Where to find them? He must be lazy again. Come on, go to the beach to search. He's often there.

Eat seafood and take a nap."

Immediately, a group of soldiers drove off to the seaside as quickly as possible to find people.

Qi Yunming commanded again: "The patient is the order. We can't just wait for Dean Chen to arrive. Yi Zewen, Zhang Xing, you start rescuing the patient immediately."

Yi Zewen was the older member of the surgical team, so he immediately took over the temporary command.

"Lao He, perform tracheal intubation immediately; Chen Li, monitor vital signs immediately; Yang Xiuxiu, open the two channels first, and add 0.9% sodium chloride first, and then we wait for Dean Chen to arrive.

."

Is there anything wrong with this command?

Yes, it complies with the emergency procedures, but a problem arises. What they are facing is not an ordinary patient, but a severely burned patient, a roast duck. Then the problem arises.

The first person to have problems was Chen Li. The little nurse was about to tie the blood pressure cuff, but she tied it a little too tightly, and pieces of skin and flesh fell off.

Chen Li was so frightened that she screamed.

I really can't blame her. She has been professionally trained and normally won't scream. In fact, pieces of human flesh can easily fall off, which would make anyone else feel numb.

It's not just Chen Li who's in trouble, Yang Xiuxiu is also crying:

"Dr. Yi, I, I can't find the vein. Look at the hands and feet. There is still intact skin. There is no way to insert an acupuncture."

In chronic burn disease, many surface veins have been destroyed. Especially during the shock period, a large amount of fluid needs to be replenished in a short period of time, and a venous channel that can ensure smooth flow needs to be built.

This creates a contradiction.

On the one hand, a large amount of fluid is required, and even one channel is not enough. Two or three infusion channels are often needed.

On the one hand, the skin has turned into black carbon, especially the four legs, because when a person escapes from a fire, he must use both hands and feet, and the skin is exposed, which will make the injury and burn more serious and make it easier to insert needles.

Yi Zewen was sweating profusely after hearing the nurse's report. This patient couldn't even monitor his basic vital signs and couldn't get infusions. How could he be rescued?

It is very difficult to rescue burn patients, such as vital sign support, infection check, and finally skin grafting and plastic surgery. The first step is very complicated and very life-threatening.

Unable to pass this first level, Yi Zewen thought to himself that this black soldier must be dead and could not be saved.

The house leaked and it rained all night. Just when doctors from China and Serbia were struggling with how to rescue the patient, anesthesiologist He Fule also had a problem with his tracheal intubation.

"Dr. Yi, the patient's airway cannot be opened, and he cannot even open his mouth. I, I cannot insert the tube, what should I do?"

If you can't complete the infusion for a while, the person won't die for the time being, but if your airway cannot be opened, the patient's airway will be blocked and cause suffocation, which means he will die.

Not to mention Yi Zewen, even Qi Yunming, Director of Freetown National Hospital Bagri, Director Mobuto, and Piet were sweating profusely.

The patient's family members had obviously seen that the Chinese doctors were also at their wits' end, so they began to mourn again.

"Doctor, where is that double-director doctor? Why didn't you come to save him? Does he need money? We have US dollars and we have gold. As long as we can save him, we are willing to support enough remuneration~~~"

Qi Yunming heard this and roared:

"Why are you still standing there? Go get saline solution and debridement the patient first."

The China-Serbia Friendship Hospital immediately became busy...

Chen Qi was found on a hillside by the sea.

It's hard not to notice, because his stylish Lamborghini LmA002 civilian armored vehicle is so conspicuous that it can be seen from a distance when parked on the mountain road.

Chen Qi was sleeping soundly when he suddenly heard the sound of cars, motorcycles, and the commotion of a group of people.

When he opened his eyes, he was so frightened that his heart almost jumped out of his chest, because all around him were armed men with live ammunition and menacing faces.

"What, what's going on? The rebels have already reached Freetown? What, I am a doctor, a Chinese doctor, we are neutral parties, here to serve the great people of Sierra Leone and for the friendship between the two countries

Come."

Chen Qi was so scared that he just took out the small flags of the two countries and waved them a few times.

Since ancient times, it has been thought that Qiu Ba is a fool. If a shuttle comes over, his life will be handed over here. It will really be like dying in a foreign country.

Just when Chen Qi was thinking about how to escape, a Chinese doctor crawled over from the foot of the mountain:

"Chen, Director Chen, come on, a big shot has come to our Friendship Hospital. He was burned by incendiary bombs and his whole body was charred. Now he is still alive and needs emergency treatment. Everyone is waiting for you."

"Burn?"

"Yes, at least more than 80% of the burns occurred over large areas of the body, almost all of which were 2 or 3 degrees deep."

"Oh, you can still survive in this situation. The chosen one, the protagonist's aura, go around, ask for help."

Chen Qi just ran a few steps and turned around and said to the soldiers: "I have to take this huge steamer away for me. If I lose it, I won't be able to buy it in your country."

"Ah, Dean Chen, why are you still thinking about eating? He is the commander of the army, a big shot."

The place where Chen Qi takes his nap is actually not far from the China-Serbia Friendship Hospital. The straight-line distance is only 3 kilometers. It only takes 7 or 8 minutes to reach the place if the accelerator of the car is pressed to the bottom.

Chen Qi jumped out of the car and ran to the emergency room. He saw that the patient who was undergoing debridement also had a toothache.

Don't forget that Chen Qi was a hepatobiliary surgeon in his previous life. He also majored in hepatobiliary surgery when he studied for a master's degree and a doctorate. He only did rotations in the burn department during his regular training, so he was not very professional.

Now that such a seriously ill patient has arrived, Chen Qi said it is impossible without pressure, not to mention that this is an important political figure in Serbia.

When Yi Zetian saw Chen Qi running in, he really wanted to kneel down and shouted anxiously:

"Dean Chen, hurry, hurry, the patient is in urgent need of tracheal intubation, and neither Lao He nor I can do it."

For deep burns, especially deep burns on the head and face, the patient's mouth will appear to be swollen and protruding. This is called the "fish mouth sign".

It will also be accompanied by deep burns on the neck and ring or semi-ring eschar, which will affect tracheal intubation.

The most terrible thing is that it can also cause severe internal laryngeal burns and severe glottis edema, leading to laryngeal obstruction. This is also an important reason why He Fule and Yi Zewen, an anesthesiologist and a surgeon, cannot intubate.ъiqugetvt

Chen Qi became popular as soon as he saw it:

"Insert a tube, and you see, the patient is obviously in respiratory distress, and even black people can't tell his face. If he is a yellow or white person, he will be blue and purple by this time, and he will suffocate and die soon. Since he needs to be rescued, he must

Be brave enough to take risks.”

"Ah, it's so serious. What should I do if I don't intubate?"

"What to do, of course, is to cut the trachea directly. Although the risk of surgery is higher, this is the only way. Lao He, you should do local anesthesia immediately, forget about general anesthesia, it's too late, I will communicate with the family.

”

As soon as Chen Qi arrived, everyone started running like a precision machine.

Chen Qi found the commander-in-chief’s wife who was crying and howling:

"Madam, the situation is critical now. I need to make an incision in this part of the patient, otherwise he won't be able to breathe, and he probably won't survive for half an hour."

Mrs. Teodoro was completely helpless at this time. Teodoro's father, Chief Raodo, nodded firmly:

"Doctor, you can do whatever you think is beneficial. We have no objection. Our only hope is to save my son."

Doctors like patients' family members who are courteous and easy to communicate with. If they really encounter those family members who are hesitant and hesitant, they will probably be very cold when they make up their mind.

After the family members agreed, Chen Qi took the scalpel from the nurse's hand without saying a word, touched the lower edge of the thyroid cartilage to near the suprasternal fossa, and cut it off along the midline of the front of the neck.

The moment the trachea was cut open, the blood in the trachea spurted out like a beautiful blood mist.

The family members next to them screamed and two of them fainted.

Chen Qi became angry: "Kick out all the irrelevant people. What burn patients fear most is infection. So many people want him to die."

Dean Bagri and Momberto, the two bosses of the Sierra Leonean health system, also acted as assistants and security guards at this time, driving all non-medical staff out of the emergency room.

After tracheotomy, a hair-raising tube-like breathing sound was emitted from the incision, but the respiratory distress caused by suffocation also disappeared immediately.

Yi Zewen immediately took the tracheal incision dilator to open the tracheal incision, and Chen Li immediately handed over a tracheal cannula.

Chen Qi quickly inserted the outer tube into the tracheal incision, immediately took out the stylet, inserted the inner tube, sucked out the secretions, and began to check for bleeding.

Zhang Xing tied the strap on the tracheal tube to his neck and tied it into a tight knot to secure it firmly.

The surgical team cooperated tacitly and had a clear division of labor, and finally overcame the first difficulty. Before Chen Qi could take a breath, Yang Xiuxiu shouted again:

"Dean Chen, the patient's superficial veins are almost burned out. I, I can't find the blood vessels needed for venous access. What should I do?"

Chen Qi sighed inwardly, thinking that in the 1980s, grassroots doctors and nurses lacked high-end medical and nursing knowledge, and their level was really not good enough.
To be continued...