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 based on 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 in elementary school.

It divides multiple body surface 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 injured person in front of him is not large. As long as it is properly treated, rehydrated in time, prevented from exuding and dehydrating the wound surface, and prevented from infection, generally there will be no sequelae.

Just as Xiao Chenguang was about to breathe a sigh of relief, a cry of surprise suddenly sounded.

"Boss, look there!"

Lin Gaoyang pointed at the gate of the compound not far away, his eyes wide open.

A "human-shaped black charcoal" that looked like it was burnt 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 legs, and all the skin exposed to the outside are now extremely burnt, as if covered with a thick layer of oil.

The clothes he wore were torn and black as graphite, as if they were fused with the skin inside, and the color could not be distinguished.

The hair, eyebrows, and beard broke at the touch and scattered with the wind.

Huh, huff!

His rapid breathing made his chest 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, which was terribly bright.

The eyeballs were open like bells, and there was an indescribable panic in his eyes.

The appearance of the coke 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 was 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 black, 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 burns, 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 due to 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 from further damaging the lungs.

But in this way, the 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 go into shock and die.

Xiao Chenguang did not dare to delay. He turned the wounded's head to the side and quickly cleaned the secretions blocking his mouth.

The jelly-like black viscous substance was cleaned out, and Xiao Chenguang held the patient's ears on both sides with his fingers and lifted them up with force.

A gap was forced into the swollen soft tissue around the airway.

With the opening of the airway, the patient's breathing improved to a certain extent.

"Wake up, can you hear me? Don't fall asleep, breathe hard!"

Xiao Chenguang shouted loudly to the patient, but the latter still had his eyes closed and was unconscious.

"Boss, intubate."

Lin Gaoyang had already run over with the intubation box the moment the patient fell to the ground.

He was very experienced in tracheal intubation.

"I'll open the airway, you do it!"

Xiao Chenguang held the patient's head, 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 patient's head.

Seeing this, Lin Gaoyang inserted it and pressed the front end of the laryngoscope against the patient's upper jaw.

His left hand tightly grasped the handle of the laryngoscope, and the granite-like arm muscles instantly tightened and pulled up with force.

Huh...

A thick stream of smoke and dust gushed out from the airway of the wounded.

Lin Gaoyang ignored the pungent smell spraying on his face, lowered his body and looked down at the wounded's epiglottis with the help of the light in front of the laryngoscope.

"Boss, no! The wounded's epiglottis 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 wounded's mouth, and guided by 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 a catheter with a special caliber for children is used, it cannot be passed smoothly.

Seeing that the epiglottis is closing, Lin Gaoyang is extremely anxious.

At this time, the nurse on the side who is establishing vital signs has just put the blood oxygen saturation clamp on the wounded.

The instrument instantly bursts out a shrill alarm.

"The wounded's blood oxygen is only 35%, and it is still decreasing!"

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 is still continuing to decrease, and the degree of hypoxia of the wounded has 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 neck of the wounded. If you are not careful, the person will not 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 cut open the wounded man's trachea directly.

Although it was first aid on the spot, the conditions in all aspects could not be compared with those in the hospital.

But the situation was urgent, and saving people was the first priority.

As for the damage to the wounded man's larynx, it could be ignored for now.

However, just as they were about to perform an emergency tracheotomy, the nurse's panicked voice 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 incision 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 don't have the package. Please help me get a 10ml syringe, saline, infusion set, and hard guidewire from the rescue box."

The expected 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 request.

"Boss, are you going to do a cricothyroidotomy?!"