: : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : :

As more and more people thanked him, he felt more and more uncomfortable: "I'm sorry everyone, I didn't open those doors as soon as possible, and I couldn't save more people. I admit that I was a little confused at the beginning, I was completely confused, and I might not have done my best enough."

"Child, you really did your best." Barnes put his hand gently on his shoulder. "It would be useless to blame himself too much, and there are still many things waiting for us to do."

Not long after Ma Sen entered the police station, it was the first time he had seen such a big scene in his early 20s, and it was also the first time he had to save someone alone in a fire.

This has nothing to do with courage or work, it is just an instinct to save other lives. After hesitation, he will realize how dangerous it is to stand in front of a huge building that has already caught fire. Many people were injured by drops, including the hat on Masen's head.

On the other side, Kavi, who was younger on the other side, was used to such big scenes.

It doesn’t matter whether it’s easy or heavy for him to save lives, or whether it’s responsibility or work. This is actually part of his daily life.

As the chief director who used to be an external emergency trauma, his best skills are trauma treatment. Burns in trauma are extremely special, without bleeding, and there is almost no substantial damage to the organs. The flames only burn the injured's skin.

But such a thin layer of things is an important barrier for the human body to resist external injuries.

Burns are not skin damage, but lack, which is equivalent to erasing the walls of a city, which is several times more terrifying than simply breaking them.

Simple skin loss is not terrible. Burns cause more fatal cell damage, including tissues and blood vessels, which can cause a large amount of body fluid loss. Therefore, before actually doing trauma treatment, every burn patient needs to go through strict mathematical calculations.

Calculate the proportion of burn area, calculate the subsequent lack of water from the area, and give the corresponding amount of fluid replenishment. This is the top priority of surgery, and the calculation of burn fluid replenishment is often packaged in various clinical medical examinations, especially practitioners, who are required to take the exam almost every year.

"The first car has arrived!" The guard shouted and approached him, holding the reins to help stabilize the horse, "Come and help me!"

This is a public carriage, which just passed by the door of the opera house half an hour ago. When the people in the car saw the fire, they got out of the car for help and gave up the empty space in the car.

In order to save space, the injured try to sit in their seats. Only those who are extremely serious can lie down. The situation is not much better than the front line. Even because the public carriage needs to take the rails, there are still many roads in the middle.

This was a classic example of urban first aid at that time. Although the railway routes were fixed and difficult to change, compared with other countries and quite developed, some places actually did not even have public carriages. It is not impossible to use private and taxi carriages, but the space for each four-seater is really smaller.

The coachman and the guard helped to help the person out of the car. Karen, who was standing beside him, made a rough assessment of the first wave according to Kavi's requirements. That is, like the front line of the battlefield, the burn position was marked with a villain. The proportion of burn skin on the surface was calculated by Herman.

"The back trunk is 13, the upper arms on both sides are 7, and the arms on both sides are 6.5 throughout the day. The total calculation accounts for 20% of the overall table." Hermann was just in contact with the surface area calculation and was not skilled. "It's really complicated. Even the perineum and the area of ​​hands and feet are included."

"Why do you have to calculate so carefully?" Bergert helped lift the person onto a stretcher, and then took the reception form from Herman. "Calen, can you hand over the infusion to the nurse here?"

"I've taught it several times, and it's pretty good to have three nurses."

Herman patted Begter's shoulder: "This is to calculate the amount of fluid replenishment, and everyone has different amounts of fluid replenishment. Since it was Kavey's words, there is naturally his reason."

"But I remember that if you just apply some ointment to heal slowly, he hasn't been so strict in Ormitz."

"The battlefield is different. The battlefield itself has a lot of blood loss, which requires a lot of fluid replenishment or even blood transfusion, which may have diluted the concept of burns requiring fluid replenishment." After all, Herman would have more than ten years of experience and understand it more deeply. "Send people to the debridement room and hand them over to Dr. Damirgaon Paion, come and help!"

"Here you come!"

"The next one is 3 head and neck, and the back is 1.5; the back is 13, and the upper part is 1/4, 6.5; the double buttocks are 5, single buttocks are 2.5; the double thighs are 21, and the outer side of the single leg is 5.25; the double calves are 13, and the outer side of the single leg is 3.25.1.5+6.5+2.5+5.25+3.25=How much?"

Pei'ang was in a fog listening next to him. Who would have thought that the first thing to do to deal with a burn was an arithmetic problem: "Uh"

Herman immediately wrote "19" on the paper: "Follow Bergt to the debunking room, next!!!"

"It's a child." Karen's pen suddenly stopped.

Herman frowned and instinctively told him that the way the child calculates might be different from that of adults: "Why are there children? Are children the same as adults?"

"Forget it, I'll just mark it and let Kawei calculate it myself." Kalian still handed the person and the paper to the next doctor based on the principle of speed first, "Send it in quickly."

Considering the number of injured people who may overflow, the Main Palace Hospital chose the simplest stretcher as a means of transportation between the door and the ward.

Before the tent was in place, Kawei first asked someone to integrate the only three surgical wards, freed up 8 beds, and then briefly discussed with the internal medicine department and then took 13 beds. But even if the gap between the beds was included, there were only 30 people living there.

Burns require a clean environment and ventilation. Too many people are not conducive to changing the dressing and not the patient's recovery, and compression of the ward is not feasible.

Theoretically, 20 beds can withstand the first wave of wounded people, and the next step is to relieve the pressure as long as the tent is in place. However, when coordinating hospital resources, you need to prepare for the future. The issues you consider are not only in front of you, but also in the near future.

The surrounding hospitals can share many wounded people, but their ability is limited after all. In the end, those patients with wound ulceration have to be sent here. Keeping a certain number of empty beds at all times can increase the hospital's flexibility in dealing with such emergencies.

In addition to this, Kavi also needs to consider the weather in Paris. After all, the tent is placed outdoors. Once it rains, it may have an impact. The ward becomes the only trump card to make up for the impact.

So before the carriage arrived, Kawei went to the warehouse to discuss with Laura, hoping that she could move out and make more room for the hospital.

If it was Laura before the operation, as long as Kavey could perform the operation on her, she would agree to anything and would be nice to be able to stay in the ward.

But now the operation has been completed, and the Xinru room is also good-looking and requires it to disappear. Edward's admiration comes first, and after learning that Kawei's reputation is actually quite related to Edward, her attitude will definitely change.

Laura politely rejected Kavey's suggestion and pushed all the reasons to Edward: "This ward was made by Mr. Edward, and I can't make the decision."

"He decided? This was not after he discussed it with me."

Kawei blinked, understood what she meant, and immediately changed her words: "Your surgical incision has almost healed, and you can be discharged from the hospital if you stay for less than a week. You don't have to worry about Edward. As long as you nod, he won't care about these things."

"Yes, but I'm just a patient who has not recovered yet. You know my identity. Really, I'm afraid I'm not happy." Laura still refused, "Why do other wards use it first, and I'll talk to him when Mr. Edward comes tomorrow?"

The relationship between Kawei and Edward is very simple and doesn't know much about it, but at least it's not someone who can be petty about such things.

However, his weakness is also very obvious, he is lustful. He has suffered a great loss in Vienna. Now he has successfully returned to Paris and has had such a good time. He first brought up a new female star, and now he has come to Laura again. I don’t know how many women he called me in the past half month.

"Doctor Kavey, the wounded have arrived."

“How many have you come?”

"I heard that all the public carriages were dispatched, and there should be three of them in the first batch, each of which can move 7-10 wounded people."

"Okay, you can go and handle it as I said before, and I'll be there right away."

There were more than 20 people in the first wave alone. Kawei had no choice. Since it was too soft, he would be hard: "Now I need a bed urgently. Even if the bed is really enough, we need more debridement rooms. Don't think that Mr. Edward will blame you. If there is something wrong, just say that it was enforced."

After saying that, Laura could not say more, two strong men came in outside the door and started moving things under Kavey's instructions.

"You, what are you doing?"

"It's a must. If Mr. Edward blames him, let him come to me." Kavi waved his hand and turned around and left the ward.

In fact, the two of them didn't know that Edward went to the Paris Opera tonight. He said that something was wrong, but in fact he was going to find Sarana for happiness. However, he was buried in the fire not long after his happiness. I'm afraid even the body would be difficult to find afterwards.

Regardless of whether Edward will appear the next day, Kawei has no time to care about that woman. Now he needs to focus on treating the wounded: "Is the hydrogen peroxide from the Chemistry Institute here?"

"not yet."

"Take out all the inventory, there are 2 barrels in total, so let's save some use." Kawei directed, "After people come, you need to rinse the burn wound with clean water, pay attention to it three times! Then disinfect with hydrogen peroxide and pour it directly on. Wait until the bubbles disappear, then rinse with normal saline!"

"I understand!"

"Concentrate all the ya tablets in the hospital, and every injured person needs to use them." Kavey remembered another potion that Sediyo had told him before, "By the way, take out all the morphine and ether you have retained. We need strong analgesia, otherwise many people will not be able to get through it."

"knew."

Kawei looked at the first injured person who was sent: "20% burn area, is it weighed?"

“80kg.”

"3600ml rehydration amount, inject 1800ml into the first 8 hours." Kawei put on a glove mask after a simple calculation, and took out a sponge from the carbolic acid basin to wipe it. "Everyone hurry up, rinse it quickly and I have to debride it for him!"
Chapter completed!