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428. Don't know(1/2)

In trauma, burns are essentially different from other trauma.

To be a metaphor, ordinary trauma is like a hedge between two armies, including flanking encirclement that focuses on tactics, and high-tech war machines to fight. The burns are much purer, leaving only Liu Bei's helpless sigh after watching the fire burning the camp for 700 miles. Any tactics are futile.

As the largest organ in the body, no tissue or organ can match its function.

If a person's body is a small house that is constantly in the wind and rain, even if the interior is chaotic, as long as the roof structure is still there, it can provide the most basic shelter from wind and rain, and after interior decoration and renovation, it can always be lived in people.

But the burn is different. It starts with the most basic peeling of the tiles until the entire roof is lifted off.

It’s nothing to uncover the tiles, just put them on the next floor. But when the burn level reaches a second or even third degree, it will be a bit troublesome if it opens a huge skylight for the whole house.

If the range is not large, you can repair it. When it is windy and rainy, cover it and maintain it slowly. But if the range is large to a certain extent, ordinary repair is a decoration in the wind and rain, and then you can only create a new roof.

Dealing with burns requires more professional knowledge, technology and some special materials. Due to the limitation of the number of diseases, the number of doctors and departments is very limited. In Danyang, only the trauma department of Danyang Hospital and the exclusive burn department of Renhe Hospital can deal with large-scale burns.

However, if it is only pre-hospital emergency, it is not difficult to deal with the burns by following the five steps.

Qi Jing and Shen Houde are both veterans. They can handle it well without the help of stretchers. In addition, the colleagues who came to help one after another joined, the serious injuries at the explosion site were almost transferred within half an hour.

As the surrounding area of ​​the accident site was cleaned up, the neighborhood committee quickly joined the rescue team.

Aunt Liu and Aunt Xue, who helped Mr. Huo Xu enter the hospital before, were also injured. After a simple bandage at the door, they started the registration work. They were familiar with people and could detect some missing persons by simply registering the population.

"All out?"

"Well, I'm lucky. It happened that it was afternoon. The surrounding families were all office workers, and the houses were empty." Aunt Liu was still wearing bandages and blood stained, but the pen in her hand never stopped. "Now, it's up to statistics that there are only two people who have not left here yet."

The police pointed to the ruins of the ground that had been extinguished, and stones and wood piled up on the ground in a row: "Is this the house?"

"Yes, this is No. 13, the center of the explosion just now."

Aunt Liu pointed to the collapsed old house and said, "This old house has three and a half floors. It used to be rented to a small hotel on Wenqin Street next door to make a warehouse. Later, the hotel was closed and the house was rented to a father and son. Because it was a dead end and no one walked here, the details were not clear."

"This is renting a house to privately charge liquefied gas."

"They don't talk normally and have no communication with their neighbors. They either close the door and take care of themselves, or ride in and out on tricycles, which looks like other cargo shipments. We are not familiar with each other and don't doubt this at all, so we don't ask much."

A policeman piled up liquefied gas tanks scattered around in a safe place and said, "Don't you usually come to check? Last year, he said he wanted to check the blind spots of privately charged liquefied gas, and even issued documents."

Aunt Xue, who was standing beside her, quickly walked forward and covered the bandaged wound on her forehead and explained: "Oh, we have checked it last year and this summer vacation. When we wanted to go in and see, they were stopped outside the door. We are not policemen and cannot force it in, so we ignored it."

The police were all policemen in this area. Knowing their difficulties, they didn't say anything more: "This explosion caused a lot of losses, and it collapsed about ten rooms in a row."

"Oh, it depends on how to deal with the aftermath."

Looking at the old city surrounding it, Aunt Liu and Aunt Xue's eyes were filled with tears. This is the place they have been fighting for more than ten years. Although the facilities are a bit dilapidated, they have a lot of contribution to the harmony between the neighbors.

But now it's gone.

"Both are men?" A firefighter standing on the ruins was shining the interior with a strong light.

"Yes, man." Aunt Liu recalled and replied, "Father-son relationship, his father is over 50 years old and his son is less than 30 years old, and they are all thin and thin."

"Hey, can you hear it inside?"

"Reply if you hear it!!"

"I heard a reply!!"

The shouts of several people were like coins thrown into the pond. They sank into the bottom of the pond without causing many ripples, and no sound could be heard from the ruins.

"No, they are closest to the explosion. Even if they are saved, they will definitely be seriously injured." Shen Houde said, "Clear the ruins quickly and dig out the people first."

"It's too messy inside, you can't see anything, you can't determine where the person is."

"Then I can only dig hard."

"It's definitely not possible to use an excavator. How about digging holes from the side?"

"No, things are too complicated. It's very likely that the front foot just opened the gap and the back foot collapsed again."

"Then you can only make holes from it."

“It’s time-consuming.”

"There is no choice but to take a chance and take a gamble."

Several firefighters quickly changed their identities, changed from the fire extinguishing team just now to the post-disaster rescue team, and studied the rescue plan: "Use chainsaws and hydraulic shears to clean up the useless parts around them, otherwise this large wall panel bonded with civil and wood and these two wooden beams would move too much, and a second collapse might occur."

"Then let's start cutting from here, breaking the head and the tail, and then..."

"Then I'll move it with my hands."

"If you find someone, you can use a top support to open the hole."

"Okay, just follow this."

As he said that, several firefighters and police officers were divided into two groups. They were like ants with a large amount of food, with clear division of labor in cutting and transport, and were ready to rely on manpower to slowly erode the ruins.

The rescue work is very time-consuming, but in order to ensure that the injured are sent to the hospital as soon as possible, Qi Jing and Shen Houde's ambulance were left at the alley. Other cars began to send away the minor injuries waiting at the door, and some had to deal with other situations in the city.

After all, first aid will appear at any time, and the god of death will not stop because of a sudden explosion.

At 15:34, four consecutive explosions occurred.

At 15:44, the three giants arrived at the scene and the emergency rescue team was temporarily established.

At 15:58, the fire was extinguished and the surrounding liquefied gas cylinders were removed. The fire brigade ensured that the explosion would not happen again.

At 16:37, the list of all residents in Qinglifang was confirmed on the spot. Except for the father and son in the old house No. 13, all minor and serious injuries were transferred to nearby hospitals by the emergency center operating at full capacity.

After two hours, the entire team was rescuing the father and son. Fortunately, the city command center sent a snake-manager camera and several armed police officers to help the front-line rescue team find the burial place for the father and son. By 18:33 pm, a narrow passage at the top of the ruins that reached the 1st floor of No. 13 was opened.

Relying on the strong light, the firefighters standing outside could clearly see the position of the father and son.

The thinnest armed policeman got in, cleaned up the surrounding soil and rocks, and pulled it into a multi-function stretcher dedicated to rescue. After more than ten minutes, he spent a lot of effort to move his son to the stretcher first: "Tie it, take it away!"

"Okay~ The person is here! Help take over the handle!!"

After a shout, several armed police stood by the ruins and tried their best together rhythmically, and finally brought the wounded person on the stretcher mat: "Doctor, hurry up, it looks like he is almost out of reach!"

In fact, this cannot be blamed for their strong medical ability. This guy is really too seriously injured. If someone with a discerning eye just takes a look, he will only have this feeling left in his mind.

His left leg was seriously injured. His skin and flesh were like a cotton jacket that he took off, with only half still on his bones. His right leg was even more outrageous, and he had been crushed to the point of blood and blood, and even the end was inexplicably shortened.

Both hands look OK, at least quite complete than the lower limbs, but no one cares about these things now, because his entire front is burned beyond recognition as if it was overfired.

The burn has reached this level, because it directly damages the sensory nerves, the injured will have long lost the pain. Moreover, because the burn is too deep, the wound will gradually lose its temperature due to the loss of blood supply.

"You guys take a look, it's cold when I touched people..."

A large amount of blood loss caused by a large number of skin lesions and trauma, and loss of the skin barrier will also cause extremely critical bacterial infections in a short period of time. Shock under double stimulation is basically a foregone conclusion.

Qi Jing took the stretcher pad and touched the carotid artery with one hand, and the pulse was almost impossible to measure. After Shen Houde was connected to the electrocardiogram monitoring, all he could see was extremely irregular ventricular fibrillation waves.

"Yang Yu, electric shock comes, hurry!"

Qi Jing had long felt that it was not that simple after coming up. The hard steel on the front exploded. Even if he was in good health, he could not withstand such torture. So he asked Li Yangyu to prepare an electric defibrillator early in the morning.

"Here you come!"

“The maximum amount is 360J.”

"good."

Qi Jing and Shen Houde looked at the ECG monitoring: "Come again!"

"good."

“……come again!”

“…”

After four consecutive electric shocks, Qi Jing's electrocardiogram monitoring display was not responding at all, and his heart slowly calmed down with the already unexcited ventricular fibrillation wave.

Even a front-line doctor like him and Shen Houde who are used to life and death, he will inevitably feel frustrated when he first experienced the rescue. However, the situation on the scene cannot tolerate them to continue helpless: "Have his dad pulled him up?"

“…”

There was no response at the scene.

Qi Jing looked up and wanted to get up to ask the armed police on the ruins. He saw the soldier who had just entered the "hole" climbing out with difficulty, while dragging an empty stretcher behind him.

"What's wrong? Where is the person?"

"Inside." The little armed policeman shook his head: "No help."

"If you are saved or not, please let me talk about it!"

"It can't be moved." He looked at Qi Jing and gasped for two breaths, briefly describing the other person's experience with gestures. "Two broken wooden boards, one was tucked into the stomach, and the other was tugged through the neck. The key was that his legs were still pressed and could not move."

"neck......"

"Come on, the image is coming!"

Qi Jing followed the sound to the firefighter who was sending the camera down. The black and white picture of his palm was filled with tragic feeling. The father should be working in the inner room, and an explosion appeared outside the room. The explosion wave brought up liquefied gas cylinders and cans, easily shattering the wooden door. Two broken wooden boards happened to pierce his body.

"You can still take a gamble on your stomach, your neck..." Chen Houde sighed, "There is no chance."

"Fuck!" Qi Jing couldn't help but burst out, and looked at the son who was gradually getting colder on the ground, feeling uncomfortable, "It's really cheap for them."

......

The explosion in Qinglifang came quickly, and the four continuous vibrations shocked hundreds of families. Fortunately, the scene was quickly controlled with the linkage of the three giants.
To be continued...
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