MTL - Doctor’s Life Simulator-Chapter 48 Only have equipment, no doctor, unfortunately!

Dr. Zhang quickly rushed to the burn department and found Director Wei Guoqiang sitting in the conference room.

Director Wei always pays attention to and controls the front-line scheduling of the entire rescue operation and contacts with the deployment of materials and personnel for various needs.

Seeing Doctor Zhang coming over, Wei Guoqiang immediately stopped what he was doing and smiled slightly: "Doctor Zhang, why are you here? Is something happening on Director Zhuang's side?"

The emergency department and the burn department are the centers of this rescue operation. Therefore, Wei Guoqiang paid special attention to seeing people coming from the emergency department.

In an emergency, Dr. Zhang is of course the first to report the difficulties encountered by the emergency department.

".... two patients developed sepsis, and acute renal failure..."

Wei Guoqiang also had a serious face when he heard the report. This is no trivial matter. Once the best rescue opportunity is missed, the probability of death of the patient is very high.

"Doctor Zhang, wait a moment, I will immediately contact Dr. Liu Feng from my department to see the current equipment and personnel arrangements in our department."

Soon, Wei Guoqiang figured out the situation in the burn department:

"Doctor Zhang, the current situation is like this. The rest of the conventional hemodialysis equipment in our department is now saturated. Liu Feng's main department is already carrying out a continuous blood purification treatment, and the patient will be able to complete the blood purification in about ten minutes. After Dr. Liu completed the treatment of the patient in his hand, he immediately arranged for a patient to come to our burn department."

"That's great, then thank Director Wei, Dr. Liu, and I will report to Director Zhuang immediately. It's just that another patient can only think of other ways."

Dr. Zhang naturally understands that at this time, everyone is in a state of overload, and it is not easy to deploy Dr. Liu to arrange a patient.

In the emergency department, Zhuang Tong also called the director of the nearest hospital department. After all, the medical circle in Hecheng is very small, and the chief physicians of the same level will have academic conferences and international forums to exchange and study together in a few months.

Therefore, they have formed a deep friendship, and they will support each other when they encounter problems.

"Hey, Director Huang, I would like to ask your department if there are any hemodialysis equipment and doctors that can be deployed to our emergency department, or I can arrange for patients to be transported for treatment now. There are two patients on hand now with sepsis. Complicated with acute renal failure, the situation is critical..."

Hearing Zhuang Tong's narration, the director of the second hospital on the opposite side of course understood that it was the emergency treatment of a batch of burn patients this time.

"Director Zhuang, although most of the patients were transported to your city's first hospital this time, considering the strength of the city's first hospital, some serious patients have been sent to our second hospital. Now our department's hemodialysis equipment is also saturated. However, if you need it on your side, I can arrange for a senior attending physician to come to support."

The director of the second hospital was also unambiguous, and directly coordinated with a senior attending doctor to come to support.

However, the biggest problem in Zhuang Tong's hands now is that apart from doctors, the equipment is also insufficient!

However, it would be good to have a senior attending physician come to support him first, but if it really doesn't work, Director Zhuang will consider using peritoneal dialysis technology.

Peritoneal dialysis entered the clinic almost at the same time as hemodialysis, but at the beginning of its birth, it was faced with the challenge of peritonitis and the risk was high, so that it has long been regarded as an adjunct and supplement to hemodialysis.

Now in the burn department of the city's first hospital, only those patients with end-stage renal failure who are not suitable for hemodialysis will consider peritoneal dialysis.

Different from hemodialysis, peritoneal dialysis uses the peritoneum as a dialysis membrane, so that the water, electrolytes and metabolic wastes retained in the body enter the peritoneum through ultrafiltration and osmosis to remove metabolites from the body.

Its advantages and disadvantages are equally obvious. The disadvantages are naturally high risks and poor effects, which are far from comparable to hemodialysis. However, the advantage is that it does not require a dialysis membrane, requires less equipment, and uses the peritoneum of the human body and the surrounding peritoneum for dialysis.

This is also the last emergency method that Director Zhuang Tong thinks of now.

While Zhuang Tong continued to contact for help, Dr. Zhang also returned to the emergency department to report.

"Director Zhuang, Liu Feng from the burn department will be able to complete a continuous blood purification treatment immediately, and we can arrange for a patient to go there. However, we still need to find a way for the other patient."

Doctor Zhang is also a little helpless, but this is already good news.

After listening, Director Zhuang nodded: "Okay, then you can arrange it now. When Dr. Liu completes the last treatment, he will start the rescue immediately. For another patient, I will find a way, but if it doesn't work, I will leave it to me. Come and give him peritoneal dialysis yourself!"

Hearing Director Zhuang's words, Dr. Zhang was stunned. Over the years, with the popularization and application of hemodialysis, very few young doctors know the peritoneal dialysis technique, and it is only the old doctors of Director Zhuang's generation who can master this technique. A near-obsolete technology.

At the other end, Liu Feng is also preparing to treat the patients with sepsis and acute renal failure who were transferred from the emergency department immediately after rescuing the patients in his hands.

While going to the next surgery, I called Wei Guoqiang:

"Director Wei, the conventional hemodialysis equipment is now saturated, but we did not purchase two sets of equipment to carry out continuous blood purification therapy. In addition to the one I am using now, there is one vacant. You can contact Director Xia Zhuang to see if there are any. Not able to operate BaxterBm25 (US) blood purification device, NA69 membrane filter..."

"If there are doctors who have studied, they can use that set of equipment for first aid. In order to ensure the smooth rescue, I can let my teacher at the First Affiliated Hospital of Zijingang University, Deputy Director Shen Jiamo, give remote guidance."

Hearing Liu Feng's suggestion, Wei Guoqiang's eyes also shined. This is also a feasible way. However, has the No. 1 Hospital of the City ever learned the doctor of the BaxterBm25 (US) blood purification device?

Wei Guoqiang immediately called Director Zhuang Tong:

"Director Zhuang, now we have another plan, that is, after Dr. Liu Feng returned from his training last time, we purchased two sets of BaxterBm25 (United States) blood purification devices. Now Dr. Liu has used one, and the other is vacant. Yes, but due to the lack of time, it is too late to promote teaching in our department, so we will contact each other separately to see if there are any doctors who have mastered the equipment."

"Okay, Director Wei, I know, I'll contact you now to ask."

Zhuang Tong is also very grateful. At the critical moment, Director Zhuang is always trustworthy, "Director Wei, if I really can't find a doctor, I will give the patient peritoneal dialysis. Although the treatment is almost impossible, the possibility of sequelae is higher~www.novelbuddy.com~ But save the patient's life first."

After the two chief directors discussed the countermeasures and had a bottom-line plan, they began to contact each other.

However, it is clear that the medical level of Hecheng is still incomparable with the top hospitals in first-tier cities such as Hangzhou, Modu and Imperial.

Due to the extensive clinical value of Continuous Blood Purification Technology (CRRT) and its exact and stable medical effects, CRRT has become an essential skill for ICU physicians in the top hospitals in Modu and Imperial, and it is also an ICU physician in medical quality management. One of the technologies that must be mastered also reflects one of the indicators of the hospital's handling of critical illnesses to a certain extent.

This time, Dr. Liu Feng went to the First Affiliated Hospital of Zijingang University for further studies. The most important task was to learn CRRT technology. He was basically the first doctor in Hecheng who was truly proficient in continuous blood purification therapy.

After asking around in the surrounding hospitals, Zhuang Tong and Wei Guoqiang finally gave up the plan of continuous purification therapy. The two directors were also depressed. They only had advanced equipment, but there were no doctors who knew how to do it. What a pity!

In the burn department, Liu Feng started the preoperative preparation, and at this time, Qin Lang also just completed another eschar decompression surgery.

Liu Feng had a very good impression of Qin Lang after going through the previous burn rehydration program. He had planned to find an assistant to cooperate, but now everyone is very busy and was still trying to arrange someone to assist. He was overjoyed to see Qin Lang:

"Qin Lang, a patient will be transferred from the emergency department in a while. I'm going to give him continuous blood purification treatment. I also need an assistant. If you don't have an arrangement now, come with me!"

As soon as Qin Lang heard this, he looked up at Liu Feng and confirmed, "Continuous blood purification treatment?"