If everything can come again

If everything can come again
"If time can flow backwards, let us go through the rescue work providing disaster relief of antidetonation again, as the doctor, how should we do? Can do better? " On July 25, at the forum that surgery of Wen's Sichuan earthquake treated and cured the job expert, a famous medical expert in our country put forward such a question - - Staff reporter blue Li easy in day autumn such as Yang Jointly Wen Sichuan earthquake surgery of run-up treat and cure job expert's forum and have in China's surgical magazine and promise and Noda Company, an expert who has gone to Sichuan and participated in treating and curing the wounded says: "If we can summarize conscientiously, and the starting point of regarding this as academy and thinking deeply, review deficiency and question in the rescue, offer the valuable experience for great calamity in the future, then our blood, our sweat, our tears have not flowed in vain. " The medical personnel dashing on the first line is the hope that the earthquake wounded grow. In this merciless disaster, the medical personnel has handed in the outstanding answered test paper. After earthquake finish two more than month, every discipline expert gather, think, summarize antidetonation, provide disaster relief valuable experience that make and expose the question happening, regard one as and leave some wealth in the future. Medical team, after many kind earthquake take place, because the intersection of seismic zone and medical organization maul, need assembling badly the medical strength of the regional foreign aid, including medical worker, medicines, medical equipment, medical apparatus,etc., especially rush for tens of thousands of of medical team members of the disaster area from all parts of the country. It seems now that though the starting point at that time was very good, a lot of experts put forward the question: Are medical teams the more the better? How is it just more rational to dispose? The Li 's of department of neurosurgery of China Western medicine institute of university of Sichuan is flat for associate professor to say, because the traffic is obstructed, most medical team members are unable to reach seismic zones such as Beichuan,etc. as soon as possible, the result misses the gold for 72 hours and rescues time. This is an important reason why wounded of this earthquake have high mortality. The expert points out, medical team member's engineering levels sent to the disaster area as soon as possible are all very high, but reached the disaster area, there is no related medical condition and even lack the most basic medical facilities. What the medical expert reaching the seismic zone at first often acted is not medical treatment to rescue roles, but cooperate with fire fighter, police officers and men to dig people in the ruins together. The expert points out, rescue and need to dispose specialized rescue strength live. In this case, the medical expert's function does not have greatest intensity that can be given play to, it is very regrettable. Find out the severely injured for the expert to " lets the appropriate patient find the appropriate doctor. " This accumulates the red view that puts forward of the tension of associate professor of treatment of dept. of orthopedics of the wound of puddle hospital in Beijing. Tension red to say in the earthquake, in the face of a large number of wounded that appear, get to medical worker of scene, could launch treating and curing live at first, and bear the important task of shunting the wounded at once, it is essential for saving wounded's life. The key task of the expert of medical team should sift in the earthquake live and check to the wounded and classify the wounded's order of importance and emergency, and confirm the patient's whereabouts. He says, in the expert should put energy to and participate in 20% of the complex to injure the wounded and rescue, and accounts for 80% of the ordinary wounds, can well deal with to the general doctor. The expert participating in the conference points out, in fact, because send after lacking the classification with prompt science, treat and cure the platform and has not set up as soon as possible, lead to the fact a lot of wounded have already died at the scene or without reaching Line two hospital. We will set up more effective emergent command system in the future in this suggestion. The intersection of dept. of orthopedics and expert, the intersection of PLA man and 306 the intersection of director and majestic to say, treat and cure the mode, for a long time have live De Zou, very tertiary medical aid principle has not got very good implementation in the earthquake, the result lets patients separate with the expert, the wounded can not see the capable doctor, the doctor sees the wounded needing to treat and cure most, the wounded have not treated and cured the platform, there is the platform that lacks the appropriate apparatus. In Beichuan of severely afflicated area of the earthquake, Zou De is majestic to rebuild the tertiary medical aid system. The first establish the front treat and cure group promptly, launch the urgent rescue in the ruins with the intersection of scene and professional common rescue group, to relatively the severely injured, through examining injuring the classification; The second put up the intersection of tent and health station in disaster area, go on and treat and cure to the passing masses suffering from disaster briefly not merely, still to over one hundred because tired which cause wound officers and men, army of rescue, speciality rescue team member and volunteer go on the infusion treat; The third relies on the local hospital, build up the rear and treat and cure the base. New technologies do not forget some earthquake wounded of old method are infected with the serious wound while sending to the central hospital. The central hospital bone head of the department Wang Jun of Mianyang says, the wounded's open wound is nearly all infected seriously when admitted to hospitalling. How to controlled and infect, the expert participating in the conference has launched discussing warmly. Some experts point out, while rescuing live, medical team members should carry and cross and oxidize medicines such as hydrogen, physiological saline,etc. in a large amount, wash the wound for the wounded at the scene, in case it initiates the serious consequence longer that the wound pollutes time. Meanwhile, the antibiotic that earthquake wounded appear is able to bear the medicine question being mentioned by the experts too. Famous expert of dept. of orthopedics, general hospital Professor Xu ShaoTing of Military Area Command in Beijing have participated in resisting U.S.A. and aiding 1950 the line was treated and cured forward. He remembers that controlled the simple method to infect decades ago. He says, under the war condition at that time, the medical facilities were very simple and crude, there are not so many medicines at all. Wounded send here will it be before dawn every day, medical worker carry on to wounded clear to create, punish, carry on the operation in the evening. Light the gas lamp, boil the unboiled water, make the brine of density 0.8. This kind of simple and effective treating method of boiling boiled water, make the wounded in two armies not the great infection has not taken place. Xu ShaoTing says, can't be because of the technological progress now, the medical means has been improved, have forgotten all the most basic old method. In earthquake ruins the treatment and on-the-spot treatment, the doctor should learn to suit measures to local conditions, especially under the scarce situation of basic facilities, the old method is still very affective. These words make many experts filled with all sorts of feelings. Osteopathy Chen JianTing, expert of department says the southern hospital backbone of southern medical university, they catch up with at the night of May 14 and reflect beautifully. Face thousands of earthquake wounded, though most wounded have already saved oneself or mutually rescued, but it is very unstandard to wrap up and fix, some wounds of wounded are tied up very tight, and not sterilized for a few days. Medical team members washed the wound for the wounded with the mineral water at that time, saw off quickly after dealing with and wrapping up fixedly again. This was proved to be a very practical experience later. The young doctor needs to practise the basic training this earthquake lets too large quantities of to see the young medical personnel of the disaster go to the seismic zone ^ly, they work untiringly, have represented the lofty medical ethics of healing the wounded, rescue the dying. But the expert participating in the conference has expressed such a view, the basic training of the young medical personnel also needs strengthening. Zou De is majestic says, checked the condition at that time and restricted, they accepted for example Fifty or sixty methods which crush injury woundeds can only check by physics to cure, for example stroke, see swelling. It is warm to try covers, depend on the basic training. At the beginning, these young doctors, according to teaching on the textbook, only cut 20 centimetres to crush injury wounded's wound at most. Zou DeWei told them, would cut from the thigh to the shank at that time. Prove afterwards, this part great treatment and cure which cut-outs the wounded is very effective. The expert participating in the conference points out, the young doctors all do according to teaching on the books now, lack the adaptibility to response, medical science clinical " three bases " Training is not sturdy yet. Need, set up the intersection of disaster and medical treatment, rescue the intersection of system and country Li, say our country has not set up medical science of the disaster yet while being flat. Medical science of the disaster involves more than ten disciplines. The emergence of the earthquake, the importance of medical science of the prominent disaster, a lot of questions are worth reviewing. Turn round, come, watch after the earthquake, how reasonably to include disaster area and medical resource that rescue both at home and abroad in, unify deployment and command, used in the place needed high technician and resource badly even more, the training first aid, scientific first aid that is standardized, but not simple " The first aid of the emotion " ,It is the place where worth we think. The university China Western medicine institute bone head of the department Pei FuXing of Sichuan says, after the earthquake, should improve the whole people's calamity and treat and cure competence, strengthen medical organization and personal saving oneself consciousness and ability. The fact proves, the medical organization at the basic level saves oneself well, injuries and deaths, death are little, it is relatively high on the contrary. These contents are all scarce in modern medical course.

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