Path of Medicine With a System

The work of disaster relief is very special, it does not follow the general medical method. Because it is very special, the environment is special, and the wounded are special.

The number of wounded is relatively large, and the injuries are serious and complicated. The traffic environment in the disaster area is poor. Unable to run the wounded in time.

Therefore, in the disaster area, the principle of rescue is first rescue before rescue, serious before light, scientific classification, graded treatment, continuous monitoring, early debridement, delayed suture, and overall treatment.

Just these few words seem to be very simple, but in fact, these few words are full of helplessness and cruelty of medical people! Yes, it is cruel. Many times, when you need to choose, what you face is the life of others or the limbs and organs that need to be abandoned!

Landslides, and landslides in the middle of the night, are very vicious. On a rainy day, without any warning, he sneaked into the village like a devil from the Maruko country, and it was so fucking cruel.

The weather in Northwest China is very cold in winter. In order to resist the cold climate, the walls of the houses had to be thickened. But such a thick wall is as fragile as a newspaper under the natural disaster mixed with mud and boulders, and it cannot resist it at all, but it has caused great difficulties for disaster relief.

After this kind of wall fell down, it was not scattered bricks, but some kind of broken walls in pieces. If he was unlucky, he would be crushed to death directly.

Xue Fei, who entered the disaster area in the early stage, tried his best to follow the soldiers ahead. His body, which has been corroded by staying up late and tobacco, can only keep up with the great boy who trains every day in front of him with the strength of (a) milk.

The small roads that originally criss-crossed the fields in the small town have long since disappeared. The survivors are the residents whose houses are at the outermost, or those who live on higher floors.

But it is a small town after all, and there are not many high-rise buildings, so when the collapsed mudslide rushed in, most people were swallowed up in their dreams.

"Brothers, hurry! This way! Come quickly, this way!" A little soldier's face was covered with mud, no matter how he could not conceal his youthful age. At this time, he was very happy, almost yelling, because he found a wounded person.

"Hurry up, I found the crushed person." The medical staff of Xue Fei and his team hurried over, entered the disaster area, where there were doctors and soldiers, and when the wounded were not found, they kept throwing away their tools. dig. Because of the enthusiasm of these soldiers, other people were directly driven.

Collapsing mudslides are sometimes more terrifying than earthquakes in some ways. Because there is a lot of soil mixed in, the instant coverage will cause the personnel to lack oxygen and lead to suffocation, so the medical team cannot help but be in a hurry.

When Xue Fei and his team arrived, Xue Fei's scalp felt numb. From the underwear, it looks like a woman. She is lying in the gap formed by two huge stones, and her upper body is not bad.

But it is also obvious that there are bruises everywhere and the mud covered with blood stained red. It is almost impossible to see that it is a person from head to buttocks without looking carefully.

What was really scary was the legs. Both legs were firmly pressed down by two huge stones, and the surrounding soil had already turned vermilion.

It is conceivable that there may be other people around these two huge rocks, but large-scale machines cannot get in, and digging by people is not much at all. Such a huge rock weighs one or two tons if it does not have three or four tons.

With just one glance, Xue Fei jumped to the side of the wounded without any hesitation, and thrust his hand into the patient's neck. "There are still fluctuations. Quick! First aid kit, rescue!" Xue Fei said loudly.

Rescue judgment should be quick, this kind of judgment is best completed within three seconds, that is to say, the sooner the better. This kind of judgment is also very simple, it is to see if the fluctuation of the carotid artery of the wounded can be touched.

Because of the fluctuating carotid artery, it is generally reflected that the systolic blood pressure of the wounded can reach 50mmhg, which is the critical blood pressure of shock. The two doctors worked together in a division of labor and moved very quickly. One doctor quickly cleaned the patient's airway.

"No, there are too many impurities in the mouth, and her body can't move, and she can't clean it up.

"The patient's original weak breathing was changed because of the inspection by the rescuers.

The patient's face became more and more purple, and suffocation had already occurred. It was too late, and the special position made it impossible to perform other rescue operations.

"Thick needles! Quick, thick needles. Three!" Dr. Yang Shusen and Xue Fei shouted loudly to the nurse at this moment.

With the thick needle in hand, there is no time to sterilize it, and there is no time to do other actions. Yang Shusen didn't even gesture with the thick needle, and he ran out of time. It directly pierced the cricothyroid membrane of the wounded with a puff!

"Not enough! Come again!" Yang Shusen continued. The bruising on the patient's face slowly faded after continuous thick needles were pierced into the wounded's cricothyroid membrane.

As the bruises on the wounded's face and lips improved, Yang Shusen broke out in a cold sweat. If this method didn't work, he could only quickly cut open the cricothyroid membrane with a knife. Those who are infected or not are ignored.

First aid, often times, the time given by God to the wounded is only enough for the doctor to do one treatment. If this treatment is ineffective, then the next treatment will either never have a chance, or it will be very fast.

If the piercing needle is ineffective, Yang Shusen's incision will be very rough, just like cutting the throat in a movie, the patient's cricothyroid membrane must be cut quickly and accurately.

Yang Shusen was dealing with the airway, while Xue Fei was dealing with the patient's legs.

"Scissors! Hemostatic pads and bandages." Xue Fei knelt beside the wounded and said without raising his head. The wounded's legs were really invisible, the calf was directly crushed into minced meat by the big stone, and the remaining tissue was like a silk thread, which was disconnected from the bottom of the knee joint.

The surrounding soil is mixed with the patient's blood, bones, and muscles, and the land has turned into a brown paste!

The calf was hopeless, so I had to give it up. Xue Fei quickly cut off the remaining limbs, quickly used a hemostatic pad to advance the patient's popliteal fossa, and then quickly wrapped it with a bandage.

The speed is very fast. At this time, the wounded are walking on the verge of life and death. If the vitality is stronger, they may be able to survive, but if the vitality is weaker, they may die when they leave the ground.

"Open the venous channel. Inject norepinephrine! Hurry up on the stretcher and get ready to transfer." While Xue Fei was working on his lower limbs, Yang Shusen had already begun to establish an effective venous channel and gave him cardiotonic treatment.

Stretcher, two or three soldiers have already come around. The wounded was placed on a stretcher, and after being tied up, "Quick! Transfer, he's already in shock."

The soldiers started to sprint forward after lifting the patient, toward the direction of the operating cart. This kind of rescue cannot be delayed at the scene, because the effective time of the medicine is too short.

In fact, it is a race against death again, to see who can run fast, if it can run quickly, the wounded will be rescued, but if the transfer cannot pass, the wounded will die, it is very simple.

"Quick! Quick! Faster! Run!"

"Step aside!"

"Come on! Change."

There is quite a tacit understanding among the well-trained fighters. A group goes all out and sprints like crazy. At five or six hundred meters, there are already other soldiers waiting. On the muddy ground, they carry the wounded and sprint for five or six hundred meters. After 100 meters, these fighters lost their strength directly, it was too strenuous.

The fighters who took over didn't need to say much. Immediately afterwards, he continued to run, running forward desperately. The sundries on the way scratched the soldier's clothes and scratched the skin, and the blood flowed out like small pearls and drifted with the wind.

"Where is the injury!" Ouyang stood on the roof and kept dispatching the wounded who needed treatment.

Treatment requires technology, but this kind of organizational assignment also requires experience and relevant knowledge. In this situation, ordinary people can't organize at all. Ouyang can command a team of nearly a hundred people with ease like an arm.

Which point needs support, which point needs blood, and which point has a vacancy, too much consideration is given to a person's organizational ability. It is estimated that these skills are only mastered after many times of experience.

"Debride the wound, debride the wound as soon as possible, give me a rongeur, Wang Yanan, stop the bleeding in the lower limbs. The channel quickly injects crystals, and injects 1,000 milliliters in fifteen minutes. Quick!" In the operation car, Zhang Fan went crazy, and one by one the wounded were taken away. sent it down.

There are only a few surgical vehicles, so these wounded must be treated in the shortest possible time. The treatment here also follows the principle of first treating the most serious and then less serious, and first rescue before rescue. In fact, this is the principle of battlefield rescue.

Save your life first, and then talk about other things. Zhang Fan, who was originally very quiet in the operating room, yelled loudly like a runaway poodle.

There is no way, there are too many wounded, and they are sent and sent continuously. He is the team leader of the operation vehicle.

It is necessary to quickly generate a plan in the mind. If you are slow, you will commit a crime. If you are slow, you may be killed!

"Electrical defibrillation, focus adjustment!" In the operation vehicle, round after round of ABC was being implemented. A (airway!) B (breathing!) C (circulation!), everything else is left behind, no matter what kind of trauma suturing, fracture fixation are all behind, too late.

These are the things to be done in the second phase, and now is to grab as much as you can from the hands of death. There is no room for ambiguity.

For an hour, the doctors at the halfway treatment point and the doctors in the disaster area will take turns. If you don’t change it, you won’t be able to do it anymore. It takes too much energy on the muddy road. Even the rotation is relatively easy.

Can't do it anymore? Impossible, the wounded are waiting to be rescued there, how can they not do it, they have to do it, there is nothing to discuss.

The colorful warriors and the fair doctors have all been turned into clay figurines, almost indistinguishable. God may feel that he didn't cry enough. The rainwater that was originally smaller began to grow slowly again, and the road that was about to be opened had a large area of ​​landslides again.

"Commander, what should we do? The landslide has worsened! The follow-up troops can't get in, and the medicine is almost in short supply."

"Don't care about the machinery. Let the troops forcefully march and run in. Now we don't have enough personnel. Quickly, inform. Contact the superiors and let the air force release medicines!"

Just like a battlefield, a battlefield without gunpowder smoke, if you stand at a high altitude, you can see that the army of ants enters from all directions quickly, and all the automobile machinery is abandoned.

"Quick! Speed ​​up, work harder, the people in front don't have much time. Quick!" The officers outside the team kept cheering. No army in drag, very fast. In the heavy rain, they bypassed the collapsed place, rushed across the river, and entered the disaster area one after another.

In the air, helicopters dropped drugs one by one, and time passed bit by bit.

disaster area! Just like the Shura field, the cry of children, the cry of looking for mother and father, the sound of mother and father looking for their children like crazy!

rescue! rescue! Time is everything, time at this time is more expensive than gold!

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