It's not that difficult to open a hospital in another world, right?
Chapter 2: Pinch the liver hilus with bare hands
"Little Gretel...?"
The young man raised his head to look at him blankly. Wu Zhouli ignored him, rushed to the injured person, and quickly swept around -
No table.
No trolley.
There is no slightly higher platform that he can use as an operating table...
A dead horse becomes a live doctor! Wu Zhou gritted his teeth. For surgeons, the area below the waist is equal to the sterile zone, and kneeling on the ground is a complete violation of the aseptic code. But... in this poor environment, don't worry about whether it is sterile or not. Let's save the injured person's life first!
While observing, he gave orders:
"You! Come here, press his arm here! Press it tightly, don't relax, right! And here, on the leg, is where I press it. Okay, press it! Press it harder! You! Press it here! You ! Take off his clothes!"
"I can't take it off..."
"Then tear it apart! Cut it apart!"
The aura of the deputy chief physician of the emergency department is fully radiated, and he is omnipotent.
There were three or four people around, but he kept their feet off the ground. Press to stop bleeding, press to stop bleeding, take off clothes to take off clothes, and boil water to boil water. Everyone was so busy that the one who boiled water ran in and out, flying back and forth inside and outside the hut, and had no time to say a word to his companions.
Even the young pastor was ordered by Wu Zhou to hold down the injured man's brachial artery with his left hand and his right hand at the injured posterior tibial artery. Because the pressing position was too weird, I knelt on the ground and twisted into a strange shape...
Not that no one doubted whether he understood it or not. But in times of despair, as long as one person issues an order with confidence, the others will probably instinctively obey:
It's like struggling in a flood. When you are about to collapse, grab something - even a life-saving straw, it is good!
Wu Zhou stared at the wounded man and shouted orders. The man knelt down and touched the neck of the wounded man with his right hand. Hold your breath, one at a time, and count the heart rate of the injured person:
The heartbeat is fine. Less than 100... Oops, it's getting faster and faster, and there may be heavy bleeding! The carotid artery pulse is weakened, the face is pale, the skin is sweaty, and the breathing is shallow and rapid...
A series of information quickly passed through my mind, and everything was troublesome. Blood pressure, I don’t know about blood pressure. This place doesn’t even have a mercury sphygmomanometer!
We can only rely on visual inspection!
Fortunately, Wu Zhou has been doing emergency medicine for so many years and has followed 120 to the scene countless times. He basically has an intuition about whether the injured are critical and what injuries they may have. With the appearance of the injured person now, the probability of hemorrhagic shock is definitely not small!
The injured man's leather armor was scattered all over the ground. His shirt was torn open and the wounds on his abdomen were shocking. A long crack, nearly 20cm by visual inspection, extending diagonally downward from the right upper abdomen to the left lower abdomen!
Blood gushes out one after another. Wu Zhou only glanced at it, and the hair on his body exploded, and his blood pressure broke through the top of his head.
MD! This amount of bleeding means either the artery is ruptured, or the liver, spleen, or kidney is ruptured!
He casually touched it on his waist. A dagger flashing with cold light appeared in the palm of his hand. Wu Zhou didn't even think about it. His eyes were already fixed on the injured person's abdomen and he raised the dagger.
Thank God, the injured person actually had six-pack abs. The abdominal muscles were visible, which meant that the underlying anatomy was exactly the same as what he had known before: underneath the skin was the rectus abdominis, which was wrapped around the rectus abdominis. The sheath is cut from the rectus abdominis sheath with minimal damage and can avoid cutting off nerves and blood vessels...
In this world of divine magic, the injured, or rather the human anatomy, must remain the same as before!
Wu Zhou concentrated on holding his breath and cut along the wound on the injured person's abdomen, next to the right rectus abdominis. Time was tight, and no one helped him retract the hook or let him carefully perform blunt dissection. Wu Zhou's knife cut directly through the anterior sheath, muscle layer, and posterior sheath of the rectus abdominis muscle, cutting straight to the end. Another 10cm long knife edge was suddenly opened, and black and red blood suddenly gushes out.
"What are you doing!"
The young priest, who was kneeling opposite the injured man and was ordered by Wu Zhou to apply pressure to stop the bleeding, screamed until his voice almost broke.
Not only did he scream, the little priest also leaned forward, stretched out his arms, and instinctively blocked the wounded man's abdomen. He had a tragic look on his face, and every freckle on his face said "If you want to kill him, kill me first!"
Wu Zhou: "..."
Gee, this is why family members cannot be allowed into the operating room. When you see a doctor slicing, cutting, and slashing on a patient, why don't you rush in and fight to the death immediately?
Wu Zhou could only complain briefly in his heart. He held the dagger tightly in his right hand, and pushed the young priest on the shoulder with his left hand, pushing him backwards and falling out, roaring:
"Who told you to let go! Go and hold him down! If you don't hold him down, he will bleed to death!"
"But you-"
"I'm rescuing someone! He's bleeding from his stomach too! I have to stop the bleeding! Get out of the way!!!"
"oh……"
The little priest retracted to his original position, twisted into his original posture again, stretched his neck and looked at the injured person's abdomen. Wu Zhou glanced at it and saw that the position and posture of his compressions were correct, so he returned his attention to the injured person's abdomen. Turn the dagger sideways, use the back of the knife to push the abdominal muscles to the side, and look directly to explore——
"What's this?"
asked the young priest opposite. Wu Zhou continued to push open the abdominal wall without raising his head:
"liver."
"Oh, it's liver..."
The little priest muttered and tried to look. Wu Zhou no longer wanted to spray him: the current sterile environment was over. As long as this guy didn't spray saliva on the wound, let him be. The most important thing now is the injured person's liver!
Wu Zhou saw liver at a glance. Fortunately, okay, the position of the organs has not changed, and the anatomical structure has not changed. In this world of divine magic, human beings have not grown more strangely, or grown an organ for casting spells.
Left lobe of liver, right lobe of liver...
"Ahhhhh, so much blood!"
"Shut up!"
Wu Zhou frowned. In the center of the red right lobe of the liver, there was a crack that penetrated downwards. And in the center of the crack, bright red arterial blood is constantly pouring out!
His previous judgment was correct. There was indeed massive organ bleeding in the abdomen. The bleeding was the liver!
Liver parenchymal laceration, depth... He didn't dare to look at it, visual inspection showed it was no shallower than 1cm, plus there was a lot of active bleeding——
This is definitely a third degree injury! Not the most serious, but, but...
"Save him..." The little pastor was already in a panic. His words were trembling and broken into sentences: "Save, save him..."
Of course I want to save people! The problem is, this kind of injury is nothing in the emergency department, and it can definitely be saved, but in the wilderness, there is nothing you can ask for!
Wu Zhou's heart was beating so hard that he almost broke his ribs. He leaned down, pulled open the abdominal wall with his left hand, and penetrated the victim's abdominal cavity with his right hand. Lift the liver, push the stomach, open the intestines...
"What are you doing?"
the little priest asked tremblingly. Hearing that voice, I was so scared that I almost fainted - yet I was still observing. In view of his commendable courage, Wu Zhou did not hesitate to explain a few more words:
"We're looking to see if there's any major bleeding in other organs. Well, there's no gallbladder, no spleen, and kidneys... The kidneys are located relatively far back, so the possibility of damage is unlikely, but we still have to take a look... Well, there's no obvious mobility either. Bleeding, great!”
"Well...then what?"
Then?
Then comes the real challenge. Wu Zhou has been practicing medicine for more than ten years, but he has only done this twice. And in their entire provincial hospital, the number of doctors who dare to do this can be counted on one hand.
Amitabha, Sanqing Daoist, Holy Mother of God, any god... bless the anatomy of this injured person and make sure nothing happens!
He took a deep breath and carefully pinched the portal artery and vein.
"Wow! Less blood! Less blood! ...No more bleeding!"
cheered the little priest. The flow of blood spurting out of the wounded person slowed down instantly, turning from a torrent to a trickle, and from a trickle to a leak. The hemostatic effect is visible to the naked eye.
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