It's not that hard to open a hospital in another world, right?

Chapter 363 It's too long, the necromancer cuts people's hearts!
The pastor who was being dragged over... Gretel didn't see anyone, but first saw five stick-like fingers, withered and thin, looking exactly like Gretel's nostrils.Retract again, feel the pulse of the wounded.

Gretel raised his head in his busy schedule.Whoa!What race is this... this orc...?

Dogs are not like dogs, cats are not like cats, and if it is a tauren - look at the horns on his head - it is too short and too thin.Still hunchbacked, his whole body shrank into a ball tremblingly, with a distressed expression on his face.

If this has something to do with the word ox, it can only be called a snail...

Regardless of the snail beetle, it is a good cow that can heal the wounded.But it's a pity that the old orc who was kneeling on the opposite side had an extremely ugly face, and stretched his trembling hands towards the wounded chest. He wanted to pull out the dagger several times, but he didn't dare to pull it out:
"My level of healing is too low, let's maintain it together temporarily, and wait for a high-level healer to come..."

He lowered his head and sang in a low voice.Even with [Language Proficiency], Gretel couldn't understand what he was singing, just like knowing Chinese doesn't necessarily recognize the lyrics.We could only see waves of reddish light rain falling on the wounded. After a while, the old pastor was panting and sweating on his forehead.

"Hey, you can help too! Aren't you a priest?" A young orc next to him called out.Gretel looked up and glanced around, meaning to leave a treatment for minor injuries, lowered his head, and continued to observe the injured:
Some of the orcs in this room are like dogs, some are like cats, and some are like foxes; their faces are dark and shallow, yellow and white; their physical characteristics are quite different from those of humans. Now let him compare them to judge whether the patient has a complexion or not. Pale, he...

The reference is too complicated to judge, so I will leave.

With more than ten years of clinical emergency experience, Gretel can quickly judge the condition of the injured.The wounded's eyes were wide open, and his gaze followed them, but he was still conscious; he saw a wound on his chest, about 2cm long, and the depth was unknown, so he dared not draw the knife for the time being.The location of the middle knife is to the left of the center of the front chest, at the...fifth intercostal space...

How many pairs of ribs should the bloody orc have?

Did this position hurt your heart?

Did you poke your lungs?

Gretel quickly took out the [Endless Ink Pen] and stuffed it under the orc.Inhale, concentrate, and release [Detection Magic]...

Can't see anything.

uh...that's embarrassing...

[Endless ink pen] is a level 9 magic equipment, which can observe objects five levels lower than it.This warrior obviously has a higher level, and his life energy is too strong. The magical aura of [Endless Ink Pen] cannot penetrate the wounded body...

The old pastor was still struggling to sing, hanging on the vital signs of the injured.Gretel seized the time and casually put his hand on the forehead of the injured, dripping with cold sweat;
There are blood vessels protruding high on the neck. Depending on the location, it is probably, maybe, maybe the jugular vein?
Pulse... I don't know what the normal pulse of the orc is, but the feeling under the fingertips is shallow and fast, and it is getting faster and faster. The feeling of pressing the fingertips, and the hemorrhagic shock of the wounded in the previous life, the weak feeling of blood pressure drop , no difference;

Pull out the brass stethoscope and listen...

Plop, plop, plop.The sound of the heartbeat was weak, heavy, and vague, as if it came from far away!

Knife stab wound in the precordial area, not much bleeding, distended jugular veins, sudden drop in blood pressure, low and distant heart sounds—so many symptoms, all the same, all pointing to critical illness, acute cardiac tamponade!
- There is a layer of muscle outside the human heart, called the pericardium.The pericardium is extremely dense and wraps around the heart, with pericardial fluid inside for lubrication.Like now, the injured person's heart was stabbed by a knife, and he was already bleeding, but the pericardial muscles contracted on their own, enclosing the blood in the pericardium so that it would not flow into the chest cavity.

With this layer of protection, the heart will not bleed too much, and will not cause hemorrhagic shock soon; however, if there is too much bleeding, the blood in the pericardial cavity will accumulate too much, the pressure will increase, and the heart will be compressed from the outside .

When the pressure reaches a certain level and exceeds the strength of the heart muscle, the heart will be unable to beat, causing cardiac arrest!

Without the beating of the heart, arterial blood cannot be transported to the whole body, and the patient will soon fall into a state of hypoxia.At most three to four minutes, the hypoxic brain tissue will suffer irreversible damage.

At that time, it will be useless to save him!

Gretel immediately jumped up:
"Who can call the shots? Who can call the shots here!"

"Me, me, me!" Three or five orcs shouted together.There were the soldiers who rushed to the scene first, the brown-haired orc who dragged the old priest and shouted "Save my brother", and even a graceful catwoman.While shouting, you push me and I push you at the same time, as if trying to rush to answer.

Gretel had seen this situation a lot in the emergency department in his previous life.There are seven aunts and eight aunts crowded the consulting room, one asked the question, and the other insisted on asking again; retracted...

There are all kinds of things, and if you stay in the emergency department for a week, you will definitely be able to collect something that is not repeated.

The matter is urgent, and I don't have the heart to tangle with them.Gretel glanced left and right, and immediately stared at the blond orc with the most gold ornaments and the most straight chest, standing in the C position of the crowd, with a hasty tone:

"He's dying! I might be able to save him—but only if I cut open his chest and touch his heart! If you allow me, I'll treat it. If you don't allow me, I have no other choice but to leave!"

The solution to cardiac tamponade is not difficult—or, in the eyes of modern surgeons, it is.The chest was opened, the pericardium was cut, and the blood flowed from the pericardium.The pressure in the pericardium is relieved and the heart will naturally resume beating.

As long as all these are completed before 4 minutes of hypoxia, people will be saved!
However, this kind of treatment method is undoubtedly crooked at present.Gretel didn't make it clear to his family members, or he didn't make it clear to the people who could make the decision at the scene and get consent, he absolutely wouldn't dare to do it!

Just kidding, there were a dozen orcs at the scene, he and Bernard, even with the dwarf Gavin, there were only three of them in total.If you rashly go up and cut someone's chest open, it's not enough to get a beating!
"What? Chest dissection!"

There was a loud bang in the room.Before the blond-haired orc could answer, a few warriors started talking loudly:
"Are you the devil?!"

"No, you are a necromancer?!"

"He was injured so badly, if you cut the chest again, you will definitely die!"

"Simon—Simon—"

The catwoman threw herself on the injured man, her face pressed against his chest, mournful.Just after crying twice, a brass pipe suddenly came down, rubbing her cheek and falling on the injured man's chest.The catwoman was startled, and her claws popped out on the spot.

There was a clank, and three claw marks appeared on the outer wall of the stethoscope in an instant.Gretel retracted the stethoscope expressionlessly, and looked up at the blond-haired orc:
"You better decide quickly. His heartbeat is getting weaker and weaker, and he won't last much longer."

"How long can you keep him alive?"

The blond orc suddenly spoke.But he was not asking Gretel, but the old orc on the ground.The old orc raised his head tremblingly, sweating profusely:

"No, it hasn't been long... I'm just a middle-level priest, I can't heal this kind of fatal injury..."

"Simon saved my life." The blond orc said suddenly.He took off a gold bracelet studded with precious stones and handed it to Gretel:
"If you can save him, I'll give you whatever you want. But if you kill him—"

Gretel got up and walked out.

What a joke, the wounded saved your life, but not mine.Thoracic surgery is such a dangerous operation, and the attitude of the family members still wants me to treat it?
I am not stupid!
There was no registration, no ambulance to the hospital, and it was stipulated that the doctor must not refuse treatment, so he died!
Two orc warriors stopped at the door reflexively.Gretel paused, with a straight face:
"What? Did I kill the man?—Get out of the way!"

The two soldiers stood still, refusing to move.Gretel snorted, turned his body halfway, and Bernard was about to move forward.At this moment, a sharp cry sounded from the depths of the room:

"His heart stopped beating!"

Cardiac arrest?
So fast? !

Gretel turned around suddenly.Trembling, the old orc suddenly pulled out the dagger on the wounded man's chest, and cut his own chest with his backhand.One cut, two cuts, three cuts, blood flowed profusely, and then, an illusory rain of blood sprayed directly from his chest to the wounded.

Gretel quickly threw a fatality spell.The wounded man's breath strengthened a little, but soon weakened again.Amid the desperate pleas of the catwoman and the roar of the soldiers, the old orc lay limp on the ground and shook his head helplessly.

"You come to cure it!—If it doesn't work, it's not your fault!"

The blond orc finally called out.Gretel stepped back to the side of the wounded, leaned over to take a look, directed everyone to lift him onto the table, and reached for the dagger...

"Boss, you must not move."

Bernard reminded calmly behind his back.Gretel was silent, took a deep breath, and then took a deep breath... Then, he slapped the space bag, and the silver skull given by Master Edgar flew out of it, and assembled it piece by piece.

There was a sudden silence in the room.Behind Gretel, an unknown orc whispered:

"He really is a necromancer..."

Gretel didn't have time to talk to the guy.He quickly poured iodine on the patient's chest, wiped it, poured alcohol, and wiped it again.The Silver Skull stepped forward, Gretel handed it the dagger, and dropped a [Magic Weapon] on the dagger.Then, he took a step back very skillfully, from the direction of the operator, walked around to the opposite assistant's position and stood still.

This time, I finally don't have to stand as an equipment nurse, which is gratifying.

The silver skull held the dagger and slashed it down.The time was urgent, and there was no time to do any delicate work. This knife cut open the chest directly, and four [Enhanced Mage Hands] came out together, two on each side, pulling the breastbone out.

Amidst the teeth-piercing creaking sound, a huge, glowing red heart, the size of two fists, quickly appeared in front of everyone.

The orc warriors gathered around to watch.The silver skull raised the knife and dropped it, and another knife cut across the surface of the heart.Gretel cried, "Stay away—"

No one cares.One by one, desperately moving forward, just want to see more clearly.However, when the knife was cut, the pericardium was torn open, and a column of dark red blood rushed up instantly, spraying directly on the roof!
****
Ask for subscription, ask for monthly pass, ask for recommendation ticket, ask for book review, ask for various...

In the new week, the recommended votes have dropped to more than 1000...

　Thanks to @cutonshary for the 3000 starting coins

　　
　
(End of this chapter)