Doctor Peerless

Chapter 241 Critical Illness Rating: S-
There is only one piece of equipment and it has to be recycled.

The used instruments were thrown into the pot by Zhou Sheng and sterilized with boiling water at high temperature.

The method is very primitive, but it is also very small and effective. High temperature can kill a large number of bacteria. As for the existence of a small number, it depends on whether the life of the injured is hard enough. In fact, based on the evaluation given by the A-level scanning system, the condition of the two patients All grades are A+.

Almost, there is no doubt about death.

Zhou Sheng is not optimistic about the possibility of them surviving, but he has to do his best.

While he was looking after the boiling water, Delia looked at the condition of the injured leg with concern. Unexpectedly and somewhat expected, Zhou Sheng stitched up very well, and he always surprises people.

At this time, a capable assistant gives people a sense of dependence.

Delia had been alone and helpless for too long, when Zhou Sheng appeared, gradually brought her support.

For a moment, she felt that she had become weak.

"Great job, Zhou!"

"Thank you, but if the amputation is delayed for too long, he also has the risk of death, and it is very high." Zhou Sheng has calmed down and can calmly analyze the condition.

Delia naturally understood what he said.

"Wait for Dan to come. Hope is on him now. We can only delay as long as possible and do some emergency treatment. Without blood tests, blood transfusion equipment, anesthetics, drugs, and a lot of disinfectant, we can't complete the operation."

"This is already a high-risk surgical environment. If there is no medical equipment to support them, God can't save them."

Delia is an atheist. When an atheist talks about God, he is really driven to a dead end.

The chief of the Hyena Department has long since left, leaving behind a few capable women.

It seems to be able to hear that the ceremony in the valley is still going on.

The chief seemed to be venting his anger on the cow.

Buckets of water were picked up, boiled, cloths were torn, washed, and stored in gradually cooling boiling water. These things were disinfected cotton that would be used for emergency disposal later.

Time cannot be delayed by them.

Seeing that the amount of 'disinfected cotton' was almost gone, Delia decided to start disposing of it.

The priority of the wounded must be the 'tribal dignitaries'.

This is something that can’t be helped. There has never been absolute fairness in the world. If the younger brother of the tribal chief can be saved, it will be more beneficial to the future work. As far as the illness is concerned...

Those with lower back injuries can wait a little longer.

At this time, Zhou Sheng did not despise the priority, because it is the same to save everyone, there is always a priority, but the survival rate cannot be guaranteed, to put it harshly...

The first person to be rescued may also be the first to die.

"You do the endotracheal intubation, I release the abdominal pressure, prepare with adrenaline, of course...we only have one, this thing is not a last resort, we have to keep it for life."

This can be described as powerless.

An adrenaline shot was used to save her life. If Delia hadn't always carried a medical kit with her at all times, the two of them could only mourn for them when the hyenas called for help.

Of course, it doesn't make any sense to say so much now.

Zhou Sheng nodded, took the endotracheal tube and started preparations.

Delia also began to grope for the rib cage, preparing to release the pressure in the cavity caused by the bleeding.

Start their own work and concentrate on it.

Tracheostomy is no stranger to Zhou Sheng. Although he still has a bit of rejection in his heart, he is used to seeing strong winds and waves in Africa, and he has gradually come out of his previous state.

Endotracheal intubation is now done to avoid vomiting blood, choking the respiratory tract, and causing the injured to suffocate to death.

Mr. Zhou came first, without delay, activated the system skills, and simulated the pathway.

Although the technique of cutting the cortex, muscles, and anterior fascia is still a little rusty, after the courage has improved, combined with what I have learned, it has greatly improved compared to before.

Intubation, all in one go.

After feeling the sound of ventilation, Zhou Sheng and Delia looked at each other: "You start."

The way to relieve abdominal pressure is also to perform intubation, but this type belongs to the category of emergency medicine. Zhou Sheng recalled the content he studied in school, but he was still very ignorant, because the increase in abdominal pressure only occurs when internal bleeding occurs after injury, and when the injury After the patient is sent to the hospital, this situation will not exist in open surgery.

Of course, reducing abdominal pressure is also a necessary skill, and all doctors understand the truth, but if you are not a specialist, it is risky to do it rashly.

Delia made a small incision, followed by Zhou Sheng who wiped the blood with a sterilized cloth. After incision of the cortex and muscle layer, Delia held the cannula in her hand, and only cut the fascia while inserting the cannula. Tube.

The transparent cannula was instantly filled with blood, and the burst of pressure caused the blood to splash out from one end of the cannula, and the lasing continued.

Seeing this picture for the first time, Zhou Sheng was curious: "What's the point of releasing the abdominal pressure?"

"Basically not. Create an incision, intubate, and the pressure will allow the hemoperitoneum to drain naturally, but one must understand that the amount of internal bleeding should not be too large, otherwise the sudden release of pressure will aggravate the wound."

"The current judging criterion is time. If he can live until now, the damage to his vital organs will not be too serious. Most of the blood stains are accumulated and mixed with ascites. If the abdominal pressure is not released, the blood pressure will rise, leading to sudden death. .”

During the question and answer, the tense atmosphere seemed to ease a little...

The best way for doctors to improve is to do it in actual combat, with standard cases in front of them, and more things that can be understood and absorbed.

Blood and ascites are pollutants. Delia has prepared a clay pot long ago and collected them to avoid affecting the operation environment later.

Local residents have long mastered the skill of smelting pottery.

Waiting for the blood to be drained clean, this time also involves an important procedure, vacuum isolation and voltage stabilization.

Vacuum isolation is to prevent bacteria from entering the abdominal cavity from the pipeline. From this point of view, it can be understood that during intubation, the movement after fasciotomy must be consistent to avoid bacterial infection.

As for the pressure stabilization, because the bleeding continues, causing the pressure to continue to change and increase, it is necessary to exhaust and release at regular intervals.

Delia's cannula is a complete medical product with a balloon. If it is an emergency, it needs to be made temporarily with a liquid bottle... Regarding this point, Zhou Sheng's teacher recommended a relevant case when he was in school.

After doing all this, both of them breathed a sigh of relief at the same time...

A stage is considered complete.

Next, unless they waited for Dan to deliver the medicine, they would have no better way to deal with the situation at hand.

however.

Changes always come faster than expected.

Just as the two took a breath, the injured man on the side suddenly became abnormal, with blood choking from his mouth and nose.

They were startled suddenly, and Delia also looked solemn...

"not good!"

"The amount of bleeding increased, and he couldn't stand it anymore."

Zhousheng's A-level scanning system was also activated immediately.

【Hematoma rupture caused by severe adhesion of kidney damaged veins】

【—hemorrhage】

[Critical Rating: S-]

[Suggested treatment: emergency kidney removal surgery]! !

(End of this chapter)