Nineteenth Century Medical Guide

Chapter 108 105. My mouth is so powerful

Drowning has always been one of the most common causes of accidental death of children. In the 19th century, when there were no fast-moving cars and emergency rescue systems, drowning topped the list without any suspense. Once drowned, it was difficult to revive.

This is not only due to the non-existent protective measures, but also to the first aid method for falling into the water that no one is proficient in.

Even in modern times, the treatment of first aid for drowning is still public and reasonable, and there is no real formula.Even the most authoritative first aid guide for drowning in the world, before the popularization of evidence-based medicine, there were constant quarrels over some detailed specifications.

Moreover, the norms are not static, and are also limited by the changing conditions in the field, requiring emergency doctors to fine-tune on the spot.

Drowning often causes suffocation and cardiac arrest, and the golden treatment range is extremely narrow.

The modern medical emergency system has been perfected day by day, but there is also a waiting period of 5-10 minutes for the pre-hospital first aid to arrive at the scene, which is enough time to kill a drowning person who has already suffocated.Rivers and lakes that are prone to drowning are often far away from the city center, and first aid will only be slower.

Therefore, it is often not the emergency doctors who arrive later that can really save lives, but the non-medical staff on the scene.It may be relatives, classmates, friends of the person who fell into the water, or a passer-by who is brave enough to do justice like Morazo.

For the enthusiastic rescuers at the scene, they must hope that the drowning person can survive, but there are various methods, some of which are a waste of time, and some are even more fatal.

On the surface, it seems to be "woke up" and "alive", but the changes in the body are still dangerous. 【1】

The child who drowned was a couple's children on the boat. They looked eight or nine years old, and their family background should be pretty good.The passers-by along the coast were very enthusiastic and helped a lot to save people, but it also set a new lower limit for Kawi's drowning treatment measures in Austria.

"Quick, pour water, it's been in the water for so long, quickly stand him upside down and drain the water!!!"

"I think it's better to do the enema first. I have good tobacco here. Mix it with some laudanum (anti)tincture. The taste will definitely bring him back to life."

"How do you get smoke up a kid's butt without an overboard enema box, with a special long tube and blower inside the box?"

"Don't worry, my mouth is no worse than that tiny blower!"【2】

Carvey was too surprised to hear these words. Seeing that they were about to lift the child's feet upside down and open the gluteus maximus, he had no choice but to report his family to ask for a space for treatment: "Don't fall down!" Come here, it’s useless! Let me go, I’m a doctor from the Municipal General Hospital, and I have a solution!”

"doctor?"

Here, a doctor is synonymous with a gentleman, and the suit on Carvey is also dignified enough.After hearing this, everyone stopped their hands and feet, watching him and not daring to move.

"Put him on the lawn quickly, quick!"

Carvey took off his coat and gloves, looked at the pale child with cyanotic lips, opened his mouth with his fingers, and took a carotid pulse.

In just a few short minutes just now, a lot of mud had accumulated in the child's mouth, and even aquatic plants could be seen.And the pulse that should have appeared under Kavi's fingertips also disappeared, the breathing and heartbeat were all 0, and the child's foot had already stepped into the gate of hell.

"count!"

The situation is very bad, and Carvey needs a trusted helper: "Come and help!"

The naked Moraso stood aside, just took the towel handed by the guard, and immediately stopped and moved closer: "What do you want me to do?"

"Hurry up and clean the sand in his mouth." Carvey said, pressing his hand on the child's chest, "After cleaning it, help change the child's clothes, the river is too cold, he needs Keep warm."

"No problem." Moraso didn't have the arrogance of a nobleman at all, and started to dig out the sand with his hand.

"A few more people to help change clothes!"

In addition to not knowing the rescue method, these passers-by are very experienced in drowning, at least the speed of undressing is very fast.But everyone's attention was not on the child, nor on the child's mouth, but on Kavey's hand pressing on the child's chest. 【3】

He raised his fingers slightly, pressed the heels of his palms against his sternum, and exerted force vertically with his arms: "Count, are you alright?"

"It's coming soon."

Carvey looked at the unresponsive child and couldn't wait any longer. He pushed Moraso away, closed his mouth and pinched his nose, and blew hard: "Bring a blanket and wrap him up!"

The child still didn't respond, and Carvey blew a second time.

This time there was a reaction, but it wasn't the child, but his mouth.A lot of foam slowly flowed out of the mouth, with dirty water plants, silt and a little white stomach content.

"woke up?"

"not yet."

Carvey knew that it would be very troublesome if he didn't respond after the first two breaths.

He's done first aid for decades, but the vast majority are adults.The number of artificial respirations he has given children in his life can be counted on the fingers, and he is not as open-minded as the passers-by around him when he treats drowning. It would be a lie to say that he is not nervous.

At this time, Ignatz and Bergett, who were following the king's special car, also ran over: "Drowning?"

"Yes." Carvey kept pressing with his palms, and silently recited the number of times in his heart, "Severe drowning, people are not very good."

Ignatz has never seen cardiopulmonary resuscitation, but after spending so many days together, the sense of security brought by this mysterious young man made him somehow convinced that this is the correct first aid method: "Would you like to try Marshall-Hall Law?"

"What method?"

"There are already many successful examples of drowning treatment methods that are popular in Britain and France." Bergett also has some knowledge of cutting-edge technologies, and explained, "In fact, it is to inflate the lungs."

"It's too late to insert the inflatable tube." After Carvey finished speaking, the number in his heart reached 30. He quickly stopped his hands and turned sideways, pinched his nose and took the third and fourth mouthfuls directly, "He didn't even have a heartbeat, I have to keep doing it." Pressing, relying on pressure to drive the heartbeat, who can help with this Marshall method?"【4】

Mouth-to-mouth blowing is indeed beyond their ethical scope. Moraso, who was still alive just now, was looking at the white secretion at the corner of Kawei's mouth, and suddenly fell silent.

"You really have to talk." Ignatz couldn't understand this behavior.

Bergert couldn't understand either: "He's a boy."

"Does it matter? Girls can't do it either!"

When Kawei just wanted to complain that you dare to blow your ass, why don’t you blow your mouth, the uncle with a pipe stood up again and responded to this unspoken question: "How about I come to help Come on, I have a really good mouth."

"it is good!"

"Blowing smoke up your ass?"

"Mouthpiece!!!"

"Ok."

Although the artificial respiration performed by Carvey failed to wake the child up, he was ventilated at least twice, and the obvious rise and fall of the chest could be seen.This shows that the sediment, water and plants have been drained, the respiratory tract has been unobstructed, and there is still a chance!
"The boat has docked!!!"

I don't know who yelled, and gradually there was a shrill cry from the river bank: "Rimite!"

The mother's cry was frightening and heart-piercing. Although the father on the side didn't shed tears or move his mouth, he threw himself on the child as soon as he arrived, shaking his body vigorously: "Wake up, child!" , Wake up!!!"

But now the boy is still deprived of oxygen, his face is ashen, and he doesn't respond.

Carvey gave Berget a wink, and he immediately understood that he would walk over and pull him away: "Our doctor is still in the rescue, please stand aside and wait peacefully, don't disturb him."

In fact, when he said this, he was very guilty. After setting up his family members, he still squatted beside Kawei, and asked in a low voice: "Can you do this?"

"Of course, it can be done!"

Pressing with one hand will be more difficult than doing it with both hands because you can’t eat all the weight, sweat is streaming down Karvey’s cheeks, and the second round of 30 in his heart has already arrived, and his pulse is still silent: “Uncle, blow! "

"Okay~" The uncle took a breath, pinched the child's nose tightly in the same way, lowered his head and mouth to mouth, "One bite, two bites are done!"

The third round of recovery begins.
The frequency of Kawei’s pressing is not low, and it took less than one minute after two rounds, but this special and unfamiliar first aid method still caused many people to doubt: “Doctor, do you press so hard, can the child bear it? In the lungs, how can we not get the water out?"

Once someone starts, many people will follow suit, and this kind of doubt will not only spread among passers-by, but will also deeply affect the parents of the children.

Karvey is used to this kind of situation, even though he pressed and ignored them, but the child's parents couldn't help it.The father who had just retreated a few steps ran forward and asked, "Are you a doctor? Is your method really effective?"

"Have."

"Can Remet be rescued?"

"do not know!"

The father's face was ugly, and the mother on the side was crying so much that it made people feel distressed!

Kawei really wanted to stop and turn around and scold them. The two parents and one child can't manage well. Is it so difficult to hold hands?
But he still held back. What the child needs now is not for the parents to learn a lesson, but for constant chest compressions.Only in this way can the beating of the heart be simulated, and the blood with oxygen can be pumped to the whole body: "If you have time to waste time here, why not go to the boat and get a brazier down."

The father was very dissatisfied with the young doctor's attitude, but there was nothing he could do now, so he could only turn around and board the boat.

The remaining passers-by continued to question. Although they were all well-intentioned, they became stupid noises in Kavi's ears: "I am, Baron, a doctor at the Municipal General Hospital. What do you have, Qualifications, come to question, me?"

The voice of this sentence is not loud, because the fast frequency of pressing is cut into small segments, but the people around are very sensitive to the word "Baron".Before the voice fell, no one around dared to talk anymore, and even the crying mother "reduced" a lot.

Although it is bullying, it is really easy to use.

The third round of compressions was over, and there was no need for Kavey to speak this time. Seeing him raise his hand to touch the child's carotid artery, the uncle leaned over and blew into the boy's mouth.

fourth round.
"The brazier is here, give way, the brazier is here!!!"

The crowd parted ways and let him in after hearing his father's cry: "Where do you put it?"

"Just put it next to him, don't lean too close."【5】

"it is good."

Carvey is very aware of the temperature on the child's body, and raised his hand to feel the temperature of the brazier: "Put it further, farther away."

"Farther?"

"Correct!"

Although his father didn't hear what he said just now, Kawei's decisiveness still gave him a lot of points.People who can remain calm and make a series of judgments in critical moments can always make people who don't know how to understand it.

"Okay, that's the place." Carvey nodded, and then asked his father to come forward, "Put your, hand, under his, armpit, and change it when it's completely cool."

"Um"

"Who has wine?"【6】

When it comes to the normal rescue of drowning people, I am afraid that everyone present cannot be perfect, but when it comes to alcohol, there are too many people.All the men present had small wine bottles in their arms, and they had all kinds of wine.

"Don't take it, brandy, I want it, low alcohol, wine." Carvey looked at Amber who was with him every day, his eyes were burning, "He's still, kid!"

"Come here, wine, it's the fine wine that His Majesty the King specially drives." The chief guard ran over from a distance holding a bottle of white wine, and shouted, "Mr. Carvey, what should I do next? "

"Pour a cup, put the brazier on the side, and heat it up."

"Ok."

The fourth round was over soon, and Carvey's shirt was soaked.

Taking advantage of the interval between his uncle's artificial respiration, he quickly took off his vest, preparing to change his one hand to two [7].One is that the strength of my right hand is gradually weakened, and the proficiency of the left hand is insufficient, which is difficult to maintain. Second, I still hope to increase the blood circulation of the child so that he can wake up as soon as possible.

Carvey didn't know how long this kind of compression would last, let alone how many doubts he would face if the rescue failed.

But I happened to pass by the river with the carriage team, and the child fell into the water by chance, everything was God's will.For Carvey, this child is his own patient, and it is right to suppress it anyway.

Fifth round!
Just as he put his hands on the child's chest and was about to exert force, the child's father suddenly called out: "Wait, I just saw his face move!"

"woke up?"

The father patted his son's cheek: "Wake up, my lips are moving!"

"Yes, and his fingers."

"My God, he's alive!"

Carvey stopped quickly, lowered his body and looked at the slightly undulating chest, and finally felt a faint pulse when he put his fingers on the carotid artery.Under the joint effect of slowly warming body temperature, heart rate and breathing, Remit's face gradually turned red.

This is the favorite color of Kavey, who has been against death all the year round, and it is also the most beautiful color in the world.

The child did wake up, coughed several times and then spit out a large mouthful of river water. Although his face was painful, at least he was still alive.Kavi stood up and breathed a sigh of relief, and finally said the words that had been held in his heart for a long time: "He's back!!!"

(End of this chapter)