Nineteenth Century Medical Guide

The Prussian infantry artillery mixed team acted very boldly, inserting directly into the position 20 kilometers in front of the Olmitz Fortress.This is a high ground next to the road, covered with some sparse forest vegetation, it can be regarded as a good commanding height.

In comparison, the Austrian Third Army, which was not too far from the fortress, seemed very passive.

The road to the north of Olmitz is wide enough to support four carriages in parallel, surrounded by flat sandy land.This terrain facilitates the rapid passage of infantry, but at the same time makes those soldiers lose their hiding places.

The location of the Kravov Infantry Battalion happened to be in the area of ​​​​the most intense firepower.

In order to find a hiding place, the soldiers had to hide and crawl around. Many people died under the artillery fire like this, and they became cannon fodder before seeing the enemy.

But for the entire Third Army, these losses are insignificant, and the firepower of the artillery positions is not strong at all.The commander quickly judged the location of the position, the height of the position, the surrounding terrain, and the number of artillery owned by the opponent.

When infantry is attacked by artillery, death is inevitable. What really worries the commander is the range of the opponent's artillery.

The 6-pound (about 84mm) artillery in the army generally has a range of about 1-1.5 kilometers, and even if it is at the forefront of the team, it cannot reach the opponent's position at all.Bringing in artillery from the rear would definitely not work now, and it would be better to spend the lives of some soldiers to wipe out the opponent than to let the opponent retreat safely with artillery fire.

The order was sent to Major Klavov by the second messenger: "Order the Klavov Battalion to advance forward, cross the woods and directly attack the enemy artillery positions, and help the main force in front to complete the encirclement of the enemy."

Kravov drew his saber again, but changed the line: "The enemy is at hand, avenge the dead comrades!"

In fact, the enemy is not in sight. According to the judgment of this experienced major, the position is on the high ground 3km away.With the current soldiers' abilities, let alone rushing into the enemy's formation to kill the opponent, whether they can enter the last 100 meters is a problem.

He had no time to think about the range of Prussian artillery, and the only thing he could do now was to obey orders to the sound of the military band's trumpets.

Even Dr. Litokwa could see that it was a reckless decision to charge the opponent's position with artillery, but no one dared to disobey the military order, and there was no other way but to charge with Kravov.Fortunately, his infantry battalion was not the only one responsible for the charge.
The artillery units of the Prussian army quickly caught the opponent's charge.

They adjusted the elevation angle of some artillery pieces. Although the number of artillery pieces in the next wave was less, they could still explode around the Austrian soldiers.

Litokwa, as the only doctor in the battalion, had to drag a few stretchers at the end of the team in order to bandage the soldiers injured in the artillery fire.Members of the military band of the unit will also come to help, but for an infantry battalion, a band of only 12 people can only help carry stretchers.

Not long after the shelling started, the four emergency wagons in the infantry battalion were already filled with wounded soldiers.

Some of those with severed limbs were temporarily saved after being bandaged to stop the bleeding, and they could still maintain a sitting posture, but those with injured trunks could only lie down.Usually, the spacious compartment can hold about 10 people, but now it is only enough for three or four people to lie flat, and the transfer efficiency is not high.

"Send it back to the fort first!"

The coachman leaned close to Litokwa and heard his words clearly: "Okay, I understand! Do you have any other orders?"

"No. Wait!" Litokwa glanced at the adrenal extract in his box, which was about to run out, and asked, "I remember that there is also this medicine in the medicine box of the carriage."

"Yes." Next to the driver's seat is the medicine box, which contains the same medical supplies as those of ordinary military doctors. "How much do you want?"

The young Litokwa was still skeptical about the effect of this bottle of medicine, because he had never seen any medicine that could stop bleeding quickly.He even felt that turpentine bandages were more reliable in stopping bleeding.

But the actual combat in just half an hour was more reliable than a week's class at the military doctor's office, and the bleeding from the severed limbs of wounded soldiers was much better than he had imagined.

If you have to talk about the disadvantages, it is that the quantity is too small and not enough at all.

"Give it to me, and if you encounter serious bleeding on the road, you can share it equally." Litokwa looked at the two soldiers who were blown away by shells in the distance, and swallowed, "After sending it, return immediately! "

"it is good!"

After saying goodbye to the emergency team, the young military doctor returned to the battlefield again.

There will still be shells pouring down in front of him, and there will be more corpses and wounded soldiers. As the smallest individual on the battlefield, all he can do is save the lives of those soldiers who may survive.

As for the wounded soldiers who were sent to the rear fortress, there might be many who could not survive the bumps on the road, but this was beyond his ability to intervene.

Everything can only be hoped by the surgeons of the Army General Hospital.

The emergency carriage carried the lives of wounded soldiers, and the speed of the return journey must be much faster than the normal speed.Compared with a skilled groom, Litokwa's experience as a military doctor is still too weak. The sudden battle made him forget the most basic operations of a surgical doctor at that time, such as water, cigarettes and necessary alcohol.

"Careless" and "in a hurry" were Hills' comments on the young military doctor after seeing the wounded soldiers.

In addition to giving a shot of adrenal extract as required at the time, he only used the linen and bandages in the medical kit for a simple bandage.Some obvious fractures were not immobilized with plaster, and they were sent here after saying nothing.

Although this kind of flustered approach can save people, it will also bring many side effects.

Three carriages and 19 wounded soldiers returned to the fortress after more than an hour's journey, and 4 of them had already died on the road.The rest of the wounded soldiers showed symptoms of irritability, sweating profusely, and nausea and vomiting to varying degrees.

"Look at what they have become!" Hills said to the assistant beside him while looking at the crappy bandages, "Go get water, wine and cigars!"

Like Ignatz, he also participated in the Franco-Austrian War. Although he was a reserve medical soldier who joined at the end of the war, he also took over seriously injured soldiers.He knew exactly what a soldier so wounded needed most.The first is calmness, calmness that can stabilize panic.

Tincture of ya tablets is a good tranquilizer, but it is not something that everyone can use in a military camp that lacks resources.

All these badly wounded soldiers could use was its substitute, two or three cigars that had been smoked by others, and a small glass of wine.

For those recruits who like to liven up the atmosphere by chatting, seeing their hands and feet being blown to pieces, or a certain part suddenly disappearing permanently is quite a "stimulating" thing, so exciting that it is difficult to use words to express.Instead, there was only animal instinct, trembling, trembling.

The initial trembling comes from the contraction of the muscles after the sudden rupture, and then the psychological fear of the possible future consequences begins to take over, and finally the shock caused by massive blood loss will cause them to die in trembling, cold sweat and vomit.

The whole process may take less than half an hour, or it may last more than half a day.

"So it's really important to ease the fear and stay hydrated."

Hills had his assistants feed the wounded soldiers wine and copious amounts of water, and then began passing an expensive cigar back and forth between their fingers.Some of them lost their hands, and they would rely on the help of other people to settle the matter: "I don't know how that guy passed the assessment, how come he doesn't even know the grading system."

"This one is just a cut on the leg. After taking the slivers, the muscle and skin can be sutured immediately. There is no need to occupy the share of the ambulance."

"This one had a broken bone. He didn't even do a reset, so he was bandaged and sent here. It's a miracle that he was alive."

"Here, the wound on the stomach is not big. Even if you can't sew up the abdominal muscles and peritoneum, there's no need to wrap it so tightly. Bandages don't cost money, do they?"

"this."

Hills was accompanied by Sarson, who was brought here from the Municipal General Hospital. The medical student who was disliked by Ignatz at the beginning has now grown into a right-hand man on the operating table.Among them are his own efforts, and Ignatz's education, which is also inseparable from Kavey's guidance in the clinical operation of surgery.

Every time Hills said a word, he could immediately find a way to deal with it: "Take out the fragments, rinse them with normal saline, and suture the muscle skin directly if there is no bleeding; first reset the fracture, check whether there are large blood vessels broken, and if necessary Suture the blood vessels, if the blood vessels cannot be sutured, you can only amputate; abdominal wounds only need to be rinsed, and then sutured.”

Hills was preparing surgical instruments with the nurse, and heard a mistake at the end: "No, according to the "Military Doctor Trauma Manual" temporarily formulated by Carvey, it is necessary to check whether there is bleeding in the abdominal cavity."

"Yes, yes, yes, I forgot about this." Sarson quickly wrote this down, and immediately recalled some follow-up details, "Injury to the abdominal cavity requires judging whether there is hemorrhage in the liver and spleen, and whether there is any digestive tract. damage."

"Cheer me up, the war has already begun!" Hills had no time to praise Sarson's growth. The backbone of the hospital is still on the way, and he has more important things to do. "Everyone who enters the general office All wounded soldiers in the hospital need to do a good job of measuring vital signs, blood pressure, heart rate, and respiration! Don’t miss any of them. In case of a critical situation, the second shift set up by Kawei will come to help first.”

"Yes, I see!"

The second shift is an emergency team composed of foreign doctors from the St. Mary's Hospital of the College of Surgery. The chief surgeon is Bill Roth, the vice president of the college, and the first assistant is Botini, who was amazed at Carvey's technology in the stands of the square.

Yes, that is the young doctor who puts disinfection above all else, an authentic Italian.

At this moment, his great motherland has sent a powerful army to confront the southern army led by Franz's emperor Maximilian in the Lombardy region.

Originally, it was impossible for the Military Medical Office to accept him. In fact, when Prussia and Austria were engaged in mutually beneficial diplomatic activities in July and August, Vienna began to expel Prussians and Italians intentionally or unintentionally, and those from the North German Confederation also No exception.

Fortunately, Carvey's medical team was not restricted by the Military Medical Office. After fully explaining Botini's situation to Franz, the young Italian surgeon was able to stay with Carvey. 【1】

In the same situation, there are two French and one British doctors who are on standby in the remaining two emergency response teams.

The next second assistant is a doctoral student at the University of Vienna School of Medicine, one class lower than Sarsen-Mellen and the others. The third assistant is a 31-year-old surgeon at St. Mary's Hospital.They were all Massimov's students, they were recommended by him to accept the assessment by Carvey, and finally became members of the first class according to their grades.

The second shift quickly got in place, and dealt with the open fracture just now, whose left leg was broken into an L shape. After finding that there was no possibility of recovery, he was delegated to Sarsen for amputation.But they didn't have time to rest at all, because the second batch of wounded soldiers had already been sent in by the nurses in the hospital.

This group of soldiers was more seriously injured than before, with wounds all over their bodies, and traces of shotgun and rifle bullets could be clearly seen.

"They are all soldiers at the forefront, and they are all warriors in the imperial army. Lie down and rest well, the surgical team will heal you!" Sears looked at the wounded soldiers, couldn't help sighing, and asked To the clerk next to him, "How long will it take for Carvey and Mr. Ignatz to be here?"

"They set off this morning, and they should be able to reach Malacki in the afternoon." The clerk said, "If there are no accidents in the journey, they will be able to reach the fortress tomorrow evening or the morning after tomorrow."

"It's really slow."

"No way, the reconstruction of the Countess's house is too important." The clerk persuaded, "And who would have known that the war would come so quickly."

At this time, the train that Carvey was sitting on was lying quietly on the rails, and what the clerk said "no accidents" really came true.

Austria's proud imperial train encountered a full slope, perhaps due to a problem with its load, coupled with the autumn rain that lasted from the night before, the wheels spun crazily on the slippery rails, but it just didn't move forward.

In the end, I had no choice but to unload part of the luggage, and then let the soldiers push the cart together.

Carvey sat with Herman and Ignatz, discussing complex military medical issues.These problems have long gone beyond the boundaries of surgery, and have begun to involve some novel knowledge points that ordinary doctors cannot understand.

"When dealing with rats, you must comply with the regulations, and prepare a dedicated rat extermination team." Carvey looked at the rules and regulations he had written, and the quill kept looking at the table. "I don't know if Sears is ready."

"It's just a mouse. Is it necessary to do this?"

Carvey looked at Ignatz, who was disapproving, and replied seriously: "If I told you that the Black Death was spreading by them, I'm afraid you wouldn't think so."