Nineteenth Century Medical Guide

Graze Hospital provided six surgeons for the Austrian Imperial Army this time, and it was one of the hospitals with the most manpower consumption except the Municipal General Hospital. A group of young doctors, including the chief physician Krigo who was good at plastic surgery, were sent to up the front line.

Lockard and Hills are both over 30 years old and are the backbone of it.

The latter is now replacing Ignatz and Kavi, maintaining the normal operation of the general hospital.The former, on the other hand, was assigned to the third army and was the medical director of the entire forward force.

Lockard and Hills participated in the rescue of Olgi at the beginning. He was slightly inferior to Hills in terms of ability and failed Carvey's assessment. He was finally recommended by Colrigo to the Third Army.

In terms of ability, he is a good surgeon and can perform many simple operations independently.Some difficult ones can also skillfully complete the work of one assistant and two assistants. As long as he has the opportunity, he can learn a lot
But in terms of management, there is no way to deal with all the medical activities of this unit as soon as it comes up.Especially in the two hours after the battle started, he was still doing his duty as an ordinary military doctor, doing a good job of on-site treatment and transportation of wounded soldiers.

It wasn't until the Austrian troops broke through the Prussian forward artillery position that he took a look at the casualties of the army from the perspective of a person in charge.

According to the judgment of the commander of the third army, there should be an entire artillery regiment in the opponent's position, plus the protection of the infantry regiment. As long as the encirclement can be completed, it will swallow a big fish.It is normal for more people to die for this, after all, the cost is high and the return is high.

But when they seized the position, the number of artillery left by the opponent was telling the commander that he had made a mistake in his judgment.

If just misjudging the number of enemy troops is not enough to make him feel regretful, but once the number of casualties in his own army is counted, his forehead can't help but swell: "It's all cleaned up?"

The adjutant said the counting report, "Prussian casualties are about [-], and we."

"How are we?"

The real battle loss ratio exceeded 5:1, and the Austrian army suffered nearly a thousand casualties in this round of assault and encirclement.

Half of them were given to the opponent's artillery, and the rest were given to Prussia's brand new breech-loading pistol.In such a situation, the adjutant could not give exact figures, but could only explain: "The situation is not optimistic, and the statistics are still being counted."

"How many cannons do they have?"

"Only 12 doors were found, and about 400 soldiers surrendered."

"Why is it so small? Listening to the frequency of artillery, there should be an entire artillery regiment. Their artillery establishment should be 6 guns per company, why are there only 12?" The commander even began to doubt his previous hearing, " Are you really cleaning it up?"

"Except for the carriages that slipped away earlier that may have carried some barrel parts, there are no other artillery here." The adjutant said with certainty, "As for the firing frequency of the artillery, it should be that they used unconventional artillery combat methods. .”

The commander-in-chief of the Third Army on the Northern Front is Earl Cram Glass, who has rich experience in mountain combat.

When he heard the briefing on the battle situation, he also had the same understanding as the adjutant, thinking that the opponent's artillery used the wrong method to force the artillery to increase the rate of fire in a short period of time.After all, such a powerful shell should have 12 pounds, and it is considered a heavy artillery in field artillery.

Theoretically, the rate of fire of the field heavy artillery is only 2 rounds per minute. With the dense artillery fire density just now, there should be at least 40 artillery pieces, but now.
"If the speed was barely increased, the barrels would have been scrapped after an hour of bombing, but they are still in good condition now." Earl Kramm said, "I have seen those cannons, and only one is damaged. Look at it this way The reason is that it is only possible to choose one of two things, either the barrel quality of the Prussian guns is very good, or the Prussian guns themselves can withstand this rate of fire."

"And these guns are only 6 pounds, but they are as powerful as 12 pounds, and there are quite a lot of flowering bullets mixed in."

"Using half an artillery battalion to hit the power of an artillery regiment?" Kramm looked at the corpse thrown into the deep pit by the soldiers, his face was dead silent, "By the way, where is our military doctor!? Dr. Lockard. It seems to be called this name, what about others?"

"He is already carrying out medical treatment." Knowing that his boss has a bad temper, the adjutant quickly explained, "He should be the busiest person in the whole army right now."

"Write me a casualty report as soon as Locard is free."

Kram knew that the result of this round of battle was unacceptable, but he couldn't blame others, so he could only sulk: "Let the troops rest here for a while, I need to find a place to calm down. Oh right , count the number of cavalry, continue to send the remaining cavalry, and go forward to investigate."

"Okay, got it."

"Explain the current situation to those brainless scout captains. Any blind charge will lead to irreparable results. The Prussian-Prussian war has already begun, and the behavior of messing around like the one just now may turn the scouting into a mess." A brutal encounter."

"Um"

Behind the army on the other side, Lockard has already started his work.

It's a pity that there was a small problem with the timing, and the overall pace was an hour late.It can be said that Lockard's medical debut in the third army was a complete "failure".

Although his performance is not surprising, after all, most soldiers and generals don't know how military doctors should carry out their work.If you only look at it from the perspective of a doctor, Locard has actually done a pretty good job, and even those old military doctors can't find too many faults.

But if Carvey stood here, or Ignatz, who had great experience in front-line rescue, would judge that his medical command had made a mistake.

In fact, in the four months before the start of the war, Carvey had basically explained the basic process of medical treatment during the battle.

Except for the doctors accompanying the troops below the battalion level, the rest of the medical leaders need to organize rescue as soon as possible, instead of rushing to the front line to work as stretcher bearers.After judging the duration and intensity of the battle, it is also necessary to do a good job in the deployment of the frontline wartime rescue center and the classification of the wounded.

Taking Locard's Third Army as an example, before the troops leave the fortress, the sub-groups of the ambulance station should be set up in advance: stretcher mobile group, classification group, minor injury group, serious injury group, and disinfection pharmacy group.

Lockard should play more of a role as a medical logistics organizer, classification supervisor, or surgeon in the severe injury group.

It's a pity that the sudden artillery battle clouded his judgment. In the hour before the start of the battle, he did not give any medical organization instructions, but simply performed medical service work.Such a job would only make Locard a good doctor, not a good head of ambulance.

However, the corpses and wounded soldiers all over the ground made him suddenly realize that while he was a doctor, he was also a manager who organized the doctors to complete their work.

So after the Austrian army attacked the artillery position, he finally launched the medical rescue station affiliated to the Third Army, and the hierarchical diagnosis and treatment evacuation system began to be implemented.Finally, the wounded soldiers did not need to be simply bandaged and stuffed into carriages to be transported in the direction of the fortress. Instead, they passed Locard's judgment first.

The scale of the military ambulance is comparable to the surgical department of a large Vienna hospital, and the number of staff is several times that of the surgical department of the Municipal General Hospital.

According to Carvey's request at the time, all slightly injured soldiers needed to be treated in the ambulance, and strive to return to the original unit as soon as possible.And critical injuries also need to be treated in the ambulance station as soon as possible, such as hemostasis, bandaging, anti-shock and anti-infection, rather than just giving it away.

After completing the most basic rescue measures, Lockard can decide whether the soldiers need to be evacuated, and judge whether there is life-threatening danger if they are evacuated.

After the ambulance station was launched, the medical personnel and resources of the entire Third Army began to enter the normal process.A large number of wounded are being carried by stretchers and pouring into the temporary ward behind Lockard.

"Doctor Locard!" A stretcher soldier's face was covered with blood, and he was carrying a seriously wounded person in his hand, "Hurry up and save him, he's going to die!"

Lockard was very calm. While dealing with the hemostasis of the severed thigh at hand, he looked at the stretcher bed he sent: "Where is the injury?"

"Chest and left arm," said the stretcher soldier.

"Preparing to receive blood and normal saline, immediate surgery is required." Lockard glanced at the bleeding of the wounded soldier, and asked the nurse who was judging the pulse and blood pressure, "By the way, how are the vital signs?"

This is the first and most critical point in the treatment process.

"Pulse 112 beats/min, blood pressure."

The nurse looked at the mercury level that was slowly falling without much change, and sweat broke out on her head: "The blood pressure is a bit unpredictable, wait a moment."

Lockard had already heard the problem, and quickly delegated the work of amputation and hemostasis to his assistant, and then accompanied the stretcher soldier to lift the old wounded soldier lying on the stretcher bed to the operating table.

"Go to the serious injury team and ask me for an assistant." Carvey looked at the veteran's forearm near the shoulder, cut off the sleeve of the military uniform with scissors, and shouted, "I need an assistant here, how can I operate without an assistant?? ?”

Shouts resounded through the triage department and the makeshift surgical operating room, but it was a pity that everyone couldn't spare the time and energy to take care of other people.

The position below the shoulders is still considered the range of the limbs, but the blood vessels passing through here are very rich.The surging blood kept telling Locard that the wounded soldier was in a bad situation: "Blood pressure? Where's the number I want???"

"86/48, maybe 40." The nurse looked at the scale on the mercury meter and dared not make a sound. "I'm not sure."

Locard's face became more and more gloomy, because in addition to the gunshot wound on his arm, his right chest wound was also very dangerous.The bullet entered the body from the right chest, passed through the shoulder blade, and then flew out of the back.

The makeshift bandage and copious amounts of gauze that had covered the wound felt like they were squeezing into his body as he gasped.And when he exhaled, the blood would quickly seep through the gauze and bandages and leak out.

Locard didn't dare to remove the bandage at all, he was afraid that he couldn't handle the bleeding.The only thing that can be done now is to add bandages and gauze to block it as much as possible.

His mind was in a mess, he had no assistants, and no experience in thoracic surgery. The soldier in front of him seemed to have lost the need to continue the rescue.Because there are still many stretchers waiting to be graded, if there is a little delay here, a group of soldiers who should have survived will die later.

Just when Lockard was about to give up on him, the stretcher soldier suddenly said, "I, maybe I can be an assistant."

"you?"

It was only then that Lockard noticed his attire. Although there was no white feather cap representing a military doctor on his head, the military uniform had a military rank marked on it, and there was also a first-aid treatment kit that only a military doctor had on his waist: "Are you a military doctor?"

"Report to Dr. Locard, I am Litokva, the doctor of the Kravov Infantry Battalion."

He stood at attention and gave a simple military salute, and then explained: "The Kravov battalion suffered heavy casualties. They just finished cleaning the battlefield, and many people no longer need stretcher soldiers. He is our sentinel, and he slept in my bed last night. bedside, now"

Lockard sighed: "Do you have any experience in surgery?"

"Yes, I worked as a surgeon at the Graz Hospital for one year." Litokwa had already taken off his dirty coat, walked to the side of the sink and simply washed his hands, "Last month I Also trained as a military doctor before the war and knew the rules of Viennese surgery."

"Okay, let's go on stage."

Lockard completely cut off the wounded soldier's coat, and said to the nurse beside him, "Give me an adrenal injection, and then give me normal saline and gauze. First open the intravenous access for him, and hang up the hanging bottle as soon as possible." Infusion. It’s too late for autologous blood transfusion, and the wound can’t be completely blocked. I hope the drainage gauze used for stuffing can stop his bleeding.”

"And what about his arm?"

"It's too late. After the wound on the right chest is treated, I'm going to amputate it." Lockard didn't even have time to take care of the other party's grief. "This is the only choice at this stage. If the situation permits, he may be able to take an hour." The evacuation carriage afterwards. In the Army General Hospital of the fortress behind, there should be a surgeon who can treat his wounds."

The horse-drawn carriage needs to gallop for an hour before the wounded can be sent from the battle area to the rear fort hospital.

There was not such a badly wounded sentinel from the Klavov infantry battalion in the second and third wounded lists that Sears took over.

No one in the fortress hospital cared about how many people died on the front line and how many people died on Locard's operating table, because their energy was only enough to care about the wounded in front of them.The entire hospital was already operating at full capacity, and even the third shift of the trauma emergency team, which was supposed to be resting temporarily, entered the operating room.

At this time, Bill Roth and Bottini's surgery also entered a white-hot stage.

The surgical requirements of the two of them were much higher than those of the front line, and the two-line operation of simultaneous surgery on two traumas did not have the slightest time in terms of time. It also allowed everyone to see the first-class level of European surgical technology.

As for the young man who represented the first class, he was still dangling on the train, unable to cope with the sudden battle.