Lin Gao Qiming

Chapter 2168 Medical Service Work
This seemingly perfect system actually works poorly due to the shortage of professionals and medicinal materials.

In the previous wars of the Senate, the duration of the battle was generally not long, and the overall casualties were relatively small.Concentrating most of the health resources for a surprise solution generally has good results—except for some severe trauma and infection, the survival rate is very high.

During the Hainan Island Security War, most of the troops encountered small groups of bandits. Not only were the troops small, but their quality was low, and their weapons were also very inferior.

Today's situation is quite different. In the security battle along the Xijiang River, the number of enemies is large, the equipment is not bad, and most of them are very familiar with the terrain and people's conditions.In contrast, the national army, which undertakes most of the daily tasks in the public security war, is often undertrained and poorly equipped.

Because many troops were reorganized from the surrendered army, they had poor fighting will, and their casualties were much greater than those of the Fubo army.After a battle, the number of wounded who need to be evacuated is often more than the troops can handle.

Most of the battles against bandits are carried out in units of companies/squadrons. The combat range of a battalion/battalion may be as large as several square kilometers. The battlefield is often between mountains and hills. Soldiers who are wounded on the front line have to overcome great difficulties To reach the camp health station.

"...Even if they get there, they won't get any medical treatment," Lin Motian said sullenly, "I went to the army to see it. The camp health station can only be regarded as a dressing station. There is nothing useful in the medical kit of the health staff. They They can only do basic debridement and bandaging, and can barely fix simple fractures, but can't deal with more complicated wounds. In some places, the wounded can't even supply drinking water..."

To transfer from the dressing station to the field hospital, one has to climb mountains and ridges before changing ships.During the bumpy transfer, the seriously injured couldn't support it at all.And each transfer link has to go through a long wait, and many wounded who could have been rescued deteriorated and died during the waiting.

The soldiers' own conclusions are roughly "you can live if you can walk" and "you must die if you put on a stretcher".Lin Motian had to admit that these words were basically correct.

The long-distance and slow evacuation often causes the seriously injured to suffer and die. Therefore, in many cases, the traditional practice of the company to "make up for the wounded" has revived.The "kindness" that seems to be a short-term pain is worse than a long-term pain, but in fact it has a great blow to morale.

"I also know that there are not many things we can do with our conditions. Especially for the seriously injured... I am a surgeon myself. With our conditions, large open tear wounds and penetrating organs with damaged organs are common now. Injuries...I know how many can be saved, and it doesn't matter if they are sent or not. But the current situation is too ugly..."

"Don't blame yourself too much—others don't know what the medical level of the Senate is, but don't we have a clear understanding of hygiene?" Liu San also lit a cigar, "A military medical team can be established in the 17th century. How many companies can there be? It would be great! Don’t forget that in the mid-19th century during the Prussian-Prussian War, there were only six military doctors in an army of tens of thousands! The advanced nature is based on comparison.”

"You're right, but..." Lin Motian still couldn't let it go.The days of working in the field hospital were too stimulating for him.Knowing what is going on and actually being there are two different things.

"As for the resource issue, don't get too entangled." Liu San comforted, "Hong Huangnan and I have already checked and planned to expand the establishment of the ambulance team. The special stretcher team needs to be greatly increased, and there is Special ambulance ships should be built, and the wounded should not be made to wait for the return transport ship—even if they die, they will die in the field hospital.”

"Where's the medical staff?"

"Try your best," Liu San said, "It's probably impossible to increase the number of veteran doctors, but you can get more than a dozen medical students for training—these people are not allowed to go to the front line as the doctor said. Their safety must be guaranteed."

Since the tragic death of a naturalized civilian doctor in the battle in the Beijiang River Basin, Doctor Shi's heart ached to death—a "doctor-to-be" qualified according to the standards of this time and space would take more than three years of training for the health department. It is still based on the talent and intelligence of this person, and the tireless teaching of the veteran doctor-in the end, the general staff and the health department issued a special document, requiring the troops to "protect the safety of every medical staff"

"I will have it."

"Also, a batch of samples of the new first aid kit you designed were released, and a batch was sent out for trial use—I brought a batch with me this time as well."

"That's great!" Lin Motian's frowning face suddenly became a little happy.

The equipment in the medical kit commonly used by health workers is very simple: a wooden stethoscope, a debridement kit, a set of acupuncture needles, a small bottle of alcohol, a pack of hemostatic powder, a small bottle of marching powder, a pack of berberine, a A small bottle of sulfonamide, a small amount of drinking water disinfection tablets, and some gauze, bandages, triangular bandages and tourniquets.This sanitation box has been put into use since the eve of the second anti-"encirclement and suppression" war, and it has been improvised until now.

The new medical kits were named "Type 35 First Aid Kit" and "Type 35 Military Medical Kit" by him. They were designed and distributed on the basis of the original health worker's back box.Divided into health worker version and military doctor version.

The 35-type first aid kit has been partially improved on the basis of the original version.Two layers of tung oil cloth lining are added to the inside of the original cowhide case to enhance the waterproof effect; acupuncture needles and debridement kits are greatly simplified in the hygienist’s first aid kit, and the debridement kit only retains a knife, scissors, needle and thread, and as a supplement, The types and quantities of surgical instruments in battalion-level health centers have been increased; in addition to alcohol, a small bottle of iodine glycerin and hydrogen peroxide has been added; medicine, burn ointment, Angong Niuhuang Pill and oral laudanum tincture; chemical drugs have added oxytetracycline, which has been matured and mass-produced, and refined morphine for first aid, and some areas have also added pituitary and adrenal extracts, and added Corresponding syringes and needles were provided; the dressings were basically kept, and the five-color wound bands of the fake self-liberation army were added: red bleeding bands, white fracture bands, black infectious disease bands, and yellow poisoning bands However, since it is impossible for the Fubo army to encounter radiation injuries, the blue wound tape is tentatively used for frostbite, burns, stings and other "other injuries".

The 35-type military medical box is equipped with more equipment and medicines.In addition to increasing the medicines, dressings and equipment in the first aid kit as appropriate, several bottles of normal saline and glucose injection were added to the military medical kit, and a larger and richer amount of anti-epidemic drugs were added; Small medical kits such as small orthopedic kits, debridement kits, and midwifery kits (so as to adapt to civilian needs at the station), and a slightly larger general-purpose kit consisting of a laparotomy kit and an amputation kit —— Of course, because the current materials are not up to standard, no matter what kind of equipment kit, there are no such things as wire saws and Kirschner wires; splints and plaster bandages are added, as well as simple breathing airbags, metal endotracheal tubes, metal catheter.Since the volume and weight exceed the scope of ordinary back boxes, the military medical box gave up the design of the back box, but added detachable handles and push wheels for mobile use.

"To be honest, the simple respirator is controversial. Several people think that under the current conditions, the evacuation and rescue of field wounded who cannot maintain spontaneous breathing is very limited, and the simple breathing airbag can be ignored. But this thing It is not difficult to manufacture, and it would be nice to have one more rescue method.”

"To be honest, there is nothing you can't use, only enough." Lin Motian smiled wryly, "According to my original opinion, the hygienists don't put debridement kits in the first aid kits, just simply bandage them and send them back... The full version of the debridement kit is placed in the military doctor's box. But after thinking about it, it seems too outrageous that there is not even a needle and thread in the first-aid kit, so I added this minimalist version. Because the health worker's first-aid kit is in addition to On the battlefield, the most basic sanitation needs to be provided at ordinary times, so the needles and threads are still kept, but in my prediction, the debridement should be done by the military medical kit."

"As for the first-aid kit for individual soldiers, the plan has been changed according to your suggestion, but the Planning Institute said that the current production capacity of enamel rice bowls is not enough, and it needs to be added gradually."

An enamel rice bowl and a wide belt have been added to the new individual first aid kit.The belt is a two-finger-wide cotton cloth with holes in it, and the hole spacing is small, which can be used as a tourniquet; the enamel rice bowl is used for the wounded with open abdominal trauma to temporarily hold the intestines that flow out of the body, and of course it can also be used as a tableware.

It turned out that Fubo Army each had a first-aid kit, but this thing has a shelf life, and the sanitary material factory lacks effective sealing and packaging methods, resulting in a very short shelf life of the first-aid kit. has remained at a low level.Full production only started a few months before the start of the Continental Raiders, but the consumption has far exceeded the previous estimate-the National Army's military expansion plan has been enlarged again and again, and the combat intensity is much greater than expected. Right now, the first-aid kits cannot make every one of them. , basically only the Fubo Army and the "Old National Army" can be equipped.A large number of the National Army mobilized in the "second" and "third" waves were not equipped-in fact, many companies did not even have health workers.After the injury, there is basically no means of treatment.

"This kind of differential treatment has a great impact on morale." Lin Motian said, "Most of these new national army equipment is relatively poor, with little or no medical equipment—many soldiers feel discriminated against. For a long time, not only has the morale of the troops not been improved, but they may also have problems with their loyalty: the rate of deserters in the National Army has been quite high recently."
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Next update: Volume 372 - Guangzhou Governance Chapter [-]

(End of this chapter)