There is only one copy of the instrument and it must be recycled.
Zhou Sheng threw the used instruments into the pot and sterilized them 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 injured person is alive enough. In fact, based on the assessment given by the A-level scanning system, the condition of the two patients
Rated A.
Almost, certain death.
Zhou Sheng was not optimistic about their chances of survival, but they had to do their best.
While he was taking care of the boiling water, Delia looked at the condition of the injured leg uneasily. Unexpectedly and somewhat expected, Zhou Shengsheng's suturing was very good, and he could always surprise people.
At this time, a capable assistant gives people a sense of dependence.
Delia had been isolated and helpless for too long, and Zhou Shengsheng's appearance gradually gave her support.
For a moment, she felt that she had become weak.
“Great job, Zhou!”
"Thank you, but if the delay is too long and the leg cannot be amputated, he will also have a high risk of death." Zhou Sheng had calmed down and could calmly analyze the condition.
Delia naturally understood what he said.
"Let's wait for Dan to come. Now all hope is with him. We can only delay as much as possible and do some emergency measures. Without blood test and blood transfusion equipment as well as anesthetics, drugs and a large amount of disinfectant, we cannot complete the operation."
"This is already a high-risk surgical environment. If there is no support from drugs and equipment, God will not be able to save them."
Delia is an atheist. When atheists talk about God, they are really cornered.
The chief of the Hyena tribe has left long ago, leaving behind only a few smart and capable women.
It seems that you can hear that the ceremony in the valley is still going on.
The chief seemed to be still venting his anger on the cow.
Buckets of water were picked up, boiled, cloths were torn, washed, and mixed into the gradually cooling boiling water for storage. These items were used as disinfectant cotton for emergency treatment.
They cannot delay the time.
Seeing that the amount of 'disinfectant cotton' was almost gone, Delia decided to start disposing of it.
The injured who receive priority must be the ‘tribal dignitaries’.
There is nothing that can be done about it. There is never absolute fairness in the world. If the tribal chief's brother can be saved, it will be more beneficial to future work, but as far as the condition is concerned...
Those with lower back injuries can also wait.
At this time, Zhou Sheng did not despise the idea of priority, because it was the same for everyone he saved, there was always a priority, but the survival rate could not be guaranteed, to put it harshly...
The first person to rescue may also be the first to die.
"You do the tracheal intubation, I release the abdominal pressure and prepare the epinephrine. Of course... we only have one. This thing is only used as a last resort and must be kept to save life."
This is said to be powerless.
A shot of adrenaline was used to save her life. If Delia hadn't carried a medical kit with her at all times, the Hyena Department would have been unable to provide any details when calling for help. The two of them would have only mourned for them when they arrived.
Of course, it doesn't make any sense to say so much now.
Zhou Sheng nodded, took the tracheal intubation and began to prepare.
Delia also began to explore her ribs and chest, preparing to release the pressure in the cavity caused by bleeding.
Let's start working separately and concentrate on our work.
Tracheotomy was no stranger to Zhou Sheng. Although he still felt a little repulsed by the matter in his heart, he was used to seeing strong winds and waves in Africa, and he had gradually come out of his previous state.
Tracheal intubation is performed now to avoid vomiting blood, choking the respiratory tract, and causing the injured to suffocate to death.
Come first on Monday, without delay, activate system skills and path simulation.
Although the technique of incising the anterior fascia of the cortical muscles is still a bit unfamiliar, after I improved my courage and combined with what I have learned, I have greatly improved compared to the previous time.
Intubation is done 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 intubate, but this falls under the category of emergency medicine. When Zhou Yisheng recalled what he learned in school, he was still confused, because increased abdominal pressure only occurs when internal bleeding occurs after an injury, and when an injury occurs,
After the patient is sent to the hospital, this situation will not exist during laparotomy.
Of course, reducing abdominal pressure is also a necessary skill, and all doctors understand the reason. However, if you are not a professional expert, it is risky to do it rashly.
Delia made a small incision, and Zhou Sheng immediately wiped the blood with a sterilized cloth. After incising the cortical muscle layer, Delia held the cannula in her hand. She only cut the fascia and inserted the cannula.
.
The transparent cannula was instantly filled with blood, and the pressure burst causing blood to splash out from one end of the cannula, surging continuously.
Seeing this scene for the first time in his life, Zhou looked curious: "What's the point of releasing abdominal pressure?"
"Basically not. Opening an incision, intubating, and using pressure will allow the hemoperitoneum to drain naturally. However, one important prerequisite must be understood: the amount of internal bleeding should not be too large, otherwise the sudden release of pressure will aggravate the wound."
"The current criterion is time. If he can survive 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 and lead to sudden death.
.”
Between the questions and answers, the tense atmosphere seemed to ease a little...
The best way for doctors to improve is to practice in actual combat. With standard cases in front of them, they can understand and absorb more things.
Blood stains and ascites are both pollutants, and Delia had already prepared a clay pot to collect them to avoid affecting the subsequent surgical environment.
Local residents have long mastered the art of smelting pottery.
After the blood stains are drained away, an important process is still involved, namely vacuum isolation and voltage stabilization.
Vacuum isolation is to prevent bacteria from entering the abdominal cavity from the tube. From this point of view, it can be understood that during intubation, the movements after fascial incision must be consistent to avoid bacterial infection.
As for pressure stabilization, because the bleeding continues and the pressure continues to change and increase, it is necessary to exhaust and release it at regular intervals.
Delia's intubation is a complete medical product with a balloon. If it is an emergency, it needs to be temporarily made with a liquid bottle... Regarding this point, when Zhou Yisheng was in class at school, the teacher recommended a relevant case.
After doing all this, the two of them breathed a sigh of relief at the same time...
One stage is considered completed.
Next, unless they wait for Dan to send medicine, they will have no better way to deal with the situation at hand.
However.
Changes always come faster than expected.
The two of them had just taken a breather when the injured person on the side suddenly became violent and choked with blood from his mouth and nose.
They were suddenly startled, and Delia also looked solemn...
"not good!"
"The amount of bleeding increased and he couldn't hold it any longer."
Zhou Sheng's A-level scanning system was also activated immediately.