26 battlefield rescue training

Su Yang's training days at the Military Region Hospital Health Training Center were busy and fulfilling, nervous and happy.

Every day is arranged in full swing.

I exercised on time at 6 o'clock in the morning, then tidied up my housework and ate breakfast. Classes officially started at 8 o'clock. The morning classes were very full, and they had to be until twelve o'clock. After dinner, I took a break at noon, and started training again at 2 o'clock in the afternoon until 6 o'clock.

Sometimes there will be training at night, but most of the time it is freely arranged.

For others, although the rest time is short, there are still some, but Su Yang does not have any time for himself.

During the rest period, he was busy helping students massage, or treating medical treatment. Sometimes he had some free time, so he had to rush to the library to read and borrow books, or find a place to practice various techniques by himself.

He has now begun to engage in surgical matters. The doctors from the military hospital have become his free teacher. He chased people for advice with a stern face.

Of course, he learned the simplest minor surgery such as wound suture.

In addition to borrowing related books and videos, he also found some surgical instruments to practice.

For example, if you want a piece of raw pork from the cafeteria to practice wound sewing or something.

As he understood more and more, he found that the more he needed to learn, the more he didn't understand!

Therefore, he soon became the student who loved learning the most in the base and the favorite student soldier in the eyes of the instructors. All the teachers praised him.

This is the first time that the Military Region Hospital’s Health Training Center has been put into use, so not only are the various equipment new, but the training model and content are also brand new.

The core content of previous health staff training was the diagnosis, treatment and treatment of common diseases, such as how to treat colds and what medicine to take for diarrhea, which mainly focuses on injections and medication.

But this time, in addition to these things, more content is focused on battlefield rescue, especially the six core technologies of battlefield rescue - ventilation, hemostasis, bandage, fracture fixation, transport, and cardiopulmonary resuscitation. These six technologies are closely related to actual combat, so they are regarded as the top priority and took a whole week to learn and practice.

In addition to using simulators for training, the training center also introduced the most advanced goat trauma model training!

The so-called goat trauma model training means choosing a healthy adult goat, anesthetizes it with medicine, then filling the goat's oral and nasal cavity, making goat suffocation model, puncture the goat's chest cavity, making pneumothorax model, cutting the goat's limbs, and making a massive bleeding model to train everyone's conventional battlefield rescue skills, as well as three technologies: tracheotomy, closed chest drainage and large artery suture.

This training is also divided into batches, with the best performing and the highest completion rate, and the group of students will be given priority in participating in the training of this project.

This training is the director of the emergency department of the military district hospital.

On this day, after preliminary basic training, Su Yang and others finally entered the training of the goat trauma model.

"Comrades, let's learn about the treatment techniques of pneumothorax!" The director of the emergency department talked happily.

"Everyone knows that pneumothorax is a common battlefield trauma, with common open pneumothorax and tension pneumothorax. The main causes of injuries are shells, guns and vehicle accidents."

"Tension pneumothorax is mainly caused by gun penetration injuries on the chest and back or contusions in vehicle accidents. Everyone must pay attention to it. Tension pneumothorax is very dangerous, but its battlefield first aid technology is not complicated, and ordinary sanitary personnel can handle it, so everyone must master this technology!"

"On the battlefield, if the injured person is found to have progressive dyspnea, accompanied by or suspected of thoracic and abdominal trunk trauma, it should be assumed that the diagnosis is tension pneumothorax and treatment should be carried out immediately."

"The puncture injury caused by pneumothoracic is very small and almost negligible, so even if it is a misdiagnosis, it is no big deal. However, if the injured person is really a tension pneumothoracic, your timely rescue can save a life. So once you suspect that the injured person has tension pneumothoracic, you must use a pneumothoracic immediately!"

"Look at it, this is a pneumochip. Is it very much like an enlarged version of an intravenous needle, 8.25 cm long and 1.9 mm in diameter. Using such a pneumochip, the puncture success rate is 99%, and it will rarely damage lung tissue!"

"Use pneumochip to save people in 4 steps: 1. Punch. Insert the needle on the 2nd intercostal line of the midline of the chest, the upper edge of the third rib, and the vertical thoracic plane to ensure that the puncture point is not inside the ** line and does not face the heart. In special circumstances, you can also choose to puncture on the 4th intercostal or 5th intercostal line of the axillary front line.

The second step is exhaust. After the puncture is successful, withdraw the needle core to exhaust. If there is tension pneumothorax, the high-pressure accumulation of the chest cavity will be discharged from the ventricular tube, which can relieve respiratory distress, circulation disorders and other symptoms in a short time, and win time for the injured.

3. Position. After the operation is completed, if the injured person is awake, he can sit or side-external position. If the injured person is unconscious, he will recover his position and the injured person is on the lower side.

4. Evaluation. After the pleural cavity puncture is successful, the risk of trachea being blocked by blood or reflux is extremely high. Therefore, the important thing after the operation is to monitor the clinical status of the injured and prevent recurrence of tension pneumothorax. Once diagnosed, it is necessary to puncture again."

After talking about tension pneumothorax, the director continued to talk about open pneumothorax.

On the battlefield, due to the widespread use of body armor, open pneumothorax has rarely occurred. However, this kind of trauma is mostly caused by strong explosions, most of which are severely injured and have a very high mortality rate.

When the chest wall opens and wounds are small, the lung tissues are close to the wound in the exhalation phase, and the inhalation phase leaves, and will make a "sucking" sound as the gas enters and exits, which is called sucking chest wall injury.

This is a mild chest wall open injury, and on the battlefield, ordinary soldiers can complete rescue operations.

Open pneumothorax is not difficult to diagnose. Once diagnosed, a chest patch is used to close the wound when the wounded is at least in the pleural cavity at the end of the expiration. The first choice is "live-flap" chest patch, and the next choice is ordinary chest patch.

The director explained one by one. After the lecture, he smiled and pointed to the goat on the operating table, and asked with a smile: "Everyone used to test it with a simulated person. Now, let's try the real pneumothorax treatment. This is a living goat with pneumothorax. Who will try it first?"

"Report! I want to give it a try!" Su Yang immediately raised his hand.

He has already mastered these basic battlefield rescue techniques. The basic gift package for health workers that the system rewarded him before was included. He also participated in the simulation training before, but he did not try living bodies. As a hygienist, living bodies are very important, so he couldn't wait to try it.

"Okay, come and try it." The director said with a smile.

Su Yang let out a sigh of relief, walked up, took the pneumochip from the director, first tried the treatment of tension pneumothorax, and then dealt with open pneumothorax. These things are not complicated, and he has long had experience, so it was smooth and smooth. He had always been worried that the "high eyesight is low" did not happen. It seems that the system is still very awesome. The things that are rewarded to him no longer require practical practice, and can be directly operated clinically.

The director was very surprised and surprised when he saw his operation, and asked directly: "Your skills are good, try hemostatic surgery?"

"Okay." Su Yang replied, full of confidence.

The director quickly picked up a scalpel and slashed the goat's front leg. Soon, a large area of ​​red blood gushed out of the wound, dyeing the table red!

"Come on!" The director glanced at Su Yang.

Hemostatic surgery is a very important technique in battlefield rescue. As a health practitioner, you must master it skillfully.

It can even be said that an excellent hygienist must be a hygienist who is proficient in hemostasis!

Su Yang breathed, turned around, facing the goat lying on the operating table.

In just a moment, the table was covered with red blood, and the amount of bleeding exceeded 500 ml. In this case, the students standing nearby were stunned, their legs were scared and their legs were weakened. Some even hurried behind in horror. The gap between living bodies and simulators was really not too big, and the smell of blood was very scary.

But Su Yang was very calm. He took a look and immediately pressed his left thumb on a place on the front leg of the goat. However, that place was not a random search, but the location of the goat's artery in the front leg.

Su Yang pressed the position near the center of the goat's artery with his left thumb. The large artery was pressed and the amount of bleeding on the wound decreased at a speed visible to the naked eye.

This is the most commonly used acupressure hemostatic method in hemostatic.

But Su Yang did not stop there.

He quickly clamped a clean dressing with pliers to cover the wound, and then bandaged it with a bandage. The pressure was not too big or too small, which not only stopped bleeding, but also allowed blood circulation to remain at the distal end. This series of movements were completed with one hand with the right hand. The movements were very fast, very well-placed, and very precise, and there was no place that did not meet the standards.

A leaf tells autumn.

A student's foundation and skills can also be seen from a small detail. When the director saw Su Yang's bleeding-stop method, he nodded and said satisfied: "Well, it's not bad, the technique is very skillful and the movements are very good, and he has practiced it well!"

After hearing this, Su Yang hurriedly said, "Director, I have also practiced various wound suture techniques. Can you give me some advice after the training is over?"
Chapter completed!