Chapter 109 106. Three Axes After Drowning

Kavi and Ignaz are both busy surgical workers and work almost every day, either in the ward or theater, or in the anatomy room to cut corpses. Kavi also has one more place to go than Ignaz, which is two laboratories for oxytocin experiments.

Today, Count Moraso got married. The two busy people were gone, and the surgery department of the Municipal General Hospital became an empty shell.

Except for the sebaceous cyst removal in the morning, the other operations were postponed for one day. After the operation and the three of them were in the ward for nothing, Herman, Melen and Salson were doing nothing after the operation.

Usually they would have surgery with Ignaz. Even if they didn’t go on stage, they would have to stand by and watch. If they didn’t have surgery, they would have been in the anatomical room with Ignaz. Anyway, they would have found something to do.

But the corpse is precious, and the anatomy has always been dominated by Ignaz. The damage to the anatomy position caused by random cutting is equivalent to the destruction of a corpse. He is not here, no one dares to move the corpse, and there is not even the key to open the door of the anatomy room.

The three of them had a word around their heads: boredom.

"Teacher Herman, why don't we both go back first."

The three of them didn't have enough fun last night. Today, Salson and Melen became more and more fun. They were ready to have lunch and enjoy the opera at the concert hall. However, they had to say hello to Herman before leaving, so as not to be said to leave early.

"Are the things done?"

“It’s done.”

Heman is a rare boss and feels a great responsibility. Of course, he does not have the aura of the boss, and does not want to make things difficult for these juniors. It is really meaningless to stay in the boring ward and stare blankly. However, for safety reasons, Heman still needs to ask a few more questions and make a report by himself early tomorrow morning:

"How is that Li Ben in the postoperative ward?"

"The body temperature has dropped."

“How blood seepage in the incision?”

"fine."

Herman nodded: "Where are the three women who are about to have a cesarean section?"

“The situation is very stable.”

"There is a placenta previa inside. How about bleeding these days?"

"There have been very little bleeding these days, and it is normal for fetal heart attacks and fetal heart attacks."

Herman compared these answers with the ones in his mind. After not seeing the problem, he waved his hand: "Okay, if you feel bored, get off work."

"Thank you, Mr. Heman~~~"

However, things did not develop in the direction they had planned. In the afternoon, the excitement time was cut off at the gate of the ward before it even started. As soon as the two of them left, two nurses came outside, pushing a flatbed cart in their hands. A child of eight or nine years old was lying on the car, followed by an anxious pair of parents.

"Come on, come on, I'm about to pick up the patient."

"Patient?" Salson looked at the child with a pale face and asked quickly, "What's wrong?"

"I fell into the river more than half an hour ago and just fished it out of the water."

The nurse didn't know the specific process, but just listened to it from the coachman and the child's parents. The two felt very strange, how could the drowning be sent to the surgery department: "The child's hands and feet were broken? Or did he bump into somewhere?"

"No, I'm doing well," said the nurse, "Send it to the postoperative ward."

Not to mention that the postoperative ward is a place for surgical patients to recuperate after surgery. Since it is drowning and no external injuries, and people are still awake, it is also sent home if they want to send it.

Salson and Melen both learned drowning. Everything in the treatment process in the textbook is based on awakening. As long as people wake up, they are alive, and there is no need to treat them again: "Go home, we don't have anything to treat when we come."

When the parents heard this, they became anxious: "Doctor Kavi said he wanted to send it back."

"Cavi?"

Everyone is friends, and with Kawei's current status, the two dare not do anything. However, even if they obediently sent the person to the postoperative ward, they still don't understand what to do next. Do they just put the person in the room and ignore anything?

The child's condition is still acceptable. He looks like he breathes a little fast, and occasionally coughs. There are still traces of severe cyanosis between his lips. But these are typical symptoms of survival after drowning and rescue. He should be cured as long as he goes home and rests for two days.

"It's just that, not absolutely!"

At this time, Herman walked over.

He had several years of clinical experience than the two, and knew better the horror of drowning: "I think Mr. Kavi should have considered pneumonia after drowning. Many people will get very serious pneumonia after drowning, considering that it is the inflammation caused by water stimulating the lungs."

Melen wondered: "Shouldn't pneumonia be sent to internal medicine? We don't have anything to treat here."

"In fact, it is not difficult to treat pneumonia, and it is the same whether it is sent to the internal medicine department." Herman was also familiar with the situation and wrote a few medical advice to the child, "First 50ml of blood, once a day; then routine enema and laxative, once a day; reduce three meals a day to one meal a day, just give it at noon to reduce the heart rate and congestion level" [1]

Hearing the treatment plan coming from his ears, the father who was guarding the child remembered something and hurriedly took out a note from his pocket and handed it over: "Oh, I almost forgot. The doctor asked me to bring you a message and said that he would treat it according to the above method."

"Notes." [2]

The reason why drowning became the first cause of accidental death in the 19th century is that in addition to the mess of first aid on-site measures, some of them need to be attributed to the lack of post-drowning supportive treatment.

Compared with the golden treatment area, drowning is a fast to slow development process for the whole body. Often, after being out of danger at the first time, it will take at least one week of treatment to recover completely.

However, the systemic hypoxia caused by severe drowning can cause lesions that affect multiple organs throughout the body, which is very dangerous.

First of all, hypoxia causes damage to the alveolar wall and capillary vessels, and acute pulmonary edema caused by water entering the lungs. Secondly, inhaling a large amount of fresh water will cause alveolar perfusion, surfactant is washed, and a large amount of fresh water will enter the blood, and the blood volume will increase, which can cause acute cardiac insufficiency in severe cases. [3]

Although this is related to the entry of water into the lungs, inverted water control during first aid is still not advisable.

Because water will be absorbed as soon as it enters the lungs, the only thing that can be controlled by the water is the water from the digestive tract. Doing this kind of thing in the golden time of rescue will undoubtedly cause sesame seeds to be lost even if the watermelon is lost. Moreover, the overflowing contents of the digestive tract will cause aspiration and aggravate lung lesions. (This section is very critical, I will not put this chapter)

For the first two tricks after drowning, modern hospitals generally use scopolamine to fight pulmonary edema, and then use diuretics to fight blood volume increase.

After stabilizing the two waves of attack, the patient will experience varying degrees of infection on the second and third day after drowning. There are a large number of bacteria and fungi in the water inhaled into the lungs, which will colonize the lungs. Generally, antibiotics will be used routinely to fight the infection in advance from the start of admission.

Only after the three axes are finished, the drowning treatment will be over before the patient can be called completely cured.

There were no such many supportive treatments in the 19th century, and the ambiguous misconceptions of doctors, it would have been a great help if it could not be worse.

In such an environment where you don't have to worry about it after waking up, it's impossible for Kawei to leave the king and the count to care for a child who has already been awake. So he could only take care of the child's parents first, send the person to the hospital, and then attach the note with the treatment plan written.

Ignaz was not interested in patients outside of surgery, and Herman had already reached the point where he was almost obedient to Kawi. Even if he had any questions, he would do it.

Kawei's first aid operation just now established a good image in his parents' hearts. Since they were the request of their life-saving benefactor, they would naturally follow suit.

Herman looked at the strange treatment on the note and felt an indescribable smell.

But when he thought of Kavi's superb surgery before, he was not an internal medicine practitioner, so he could only do as he wanted: "Look at the child, I'll go to the internal medicine ward first."

"What are you doing in the internal medicine?"

"Get the medicine."

Moraso and Kavi's drowning rescue became the biggest topic of conversation during the lunch wedding banquet.

Needless to say, the Earl is, this report may appear in the Evening News. In addition to the newlyweds and the headlines, Moraso is undoubtedly the well-deserved protagonist today.

Compared to Kawei's rescue, it is not that eye-catching.

He was surrounded by a group of passers-by in the center. Except for the Count, Ignaz and Bergt standing beside him, not many people would put his rescue in the first place. After all, if people don't get ashore, they can't do anything to their children even if they really have the hand of God.

Kavey was very calm: "Mr. Laslow was joking. My job was to save people, and most people did not have any applause. If I always think about other people's applause, how can I work well?"

"." Laslow was so angry that he was talking about this professional view, "Are you really 17 years old?"

"If you want to change it if you want a fake one."

"If Naya had half matured, I would have saved a lot of worry."

Laslow looked at his daughter who was sitting in the distance and was laughing and playing with the lame cat. He couldn't help but sigh. When he looked at Kave again, his eyes became different: "Forget it, let's talk about the serious matter."

What he said was naturally to build a factory.

Kawei hopes to mass-produce oxytocin first. No matter how troublesome the process is, it will at least be better than working alone. The second is to build a surgical instrument factory that can be used for him, so that he can provide relatively high-end hardware equipment for the backward shell environment, and the difficulty of surgery can be increased by a higher level.

After all, the old director who has tried the fourth-level surgery, and he really can't help doing the main treatment surgery back and forth.

"The young man is quite angry."

Although Laslow regarded him as his benefactor, his tone would become extremely sharp when it comes to his work area: "If the oxytocin you mentioned is true, it can indeed have a very large market. Not to mention opening a pharmaceutical factory for it, it will not be a loss if you open ten. But the equipment factory."

"I've already drawn some simple design drawings." Kawei took out a record book from the box, "The drawings inside are definitely better than the current surgical instruments."

Laslow shook his head: "The quality of the equipment is second, and no one cares. The key is that you have no evidence. Who believes it without evidence? How can you make money if no one believes it?"

Unlike the mature models of modern pharmaceutical device vendors who conduct research, design, research and development, experiment, provide data and promote it themselves, the pharmaceutical device industry in the 19th century was blank. Kawei had never changed his mind for a while, and his ideas were indeed a bit ahead of the curve.

"If the equipment factory is not good, then" Kawei abandoned the car and protected the coach. "I hope Mr. Laslow can contact the steel factory to help me make a set of samples first."

"Do you really need this set of equipment?" Laslow found it strange. "I see that the pliers and scalpels in your box are also pretty good."

"It's very necessary," Kavey explained, "When doing fine dissections, some special structures on the instrument can give the surgeon a completely different experience."

"All right."

Kawei packed the book: "The drawings are not accurate enough. I will come to chat with them in person after Mr. Laslow contacted the manufacturer."

"no problem."

Since Laslow denied the equipment factory, the production assembly lines such as thermometers, blood pressure monitors, stethoscopes, artificial prosthesis that Kawei had previously thought needed to be put away. Anyway, these things are expensive for the current medical system and are useless in the eyes of many hospitals.

Kawei knew that he would not be fat in one breath and could not be anxious: "I mainly talk about these two things. The experimental report of oxytocin will be sent in a few days, and I am also working on the paper. In addition, I have three caesarean sections in my hand. Two are expected to be at the end of this month, and the other one is more troublesome. I guess I will do it in the middle of the month."

"I hope that the powerful effect of oxytocin will be shown again during the surgery."

"You will not be disappointed."

Laslow poured a sip of wine into his mouth. Seeing that Carvey was about to leave the table and go to Franz to get close to him, he quickly got up and grabbed his sleeve: "Young man, you are leaving too fast."

"Oh." Kawei thought he had no time to drink here, so he quickly turned around and raised his head to drink the wine. "Happy cooperation!"

"What kind of cooperation is pleasant, I still have something to do!"

Laslow pulled him to sit down and whispered: "I told you to come and be my personal doctor before, but you said you were not available."

"Yes." Kawei nodded and explained, "I still hope to learn more when I was young."

study?

Do you still need to learn?

The bystander of Laslo was clear, and he didn't know how to complain about the word "learning": "I am old friend of you now, and I have taken the order from your pharmaceutical factory again. My friend is in trouble now, do you have to help me?"

Kawei looked worried, knowing that this was not a good job, but when he thought of the mass-produced oxytocin and brand new surgical instruments, he still responded: "No problem, as long as it is within my ability, I will definitely help."

"As long as you can!"

Laslow smiled very happily, pointing to the daughter of the lame cat in the distance, and said, "You also know that Naya's temper is too curious. Last time I saw you doing qi cuts, it seemed that I was interested in it, so I hope I could learn to dissect. If you have time, come here, teach for an hour each time, and you will be satisfied with the price wallet."
Chapter completed!