Chapter 220 217. The dispute between hospital system

Regarding the environmental management within the military camp, Kawei has been reduced to a minimum.

According to the hygiene standards of the real army, there are many things to be considered. In addition to the water source issues mentioned before, the most important thing is to prevent infectious diseases. After doing the necessary disinfection, you must also prevent various mosquitoes and poisonous insects and deal with bites.

Finally, the rat is destroyed.

In addition, there are many details to consider.

Military doctors are not just about dealing with trauma, but also need to do a good job in health care in various situations.

Hiking, night marching, excessive fatigue, long-term noise, influence of gunpowder exhaust, artillery waist and legs pain, knockout damage, tunnel smoke, moisture-proof and humidity-reducing, and feces treatment all need to be considered. In addition, there are food nutritional issues,

As well as a lot of wild poisoning and endless internal medicine diseases.

Rat killing is the primary project that Kavey emphasized many times.

Although they didn't understand and even regarded the rat as an interesting part of the life of the boring barracks, they did as they did at Kawei's request.

The mice in the real world are not Jerry in "Cats and Mouses". They will appear anywhere with food, bite them wildly and give birth to a bunch of children.

War itself requires storing a large amount of food, so in the place where food is stored, we need to dig a rat-proof trenches and trenches, build a rat-proof wall, and a thick layer of sharp gravel cushions are required to be laid on the bottom and surroundings of the warehouse. [1]

"I have done an experiment before. As long as the wall is buried 30 cm deep and the surface is smooth enough, it can effectively protect the food and equipment warehouse." Kawei drew a sketch and said, "If the bottom layer is covered with sharp stones, the outer ring is buried with the outer ring.

The ditch of the water tank should be able to ensure that everything is foolproof."

Ignaz and Herman knew the importance of protecting food, because he encountered food shortages during the French-Austrian War.

Even dried meat and vegetables can be barely served, but they are short of bread and extremely short of bread. A considerable part of the reason is caused by mice.

But in addition to the warehouse, Kawei requires all hospitals, barracks and ambulances to do this level, and also requires a mouse cage every 15 square meters. This is a huge project and requires a large budget.

They didn't understand why they did this until Kavi said "The Black Death".

In fact, there are many other infectious diseases related to mice, such as epidemic hemorrhagic fever, scrub typhus, typhus, forest encephalitis, leptospirosis, etc. But for Europeans, the Black Death is far more important than those infectious diseases.

Horror, no disease can compare to it.

"The Black Death is related to rats?"

This subverted Ignaz and Herman's understanding of the plague. After all, it will take about 30 years to discover the plague Yersinia plague in history. Even though Kavi has published the microbiology theory, the response is not good.

It still takes some time to understand bacteria.

"Tell me about the prevalence of soldiers in the Imperial Army during the French-Austrian war." Kavey said while drinking coffee, "The teacher should have done statistics, right?"

"It's about 25%. "Ignaz replied, "At that time, the number of patients in several central hospitals on the front line exceeded 4,000. A major battle would not only increase the number of injured patients, but also increase the number of patients to a certain extent.

.”

"It's normal," Kavey said, "because the corpse is a corpse for us, but for mice, it's the most delicious food."

Ignaz recalled some not-so-good memories [2]: "I think the number of rat-killing teams in the General Hospital is enough to protect mice."

"I hope so."

Kawei felt a headache when he remembered the preparation time for the four months. It took a lot of time to just obtain the logistics management authority of the Military Medical Department, and what he took over was a mess.

The various changes I made at the Municipal General Hospital seem to have amazed many people, but if the scope is relaxed, the impact of this change is very small. In Vienna, you can truly trust yourself and be willing to follow your own ideas.

The people who come to do it are just concentrated in the Municipal General Hospital.

Edinson's theoretical knowledge is still old, and his understanding of hospitals is still stuck during the Napoleonic Wars, and he does not even refer to the ideas of the Crimean War.

The most important thing is that he perfectly inherited the German people's character like steel. This character can bring extraordinary long-term work efficiency, but he will encounter various difficulties when accepting new things.

He held high the banner of miasma and did not approve of any changes to the hospital.

After more than half a month of quarrel, Franz simply separated the two. All hospitals on the North Line made reforms according to Carvey's idea, and Edinson was in Vienna, the South Line and the possible Western Line.

All hospitals on the battlefield adhere to the original system.

"I will have a thorough examination after I arrive at the general hospital," Kavey said. "I don't care about other frontline ambulance stations, but at least this general hospital cannot have mice."

"knew."

"The next thing is to prevent and control those plagues." Kawei once again explained the diseases he classified into the plague category, "dysentery, typhoid fever, cholera, encephalitis, hemorrhagic fever, typhoid fever, I'll talk about these first.

All the basic operations are mentioned, and what I need to explain next is the more detailed part."

Herman must have listened to Kavi, but Ignaz is different. He has to have a lot of advice: "You say that these are caused by microorganisms?"

"After all, it was the paper I wrote, and I naturally recognized the view of the paper." Kavey defended, "According to the microbial diversity described in microbial theory, each microbial has its own unique way of life and will also follow the way of life."

Produce a unique disease.”

"So every disease corresponds to a microorganism?"

"At least, the infectious plague is like this, such as the cocci at the surgical incision, the streptococci with puerperal fever, and these have been verified by Koch and I," Kavey said. "We should be glad that Koch did not do it because of this."

This war returns to its own country.”

Now everyone, including the Berlin Institute of Chemistry, only Koch is regarded as an ordinary medical student, and only Kawei knows Koch's value.

Ignaz couldn't help but look up and scanned the empty carriage around him, hoping to find some traces of microorganisms from the transparent air, but this was certainly impossible: "Just stopping those microorganisms can reduce the occurrence of diseases.

?”

“In theory, that’s the case”

"Then it's too easy to prevent and treat diseases."

"In fact, this is not the case." Kavey sighed and looked at the wall clock. "After talking about these, we have to talk about some special combat injuries. Time is limited, so hurry up."

The level of battlefield medical treatment in the 19th century was completely incomparable to military medicine after the baptism of World War I and World War II. Historically, the military medical system in Austria was simply unappreciated, but it also represented the average level in Europe.

It is far worse than the more advanced Britain and France, but it is already ahead of most countries.

Most doctors only learned some of the skin during training, but even so, Kavina did not waste four months. His medicines and surgical techniques are deeply affecting the team. For those surgeons who can stand alone,

In other words, the progress they brought about in these four months is something they may not be able to achieve in several years.

Bill Rotter is the best example.

At the age of 37, he has become the vice president of the Academy of Surgery, relying on his outstanding surgical knowledge and rich clinical work experience. Of course, the most important thing is that he constantly challenges his innovative ability and dares to try new surgeries.

Courage.

Bill Rotter is not without shortcomings. In Kawei's eyes, he is the originator of surgical abdominal surgery and has created a series of general surgery. However, because of his different views on microorganisms, he "opposes" Kawei on many issues.

.

For example, in the military hospital model, he firmly opposed the new model proposed by Kawei, and at the same time he also opposed the old model that Aidinson insisted on.

Bill Rotter proposed to divide medical resources into pieces and only make an independent hospital to which each infantry regiment or even infantry battalion belongs, rather than a large hospital like the Army General Hospital. The reason is actually very simple, the mortality rate of the general hospital is much higher than that of

Such independent small hospitals.

He summarized this concept in "Overview of the medical history of the Austrian Army in the French-Austrian War" and set up the basic medical supplies needed by a mature independent hospital. [3]

[Every place you can see a hospital that provides patients with comfortable recovery places. You don’t have to worry about the route being interrupted during the transfer, nor do you have to worry about the bad mood of the wounded soldiers after seeing the crowded central hospital.]

This is the view held by Bill Rotter. The death numbers and mortality rates counted by Ignaz in "Memoirs" are the best evidence.

But in fact, what he wanted to complete his vision was not only huge medical supplies, but also a more important key factor, doctors. After all, the few people who were willing to give up their superior working and living environment were allocated equally to doctors in the infantry regiment.

The number is very limited, and their ability to practice medicine cannot be guaranteed.

The three of them were all surgeons and had a big fight in the Academy of Surgery two months ago.

In the end, Bill Rotter couldn't compete with Kawei and Aidinson, and even the letter to Franz was not responded to [4], but he still agreed to Kawei's invitation to become the person in charge of the second trauma emergency team.

Because he knew that staying with Kavi could learn a lot.

"Doesn't have too much blood, open the venous pathway first." Bill Rotte is one of the few doctors who can thoroughly learn the first aid guidelines of Kavey. This is also the reason why he can stand firm in the second class. "Give me a bandage,

You pressed the two bleeding points in your lower limbs and pressed them tight!!!”

"Nurse, are you ready for anticoagulants?"

“It’s ready.”

"Okay, one collects blood, and the other takes blood!"

"Where is the anesthesia assistant?"

"Here you come!"

"Just take an anesthesia directly, give me a basin of salt!"

"Here you come!"

"Is there any warmth?"

"The water is already burning."

"Don't worry, prepare to flush the abdominal cavity."

The soldiers sent to him had several wounds, two abdominal cavity, one on the shoulder, one on the left and right sides of the arms, and two on the left legs. Judging from the injuries, they ate a shotgun on the front.

However, because of the distance, the penetration power of the projectiles in the shotgun was not strong. Bill Rotter immediately determined that the wound on his arm was not serious and that the one on his shoulder had basically stopped. The serious one was the two parts on his left leg.

And two abdominal cavity where I don’t know where I went.
To be continued...