222. Check the room

A good surgeon is a collection of internal medicine doctors and surgery workers. If you don’t have good basic internal medicine skills, something will happen sooner or later.

Of course, the development of modern internal medicine is based on the common development of other disciplines such as deep theory and complex pharmacology and toxicology. It was difficult to lay these foundations in a short time in the 19th century, so Kawei's requirement is to be a good driller first. As for internal medicine,

Those things can only be instilled in them subtly.

Because these things are difficult to understand for a while, Kawei needs to use some mandatory requirements when indoctrinating them.

For example, when using alcohol carbolic acid, Kawei will not explain their disinfection mechanism, and can only say that the experiment is very effective. Now the hydrogen peroxide and suture method used for cleaning in the ward are the same. Standards are formulated first, and the principle part can only be

Fill slowly.

Regarding the concept of perioperative period, Kawei will not emphasize the concept, but will only teach them a series of standards to strictly implement them. He has a helpless feeling of teaching children to be indeciphered when they recognize words.

The 24-hour postoperative period is the peak of death, and the 1-3 days after the operation are the key to judging whether the operation is successful.

It is impossible for Kawei to see each operation proceeding, and the evaluation can only be completed through the surgical records they wrote and the patient's current situation.

The hospital has 1,400 beds, plus a few tents and other rooms temporarily added outside the main building, and nearly 2,000 beds have arrived. Compared with the chaos at the Granseni Central Hospital in Prussia, it is much more orderly here, of course the wounded soldiers are

The situation is much more serious.

There are almost no hierarchical front-line battlefields in Prussia, and anyone may move to the rear.

But Austria is different. The professional evacuation system has filled the fortress hospitals with a real 2,000 serious injuries. This means that there are more wounded soldiers in the temporary rescue station on the front line, and it also verifies Prussian rear-mounted firing guns and new models from the side.

How powerful is the Krupp artillery?

Although the army commanders kept shouting for charge, since the European battlefield began to replace cold weapons, the cutting wounds of the swords have basically faded out of the military doctors' sight, and various complex firearm injuries have become the mainstream.

Kawei is not a military doctor. He has only occasionally seen some firearm injuries. Now the scene of rounds can only be described as "spectacular".

"1 bed, Lieutenant Lars of the Cravortex Battalion, shotgun injury, 11 projectiles on the left arm, comminuted fracture of the humerus. 2 projectiles on the left abdomen, and ruptured spleen."

The patient's condition was a 33-year-old surgeon. Although he had been working as a surgeon in his hometown of Graz, he did not pass the assessment of Kawei. According to the assessment requirements, he could not stay in the central hospital and should do it.

Although the doctor of the army was dangerous but at least had autonomy, he chose to lower his identity and stay here as an assistant.

"What kind of surgery did you do?" Kavey asked, looking at the wound.

"The trauma of the left arm is very serious, and the rescue center only did a simple debridement and bandage. When it was delivered." Golam was not familiar with the new word "blood supply" and said it very difficult, "When it was delivered, it was

The blood supply in the forearm was broken, so Dr. Hills chose to have an amputation.”

"Where is the abdominal cavity?"

"Splenectomy."

Kawei looked at the rubber tube exported from the injured soldier's belly: "How is the amount of entry and exit?"

“Input and exit?”

Golam didn't understand what he meant for a moment, so Kawei had to explain again: "What should be included in the record, how much liquid was input, how much blood was released, how much urine was discharged, and the drainage tube was discharged.

How much blood has been released? Haven’t the military doctors been trained before joining the job? Forgot?"

Goram did forget, but it is not easy to get a doctor who has formed an inherent medical philosophy to change his former habits in a short period of time.

"I'm sorry!" He quickly reported the data, "Intravenous 1000ml during the operation, bleeding more than 1000ml, and there was almost no urine on the first day. After the operation, Dr. Hills added him another 1000ml, and the next day, the urination was about 1100ml.

, the drainage pipe discharge volume is 50ml. Today's words."

"Okay, I get it."

Kavey looked at the wounded soldier's surgical incision and drainage hose, smiled with relief, and said to Ignaz beside him: "Teacher, Hills can also do a spleen removal now."

"It's really not easy." Ignaz also looked at the incision. "He had been going to school for many days when he simulated the corpse shot into the bullet."

Splenic resection can only be considered moderate in the existing Austrian surgical team. Surgeons who can do the surgery in the central hospital will do it. This is a basic requirement put forward during surgical training. But what is really troublesome is not the spleen resection itself, but the bullet.

Blind cavity after injection.

Hills strictly followed the requirements put forward by Kavey, and the incision was shot into the bullet. When suturing, he tried to ensure the tension of the incision, while paying attention to removing some burning and necrotic tissue.

The surgery was really beautiful.

Kawei nodded: "Today, only 5ml of drainage tube flows out, and tomorrow morning, you can untubate the tube without any problems."

"Okay." Golam wrote a note on the record book, "The second bed was also shotgun injury, also from the Cravortex infantry battalion, Lieutenant Fetto. A total of dozens of bullets were injected into the left and right legs.

Three fractures, one on the left leg.”

"Operation?"

"The right thigh amputation, the left calf amputation." Goram glanced at the second lieutenant who was carrying a gun a few days ago and took the lead in charge. He said cold numbers, "The right leg is seriously broken, and there is still a chance in the left calf, but

But the blood supply was not good. A total of 24 iron projectiles were removed in the operation, and some of them remained in the body."

Compared to bed 1, Fitto's situation is much worse. I don't know if this batch of shotguns was hit by a crooked or bounced back, but almost all of them were aimed at his lower body. Most of the wounds were concentrated on his right thigh and left calf.

But some of them went to his meeting place.

"How to deal with it here?" Kavey asked, lifting Fitto's quilt.

"After cutting it open, some of the projectiles were removed." Golam replied very simply, "Some of them were hit too deeply and we didn't dare to move."

"You? You're on stage too?"

"I am Dr. Hills' number one assistant."

“How is the situation with gao mast?”

"After entering the Yin capsule, we saw that the one on the right had been broken, and two projectiles were hit on the left, which were very swollen and the vas deferens were broken." Golam glanced at Fitto again and said helplessly

, "We can only do the removal."

Kawei nodded, this was the right choice.

The gao pills that were shot basically lost their function, and there is no benefit to staying inside, which will only aggravate the subsequent infection. This infection will not subside because of the stimulation of the projectile because of the inefficient antibacterial drug methylene blue, and will eventually repeat

An infection is likely to affect the whole body.

This is not the top three in modern first-tier cities. It will be too late to think about surgery to remedy it.

"Good job," Kavey replied, then looked at the patient, "How do you feel?"

Fitto was 25 years old and joined the army for three years. He stayed in the Cravortex infantry battalion for three years. He was also considered a veteran in the army. This battle was not sudden, and he might even bring him a lot of honors.

Unfortunately, this shotgun came very suddenly.

My legs were disabled and I had no gao pills. Now there are many wounds on my lower body with gauze strips for drainage, which looks like a waste.

Fitto was very depressed. Now when he heard Kavi's cold question, he felt even worse: "I feel bad, I have no legs and no gao pills. What's the difference between me and a useless man? Why not just let me die on the battlefield

You can leave a good reputation on the tombstone!”

"Don't worry about the legs. I will help you with a set of prosthetics after returning to China." Kawei checked the wound at the amputation, "You will definitely not be able to run away by then, but you can still walk with a crutch, that is,

Walk slower.”

"Can prosthetics allow me to walk?"

"The Municipal General Hospital has the best prosthetic rehabilitation technology in Austria." Kavey said vaguely, "However, it depends on your own rehabilitation in the end."

The news made Fetto feel a little more energetic: "What about gaowan?"

"I really can't do that thing." Kavi shook his head and began to walk towards the next hospital bed.

"I heard that if you put it in a ox gao pill, the function may be even stronger?"

"Who did you hear?"

"The newspapers, the famous surgeons, and the ogre Fernan."

"Sorry, I don't have this ability."

Kavi has no time to talk about these topics with him now. After saying a few words, he has already arrived at the side of the three beds: "What's going on with him?"

"It's also a shotgun. A total of 13 rounds of projectiles were removed on the left shoulder and the left abdomen." Goram said, "The left arm amputation, splenectomy and descending colon anastomosis were chosen."

"Oh? The intestines were broken," Kavi finally heard a patient worthy of analysis, but the incision he saw then made his mood fall to the bottom. "Who did this surgery? Hills?"

"It's not Dr. Hills, it's Dr. Delvo."

Carvey didn't have much impression of this name before, but after a scene in the office just now, he had already recorded the surgeon from Innsbruck Hospital: "Is it him? Is the surgery record for me."

Kawei changed his attitude when he asked just now, took the record and read it: "Why didn't the drainage tube be placed in the abdominal cavity for such a major operation?"

"This" Goram was shocked by the sudden question, "Maybe there was not enough tubes during the operation."

"He came to the hospital at noon on the 26th, only 50 minutes later than bed one, so he used up?" Kawei looked at the patient behind him, "Are there still other patients using abdominal drainage tubes behind?"

Goram lost his voice in an instant.

Because the count's son had given priority treatment for minor calf injuries, Kavey remembered the name, so the requirements became particularly strict: "The surgical record did not write about the amount of bleeding, nor did he write about the investigation process to see the incision.

Bar!"

After saying that, he placed the back of his hand on the wounded's forehead with a little cold: "Where is the temperature record?"

"I measured this morning, about 38 degrees."

"Why is there no temperature record in the medical record?"
To be continued...