Chapter 239 235. Quarantine [2]

Hospital rounds have been around since ancient times.

Simply put, when a doctor wants to understand the patient's current condition and changes after taking medication, he needs to check the patient's physical condition repeatedly, and then there will be rounds.

But this is limited to internal medicine. In the 19th century when disinfection measures just emerged, surgical rounds were more likely to let doctors see the results of their surgery, that is, the patient's life or death.

Of course, internal medicine is not much better. The only difference is that internal medicine will rack its brains to provide new treatment methods, while surgical medicine can only quietly watch the ulcer of the incision after the operation slowly affect the patient's body until it finally dies.

The final result is the same, the patient died, but in the eyes of the patient, the doctor repeatedly changed the treatment method, which obviously did his best, but the surgery could not do anything, so it should be just a problem with the surgery.

The patient's reaction and outcome will also be reversed to the doctor, changing their treatment style. In the end, it will evolve into a very embarrassing pattern. The surgeon no longer performs surgery or rarely performs surgery, while the internal medicine doctor raises bloodletting therapy.

Daqi. Although this situation had eased in the mid-19th century, it was still the mainstream of military hospitals.

To this day, Prussian military doctors still maintain a more traditional approach. If you can bandage it, you will choose to perform surgery only if you can bandage it. The mode of surgery is to cut off those wounds that cannot heal, that is, amputation.

As for the rounds that Kavi has always emphasized, they are doing it twice a day, at 9 am and 11 pm.

This was a rule set by the British during the Napoleonic War, which also included that one head nurse and six nursing care must be provided for every 100 beds. It was still illegal to hire women at that time, but many people still took the soldiers' wives.

Included in the military medical nursing team.

Prussia perfectly inherited this rule and learned some lessons from the Crimean War.

Unfortunately, learning the lessons has not fundamentally changed the rules of the military doctor's game. Postoperative care requires not only knowledge and experience, but also the most fundamental infrastructure construction.

"Five hundred people have died since the 26th." A Prussian military medical department head is reporting on the military medical logistics work in the past few days to Lieutenant General Gustav stationed in Granseni. "The first day comes

More than 300 wounded soldiers here died. After the work of our military doctor, the death toll was kept within 100 per day."

"Fres, you did a good job. Not only did you complete your work well, but you also showed excellent command ability." Gustav was not surprised to see the report delivered to him, "In fact,

There are no immortals in war, and there is no need to make such fuss.”

"The mortality rate is more than 45%.

"Well, by the way, are the bodies buried? I don't want the plague in Granseni."

“It’s all buried.”

"It's really done well, you guys have tried their best."

In Gustav's eyes, as long as he can treat the wounded, comfort the wounded, and bury the body well, he will complete 90% of the work of the military doctor. The remaining work is not much helpful to the war, and he doesn't understand it either, so

There is no need to report here.

However, the head of the military medical department named Fres came here not to seek credit: "I hope to improve the environment of the hospital wards, and at least expand some rooms. It has been raining lightly these days. If the war continues, it will continue.

If you go down, many wounded soldiers will not have a place to live.”

"You can requisition those houses," Gustav said. "It is not difficult to call hospitals in the suburbs temporarily."

Fres nodded and soon received the military order from the Lieutenant General: "There is one more thing."

"Speaking."

"The hospital can be expanded but the number of doctors is fixed. It would be inappropriate to send all the wounded soldiers in the rear."

Fres also had a registration book in his hand, which was filled with information about the wounded soldiers: "Some soldiers' injuries were not necessary to send them here, they could be cared for by themselves on the front line. Some were also sent.

It’s meaningless. When you come, you will also do a simple bandage. You will die in just two days. It’s better.”

"Why not?" Gustav smiled, got up and picked up a cigar from the table, "Why not put it on the front line and wait for death?"

Fres gritted his teeth and admitted: "In order for this hospital to operate normally, this is inevitable. As you said just now, casualties will definitely exist. Our military doctors can only ensure that all soldiers are as soon as possible.

Get treatment instead of coming here to line up to die.”

[Innocent]

Gustav murmured in a low voice, without saying it explicitly, but asked, "How are the work of military doctors now?"

"Work 10 hours a day." This is also a question that Fres wanted to raise. He wanted to report it in the end, but he never thought the other party raised it first. "Take me as an example, get up at 7 a.m. and you may have to work until you have to do it until you are in the future.

We can only rest at 9 pm. All the doctors and nurses here have a workload beyond the normal range and everyone is very tired."

"Since there are so many wounded soldiers, you might as well work for another two hours."

Fres didn't understand what he meant: "What did you say?"

"Since there are too many wounded soldiers, the doctor will naturally have to work more." Gustav used the simplest example, "It's like the current front-line battlefield. If Austria increases its troops, we have to continue to increase its troops.

OK."

"If you want to say that, the doctor should add it, right?"

"I can't do it." Gustav suddenly paused for a moment, "Maybe he could go to the surrounding countryside to find a few amputated surgeons."

"No, those crappy surgeons can't do the surgery at all!"

"So I'm right, you can handle it by increasing your working hours."

Fres was a little broken: "If we add more time to work, we will be exhausted."

"You see, you know that it's inappropriate to do this." Gustav smiled, leaned on the back of the chair, and said, "The firearms on the modern battlefield have long exceeded the capabilities of military doctors. This is what you must do after the development of the times

Facing the facts. How can this work be done if you want to protect all soldiers without increasing your workload?”

"But."

"I know there are indeed some problems with transshipment, but not a big problem." Gustav affirmed his work, "The Military Medical Department has done a good job overall. I will write your deeds of fulfilling your duties in the letter.

Go to the Staff Office.”【1】

"Lieutenant General, we should make changes. This is the existing drawback of the Military Medical Department."

Gustav shook his head and said with a smile: "Our battle on the front is getting hot, but the overall situation is favorable to us, and any change will change this situation. The command of the Advisory Office is very clear, to restrain the Austrians on the Northern Line.

The First Army will invade Austria from the Western Front, making it difficult for them to deal with the beginning and end."

"But we can't watch the soldiers die in vain."

Gustav turned cold, took the cigar in his mouth, and exhaled a pile of smoke: "You are saying something too much. They are defending the Prussian iron-blooded spirit!

You should know that Austria has more casualties and wounded people, and those wounded soldiers who survived the first round of fire attacks were more serious than our soldiers. Don't worry, based on my understanding of the Austrians, they will be in one or two days.

I will not be able to withstand this kind of casualties and choose to withdraw."

The military doctor's opinion did hit the nail on the head of the Prussian military's medical care today, but he was not sure that it was not easy to complete a transfer method like Kavey.

In order to complete the batch transfer system, the front-line followers must be raised to a very professional level, otherwise everything will be empty talk. This alone requires a lot of military medical training before the war begins. Today's Prussia is fundamental

Can't do it.

Improvement of professionalism cannot be done with just talking, but also requires the most critical "Military Medical Manual" and the authentic gold standard for modern trauma surgery treatment.

As for the medical tents needed by the front line, the number of equipment and drugs will greatly increase the logistics burden. The matching horses and engineers who built temporary medical offices will need to be calculated and further distributed.

It took Kavi a full four months to barely achieve this level. The changes made in Prussia may really cause some unpredictable situations.

Of course, the Austrian army is not peaceful now, and the high casualty rate Gustav mentioned is not wrong. The advanced breech guns have overwhelmed the Austrian army. Even if the hospital in the rear is powerful, it will not be able to bear it.

The number of injured people doubled.

Although the mortality rate of Ormitz Fortress Hospital is not high, the number of deaths caused by the large base is not less than that of Prussia.

After three days, more than 500 dead soldiers were killed, allowing Kawei to witness the high turnover rate that he had never seen before: "If it were in modern times, this turnover rate would be absolutely amazing."

"Dean, what did you say just now?"

"Oh, nothing." Kavey asked after taking a few sips of coffee, stuffing half a piece of bread into his mouth, "Are the medical records ready?"

“Everything is ready.”

"Then go and continue to check the rounds."

Generally speaking, surgical rounds are more concise than internal medicine, with the focus generally on incisions, drainage in the surgical area, the patient's basic situation and whether surgical complications occur.

Generally, the first three are fine, and the surgery can be considered basically successful. Complications are often unpredictable, because no matter how beautiful the surgery is, there is still a chance of complications occur.

After all, it is a manual operation, and errors that are difficult to detect with the naked eye will always occur more or less. In addition, individual differences between human bodies, no one knows what will happen after the operation is over.

Even if all 100 previous surgeries were successful, as long as one failed, you need to review and find out the problem. Then statistically calculate the results produced after the operation, and finally a rough probability of occurrence is obtained.

Perhaps key points for preventing such complications will be found in several years, but doctors cannot eliminate the incidence of a certain surgical complication to 0.

Because of the dangers and complications of the operation itself, postoperative rounds and medical history records have become the last method of guaranteeing the operation, which is the product of hundreds of years of experience in doctors. If you really want to choose a typical example, then

It was Ronalne who was still lying in the ward without opening his eyes.

If it is a modern surgery, Ronalne's condition is a critically critical patient who is closely observed after the operation.

Maybe an expert consultation was conducted before the operation, and we should pay attention to the scope of debridement and how to deal with bleeding. After the operation, we must face stubborn cerebral edema, as well as the scalp and ruptured skull that cannot completely cover the brain tissue.

Perhaps only after intra-department consultation can we find the best postoperative recovery plan.

But in the 19th century, it was already a miracle that Ronalne could get off the operating table alive.

"Thank you for your hard work, two nurses, let you keep pinching the airbag." Kawei didn't have a simple ventilator in his hand. Facing the patient whose brain stem was squeezed, his breathing was very unstable. He could only pinch the airbag with his hands to supply oxygen, "Have you changed shifts?

?”

"It's almost there, there are two hours left." The nurse was really tired after pinching the airbags all night.
To be continued...