The young man raised his head to look at him in a daze. Wu Zhouli ignored him and rushed to the injured man's side, scanning around quickly——
There is no table.
There is no trolley.
There is no slightly higher platform that he can use as an operating table...
A dead horse is being treated as a live doctor! Wu Zhou gritted his teeth. For surgeons, the area below the waist is equal to the sterile zone, and kneeling on the ground to operate is a complete violation of the aseptic code. But... in this bad environment, it is also
Don't worry about sterility or not, save the injured person's life first!
While observing, he gave orders:
"You! Come here, press here on his arm! Press it tightly, don't relax, right! And here, on the leg, is where I press it, okay, press it! Firmer! You! Press it here! You
!Take off his clothes!"
"I can't take it off..."
"Then tear it apart! Cut it apart!"
The aura of the deputy chief physician of the emergency department is fully radiated, and he is omnipotent.
There were three or four people around, and he kept their feet off the ground. They were pressing to stop the bleeding, they were taking off their clothes, and they were boiling water. They were all very busy, and the one who was boiling water was running in and out,
He was rushing back and forth inside and outside the hut, and he didn't even have time to say a word to his companions.
Even the young priest was ordered by Wu Zhou to hold down the injured man's brachial artery with his left hand and his right hand to hold down the injured patient's external tibial artery. Because the pressing position was too weird, he knelt on the ground and twisted into a strange shape.
…
It’s not that no one doubts whether he understands it or not. But in times of despair, as long as one person issues an order with confidence, the others will probably instinctively obey:
It's like struggling in a flood. When you're about to sink, it's good to grab something - even a life-saving straw!
Wu Zhou stared at the wounded man and shouted orders. The man knelt down and touched the neck of the wounded man with his right hand. He controlled his breathing and counted the heartbeat rate of the wounded man:
The heartbeat is okay. It's less than 100... It's worse. It's getting faster and faster. There may be massive bleeding! The carotid artery pulse is weakened, the face is pale, the skin is sweaty, and the breathing is shallow and fast...
A series of information quickly passed through my mind, and everything was troublesome. Blood pressure, blood pressure, I don’t know. The place didn’t even have a mercury sphygmomanometer!
You can only rely on visual inspection!
Fortunately, Wu Zhou has been doing emergency medicine for so many years and has followed 120 to the scene countless times. Basically, he has an intuition at first glance whether the injured person is in critical condition and what injuries he may have. The appearance of the injured person now is hemorrhagic shock.
The probability is definitely not small!
The injured man's leather armor had been scattered all over the floor. His shirt was torn open, and the wound on his abdomen was shocking. A long gash, nearly 20cm by visual inspection, extended diagonally downward from the right upper abdomen to the left lower abdomen!
Blood gushes out one after another. Wu Zhou only glanced at it, and the hair on his body exploded, and his blood pressure broke through the top of his head with a loud thud.
MD! With this amount of bleeding, either the artery is broken, or the liver, spleen, or kidney is broken!
He casually touched it at his waist. A dagger flashing with cold light appeared in the palm of his hand. Without even thinking about it, Wu Zhou fixed his gaze on the injured man's abdomen and raised the dagger.
Thank God, the injured person actually had six-pack abs. The abdominal muscles were visible, which meant that the underlying anatomy was exactly the same as what he had known before: underneath the skin was the rectus abdominis, which was wrapped around the rectus abdominis.
The sheath is cut off from the rectus abdominis sheath, which will cause minimal damage and avoid cutting off nerves and blood vessels...
In this world of divine magic, the injured, or rather the human anatomy, must be the same as before!
Wu Zhou concentrated and held his breath, and cut along the wound on the injured abdomen, next to the right rectus abdominis muscle. Time was tight, and no one helped him pull the hook, so he carefully used blunt separation, and Wu Zhou cut directly through the wound.
The anterior sheath, muscle layer, and posterior sheath of the rectus abdominis were cut straight to the end. Another 10cm long incision was suddenly opened, and black and red blood suddenly gurgled out.
"What are you doing!"
The young priest, who was kneeling opposite the injured man and was ordered by Wu Zhou to apply pressure to stop the bleeding, screamed until his voice almost broke.
Not only did he scream, the little priest also leaned forward, stretched out his arms, and instinctively blocked the injured man's abdomen. His face was tragic and he looked at death, and every freckle on his little face said "If you want to kill him, kill him first."
Got me!"
Wu Zhou: "..."
Gee, this is why we can't let family members into the operating room. If you see the doctor cutting, scissing, and cutting on the patient, why don't you rush to him immediately and fight to the death?
Wu Zhou could only complain in his mind. He held the dagger tightly in his right hand and pushed the young priest on the shoulder with his left hand, pushing him backwards and falling out, roaring:
"Who told you to let go! Go and hold him down! If you don't hold him down, he will bleed to death!"
"But you-"
"I'm rescuing someone! He's bleeding from his stomach too! I have to stop the bleeding! Get out of the way!!!"
"oh……"
The young priest retracted awkwardly, twisted into his original posture again, stretched his neck and looked at the injured person's abdomen. Wu Zhou glanced at it and saw that the position and posture he pressed were correct, so he returned his attention to the injured person's abdomen.
Turn the dagger sideways, use the back of the knife to push the abdominal muscles to the side, and look directly to explore——
"What's this?"
The young priest opposite asked. Wu Zhou continued to push open the abdominal wall without raising his head:
"liver."
"Oh, it's liver..."
The little priest muttered and tried to look. Wu Zhou no longer wanted to spray him: the current sterile environment is over. As long as this guy doesn't spray saliva on the wound, let him go. The most important thing now is the injured person's health.
liver!
Wu Zhou saw the liver at a glance. Fortunately, the position of the organs has not changed, and the anatomical structure has not changed. In this world of magic, humans have not grown weirder, or grown an organ used for casting spells.
Come.
Left lobe of liver, right lobe of liver...
"Ahhhhh, so much blood!"
"Shut up!"
Wu Zhou frowned. In the center of the red right lobe of the liver, there was a crack, penetrating downward. And in the center of the crack, bright red arterial blood was continuously gushing out!
His previous judgment was correct. There was indeed massive organ bleeding in the abdomen. The bleeding was the liver!
Liver parenchymal laceration, depth... He didn't dare to look through it, visual inspection showed it was no shallower than 1cm, plus there was a lot of active bleeding——
This is definitely a third-degree injury! It’s not the most serious, but, but...
"Save him..." The little pastor was already in a panic. His words were trembling and broken into sentences: "Save, save him..."
Of course I want to save people! The problem is, this kind of injury is nothing in the emergency department, and it can definitely be saved, but in the wilderness, it’s nothing!
Wu Zhou's heart was beating so hard that he almost broke his ribs. He leaned down, pulled open the abdominal wall with his left hand, and penetrated the victim's abdominal cavity with his right hand. He lifted the liver, pushed the stomach, and opened the intestines...
"What are you doing?"
The young priest asked tremblingly. Hearing that voice, he was so scared that he almost fainted - yet he was still observing. For the sake of his courage, Wu Zhou did not hesitate to explain a few more words:
"We're looking to see if there's any major bleeding in other organs. Well, there's no gallbladder, no spleen, and kidneys... The kidneys are located relatively far back, so the possibility of damage is unlikely, but we still have to take a look... Well, there's no obvious activity either.
Bleeding, great!”
"Well...then what?"
Then?
Then comes the real challenge. Wu Zhou has been a doctor for more than ten years, and has only done this twice when he had to do it. And in their entire provincial hospital, there are more doctors than can be counted on one hand who dare to do this.
Amitabha, Sanqing Daoist, Holy Mother of God, any god... bless the anatomy of this injured person and make sure nothing happens!
He took a deep breath and carefully pinched the portal artery and vein.
"Wow! Less blood! Less blood! ...No more bleeding!"
The young priest cheered. The blood spurting out of the injured person slowed down instantly, turning from a torrent to a trickle, and from a trickle to a leak. The effect of stopping the bleeding was visible to the naked eye.