Tension pneumothorax refers to the rupture of a large air bubble, or a large and deep lung laceration or bronchial rupture. The tear is connected to the pleural cavity and forms a one-way valve, also known as high-pressure pneumothorax.
After the formation of tension pneumothorax, the intrapleural pressure decreases when inhaling, the valve opens, and gas enters the pleural cavity; when exhaling, the intrapleural pressure increases, the valve closes, and gas cannot be discharged from the pleural cavity.
The more you breathe, the higher the pressure in the pleural cavity becomes, tightly suppressing the lungs. In the end, the lungs are completely compressed and unable to open...
No matter how hard the patient tried to breathe, he could not take a breath.
This is one of the most fatal emergencies. Except for a knife on the carotid artery or a ruptured aorta in the chest and abdomen, internal bleeding from other organs will not kill you as quickly as it does.
Death from suffocation only occurs in an instant.
Priest?
The Temple of the God of War is indeed next to the military camp. It only takes five minutes at most to run there and back. However, the patient lying underground cannot wait for five minutes!
"50ml syringe!"
Gretel shouted.
no response.
No one handed him anything. No syringes, no needles, no drainage tubes...
No one knows what he wants, no one knows why he does what he does, no one even knows what the injured person's behavior means.
This is another world, not their hospital, not the emergency department where he has worked for more than ten years.
Gretel raised his head and looked around. There were anxious faces all around, staring at the patients, looking at the temple not far away, looking forward to the priests rushing over. There were even people who were calling to remove the door panels, get big shields, and want to
Lift the injured and carry them to the temple...
By the time you get the person there, he will be dead!
Gretel was in a panic. He struggled to block the injured person, opened one arm, and stretched the other arm forward to hold Flynn Knight:
"I am a healer! I can save him! Captain, help me!"
"He's dying! I can save him! I'm short of something, captain, help me!"
Flynn Knight hesitated.
Grete had understood the healing technique. He had just heard about it from Captain Cullen; but no matter how much he trusted Cullen, hearing about it was nothing compared to seeing it with his own eyes.
Besides, they have been able to see clearly the healing techniques of the God of War Temple for decades.
"you……"
"Look at his face! His face is purple, he can't breathe, he's going to die! I can help him buy time! Wait until the priest comes over!"
The tone became more and more urgent. Flynn Knight stopped his movements, stared at the injured on the ground, and looked at Gretel.
This young man is telling the truth.
Intuition told Flynn Knight this. But, the healing technique he just learned, and the 50-50 thing he said-are really useful?
"Captain believes in him!"
Karen squeezed out of the crowd. At the same time, the wounded man's struggle became more and more urgent and powerless.
Flynn Knight made up his mind instantly.
"what would you like?"
"Needle! Thick, hollow needle!" Grete replied without hesitation. It was his fault just now. Obviously no one could understand this damn place saying "50ml syringe". Maybe, they don't have the concept of milliliters. That needle
It’s okay! A thick, hollow needle!
He got a shake of the head. Gretel was not discouraged:
"Then just thin steel pipes! No? Iron? Copper? Any hard pipe will do! The thickness of your little finger!"
"Yes!"
Someone finally reacted and ran away. After a while, he turned back and handed Grete a very familiar stick that he had just used the day before yesterday——
Chicken legs and bones.
Gretel: "..."
Have I fucked with chicken bones in the past two days?
The key is that the day before yesterday was a cricothyroidotomy. He held a chicken bone and could poke it in directly; today it was a thoracentesis decompression. There was no syringe or needle, and he held a chicken bone that was dozens of times thicker than the needle.
, want him to poke it in the chest?
You think I am superman!
Grete roared in his heart. He wanted nothing, and this operation meant nothing. He hoped that the priests from the temple would come quickly, otherwise he would not even be able to suppress the infection——
"Give me the dagger! Quick!"
Grete stabbed out the midclavicular line on the right side, the second intercostal space, without hesitation. The stab... the stab... couldn't go in!
Are the warriors, or knights, of this world so physically strong?
"Someone help me!" Grete shouted. He measured it with his little finger:
"As long as... it's this deep! Pierce it in! Pull it out, and then insert the chicken leg bone inside!"
"I come!"
Knight Flynn took the dagger without hesitation.
The knife goes in, the knife comes out, and the chicken leg bone is inserted. The huge pressure spurts out from the center of the leg bone instantly with a hissing sound.
Success!
Grete's whole body relaxed. He knelt on one knee beside the injured man, watching his breathing and listening to the sound of airflow in the chicken bones. His thumbs covered the top of the chicken leg bones, sometimes pressing tightly and sometimes releasing.
As he moved, the bulge on the injured man's right chest gradually subsided, and his expression softened a lot unconsciously.
Anyone can see that this life has been pulled back from the gate of hell.
"Rescued?"
"Rescued!"
“It seems like I’ve really been saved!”
"I remember that old Xie Ke also died in this way. His ribs were broken by a hammer, and he died after a while. The priest hadn't even arrived yet..."
The onlookers were talking a lot. Knight Flynn looked at Gretel with a much softer look, and asked him proactively:
"Little Gretel, what should we do next?"
Next? Insert a drainage tube, perform closed chest drainage, take X-rays, straighten the ribs, and if you are unlucky, open the chest to repair the lungs...
But now I have nothing to do. I can’t do any of these jobs...
Grete rolled his eyes in his mind. Well, if in modern times, the emergency department is too busy, just leave it to the cardiothoracic surgery; now in another world, then... call a priest?
A large number of chaotic footsteps finally sounded. Gretel's eyes turned slightly to the side, and the surrounding area was already shrunk. Everyone saluted and bowed their heads:
"My Lord Bishop."
"Your Majesty Bishop——"
Gretel turned his head and looked around curiously. As for the salute, since he was kneeling next to the injured person now and was already half shorter, he didn't need to bother with it again.
Surrounded in the middle is a middle-aged man with a strong build, big shoulders and a round waist, and a big, shiny head. If you take away the Western features of the high nose and deep eyes, just this bald head, some people would believe that he is Lu Zhishen.
There is also a shield embroidered on the chest of the white robe, but it is not dark brown, but outlined with brilliant silver thread. On the shield, there is a war hammer and a scepter, crossed.
Other than that, there are no other accessories. There is only a scepter held in Shabo's big fist, with a few gems inlaid on the top, indicating the noble status of the bishop.
Surrounding the bishop, there were seven or eight priests, tall and short, all of them muscular men. They looked more like warriors than clergymen. John, the young priest whom Gretel knew, was also among them. He was the youngest and had the largest diameter.
The smallest one, as expected, can only be a priest apprentice.
A group of people gathered around the bishop and came to the injured person. The bald bishop first looked at the injured person, and the second time he looked at Grete and the chicken bones in Grete's hand. After observing for a moment, he smiled slightly:
"Child, I'm here, you and your -" pointing to the chicken bones, "the responsibility can end."
Gretel smiled back. His tone was courteous, but also calm, firm and without thinking:
"You should treat it first. I will pull it out when the time is right."