Chapter 358: Oh my God, the Necromancer cuts your heart!
The priest who was pulled over wheezing... Gretel didn't see anyone. He first saw five stick-like fingers, withered and thin, probing the nostrils of the injured just like Gretel. Then he retracted and touched the injured.
pulse.
Gretel raised his head in the midst of his busy schedule. Oops! What race is this... this orc... from?
A dog is not like a dog, and a cat is not like a cat. If it is a tauren - the horns on his head look a bit like it - he is too short and too thin. He is still hunchbacked, and his whole body is shivering and huddled, with a pale expression on his face.
Sad.
If this is related to the word "ox", it can only be called a snail...
No matter the snail beetle, if it can heal the wounded, it is a good cow. But unfortunately, the old orc who was half-kneeling opposite had an extremely ugly face. He stretched his trembling hand towards the wounded chest and tried to pull out the dagger several times.
And dare not pull it out:
"The level of my healing skills is too low. Let's maintain it temporarily until the high-level healers come..."
He lowered his head and chanted in a low voice. Even with [Language Comprehension], Grete couldn't hear what he was singing, just like knowing Chinese wouldn't necessarily be able to identify the lyrics. All he could see was the light red light rain.
A wave of waves fell on the injured person. After a while, the old pastor was panting and sweating on his forehead.
"Hey, you can help too! Aren't you a priest?" shouted a young orc next to him. Gretel raised his head and glanced around, deliberately dropped a treatment for minor injuries, lowered his head, and continued to observe the injured:
In this room of orcs, some are like dogs, some are like cats, and some are like foxes; their complexions are dark and light, yellow and white; their physical features are quite different from those of humans. Now let him compare them to determine whether the patient's complexion is
Pale, he...
The reference objects are too complicated to judge, so I say goodbye.
Grete used more than ten years of clinical emergency experience to quickly judge the condition of the injured. The injured's eyes were wide open, and his eyes moved with them, but he was still conscious. There was a wound on his chest, about 2cm long, with an unknown depth, and he did not dare to remove it for the time being.
Knife. The location of the knife was on the left side of the center of the chest, at the... fifth intercostal space...
How many pairs of ribs does an orc have?
Does this position hurt the heart?
Did you poke your lungs?
Gretel quickly took out the [Endless Ink Pen] and inserted it into the orc. Inhale, concentrate, and release [Detection Magic]...
Can't see anything.
Uh...this is embarrassing...
[Endless Ink Pen] is a level 9 magic equipment that can observe objects five levels lower than it. This warrior is obviously of a higher level and has too strong life energy. The magic aura of [Endless Ink Pen] cannot penetrate the body of the injured.
…
The old priest was still chanting hard, hanging on to the injured person's vital signs. Gretel seized the moment and casually placed his hand on the injured person's forehead, sweating;
There is a blood vessel bulging high on the neck. Depending on the location, it is probably, maybe, maybe the jugular vein?
Pulse... I don’t know what the normal pulse of an orc is, but the feeling under the fingertips is shallow and fast, and it is getting faster and faster. The feeling of pressing the fingertips, and the feeling of weakness caused by the hemorrhagic shock and sudden drop in blood pressure of the injured in the previous life.
, no difference;
Pull out the copper tube stethoscope and listen...
Thump, thump, thump. The sound of the heartbeat was weak, heavy, and blurry, as if coming from a very far away place!
Precordial stab wound, not much bleeding, distended jugular veins, sudden drop in blood pressure, low and distant heart sounds - so many symptoms, all the same, all pointing to critical illness, acute cardiac tamponade!
——There is a layer of muscle on the outside of the human heart, called the pericardium. The pericardium is extremely dense and surrounds the heart. There is pericardial fluid inside for lubrication. For example, now, the injured person's heart has been stabbed by a knife. It is obvious that hemorrhage has occurred, but the pericardial muscle is not.
It contracts on its own to surround the blood in the pericardium and prevent it from flowing into the chest cavity.
With this layer of protection, the amount of heart bleeding will not be too large, and hemorrhagic shock will not quickly occur; however, if there is too much bleeding, too much blood will accumulate in the pericardial cavity, and the pressure will increase, which will compress the heart from the outside.
.
When the pressure reaches a certain level and exceeds the force of myocardial pulsation, the heart will be unable to beat, causing cardiac arrest!
Without the beating of the heart, arterial blood cannot be transported to the whole body, and the patient will soon fall into a state of hypoxia. Within three to four minutes at most, the hypoxic brain tissue will be irreversibly damaged.
At that point, it’s useless to save him!
Grete jumped up immediately:
"Who can call the shots? Who can call the shots here!"
"Me, me, me!" three or five orcs shouted together. There were soldiers who rushed to the scene first, a brown-haired orc who dragged an old priest and shouted "Save my brother", and even a slim catwoman. On one side
Shouting, you pushed me back, and I pushed you, as if rushing to answer.
Gretel had seen this kind of situation many times in the emergency department in her previous life. There were seven sisters-in-law and eight aunts crowded into the clinic. After one asked the question, the other had to ask it again; some were digging into their pockets to collect money; and some were asking the doctor.
When the time comes, we push forward with all our strength, and when we look for someone to sign and pay, we collectively shrink back...
There are all kinds of them, and if you stay in the emergency department for a week, you can definitely get something different.
The matter was urgent and he had no intention of getting entangled with them. Gretel glanced around and immediately focused on the blond orc who had the most gold jewelry on his body and the strongest chest, standing in the C position of the crowd, and said in a hurried tone:
"He is dying! I may be able to save him - but only if I open his chest and touch his heart! If you allow it, I will treat it. If you don't allow it, I have no other choice but to
leave!"
The solution to cardiac tamponade is actually not difficult - or, in the eyes of modern surgeons, it is not difficult. Open the chest, make a pericardiotomy, and let the blood flow out of the pericardium. The pressure in the pericardium is reduced, and the heart will naturally resume beating.
As long as all this is completed before four minutes of oxygen deprivation, the person will be saved!
However, this kind of treatment method is undoubtedly a crooked approach at present. Grete will never dare to do it unless he explains it clearly to his family, or if he does not explain it clearly to the person who can make the decision at the scene and obtain consent!
Just kidding, there were about a dozen orcs at the scene. He, Bernard, and even the dwarf Gavin, there were only three of them in total. They didn't deserve a beating if they just rashly went up to cut someone's chest open!
"What? Cesarectomy!"
There was a loud bang in the room. Before the blond orc could answer, several warriors started to talk loudly:
"Are you the devil?!"
"No, you are a necromancer?!"
"He's injured so badly. If you do another thoracotomy, he'll definitely die!"
"Simon—Simon—"
The female catman fell on the injured person, her face pressed against his chest, mourning deeply. Just after she cried twice, a copper pipe suddenly poked down, grazed her cheek and fell on the injured man's chest. The female catman was frightened.
With a jump, the claws popped out on the spot.
There was a clang, and three claw marks appeared on the outer wall of the stethoscope. Grete took back the stethoscope expressionlessly and looked up at the blond orc:
"You'd better decide quickly. His heartbeat is getting weaker and weaker, and he won't be able to hold on much longer."
"How long can you keep him alive?"
The blond orc suddenly spoke. But he was not asking Gretel, but the old orc on the ground. The old orc raised his head tremblingly, sweating like rain:
"No, it won't be long... I'm just a mid-level priest. I can't cure this kind of fatal injury..."
"Simon saved my life." The blond orc suddenly said. He took off a gold bracelet studded with gems and handed it to Gretel:
"If you can save him alive, I will give you whatever you want. But if you kill him -"
Grete got up and walked out directly.
Are you kidding? The injured person saved your life, but he didn't save mine. With such a dangerous operation like thoracotomy, the family still wants me to treat it with such an attitude?
I'm not stupid!
There was no registration, no ambulance was sent to the hospital, and it was stipulated that the doctor could not refuse treatment before he died!
The two orc warriors blocked the door reflexively. Gretel paused and said with a straight face:
"What? Did I kill the person? - Get out of the way!"
The two warriors stood frozen and refused to move. Grete snorted and turned half sideways. Bernard was ready to step forward. At this moment, a sharp cry sounded from deep in the room:
"His heart stopped beating!"
Heartbeat stopped?
So fast?!
Gretel suddenly turned around. The old orc trembled, suddenly pulled out the dagger from the injured man's chest, and slashed his own chest with his backhand. One knife, two knives, three knives, blood flowed like a stream, and then, an illusory rain of blood, from
His chest sprayed directly onto the injured.
Gretel quickly threw a fortune-telling spell. The wounded man's aura became slightly stronger, but soon weakened again. Amidst the desperate plea of the female catman and the roar of the soldiers, the old orc collapsed to the ground and shook his head helplessly.
"You come to cure me! - I don't blame you if I can't cure it!"
The blond orc finally shouted. Gretel stepped back to the wounded man, leaned over and took a look, instructing everyone to carry him to the table, and reached out to take out the dagger...
"Boss, you can't move."
Bernard reminded calmly from behind. Gretel was silent, taking a deep breath, and another deep breath... Then, he patted the space bag, and the silver skeleton given by Archmage Edgar flew out of it, and assembled itself piece by piece.
There was a sudden silence in the room. Behind Gretel, an unknown orc whispered:
"He is indeed a Necromancer..."
Grete had no time to pay attention to that guy. He quickly poured iodine on the patient's chest, wiped it, poured alcohol, and wiped it again. The silver skeleton stepped forward, and Gretel handed it a dagger, and threw a [Magic] on the dagger.
Weapon]. Then, he took a step back very skillfully, from the direction of the surgeon, and walked around to stand opposite the assistant.
This time, I finally no longer have to stand in the position of equipment nurse, which is gratifying.
The silver skeleton held the dagger and slashed it. Time was urgent, and there was no time to do any delicate work. This slash directly opened the chest, and four [Enhanced Mage Hands] came out at once, two on each side, pulling the sternum and breaking it apart.
.
Amidst the heart-wrenching creaking sound, a huge, red heart, as big as two fists, soon appeared in front of everyone's eyes.
The orc warriors gathered around to watch. The silver skeleton raised his knife and struck it again, slicing across the surface of his heart. Gretel shouted: "Stay away——"
No one paid attention. One by one, they moved forward desperately, just wanting to see more clearly. However, the knife struck, the pericardium was opened, and a column of dark red blood instantly rushed up and sprayed straight onto the roof!
****
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