Wu Zhou followed the standard of surgical hand brushing, used water and soap locust to create a lather, and washed it from his fingertips to his upper arms. After washing it once, he put his hands together, held the liquor, and rubbed it carefully.
While rubbing my hands, I sighed secretly: there is no tap water, no antibacterial hand sanitizer, no iodine, no chlorhexidine. The three times of brushing my hands can only be reduced to two times. If this is in the emergency department, even the operating room nurse will be able to see it.
Sprayed him until he was squirming.
I don’t even know if the alcohol is strong enough - just based on the smell, it’s probably not enough!
Don't even think about sterile gloves. Whether the injured person will get infected or not, you basically leave it to fate...
By the way, there are no antibiotics yet!
No sulfa, no penicillin, no various cephalosporins...
Just using these hands to rub the intestines, Wu Zhou shuddered when he thought about the risk of infection after the patient's abdomen was closed.
This is a complete gamble!
But if the intestine is damaged, it will be a big trouble. Once the intestinal contents leak out, peritonitis, sepsis, and various complications can kill people. Clinically, if it is not repaired,
A good intestine will close the abdomen. If a medical accident occurs, the gastrointestinal surgery department may throw a basket of rotten eggs into the patient's body.
Choose the lesser of two evils!
Wu Zhou held his breath, starting from the duodenum, and moved down the intestines inch by inch. Handfuls of bloody intestines passed by his fingertips, and soon, there was a crazy sound of vomiting around him:
"vomit--"
The red-haired archer knelt on the ground, his head curled up between his knees, and his face was almost buried in the vomit. The little priest's face was pale, and he tried hard to lower his head to avoid looking at his abdomen, his lips were pursed, and his cheeks were bulging.
There was a bang behind him, like the sound of a bucket falling to the ground, but the person carrying the water also vomited.
Just throw up, throw up, you'll get used to it. Wu Zhou silently cursed, and when he looked up at the injured, he immediately went out of his mind:
"Why are you awake! - Hold him down! Hold him down quickly!"
Damn it, waking up during the operation!...No, there is nothing "intraoperative" at all, there is no anesthesia from beginning to end, this is the injured person waking up!
Rub your intestines, brother!
Don't move!!!
With vomit hanging from the corners of their mouths, several soldiers rushed forward to hold people down. The wounded man burst out with great strength in panic and struggled against the loss of at least 500ml of blood. The three of them almost failed to hold him down.
Wu Zhou held a piece of jejunum in his left hand and a piece of ileum in his right hand, with cold sweat all over his head and face:
"Don't move! Don't move-"
It's really scary without anesthesia... Whoever has some accuracy at hand can paralyze the injured...
Just kidding. If he really got an epidural hematoma, he wouldn't know how to treat it!
He explained and comforted, and the injured finally calmed down. Wu Zhou calmed down and checked the intestines inch by inch. No, no, the jejunal section was not broken, great! Next is the ileum section, which just fell out
Going out is the most dangerous part...
A 5cm long crack!
Fortunately, it was discovered. If it had not been detected and it had just been returned to the intestines...
Wu Zhou has already begun to think about the consequences of leakage of intestinal contents, suppuration, peritonitis, sepsis, and even death. This is what surgery is like, to find out if there is anything wrong with the sutures, but if there is a little leakage... haha.
Now there is no condition to suture the intestines. But fortunately, he has other options.
Wu Zhou carefully turned over the bottle of potion for treating minor injuries and dropped the potion on the wound. One drop, two drops...
Looking directly at it, the thin and narrow wound began to heal visibly to the naked eye, as if a time-lapse photography had been turned on. One centimeter, two centimeters...
Not moving anymore.
Wu Zhou put the cork back on the bottle, shook it hard, and pulled it out again. Another drop came out...
The sky is full of spirits, the earth is full of spirits, Amitabha the Infinite Lord, God knows who is the god who provides healing potions in this world. This wound must be healed... No, this potion must be enough!
It grew another centimeter.
Another drop...
It’s grown! Perfect!
Wu Zhou breathed a sigh of relief and continued to check downwards. Fortunately, the remaining part of the ileum, as well as the cecum and colon further down, were not damaged. As for the rectum, there is a high probability that it cannot be touched at such a low position, so there is no need to touch it.
rinse!
Shut up!
By the way, there is no 37 degrees Celsius saline here, so he has to prepare it himself...
"Has the water boiled?"
"not yet……"
Look, look, it's so tragic.
Spread your hands.
Should he be lucky that he still has a dilapidated house where he can boil water and find some salt?
Wu Zhou took a deep breath, another deep breath, and a third deep breath. He put his hands flat on his chest, turned his upper body in a very awkward posture, and waited eagerly for the water in the pot to boil. Then he began to dictate on the spot, instructing his teammates to prepare saline solution:
"Pour the boiled water into the cold boiled water... don't pour too much! You taste it... no, don't drink it directly, pour it out and drink it. It will be the same temperature as your mouth, neither hot nor cold.
Okay, now put the salt in it! Don’t put too much, just a bunch as big as the first joint of your thumb, crush it, throw it in, shake it! - Take another taste, it’s very salty, but not so salty that it’s bitter.
?That's right, come on, give me another taste..."
"Why put salt?"
The little pastor finally recovered from vomiting. The freckles on his face looked a little duller, but his eyes were still bright. When he asked, Wu Zhou blurted out without thinking:
"It doesn't hurt to wash the wound with normal saline."
"What salt water?... Why doesn't it hurt?"
Wu Zhou: "..."
Damn it, I let it slip! People in this world don’t know what saline is!
And, why doesn’t it hurt? Do you want me to take a physiology class on site, from cell osmotic pressure to nerve conduction?
"Ahem, normal saline, it's salt water that's as salty as blood... When your blood flows on your own wound, doesn't it hurt so much?"
"But salt is very expensive!"
No, salt is still expensive?
Wu Zhou sweated profusely. In clinical practice, one of the most widely used supplies is physiological saline. It is used when debriding, used when flushing various intubations, and still used when flushing before closing the chest and abdomen.
.Everyone picks it up and throws it down. After a major operation, it is not unusual for the receipt to be filled with dozens of liters of normal saline.
Now I actually told him that salt is expensive...
Wu Zhou turned his head and looked at the dark houses with stone walls and thatched roofs nearby. Well, salt is indeed very expensive.
"No matter how expensive it is, you still have to use it! If you don't use this concentration of saline, the wound recovery will be very poor!"
If you use fresh water, the osmotic pressure is too low, which will cause a cell to die, and then cause ion disorder or something else...
These people have never even heard of cells and ions...
The little priest was thoughtful. Suddenly a loud cough sounded from the side: "Cough... Little Grete, the salt water is here!"