This seemingly perfect system actually operates very poorly due to the shortage of professionals and medicinal materials.
In the previous wars of the Senate, the fighting duration was generally short, and the overall casualties were low. The majority of health resources were used to concentrate on surprise solutions, and the results were generally not bad - except for some serious trauma and infections, the survival rate of treatment was
Very high.
During the Hainan Island Public Security War, most of the troops encountered were small groups of bandits. Not only were their troops small, their quality was low, but their weapons were also inferior. The Fubo Army generally had an absolute advantage, with very few battle casualties and even less need for medical services.
Today's situation is quite different. In the security wars along the Xijiang River, the enemies are large in number, well equipped, and most of them are very familiar with the terrain and people's conditions. In contrast, the National Army, which undertakes most of the daily tasks in the security wars, is often poorly trained.
,poor equipment
Because many units were reorganized from the surrendered army and had poor fighting will, the casualties suffered during battles were much greater than those of the Fubo Army. After a battle, the number of wounded that needed to be evacuated often exceeded the unit's handling capacity.
Most anti-bandit battles are carried out in companies/squadrons. The combat range of a battalion/brigade may be as large as several square kilometers. The battlefields are often in mountains and hills. Soldiers who are injured on the front line have to overcome great difficulties.
to reach the camp health station.
"... Even when they arrived, they couldn't get any treatment," Lin Motian said gloomily. "I went to the army to see it. The camp health station can only be regarded as a dressing station. There is nothing useful in the medical kit of the health worker. They
They can only do basic debridement and bandaging, and can barely do simple fracture fixation. They can't handle more complicated wounds. In some places, the wounded can't even be supplied with drinking water..."
To transfer from the dressing room to the field hospital, you must first climb mountains and cross ridges before changing ships. During the bumpy transfer, the seriously injured could not survive at all. And each transfer link required a long wait, and many of the wounded who could have been saved could not have survived.
While waiting, his injuries worsened and he finally died.
The soldier's own summary was roughly "If you can walk, you will live if you are on a stretcher, but you will die on a stretcher." Lin Motian had to admit that these words were basically correct.
Slow evacuation over long distances often causes severely injured personnel to suffer and die. Therefore, many times, the company's traditional practice of "repairing wounds" to seriously injured personnel is revived. It seems that long-term pain is not as good as short-term "mercy", but in fact
It was a huge blow to morale.
"I also know that with our conditions there is really not much we can do. Especially for the seriously injured... I am a surgeon myself. With our conditions, large open lacerations and penetrating wounds with damaged organs are common nowadays.
I know best how many of the injuries I can save, and whether I can send them away or not is a matter of course. But the situation now is really ugly..."
"Don't blame yourself too much - others don't know what the medical level of the Senate is like, and don't we know about our health department?" Liu San also lit a cigar, "It was possible to establish a medical team with the army in the 17th century.
How many of them are there? It would be great to have one! Don’t forget that during the Austro-Prussian War in the mid-19th century, there were only six military doctors among the tens of thousands of troops! This advanced nature is all based on comparison.”
"What you said is true, but..." Lin Motian still couldn't let go. The days of working in the field hospital were too stimulating for him. Knowing what the situation is like and reality are two different things.
"As for the issue of resources, don't be too entangled." Liu San comforted, "Hong Huangnan and I have already done the calculations and are planning to expand the number of the rescue team. The special stretcher team needs to be greatly increased, and there are
We need to build some special ambulance ships, and don’t let the wounded wait for the returning transport ship—even if they die, they will die in the field hospital.”
"Where are the medical staff?"
"Try your best," Liu San said. "Old doctor, it's probably impossible to increase the number, but we can get a dozen more medical students to train for internships - these people, the doctor said, can't go to the front line.
Their safety must be guaranteed."
Ever since a naturalized civilian medical doctor was unfortunately killed in the battle in the Beijiang Basin, Doctor Shi felt very distressed - a "quasi-doctor" qualified according to the standards of this time and space would have to spend more than three years of training in health care.
It was built on the talent and intelligence of this man and the tireless teachings of the veteran doctors - which finally led to the General Staff and the Health Department issuing a special document, requiring the army to "protect the safety of every medical personnel."
"I'll get it."
"There are also a batch of samples of the new first aid kit you designed, and a batch was sent for trial - I also brought a batch this time."
"Great!" Lin Motian's originally gloomy face suddenly became a little happy.
The medical kits commonly used by hygienists today are very simple: a wooden stethoscope, a debridement kit, a set of acupuncture needles, a small bottle of alcohol, a pack of styptic powder, a small bottle of marching powder, a pack of berberine, and a
A small bottle of sulfonamide, a small amount of drinking water disinfectant tablets, as well as some gauze, bandages, triangles and tourniquets. This hygiene box has been put into use since the eve of the second anti-"encirclement and suppression" war and has been made do until now.
The new medical kits were named "Type 35 First Aid Kit" and "Type 35 Military Medical Kit" by him. They were designed and distributed based on the original hygienist's backpack. They are respectively an improved version and an expanded version of the original hygienist's backpack.
It is divided into health worker version and military doctor version.
The Type 35 first aid kit has made some improvements based on the original version. Two layers of tung oil cloth are added to the inside of the original cowhide box to enhance the waterproof effect; the acupuncture needles and debridement kits are greatly simplified in the hygienist's first aid kit.
Among them, the debridement kit only retains one knife, scissors, needle and thread. In addition, as a supplement, the type and quantity of surgical instruments in the camp-level health center have been increased. In addition to alcohol, a small bottle of iodine glycerin and hydrogen peroxide has been added. The types of Chinese patent medicines have been greatly enriched.
, the ingredients of the original hemostatic powder and berberine have been improved, adding snake medicine, burn ointment, Angong Niuhuang Pills and oral opium tincture; chemical drugs have added oxytetracycline and emergency-specific refined morphine, which have been maturely mass-produced, and some
The region has also added posterior pituitary gland and adrenal gland extracts, as well as corresponding syringes and needles; the dressings have basically been retained, and the five-color injury label tapes copied from the People's Liberation Army have been added: red bleeding injury tape, white fracture injury tape
There are black infectious disease injury tapes and yellow poisoning injury tapes. Since Fu Bojun is unlikely to encounter radiation injuries, the blue injury tapes are tentatively used for frostbite, burns, stings and other "other injuries".
"Yes.
The Type 35 military medical kit has been equipped with more equipment and medicines. In addition to the medicines, dressings and equipment in the first aid kit, several bottles of normal saline and glucose injection have also been added to the military medical kit, and a larger amount has been added.
More sterilizing drugs for epidemic prevention; several small medical equipment packages such as small orthopedic kits, debridement kits, midwifery kits (to meet civilian needs at the station), and a laparotomy exploration kit have been added
It is a slightly larger universal instrument bag that is simplified by combining it with the amputation bag. Of course, because the current materials are not up to standard, no matter what kind of instrument bag it is, there are no things such as wire saws and Kirschner wires; it is equipped with splints and
A plaster bandage, a simple breathing air bag, a metal endotracheal tube, and a metal urinary catheter. Since the volume and weight exceed the scope of ordinary backpacks, the military medical kit abandoned the design of a backpack and instead added a detachable handle and pusher.
wheels for maneuverability.
"To be honest, the simple breathing apparatus is controversial. Several people believe that under the current conditions, the significance of evacuation and rescue of field casualties who cannot maintain spontaneous breathing is very limited, and the simple breathing air bag can be ignored. But this thing
It’s not difficult to make, and it would be nice to have another rescue method.”
"To be honest, there is nothing that is not needed, only something that is not enough." Lin Motian said with a bitter smile, "According to my original opinion, the hygienist does not put the debridement kit in the first aid kit, and simply bandages it and sends it back...
The complete version of the debridement kit is placed in the military medical kit. But after thinking about it, I felt that it seemed too outrageous that there was not even a needle and thread in the first aid kit, so I added this minimalist version. Because the hygienist’s first aid kit is not only in
On the battlefield, we have to provide the most basic hygiene protection in peacetime, so the needles and threads are still left, but in my expectation, the debridement should be done by the military medical box."
"As for the individual first aid kit, the plan was changed according to your suggestion, but the Planning Institute said that the current production capacity of enamel rice bowls is not enough, and it must be gradually added."
The new individual soldier first aid kit adds an enamel rice bowl and a wide belt. The belt is a cotton cloth with holes two finger widths wide. The holes are small and can be used as a tourniquet. The enamel rice bowl is used to temporarily hold the wounded with open abdominal trauma.
The intestines that flow out of the body can of course also be used as tableware.
It turns out that Fu Bojun is provided with one first aid kit per person, but this thing has a shelf life, and the sanitary materials factory lacks effective sealing packaging means, resulting in a very short shelf life of the first aid kit. After the expiration date, the package must be removed and re-sterilized, so the inventory
It has been maintained at a low level. Full production started only a few months before the start of the mainland strategy, but the consumption far exceeded the pre-estimated - the National Army's expansion plan has been repeatedly enlarged, and the combat intensity is much greater than expected. At present,
First aid kits cannot be provided for everyone. Basically only the Fubo Army and the "Old National Army" can equip them. A large number of the National Army mobilized in the "second" and "third" waves did not have them - in fact, many companies even had health workers.
No. There is basically no treatment for injuries.
"Such differential treatment has a great impact on morale," Lin Motian said. "Most of these New National Army units are poorly equipped and have little or no medical equipment. Many soldiers feel discriminated against.
Over a long period of time, not only has the morale of the troops failed to improve, but there is also a problem with loyalty: the desertion rate in the National Army has been quite high recently."——
Next update: Volume 7 - Guangzhou Governance Chapter 372