382 is more expensive than gold
Disaster treatment is unique in that it does not follow the usual medical approach. Because it's special, the environment is special, and the wounded are special.
The number of wounded was large, and the injuries were severe and complex. The traffic environment in the disaster area is poor. Unable to carry out the operation in a timely manner, the wounded.
Therefore, in the disaster area, the principle of rescue is to rescue first, first heavy and then light, scientific classification, graded treatment, continuous monitoring, early debridement, delayed suturing, and overall treatment.
These few words seem to be very simple, but in fact, these few words are full of the helplessness of medical people and the cruelty of medical people! Yes, it is cruel, many times, when you need to choose, you are faced with the lives of others or limbs and organs that need to be abandoned!
The landslide, and it was a landslide in the middle of the night, very vicious. On a rainy day, without warning, he quietly entered the village like a devil in the country of Maruko, and he was very cruel.
The winter weather in the northwest was very cold, and in order to withstand the cold climate, the walls of the houses had to be thickened. However, such a thick wall, as fragile as a newspaper under the natural disaster mixed with earth and boulders, could not resist it at all, but caused great difficulties for the disaster relief.
When this kind of wall falls, it is not a scattered brick, but a kind of fragmented wall. If you are unlucky, you will be stoned to death.
Xue Fei, who entered the disaster area in the early stage, was one foot deep and one foot shallow, and tried his best to follow the soldiers in front. His body, which has been corrupted by staying up late and being corroded by tobacco, can only keep up with the good boy who trains every day in front of him if he uses the strength to eat (a) milk.
The original paths that crisscrossed the town have long since disappeared. The survivors were all residents of the outermost part of the house, or residents who lived on higher floors.
But after all, it is a small town, and there are not many high-rise buildings, so after the collapse of the mudslide rushes in, most people are swallowed in their dreams.
"Brothers, quick! this way! Come on, this way!" a little soldier's face was covered with muddy water, and he couldn't hide his youthful age. At this time he was so happy that he could almost shout because he found a wounded man.
"Quick, find the person who was pressed. Xue Fei and the medical staff of his group rushed over and climbed into the disaster area, where to divide the doctors and soldiers, and when they didn't find the wounded, they all threw off their tools and kept digging. Because of the motivation of these soldiers, it directly drives others.
Collapse mudslides are sometimes more terrible than earthquakes in some ways. Because it is mixed with a large amount of soil, the instant coverage will cause the personnel to lack oxygen and lead to suffocation, so the medical team is not in a hurry.
When Xue Fei and his group arrived, Xue Fei's scalp was numb for a while. Judging from her underwear, she is a woman, she is in the gap formed by two huge stones, in a prostrate shape, and her upper body is quite good.
But it was also obvious that there were abrasions everywhere and the mud covered in red with blood, and it was almost impossible to tell that it was a person from head to hip without looking closely.
What was really terrifying was the legs, each of which was firmly crushed by two huge stones, and the surrounding dirt had already turned vermilion.
It is conceivable that there may be other people around these two huge stones, but the large models can't get in, and they can't dig much by people, and such a huge stone weighs one or two tons if not three or four tons.
This is also a glance, Xue Fei jumped to the side of the wounded without hesitation, and reached out and stuffed it into the patient's neck. "There are also fluctuations. Quick, first aid kit, rescue!" Xue Fei said loudly.
The rescue judgment should be rapid, and this judgment should be completed within three seconds, that is, the sooner the better. This judgment is also very simple, that is, to see if the fluctuations of the carotid artery of the wounded can be palpated.
Because of the fluctuating carotid artery, the systolic blood pressure of the injured person can reach 50 mmHg, which is the critical blood pressure for shock. The two doctors worked together and acted very quickly, and one doctor quickly cleaned the patient's airway.
"No, there are too many impurities in her mouth, and her body can't move, she can't clean up. "The patient was breathing weakly, but because of the examination of the rescue personnel, this weak passage was changed.
The patient's face is becoming more and more bruised, and he has developed asphyxia. It was too late, and the special position made it impossible to perform other rescue operations.
"Thick needle! Quick, thick needle. Sangen!" Doctor Yang Shusen was in a group with Xue Fei, and at this time he shouted loudly to the nurse.
When the thick needle arrives, it's too late to sterilize, and it's too late to have other actions. Yang Shusen didn't even make a gesture with a thick needle, so he didn't have time. Directly snorted and pierced the cricothyroid membrane of the wounded!
"Not enough! Come again!" Yang Shusen continued. After continuous thick needles were inserted into the cricothyroid membrane, the bruising of the patient's face slowly faded.
With the improvement of the bruises on the wounded's face and lips, Yang Shusen's cold sweat came down, and if this method was ineffective, he could only quickly cut the cricothyroid membrane with a knife. If you are infected or not, you can't take care of it.
First aid, often many times, God gives the wounded time, only enough for the doctor to make a disposal, if this disposal is ineffective, then the next treatment, either is never a chance, or is very fast.
If the needle is ineffective, Yang Shusen's incision will be very rough, how rough, just like the throat cut in the movie, it is necessary to cut the patient's cricothyroid membrane quickly and accurately.
Yang Shusen is dealing with the respiratory tract, while Xue Fei is dealing with the patient's legs.
"Scissors, hemostatic pads, bandages. Xue Fei knelt beside the wounded and said without raising his head. The wounded's legs really couldn't be seen, and the big stone directly pressed the calf into minced meat, and the residual tissue was like a silk thread and broke the thread under the knee joint.
The surrounding soil was mixed with the blood, bones, and muscles of the patients, and the ground had turned into a coffee-colored paste!
The calf is no longer salvageable, so it can only be abandoned. Xue Fei quickly cut open the stump limb, quickly used a hemostatic pad to pad the patient's popliteal fossa, and then bandaged it quickly.
The speed is very fast, and the wounded at this time are also on the verge of life and death, and if the vitality is stronger, they may be able to survive, and if the vitality is weaker, they may die when they leave the ground.
"Open the intravenous line. Norepinephrine is pushed intravenously, and the stretcher is quickly stretched, ready to be transferred. While Xue Fei was dealing with his lower limbs, Yang Shusen had already begun to establish effective venous access and gave cardiac treatment.
Stretcher, two or three fighters have already come around. The wounded were placed on a stretcher, and after being tied, "Hurry! transfer, already in shock." ”
The fighters lifted the patient and began to sprint forward, in the direction of the operating vehicle. This kind of rescue cannot be delayed at the scene, because the effective time of the drug is too short.
In fact, it is a race against death again, to see who can run fast, if you can quickly run over, the wounded will be saved, the transport will not pass, and the wounded will die, which is very simple.
"Hurry, hurry, hurry!"
"Get out of the way!"
"Here, substitution. ”
Between the well-trained fighters, there is quite a tacit understanding, a group goes all out, a crazy sprint, five or six hundred meters away, there are already other fighters waiting, on the muddy ground, after carrying the wounded to sprint five or six hundred meters, these fighters directly lose their strength, it is too strenuous.
The fighters who took over didn't need to say anything. Then he continued to run, running forward like a desperate man, and the debris on the way scratched the soldier's clothes, scratched the skin, and the blood that flowed out was like a small pearl floating in the wind.
"Where are the injuries!" Ouyang stood on the roof of the car, constantly dispatching the wounded who needed to be treated.
Techniques are required for treatment, but this kind of organization and distribution is also very knowledge-oriented. In this case, ordinary people can't organize it at all, and with a team of nearly 100 people, Ouyang is like an arm commanding freely.
Which point needs support, which point needs blood, and which point has a vacancy is too much consideration of a person's organizational ability, and it is estimated that these are all skills that have been mastered after how many times they have been trained.
"Debridement, debridement as soon as possible, give me rongeurs, Wang Yanan quickly, stop bleeding in the lower limbs. The channel quickly enters the crystal, and 1,000 milliliters is entered in fifteen minutes. Hurry!" In the operation car, Zhang Fan went crazy directly, and the wounded were sent down one by one.
There are only a few surgical vehicles, so it is necessary to deal with these wounded in the shortest possible time, and the treatment here also follows the principle of first heavy and then light, first grab and then rescue. In fact, this is the principle of battlefield treatment.
Save your life first, and then talk about other things. Zhang Fan, who was originally very quiet in the operating room, shouted loudly like a rampaging poodle at this time.
There is no way, there are too many wounded, keep sending, keep sending, he is the leader of this operation vehicle, he has to watch and listen to all directions, how to treat it quickly, how to deal with it quickly.
You must quickly generate a plan in your mind, you can't be slow, slow is a crime, slow maybe it's human life!
"Defibrillation, focusing!" In the operation car, round by round ABC is being implemented. A (airway!) B (breathing!) C (circulation!), everything else is backward, I can't take care of it, what trauma is sutured, and the fracture is fixed backwards, it's too late.
These are all things to be done in the second phase, and now it is a matter of grabbing, grabbing as much as you can from the hands of death. There is no room for ambiguity.
For an hour, the doctors at the halfway treatment site and the doctors in the disaster area rotated. If you don't change it, you can't do it, and it's too physically demanding on the muddy road. Even the rotation is relatively easy.
It can't be done, the wounded are waiting for rescue, how can they not do it, they have to do it, there is nothing to negotiate.
The colorful warriors and the white doctors have all become clay figures, almost impossible to distinguish. God may not have cried enough, the rain that had become smaller began to slowly grow larger, and the road that was about to be opened up had a large area of landslides.
"Regiment commander, what should I do? The landslide has worsened! The follow-up troops will not be able to enter, and there will be a shortage of medicines. ”
"Regardless of the machinery. Let the troops force their way in, run in, and now we don't have enough personnel. Quick, let me know. Contact your superiors and let the Air Force drop off the medicines!"
Just like a battlefield, a battlefield without gunsmoke, if you stand high in the sky, you can see that the ant-like army is entering quickly from all directions, and all the automobile machinery is abandoned.
"Quick! Hurry up, work harder, the crowd in front of you doesn't have much time. Hurry!" The officers outside the team kept cheering. There is no dragging army, the speed is fast. In the heavy rain, they bypassed the collapsed place, rushed across the river, and entered the disaster area one after another.
In the air, helicopters dropped drugs one by one, and time passed little by little.
Just like the Shura field, the cry of children, the cries of mothers looking for fathers, the cries of mothers and fathers looking for their children like crazy!
Rescue! Rescue! Time is everything, and time at this time is more expensive than gold!