There is only one copy of the device, and it has to be recycled.

Used instruments are thrown into a pot on Monday and sterilized at high temperatures with boiling water.

The method is very primitive, but it is also very small and effective, high temperature can kill a large number of bacteria, as for the existence of a few, it depends on whether the life of the injured is hard enough, in fact, according to the assessment given by the A-level scanning system, the condition rating of both patients has reached A+.

Almost, certainly, death.

Monday was not optimistic about their chances of survival, but he had to do his best.

When he was taking care of the boiling water, Delia went to see the condition of the injured person in the leg uneasily, unexpected and somewhat expected, Zhou Zhou was stitched very well, and he could always surprise people.

At such times, a competent assistant gives people a sense of dependence.

Delia had been isolated for too long, and when Zhou Zhou appeared, she gradually brought support.

For a moment, she felt that she had become weak.

"Great job, Zhou!"

"Thank you, but if the time drags on too long to amputate his leg, he is also at risk of dying, and it is very high. "Monday has calmed down and can calmly analyze the condition.

What he said, Delia naturally understood.

"Wait for Dan to come, now the hope is on him, we can only delay as much as possible, do some emergency treatment, without blood tests, blood transfusion equipment, anesthetics, medicines, a large amount of disinfectant, we can't complete the operation. ”

"This is already a high-risk surgical environment, and God can't save them if there is no more support from drugs and instruments. ”

Delia is an atheist, and when an atheist talks about God, he is really cornered.

The chieftain of the hyena department had long since left, leaving behind a few shrewd and capable women.

It seems to be heard that the rituals in the valley are still going on.

The chief still seemed to vent his anger on the cow.

Buckets of water are picked up, boiled, cloth torn, washed, and stored in cooling boiling water, which is the disinfectant cotton that will be used for emergency disposal.

Time could not be delayed.

Seeing that the number of 'disinfectant cotton' was almost there, Delia decided to start disposing of it.

And the injured who are given priority must be the 'tribal magnates'.

There is no such thing as absolute fairness, and if the younger brother of the tribal chief can be saved, it will be more beneficial for the future work to be carried out, and in terms of illness......

Waist wounded people can also wait.

Zhou Zhou didn't despise any precedence at this time, because everyone saved was the same, there was always a precedence, but the survival rate was not guaranteed, to put it mildly......

The first person to be rescued may also be the first to die.

"You do the endotracheal intubation, I release the abdominal pressure, the adrenaline prepares, of course...... We only have one, and this thing has to be kept for life unless it is absolutely necessary. ”

That's a weak way to say.

An adrenaline is used to save lives, and if it weren't for the fact that Delia would carry a medical kit with her at all times, the hyena department would not have been able to look very detailed when she asked for help, and the two of them would have to mourn them when they arrived.

Of course, it doesn't make any sense to say so much now.

Monday nodded and took the endotracheal tube to begin preparation.

Delia also began to grope for her ribs and ribs, ready to release the pressure on the cavity caused by the bleeding.

Work separately and concentrate on it.

Tracheotomy is no stranger to Zhou Sheng, and although he still has a little rejection of this matter in his heart, he is used to seeing strong winds and waves in Africa, and he has gradually come out of his former state.

Now endotracheal intubation is done to avoid the occurrence of vomiting blood, choking the respiratory tract, and the injured person will also suffocate to death.

Monday came first, without delay, to activate the system skills, the path simulation.

Although the technique of cutting the cortex, muscles, and anterior fascia is still a little rusty, after the courage has been improved, combined with what I have learned, it has been greatly improved compared with before.

Intubation, all in one go.

When he felt the sound of ventilation, Zhou Zhou and Delia looked at each other: "You start." ”

The way to reduce abdominal pressure is also to perform intubation, but this kind belongs to the category of emergency medicine, and I still am very ignorant when I recall what I learned in school on Monday, because the increase in abdominal pressure only occurs when there is internal bleeding after the injury, and when the injured person is admitted to the hospital, the open surgery will not be the case.

Of course, relieving abdominal pressure is also a necessary skill, and all doctors understand the truth, but if you are not a skilled specialist, it is also risky to do it rashly.

Delia made a small incision, and Zhou Yi immediately wiped the blood with a sterilized cloth, and after cutting the cortex and muscle layers, the intubation was pinched in Delia's hand, and the intubation was inserted only while cutting the fascia.

The transparent cannula was instantly filled with blood, and the pressure burst so that blood splattered out from one end of the intubation, and the burst of blood continued to eject.

When I saw this picture for the first time on Monday, I was curious: "What is the point of releasing abdominal pressure?"

"Basically, the opening of the mouth, intubation, and pressure will allow the blood to drain out naturally, but it is necessary to understand a primary premise that the amount of internal bleeding should not be too large, otherwise the sudden release of pressure will aggravate the wound. ”

"And the current criterion is time, he can live until now, the damage to vital organs will not be too serious, most of the blood stains are accumulated, and ascites is mixed, if the abdominal pressure is not released, it will compress the blood pressure to rise, resulting in sudden death. ”

Between the questions and answers, the tense atmosphere seemed to ease somewhat......

The best way for doctors to improve is to carry out actual combat, and with standard cases in front of them, there are more things that can be understood and absorbed.

Blood stains and ascites are contaminants, and Delia has already prepared a clay pot and collected it to avoid affecting the environment of the operation afterwards.

The local inhabitants have long mastered the art of smelting pottery.

When the blood is drained away, an important procedure is also involved, vacuum isolation and voltage stabilization.

Vacuum isolation is to prevent bacteria from entering the abdominal cavity from the tube, and from this point of view, it can be understood that during intubation, the action after fascial incision should be coherent to avoid bacterial infection.

Stabilizing pressure, on the other hand, requires venting and releasing at regular intervals because the bleeding continues to change and elevate the pressure.

Delia's intubation is a complete medical product, with an air bag, which in the event of an emergency would need to be improvised with a liquid bottle...... In this regard, when I was in school on Monday, the teacher specifically recommended relevant cases.

After doing all this, the two of them breathed a sigh of relief at the same time......

A stage is complete.

Unless they waited for Dan to bring the medicine, they had no better way to deal with the situation in front of them.

However.

Accidents always come sooner than expected.

The two of them had just taken a breath, and the injured person in the waist on the side suddenly became abnormal, choking on blood from his mouth and nose.

They were startled, and Delia looked solemn......

"Not good!"

"The bleeding has increased, and he can't stand it anymore. ”

Monday's A-class scanning system was also launched as soon as possible.

[Severe adhesions in the kidney and vein rupture caused by hematoma]

[——Heavy bleeding]

[Critical Condition: S-]

[Suggested solution: Emergency kidney removal surgery]!!