When Liu Ya heard Tian Yuqing's words, he was also stunned for a moment.

The casualty in front of him was completely unconscious, with only very faint vital signs. Although the clothes on his body have been almost burned, it is not difficult to see that he was wearing short sleeves when the explosion and fire, and his two arms were barely covered, and he had been scorched by the heat for too long, the surface of his skin was red, a large number of blisters began to burst, and the thick water and blood were mixed together, and the dust in the fire was contaminated and flowed out, if it weren't for the medical staff to see this scene, they would have to vomit out.

The cuff of the sphygmomanometer was tied to the arm, and although the patient would not feel pain now, it would definitely bring a large piece of flesh and skin down.

The sphygmomanometer in Tian Yuqing's first aid kit is generally designed for the upper limbs, but for patients with disabilities, when there is no way to measure blood pressure through the upper limbs, doctors and nurses usually use sphygmomanometers to measure the blood pressure of the knee joint of the lower limbs.

However, the patient's lower limbs and legs have also been severely burned, and the material of his pants does not seem to be cotton, but polyester acrylic and other artificial materials, which melted and stuck to the skin of his legs after being roasted at high temperatures, and if he touched them, he would definitely cause unpredictable damage.

Tian Yuqing changed several ways to measure blood pressure in her mind in just a few seconds, but none of them could get the patient's blood pressure value normally.

Liu Ya asked Tian Yuqing to measure blood pressure, but it was just a standard process, and he didn't expect that the measurement would be so difficult, so he had to give up after listening to the patient's breathing and heartbeat.

"If you can't measure it, don't measure it. Assist me with my tracheostomy right away!"

After Liu Ya's preliminary examination, the patient suffered extensive burns all over his body, the skin on his face was peeled off in a large area, and the facial tissues were so swollen that he could no longer distinguish the irrelevance, and his eyes were squeezed into a line. What's worse is that the mouth is so swollen that it can't open at all.

Long-term exposure to ultra-high temperatures, patients inhale a large amount of smoke and dust, resulting in suffocation and hypoxia. Firefighters usually give their own oxygen masks to the injured when they are rescued, but it is obvious that the injured person is no longer able to use the oxygen mask.

The high temperature environment causes the internal air to be too hot, which also burns the respiratory tract and even the lungs. A large number of tissue cells in his whole body died, he lost water, and the whole person was in a state of dehydration, but many internal organs including the lungs may be in a state of edema, the situation is very complicated, especially serious, and his life is in danger.

In the case of poor breathing, Liu Ya decisively decided to perform a tracheostomy on the patient, directly bypassing the edematous nasal cavity, larynx and other upper respiratory tract, hoping that the patient's trachea and bronchial burns would not be so serious.

As long as the heartbeat and breathing are still there, and the vital signs can be stabilized, no matter how serious the burns are, at least they can save their lives! However, after surviving, the standard of living will certainly drop by a large margin, and the whole person will definitely be disfigured, not to mention that the body's mobility and health will certainly be much worse than before. These things are not within Liu Ya's consideration, if there is anything, let's talk about it after surviving.

"The breathing and heartbeat are very weak, so I can only try my luck!" Liu Ya said with a scalpel.

The wounded man also had burns on his neck, but it was not so serious, and now he couldn't take care of it so much, he had to make an incision on the skin of this burn, and after Tian Yuqing finished disinfection, he nodded at Liu Ya.

"Is there anything I can help with?" Wang Ge was also anxious, but he was only an ambulance driver, and although he knew a little about first aid, he couldn't get started.

"Use scissors to cut all the clothes and shoes off his body, and I'll check the injured area later. Liu Ya said.

Wang Ge agreed, and immediately lowered his head to look for scissors in the first aid kit, and when he looked up again, a grim reaper with an umbrella was already standing in front of him, staring at the scissors in his hand, and shook his head expressionlessly. The king pigeon was stunned, when did he come? How did he come? Why didn't he see it just now?

This Grim Reaper is the face of a Westerner, just like Xuzi said before, Lord Hades is engaged in "law enforcement in other places".

Death stood before him, and beside the wounded man who was lying on the ground, and he crouched down, and before the king pigeon could come to his senses, he put his hand on the patient's shoulder. There was nothing the king pigeon could do, he knew that even if this patient got into the ambulance and went to the hospital, he might not survive, but suffer more pain, and in the end he would have to be taken away by death.

Even if the deception function of the Soul Calming Card is used, it is only a temporary dispel of the Grim Reaper, and the Grim Reaper will still pursue after ten minutes. The time frame of the extreme danger of life for such a patient with too serious injuries is not ten minutes away, and this danger will stay with him for days or even months, and may invite death at any time due to the deterioration of his condition.

The Grim Reaper did his job, and the soul departed. The ignorant soul didn't know what was happening, but stood beside the Grim Reaper, staring at the man lying on the ground.

His eyes were full of doubt, and he didn't seem to recognize the body. He looked at the Grim Reaper, looked at the king pigeon, and looked at Liu Ya, but he still didn't understand what was going on.

"You're dead. Death said calmly, "You don't even know you when you burn it." The Grim Reaper giggled twice, although it was a Western face, he spoke Mandarin very fluently, the words were correct and round, and the scene was very weird.

The grim reaper's cold, merciless and contemptuous joke made the king pigeon feel sick. I have to say that Lord Hades is very strict when choosing the god of death, requiring no fault in life, no bad deeds, and being a "good person", that is, to maintain the purity of the god of death, so that every soul will be treated as kindly as possible when it is taken away. This intention is good, but the reality is not.

The Grim Reaper and the law enforcers have the power of life and death over the souls of ordinary people, and they will be taken away when they say they will be taken away, and they will be smashed when they say they are smashed, and the mana can make them grounded and forbidden the soul, and over time, it will inevitably cause class differences, making the Grim Reaper feel that the souls of ordinary people are inferior and have a rough attitude.

The soul that had just been extracted by the Grim Reaper finally understood what was going on, and suddenly wanted to say something, but the Grim Reaper seemed to have expected it, and pointed his finger to the soul's mouth, and the soul was instantly unable to speak.

And Liu Ya also completed his own tracheostomy and inserted a tube into the patient, "Xiao Tian, air sac." Later, I got in the car and opened two large venous channels, replenished body fluids, put on a ventilator, and monitored the ECG. Mark red, king pigeon, don't stop at the temporary medical station outside, go straight to the hospital. ”

While speaking, Tian Yuqing handed the breathing air bag to Liu Ya, who just wanted to install it on the tube, but his arm was pulled by Wang Ge.

"People seem to be ......," the king pigeon shook his head.

Liu Ya took a deep breath and touched the patient's carotid artery, which had a faint pulse just now, but now it was quiet, and even the little undulation in his chest that was almost invisible to the naked eye had disappeared. Liu Ya confirmed that the patient's heartbeat had stopped again, and then said. "Mark black, that's all. The flames burning in the building turned his face red.

If this is in the emergency room, Liu Ya will definitely not care about 3721 and rescue it for 40 minutes, although there is little hope. But in this situation, as a doctor, you can't waste your skills, professionalism and time on a dead person, which is extremely irresponsible to other dying wounded people.

The king pigeon took out a black cuff from the first aid kit on the ground and tied it to the patient's arm. The firefighter next to him, who had just carried him out, eased up and sat up with his hands propped up, unable to see whether it was sweat or tears on his face.

One of the wounded rescued at the risk of his life died of his injuries, and many of his comrades-in-arms did not come out before the second explosion of the factory, and their lives and deaths were uncertain after the explosion.

At this time, the military police at the gate had also arrived here, and without saying a word, they dragged the medical workers out, including Liu Ya. "Fire reinforcements have arrived, it's their business to transport people out, you don't have protective clothing, if there is an explosion, who will save so many people at the scene?"

"Let's go, we're not going to help here, we're just adding to the chaos. Tian Yuqing also said.

Liu Ya nodded in agreement, but still refused to give up, "Take this body away, you can't throw it here." The policeman was a little helpless, so he had to agree. The person was already dead, and he didn't feel anything, and the two of them didn't have to bother to be careful, so they directly grabbed the body and threw it on the cart of the king pigeon, and pushed it out.

Wang Ge stepped forward to help the injured firefighter, looking at his twisted and swollen wrist, which seemed to be broken. In the follow-up rescue, he definitely couldn't participate.

The group evacuated to safety, and in the opposite direction they were the firefighters on the fire truck that had just gone to the factory area. Although there was still a danger of explosion at the scene, they had no choice but to rush into the fire of the factory without hesitation.

"Have you asked the number of people at the scene?" Yu Bo also evacuated together, staying next to the guard room at the gate of the factory, and asked the person in charge of the rescue work here.

"The factory provided us with attendance data for this morning, and there should be forty-six people in this factory so far...... The firefighters carried out only the remains, and none of them were alive. The person in charge sighed, "Alas, what a sin!"

The firefighter with a broken wrist was arranged to be sent to the rear temporary emergency room for wrist treatment, and when he left, he also pulled Wang Ge and Liu Ya's hands, saying that he had encountered his comrades who were injured, and he must try his best to rescue them and not let them die.

Liu Ya naturally agreed, even if he didn't say it, he would definitely go all out. Wang Ge and Tian Yuqing also put the body of the victim into a bag and zipped it up, there is nothing on this person that can prove his identity, even if he has a work permit, it must be burned, and his face is unrecognizable, and he doesn't even know what his name is, if the family claims the body, it is estimated that it will be very difficult.

Taking advantage of the ten minutes that these people were grinding, the group of firefighters who had just entered brought out new wounded people.

The five wounded were all wearing firefighting uniforms without exception, and they were the first firefighters to enter the fire, except for two people who could barely support themselves to walk, the other three were carried out by the firefighters, and it seemed that they had lost consciousness.

A firefighter put his comrades on his back into the communication room, and the people in the army carried out poison testing, and the test was carried out quickly, and it seems that the factory has also provided the highly toxic substances that exist and may exist in the plant, and after testing, it was found that they did not carry highly toxic substances, and the people of the army were willing to hand over the people to the doctor with confidence.

Liu Ya and Tian Yuqing were the first to rush forward, and the king pigeon naturally followed.

"Take off your clothes, cut off what you can't take off!" Liu Ya pressed the wounded man's carotid artery, "The pulse is still there, blood pressure." Then he pulled out his stethoscope.

The injured firefighter was in much better condition than the factory worker before. Because he was wearing a firefighting uniform, he had a certain fire and explosion protection function, and he also wore an oxygen mask on his face, but he was not conscious.

The firefighting suit is very strong, the king pigeon did not dare to move the wounded at will, had to use scissors to cut it little by little, the fire suit is very strong, this process is particularly difficult, in the process of cutting clothes, the king pigeon suddenly felt that his palms were hot, a bad premonition surged into the brain, spread his hands to see, in addition to the dust, there are large blood stains.

Liu Ya took off the firefighter's helmet and mask, only to see that he was short of breath, his face was pale, his head was covered with sweat, and his lips were bloodless. "Lack of oxygen?"

"Excessive blood loss. "The king pigeon has completely cut all the clothes on the wounded's abdomen, and there is a small wound on the left side of the sternum, which is gurgling and bleeding, and it can't be covered no matter how it is covered.

"This speed, arteries!" Liu Ya was anxious, "What is blood pressure?"

"Almost undetectable. Tian Yuqing shook her head.

Massive bleeding from open abdominal wounds causes blood loss faster than internal bleeding, and the stimulation of the diaphragm by blood in the abdominal environment will also cause a variety of complications such as respiratory circulation.

Liu Ya looked at the small wound, and it was estimated that there was no hope of directly using hemostats to stop the bleeding, and there was no way to find the blood vessels.

"It's too late to send the hospital to the hospital, I hope that the plasma generation here has arrived, get in the car, send it outside, and explorate the laparotomy to stop the bleeding!" In this case, Liu Ya will no longer wait for the plasma or blood products to be transfused into the patient's body, and the vital signs will be stabilized before the operation, and the blood will have already dried up after half an hour of travel.

After listening to the king, without saying a word, he pushed the cart out of the door, and the two put the cart on the ambulance, and the king pigeon came up with a straight-line acceleration race at a distance of seven or eight hundred meters from the gate of the chemical plant and the outside cordon, and the speed of the vehicle reached one hundred and forty kilometers per hour at a distance of about one hundred and fifty meters. Anyway, it's a straight road, and the king pigeon can't care so much, God knows if there are so many deaths behind him who are coming at him!