Chapter 853: But the hand is familiar
What is this kind of injury caused by a stampede in a group incident called in the field of civilian medicine, Buck doesn't know, he only knows that in the field of military medicine, this is called a crush injury, and the injury on the spot is not the greatest lethality, the key is to rescue in a short time after the injury.
That's why he hesitated to stay and rescue.
Until World War II, human beings have not yet recognized this key point, this kind of crush syndrome called ARF by the NATO military medical system, simply put, because after a large-scale crush injury, the neurohematological lesions produced inside the body lead to kidney failure and death, and the surface damage that seems to be just an external injury is a camouflage!
This before World War II, 90% of the wounded died on this!
In the Korean War, the initial use of helicopters by the U.S. military dropped to 60%, and the number in the Vietnam War was even lower than 30%, but in the war with Vietnam in the 80s, more than 10 years after the Vietnam War, 70% of the wounded still died in the hospital beds in the rear because of this syndrome!
This is also why Buck didn't talk about anything at the Military Medical Research Institute, focusing on the helicopter casualty evacuation system, for the Chinese military doctors, this is the most critical technical means, according to the traditional way of transportation in that war, it takes several days to get to the rear hospital, so how many hot-blooded men sleep on the stretcher, it can be seen how lethal this kind of injury sequelae caused by the huge external force squeezed by the muscles is!
That's why a stampede or an earthquake kills so many people at every turn, and they can't be saved.
There is no military doctor who is familiar with this kind of danger at the scene, and many emergency doctors are familiar with the one-on-one form that cannot control the situation and rescue the wounded in the first place!
There is a word that everyone is familiar with, soft tissue injury, that is, abrasions, fights and falls, and other injuries to oneself, belong to this range, and the initial low-grade symptoms of crush injury are just like this, once it rises to ischemic local neuromuscular damage, after various ischemic necrosis, between 6 hours and 48 hours is the high incidence of death, how scary?
So Buck, who was lame on one leg, stood on two makeshift operating tables composed of several large speakers, and quickly began to carry out the first aid operation like an assembly line!
Once it is confirmed that the limb is stamped and necrotic, the limb is amputated, and the partial amputation is exchanged for the safety of the whole body like a butcher, and the fascial cavity in the muscle is cut open if there is room for salvation, and the pressure is fully reduced.
Amputation sounds simple and common, but how many people have experienced the feeling of having two or three people holding down the patient, applying some anesthetic, and then cutting the limbs with a saw or scalpel? It wasn't a piece of wood, it was a part of the human body, and Buck almost held a chainsaw and hula like a Texas butcher, because the blood pressure in many of the squeezed limbs was too high, and there was a lot of splashing during the excision, and the sterilized coat that was temporarily worn on the body quickly became bloody and wet!
Several staff members who had been holding the curtain to form a makeshift operating room vomited!
At first, a few emergency doctors who protested were stunned when they saw his cruel excision methods, and then all kinds of flesh and scraping behaviors were too skillful, and they immediately joined in as his assistants silently, after all, surgical masters who are skilled in surgery are not everywhere, assisting Buck to do all kinds of alkalinization and disinfection to prevent infection, and the emergency team of less than ten people operated efficiently, and when the first surgeon team from the city arrived at the rescue more than three hours later, it was amazing to find that dozens of injured people who had been evacuated after various surgeries had been lined up on the side of the stage!
In addition to the unlucky people who were found dead and unsaved at the scene, these people have done their best to control the condition of more than a dozen seriously injured people who will definitely die of deterioration of blood clotting and kidney failure within three hours!
One after another, these people were taken to nearby hospitals, and several medical helicopters and military helicopters arrived to take off and land at the valley floor.
This is the role of military doctors, in the first time of war or emergencies, try to use fierce medicine to save their lives first, and then ...... More on that later.
He is still very different from civilian doctors in nature, at least he did not consult the injured in any amputation operation, and he did what he said!
In this race against time, where is there time to discuss and analyze the dangers of what to do and what not to do with the injured?
So when the second medical team arrived, some gray-haired and experienced medical doctors began to question the behavior of the first rescue team, thinking that the amputation decision of some of the wounded was too hasty, and whether some fascial cavity surgery could easily cause sepsis...... It is required to check the qualifications and identities of the rescue personnel one by one, and with the increasing number of police, after the panic in the early stage, it is now beginning to enter the stage of sorting out and investigating!
At this time, everyone realized that the Asian lame doctor who had been working for four or five hours was gone!
In fact, it was about eight o'clock in the evening when the accident happened, until midnight, the candlelight lights on the hillside did not stop, and the gradually undulating requiem was sung, after all, most of the people here are music lovers, and there are countless bands and singers, Avril stood on the stage with her head down and slowly sang the religious songs of the choir for a while, praying for the victims at the scene, she was originally born in the church choir, and then Buck asked her to stop before going down, because it was obvious that the wounded were a little excited, and they wanted to stick their heads out to watch the idol performance, and their blood pressure was too high!
Is Avril wrong about this?
She often jumps and jumps in concerts, this is a common thing in the rock world, the node of the problem really needs to be investigated, it should be in that conductor, he should not let the audience in the first district join in, so that the originally neatly divided audience has a gap, which has caused the possibility of moving, which has caused a series of changes to occur, if Buck hadn't stopped him from trying to intercept and storm the stage in time, and even blocked the behavior of boarding the stage, the number of dead and injured would be even more terrifying, instead of the current situation of more than 40 people killed and more than 300 injured!
So as more and more staff members came to assist, the police doctors gathered around the temporary operating room under the strong light, and almost all the survivors on the hillside focused their eyes on the curtain, looking at the figures that kept shaking inside, and the wounded who kept moving in and out, and heard the headset that was connected to the sound system urging in English: "All the fractured and wounded on the scene should not be bandaged, and wait for professional medical personnel to treat you. local tissue infection, azitaemia exacerbated by toxin absorption...... Trust us, we will save every life as much as possible......!
It should be said that in the past three or four hours, the figure that could not be seen clearly gave everyone extremely strong confidence support, and everyone was also asking who this brave and skilled medical guy was!
In fact, he is just a military doctor who meets the right time, and at best he is an experienced military doctor......
No other, but familiar hands!