Chapter 412: Staying alive is more important than anything else

The rescue on the first night was the most intense, the medical team dug out more than 200 people from the rubble, many died before they were dug up, and most of the serious cases were dug up, Lu Qingshi asked people to transfer all the minor injuries and ordinary serious cases that could be moved to the nearest county hospital, and those who could not move and needed immediate surgery were left behind.

At noon the next day, Lu Qingshi asked her to go into the operating room to learn about the amputation of a patient with crush syndrome.

The patient's subcutaneous tissue and fascia have been cut, Lu Qingshi is ligating the patient's thigh artery and superficial veins under the skin, the blood will be sterile and stained through, the first assistant of the operation is a young female doctor, obviously it is the first time to do amputation under such simple conditions, and he is nervous, "Director Lu, the patient's blood oxygen and heart rate are very bad, will it be ...... if it goes on like this?"

Lu Qingshi didn't raise his head, nor did he answer her question, the hand holding the scalpel was calm and calm, "Tweezers." ”

The female doctor hurriedly lowered her head to get the tweezers, but her hands were trembling when she handed the tweezers, Jiang Qian walked over and took the tweezers from her hand, "I'll come." ”

The female doctor's face was flushed, and she glanced at her with guilt and gratitude, but she was extremely worried, Lu Qingshi looked at Jiang Qian, then nodded, and said to the female doctor, "Go out." ”

The female doctor was pardoned.

Lu Qingshi took the tweezers and separated the peripheral nerves that needed to be severed, "Although the external part of the nerve does not involve amputation, the severed nerve, epineurium and muscular suture are all things you need to be proficient in in the future, if you are afraid of blood, stand far away and see." ”

Jiang Qian has long been accustomed to this kind of bloody scene of surgery, and there are no two or three assistants for the operation, if she stands far away, how can he get it alone, "Brother, if I am afraid of blood, how can I be a doctor, don't worry, although it is the first time I enter the operating room, I will definitely be able to do your help." ”

Lu Qingshi knew that she was capable, but after all, she was a girl, and she was worried that she wouldn't be able to stand this bloody scene all of a sudden, but she could swear such a promise, which made him feel a lot of relief.

He taught her how to cut the musculature, how to separate the muscles, and bury the nerve ends in the muscles, and then peel off the periosteum to prepare for the osteotomy, he thought that all she knew and learned came from textbooks, so he wanted to deepen her understanding through practice, and he would never have imagined that his sister not only knew all about these things, but even without him, she could complete an amputation operation on her own with two students.

During this period, Lu Qingshi asked her how she could tell that last night's patient had crush syndrome.

Jiang Qian expected that he would ask, and while using hemostats to assist in stopping the bleeding, he replied, "I saw that the patient's limbs were partially swollen, the skin was purple and shiny, extensive bruising, and the patient was pressed with large stones. ”

Lu Qingshi nodded, "How to rescue the scene as soon as possible?" ”

Jiang Qian pretended to be ignorant, and deliberately thought about it before answering, "The first time should be rehydrated, venous access should be established to correct hyperkalemia, and then respiratory support should be given, if the patient is pressed by the stone for a short time, conservative treatment can save the best, but if not, it is also necessary to argue in real time that it is necessary to cut the fascia and muscle membrane for decompression, or amputation." ”

Lu Qingshi didn't say anything more, but was obviously satisfied with her theoretical knowledge reserves.

The operation was nearing the end, Jiang Qian looked at the patient lying on the operating table, and inevitably felt embarrassed, it was a woman who looked less than thirty years old, a mudslide took away her legs, and I don't know if she can have the courage to face the rest of her life after waking up.

But human beings are so small in the face of natural disasters, and survival is more important than anything else.

Suddenly, Jiang Qian felt a violent vibration.

"Oh no! The mudslide is here again! Go to the village and see if anyone lives in it! ”

"It's important to save people, and things will be moved later! A few of you stay and watch the patient, and the rest come with me!" ”

The light above the head of the operating room shook violently, and Jiang Qian suddenly looked out of the tent, "Brother, the mudslide is coming!" ”

Lu Qingshi naturally heard the shouting and panic outside, but he still used hydrogen peroxide to clear the wound unhurriedly, "You don't need you in the next steps, you go out first." ”

Jiang Qian didn't know what he was talking about, how could she leave him out at this time, this operating room was built temporarily, to put it bluntly, it was a little more high-end than the tent, the outside was made of iron sheets, and there was an additional negative pressure system, but it was not anti-pressure, and the mudslide would definitely crush this place completely.

"I'm not leaving, I'm going to be with you," Jiang Qian said, "I know that the patient can't move, I'm guarding with you, and multiple people are helping." ”

She knew that he would never leave the patient alone, so she had no idea to persuade him to go out, or the heavy tent would collapse, and if she was lucky, she would not be able to kill anyone.