This seemingly perfect system actually operates poorly due to the shortage of professionals and medicinal materials.
In the previous wars of the Senate, the battles generally did not last long and the overall casualties were relatively low. By concentrating most of the health resources on an emergency solution, the effect is generally not bad - except for some serious trauma and infection, the survival rate of treatment is very high.
During the Hainan Island Public Security War, most of the troops encountered were small groups of bandits. Not only were their troops small, their quality was low, but their weapons were also inferior. The Fubo Army generally had an absolute advantage, with very few battle casualties and even less need for medical services.
Today's situation is quite different. In the security war along the Xijiang River, the number of enemies is large, their equipment is good, and most of them are very familiar with the terrain and people's conditions. In contrast, the National Army, which undertakes most of the daily tasks in security wars, is often poorly trained and poorly equipped.
Because many troops were adapted from the surrendered army and had poor fighting will, the casualties suffered in battles were much greater than those of the Fubo Army. After a battle, the number of wounded who need to be evacuated often exceeds the troop's disposal capacity.
Most of the anti-bandit battles are carried out in companies/squadrons. The combat range of a battalion/brigade may be as large as several square kilometers. The battlefields are often among mountains and hills. Soldiers who are injured on the front line have to overcome great difficulties. to reach the camp health station.
"...Even when they arrived, they couldn't get any treatment," Lin Motian said gloomily. "I went to the army to see it. The camp health station can only be regarded as a dressing station. There is nothing useful in the medical kit of the health worker. They I can only do basic debridement and bandaging, and can barely do simple fracture fixation, but I can't handle more complicated wounds. In some places, the wounded can't even be supplied with drinking water..."
To move from the dressing room to the field hospital, you first have to climb mountains and cross ridges before changing ships. During the bumpy transfer, the seriously injured were unable to survive. Each transfer step requires a long wait, and many injured people who could have been saved worsened in their injuries and eventually died while waiting.
The soldier's own summary is that "you can live if you can walk" and "you will die if you get on a stretcher." Lin Motian had to admit that these words were basically correct.
Slow evacuation over long distances often causes the severely wounded to die after being tortured, so in many cases, the company's traditional practice of "repairing" the severely wounded is revived. "Kindness" that seems to cause less long-term pain than short-term pain is actually a huge blow to morale.
"I also know that there is not much we can do with our conditions. Especially for the seriously injured... I am a surgeon myself. With our conditions, we can now see the common large open lacerations and organ-damaged penetrating wounds. I know best how many of the injuries I can save, and whether I can send them away or not is a matter of fact. But the current situation is really ugly..."
"Don't blame yourself too much - others don't know what the medical level of the Senate is like. Don't we know about the health department?" Liu San also lit a cigar, "In the 17th century, it was possible to establish a medical team with the army. How many of them are there? That would be great! Don’t forget that during the Austro-Prussian War in the mid-19th century, there were only six military doctors in an army of tens of thousands! This advanced nature is all based on comparison.”
"You are right, but..." Lin Motian still couldn't let go. The days of working in the field hospital stimulated him deeply. Knowing what the situation is and reality are two different things.
"As for the issue of resources, don't be too entangled." Liu San comforted, "Hong Huangnan and I have already done the calculations and are planning to expand the establishment of the rescue team. The special stretcher team needs to be greatly increased, and there are We need to build some ambulance ships, and don’t let the wounded wait for the returning transport ship—even if they die, they will die in the field hospital.”
"Where are the medical staff?"
"Try your best," Liu San said. "Old doctor, it's probably impossible to increase the number, but we can get a dozen more medical students to train for internship - these people, the doctor said, can't go to the front line. Their safety must be ensured.”
Ever since a naturalized civilian medical doctor was unfortunately killed in the battle in the Beijiang Basin, Doctor Shi felt very distressed - a "quasi-doctor" qualified according to the standards of this time and space would have to spend more than three years of training in health care. It was built on the talent and intelligence of this man and the tireless teachings of the veteran doctors - which finally led to the General Staff and the Health Department issuing a special document, requiring the army to "protect the safety of every medical personnel."
"I'll have it."
"There are also a batch of samples of the new first aid kit you designed, and a batch was sent for trial - I also brought a batch this time."
"Great!" Lin Motian's originally gloomy face suddenly became a little happy.
The medical kits commonly used by hygienists today are very simple: a wooden stethoscope, a debridement kit, a set of acupuncture needles, a small bottle of alcohol, a pack of styptic powder, a small bottle of marching powder, a pack of berberine, and a A small bottle of sulfonamide, a small amount of drinking water disinfectant tablets, as well as some gauze, bandages, triangles and tourniquets. This sanitation box has been put into use since the eve of the second anti-"encirclement and suppression" war, and it has been in use until now.
The new medical kits were named "Type 35 First Aid Kit" and "Type 35 Military Medical Kit" by him. They were designed and distributed based on the original hygienist's back box. They are respectively an improved version and an expanded version of the original hygienist's back box. It is divided into health worker version and military doctor version.
The Type 35 first aid kit has made some improvements based on the original version. Two layers of tung oil cloth lining are added to the inside of the original cowhide box to enhance the waterproof effect; the acupuncture needles and debridement kits are greatly simplified in the hygienist's first aid kit. The debridement kit only retains a knife, scissors, needle and thread, and as a supplement, The types and quantities of surgical instruments in battalion-level health centers have been increased; in addition to alcohol, a small bottle of iodine glycerin and hydrogen peroxide has been added; the types of Chinese patent medicines have been greatly enriched. The original hemostatic powder and berberine have improved ingredients, and snakes have been added. medicine, burn ointment, Angong Niuhuang Pills and oral opium tincture; chemical drugs have added oxytetracycline and emergency-specific refined morphine, which are mature and mass-produced, and some areas have also added posterior pituitary and adrenal gland extracts, and added The corresponding syringes and needles were obtained; the dressings were basically retained, and the five-color injury tapes copied from the People's Liberation Army were added: red bleeding injury tapes, white fracture injury tapes, black infectious disease injury tapes, and yellow poisoning injury tapes. , since the Fubo Army is unlikely to encounter radiation injuries, the blue injury tape is tentatively used for "other injuries" such as frostbite, burns, and stings.
The Type 35 military medical box is equipped with more equipment and medicines. In addition to increasing the number of medicines, dressings and equipment in the first aid kit as appropriate, several bottles of physiological saline and glucose injection have also been added to the military medical kit, as well as a larger and richer supply of disinfectant drugs for epidemic prevention; several more bottles have been added. Small medical equipment kits such as small orthopedic kits, debridement kits, and midwifery kits (to adapt to civilian needs at the station), as well as a slightly larger universal kit that is simplified by combining laparotomy exploration kits and amputation kits—— Of course, because the current materials are not up to standard, no matter what kind of equipment package it is, there are no things such as wire saws and Kirschner wires; instead, it is equipped with splints and plaster bandages, as well as simple breathing air bags, metal endotracheal tubes, metal tracheal tubes, etc. Urinary catheter. Since the volume and weight exceed the scope of ordinary back boxes, the military medical box abandoned the design of a back box and instead added a detachable handle and push wheels for easy use.
"To be honest, the simple breathing apparatus is controversial. Several people believe that under the current conditions, the significance of evacuation and rescue of field casualties who cannot maintain spontaneous breathing is very limited, and the simple breathing air bag can be ignored. But this thing It’s not difficult to make, and it would be nice to have one more rescue method.”
"To be honest, there is nothing that is not needed, only something that is not enough." Lin Motian said with a bitter smile, "According to my original opinion, the hygienist does not put the debridement kit in the first aid kit, and simply bandages it and sends it back... The complete version of the debridement kit is placed in the military medical kit. But after thinking about it later, I felt that it seemed too outrageous to not even have a needle and thread in the first aid kit, so I added this minimalist version. Because the hygienist’s first aid kit is not only in On the battlefield, we have to provide the most basic hygiene protection in peacetime, so the needles and threads are still left, but in my expectation, the debridement should be done by the military medical box."
"As for the individual first aid kit, the plan has been changed according to your suggestion, but the Planning Institute said that the current production capacity of enamel rice bowls is not enough, and it must be gradually added."
The new individual first aid kit adds an enamel rice bowl and a wide belt. The belt is a cotton cloth with holes two fingers wide and full of holes. The holes are small and can be used as a tourniquet. The enamel rice bowl is used for casualties with open abdominal trauma to temporarily hold the intestines flowing out of the body. Of course, it can also be used as tableware.
It turns out that Fu Bojun is provided with one first aid kit per person, but this thing has a shelf life, and the sanitary materials factory lacks effective sealing and packaging means, resulting in a very short shelf life of the first aid kit. After the expiration date, the package must be removed and re-sterilized, so the inventory Has remained at a low level. Full production began only a few months before the start of the mainland strategy, but the consumption far exceeded the pre-estimated - the National Army's expansion plan has been enlarged again and again, and the combat intensity is much greater than expected. At present, the first aid kit cannot cover every one , basically only the Fubo Army and the "Old National Army" can equip it. A large number of the National Army mobilized in the "second" and "third" waves were not equipped - in fact, many companies did not even have health workers. There is basically no treatment available after injury.
"Such differential treatment has a great impact on morale," Lin Motian said. "Most of these New National Army units are poorly equipped and have little or no medical equipment. Many soldiers feel discriminated against. Over a long period of time, not only has the morale of the troops failed to improve, but there is also a problem with their loyalty: the desertion rate in the National Army has been quite high recently."
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Next update: Volume 7 - Guangzhou Governance Chapter 372
