Drowning has always been one of the most common causes of accidental death among children. In the 19th century before fast-moving cars and emergency systems, drowning undoubtedly topped the list. Once drowned, it is difficult to save people.
This is not only due to the non-existent protective measures, but also due to the drowning first aid method that no one is proficient in.
Even in modern times, there is still no real formula for how to deal with first aid after falling into the water. Even the world's most authoritative drowning first aid guide, before the popularization of evidence-based medicine, continued to quarrel over some detailed specifications.
Moreover, the specifications are not static. They are also subject to the changing conditions in the wild and require on-the-spot fine-tuning by emergency doctors.
Drowning often causes suffocation and cardiac arrest, and the golden treatment interval is extremely narrow.
Modern medical emergency systems have become increasingly perfect, but there is still a waiting period of 5-10 minutes before pre-hospital first aid arrives at the scene, which is enough time to kill a drowning person who is already suffocating. Rivers and lakes where people are prone to drowning are often far away from the city center, so first aid will only be slower.
Therefore, it is often not the emergency doctors who arrive late, but the non-medical staff at the scene who can really save lives. It might be a relative, classmate, or friend of the person who fell into the water, or it might be a brave passerby like Morasso.
For the enthusiastic rescuers at the scene, they definitely hope that the person who fell into the water can survive, but there are various methods. Some are a waste of time, and some are more fatal.
On the surface it looks like "awake" and "alive", but the changes within the body are still dangerous. 【1】
The child who drowned was the child of a couple on the boat. He looked eight or nine years old and looked like he was from a good family. Passers-by along the coast were very enthusiastic and helped a lot to save people, but they also set a new lower limit for Kawei’s drowning rescue measures in Austria.
"Quickly, pour the water. He has been in the water for so long. Hurry and stand him upside down and drain the water out!!!"
"I think it's better to do an enema first. I have good tobacco here. Mix it with some laudanum and the taste will definitely revive him."
"Without the enema box of the drowning emergency team, without the special long tube and blower in the box, how do you get the smoke into the child's butt?"
"Don't worry, my mouth is no worse than that tiny blower!" [2]
Kawei didn't have time to be surprised when he heard these words. When he saw that they were about to lift the child's feet upside down, spread his gluteus maximus muscles and prepare to fuck him, he could only announce himself to his home to get a space for treatment: "Don't fall down." Come here, it’s useless! Give me a break, I’m a doctor from the Municipal General Hospital, I have a solution!”
"doctor?"
Here, doctor is synonymous with gentleman, and the clothes Kawei wears are noble enough. After hearing this, everyone stopped and looked at him, not daring to move.
"Put him on the lawn quickly, quickly!"
Kawei took off his coat and gloves and looked at the child with cyanotic lips and pale face. He opened his mouth with his fingers and checked the carotid artery pulse.
In just a few minutes, a lot of mud had accumulated in the child's mouth, and water plants could even be seen. And the pulse that should have appeared under Kawei's fingertips also disappeared, breathing and heartbeat were all 0, and one of the child's feet had already stepped into the gate of hell.
"count!"
The situation is very bad, and Kavi needs a helper he can trust: "Come and help!"
The naked Morasso was standing aside. As soon as he took the towel handed by the guard, he immediately stopped and came closer: "What do you want me to do?"
"Hurry and pick the dirt out of his mouth." Kawei said, pressing his hand on the child's chest. "After you clean it, help change the child's clothes. The river water is too cold. He needs to Keep warm.”
"No problem." Morasso didn't have the arrogance of a nobleman at all. He stretched out his hand and started to dig out the sand.
"A few more people can help me change clothes!"
In addition to not knowing the rescue methods, these passers-by are very experienced in drowning. At least they can take off their clothes very quickly. But everyone's attention was not on the child's body, nor on the child's mouth, but on Kawei's hand pressing on the child's chest. 【3】
He raised his fingers slightly, pressed the heel of his palm on his sternum, and exerted force on his arm vertically: "Earl, are you okay?"
"It's coming, it's coming..."
Kawei looked at the unresponsive child and couldn't wait any longer. He pushed Morasso away, put his mouth to his nose and blew hard: "Bring a blanket and wrap it around him!"
The child still didn't respond, so Kawei blew a second time.
This time there was a reaction, but not from the child, but from his mouth. A lot of foam slowly flowed out of the mouth, along with dirty water plants, sediment and a little white stomach contents.
"woke up?"
"not yet."
Kawei knew that it would be very troublesome if he didn't respond after the first two breaths.
He has been doing first aid for decades, but mostly with adults. He has given artificial respiration to children only a handful of times in his life, and he is not as open-minded as the passers-by around him when it comes to dealing with drowning. He would definitely be lying if he said he wasn't nervous.
At this time, Ignatz and Bergt, who were following the king's car, also ran over: "Drowning?"
"Yes." Kawei kept applying pressure with his palms and silently recited the number of times in his mind, "Severe drowning is not a good thing."
Ignatz had never seen cardiopulmonary resuscitation, but after spending so many days together, the sense of security brought by this mysterious young man made him believe for some reason that this was the correct first aid method: "Would you like to try Marshall Hall?" Law?"
"What method?"
"There are already many successful examples of the drowning treatment method that is currently popular in Britain and France." Begert also understood some cutting-edge technologies and explained, "It is actually to inflate the lungs."
"It's too late to insert the inflatable tube." After Kawei finished speaking, the number in his mind reached 30. He quickly stopped and turned sideways, pinched his nose and took the third and fourth mouthful. "He didn't even have a heartbeat. I have to keep doing it." Compression, relying on pressure to drive the heartbeat, who can help with this Marshall method?" [4]
Mouth-to-mouth blowing was indeed beyond their ethical scope. Morazo, who had been lively just now, suddenly became silent when he looked at the white secretion at the corner of Kawei's mouth.
"You really have the guts to talk..." Ignatz couldn't understand this behavior.
Berget also couldn't understand: "He is a boy."
"Does it matter? Girls can't do it either!"
Just when Kawei was about to complain about why you guys dared to blow your ass, but why you refused to blow your mouth, the old man holding the pipe stood up again and responded to this unspoken question: "How about I help? Well, I have a great mouth."
"good!"
"Is it blowing smoke into your butt?"
"Mouthpiece!!!"
"All right."
Although the artificial respiration performed by Kawei failed to wake the child up, it at least gave him two breaths, and he could see obvious rise and fall in the chest. This means that the sediment, water and grass have been removed, the respiratory tract has been unobstructed, and there is still a chance!
"The ship has docked!!!"
I don't know who shouted, and gradually a shrill cry came from the river bank: "Remit!"
The mother's cries were scary and heartbreaking. Although the father beside him did not shed tears or move his mouth, he threw himself on the child as soon as he arrived and shook his body vigorously: "Wake up, child. , wake up quickly!!!”
But now the boy is still deprived of oxygen, his face is ashen, and he has no reaction.
Kawei winked at Beget, and he immediately understood and walked over to pull him away: "Our doctors are still rescuing him. Please stand aside and wait peacefully. Don't disturb him..."
In fact, he felt guilty when he said this. After settling the family members, he squatted next to Kawei and asked in a low voice: "Is this okay for you?"
"Of course, it can be done!"
One-handed compression will be more strenuous than using both hands because he cannot bear all the weight. Beads of sweat are already flowing on Kawei's cheeks. The second round of 30 has arrived in his heart, and his pulse is still silent: "Uncle, blow! "
"Okay~" The uncle took a breath, pinched the child's nose in the same manner, lowered his head and mouth to mouth, "One bite...two bites...finished!"
The third round of recovery begins...
The frequency of Kawei's compressions is not low, and it takes less than a minute to complete two rounds. However, this special and unfamiliar first aid method still makes many people have questions: "Doctor, if you press so hard, can the child eat it? There is still water. How can we do this without getting the water out of our lungs?"
Once someone starts, many people will follow suit, and this kind of doubt will not only spread among passers-by, but will also deeply affect the parents of their children.
Kawei was used to this kind of situation, so he just pressed himself and ignored them, but the child's parents couldn't help it. My father, who had just taken a few steps back, ran forward and asked, "Are you a doctor? Is your approach really effective?"
"have."
"Can Remit be saved?"
"have no idea!"
The father's face was ugly, and the mother beside him was crying so hard that it made people feel bad... It hurts so much!
Kawei really wanted to stop and turn around and scold them. Two parents couldn't take care of a child. Is it so difficult to hold hands?
But he still endured it. What the child needs now is not a lesson from his parents, but constant chest compressions. Only in this way can the beating of the heart be simulated and blood with oxygen be pumped to the whole body: "If you have time to waste time here, you might as well go to the boat and get a brazier."
My father was very dissatisfied with the young doctor's attitude, but he had no choice but to turn around and get on the boat.
The passers-by who stayed behind continued to question. Although they were all well-intentioned, it turned into stupid noise in Kawei's ears: "I am Baron, a doctor from the Municipal General Hospital. What do you have? Are you qualified to question me?"
The sound of this sentence was not loud, because the fast frequency of compression was cut into small segments, but the people around him were very sensitive to the word "Baron". As soon as he finished speaking, no one around him dared to say anything anymore. Even his mother, who had been crying and screaming, became much more restrained.
Although it is bullying, it is really useful.
The third round of compressions was over, and Kawei didn't need to speak anymore this time. Seeing him raising his hand to touch the child's carotid artery, the uncle leaned over and blew air into the boy's mouth.
Round 4…
"The brazier is here, everyone give in, the brazier is here!!!"
After hearing his father's cry, the crowd parted a path and let him in: "Where to put him?"
"Put it next to him, don't get too close." [5]
"good."
Kawei knew the temperature of the child's body very well, and raised his hand to feel the temperature of the brazier: "Put it further, farther away."
"Is it still further?"
"right!"
Although his father didn't hear what he said just now, Kawei's decisiveness still gained him a lot of points. People who can remain calm and make a series of judgments in critical moments can always make people who don't know how to do it look confused.
"Okay, that's the position." Kawei nodded, and then called his father forward, "Put your hands under his armpits, and then change them after they cool down."
"Um......"
"Who has wine?"【6】
When it comes to rescuing a drowning person normally, I'm afraid not everyone here can do it perfectly, but when it comes to drinking, there are too many people. The men present all had small bottles of wine in their arms, containing all kinds of wine.
"Don't take it, brandy, I want low-alcohol wine." Kawei looked at Amber, who was with him every day, and his eyes were on fire, "He is still a child!"
"Come, come, wine, it is a fine wine specially brought by His Majesty the King." The captain of the guard ran over from a distance holding a bottle of white wine and shouted, "Mr. Carvey, what should I do next? "
"Pour a cup, put the brazier on the side, and heat it up."
"OK."
The fourth round ended quickly, and Kavi’s shirt was already soaked.
He took advantage of the interval between his uncle's artificial respiration and quickly took off his vest, preparing to change from one hand to two hands [7]. Firstly, the strength of my right hand is gradually declining, and the proficiency of my left hand is insufficient to maintain it. Secondly, I still hope to increase the child's blood circulation and revive him as soon as possible.
Kawei didn't know how long this kind of compression would need to continue, let alone how much doubt he would face if the rescue failed.
But he happened to pass by the river with the carriage team, and the child happened to fall into the water. Everything was God's will. For Kawei, this child is his patient, so he should just suppress it anyway.
Fifth round!
Just when he put his hands on the child's chest and was about to exert force, the child's father suddenly shouted: "Wait a minute, I just saw his face move!"
"woke up?"
The father patted his son's cheek: "Wake up, wake up, your lips are moving too!"
"Yes, and his fingers."
"Oh my God, he's alive!"
Kawei quickly stopped, lowered his body and glanced at the slightly undulating chest, and finally felt a faint pulse when his fingers were placed on the carotid artery. Under the combined effect of the slowly warming body temperature, heart rate and breathing, Remit's face gradually turned red.
This is the favorite color of Kawei, who has always been against death, and it is also the most beautiful color in the world.
The child did wake up. He coughed several times and then spit out a large mouthful of river water. Although his face looked painful, at least he was still alive. Kawei stood up and breathed a sigh of relief, and finally said the words he had been holding in his heart for a long time: "He's back!!!"
