Disaster relief work is very special and does not follow general medical methods. Because it is very special, the environment is special, and the wounded are special.
The number of casualties is large, and their injuries are serious and complex. The traffic environment in the disaster area is poor. Unable to move the injured in time.
Therefore, in disaster areas, the principles of rescue are first rescue before rescuing, first serious before minor, scientific classification, hierarchical treatment, continuous monitoring, early debridement, delayed suturing, and overall treatment.
These few words may seem very simple, but in fact, these few words contain the helplessness and cruelty of medical people! Yes, it is cruel. Many times, when you need to choose, you are faced with the lives of others or the limbs that need to be abandoned!
Landslides, and landslides in the middle of the night, are very vicious. On a heavy rainy day, without any warning, they quietly entered the village just like the devils from the Wanzi Kingdom, and they were very cruel.
The winter weather in the northwest is very cold, and in order to withstand the cold climate, the walls of the house have to be thickened. But such a thick wall was as fragile as a newspaper under the natural disaster mixed with earth and boulders, and could not withstand it at all. Instead, it caused huge difficulties for disaster relief.
After this kind of wall fell down, it was not just broken bricks, but some kind of ruins. Unlucky, he was killed immediately.
Xue Fei, who entered the disaster area in the early stage, followed the soldiers in front with one step deep and one shallow. His body, which had been corroded by staying up late and smoking, could only keep up with the great young man in front of him who was training every day by trying his best to eat milk.
The small roads that originally lined the small town have long since disappeared. The survivors are all residents whose houses are on the outermost edge, or residents who live on higher floors.
But it is a small town after all, with not many high-rise buildings, so when the collapsed mudslide comes, most people are swallowed up in their dreams.
"Brothers, come on! This way! Come on, this way!" A young soldier's face was covered with mud and water, unable to conceal his youthful age. At this time, he was very happy, almost shouting, because he found a wounded person.
"Quickly, we found the trapped people." The medical staff from Xue Fei's team rushed over and entered the disaster area. Doctors and soldiers were everywhere. When no wounded were found, they kept throwing away their tools. dig. Because the enthusiasm of these soldiers directly inspired others.
Collapse mudslides are sometimes more terrifying than earthquakes in some aspects. Because it is mixed with a large amount of soil and covering it instantly, it will cause hypoxia and suffocation for personnel, so the medical team cannot help but be in a hurry.
When Xue Fei and his team arrived, Xue Fei's scalp was numb. Judging from her underwear, she looked like a woman. She was lying prone in the gap formed by two huge rocks, and her upper body was pretty good.
But it is also obvious to see the scratches everywhere and the dirt covered with blood stained red. If you don't look carefully from head to buttocks, you can hardly tell that it is a person.
What's really scary is the legs. Both legs are firmly pressed by two huge rocks, and the surrounding soil has already turned vermilion.
It is conceivable that there may be other people around these two huge stones, but large-scale machines cannot get in. People cannot dig much. Such huge stones weigh only one or two tons, not three or four tons.
With just one glance, Xue Fei jumped to the injured person's side without hesitation, and put his hand into the patient's neck. "There are still fluctuations. Quick! First aid kit, rescue!" Xue Fei said loudly.
The rescue judgment must be quick, and it is best to complete this judgment within three seconds, which means the faster, the better. This judgment is also very simple, it is to see whether the fluctuation of the injured carotid artery can be touched.
Because of the fluctuating carotid arteries, the systolic blood pressure of the casualty in general response can reach 50mmhg, which is the critical blood pressure for shock. The two doctors divided the work and worked very quickly. One doctor quickly cleaned the patient's respiratory tract.
"No, there are too many impurities in the mouth, and her body cannot move or clean it." The patient's originally maintained weak breathing was changed due to the inspection of the rescue personnel.
The patient's face became increasingly blue and he was suffocating. It was too late, and the special position made it impossible to perform other rescue operations.
"Thick needles! Quick, thick needles. Three!" Dr. Yang Shusen and Xue Fei were in a group. At this time, he shouted loudly to the nurse.
When you get the thick needle, there is no time to disinfect it or do anything else. Yang Shusen took the thick needle and didn't even make any gestures. He ran out of time. It directly penetrated the cricothyroid membrane of the wounded person with a puff!
"Not enough! Come again!" Yang Shusen continued. After continuous thick needles penetrated the cricothyroid membrane of the wounded person, the bruise on the patient's face slowly faded away.
As the bruises on the wounded man's face and lips improved, Yang Shusen broke into a cold sweat. If this method failed, he could only quickly cut open the cricothyroid membrane with a knife. Infected or not, I don’t care.
In first aid, many times, the time God gives to the injured is only enough for the doctor to do one treatment. If this treatment is ineffective, then the next treatment will either never have a chance, or it will have to be very fast.
If the piercing needle is ineffective, Yang Shusen's incision will be very rough. No matter how rough it is, it will be like cutting the throat in the movie. The patient's cricothyroid membrane must be cut quickly and accurately.
Yang Shusen is treating the respiratory tract, while Xue Fei is treating the patient's legs.
"Scissors! Hemostatic pads, bandages." Xue Fei knelt beside the wounded person and said without raising his head. The wounded man's legs were really invisible. The big stone directly crushed the calf into minced meat, and the remaining tissue was like a thread connected to the lotus root below the knee joint.
The surrounding soil is mixed with the patient's blood, bones, and muscles, and the land has turned into a brown paste!
The calf was hopeless and had to be abandoned. Xue Fei quickly cut off the remaining limbs, quickly put a hemostatic pad on the patient's popliteal fossa, and then quickly wrapped it with a bandage.
The speed is very fast. At this time, the injured are wandering on the edge of life and death. If their vitality is stronger, they may survive. If their vitality is weaker, they may die when they leave the ground.
"Open the intravenous channel. Inject norepinephrine intravenously! Get the stretcher and prepare for transfer." While Xue Fei was treating the lower limbs, Yang Shusen had already begun to establish an effective intravenous channel and gave cardiotonic treatment.
A stretcher, and two or three soldiers have come around. The wounded person was placed on a stretcher and tied, "Quick! Move, he's in shock."
The soldiers lifted the patient and began to sprint forward, toward the operating cart. This kind of rescue cannot be delayed at the scene because the effective time of the drug is too short.
In fact, it is just like racing against death to see who can run faster. If it can move quickly, the wounded will be rescued, but if it cannot be transported, the wounded will die. It is very simple.
"Quick! Quick! Faster! Run!"
"Step aside!"
"Come on! Change."
There is quite a tacit understanding between the well-trained soldiers. A group goes all out and sprints like crazy. Five or six hundred meters away, there are other soldiers waiting. On the muddy ground, they carry the wounded and sprint for five to six hundred meters. After rice, these soldiers simply lost their strength, it was too strenuous.
The warrior who took over didn't need to say anything. Then he continued running, running forward desperately, the debris on the road scratched the soldier's clothes and scratched his skin, and the blood that flowed out was like a small pearl floating in the wind.
"Where are you injured?" Ouyang stood on the roof of the car and kept dispatching the injured who needed treatment.
Treatment requires skills, but this kind of organizational assignment also requires experience and relevant knowledge. In this situation, ordinary people couldn't organize it at all. Ouyang could command a team of nearly a hundred people as easily as his arms.
Which point needs support, which point needs blood, and which point has a vacancy? It depends too much on a person's organizational ability. It is estimated that these are skills that can only be mastered after many times of practice.
"Debridement, debridement as soon as possible, give me a rongeur, Wang Yanan, hurry up, stop the bleeding in the lower limbs. Input the crystal quickly through the channel, and input a thousand milliliters in fifteen minutes. Quick!" In the operating car, Zhang Fan went crazy, and one by one the wounded were Sent down.
There are only a few surgical carts, so these injured people must be treated in the shortest possible time. The treatment here also follows the principle of first treating serious injuries and then treating minors, and first rescuing and then rescuing. In fact, this is the principle of battlefield treatment.
Save your life first, and then talk about other things. Zhang Fan, who was originally very quiet in the operating room, was shouting like a rampaging poodle at this time.
There is no way, there are too many injured people, they keep sending them, they keep sending them, he is the team leader of this surgical cart, he must keep an eye on all directions and listen in all directions, how to treat them quickly and how to deal with them quickly.
You must generate a plan quickly in your mind. Don't be slow. If you are slow, it will be a crime. If you are slow, it may be a life!
"Electric defibrillation, focus adjustment!" In the operating vehicle, one round of ABC was being carried out. A (airway!) B (breathing!) C (circulation!), everything else is in the back and can't be taken care of. Trauma suturing and fracture fixation are all in the back and it's too late.
These are all things that need to be done in the second phase. Now it is about grabbing as much as possible from the hands of the God of Death. There is no room for ambiguity.
For one hour, doctors at the midway treatment point and doctors from the disaster area rotated. It won't work if I don't change it. I can't do it any more. It's too physically demanding on the muddy road. Even the rotation was relatively easy.
Can't do it anymore? Impossible. The injured are waiting for rescue. How can we not move? We must move. There is nothing to discuss.
The colorful warriors and the fair-skinned doctors have all turned into clay figures, almost indistinguishable. God may have felt that he didn't cry enough. The rain that had originally become lighter began to gradually become heavier again, and the road that was about to be opened again suffered a large-scale landslide.
"Captain, what should we do? The landslide has worsened! Subsequent troops cannot come in, and medicines are running out."
"Ignore the machinery. Let the troops march and run in. We don't have enough people now. Quickly, notify us. Contact your superiors and ask the air force to release the medicine!"
Just like a battlefield, a battlefield without gunpowder smoke. If you stand at a high altitude, you can see that ant-like armies are quickly entering from all directions, and all automobiles and machinery are abandoned.
"Quick! Increase the speed and work harder. The people in front don't have much time. Hurry!" The officers outside the team kept cheering. An army without encumbrances, fast. During the heavy rain, they bypassed the collapsed area, rushed across the river, and entered the disaster area one after another.
In the sky, helicopters dropped medicine one by one, and time passed by little by little.
disaster area! Just like the Shura field, the cries of children, the cries of looking for mom and dad, the cries of mothers and fathers looking for their children like crazy!
rescue! rescue! Time is everything, and time at this time is more valuable than gold!
