It's not that hard to open a hospital in another world, right?

Chapter 4

According to the standard of surgical brushing, Wu Zhou rubbed the foam with water and soap, and washed it from the fingertips to the upper arm.After washing it again, he folded his hands together to hold the spirits, and rubbed it carefully.

While rubbing, I sighed secretly: there is no running water, no antibacterial hand sanitizer, no iodophor and no chlorhexidine.Three times of hand brushing can only be reduced to two times. If this is in the emergency department, even the nurse in the operating room can spray him.

I don’t even know if this spirit is strong enough—the smell alone is probably not enough!
Don't even think about sterile gloves, whether the injured will be infected is basically up to fate...

By the way, no antibiotics yet!
No sulfonamides, no penicillins, no cephalosporins of all kinds…

Just using these hands to stroke the intestines, Wu Zhou shuddered when he thought about the risk of infection after the injured person was confined.

This is a total gamble!
But if the intestines are damaged, it is also a big trouble.Once the intestinal contents leak out, peritonitis, sepsis, and various complications can all kill people.Clinically, if the abdomen is closed without repairing the intestines, there is a medical accident, and the gastrointestinal surgery can throw a basket of rotten eggs.

Take the lesser of two evils!

Wu Zhou held his breath, started from the duodenum, and stroked down the intestines inch by inch.A handful of bloody intestines swept across his fingertips, and soon, a frantic vomiting sound came from around him:
"vomit--"

The red-haired archer knelt on the ground, his head curled between his knees, his face almost buried in the vomit.The little pastor's face was pale, and he tried to lower his head to avoid looking at the abdominal cavity, his lips were pursed tightly, and his cheeks were bulging.There was a bang from behind, like the sound of a bucket falling to the ground, but the one who lifted the water also vomited.

Spit it, spit it, spit it, you'll get used to it.Wu Zhou murmured silently, raised his eyes to look at the injured, and immediately his soul flew out of the sky:

"Why are you awake!—hold him! Hold him!"

Heck, wake up from surgery! ... No, there is no "intraoperative" at all, there is no anesthesia from start to finish, this is the wake of the injured!
Squeeze your intestines, bro!

don't move! ! !

With vomit hanging from the corners of their mouths, several soldiers rushed to press people.The injured burst out with great strength in panic, struggling with at least 500ml of blood loss, and the three of them almost failed to hold down.Wu Zhou held a piece of jejunum in his left hand and a piece of ileum in his right hand, his face covered in cold sweat:

"Don't move! Don't move—"

It's really scary without anesthesia... Whoever has a little bit of accuracy at hand, can he numb the injured...

Kidding.If he really wants to have an epidural hematoma, he doesn't know how to treat it!
He even explained and comforted, and the injured managed to calm down.Wu Zhou sank his heart and checked his intestines inch by inch.No, no, the jejunum segment didn't break either, great!Next is the ileum segment, which just fell out and is the most dangerous part...

A 5cm long crack!
Fortunately found.If you don't find it out, and you go straight to the intestines...

Wu Zhou has already started to supplement the leakage of intestinal contents, suppuration, peritonitis, sepsis and a series of consequences until death.Surgery is just like that. I found out if there was anything wrong with the stitches, and if I missed a little in the inspection...hehe.

Now there is no condition to suture the intestines.Fortunately, he has something else.

Wu Zhou carefully reversed the bottle of the potion for minor wounds and put the potion on the wound.One drop, two drops...

Looking directly at it, the thin and narrow wound, like a time-lapse photography, began to heal visibly with the naked eye.One centimeter, two centimeters...

Not moving.

Wu Zhou put the cork back, tried to shake it, and pulled it out again.Shaking out again...a drop.

Heaven Lingling, Earth Lingling, Amitabha Buddha Immeasurable Heavenly Venerate, God knows what gods provide healing potions in this world, this wound must grow well... No, this potion must be enough!

Another centimeter longer.

Another drop...

Grow up!Perfect!

Wu Zhou breathed a sigh of relief and continued to check down.Fortunately, the remaining part of the ileum, as well as the cecum and colon further down, were not damaged. As for the rectum, there is a high probability that it will not be touched at such a low position, so there is no need to stretch it.

rinse!

Shut up!

By the way, there is no 37 degrees Celsius saline here, and he has to prepare it himself...

"Is the water boiling?"

"not yet……"

Look, look, it's so tragic.

spread hands.

Should he be glad that this is still guarding a dilapidated house, with the conditions to boil water, and find some salt?
Wu Zhou took a deep breath, took another deep breath, and took a third deep breath.He put his hands flat on his chest, turned his upper body in a very awkward position, and waited eagerly until the water in the pot boiled.Then, start the on-site dictation and instruct teammates to prepare normal saline:

"Pour boiled water into cold boiled water...don't pour too much! You taste...no, don't drink it directly, pour it out and drink it, it's the same as the temperature in your mouth, neither hot nor cold.

OK, now put salt in it!Don't put too much, a pile as big as the first section of the thumb, crush it, throw it in, shake it! ——Take another bite and feel that it is salty, but not so salty that it becomes bitter?That's right, come, give me another bite..."

"Why put salt in it?"

The little pastor finally recovered from the vomiting, the freckles on his face seemed to have dimmed a little, and his eyes were still sparkling.Hearing his questioning, Wu Zhou blurted out without thinking about it:

"It doesn't hurt to wash the wound with saline."

"What salt water?...Why doesn't it hurt?"

Wu Zhou: "..."

It's broken, it's a slip of the tongue!People in this world don't know what saline is!

And, why doesn't it hurt, do you want me to take a physiology class on the spot, from cell osmotic pressure to nerve conduction?
"Cough, normal saline, which is salt water as salty as blood... When your blood is on your own wound, doesn't it hurt much?"

"But salt is expensive!"

No, salt is expensive?
Wuzhou Khan.In clinical practice, one of the most widely used supplies is normal saline.Use it during debridement, use it when flushing various intubations, and use it when flushing before closing the chest and abdomen.Everyone picks it up and falls down. After a major operation, dozens of liters of normal saline are issued on the receipt, which is not unusual at all.

At this moment, I actually told him that salt is expensive...

Wu Zhou turned his head and looked at the house with the stone walls, the thatched roof, and the dark rumbling.Well, salt is really expensive.

"No matter how expensive it is, you have to use it! Without this concentration of saline, the wound will recover very poorly!"

If you use fresh water, the osmotic pressure is too low, which will cause a piece of cells to die, and then create an ionic disorder or something...

These people have never even heard of cells and ions...

The little pastor was thoughtful.A loud cough suddenly sounded on the side: "Cough...Little Gretel, the salt water is here!"

(End of this chapter)