The hospital is too busy, so I'm going to join the army and become a top soldier!
Chapter 83 Arrival in the disaster area, rescue begins!
When the medical vehicle sped out of the camp, the rain outside was so heavy that the road was completely obscured.
Even with the wipers on their fastest setting, they still couldn't keep up with the constant stream of rain hitting the windshield.
The truck's headlights illuminated only a white curtain of water and muddy soup churning up from both sides of the wheels.
Even on such roads, the soldiers still drove their vehicles incredibly fast.
They didn't care at all whether the people in the train car were pigs or their comrades!
They only know one thing now: to get to the disaster area and the front line as quickly as possible!
The people there need them!
Inside the carriage, several medical workers held onto the handrails, their bodies swaying from side to side with the movement of the vehicle.
The stretcher, first aid kit, and oxygen equipment were all securely fastened with straps.
Even so, it still makes a dull thud every time it goes over a pothole.
Azgul squatted in the middle of the carriage, rechecked the securing straps of the medicine box, and then reached out to press down an oxygen cylinder that was about to slip.
"Keep a close eye on the equipment around you!"
"If the equipment is damaged on this kind of road, it will be useless once we get there!"
The medic next to him immediately tightened the restraints.
Ma Jianjun sat opposite Shen Yan, his training uniform under his raincoat already half-soaked.
During training in the medical unit, he would curse like a cannon, and the medical soldiers would call him "Big Cannon Ma" behind his back.
But now, his tone was surprisingly calm.
"Everyone, let's clarify our roles on the way!"
"After arriving in the disaster area, Company Commander Zheng was responsible for coordinating with the on-site command, while I was responsible for medical treatment and personnel coordination for our group."
"Azgul and the others are responsible for bandaging, immobilization, IV infusion, registration, and assisting with transport. Shen Yan, you're smart, so follow me and do triage!"
Shen Yan nodded earnestly.
"Yes."
Ma Jianjun looked at everyone and continued to emphasize:
"The disaster area is different from our training ground."
If one person collapses on the training field, all the medics will be there to help him, but a disaster area might send in a dozen or even dozens of wounded soldiers at once.
"You can't just look at who bleeds the most, nor can you just listen to who screams the most."
"The fact that some people can still shout and curse means they still have the strength for the time being."
The truly dangerous ones might be those who lie motionless, pale-faced, and unable to speak!
"Those who need immediate rescue should be sent to the emergency area, and those who need to be transferred should be arranged for transfer. The lightly injured should not all be kept in the area for the seriously injured."
"Triage does not mean refusing to save lives; it means saving as many lives as possible when medical resources are limited."
"Do you understand?"
"clear!"
Even with the help of a systematic triage system, Shen Yan didn't rush to show off how much he knew.
In his previous life, he participated in large-scale rescues in a hospital and also studied disaster medicine.
However, the procedures on paper and the actual scene of a flash flood and mudslide are completely different things.
There is no fully equipped emergency room here, nor is there an imaging examination and laboratory department available on call.
Even roads, lighting, and communications cannot be guaranteed.
All we can rely on are the on-site medical personnel, the limited medicines and equipment, and the judgments each person makes within a few seconds!
Often, it is within these few seconds that a person's life or death can be decided!
[Connecting to a large-scale disaster medical relief scenario...]
Experience in triage, on-site medical coordination, and casualty transport is being established...
The system notification flashed by quickly.
Shen Yan felt even more confident!
The medical vehicle struggled through the torrential rain for over an hour before its speed suddenly slowed down and finally came to a complete stop.
Urgent shouts soon rang out from outside the car.
"The road ahead is blocked by a landslide!"
"All personnel disembark and await further instructions!"
Ma Jianjun immediately stood up.
"Check your personal equipment and prepare to disembark!"
The car door opened, and a gust of wind carrying rain rushed into the carriage.
As soon as everyone jumped out of the car, rainwater seeped into their raincoats through the collars.
Before long, everyone was completely soaked from head to toe!
A hundred meters ahead, half of the hillside had collapsed.
Mud, gravel, and broken trees lay across the middle of the road, and several engineering soldiers were observing the mountainside under bright lights.
Muddy water continued to flow down the hillside, occasionally mixed with stones, rolling down the slope onto the road.
Vehicles definitely can't get through now.
Zheng Guoliang exchanged a few words with the engineering corps leader and soon returned with the message.
"We are still about three kilometers away from the temporary rescue point."
"The engineers are clearing the obstacles, but the mountain above is unstable, and we cannot guarantee vehicle passage in the short term."
"The driver and some staff should stay in the vehicle and keep an eye on the equipment!"
The others, carrying the first batch of emergency supplies, followed me on foot to the rescue site!
"Hurry up!"
As soon as Zheng Guoliang finished speaking, everyone immediately began unloading the supplies.
Ma Jianjun originally wanted to give Shen Yan a lighter medicine kit.
But when he turned around, he found that Shen Yan had already put a heavy first aid backpack on his back.
He then reached out and took the portable oxygen device that a medic was carrying down!
"I can take turns with him; I can manage running with weights!"
The medic who was taken over by Shen Yan was stunned for a moment.
This thing is quite heavy.
In addition, the emergency backpack on Shen Yan's back weighs almost as much as his usual weight training.
Ma Jianjun glanced at it, did not stop it, and only gave a reminder.
"Protect the equipment."
"It's better to fall into the mud than to have an oxygen tank roll down the mountain!"
Shen Yan tightened the securing straps.
"receive!"
Azgul, standing next to her, was also carrying a large bag of medical supplies and two insulated boxes in her hands.
Shen Yan glanced at her.
Despite the thick mud beneath her feet, Azgul walked more steadily than several male medics.
She noticed Shen Yan's gaze, wiped the rain off her face, and smiled.
"I'm not kidding, I really did carry a calf when I was a kid!"
"This little bit is nothing!"
After saying that, she followed the group ahead into the rain.
Shen Yan suddenly realized that what was usually considered a joke in the medical unit had actually become a real strength in this place.
The mountain road was muddy and impassable due to the rain.
When you step on it, your combat boots can sink halfway in, and when you pull them out, they bring up a large patch of sticky mud.
Even more dangerous is the side of the road that is closer to the hillside.
Mud and gravel kept rolling down there, and if you lost your footing even slightly, you could be swept into the ditch next to it.
Shen Yan didn't just focus on getting on his way.
He controlled his stride according to the overall pace of the medical team.
When encountering puddles or loose gravel, he would first firmly plant his footing, then turn around to remind the sanitation workers behind him to go around.
More than a month of continuous weighted running training had already adapted his shoulders, back, waist, abdomen, and lower limbs to the heavy load.
However, marching through disaster areas is still much more complicated than training on the playground.
On the playground, you only need to consider speed and stamina.
Here, we also need to check the roads, the teams, the equipment, and, more importantly, guard against the possibility of another landslide.
The physical and mental exertion required is far greater than running with weights!
Ma Jianjun walked at the side and rear of the group, occasionally turning back to observe Shen Yan.
He was initially worried that Shen Yan, being young and energetic, and physically strong, might be too focused on rushing forward once he entered the disaster area.
As it turned out, this kid not only kept up with the main group with ease, but he could also carry a heavier load than some veterans!
Such soldiers are indeed much more useful than many medics who have a medical background but lack military training when brought to disaster relief sites!
The medical team walked for nearly three hours along a three-kilometer mountain path!
When everyone arrived at the temporary rescue point, it was still pitch black.
The rescue point was set up in a primary school on higher ground. Several generators were humming under the awning, and the lights in the school building and the yard were flickering.
Several rescue vehicles covered in mud were parked outside the gate.
Firefighters, armed police, public security officers, and local officials continuously entered and exited through the rain.
Some people carried equipment, some carried stretchers, and others shouted the names of the lost villages and towns.
The school playground was packed with people who had been evacuated.
An elderly person lay on a door panel wrapped in a soaked quilt, while a child, his lips white from the cold, huddled in his mother's arms, shivering.
The slightly injured people gathered around several medics, repeatedly asking where their families had gone.
Cries, shouts, engine noise, and the sound of torrential rain mingled together.
It was so chaotic it made my scalp crawl.
A local health center doctor had just finished bandaging a wounded person when he was pulled away by someone to check on another elderly person.
His raincoat was covered in mud, and his voice was hoarse from shouting.
It wasn't that the on-site personnel weren't doing their best, but rather that there were simply too many injured people.
They simply can't keep up!
As soon as Zheng Guoliang entered the courtyard, he was greeted by the person in charge of the on-site rescue.
After a quick handover of the situation, Zheng Guoliang immediately began making arrangements.
"Ma Jianjun, you take a team and take over the east side reception area!"
"Azgul, organize the staff to set up a temperature-controlled observation area!"
"Those with minor injuries, those with serious injuries, and those awaiting transfer must be separated!"
"Register the names, locations where the injuries were found, and initial conditions of all injured persons. If their names are unknown, assign them a number!"
"yes!"
The medical team sprang into action.
Several tarpaulins were pulled apart, and the previously chaotic area was quickly divided up.
Stretchers, first aid kits, and thermal blankets were continuously delivered to various areas, and order finally began to emerge on the scene.
Ma Jianjun pulled Shen Yan over.
"Come with me to the reception area!"
As soon as the two arrived at the entrance, a stretcher was carried in by several rescue workers.
The middle-aged man on the stretcher had a gash on his forehead, and blood was flowing down half of his face, staining his clothes red.
The family members standing nearby were so frightened that they kept crying.
"Doctor, please save him!"
"He's bleeding a lot!"
Shen Yan quickly stepped forward.
Can you hear me?
The man opened his eyes.
"able."
"What's your name? Do you know where you are?"
The man answered slowly, but he was able to clearly state his name and that he knew a mudslide had just occurred.
Shen Yan checked his pupils, breathing, and pulse, and also examined the wound.
The head and face have a rich blood supply, so although it looks like there is a lot of bleeding, the wound has not actually damaged any vital organs.
He is currently conscious and his vital signs are relatively stable.
"First apply pressure to stop the bleeding, then move the yellow area to await further debridement and suturing."
"No need to go to the intensive care unit!"
Upon hearing Shen Yan's words, the family members immediately became anxious.
"With so much blood lost, how come it's not a serious injury?"
"You can't just abandon him!"
"We didn't just ignore him."
While having the medic treat her wounds, Shen Yan pointed to the elderly man who had just been carried in not far away.
"He can still talk to me now, and his breathing and pulse are stable. We need to stop the bleeding first so as not to delay his treatment."
"There wasn't much blood on the old man, but he was almost unconscious."
"We must save those who are about to collapse first."
The family members looked in the direction he was pointing.
An elderly man lay on a stretcher, his eyes closed, his face ashen, and he did not respond noticeably to anyone calling him.
She opened her mouth, but finally stopped trying to stop her.
"I see."
"I'll stay with him and not cause you any trouble."
Shen Yan quickly walked to the old man's side and began the diagnosis.
The elderly man's skin was cold and clammy, his pulse was rapid and weak, his breathing was shallow, and his consciousness was extremely poor!
There is a clear tendency for shock!
"Shock symptoms, immediately transfer to the red resuscitation zone!"
"Prepare for oxygen supply and establish intravenous access!"
The elderly man was quickly taken away, and several more injured people were carried in afterward.
There was a child with a bleeding forehead, cuts on his arms, a sprained ankle, and a child who was soaked in the rain and too cold to speak.
Shen Yan quickly assessed the injuries.
"The child has no obvious external injuries, but their body temperature is too low. We'll take them to the warming observation area!"
Azgul immediately picked up the child, wrapped him tightly in a thermal blanket, and had the medic wipe the rain off his body and change him into dry clothes.
"Little one, don't sleep."
"Open your eyes and look at your sister."
"When you warm up, I'll find you some candy."
The child's lips trembled as he asked softly, "Is it sweet?"
Azgul's nose tingled, but a smile appeared on her face.
"It's so sweet!"
"So you need to stay awake."
The child was taken to the observation area, and Shen Yan moved on to the next injured person.
At first, Ma Jianjun would review each of Shen Yan's judgments.
After observing six or seven people, he realized that Shen Yan's judgment was not only correct.
They were even much faster than some ordinary sanitation workers!
Shen Yan's performance was nothing like that of a new recruit who had only learned the theory of disaster triage procedures a few times.
More like a veteran who has worked in emergency rooms and disaster relief sites for many years!
Ma Jianjun was secretly shocked when he saw this scene.
He had participated in numerous disaster relief efforts and had far more experience than Shen Yan, a freshman.
But after working with Shen Yan, he realized that Shen Yan seemed to be the experienced big shot!
As for myself, I'm more like an ordinary, talentless assistant!
Of course, now is not the time to talk about these things!
The faster Shen Yan makes his judgment, the more people can be saved at the scene!
"Shen Yan!"
"You complete the initial inspection for this batch first, and I'll handle the verification. Let's speed things up!"
"yes!"
The two of them were getting along better and better.
Shen Yan inspected and categorized the wounded, while Azgul and other medics handled, registered, and divided the wounded into zones. Ma Jianjun then reviewed the cases of the critically injured.
The injured who were originally blocking the entrance to the reception area were quickly diverted.
Just as Shen Yan had finished treating a person with a broken leg.
A firefighter covered in mud suddenly rushed into the yard.
"Medical team!"
"A person has been found trapped under the rubble!"
"His lower body is trapped under the wall and beams, but he's still alive. The clearing equipment has arrived and we can rescue him soon!"
Upon hearing this, Shen Yan's brows immediately furrowed!
"How long have you been trapped?"
The firefighters were panting heavily.
"At least five hours!"
"He was still conscious when we found him, but his reactions are getting weaker and weaker now."
"The equipment will be able to lift the roof beams immediately!"
Five hours!
Shen Yan's expression changed instantly.
"Wait a moment!"
"Prolonged pressure should not be relieved without medical preparation!"
"The injured person's lower limbs were compressed for five hours. Once blood flow is restored, a large amount of metabolic waste will enter the circulation, which could very likely lead to crush syndrome!"
"That could be fatal!"
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