It can’t be that hard to open a hospital in another world, right? 2
by admin“Gretel…?”
The young man raised his head and stared at him blankly. Wu Zhou ignored him and rushed to the injured man’s side, quickly scanning the area:
No table.
No cart.
No platform, not even slightly elevated, that he could use as a surgical table…
“Damn it!” Wu Zhou gritted his teeth. For a surgeon, anything below the waist was considered a contaminated zone. Operating on the ground was a complete violation of sterile procedures. But…in this crappy environment, there was no point in worrying about sterility. The priority was saving the injured man’s life!
As he observed, he barked orders:
“You! Come here and press on his arm, right here! Press hard, don’t let go. Yes! And here, on his leg, where I’m pressing. Good, press harder! You! Hold him here! You! Take off his clothes!”
“I can’t take them off…”
“Then tear them! Cut them!”
The emergency room deputy chief physician’s aura fully radiated, unstoppable.
The four or five people around him were kept busy by his commands. Those who were supposed to press for hemostasis pressed for hemostasis, those who were supposed to take off clothes took off clothes, and those who were supposed to boil water boiled water. Everyone was frantically busy, the one boiling water running back and forth between the hut and outside, barely having time to exchange a word with his companions.
Even the young Pastor Johannes Littlejohn was ordered by Wu Zhou to press on the injured man’s brachial artery with his left hand and the tibial posterior artery with his right hand. Because the pressure points were so strange, he had to kneel on the ground, twisting his body into an awkward shape…
Not everyone doubted his competence. But in times of despair, as long as one person confidently issued orders, the rest would instinctively obey:
It was like struggling in a flood. When you were about to be submerged, you grabbed anything you could – even a straw – as long as it was a lifeline!
Wu Zhou kept his eyes on the injured man, barking orders while kneeling, his right hand on the injured man’s neck. He regulated his own breathing, counting the injured man’s heartbeat:
Heartbeat was still okay. Below 100…Damn, it’s getting faster, there’s probably massive bleeding! Carotid pulse weakened, pale face, sweating, shallow and rapid breathing…
A series of information flashed through his mind, each one a problem. Blood pressure, he didn’t know. There wasn’t even a mercury sphygmomanometer in this broken place!
He had to rely on visual observation!
Fortunately, Wu Zhou had been working in the emergency room for so many years, and he had been to countless scenes with the emergency ambulance. He could usually tell, at a glance, whether the injured person was in critical condition and what possible injuries they might have. Judging from the injured man’s current state, the probability of hemorrhagic shock was definitely high!
The injured man’s leather armor was scattered on the ground. His shirt was torn open, revealing a horrifying wound on his abdomen. It was a long gash, about 20cm long, running diagonally from his upper right abdomen to his lower left abdomen!
Blood was gushing out in spurts. Wu Zhou just took one look, and his entire body bristled with chills. His blood pressure shot up, piercing through his head.
“Damn it! This amount of bleeding, it’s either an artery rupture or one of the liver, spleen, or kidneys is ruptured!”
He reflexively patted his waist. A gleaming dagger appeared in his palm. Wu Zhou didn’t even think, his eyes fixed on the injured man’s abdomen as he raised the dagger.
Thank heavens, this injured man actually had six-pack abs – the abdominal muscles were clearly visible, which meant that the underlying anatomical structures were exactly the same as what he knew from before: under the skin was the rectus abdominis muscle, the rectus abdominis muscle was covered by the rectus sheath, and cutting through the rectus sheath would cause the least damage, avoiding the cutting of nerves and blood vessels…
In this world of Divine Technique, the anatomy of the injured man, or rather, the anatomy of humans, better be the same as before!
Wu Zhou concentrated, holding his breath, and cut along the injured man’s abdominal wound, beside the right rectus abdominis muscle. Time was tight, and there was no one to help him retract, let him do a meticulous blunt dissection. Wu Zhou’s knife cut directly through the anterior sheath, muscle layer, and posterior sheath of the rectus abdominis, going all the way through. Another 10cm-long incision was opened, and dark red blood gushed out immediately.
“What are you doing?!”
The young pastor, kneeling opposite the injured man, had been ordered by Wu Zhou to press for hemostasis, and he shrieked almost at the top of his lungs.
He not only yelled, but the young pastor also lunged forward, stretching out his arms to instinctively block the injured man’s abdomen. He had a look of tragic determination on his face, every freckle on his face seemed to be screaming, “If you want to kill him, kill me first!”
Wu Zhou: “…”
Tsk, this was why family members shouldn’t be allowed in the operating room. Seeing doctors cutting and cutting and cutting on patients, they would immediately rush in and fight!
Wu Zhou could only mutter this in his mind. He held the dagger tightly in his right hand, and pushed the young pastor back with his left hand, roaring,
“Who told you to let go! Go press on him! If you don’t press on him, he’ll bleed to death!”
“But you—”
“I’m saving him! He’s bleeding inside too! I have to stop the bleeding! Get out of the way!!!”
“Oh…”
The young pastor shrank back to his original position, twisting himself back into his previous posture, craning his neck to look at the injured man’s abdomen. Wu Zhou glanced at him, seeing that he was still pressing in the correct position and posture, and he turned his attention back to the injured man’s abdomen. He twisted the dagger, pushed the abdominal muscles aside with the back of the knife, and looked directly inside:
“What is that?”
The young pastor asked from the opposite side. Wu Zhou didn’t raise his head and continued to push the abdominal wall aside:
“Liver.”
“Oh, it’s the liver…”
The young pastor mumbled as he tried to see. Wu Zhou didn’t want to scold him anymore: anyway, the sterile environment was already ruined. As long as this guy didn’t spit saliva on the wound, he didn’t care. The most important thing now was the injured man’s liver!
Wu Zhou saw the liver at a glance. Thank goodness, the position of the organs hadn’t changed, and the anatomy hadn’t changed. In this world of Divine Technique, humans hadn’t grown any stranger or developed an organ for spellcasting.
Left lobe of the liver, right lobe of the liver…
“Ahhhh, so much blood!”
“Shut up!”
Wu Zhou frowned. In the center of the bright red right lobe of the liver, there was a fissure, extending downwards. And in the center of the fissure, bright red arterial blood was constantly gushing out!
His earlier judgment was correct. There was indeed a major bleeding organ in the abdomen. It was the liver!
Liver parenchyma tear, depth…he didn’t dare to flip it, but judging from the visual observation, it wouldn’t be less than 1cm deep, plus massive active bleeding –
This was definitely a Grade III injury! It wasn’t the most serious, but…but…
“Save him…” The young pastor was already panicking, his words were broken and trembling, “Save…save him…”
Of course I’m going to save him! The problem is, this kind of injury wasn’t a big deal in the emergency room, it could definitely be saved, but out here in the middle of nowhere, there was nothing!
Wu Zhou’s heart pounded, almost breaking his ribs. He leaned over, pulling the abdominal wall with his left hand, his right hand reaching into the injured man’s abdominal cavity. He lifted the liver, pushed the stomach, and moved the intestines aside…
“What…what are you doing…?”
The young pastor asked timidly. His voice was so scared, it sounded like he was about to faint – but he was still observing. In recognition of his courage, Wu Zhou didn’t hesitate to explain:
“I’m checking if there’s any other major bleeding. Uh, gallbladder is okay, spleen is okay, kidney…the kidney is further back, the possibility of damage is small, but I still need to check…uh, there’s no obvious active bleeding, great!”
“Th-then what?”
Then?
Then came the real challenge. Wu Zhou had been a doctor for over ten years, and only twice had he been forced to do this. In their entire provincial hospital, the number of doctors who dared to do this could be counted on one hand.
Amitabha, the Three Pure Ones, God the Mother, any god you want…please bless the anatomical structure of this injured man, don’t give me any trouble!
He took a deep breath and carefully pinched the hepatic portal vein.
“Wow! The blood is less! The blood is less! …It’s not bleeding anymore!”
The young pastor cheered. The gushing blood from the injured man’s wound slowed down instantly, from a torrent to a trickle, from a trickle to a leak. The hemostatic effect was visible to the naked eye.
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