Emergency Doctor Mercenary Road

  Chapter 57 First Aid, Injured

The battle was over, and the heavy cruise was still on the way. General Turner had received an emergency call from the "Canberra" and asked for medical support. There were more than 20 lightly and seriously injured people on board, and the injured people of the sunk destroyer were picked up and sent to "Canberra" ”, there were at least 50 wounded on board, and the medical staff were already too busy.

  Lu Fei, disregarding the remaining enemies at this time, volunteered to ask Turner to send him to the "Canberra" immediately and support a large amount of medical supplies. He was going to fight, on his own battlefield - the operating table.

   During the war, there was no time for hesitation and hypocrisy, and Turner immediately asked the seaplane to prepare and let Lu Fei fly directly to the "Canberra". He immediately arranged for the ships and hospital ships to quickly provide medical and personnel support.

  Twenty minutes later, Lu Fei carried the first aid kit into the infirmary of the "Canberra". There were constant screams and wailing, and at least half of the patients had not yet been treated. Lu Fei ran to the doctor's office. Simon, the medical chief of the "Canberra", was being reprimanded by the captain. Lu Fei was disrespectful and directly interjected:

"I'm Dr. Jack, the captain of the First Marine Division, and I'm currently the special envoy of General Turner. As assigned by him, I came to help urgently. Follow-up support doctors and medical supplies will arrive soon. Please assign me an operating room immediately, A nurse and related medical equipment, I want to operate on the wounded."

   The chief medical officer heard Xianyin, and hurriedly pulled Lu and flew to a bright operating compartment, and arranged for a capable male nurse, Simon, to assist and arrange for the wounded to be sent here.

   The first casualty to be pushed over was the burnt damage control officer, a stout young man in his 30s. He kept screaming, his body was red and swollen, and the burns were mainly on his limbs, chest and abdomen.

"Simon, quickly open an intravenous channel for him to give him fluids to fight shock. Brother, I'll inject you with morphine now, and then clean the wound. You need to clean it up to save your life. Can you resist it?" Lu Fei said, while giving the patient Morphine injection.

   "Doctor, come on, you beat the Japanese so well today, and the injury is worth it." The wounded insisted.

Lu Fei took a few pieces of gauze from the side, let the wounded bite, and began to use tweezers to clean the wood thorns and broken iron scraps on the thighs, arms and other parts. After 5 minutes, he patted the wounded and let him stand it. Volt and hydrogen peroxide for local flushing and disinfection. The wounded groaned, his eyes almost falling out, Lu Fei calmly continued to apply burn ointment on his skin.

   "Alright alright, brother, you are a tough guy. Simon added anti-inflammatory drugs to this brother's drip. After a while, add anti-infective drugs, and continue to replenish water and electrolytes."

  Lu Fei felt that the nurse who sent the wounded might not be of sufficient skill, so he sent a burn that was not urgent. I went to the observation room myself, where a group of wounded were waiting for help.

  Lu Fei asked Simon to come together and carefully sorted them one by one. The emergency wounded were marked with red labels and sent to the doctor for first aid. The yellow ones were given fluids first (most of the wounded were burns), and the blue minor injuries were sent to nurses for bandaging.

   "Simon, this wounded shrapnel has entered the body, you first ask someone to carry him in together, I will sort it out, come right away." A black soldier's face was pale, and the blood on his abdomen was soaked in the navy uniform, looking shocking.

   Then Lu Fei asked Simon to rehydrate the wounded first, use procaine hydrochloride (a relatively safe local anesthesia method during World War II) for local anesthesia, cut open the wounded's clothes, and the wound was oozing blood, the situation was not optimistic.

   "Brother, how did you get injured? I'm going to operate on you now. Tell me about your injury and the process first." Lu Fei asked while taking the time for a physical examination.

"I was one of the main artillery operators. I was hit by shrapnel from a Japanese artillery shell while transporting the shell. It hit my stomach. The shrapnel probably went in. I was in pain, and I was a little cold. I was sweating." said.

   "Simon, look at the military card, learn about the blood type, and hurry up to adjust the plasma. We are going to speed up the operation." Lu Fei said while cutting the bandage. He secretly scanned the abdomen of the wounded. The wounded abdomen was hit by shrapnel. The size of the shrapnel was similar to the cap of a beer bottle. But the large intestine has been severely damaged.

  Simon has hung up the A-type blood plasma corresponding to the wounded, ready for blood transfusion, and then put the medical equipment in place to make preparations. Lu Fei signaled to start the blood transfusion, and then steadily opened the patient's wound. The local anesthesia time is only one hour. He has to speed up the action, otherwise the wounded will twist violently in pain. If the scalpel cuts into a large blood vessel, the wounded will be cold.

Lu Fei incised the epidermis, fat and other tissues layer by layer. The vascular clamp stopped some ruptured small blood vessels to stop the bleeding, and let Simon **** the abdominal cavity and find out where the shrapnel was. Lu Fei had already scanned it outside the body. After searching, they found that the shrapnel was embedded in the large intestine and rolled and tore the large intestine. Lu Fei first quickly sutured some other damaged tissues, and then carefully inspected the large intestine. He found that a small section of the large intestine had been completely smashed and smashed by shrapnel. He cut off the 5 cm large intestine immediately, and then carefully sutured the joints at both ends of the large intestine. Finally, the abdominal cavity was cleaned, and the suture was started after the inspection was correct. The entire operation lasted only 30 minutes.

   Simon followed and performed the operation, and it was too late to deliver the instruments. The nurses and children onlookers were also stunned. This speed is definitely a single for many years. Simon was also smart. When Lu Fei sutured the epidermis of the abdominal cavity, he had already started to prepare the next patient.

   At this time, the critically ill patients marked in red have been taken over by the supporting doctors. Lu Fei took over a blue sign, the wounded who had been hit **** the head, the unlucky soldier was blasted away by the blast, and his head hit the base of the main gun. Fortunately, there were only some subcutaneous swellings in the brain that needed to be dealt with, and not much. The wound needs to be sutured, and there are no obvious symptoms of concussion. After quick sutures, rehydration, and further observation is ok.

After the captain and the chief medical officer received medical support, they were greatly relieved. The wounded were also marked by Lu Fei and were quickly diverted. The situation was clearly controllable. They found Lu Fei who was on inspection. Lu Fei was observing the wounded who had received preliminary treatment. , to see if the condition worsens. After the two thanked each other, they mentioned that the battle plan was actually suggested by Lu Fei, and praised it loudly. This battle allowed the American naval soldiers to break the myth of the invincibility of the Japanese navy. As a rare gunboat duel in modern naval warfare, from any A well-deserved victory has been won from every angle.

   Three people are talking, and a nurse is calling for a doctor.

   "Doctor, this burn patient seems to be out of breath", a nurse shouted anxiously.

   Lu Fei responded quickly, rushed over in two or three steps, and glanced at the wounded. At first glance, the wounded showed severe burns, and the facial surface was covered with rotten skin and slightly swollen. It looks horrible and cruel. The wounded's chest is heaving and breathing is too fast, and there is no monitoring of blood oxygen saturation these years, it is all based on experience. Lu Fei quickly determined that the swelling of the wounded's trachea had affected his breathing.

   The scalpel flashed, Lu Fei had cut the wounded's throat neatly, and asked the nurse to install a simple breathing device for mechanical ventilation. There is no other way to do it. Severe burns have to overcome multiple barriers such as infection, skin grafting, and complications. The wounded must be transported to the rear. The next thing depends on the medical level and life of the United States.

  Lu Fei worked on the "Canberra" for one night, until 7-8 o'clock, after all the patients were properly settled, he got on the boat sent by the division commander Vandergrift to pick him up. Back to Guadalcanal, go to make up for a sleep.

   This time he fell asleep before he even entered the training ground. It was the first time in many years that he stayed up late, and he was really not used to it.

   I slept until 2pm before waking up. When he opened his eyes, he saw Colonel Hunter's wrinkled face, looking at him with a grin. Lu Fei was startled, and subconsciously shrank to the corner of the bed, curling up into a ball.

   "Colonel, you, you, what are you doing?" Lu Fei asked in horror.

   "Look at you idiot, you are not ambiguous at all about shooting people in the head yesterday, I'm praising you for coming."

   "How do you say? You know what I did in the Navy?"

"All of Guadalcan knows about it. But it's not about this. I ask you, didn't you tell me the day before yesterday to apply for a lot of condoms to protect the barrels? Later I heard that you gave each of the brothers in the chain one. To be honest, I didn’t pay attention to it at first. The Springfield 1903 is a good gun, so it shouldn’t have an accident. But today, when the brothers of the second battalion patrolling in the jungle encountered the Japanese army, they shot and exploded. Not seriously injured.

  I have urgently reported the above, explaining the reason, and hope to deploy 100,000 condoms as soon as possible, but it will take at least 3 days for new supplies to arrive. So I just wanted to ask you, is there still stock? You guys are going to have a lot of firepower, you might be carrying hundreds of condoms or something. "

"Is this a problem of firepower? This is my vision, okay! You are also disrespectful to your big head. What can I do with hundreds of condoms on an island where birds don't shit? Okay, okay? I guess there is still some in my big bag, you will let the orderly come to me to get it." Lu Fei said angrily.

   "I'll send you a bottle of rum later, but what else can you do to deal with the **** rainforest and weather? Many brothers have been complaining for the past two days, and the number of sick brothers has increased dramatically."

"Tropical combat is indeed very torturous. I am a doctor, so I know a little bit more about the dangers of diseases in tropical combat than everyone else. If you or the division commander is willing, I would like to popularize tropical precautions for the officers of the entire division, especially diseases. prevention and treatment." Lu Fei said seriously.

   Colonel Hunter was overjoyed and hurriedly contacted the division commander. After a while, the division commander also rushed over. After complimenting and greetings, a meeting was scheduled to be held at 8:00 p.m. with officers from each company and above to popularize the prevention and treatment of tropical combat diseases.

   At 8 o'clock in the evening, in the warehouse previously built by the Japanese army, all officers above the company level of the entire division sat in a row, each with a pen and a notebook, sitting on the ground like a primary school student.

   Division Commander Vandergrift first enthusiastically praised the recent performance of the troops, and briefly pointed out the challenges to be faced in the future, and finally asked Lu Fei to popularize relevant tropical combat knowledge to everyone.

   "Brothers, my only purpose here today is to let the soldiers in the army get as little sickness and pain as possible, and they can get symptomatic treatment as soon as possible, so that they can deal with the Japanese devils in a better state.

   My statement today is simple, but I hope everyone must follow it in the future.

   "To defeat the enemy, first defeat the disease", this is the first principle of jungle warfare, the mountains and jungles are densely covered with vegetation, poisonous plants breed everywhere, and there are many insects and beasts. The overgrown weeds and the warm environment are conducive to the proliferation of cholera and pathogenic microorganisms, resulting in the prevalence of various diseases. Such as dysentery, malaria, hepatitis, Leptospirosis, Japanese encephalitis, scrub typhus, cholera and various insect bite dermatitis, as well as, combined fatigue and "three rotten" (crotch, foot, etc.) , hand), etc., resulting in easy low morale of the troops, and even a large number of non-combat attrition, seriously weakening the combat effectiveness of the troops.

  The troops at all levels should do the following:

  1. The drinking water must be clean. If you cannot drink fresh water from the ship, you must boil or sterilize the stream water if you want to drink it.

  2. The anti-mosquito work must be taken seriously. Soldiers should usually wear long clothes and long trousers, apply anti-mosquito water on their bodies, and use mosquito nets when sleeping.

   and other equipment should be in place. There is a pond next to the troops station after it rains, which should be covered or dried as soon as possible.

  3. Pay attention to personal hygiene. Soldiers should wash their hands and bathe frequently, try to keep their bodies dry, they should be naked in the sun, apply talcum powder on their bodies, change their underwear and socks frequently, and keep their shoes in the sun or changing.

  4. Once a soldier becomes ill, they should be isolated immediately, pay attention to prevent cross-infection, report it in time, and be treated by military doctors.

  5. The management of catering and feces should be strict and clean. Diseases come from the mouth. Remember to remember.

   There is also what the division headquarters has to do, mainly the issue of material security. I suggest deploying condoms for soldiers to use. In addition to putting them on the muzzle to prevent explosions, soldiers can also use this to fill water. It can also be used for drinking, as a pillow, or as a body cooling device. Anyway, there are many uses.

  The last is the application for medicines, please apply for quinine for malaria treatment in large quantities. I expect that more soldiers will get sick after being bitten by mosquitoes, so if we don't prepare medicine now, there will be big problems in the future. "

   (end of this chapter)