100. Huge Waves

It took less than a minute to quickly complete the report on the scattered and account-like report. He looked at the whole process, but seemed to say nothing.

This practice deeply stimulated the nerves of those surgeons.

Even the most stinky anatomy professor in medical school did not speak like that when facing those troubled students. What's more, the chief doctor who stood in front of Kawei was still a director-level doctor who had been working in the surgical theater for so many years, and the report was still under pressure.

How can Taiwan surgery be so fooled?

You have made the details clear!

"It's over?"

"It's over." Kawei spread his hands, "It was not a surgery that could be taken out. It was really because Dean Watman raised his love and put me in this position. If you have any questions, ask, and if there is no problem, it will be disbanded.

I think everyone is very tired after a day of busyness.”

This made the doctors in the audience very depressed.

If it were in the past, how could they bear such humiliation? If there were young people in the venue making such a mess, they would definitely cause huge criticism. At the very least, they would be criticized off the podium, and at the worst, they would be directly bombarded out of the college venue.

Actually, that's what they planned at the beginning.

An ordinary lumberjack went to work in the Municipal General Hospital by chance, and by chance, he performed one or two surgeries in Ignaz's pick-up point.

After reading the report, the young surgeons will call him a once-in-a-century surgical genius. Young surgeons may envy his surgical talent, but the chief physicians who have already achieved some success will feel differently.

Although they are the previous waves, they will also envy the next waves, but the later waves are too fierce and they are almost becoming huge. Maybe they can swallow them up before they reach the beach.

Therefore, envy quickly turns into jealousy.

Some were jealous of Kavey’s complicated surgery, while others were more theological, jealous of him being cared for by God.

Of course, both surgeries exist objectively, and the process is almost perfect, and as senior surgeons, they cannot miss it. But their purpose is not pure. In addition to learning some details, they must also contain some doubtful eyes.

It’s a pity that the aristocratic certificate that Kavi just took out quietly planted the seeds, subtly put their thoughts in his heart.

The regular meetings of the Academy of Surgery are not drinking and eating a meal, chatting and joking among colleagues, but communicating and learning. The new trends in the morning are just a new one, and what really attracts them is the afternoon surgery report.

There is not much information in the first half of the report, and many doctors selectively ignore the surgery because they usually do the surgery, which is nothing more than the success rate and postoperative recovery, and is not under their control. The second half is different, all

The major surgery they rarely encounter, and the technical difficulty has reached several levels.

For example, nasal shaping + mandibular resection is not something that everyone can do, and even if it is done, there is no such successful case. According to Kawei, cesarean section, it depends on oxytocin, and the appendix is ​​even more so on.

A little bit of luck.

The technical threshold for these surgeries is very high and the success rate is very low. But at least they know the operation process, and some of them have done it, but they are not successful and courageous.

In contrast, the last quick hemostatic suture on site is really a blind spot for them. Not to mention doing it, they have never even seen it.

Those who have been to the front line and worked as military doctors, stayed in the rear field hospital for surgery during wartime. The variance between the front line and the rear is too far, so it is definitely too late to send it back by the battlefield carriage. If you encounter serious limb trauma, you will have to

The neck trauma disappeared halfway through the scene.

The city is even more troublesome, there is no first aid system, the streets and alleys are complicated, no matter the big and small roads, they are peak hours, and traffic jams are also the norm. [1]

With such external conditions, severe trauma can only wait to die at the scene, so the doctor will have no chance to practice.

Many people have never even seen patients with jugular vein rupture, and they don’t know how to control the incision and do a quick suture before blood flows. The cricothyroid puncture after a hematoma on the neck is even more so for them.

A fairy tale.

Asked questions are based on a complete report to check for omissions and fill in the gaps. Now Kawei clearly doesn't want to speak well, throws out an answer, and doesn't even let the students figure out their own ideas.

They had no idea about it, and after thinking about it, they still had to restore the entire scene from scratch. Since it was first aid on the spot, they had to feel a little on the spot: "Can you describe the basic situation of Mr. Li Ben at that time?"

"Yeah, the ground is full of blood, and the human body is also blood. It's not easy to describe the word "forgive me"." Kawei thought for a while and said, "If you insist on making a comparison, you will put dozens of leeches on your body.

His face turned pale when he sucked blood."

“Excessive blood loss?”

In this era, doctors were worried about the amount of blood. If there were too many, they would naturally have to use bloodletting therapy, but if there were too few, they would not work. It was obviously not feasible to eat dozens of leeches together. You can imagine how exaggerated Li Ben's blood loss was at that time.

In history, many people have tried to stop bleeding, from the earliest physical compression on the body surface to later becoming a large area of ​​soldering iron boiling oil, and now returning to the embrace of physical compression, the sutures can be more precise and detailed.

In fact, in the near future, when electrical equipment enters medical care, bleeding-resistance methods like soldering irons will return to the hands of surgeons. However, compared with the Middle Ages, modern electric blades can be more precise and detailed, and even

It can also replace the function of a part of the scalpel.

But the theory of the Four Liquids has always had a blind spot, and it has always only bloodletting, but no blood transfusions.

If the doctor really determines that the patient has insufficient blood, he can only rely on the prepared herbs to slowly replenish blood. More direct blood transfusion has always been a difficult problem. [2]

Kawei has no way to do blood transfusion now. All he can do is to stop bleeding in a short period of time and reduce the risk of death. This is exactly what the doctors in the audience want to hear the most: "Doctor Kawei, facing such an injured person

When there are wounds everywhere and bleeding everywhere, how do you make a judgment?”

"Because the neck incision is very long and the bleeding is the most, considering the carotid artery, I will definitely give priority to check the neck wound. Of course, before checking, I have to check whether the wound on the thigh has damaged the femoral artery. These two places must be compared

The arms are important and need to be treated first.”

Kawei's two simple words sounded to them like the Book of Heaven: "How do you check this?"

"Of course, open it and check it out."

"The bleeding in the neck is very serious. Once you turn it open, can you stop it?"

Doctors who have experienced cesarean section know how severe this bleeding is. The uterus continues to seep outwards on a large scale, and the veins themselves are like broken water pipes. Their concept of stopping bleeding is still passive.

Observation and large-scale compression, and are not familiar with refined suture ligation.

"How can you know if the artery or vein is broken if it is not opened? How can you know where the injury is caused if it is not opened? How can you stop bleeding if it is not opened?" Kawei asked three times in a row, leaving the audience speechless, "This is what I think.

It’s a matter of speed. Once you see the bleeding severely after you open it, you need to find the bleeding point immediately.”

"Then what?"

"The blood vessels are closed with crow beak clamps up and down, and the blood flow is cut off."

".Can you say more specific?"

Kawei was a little helpless: "It's already very specific."

"Doctor Kavey, you may have misunderstood. What we can't understand is how you found the bleeding point in a bloody wound on a neck covered in blood with only one candlelight. You should know that although the wound is ten centimeters,

It wasn't too long, you had only one person at that time."

"It's incredible."

"Although it's not polite, I still have to doubt the authenticity of the case."

After hearing this, Kawei finally "followed" their thoughts: "Oh, you are asking this, I asked Mr. Li Ben to hook himself."

After saying that, he imitated Li Ben's actions at that time and made a look of bowing on both sides: "He helped pull the hook, revealing enough vision, and I could provide light with the candle in my mouth. Next, I just need to use my fingers.

Block the blood vessel gap, suck the blood, and then follow the crow beak clamp to stop bleeding."

"I see."

"This is probably the on-the-spot reaction of the young man."

"It's so amazing, it makes me dream back to the era when there was no ether more than ten years ago."

"The patient was lying in the hospital, and the situation was filed in the police station at that time. If you don't believe it, you can go and check it." Kawei was tired and too lazy to talk to them about things other than these surgeries, "I'm the same sentence,

I don’t care whether I believe it or not.”

"We just found it incredible because we've never seen such an operation."

In Kawei's eyes, hemostasis of large blood vessels is only the basic skill of external emergency surgery, because this situation is often encountered in car accidents. If you can't even do hemostasis of large blood vessels, at least half of the external emergency wounded will die in the debugging room.

But this basic skill was a brand new technology that overturned everyone's ideas in the 19th century.

Technology cannot be learned overnight. If you want to master it skillfully, you need to remember the detailed neck anatomy first, and then rely on a large number of patients with neck trauma to practice it slowly. When your fingers are familiar with the touch of the skin muscles, the feeling of blood flowing will be

Becoming more and more obvious.

This is indeed beyond the scope for them.

In order to calm the discussion, to reduce the popularity of himself and keep a low profile, Kawei had to draw a cross on his chest and then divide half of the contribution of stopping the bleeding to God.

"Maybe God blessed me at that time to save people, but the whole process of stopping the bleeding was like this. When I found the crack and found that the blood clot had blocked the gap, I didn't do it anymore.

Blood vessel suture.”

Speaking of this, Kawei suddenly remembered the cricothyroid puncture: "Oh, by the way, because of neck compression and stopping bleeding, a severe hematoma occurred around Mr. Li Ben's neck. The swelling pressed the trachea in the back of the inner side, causing breathing.

Difficulty. In order to facilitate first aid, I first underwent a minor surgery similar to air stomatology and reopened the airway."

Everyone knew that this was a complex knife wound to stop bleeding and suture, and coupled with Laslow's qi cutting, he never thought that there would be qi cutting at the scene of the murder at that time.

"You said that an air stomp is a minor surgery?"

"The difficulty of qi cutting itself is not small." Kawei adjusted it in consideration of the times and explained, "Because the bleeding stop time is limited, I just used a needle to make a hole in Mr. Li Ben's neck."

"Can you still use holes to cut the air?"

“Is it useful to open a hole?”

“Where is it?”

"The cyclothyroid membrane above the trachea." Kawei touched his neck, "Here."
To be continued...