Chapter 85 82. Sir Sir, this neck is not easy to deal with.

Before Kawei crossed over, he worked in a trauma center based on a large general hospital, which mainly dealt with burns, traffic accidents, high falls and some complex trauma. He was transferred to work there from the beginning of the center's establishment and worked there for 30 years.

for many years.

When it comes to dealing with trauma, it’s not an exaggeration to say that he handles injuries with ease.

Li Ben had numerous wounds on his body, involving his maxillofacial region, nose, forearms, thighs and, importantly, his neck.

Knife wounds need to be classified into types. Transverse cuts are often shallower than longitudinal stabs and are less likely to touch deep tissues. However, because the scope of the injury is larger, important nerves and blood vessels located in the superficial layers will be more affected.

Judging from Li Ben's reaction and the amount of blood loss at the scene, Nora's attack was a bit gentle, and due to his limited height and strength, he was not killed on the spot.

As long as there is a chance, Kawei will save him, not because of the lofty concept of "saving people is a doctor's bounden duty". Saving people has already been engraved in the bone marrow, and it is considered instinctive.

What really drove him to make his decision were more selfish things, such as "satisfying his little vanity by completing some difficult challenges". Otherwise, he would not have been able to survive in a trauma center as big as this.

I worked in the pit for my own entertainment for so many years.

Of course, from the 21st century to the 19th century, the lack of medical standards and systems, and the existence of surgical theaters have fostered a certain evil in his heart. Although it does not obliterate the most basic professional ethics, it must be done in accordance with contemporary "medical standards"

It's still possible to make a scumbag feel disgusted.

The prerequisite for disgusting people is that the other party is still alive, and Li Ben must be revived first.

The current situation is not complicated. The poor people from the lower class live in East Nellington Street. To order a carriage, you have to go to Hoints Street, which is crowded with people. And those coachmen will not pay attention to the poor. Only when the police come can they say

Move them into dark alleys to save people.

Waiting for the carriage to arrive and carrying people on to the carriage, it may take an hour before they actually enter the hospital. The bleeding must be stopped on the spot.

What Kawei needs to do is to first make a simple judgment on the wound that may cause heavy bleeding, then sort out the order of suturing and tying to stop the bleeding, and perform ligation in sequence.

Judging from these active bleeding wounds, the more important ones are the neck and thighs.

"My neck and thighs are covered. Let me see how your legs are injured first."

Kawei checked his pulse first, and after finding that he was still in good condition, he cut open his pants. The blood hidden inside flowed down, and an unpleasant smell of blood filled the air.

Li Ben's left thigh suffered a knife wound from the outside inward. Because of its low position, it avoided the superficial femoral artery and vein and deep femoral artery and vein that run high, and only incised the vastus lateralis muscle and the deep femoral artery.

Rectus femoris.

The blade did not penetrate too far and left the thigh without touching the vastus medialis muscle close to the blood vessel. Judging from the trajectory, it should have injured some branches of the descending branch of the lateral femoral circumflex artery. However, the amount of bleeding from the leg wound was average, so it remains to be seen whether

Not coming out.【1】

In comparison, the neck wound is much more serious.

If placed in modern times, such a neck incision wound of approximately 10cm, regardless of the degree of injury, should still be bandaged first, and then be carefully explored in a well-equipped operating room.

But now Kawei has no operating room, no trustworthy trauma team, no stable anesthesia, and the time to enter the hospital is far away. Bandaging first will definitely further affect the airway, so he still wants to take the risk and rely on his own experience to judge the specific location.

2】

Kawei picked up a still-lit candle from the ground and leaned over: "Keep pressing your legs, let me take a look at your neck."

Li Ben slowly removed his hand, and soon a lot of blood oozed from the wound on his neck, and the amount of bleeding was considerable.

The skin on the entire neck was tight and felt hard to the touch, and it seemed that a small hematoma had formed. After a brief look, Kawei put his hand back to its original position and pressed it firmly. It was initially judged that the deep-seated skin had been damaged.

Blood vessels, anterior cervical muscle rupture and sternocleidomastoid muscle injury.

The deep large blood vessels are protected by the carotid sheath, but they are superficial in shape. The internal jugular vein may have been ruptured, and the situation is unknown if the artery is deeper.【3】

Li Ben could clearly feel his neck bleeding, and his survival instinct made him say again: "You are a doctor, you must save me."

Kawei sighed, patted his shoulder without saying anything, and checked the condition of his arm again.

There were two obvious cuts on the left forearm. The luck was better than that on the thigh. They only cut the lateral brachioradialis and extensor carpi longus muscles, but did not touch the blood vessels under the muscles. The amount of bleeding was limited. [4]

Others, such as the face and nose, although they look exaggerated, are actually just ordinary cutting injuries that do not damage important blood vessels and will soon stop bleeding on their own.

Now the order is obvious, neck > thigh > forearm. We can wait to discuss facial problems until we go to the hospital.

He needs to find the ruptured blood vessel in his neck as soon as possible, sew it if it can, and bandage it if it can't. When he returns to the hospital and finds Ignatz and Herman, he should be able to survive with help.

But Kawei couldn't cheer up.

Li Ben watched him retreat slowly, found a chair and moved it to his side, and sat down firmly. He really didn't understand what kind of medicine was sold in the gourd: "Doctor, I am in pain, why are you still standing there?

"

"It's okay, I've already asked someone to call the police."

"police?"

"Um."

Probably because he lost a lot of blood, Li Ben was dazed after hearing this: "What's the use of the police coming?"

"It's quite expensive to ask the police to find a carriage and send it to the hospital." Kawei paused and continued, "By the way, I can also help you identify the injury, whether it is a minor injury or a serious injury."

"I'm almost dead!"

Li Ben’s voice was not loud, but these words were full of momentum. It’s a pity that Kawei didn’t accept this trick: “According to Hippocrates and Galen’s four-fluid theory, bloodletting is good for health. I just read it, but it’s just not very good.

It's just a big wound, it will heal slowly."

"Uh-huh?"

If the physical sensation hadn't been too intense, Li Ben would have almost believed it: "You can't just bleed randomly. The wound is so big. I feel like I'm going to die soon."

"I'm just a little assistant, how can I save you?" Kawei replied casually, picked up the rag on the side and wiped his hands, "I think it's better to let the police call the carriage first, and then let Ignatz go to the hospital.

Teacher, please save me, he is much better than me."

"The assistant is half a doctor, and I am the patient." Li Ben was a little dizzy. He knew that he could not waste time and could only insist on maintaining the patient-patient relationship between the two. "It is only natural for doctors to save patients."

"Oh, you said you were a patient and I wanted to save you. When you bullied Nora, did you ever think that she was also my patient? Should I save her?"

Kawei felt extremely bad when he thought that the perfect surgery he had just performed was almost ruined by the man in front of him: "I don't care about her life or where she goes in the future. I only care about her wounds. She is me."

The first patient to undergo surgery.”

"."

The dripping blood gradually overflowed outwards, and Li Ben kept sliding down because of the sticky blood around his body. He pressed his leg with his left hand, and blocked his neck with his right hand. He could only rely on his right leg to push on the ground to maintain his sitting posture: "It's my fault.

, I didn’t know, I didn’t know she was your patient.”

"I know now."

"I apologize, I admit my mistake."

"Just an apology?"

"I'll pay, I can pay!" Li Ben looked down at his pocket, "I have 237 crowns on me, all for you, you must save me!"

"That's pretty much it."

Kawei nodded slightly and gave him a brief introduction: "The left leg injured a muscle and a branch blood vessel. It is not practical to suture, but local compression can be done. The left arm only injured a muscle, not deep, and the blood vessel problem is not serious.

.The face and nose are not serious.”

"What about the neck?"

Cavett deliberately left the neck that was bleeding the most for last: "The problem is the neck, Sir, this neck is not easy to deal with."

"Is it difficult to handle? Why is it difficult to handle?"

Li Ben was also a person who had been on the battlefield. He knew very well that the neck bleeds the most, followed by the legs. If the bleeding in the neck could not be stopped, he would definitely be dead.

At this time, he no longer cared about status and appearance. He quickly said: "Your name is Kawei. I have read the newspaper and you are the youngest genius surgeon they say. I am still alive now. I am still alive."

You can definitely do it!”

"No, Mr. Li Ben, you misunderstood."

Kawei made a gesture and corrected the misunderstanding in time: "I mean, the neck muscles are very thin, the blood vessels are richly arranged and very close to the skin. Neck wounds can easily damage blood vessels, and once a blood vessel is injured, it will be extremely difficult to stop bleeding.

.

So I have to pay more!”

Li Ben didn't understand what he was talking about at all, so he just asked: "How much does it cost?"

"I helped Mr. Laszlo perform an intubation and he gave me an apartment. You are a knight of the great German Empire. This neck must be worth 2,000 crowns."

"What?!"

Li Ben's broken anterior neck muscles affected the movement of his throat, and he had to continue to put more force on his neck, but his momentum had been reduced by half, and his head became more and more dizzy: "2000? Where can I find 2000 kronor?

!”

"Speak softly and don't yell." Kawei advised, "Your neck is bleeding again."

"You might as well just kill me."

"Don't be ridiculous, I'm a doctor, how can I kill people?" Kawei stood up and moved the equipment box, took out his wallet from his trouser pocket and took away two 100-kronor bills: "Collect people's money, help people eliminate disasters.

.The legs are 100 crowns, the arms are 50, the face and nose are 50 together, which is exactly 200. You can keep the change for yourself and buy some delicious food."

"Where's the neck?"
To be continued...