Great Medicine Without Borders
Chapter 1023 Triage Guide
At first everyone was still talking to each other, but after a while everyone was silent. They were shocked by what they saw at the scene. The road ahead was undulating like waves, and the guardrails on both sides were twisted into twist-like shapes.
A large crack appeared in the center of the road not far away, like a twisted scar. What was even more shocking was that the crack was still spitting sand and water.
Wang Wenxiang reminded everyone to go around carefully. When passing through the gap, the ground suddenly shook, and aftershocks came. Zhang Li, a nurse at the infectious disease hospital, lost her footing and sat down on the ground. She felt dizzy, as if there were a pair of invisible hands. She pushed toward the crack.
Zhang Li let out a heartbreaking scream out of fear, and Xu Chunliang grabbed her arm at the critical moment.
Wang Wenxiang said loudly: "Everyone get down and don't run around."
When encountering an earthquake outdoors, generally speaking, choose the nearest open area, squat or lie down immediately to avoid falling, do not run around, and avoid crowded places. Wang Wenxiang has already explained these points on the way.
This aftershock made everyone quickly realize the reality. This rescue mission was much more difficult than they imagined.
After the aftershocks passed, it was confirmed that all team members were not injured, and then they continued on their way.
Zhang Li looked back at the crack where water was still leaking from the sandblasting, and she was still frightened. If Xu Chunliang hadn't grabbed her in time, she might have fallen into it.
Xu Chunliang, who was walking behind her, said: "Don't worry, you won't be in any danger with me here."
Qin Guoliang frowned in displeasure. This guy really knows how to make a presence known. I am the captain, okay?
Wang Xiaofeng said loudly: "Applause for Team Xu!"
Everyone clapped in unison.
Xu Chunliang smiled and said: "Don't be so exaggerated. When everyone completes the task and returns to Dongzhou, I will treat you to dinner." His words attracted another round of applause, and most people would not refuse a kind invitation.
The information Xu Chunliang had been waiting for finally came. Su Qing is currently in Fushan Town, reporting on the local damage. She is with her colleagues in the reporting team. There is no danger at the moment. Xu Chunliang is secretly relieved.
Not long after, Su Qing called. As soon as she got through and said a word, it was interrupted because of poor signal. She couldn't get through when she called again.
The rain showed no sign of abating, and the original distance of three kilometers became a bit long in everyone's mind. On the way, we saw many cars parked on the roadside. A heavy truck rolled over and the driver was stuck inside. , a rescue team is at the scene to rescue.
Qin Guoliang took the initiative to ask the other party if he needed help, but the other team said no. Their team has been equipped with first aid personnel, and the driver in the car is currently in good condition.
As they went deeper into the disaster area, they saw more and more disasters and more and more injured people. Almost everyone needed help, but they couldn't stay. A temporary hospital had been built at the gathering point. There the redistribution takes place.
The disaster was more serious than they imagined. When they passed through the village, they saw that most of the houses in the village had collapsed. A rescue team carried out rescue and search on the ruins. The people who were homeless because of this natural disaster were full of despair and pain.
Wang Xiaofeng whispered to Xu Chunliang: "Are there people in distress over there?"
Xu Chunliang looked in the direction he pointed and saw several bodies temporarily wrapped in canvas lying on the open ground in the southeast.
Qin Guoliang said to them: "Don't just chat, speed up the journey, we are almost there." A temporary tent has appeared in the sight, which is their meeting point Zhangwodian and the location of the earthquake relief headquarters.
After arriving at the scene, everyone was reorganized. According to the arrangement, they were not sent to the front line, but were engaged in first aid work in this temporary hospital.
The person in charge of the hospital is Chang Baoqing, deputy director of the Juzhou Health Bureau. He has assigned the list in advance, and Xu Chunliang is assigned to the medical guidance team. The specific job is to classify the injured according to light, medium and severe, and help speed up the first aid process.
Because Xu Chunliang is a traditional Chinese medicine doctor, he only has a junior professional title, and he is engaged in administrative work. Chang Baoqing did not think that an administrative staff member with only a junior professional title could play a big role in such an environment with a large number of emergency casualties. He even thought that this young man came here to gain political capital.
When Xu Chunliang saw that he had been arranged to supervise doctors, he immediately approached Chang Baoqing: "Chang Bureau, I am a traditional Chinese medicine practitioner, and the job of supervising doctors is not suitable for me."
Chang Baoqing's heart was heavy and his thick eyebrows were furrowed: "What you are is not important, what is important is what you can do? I don't care what job you have done in the past or what position you hold in the unit. When you come here, you must obey orders and obey them. Otherwise, hurry up and give me go back."
Chang Baoqing had a loud voice and sounded like he was quarreling. When he yelled, everyone looked this way.
Xu Chunliang knew that everyone was in a bad mood when encountering this kind of situation, and he didn't have the same experience as him. He also had good intentions and wanted to do more for the people in the disaster area. Wouldn't it be overkill for him to provide medical guidance?
Qin Guoliang was unaware of the situation and thought that Xu Chunliang had quarreled with the local leaders as soon as he arrived. He hurried over and angrily said, "Xu Chunliang, what are you doing? Everyone is busy saving people, and this is not the time for you to stand out."
Xu Chunliang could tolerate Chang Baoqing's loud voice, but he couldn't tolerate Qin Guoliang's groundless accusations against him. This was almost like smearing. He glared at Qin Guoliang coldly: "Who is taking the limelight? Can you find out more about it before you shout about it? I think it's a bit overkill for me to be the doctor."
Nurse Zhang Li was also assigned to the medical guidance team. Seeing that Xu Chunliang was arguing with the two leaders, she quickly shouted: "Team Xu, the wounded are here, come and help." As long as the employees of the infectious disease hospital are right We had heard a lot about Xu Chunliang's temper, and Zhang Li also wanted Xu Chunliang to avoid conflicts with others when he first arrived.
Chang Baoqing was not targeting Xu Chunliang. He pursed his lips and said, "Save people first. If anything goes wrong, we will adjust later."
Xu Chunliang turned around and left, and the doctor guided the doctor. I was actually used by you to kill chickens with a butcher's knife. You are in the limelight. Is the limelight something you just want to do? That depends on strength.
It was true that Zhang Li came to Xu Chunliang's rescue, and it was also true that the wounded arrived. Dozens of wounded, ranging in severity, gathered around the three medical directors and asked them to assign them to the clinic.
Xu Chunliang took a look and saw that the job of being a doctor was not easy. When he saw a young man with his arms crossed, Xu Chunliang walked over and said, "What's wrong? I see you have nothing to do. Why are you just joining in the fun?"
"I...I dislocated my arm...I want to see an orthopedic surgeon..."
Xu Chunliang waved to him: "Come here, let me take a look."
The dislocated young man walked over. These medical staff were all wearing the same clothes. He didn't know that Xu Chunliang was a traditional Chinese medicine doctor, so he thought he had met an orthopedic surgeon.
Xu Chunliang knew at a glance that his right elbow joint was dislocated.
Even if you are triaged to an orthopedic department, they may not be able to solve this problem immediately. Elbow joint dislocation is a very common large joint dislocation in the human body. After a dislocation occurs, it should be reset as soon as possible to avoid the dislocation from compressing blood vessels and nerves and causing corresponding complications.
Xu Chunliang made a chair for the patient to sit down. Generally speaking, the flexion reduction method or flexion and extension activities are used for reduction. It is carried out by two people. The assistant holds the upper arm tightly for counter-traction, and the doctor holds it tightly with one hand. The patient's wrist is continuously pulled in the direction of the original deformity, and the elbow joint is used as the starting point to push and pull.
Xu Chunliang didn't call his assistant for help. Other colleagues were busy triaging and didn't bother to help him.
Xu Chunliang grabbed the injured person's upper arm with his left hand, and grabbed his wrist with his right hand. He pushed and lifted the injured person's elbow quickly and forcefully without any delay. Only a click was heard, indicating that the injured person's elbow joint had been reset successfully.
Xu Chunliang took out his secret wound ointment from the first aid kit he carried and applied it on the patient's elbow joint. This trauma ointment can greatly shorten the healing time. Zhang Li was asked to help with the fixation. The functional position of the elbow joint was about 90° flexion. Zhang Li used a brace to fix the elbow joint, and then used a triangle scarf to hang it on the chest. Under normal circumstances, the fixation can be removed after 4-6 weeks, and the patient Just do functional exercises.
However, after applying Huichun Tang’s secret wound ointment, it only takes three days to recover.
The dozens of injured people were waiting in line for triage. Seeing that Xu Chunliang cured one of them with one action, five of the dozens of people were dislocated. Seeing Xu Chunliang's magical skills with their own eyes, they also They lined up and immediately gathered around Xu Chunliang.
Xu Chunliang said: "Come one by one."
"Doctor, my son's wrist is dislocated. Take a look..."
"Doctor, I dislocated my shoulder..."
"Doctor, my back hurts..."
"Doctor, I have a headache..."
As the general person in charge of this temporary hospital, Chang Baoqing is mainly responsible for overall arrangements and inspections. He quickly noticed the movements in the triage office. According to his arrangement, all injured patients will be triaged and directed to various clinics as soon as possible. But the problem now is that more than a dozen wounded people are surrounding the triage area and refusing to leave.
Chang Baoqing secretly sighed that the efficiency of this triage was too low. His first thought was that Xu Chunliang had some objections to the work he was assigned, so he was deliberately passive and sabotaging. If that was the case, this kind of person would still Get rid of him as soon as possible before he slows down the efficiency of the entire team.
Chang Baoqing knew very well that the first responders sent were not necessarily elites. Many of them came here with the original intention of taking shortcuts to get gold and join the party to improve their political status.
Chang Baoqing decided to take a look in person. When he came to the triage office, he saw Xu Chunliang helping an old lady reset her shoulder joint.
Xu Chunliang used the external rotation reduction technique. He asked the old lady to sit there and adducted the patient's left limb in front of the chest. He supported the elbow with one hand and held the wrist joint with the other hand. He slowly rotated the arm externally without any effort on his part. The dislocated joint has been automatically reset. After reduction, keep the patient's arm in internal rotation and adduction, place a cotton pad in the armpit, and use a triangle towel to fix the affected limb on the chest.
Xu Chunliang treated this patient for less than three minutes, and then called a middle-aged woman holding a child. The child's left arm was deformed and swollen, and it was obviously fractured.
The middle-aged woman shouted anxiously: "Doctor, my baby's hand is broken, can it be cured?"
Today I will update my thoughts.
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