It's not that difficult to open a hospital in another world, right?

Wu Zhou followed the standard of surgical hand brushing, used water and soap locust to create a lather, and washed it from his fingertips to his upper arm. After washing it once, he put his hands together again, holding the liquor, and rubbed it carefully.

While rubbing, I sighed secretly: there is no tap water, no antibacterial hand sanitizer, no iodine and no chlorhexidine. The three times of brushing hands can only be reduced to two times. If this was done in the emergency department, even the operating room nurse would make him run away if he saw it.

I don’t even know if the alcohol is strong enough – just based on the smell, it’s probably not enough!

Don't even think about sterile gloves. Whether the injured person will get infected or not, you basically leave it to fate...

By the way, there are no antibiotics yet!

No sulfa, no penicillin, no various cephalosporins...

He used his hands to rub his intestines. Wu Zhou shuddered when he thought about the risk of infection after the patient's abdomen was closed.

This is completely a gamble!

But if the intestines are damaged, it will be a big trouble. Once the intestinal contents leak out, peritonitis, sepsis, and various complications can kill people. Clinically, if the intestines are not repaired, the abdomen will be closed. If a medical accident occurs, the gastrointestinal surgery department will throw a basket of rotten eggs.

Choose the lesser of two evils!

Wu Zhou held his breath, starting from the duodenum, and moved down the intestines inch by inch. Handfuls of bloody intestines passed by his fingertips, and soon, the sound of crazy vomiting came from around him:

"vomit--"

The red-haired archer knelt on the ground, his head curled up between his knees, and his face was almost buried in vomit. The little pastor's face was pale, and he tried his best to lower his head to avoid looking at his abdomen. His lips were pursed and his cheeks were bulging. There was a bang behind him, like the sound of a bucket falling to the ground, but the person carrying the water also vomited.

Just vomit, vomit, and you will get used to it. Wu Zhou silently cursed, and when he looked up at the injured person, his soul immediately flew into the sky:

"Why are you awake! - Hold him down! Hold him down quickly!"

Hell, wake up during the operation! ...No, this is not "intraoperative" at all. There is no anesthesia from beginning to end. This is when the injured person wakes up!

Rub your intestines, brother!

Don't move! ! !

Several soldiers, with vomit hanging from the corners of their mouths, rushed forward to pin people down. The injured person burst out with great strength in panic and struggled with at least 500ml of blood loss. The three of them barely managed to hold him down. Wu Zhou held a piece of jejunum in his left hand and a piece of ileum in his right hand, with cold sweat all over his head and face:

"Don't move! Don't move-"

It's really scary without anesthesia... Whoever has some accuracy at hand can paralyze the injured...

Kidding. If he really got an epidural hematoma, he wouldn't know how to treat it!

He explained and comforted, and the injured finally calmed down. Wu Zhou calmed down and checked his intestines inch by inch. No, no, the jejunal segment is not broken, great! Next is the ileum, which just fell out and is the most dangerous part...

A 5cm long crack!

Fortunately I found it. If it is not detected and it is returned to the intestines...

Wu Zhou has already begun to think about the consequences of leakage of intestinal contents, suppuration, peritonitis, sepsis and death. This is what surgery is like. It is found out if there is anything wrong with the sutures, but there is nothing missing during the examination... haha.

Now there is no condition to suture the intestines. But fortunately, he has something else.

Wu Zhou carefully turned over the bottle of potion for treating minor injuries and dripped the potion on the wound. One drop, two drops...

Looking directly at it, the thin and narrow wound began to heal visibly to the naked eye, as if a time-lapse photography had been turned on. One centimeter, two centimeters...

Not moving anymore.

Wu Zhou put the cork back on the bottle, shook it hard, and pulled it out again. Another drop came out.

The sky is full of spirits, the earth is full of spirits, Amitabha the Infinite Lord, who knows who is the god who provides the healing potion in this world, this wound must be healed... No, this potion must be enough!

Another centimeter longer.

Another drop...

It’s grown! Perfect!

Wu Zhou breathed a sigh of relief and continued to check downwards. Fortunately, the remaining part of the ileum, as well as the cecum and colon further down, were not damaged. As for the rectum, there is a high probability that it cannot be touched at such a low position, so there is no need to touch it.

rinse!

Close your belly!

By the way, there is no 37 degrees Celsius saline here, so he has to prepare it himself...

"Has the water boiled?"

"not yet……"

Look, look, it's so tragic.

Spread your hands.

Should he be lucky that he still has a dilapidated house where he can boil water and find some salt?

Wu Zhou took a deep breath, then another deep breath, and then a third deep breath. He put his hands flat on his chest, turned his upper body in a very awkward posture, and waited eagerly for the water in the pot to boil. Then, he started dictating on the spot to guide his teammates in preparing physiological saline:

"Pour the boiled water into the cold boiled water... don't pour too much! Give it a taste... No, don't drink it directly, pour it out and drink it. It will be the same temperature as your mouth, not hot or cold.

Okay, now put some salt in it! Don't put too much, a pile as big as the first section of your thumb, crush it, throw it in, shake it! ——Take another bite and find it very salty, but not so salty as to be bitter? That's right, come on, give me another taste..."

"Why put salt?"

The little priest finally recovered from vomiting. The freckles on his face looked a little duller, but his eyes were still bright. After hearing his question, Wu Zhou blurted out without thinking:

"It doesn't hurt to wash the wound with normal saline."

"What salt water?... Why doesn't it hurt?"

Wu Zhou: "..."

Damn it, I spilled the beans! People in this world don’t know what saline is!

And, why doesn't it hurt? Do you want me to take a physiology class on site, from cell osmotic pressure to nerve conduction?

"Cough, normal saline, it's salt water that's as salty as blood... When your blood flows on your own wound, doesn't it hurt so much?"

"But salt is expensive!"

No, salt is expensive?

Wu Zhou sweated profusely. Clinically, one of the most widely used supplies is physiological saline. Use it when debriding, use it when flushing various cannulas, and still use it when flushing before closing the chest and abdomen. Everyone picked it up and threw it down. After a major operation, it was not unusual for the receipt to be filled with dozens of liters of normal saline.

Now I actually told him that salt is expensive...

Wu Zhou turned his head and looked at the dark houses with stone walls and thatched roofs nearby. Well, salt is indeed expensive.

"No matter how expensive it is, you still have to use it! If you don't use this concentration of saline, the wound recovery will be very poor!"

If you use fresh water, the osmotic pressure is too low, which will cause a piece of cell to die, and then cause ion disorder or something else...

These people have never even heard of cells and ions...

The little priest was thoughtful. Suddenly there was a loud cough from the side: "Cough...little Grete, the salt water is here!"