Chapter 1342 Rescue by Infusion? We Can't Learn, Teacher Gretel!
Use magic to replenish fluids...
This idea is theoretically feasible. Gretel had used [Detoxification Technique] before to instantly drain the potassium chloride from the target's heart, or to instantly infuse a large amount of potassium chloride...
From here, it is not impossible to use magic to pour the Ringer liquid into the blood vessels. However, the specific magic to be used needs to be carefully studied.
Grete suppressed his thoughts and kept his hands and feet focused on the injured warriors.
After Bernard, other soldiers were sent down one after another. Gretel straightened the bones one by one, connected muscles and tendons, replenished fluids, and applied blood-replenishing magic...
An ancient tree with attack, defense, and concealment functions was used as an IV stand by him. Countless branches stretched out from above, as if bearing fruit, and a row of infusion bottles hung on them.
——If Gretel hadn't developed the function of rapid oxygen supply, I'm afraid we would still have to train the ancient trees and stuff two leaves into each of these elves' noses so that the warriors in need can breathe oxygen for a while...
In short, while the healers at the front were flying on the battle line, fighting and treating the soldiers, Gretel was in the middle and rear, running around without even touching the ground.
Emergency rescue!
Emergency rescue!
Hemorrhagic shock, pneumothorax, hemopneumothorax, craniocerebral injury, visceral injury, lung contusion, cardiac arrest, tracheal rupture...
He flew under the old tree like a butterfly wearing flowers. He alone has exerted the functions of nearly ten healers...
"Everyone lies down! Lie down! Don't move!"
"Don't move your hands! Pay attention to the needle! - Oops, the blood has returned again! If you move around again, I will let the ancient tree tie you up!"
"CPR!"
"Defibrillation!"
"Ashu, don't stop the group healing! Hold the blood line! Hold it!"
"Serila, go get another bottle of water for No. 3! Pay attention to how many bottles he has hung up!"
It was not until the battle was over and the healers on the front line returned to the ancient trees one after another that the wounded were taken over.
Gretel wiped his sweat and sat down to eat some fruit to replenish his blood sugar. Oh my god, his mission finally only left to pay attention to the monitor and hang up...
Hey, by the way, pay attention to how many bags of water are hung, how many bags are left, and change the water regularly. Isn't this the nurse's duty?
After all the wounded who needed to be evacuated were evacuated, and those who didn't need to be evacuated were all lying there receiving infusions, the healers had time to gather around Grete.
Faced with the hard facts, more than one healer grabbed Gretel curiously and asked questions. Gretel also knew everything and said everything:
"With a large amount of blood loss, the key to first aid is to expand blood volume... 85% of blood is water, so replenishing a lot of fluids is more important than anything else..."
"How to judge the amount of blood loss? In addition to visual estimation at the scene at the time, it can also be estimated based on the condition of the injured...
Generally speaking, when blood loss is about 750ml, the heartbeat will accelerate, but blood pressure and breathing will not change much;
With a blood loss of about 1000-1250ml, the patient will have tachycardia, systolic blood pressure may decrease, and the pulse pressure difference will decrease..."
There were two circles of elves around him, each of them holding a notebook and remembering not to raise his head.
When Grete finished talking about grade three and four hemorrhagic shock and started talking about rehydration, someone immediately asked urgently:
"Then don't we just need to replenish the fluids quickly? If we inject all the fluids at once, can't they get better quickly?"
He stretched out his hand and waved around, his fingers crossing a large semicircle, pointing to the soldiers lying under the shade of the trees and receiving infusions:
"Why do you have to do it so slowly?"
"That's it! That's it!" Under the shade of the tree, more than one head was raised. Soldiers with needles and liquid hanging from their elbows and collarbones looked pale and shouted feebly:
"Give us a magic spell! Shoot a rehydration magic, and then a blood replenishment magic, and then we can go to the battlefield again!"
"Shut up!"
Grete scolded them with a dark face. Especially Bernard, Gretel slapped him on the head several times, slapped him on the forehead, forced him to lie down, and then turned to the healers:
"Don't replenish fluids too quickly! It's okay to do it a little faster - but if you inject so much in one minute, or one second, you'll get into trouble!"
"What?!"
"Don't believe it? When the rehydration magic is developed and tested, I'll call you to come and see——"
This statement temporarily suppressed the healers' questions. Immediately another elf raised his hand:
"How much can you lose?"
"For a single major bleeding of more than 1,500 ml, 2,000 ml of fluid should be infused in one hour. Generally speaking, there will be no problem."
Gretel was a senior emergency surgeon in his previous life. He handled this kind of problem very skillfully and without any hassle:
"Don't ask questions now, listen to me! The way to replenish fluids is to open a venous access. For rescue of major bleeding, it is best to open a central vein-"
"What?"
"What?!"
Poor elf healers, I have never heard of these professional medical terms. I know about veins, but what is a central vein?
While he was making random inquiries, a translucent light and shadow had already stood up in front of everyone.
Heart, lungs, and vascular circulation throughout the body. The red lines are arteries and the blue lines are veins. A shadowy dotted line in the middle cuts off these red and blue lines:
"Central vein refers to the large veins close to the heart, including the bilateral internal jugular veins, subclavian veins, bilateral innominate veins, superior and inferior vena cava..."
Following his pointing, those large veins became brighter and pulsating one by one. The healers looked at each other, and the quickest ones shouted:
"How do you get these veins in?"
"Yeah! So close to the artery next to it!"
"If you're not careful, you can poke the main artery in your neck!"
Gretel expected this. Central venipuncture is extremely difficult and cannot be performed by non-trained medical staff. Just these elves, don't they have enough training to let them get started?
Absolutely impossible!
Central venous infusion, and opening the bone marrow cavity just in case, just show them and let them know that there is this method. As for the specific operations that these elves can use——
"If it is not possible to open a central vein, you can open a few more peripheral large veins. For example, the axillary vein, basilic vein, popliteal vein, great saphenous vein..."
The blood vessels on the limbs lit up one by one. Only then did the healer sigh with relief:
so far so good. It didn't seem difficult for him to find these blood vessels and poke them with a needle.
Looking around, among the soldiers who were still receiving infusions, most of the vines were connected to the blood vessels of their limbs. They should be able to copy the gourd and draw the scoop...
However, there are still only a few healers who are so relieved. Most of the healers still looked embarrassed, and a few of them whispered:
"Can't you use magic... You have to stick a needle in... What if it's crooked, what if it's penetrated, what if the needle is crooked..."
Gretel took a deep breath.
Yes, this is also a problem of lack of skilled operators. I remember when he was in Nevis, training a group of apprentices to inject penicillin to the point of death, pressing the gourd to lift the gourd;
Intravenous injection is much more difficult than intramuscular injection. How can it be so easy to train a batch of masters in a short time?
"Forget it... I'll go back and think about it, and try to make a rehydration spell..."