Chapter 115
Is the patient in critical condition?
Garrett Nordmark hurried over.
Ah, if this were in his emergency department, there would have been a set procedure. Open the airway, perform CPR, transfuse blood, administer fluids, replenish volume, administer adrenaline, administer dopamine, administer mannitol for cranial injuries
Back in the day, it had become routine, almost a mechanical process. It was only when he recalled it in this unfamiliar world that he realized how precious those skills were.
No endotracheal tube!
No adrenaline, no dopamine, no mannitol!
He hadn't even managed to get the needle for the blood transfusion yet. The jeweler's craftsmanship was so poor; he still hadn't succeeded! As for fluids and volume expansion, that guy Linde had failed to produce even a simple saline solution
Poor sterilization, too many impurities in the liquid. Recklessly infusing it into the bloodstream would either lead to thrombosis due to excessive impurities or bacterial sepsis if bacteria entered the bloodstream. It was a recipe for disaster! As for magical tricks and purified diets, the liquids produced by a spell and a divine art didn't meet the sterilization standards he needed.
In his past life, seven years of undergraduate education and over a decade of work had rendered most of those skills useless!
Garrett sighed silently as he rushed forward. One step, two steps, three steps, and he arrived at the patient's bedside, his spirits already revitalized:
So what if there's no blood transfusion capability, no medicine, no medical equipment? No instruments at all, so what?
The foundation of modern medicine was never these things! It was the mindset of evidence-based medicine, the principle of assessing severity, prioritizing urgency, combining holistic and partial treatment, and the diligent exploration of the mysteries of the human body, supporting us step by step!
"Garrett!" Joanna's tone was urgent. Garrett bent down, pressed on the patient's abdomen, not lifting his head as he responded loudly:
"Monitor the heartbeat and breathing! Use healing spells to stabilize! Stabilize!"
He slapped the patient's abdomen once, twice. Then let the priests beside him move the patient, patting on the left side, then the right side. The more he patted, the more furrowed his brow became. Patrick, who had just finished binding the patient's left leg, raised his head:
"How is it?"
"Shifting dullness!" Garrett answered urgently. After a moment of thought, he explained further:
"Intra-abdominal fluid at least 1000 millilitersunfortunately, in this case, the entire 1000 milliliters is blood loss!"
"Then quickly stop the bleeding!" All four priests present exclaimed. Garrett shook his head decisively:
"Wait! Patrick, check the patient's spine!"
"No problem with the spine!" This war priest reached down, felt along the patient's spine, and immediately replied. Garrett had already pounced on the patient's head at the same time, lifting the eyelids:
"Evan! Illumination spell! Check the pupils!"
A beam of white light shot straight in. Garrett lowered one eyelid, then raised the other:
"Bilateral pupils equally dilated, normal light reflex...no obvious head injury, no brain damage..."
Thank goodness. I really couldn't do anything about a head injury without mannitol, without any drugs, without a CT scan, without an MRI. If it were indeed a head injury, other than making the patient gamble with their life, the only option would be to toss a healing spell like a Schrdinger's treatment...
No head injury found, no pelvic fracture found. Let's talk about limbs, arteries, nerves, and the rest laterGarrett breathed a sigh of relief, beckoning to the little John who was running towards him with the surgical instruments:
"Open the abdomen!"
The surgical knife fell heavily into his palm. Garrett made a central incision, and a large amount of fresh blood immediately gushed out, staining the treatment bed red. Little John reflexively exclaimed:
"Ah!"
The others were of higher rank, broad-minded, and didn't follow suit with a scream. However, the sound of inhaling sharply still echoed, but Garrett remained unfazed, shouting sternly:
"Donald! Divert the blood! Hook!"
The suction device still hadn't come out... Fortunately, the priest of the Fountain Temple was here. Well, in this case, he had to serve as a human suction device...
Father Donald took a step forward, murmuring prayers. With his gestures, the blood in the patient's abdomen turned into a long rainbow, silently flying into a bucket. As the field of view gradually cleared, Garrett bent down to quickly search inside the patient's abdomen, fingers pointing as he went:
Hepatic artery occluded!
Splenic artery occluded!
Bilateral renal arteries occluded!
Transparent mage hands danced around, one by one, clamping blood vessels. Patrick, the war priest on the side, stuck his head out, looking dumbfounded:
"Can this work?"
Of course, it can! Mage hands consume little, are flexible in shape, and precisely hit the spot. The key point isno need for sterilization!
As much as needed, no need to discover that the blood vessels aren't clamped enough, then panic and ask the nurse to bring more!
Garrett's mouth curled slightly. He held up the liver:
"Treat the minor injury! To this part of the liver!"
A white light descended. Treating a minor injury was only slightly higher in level than treating a minor wound. A Level 3 priest like Father Donald could easily cast a dozen or so of them without much effort. However, once the divine art was cast, the shattered liver wriggled and began to heal rapidly, returning to normal in a few blinks of an eye.
Divine magic truly had an immediate effect...
Even though he had seen it more than once, Garrett couldn't help but praise it in his heart.
In the past life, a liver that was shattered like this would have to be cut in half, laboriously sewn for a few hours. Then, anxiously and fearfully, it would be monitored in the ICU for ten days or half a month, hoping that the liver could heal on its own...
Oh, speaking of it brings tears.
He quickly imagined it, put down the liver, and fished out a battered spleen. Another major culprit of massive bleeding. In the past, it would have definitely been removed immediately. However, in a world with divine arts, it was a different story:
"Treat the minor injury!"
The spleen was much smaller than the liver, weighing only about 1/5 to 1/10. After the treatment for minor injuries, the white light spread upwards with some surplus energy. Garrett quickly put it back in place, letting the white light jump a few times in the abdominal cavity, naming some ligaments and membranes. He then checked the kidneys.
Tsk, the left kidney seemed fine. Just to be safe, treat a minor wound. The right kidney was a bit troublesome, let's go with another treatment for minor injuries...
Kidneys sorted!
Pancreas sorted!
Gallbladder sorted!
All major blood vessels visible in the abdominal cavity were checked!
"How is the patient doing?"
Garrett looked up. Joanna had been monitoring the
patient's heartbeat and breathing, not daring to relax for a moment. She answered:
"It has stabilized! Although he's still unconscious...but he's stable now!"
Her gaze towards Garrett was full of surprise. On the other side, Patrick was staring blankly, murmuring:
"Two treatments for minor injuries, five treatments for minor wounds...two treatments for minor injuries, five treatments for minor wounds..."
For such a serious injury, stabilizing it with two treatments for minor injuries and five treatments for minor wounds was absolutely impossible in his opinion! Doubling it wouldn't even be possible, let alone doubling it twice!
However, seeing was believing. After Garrett cut open the patient's abdomen, he really stabilized the near-death severe injury with just these few healing spells!
"Garrett, you're amazing..."
It's not me being amazing.
Garrett sighed inwardly.
It's the guidance of modern medical arts that made me know the correct order of treatment and which areas to prioritize;
It's the instant healing of divine arts that prevented the patient from struggling on the path of recovery after the surgery;
It's the patient's own physique that allowed him to persist until now without oxygen, blood transfusion, or any life support...
Perhaps I should also thank fate for letting this patient's injury fall within the range I can handle.
He collected himself and raised his voice:
"To save his life, there's still a lot to do! John, go get saline solution! Put in some effort, move quickly, he can survive!"
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