I can see the status bar

Chapter 632 A whim

Liu Tangchun did make a mistake, and in his own opinion, this kind of mistake was very big and serious.Therefore, Liu Tangchun rarely panicked.

"I'll call the hygienist over here." The soldier who sent Lin Weijie over took out his walkie-talkie and started calling, "What else do you need to bring?"

"Let your hygienists bring all the normal saline and glucose." Liu Tangchun took two deep breaths to stabilize his mental fluctuations, then turned to Sun Li'en and said, "I'm not in the right condition, you come to take over the rescue organization .”

Sun Li'en glanced at his teacher, then nodded. "You take a break, I'll organize first." After speaking, Sun Li'en turned around and started to work.Liu Tangchun slowly walked to the ground beside him, sat down on the ground and began to rest.

"Hu Jia, put a urinary catheter on the patient. Teacher Li, please do the IV catheterization." Sun Lien quickly began to mobilize three people including his girlfriend, "Mr. Chen, please go and call the orthopedic teacher .Ask them to come over and see if they need to immobilize the patient first."

All three of them received clear instructions, while Sun Lien lowered his head and began to break the ampoule.Diazepam (Valium) Injection is packaged in an easy-open ampoule, which can be easily opened without grinding the mouth with a grinding wheel.Sun Li'en cracked while thinking about the follow-up treatment and rescue plan.He suddenly realized that the syringe in his hand would not be thrown away after it was used up.After all, the lack of injection fluid probably meant that the medical team didn't even have an IV dropper.

The hygienist quickly rushed to the area where the doctors were, and brought all the normal saline in the team—there were only two bottles of normal saline that could be used for injections, totaling 500ml.

Giving fluids to a burn victim is an important part of first aid.However, only two bottles of normal saline can not meet the demand for rehydration at all.Liu Tangchun believes that Lin Weiqiang needs at least 1500ml of rehydration solution.And Sun Lien also agrees with his teacher's judgment - this little salt water is not enough at all.

The hygienists on the army rarely carry large amounts of saline, partly because it is too heavy.On the other hand, it is because among the types of wounded they usually need to deal with, those who need intravenous rehydration are basically directly evacuated to the field hospital.The work of the hygienists is a little less than that of the front hospital in the ambulance. They are mainly responsible for trauma fixation and temporary hemostasis, bandaging and debridement of minor injuries.These two bottles of normal saline were originally prepared on their bodies for washing the wounds of their comrades-in-arms.

"This is not enough." Sun Li'en was a little anxious. He has a status bar, so it's no problem to make a diagnosis and organize a treatment.But the status bar can't conjure up a few bottles of saline solution out of thin air.He took two deep breaths and calmed down like Liu Tangchun, "How much glucose is there?"

"Only oral." The hygienist was also anxious, "You didn't bring anything?"

This reminded Sun Lien.He first asked Hu Jia to hang up the normal saline solution for Lin Weiqiang, and then began to look for the medicine box.

"This is not enough..." After searching for a while, Sun Lien found four boxes of distilled water for injection in the medicine box, but the four boxes have a total of forty ampoules, and together they are only 40ml of distilled water for injection... This is not enough ah.

Under the dancing coconut shadow, Sun Li'en was anxious like an ant on a hot pan.This is a new experience that he has never experienced before—the patient has a clear course of disease and a fixed treatment plan, but he cannot perform it because he does not have enough normal saline or 706-generation plasma... This feeling is simply too uncomfortable.

Director Liu was also very anxious. He stood up and walked around a coconut tree on the ground. After a few minutes, he stopped suddenly and looked up at the coconut tree in front of him thoughtfully.

"Coconut, coconut can be used." Liu Tangchun's voice suddenly drew Sun Lien's attention back.I saw Liu Tangchun jumping and jumping under the tree like a big horse monkey, pointing at the coconut tree as if he had discovered a new world and shouting, "Pick off the coconut, the green coconut water can be used as physiological saline!"

Sun Li'en didn't say anything, he just carefully looked at Liu Tangchun's status bar - Director Liu couldn't be sick from motion sickness and vomited too hard, did he have some kind of vomiting encephalopathy?

The observation on the status bar did not reveal any meaningful findings. Director Liu looked normal and rational.It was Sun Lien's turn to be shocked.Sun Lien was taught a lesson by Xu Yourong when he was rescuing those firefighters who were poisoned by organophosphate.There are strict requirements for the drugs injected into the human body. The raw materials are dissolved in distilled water for injection or normal saline for injection in the sterile operating room, and then it is not acceptable for patients to use.With coconut water...?
Sun Li'en suspected that if he made this suggestion, his medical license might be revoked directly.

"Yaqing water can be used as an injection. There has been a precedent before." Just as Sun Lien was trying to stop his teacher's unprecedented idea, Dr. Qian Yihong, the oldest doctor in the medical team, came out and explained to Sun Lien "This method is no problem for emergency."

Before Sun Li'en could speak, the two hygienists on the side immediately regained their spirits.In order to open up the landing field, the engineering soldiers have already cut down more than a dozen coconut trees.Doctors don't want injections, but coconuts are plentiful.The two immediately volunteered to carry the coconuts, and they also promised, "Don't worry, I will definitely pick the most beautiful coconuts!"

The two health workers ran away without a trace.But Sun Li'en was still a little worried, "Doctor Qian, is this green coconut...can it really be used?"

"Yes." Dr. Qian nodded, "Although I haven't used it, my teacher has used it."

Qian Yihong's teacher worked on Hainan Island, which was still part of Guangdong Province, in the 60s.At that time, Hainan's infrastructure was still poor, and almost all medical supplies depended on shipping from Guangdong.In the event of weather such as a typhoon, shipping will almost certainly be interrupted.After the interruption, the medical supplies on the island will soon be exhausted.

In June 63, Typhoon Trish made landfall in Guangdong.Huge winds and waves blocked ships from Guangdong to Hainan Island.Dr. Wen Xiancheng, who was working in the health center of Ruixi Commune in Chengmai County at that time, boldly used coconut water for intravenous rehydration in order to treat [-] patients with acute diarrhea without glucose for injection.

Among the 13 patients, except for one who died of acidosis and gastric bleeding after diarrhea, and one who died of third-degree malnutrition, the remaining [-] were all cured and discharged.

"The amount of coconut water can be bolder. According to the records at the time, there were four children aged 1 to 3, two infants aged 8 months, and two children aged 7 to 15. Their consumption was the largest. When it reached 900ml, there was no adverse reaction. And the maximum dosage of the three adult patients was 2000ml.” Dr. Qian introduced, “The main reason why it was not promoted at that time was actually because the transportation force to Hainan was sufficient, and The island also began to build its own pharmaceutical factory."

Sun Li'en was dumbfounded when he heard that, coconut water can really be used for intravenous injection?And Liu Tangchun said with a smile, "When we were in Laoshan, we heard similar stories from veterans. But this is the experience there - when we were in the 80s, the supply on the front line was still very sufficient."

　Dr. Wen Xiancheng mentioned in this article, as well as this "Preliminary Report on Clinical Observation of 15 Cases of Coconut Water as Intravenous Rehydration" are all real.This paper was published in "Guangdong Medicine (Modern Medicine Edition)" published in March 1964.Interestingly, this Dr. Wen also published a paper on obstetrics and gynecology in the "Chinese Journal of Obstetrics and Gynecology", as if there is indeed a coincidence in the dark.It also allowed me to give Dr. Wen's fictional student Qian Yihong a little more authenticity.

　　There are many common affairs today, but there is only one watch.Three more tomorrow.

　　
　
(End of this chapter)