The situation at the scene was that there were crush injuries everywhere, which was significantly different from the extrusion injuries in car accidents. Compression injuries are much more serious than crush injuries as they involve compression of a large area of the human body.
For example, some relatively rare complications of traffic accident injuries become common and often fatal in crush injuries. The most famous of these is the crush syndrome, which is known around the world every time an earthquake occurs.
Crush syndrome is essentially rhabdomyolysis caused by muscle damage to the body's limbs or trunk when pressure is applied, with harmful substances accumulating in the blood of the injured limb. Once the compressed object is removed during rescue, the blood in the injured limb will reopen to the whole body, bringing harmful substances into the whole body, which can easily cause the patient to suffer from hypovolemic shock, acute kidney injury, and death from hyperkalemia.
Complications of compression injuries such as crush syndrome include compartment syndrome and fat embolism syndrome.
In cases like crush syndrome and compartment syndrome, amputation is often used clinically to save the patient's life.
Even without these complications, some patients who suffer severe blood loss after their limbs are buried can only save their lives by on-site amputation to reduce blood loss.
It can be seen from this that the place where compression injuries occur is indeed the main site of orthopedic specialist work.
The death of the wounded is the pain of being buried, and the disability of the wounded is also the pain of being buried.
This is why Dr. Guan wanted to cry after seeing the scene.
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It seems like there are countless people at the scene who may lose their hands and feet.
"You know what to do." Grandma Zheng and Grandma Cao knew that the two people who followed them were orthopedic doctors, so they stopped talking nonsense.
Rescue must be carried out with extreme caution to avoid causing secondary injuries to the injured. The most important thing to avoid here is the various fatal complications mentioned above.
The orthopedic surgeon needs to look around the scene for useful tools. If you have been to an orthopedic ward, you will know that orthopedics without tools is not orthopedics.
The so-called orthopedic tools can be called orthopedic braces or orthopedic supports. That is, when Xie rescued his deskmate last time, he should have considered the orthopedic fixation auxiliary tools as much as possible.
Specialized braces are available in hospitals, and the ambulance may bring some. But in a scene like this, there is no such thing. The doctor could only find something to use as a brace.
The problem was that it was dark and the ground was a mess, so it was difficult to find anything useful. For example, the fabric that doctors use most often and like to use can replace bandages and tourniquets. If you don’t have a clean towel, you may have to tear your clothes.
The doctor was busy looking around for something to save the patient.
Xie Wanying heard her father being called.
"Old Xie!"
"Save me, Lao Xie——"
It was the voice of Zhou Sheng and others. It was obvious that Zhou Sheng and his group's car was driving in the front and could not escape the accident and was crushed.
Xie Changrong scratched his head with his left hand, wondering if he had heard it wrongly. The group of people who looked down on him were shouting for help.
Then, another voice was heard.
"Xie Wanying."
It was the crying of her high school classmates.
"Xie Wanying, come and save Teacher Liu and the class monitor."
It's absolutely hard to believe. When the minibus her classmates were riding in encountered the sudden accident, the driver braked the car. After the car door opened, Squad Leader Jia, who was sitting at the door, was the first to rush out, once again leading by example. Liu Hui, as the class teacher, followed closely behind. Then an incredible scene happened. The landslide directly buried the car door.
Her other classmates and the driver who were trapped in the car were rescued. The first two people who rushed out were buried.
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