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Episode 245: Showdown at Trafalgar Square [3]
“Ugh… … .”
“Ahhhhhhh, save me… … .”
Casualties were approximately ten.
Among them, the light casualties are… … .
As of the 21st century, it is 3 people, and as of the 19th century, it is 6 people.
If you can stand up on your own, it's a light injury.
If you try to treat it in that condition by touching it, you may end up making it hurt more.
no…….
There is a fairly high probability that this will happen.
“Joseph, let’s go.”
“Disinfect and wrap it?”
"yes."
“Okay. Haha.”
But that doesn't mean we can just leave it alone.
So, I sent Joseph out first.
Joseph, a master of disinfection and a disinfectant-crazy man, quickly began disinfecting moderately injured patients with phenol.
The target was everyone.
'It's a showdown… … but I can't just leave you to die.'
Couldn't you at least disinfect it?
Of course, it is impossible for us to see all the people who would be classified as seriously injured even by 19th century standards.
It's the same even if I'm there.
why?
There is one thing I learned when I came here… … .
It's true that there are fewer things that 21st century doctors can do alone than you might think.
The mindset is actually quite different.
“Get out of the way! Before those stone-faced bastards kill people!”
Over there… … .
Doctor Josef, with a pale face, running towards you.
That kid's specialty is murder… no, nose removal… no, rhinoplasty.
But look.
Look now.
“Where does it hurt!”
You came running like a hawk, grabbed the seriously injured person we haven't checked on yet, and are shaking him?
If you don't know, you should know how to stay still…
I wonder where the courage comes from to be so overflowing. It's just reckless.
Where the hell do you find a kid who looks at trauma patients like that?
“Professor! Over here!”
There is quite a bit of dissatisfaction piling up, but… … .
Unfortunately, I don't have two bodies.
‘If it had been the original hospital… … .’
I would probably send other specialists and residents and then do the triage first.
It's easy to say, but it's safe to say that it's a stage where people with a high chance of dying give up.
It may sound cruel, but it is something we do because we need to move efficiently to deal with a major disaster with limited resources.
This is done with the belief that all lives are equal, and that it is better to save two than one, and three than two.
'classification……?'
But now I can't even categorize it.
What would happen if I said, 'This is the situation, so first secure the airway, let the patient breathe, and get the blood circulating!'?
First of all, you won't even understand what I'm saying.
Normally, you would be at a loss if that happened… … but that won't happen.
Instead, I will swing my sword according to my hidden nature.
“Brother, brother! Put the knife down!”
Look at me.
Look at that… …our Brother Liston.
It's already been activated.
“Why, but. Your leg is hurt. And it’s a wound that occurred when you got caught in the pillar. It’s likely to rot if it goes on like this. You have to cut it off.”
Who wouldn't call him a cutting master… … .
He was holding a huge Liston sword that he had been carrying on his back.
If there's any consolation, it's that the light is bright enough to reflect even London's gloomy sunlight in all directions.
That means it was cleaned that cleanly and the blade was sharpened as well… … .
“No, no. Just look at the wound.”
“Why are you looking at the wounds?”
With that knife, there's nothing in the world that Liston can't cut.
No exaggeration… … .
Maybe you can even cut down a stone pillar?
So it was clear that the legs could be cut off really cleanly.
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But… … there is a step that must be taken before cutting.
“You have to see the wound to know whether to cut it or not.”
“What are you talking about? Oh, hahahaha.”
observation.
You have to see the wound.
It's such an obvious thing that I never really emphasized it until now…
That's why Liston was laughing so heartily.
– Bring me the boiling oil!
I thought I heard something nonsensical between the laughter… … .
Since that couldn't be true, I ignored it for now.
Right now, I'm having a hard time dealing with just one Liston.
“You don’t know much about trauma, do you? Hahahaha. These kinds of wounds need to be cut off. Otherwise, there’s no other way! They’ll rot!”
If it was the previous Liston, this would have been too much.
Just think about it… … .
A guy this big is wielding a knife and trying to cut someone up, so try to stop him, knowing what kind of trouble he'll get into.
Besides, I think this logic isn't all that tasty.
It may be better to cut open a contaminated wound.
Especially when it comes to 19th century hygiene concepts.
But… … .
“What causes wounds to rot?”
"huh?"
“What causes wounds to rot?”
As I continued talking, I watched Joseph pour phenol into our patient's leg.
“Eww!”
It's going to hurt terribly.
In fact, isn't it the rule to first clean such wounds with saline solution?
Pouring disinfectant directly into a wound rather than into the skin is closer to torture than treatment.
But what can I do?
This is still the limit.
Besides, it's really hard to suddenly find clean water on the floor of London.
I'm not talking about something that only exists in fantasy, like a sterilizing solution, but just… …water that's not too, seriously, or excessively dirty.
“Miasma.”
“Okay. What happens if we remove that miasma?”
We continued our conversation with the patient's screams echoing in the background as Joseph poured the phenol solution into the chamber.
It may sound peaceful, but seeing this sight will probably make your stomach churn.
It's so scary.
Two doctors talking indifferently while the patient screams.
“Ah! I see! Then surely… … ?”
“Of course, if there’s a fracture or something, we might have to cut it off. But… … you just have to see it to know, right?”
“I should clean it, then.”
“Our Joseph is cleaning. He’s a pro.”
“Oh, haha. Right. That’s right.”
“Let’s see another patient. They’re already taking two from there.”
“Oh, we’re falling behind.”
Well, it looks to me like they're the ones lagging.
Oh, the meaning is different.
If our side is a little slow, meaning we are falling behind, then they are really falling behind.
No, how in the world would you move an injured person like that, lifting their arms and legs?
“Let’s just take a look. There’s a good chance that those guys are just cleaning up the bodies.”
“Is that so…? It seems like people are more worried about us?”
“Us?”
But why? I looked into it and it seemed to make sense.
Our side is screaming, and the other side is… … .
'quiet…….'
When a patient becomes increasingly quiet in a hospital, it almost always means something is not good.
People who are moderately noisy don't actually get that sick.
When people are really, really sick, they become quiet.
Of course, it's quiet even when you die.
In my opinion… … .
'Let's not think of useless thoughts.'
If you only think about the tragedy that happened over there, this side is not easy either.
“Ugh… … .”
The patient Colin just unearthed… … .
The patient, who had been crushed by the collapsed stone pillar earlier, was clutching his chest.
He was letting out a strange groan.
Boohoo.
The patient earlier was screaming so it looked like he was in real pain, but this is actually the one in danger.
The legs are… … .
Well, you can still die if you hurt your leg.
But the heart is much more dangerous.
So I ripped off all my clothes.
“Oh my gosh.”
“What are you doing?”
“Shh. You don’t know who that person is?”
“Who is it?”
“The first… … is a shadow.”
"ah."
I hear whispers here and there.
In fact, it would be like that because it was a time when taking off other people's clothes was taboo, whether it was in a hospital or a brothel.
“Hey, if you don’t want to get stabbed, shut up.”
“Eek.”
It was after my fame and the gangs came along that things finally quieted down.
If you think about it, there are really few people as good as those gangsters.
Give me my pancreas for free.
Choose who will drink urine.
Even now, it helps establish order.
'If I ever really open a hospital, should I start a gang?'
Are you even thinking about this?
It's not a delusion, it's a plausible plan, even.
I don't know, but if Brother Liston and I were to call people and say we're going to take over London, hundreds would show up.
“Wow… … Give me the stethoscope!”
“Huh? Isn’t that supposed to tell if someone is dead or alive? You must have been so flustered that you didn’t hear, but this person is still groaning.”
“No, just give it to me if you want!”
“Oh, but I’m Blundell. Not your disciple.”
“Okay, give it to me!”
“Yeah, yeah.”
Anyway, the patient's chest was covered in bruises.
It seems that he fell first as he was pushed, and while he was lying there, a piece of stone pillar fell with a thud.
So what is the situation?
This is an X situation!
"hmm."
As soon as I received the stethoscope, I first listened to the patient's breathing.
Should I say it's fortunate or unfortunate?
I can hear breathing.
Instead, there was one thing that got smaller.
“fu*k… … .”
“Why, did you go back? Can’t I hear you breathing?”
I find myself cursing without realizing it.
That's because your heart rate is getting lower.
When I was a doctor in the 21st century, I actually… … almost never used a stethoscope.
When I was an intern, I would put an L tube in my nose and check if it was in the right place.
why?
Just take an X-ray… … .
If not, you can call the internists and ask them.
But that's not possible here.
Even if you try to eat and die, you can't find anything similar, let alone an X-ray, and when you call an internist, the first thing they do is drain your blood.
“No. A syringe!”
"syringe……?"
“Oh, if you want, give me some!”
“Oh, but I’m Liston.”
“Oh, please!”
"okay."
Anyway, it was only after I came here that I started practicing using a stethoscope in earnest… … .
From what I have seen from my training, this patient has pericardial tamponade.
“fu*k… … .”
I keep swearing.
Pericardial tamponade… … .
It is a disease in which the sac surrounding the heart literally fills with blood or water and puts pressure on the heart.
What happens when your heart is pressed?
I can't run.
In other words, blood cannot be sent to the whole body!
Why not just do a heart massage or chest compressions?
Unfortunately, that won't work.
There is already blood in the pericardium and it is pressing on it, so what good would it do to press on top of that?
"bout!"
So there is only one treatment I have to do now.
Sigh.
I was so nervous that I screamed and injected the syringe into my heart.
'I got a feeling!'
People who don't know anything will think I just stabbed them in the heart.
But I, the one who was stabbed, know.
It pierced through the skin and the thin membrane.
Other than that, I didn't poke the muscle or anything.
No, isn't it?
I don't know, but anyway, the blood flowing out now isn't coming from the heart.
“Uh uh… … .”
“T-That’s murder!”
“I killed a man!”
The blood that was in the pericardium is coming out.
If it's the heart, whether it's the atrium or the ventricle, there's no way it would come out so flustered.
Especially the ventricle, right?
The only thing that can come out by just pushing out this stiff syringe is blood pressure.
“Be quiet, you little sh*ts!”
“Look behind you, look behind you!”
“Huh? Uh uh… … .”
“Police! Call the police!”
Those ignorant people who didn't know that were looking at me and saying something.
The doctors thought they would get better, but they were the same.
Everyone was speechless and just stared blankly.