[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"origin-notes-on-kraft-anomalous-studies":3,"chapter-notes-on-kraft-anomalous-studies-notes-on-kraft-anomalous-studies-chapter-296":6},{"origin":4,"title":5},"chinese","Notes on Kraft Anomalous Studies",{"chapter":7,"nextChapterSlug":19,"prevChapterSlug":20,"totalChapters":21,"novelImage":22},{"id":8,"novel_id":9,"title":10,"slug":11,"index":12,"content":13,"wordcount":14,"created_at":15,"updated_at":15,"volume":16,"translator":17,"content_hash":18},2283774,4467,"Chapter 296: Emergency and Disaster Medicine","notes-on-kraft-anomalous-studies-chapter-296",296,"\u003Cp>Many who aspire to pursue medicine encounter at some point in their studies a question, often posed by their instructors, about prioritization and difficult choices under duress.\u003C\u002Fp>\n\u003Cp>Suppose one day you and your incompetent colleague find yourselves in a scenario with severely limited time and personnel, yet multiple patients arrive simultaneously, as follows:\u003C\u002Fp>\n\u003Cp>Option one: A young woman, accompanied by a male friend, complains of dizziness, headache, blurred vision, chest tightness and pain, shortness of breath, abdominal pain and nausea, limb weakness, and has a history of congenital heart disease, immune dysregulation, wind-heat invading the lungs, spleen-stomach disharmony, and kidney yin deficiency; she sobs tearfully before you.\u003C\u002Fp>\n\u003Cp>Option two: A work injury patient, brought in by coworkers, sits idly on the corridor floor smoking silently, clutching a wad of tissue that contains two fresh fingers.\u003C\u002Fp>\n\u003Cp>Option three: A burly man, likely just emerged from some unsanctioned drinking den, has multiple gashes on his scalp from a broken bottle, flesh flayed open, blood drenching his face and head, wailing louder than the emergency call broadcast.\u003C\u002Fp>\n\u003Cp>Option four: A young child, brought by elderly relatives, lies quietly without crying, saying, “Everything was fine before; no major illnesses, just a few days of coughing without fever—came for a checkup”; now his breathing is slightly rapid, and his lips appear unusually dark.\u003C\u002Fp>\n\u003Cp>Option five: A middle-aged man, driven by his children, lies motionless on a nearby bench, showing no visible trauma, ignoring the surrounding chaos, sleeping like an infant.\u003C\u002Fp>\n\u003Cp>Option six: Everything is fine—except he’s the dean’s father.\u003C\u002Fp>\n\u003Cp>Alright, the scenario and options are as above. No consultations or supervisor approvals permitted. Choose independently within ten seconds the patient(s) requiring immediate attention; you may select multiple and rank them.\u003C\u002Fp>\n\u003Cp>Time’s up. Every trained physician has surely selected their preferred answer.\u003C\u002Fp>\n\u003Cp>Most people, when asked, struggle not to laugh—but their instructors typically do not interrupt the laughter.\u003C\u002Fp>\n\u003Cp>Because they have no idea they might one day find themselves in exactly this situation—like Kraft does now.\u003C\u002Fp>\n\u003Cp>The core logic of this absurd question is simple: prioritize patients with compromised vital signs or altered consciousness.\u003C\u002Fp>\n\u003Cp>“Hurry, hurry!” Kraft drags the injured man away from the wall, away from the building that might drop bricks or tiles at any moment, “I’m a doctor—everyone, lend a hand!”\u003C\u002Fp>\n\u003Cp>“Wait… no, don’t move any patients yet.”\u003C\u002Fp>\n\u003Cp>The unlucky soul grazed by the gargoyle debris likely has only a fracture; his cries are loud and strong. Since he’s at the epicenter, the crowd has naturally dispersed, sparing him from being trampled.\u003C\u002Fp>\n\u003Cp>After a quick assessment confirming a closed fracture of the left humerus, Kraft leaves him in place and rushes toward those enjoying “infant-like sleep.”\u003C\u002Fp>\n\u003Cp>It was right not to let untrained people move patients immediately. The second patient lies in an odd posture, neck rigid and locked; he emits a faint gurgling sound as Kraft approaches.\u003C\u002Fp>\n\u003Cp>He’s conscious, but neck restriction and pain prevent speech.\u003C\u002Fp>\n\u003Cp>The force and direction of his trauma were unusually precise—likely causing cervical dislocation. If moved carelessly, unrestricted neck movement could trigger a high spinal cord injury.\u003C\u002Fp>\n\u003Cp>“Leave him. Wait for a backboard!”\u003C\u002Fp>\n\u003Cp>Skipping those who still howl while clutching injured limbs, Kraft prioritizes time for those who’ve fallen silent, swiftly identifying those needing urgent intervention.\u003C\u002Fp>\n\u003Cp>“Those with rib fractures, move back slightly. Wait—how’s this one got multiple breaks? Flail chest? Let me stabilize it.” Treatable, needs immediate control.\u003C\u002Fp>\n\u003Cp>“So many hemorrhagic points—traumatic asphyxia. Heart still beating. Calm him down. Next time, don’t hold your breath when you’re crushed.” A unique injury caused by sudden intrathoracic pressure rise; luckily, no cardiac arrest.\u003C\u002Fp>\n\u003Cp>“Unconscious, but heart and respiration stable, no visible trauma—observe.” Could be mild or severe; no immediate life-threatening signs.\u003C\u002Fp>\n\u003Cp>“Looks like a closed pneumothorax. No dyspnea beyond pain—wait for the clinic’s needle.” Assess before deciding on intervention.\u003C\u002Fp>\n\u003Cp>“Unconscious, head trauma, breathing irregular—fast then slow. Bad. Cheyne-Stokes respiration. Intracranial issue.” Serious, but untreatable for now.\u003C\u002Fp>\n\u003Cp>Wading saw in this man a confident professional demeanor, directing those still standing to follow orders, completely at ease.\u003C\u002Fp>\n\u003Cp>His behavior was so natural that no one questioned his identity; even hesitant individuals accepted the situation, doubting but silent, allowing a medical student to slip in.\u003C\u002Fp>\n\u003Cp>No introduction was needed. Amid the chaos, Kraft assumed command of the scene and dispatched Wading to the clinic for tools and reinforcements.\u003C\u002Fp>\n\u003Cp>With no labels or pens available, he marked patients by folding up their pant legs. This method sometimes fails—those wearing robes may lack pant legs, so he folds sleeves instead.\u003C\u002Fp>\n\u003Cp>Fortunately, few patients required immediate critical intervention; most had only superficial injuries.\u003C\u002Fp>\n\u003Cp>Within moments, Kraft circled the entire area, sorting fractures needing reduction or fixation, cases requiring observation for suspected issues, and a few truly life-threatening cases.\u003C\u002Fp>\n\u003Cp>By the time Brother Wading arrived with Kup and the tool kit, Kraft had already treated the first patient in the makeshift indoor shelter, using borrowed cloth to apply pressure dressing and stabilization to the flail chest patient. Though still grimacing in pain, he now had the strength to grimace.\u003C\u002Fp>\n\u003Cp>“Perfect timing. There’s a pneumothorax patient over there—lung compression is significant.” Kraft took the kit and immediately assigned Kup his task: “You’ve done plenty of thoracentesis—go drain his chest.”\u003C\u002Fp>\n\u003Cp>“Me?”\u003C\u002Fp>\n\u003Cp>“Yes, you do it. I need to attend to someone else.” The professor wasted no second—he opened the kit and let Kup choose his own tools, then walked toward the quietest section.\u003C\u002Fp>\n\u003Cp>Earlier assessments were rough; now came detailed examination.\u003C\u002Fp>\n\u003Cp>When patient numbers grow, relying on spiritual perception to replace imaging diagnostics becomes inadequate.\u003C\u002Fp>\n\u003Cp>Fortunately, in eras before advanced imaging, doctors still examined patients and developed systematic physical examination methods to indirectly assess the type and extent of neurological damage.\u003C\u002Fp>\n\u003Cp>Their names are long and awkward: Kernig’s sign, Brudzinski’s sign, Babinski’s sign, Oppenheim’s sign, Hoffmann’s sign, Chaddock’s sign—yet all require merely lifting the head, raising the leg, or scraping the sole with a sharp object, then observing reflexes.\u003C\u002Fp>\n\u003Cp>For someone skilled, a full set takes only minutes.\u003C\u002Fp>\n\u003Cp>The patient previously judged as critical was indeed dire: besides confusion, he showed clear pathological signs—diminished responses to sound, speech, and pain; deeply comatose.\u003C\u002Fp>\n\u003Cp>Even with spiritual perception to locate and relieve hematoma pressure, the chance of pulling him back from death’s grasp was slim.\u003C\u002Fp>\n\u003Cp>Church helpers brought a light source. He lifted the patient’s eyelids to check pupil response one final time.\u003C\u002Fp>\n\u003Cp>Under the lantern’s glow, the patient’s eyeballs repeated a subtle motion—slightly rolling upward, then snapping back.\u003C\u002Fp>\n\u003Cp>The movement was faint, lasting only a few breaths; combined with flickering firelight, it would have been missed without close attention.\u003C\u002Fp>\n\u003Cp>“Nystagmus?” Likely a sign of intracranial injury, combined with abnormal breathing, suggesting damage to the posterior cerebellum or brainstem.\u003C\u002Fp>\n\u003Cp>But is intracranial injury nystagmus truly like this? Honestly, he wasn’t a neurologist and had doubts—but time was short. He moved on, seizing the brightest light to check every patient’s pupillary light reflex.\u003C\u002Fp>\n\u003Cp>“Huh?” As he lifted the eyelid of another deeply comatose patient with minimal pain response, Kraft uttered a surprised sound.\u003C\u002Fp>\n\u003Cp>This patient’s eyeballs, too, were repeating the slight upward roll and snap back.\u003C\u002Fp>\n\u003Cp>【What are the odds?】\u003C\u002Fp>\n\u003Cp>Another case of nystagmus—and both were vertical upward. He began doubting himself: Was this some obscure clinical detail never taught in textbooks, or mere coincidence?\u003C\u002Fp>\n\u003Cp>It could be coincidence—but his knowledge told him the probability of two deeply comatose patients both exhibiting such precise vertical nystagmus was vanishingly small.\u003C\u002Fp>\n\u003Cp>Skeptical, Kraft lifted the eyelid of another unconscious patient and waited.\u003C\u002Fp>\n\u003Cp>Just as he was about to laugh at his own absurd notion, the patient’s rigidly staring eyeballs twitched faintly upward—three times.\u003C\u002Fp>",1261,"2026-06-20T02:15:56.940Z",1,"Qwen3-Next 80B","1d56116798156129a932476d8e0151dd51e1be3f3aa7dfeb992b226c8ff84ee3","notes-on-kraft-anomalous-studies-chapter-297","notes-on-kraft-anomalous-studies-chapter-295",406,"https:\u002F\u002Fnovelzhen.com\u002Fimages\u002Fcovers\u002Fnotes-on-kraft-anomalous-studies-cover.jpg"]