The surgeon in a submarine is probably the most extreme of medical specialties. Portal "Protect Russia" told how the operations on diesel submarines, where there is no medical section, pass.
A medic on a surface ship is also a profession, but in a difficult case a helicopter will fly in, the patient will be taken to the shore, a cruiser with a large, well-equipped medical center and a floating hospital with a brigade of specialists. Submariners may not have communication with the outside world, therefore, the only one on the crew’s crew’s problems is the doctor’s own decision.
In the event of a sudden attack of appendicitis, injury or other trouble requiring urgent surgical intervention, the mess room is transformed into the operating room - the only room on the submarine with a large table. The first thing is a wet tidy: the walls, floor and furniture are wiped with a warm solution of hydrogen peroxide. At this time, the compartment is ventilated so that it does not accumulate moisture.
Then, above the table, a special tent is secured, which protects the operating table from condensation drops from the ceiling. If there was no such tent on the boat or he had already been in use, the canopy is made of clean sheets. The operating table is covered with oilcloth and clean sheets, next to it is attached a rack with vials of saline solution and a quartz lamp is turned on for half an hour.
While she is killing the germs in the compartment, the ship's doctor with an assistant (on the boat, he is called an instructor, a medical orderly) collect the necessary tools. Clamps, tongs, and other 30 assistive technology are boiled in the sterilizer for minutes. Scalpels, glass ampoules with surgical thread and brushes for washing hands are soaked in medical alcohol for two hours.
A set of medications for underwater surgery is modest: iodine and alcohol for disinfection, caffeine, cititon and adrenaline in case of cardiac arrest or respiration, analgesic promedol, special medical glue for fixing dressings and ammonia to bring both the patient and the sensitive helper to life.
Preparing for surgery and the patient. If possible, he washes in the shower, the incision site is carefully shaved. For half an hour before being transferred to the patient's cabin, a cocktail is prepared from a prodol that relaxes the muscles of atropine and dimedrol in case of allergic reactions.
The doctor and the assistant cut their fingernails and wash their hands for a long time: first 10 minutes with a brush and soap, then keep them in two solutions of ammonia. Wipe dry and rub for three more minutes with ordinary alcohol. The skin under the nails and between the fingers is smeared with iodine.
Then the operating team puts on sterile gowns and masks, the orderly on duty will give them gloves from the packaging or the sterilizer with a special clamp. Completing the preparation of the layout on the additional table tools, tampons and extracted from the ampoules of thread. When the patient is placed on the table, the orderly ties his legs so that in the event of convulsions he does not knock over the table with the tools.
As long as the operation lasts, none of the crew — not even the commander — can enter the mess room.