It's not that difficult to open a hospital in another world, right?
Chapter 12 Larynx swelling? Can magic work?
Grete had been intubated not only 10,000 times but also 8,000 times in his previous life. When it comes to tracheal intubation, there are only three departments in the hospital that do a lot of work: the anesthesiology department, the otolaryngology department, and the emergency department, which has a bit of everything and is multi-purpose.
Intubation is required for chronic surgery. You can ask an anesthesiologist to do it, or you can ask an otolaryngologist for help. Anyway, the otolaryngology department occupies the word "throat". They are familiar with the anatomy of the throat and are good at tracheal intubation. Everyone just schedules the surgery, makes an assessment beforehand, and arrives on time and on time.
If it's an emergency, there's nothing you can do. The patient is already suffocating, and the tube must be inserted. Is it possible to call for a consultation and wait for someone from the anesthesiology department or otolaryngology department to come down? No matter if you take the elevator or run up the stairs, the patient can die in just a few minutes!
Therefore, when the hard-working emergency doctor encounters such a situation, he rolls up his sleeves and does it himself...
The problem is that Gretel had various intubations inserted in his previous life: some were inserted through the mouth, some were inserted through the nasal cavity; some were inserted after the trachea was incised, and some were inserted without incision; some were ordinary types, and some were reinforced with stainless steel Silky ones, some with an extra suction tube...
Only, I have never had anything like this in my hand.
One · root · chicken · bone · head.
The two ends were cut off and slightly smoothed. There were still pieces of spongy bone in the middle, and the disinfection status was suspicious...
Grete said he really wouldn't want to use this thing to replace an endotracheal intubation if he could help it. But don’t we have nothing on hand? As a substitute, chicken bones can only be said to be better than nothing.
While operating, he had to explain to the priest painstakingly:
"After the cricothyroidotomy is completed... What is the cricothyroid membrane? This is the place where I cut. Not anywhere on the neck can be cut. It is safest to cut from here...
After incision, a tube must be quickly inserted into the trachea to prevent cricoid cartilage from being compressed and damaged and causing laryngeal stenosis. What is cricoid cartilage? Why is it damaged and why is the larynx stenotic? I don't have time to explain to you now...
A child's larynx is very thin, so the tube cannot be inserted too deep. If it is inserted over the head, it will be very troublesome..."
Nagging, nagging.
If any of his students dared to ask these basic questions, they would be beaten to death - they don't even know how they learned in class.
However, it was impossible for the priests from other worlds to understand this, and the situation was more powerful than others, so Grete had to devote half of his attention to trying to deal with the opponent.
He explains with his mouth and operates with his hands. There were no shadowless lamps, no incandescent lamps, only dim candlelight and torches - and no one was there to help with mirrors to reflect the light. Edison knew how to use the mirror when he rescued his mother!
Well, although it was later said that it was made up...
"Oh, then..."
"Stop talking! It's starting!"
The priest jumped at his drink and pressed his lips tightly. Grete lowered his head, aligned the chicken bone with the cricothyroid membrane incision under the flickering light, held his hand steady, and pushed inwards.
After a slight feeling of blockage, a familiar feeling of loss spread to his fingertips, indicating that the intubation tube in his hand - a chicken bone - had broken through the incision and entered the throat cavity.
The subtle, whistle-like sound of airflow immediately passed through the chicken bones in the throat and reached Gretel's ears.
The operation is complete!
Next is...well, fixing...
Oops! Oops!
No tape!
There is no tool that can glue the chicken bone and fix it to the patient's neck so that it cannot move!
What do you have on hand that you can grab for emergencies...
On the first day of traveling to another world, during the second emergency surgery, Gretel burst into tears again.
Facts have proved that doctors’ imagination and creativity are endless when it comes to treating diseases and saving lives. Gretel was embarrassed for less than a second as he faced the chicken bone stuck in his throat. He immediately made up his mind, grabbed the child's hand and stuffed it into the farmer's hand:
"Uncle Edmund, hold him tight!"
He earnestly warned. As he spoke, he grabbed the farmer's other hand and put it on the child's shoulder:
"Don't let him move! He can't move at all! Especially the tube inserted in his neck, absolutely cannot move!"
The bearded farmer nodded hard and called on several other men to come forward and hold the boy down. The priest of the spring water goddess had been watching with bated breath. Only now did he dare to take a breath and hurriedly asked:
"So this is good?"
"It's still early!"
Gretel smiled bitterly. He pointed at the child's throat and motioned to the priest to take a look:
"Look, the throat is still swollen. The child can't breathe normally yet - when the swelling subsides, when will we be out of danger."
"is that so?"
The priest lay down and tried to see, even coaxing the child to open his mouth. Unfortunately, the light in the hall was really dim, and he couldn't see clearly even after looking at it for a long time. After struggling for a long time, he flicked his fingers:
There was a soft "pop" sound, and a white light floated up and floated towards the child's mouth.
"Why!"
Gretel glanced at it and immediately became anxious:
"Don't treat him yet! He can't be treated casually like this!"
"But, this is just a lighting technique..."
The priest shrank back when he yelled, feeling a little aggrieved. The Roman knight held his sword beside him and glared at Gretel. Gretel didn't pay attention to the knight's eyes. He leaned next to the priest and kept giving pointers:
"Look at the inside of his throat... the very bottom, it's all swollen, isn't it? There should have been a black hole inside, but now you can't see anything. In fact, the lower parts are also swollen, and I can't breathe in. I almost died just now. I'm so suffocated. Hey, you are the priest of the spring goddess. Can you control the water flow and reduce swelling?"
"What is swelling?"
"Let the water drain out of these swollen places, and don't block your throat there."
"this……"
The priest was stumped on the spot. He frowned and thought for a long time, then shook his head:
"There is a similar magical attack technique. It is a high-level one. It can drain all the water from the whole body at once. My level is still far away. To remove the water from such a small area... I don't know. I'll pray and see. Can you attract divine favor...
Just do it. The young priest adjusted his posture, regardless of how much dust the silk robe would collect on the earthen platform, he knelt on his knees and clasped his hands on his chest. After muttering a long paragraph and another, he finally raised his head and sighed in defeat:
"No. The goddess didn't respond to me. ...What about you? Do you have any idea?"
Eyes full of expectancy were once again focused on Gretel.
Gretel was silent.
I originally wanted to skip the steps and directly use magic to get to the answer, but in the end, it still doesn't work?
The limitations of divine magic are really too strong. If there is a ready-made answer, you can just copy it. If there is no ready-made answer, you don't even have a solution to the problem...
Well, then leave it to me and let modern medicine handle it!
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