Grete had performed tracheal intubation not only 10,000 times but also 8,000 times in his previous life. When it comes to tracheal intubation, only three departments in the hospital have done more: anesthesiology, otolaryngology, and everything else.
You have to be a bit knowledgeable, an emergency department that specializes in multiple functions.
If you need intubation for a chronic surgery, you can ask an anesthesiologist to come, or you can ask an otolaryngologist to 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 time, makes an assessment beforehand, and arrives on time and on time.
There is nothing we can do in the emergency room. The patient has already suffocated, 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 take the stairs, how many seconds will it take?
In just a few minutes, the patient can die!
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. The disinfection status was suspicious...
Grete said that if possible, he really didn't want to use this thing to replace the tracheal intubation. But he didn't have anything at 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 it. Not anywhere on the neck can be cut. It is safest to cut it from here...
After incision, you must quickly find a tube and insert it 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 does larynx stenosis occur? 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 you poke it over the head and insert a feeding tube, it will be very troublesome..."
Nagging, 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 is impossible for the priests from other worlds to understand this, and the situation is stronger than others, so Gretel had to devote half of his attention to trying to deal with the opponent.
He explained with his mouth and operated with his hands. There was no shadowless lamp, no incandescent lamp, only dim candlelight and torches - and no one helped to hold a mirror to reflect the light. Edison knew how to use a 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 was startled by his drink and pursed his lips tightly. Gretel lowered his head, aligned the chicken bone with the cricothyroid membrane incision under the flickering light, held his hand steady, and pushed inward.
After a slight feeling of blockage, the familiar feeling of loss was transmitted to the fingertips, indicating that the intubation in his hand - a chicken bone - had broken through the incision and entered the inside of the throat cavity.
A 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, too bad!
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 when he faced the chicken bone stuck in his throat, and immediately made up his mind and grabbed the child's hand.
Put it into the hands of the farmer:
"Uncle Edmund, hug him!"
He warned him earnestly. 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, called for several other men to come forward, and held the boy down with all his hands. The priest of the spring water goddess had been holding his breath and watching from the side. Only now did he dare to breathe out, and hurriedly
Busy asking:
"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 larynx 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 hard 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 after looking for a long time. After struggling for a long time, he snapped 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 from his roar, 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, and leaned next to the priest, constantly 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 you can't breathe in. He almost died just now
I'm so suffocated. Hey, you are the priest of the spring water goddess. Can you control the water flow and reduce swelling?"
"What is detumescence?"
"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 spell. It is a high-level one. It can drain the entire body of water at once. My level is still far behind. To remove the water from such a small area... I don't know. I'll pray and see.
Can you attract divine favor...
He did as he was told. The young priest adjusted his posture, and 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. He murmured a long passage, and another long passage,
Finally he 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 didn'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!