It's not that difficult to open a hospital in another world, right? Chapter 441: Receiving the arm? Please watch and take notes! (Additional update 5 by the leader of the Riding Tiger and Pig Ye alliance)
Chapter 441: Receiving the arm? Please watch and take notes! (Additional update 5 by the leader of the Riding Tiger and Pig Ye alliance)
Elder Brock had been paying attention to Grete. When Grete said, "You can try to reconnect the broken arm," he frowned and walked over quickly.
Before asking, the elf girl next to Gretel had already spoken clearly:
"Gretel, can you really do it? Regeneration is a seventh-level magic! I can't even do it! Can you really do it?"
Yes, that is a seventh-level magic!
Elder Brock has heard this statement. Outside the Great Wasteland, those humans divide spells into levels one to nine. Below that are apprentice spells, and above that are the legendary levels above the ninth level.
Seventh-level magic means that only a priest of at least level 13, or a magician of the same level who specializes in medical treatment, can cast it!
And what about Gretel?
The Great Wasteland's division of power is not so precise. Their own assessment is only accurate to low-level, middle-level and high-level.
According to Elder Brock's perception, Gretel is probably an intermediate level who has just entered the intermediate level and has just stabilized. Elder Brock himself is already an intermediate level among high-level spellcasters.
But even if he himself casts a limb regeneration, he still has to use up all his mental and magical power!
Gretel, is that okay?
Elder Brock held the bone staff and couldn't help but take a step forward and then another step forward. Is this young human healer bragging so brazenly in order to obtain the totem spirit?
Or is it because he sincerely cares about the soldiers' situation that he would rather overdraw his own strength?
Either way, it's not a good sign.
Elder Brock's thick long eyebrows trembled slightly as he stared at Gretel, hesitating whether to speak. However, at the end of his gaze, Gretel had already laughed softly.
"Ah, I can really pick it up." He smiled confidently, looking into the eyes of the silver dragon girl without evading:
"Serila, you believe me. This operation is not too difficult. It is within my ability. Of course, I still need a little help from you."
Amputated limb replantation surgery is a third-level surgery in terms of clinical classification. In other words, a senior attending physician can preside over it, while a junior attending physician can perform it under the guidance of a superior physician.
And he himself, before time travel, was already the deputy chief physician.
Of course, there is a big difference between microsurgery replantation of amputated limbs and emergency department surgery. In reality, both require specialized surgical qualifications, and it is not something you can just do if you want to.
However, the success or failure of a severed limb replantation operation depends largely on the healing situation. If the blood vessels do not leak and the blood supply can be restored, the operation is half successful.
But with healing skills to protect you, this difficulty almost disappears!
He didn't even have to sew up the blood vessels!
"Then do it quickly!" Cerela immediately urged. Grete smiled and waved his hand:
"Wait a minute, let me get ready. Let me ask you one last time. From the moment this arm was broken to now, did it really only last for one meal?"
He did not look at the soldier with the broken arm, but at the comrades who had just been treated as they came back to protect him. The four soldiers nodded incessantly, especially the one who came back with him on his back, and promised again and again:
"Definitely less than a meal. After a long time, we won't be able to escape from the mouth of the black clouded leopard."
Well, that's it. Gretel summoned a floating dish, and put the same surgical instruments on it: scalpel, hemostatic forceps, physiological saline, irrigation equipment. Used to guide the treatment, a silver rod sandwiched with thin glass wires...
…
Finally, there is a palm-sized magnifying glass, cleaning technique, saline solution going back and forth, and repeated rinsing.
"Celera, do me a favor later. Fix this magnifying glass and don't let it float around. I will rely on it to connect the limbs!"
There is no need to dismantle the microscope, just use a magnifying glass. Although replantation of severed limbs is considered a microsurgery direction, after all, it is not as precise as replantation of severed fingers.
The required magnification is 2.5 to 6 times.
In 1963, Professor Chen from the Chinese Academy of Sciences successfully performed the first replantation of a severed limb in the history of world medicine. He completed the operation purely by naked eyes and experience without using a microscope.
A magnifying glass is enough!
"This thing?" Cerira looked closer and wrinkled her nose. Then, she formed a circle with her right index finger and thumb and stretched it under Gretel's nose:
"Is this okay?"
The scene under his finger shrunk and enlarged, enlarged and shrunk again. Grete concentrated his mind and carefully examined the magnification:
"It's okay, that's okay. But Serira, you know..."
"Germ-free...fuck...you know!" The silver dragon girl wrinkled her nose and jumped back. Without waiting for Gretel to ask, she muttered a few words in a low voice and waved her hand casually.
Immediately, a translucent bubble appeared in front of Gretel's eyes. Following the gestures of the silver dragon girl, it rose and fell, moving continuously.
"Can i do it now?"
"That's it! The old rules are: open a refuge hut, hang up a shadowless lamp, and I'll wash my hands!"
In an instant, the surrounding healers looked at each other and started gearing up.
The refuge hut can only accommodate 10 people. In addition to Gretel, Serira, the patients undergoing treatment, and the host Elder Brock, grab the other spectator positions!
Ping pong ping pong ping pong...
Gretel was not disturbed at all. He used the Cleansing Technique, Washing Hands with Soap, and the Water Making Technique to summon running water at the same time. He completed the preparations for the operation in a familiar manner, used a floating dish as a stool to sit on, and got ready to start.
Debridement.
Nonsense, of course it is debridement. The first step in any surgical operation must be thorough debridement...
Go, go, go, go, go, go!
First, wash the severed limb with soapy water and a brush. There is no need to think about sterility, and cleaning begins;
Then, rinse again with plenty of sterile saline;
Then, change the gloves, perform a set of cleaning techniques on the hands, and use another set of brushes and soapy water to scrub the wound edges;
Next, 3% iodine tincture? 75% ethanol?
If you think too much, St. Normal Saline, take action!
After flushing, the usual draping was done, and next came the scalpel and hemostatic forceps, with cold light flying up and down. Sevi sat on the side obediently, watching Gretel immerse himself in dealing with his broken arm, and couldn't help but tremble.
.
Even though his arm had been bitten off by the clouded leopard and was not connected to his body, every time the knife flashed and cut off a small piece of muscle or a small section of blood vessel, he would tremble subconsciously.
It's so terrible. Why are the methods of human healers so terrible... When the elder was treating him, a red light flashed and he pressed on the broken part of his arm, and then he was cured...
"Sir, sir... I can take my arm... I won't die..."
"It's unlikely. Your arm is a little longer. Fortunately, it was broken for a short time, so it probably won't kill anyone." Grete replied without raising his head.
He turned his eyes and glanced at the half-broken arm held by the mage's hand. The palm, wrist, forearm, and half of the upper arm
"Is it difficult to reach the arms if they are long?" Elder Yu Guan took a step forward and couldn't help but ask:
"The broken arm is longer and less likely to die. Shouldn't it be easier to reattach?"
"Elder, broken limbs are poisonous..."
Gretel sighed. To be precise, this kind of high-level amputated limbs are rich in muscles. After 6 to 8 hours of ischemia at normal temperature, the muscle cells will degenerate and necrosis, releasing toxic potassium ions, myoglobin, and peptides.
substance.
They accumulate in the tissue fluid and blood of the amputated limb. Forget it if it is not reattached. After the amputated limb is replanted, it will definitely flow along the blood vessels and throughout the body.
"So, if you put poisonous limbs back into a person's body, the person will die? So, what kind of limbs are non-poisonous?"
Elder Brock spoke in a low voice, as if talking to himself. He always remembered the tragic failure, when he used regeneration for the first time to reconnect the limbs of the tribe's high-level warriors.
When casting a spell, there is always a powerful force extracting one's own mana. It is as if the warrior's body is saying: "Not enough, not enough. This amount of treatment is not enough to restore me..."
In the end, it was not enough. The leg was reattached, but one day later, the soldier fell into a coma and struggled for another two days and two nights. In the end, he could not be saved. That failure was unforgettable.
The teacher who taught him the regeneration technique also once said: "With this technique, it is better to make the limbs grow back than to reconnect the severed ones. If the limbs are not re-grown, they can be re-grown. If the regeneration is not done well, the person will die."
will die!
Elder Brock observed Gretel as covertly as possible, pretending not to care. Would this young human healer say such precious knowledge? Would he ask for something in exchange, for example, a totem?
Spirit?
In fact, it is not impossible to use the secret of connecting limbs to exchange for a totem spirit. But as a tribe elder, he always hopes to exchange for a little more...
Unexpectedly, Grete did not put forward any conditions at all. He stared at the broken limbs, looking at the pale bone stubble, the shocking fractures, blood vessels, muscles, ligaments, and hands flying around, and said something like a casual conversation:
"It doesn't matter if the time is short, but if it is long, it will be very troublesome. Generally speaking, such a long arm or leg cannot be reattached 6 to 8 hours after it is broken."
Toxic substances entering the body will cause systemic reactions and even death, which is what is clinically called reperfusion injury. Therefore, the replantation time of high-level amputated limbs is strictly controlled within 6 to 8 hours.
Fortunately, not long has passed since the injury. A barbarian's physique should still be able to withstand reperfusion injury.
Alas, there is no way to do liver function and kidney function tests, and we can't give targeted and timely medication. If we really find something is wrong, we can only rely on treatment to get rid of it.
Gretel complained silently, speeding up. Behind him, Elder Brock silently concentrated on memorizing every word and action of Gretel. Perhaps, there is a trick here that can increase the success rate of regeneration by 10%?
Later, a few elders who were lucky enough to squeeze in, although they were not qualified to release the regeneration technique at all, were desperate to remember, and they wished they could get a notebook and copy down every detail.
Replace a severed limb!
It’s a rare sight!
If this human healer succeeds, just the treatment method and these few words can be exchanged for a treasure from healers from other tribes...
Huh?
What is this servant of the god of nature doing?
Why did he take a weird-looking tube, suck in some salt water, and start piercing the broken arm?
****
3000 words!
Another update completed!
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