Chapter 270: People and Dogs Eat All

Ling Ran has never done a tracheotomy on humans, but he did it on dogs.

In the medical school, animal experiments are the main channel for students to learn surgical operations. Yunhua teaches tracheotomy using dogs.

The police dog "Chestnut" lying on the operating table is much luckier than its kind, but also endured more. Ling Ran stroked its head with his hands. Li Zi, who was only two years old, only had the strength to look at Ling Ran, and his breathing became difficult.

"Is there a suitable anesthetic?" Ling Ran asked the anesthetist next to him.

"All pets use the 846 mixture." The anesthesiologist said, "It's made by the Veterinary Research Institute of the Military Quartermaster University. What the hell is it called... What's the speed?"

"Sumianxin." An anesthesiologist trotted over with a dog at home, stroked the dog's head, and said, "Baan Ding, dihydroetorphine, haloperidol and the like are combined together, and I will get it." , you first give the dog a checkup or something, give oxygen..."

Later, the dog anesthetist ran to the medicine cabinet to search for it.

Ling Ran said "En", picked up the stethoscope, listened to the heart first, then percussed, and then performed a pulmonary function test and counted the number of breaths. Although it is a physical examination for dogs, the method is the way of people. Ling Ran didn't know if there was a physical examination specially designed for dogs, but as far as the current situation is concerned, it would be good to have some.

"14 times a minute." After listening to the breathing, Ling Ran asked blankly, "How much should a dog breathe?"

A nurse searched Baidu and said, "10 to 30 times?"

"What are those 14 times?" Ling Ran continued to be at a loss.

Dr. Zhou, who came over with his hands behind his back, suddenly wanted to laugh and said, "Your question is like an intern's question."

The surrounding medical staff couldn't help laughing.

A dog anesthetist ran back at this time, heard the number reported by Ling Ran, raised the needle in his hand, and said, "I'll do the intramuscular injection."

As he spoke, he approached the Labrador, looked down at the wound, and then gave the dog an injection.

The police dog "Lizi" twitched, but his strength was no longer enough to struggle.

Soon, the police dog's limbs relaxed, and the breathing became lighter.

"Prepare the dog's skin, whether the limbs can be locked or locked." A dog anesthetist looked at the phone and began to direct everyone.

The nurse looked at the big dog weighing more than 30 kilograms in embarrassment, and repeated to herself: "Prepare the dog's skin?"

"Yes, the dog was skinned, and the hair around the neck was shaved. Hurry up, it's hard to breathe." the anesthesiologist urged.

"Have you been a veterinarian before?" Doctor Zhou asked a dog anesthetist curiously.

"My friend did it." A dog anesthesiologist looked very serious, and by the way, he glanced at the phone again and saw the image above, which was obviously in the state of on-site teaching.

The hands of the little doctors and nurses who were working on the scene paused, and soon restarted.

Otherwise, how about someone to guide you?

When it comes to danger, people have to be instructed to perform surgery.

Most doctors don't care about a dog's life. Doctors don't have a few dog lives under their hands. However, police dogs are different, especially for police dogs that have saved lives, everyone is still willing to work hard for half an hour.

"Okay."

After the skin preparation was completed, the dog's breathing was extremely difficult.

Ling Ran carefully selected the scalpel, and then cut along the exposed dog's cervical spine longitudinally, put down the scalpel, and bluntly separated the muscle layer, exposing the trachea.

After slicing the trachea horizontally, Ling Ran accurately intubated, connected to oxygen, and the breathing condition of the police dog "Lizi" improved immediately.

During the whole process, Ling Ran didn't particularly pursue speed.

Difficulty breathing, suffocation, etc. are described as very urgent, but as long as it is not urgent enough to completely suffocate, an emergency tracheotomy is not necessary.

Tracheotomy inherently has sequelae, and emergency tracheotomy is even worse. In contrast, temporary dyspnea can be relieved as long as it can be tolerated.

Of course, don't delay for too long.

Doctor Zhou with his hands behind his back,

Looking at Ling Ran.

Although he looked like he was doing nothing, being by Ling Ran's side was to prevent Ling Ran from making mistakes.

Tracheotomy is a small operation in the emergency department. The throat part is cut four layers, and a small opening is made in the middle of the two cervical vertebrae, and the oxygen tube can be inserted. It can be said to be extremely small, and the danger is not great.

But it is such an operation, if it is handed over to interns, there will already be people who will continue to make mistakes.

Just imagine the handiwork classes of ordinary students during their studies, or the performance of some adults who assemble their own furniture at home, and you can speculate on the occurrence of mistakes.

The handicraft class and the mold of the furniture are at least standardized. They are uniform in size and have traces and instructions. They are designed to be easy to install at the beginning, but the people who install them for the first time are still unfamiliar—doctors who can perform heart surgery install them. Bad IKEA furniture is no longer a joke.

This speaks even more to the importance of repetition and experience.

On the patient, practice such as acupuncture is nothing more than practice, tracheotomy or cardiopulmonary resuscitation, etc., if it is not done properly, irreparable mistakes will occur. Interns or training doctors want to get started, it takes a long time. to practice privately and find suitable opportunities.

Ling Ran was performing a tracheotomy on the dog, so no one talked much.

Even so, Dr. Zhou still has to take care of it.

"Have you practiced?" Doctor Zhou asked Ling Ran after the wound was healed.

"It doesn't count. We just met." Ling Ran's answer was a bit weird, but true.

After confirming that the dog's life was saved, Ling Ran continued to stitch the dog up.

As a police dog, "Chestnut" was wearing a dog's stab-proof suit. Therefore, there were no trauma to the chest and abdomen, but there were many scratches on the limbs, and the dangerous area behind the ears was also opened.

When such an injury falls on a human body, CT or MRI must be taken before surgery.

Dogs were not treated so well. The doctors judged purely based on experience, and felt that the problem was not serious, and then gave antibiotic injections, and then Ling Ran did a complete suture.

For doctors, this kind of work is actually quite easy, but in their daily work, facing human life, they cannot do this even at the request of their family members.

Master-level butt stitching, as long as the needle can go in, the trauma is the easiest.

Ling Ran still uses thick thread to connect thin thread, trying his best to help "Chestnut" keep the appearance beautiful, especially where there are pores, he has to think about it before stitching.

Even if it is a police dog, there is no harm in being beautiful.

"It's done." Ling Ran cut the silk thread and threw the scissors into the plate.

Even if it was suturing the dog, there were nurses around Ling Ran to help, including the follow-up bandaging, so he didn't have to worry about it.

The anesthetist with the dog looked at the equipment with a smile, and said, "It's over, the dog has been saved, but... all your things have to be cleaned. Well, I'm going first."

Anesthesiologists are all affiliated to the Department of Anesthesiology, but they have all seen Director Huo's spray force. The dog was anesthetized and saw that the police dog was fine, so he turned around and left without nostalgia.

A nurse couldn't help but wailed: "I'm going to be scolded to death by the head nurse."

"Show her the dog when the time comes, just don't deduct wages." Dr. Zhou laughed twice, then petted the police dog with his eyes closed, took out his mobile phone, took a loving selfie, and started posting it on Moments .

The little nurse had no choice but to take a selfie with puffy cheeks and edit Moments.

Ling Ran turned around to wash his hands. After washing, he found dog hair on his body again, so he went to the operation area to take a shower, changed into a new pair of underwear, and then said to the mirror with ease, "System, system, my surgical skills ranking How much?"

"Your pen-holding surgery ranks 766th in Yunhua City, and bow-holding surgery currently ranks 558th in Yunhua City." The system replied.

Ling Ran frowned: "What was the last time I asked?"

"Since your last inquiry, the ranking of Yunhua City, which uses bow-style surgery, has not changed, and the ranking of Yunhua City, which uses pen-style knife surgery, has slipped one place."

"Will it fall?"

"Yes."

Ling Ran chuckled twice, yes, his ranking will rise, and someone's ranking will always fall.

Only relying on the snug fit brought by the new underwear, Ling Ran took another shower without getting angry.

He turned his head, returned to the first floor, and naturally took out his mobile phone. Just now, after waiting for three hours for a dog that needed a tracheotomy, Ling Ran didn't have much confidence that he could wait for a human again.

The first floor was full of jubilation.

Look carefully, but the police dog has come to his senses and is licking his hands to act cute.

The light golden Labrador has a square head and a square brain, with extremely energetic black eyes, tilting his head, and sticking out his tongue a little, which makes people feel interesting.

The policewoman who also underwent a minor operation was lying beside her, her white skin exposed under her hospital gown, her melon-seeded face was quite delicate with or without makeup, her big breasts and thin waist made it interesting to look at.

Surrounded by male doctors looking at female police officers, and nurses playing with dogs, it was a situation where both men and women could eat.

The police dog "Lizi" didn't know if he could smell Ling Ran, but when he got close, he immediately raised his head sobbing, and the policewoman had no choice but to order: "Lizi, lie down."

The two-year-old Labrador police dog is more stable than most 22-year-old human beings. After whining twice, he obediently stopped moving.

Ling Ran couldn't help but stepped forward and rubbed it twice.

The policewoman stared blankly at Ling Ran for a few seconds, then said to herself, "I thought I was hallucinating."

"It's possible to have hallucinations after trauma." Ling Ran replied from a doctor's point of view.

The policewoman's face turned red, and she whispered, "I...not...that, my name is Qin Min, thank you for saving my dog."

"Be polite." Ling Ran smiled in line with the patient's needs, this is his newly practiced skill.

The policewoman's face turned even redder.

"Woo..." The police dog Li Zi's voice was very soft, and he looked at the policewoman suspiciously, feeling that her current smell was like that before every major operation, so the whole dog's attention was focused, and it looked like it was waiting for orders at any time .