Chapter 270： Dog-take-all

Ling Ran has not done tracheotomy, but he has done it for dogs.

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

The police dog "chestnut" lying on the operating table is much luckier than its peers, but it also bears more. Ling Ran touched his head with his hand. The two-year-old chestnut only looked at Ling Ran with strength, and breathing became difficult.

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

"Pets are made with the 846 mixture," said the anesthesiologist. "It was made by the Institute of Veterinary Medicine of Quartermaster University. What's the name of the ghost ... what?

"Su Mian Xin." An anesthesiologist with a dog at home trot over, touching the dog's head, and said, "Security, dihydroetorphine, haloperidol and the like are added together. I'll get it. You first check the dog, give oxygen ... "

Later, a dog anesthetist ran to the medicine cabinet to find it.

Ling Ran said "en", picked up the stethoscope, first performed heart sounds, then performed percussion, and then performed a pulmonary function test and counted the number of breaths. Although it is a physical examination for dogs, the method is also human. Ling Ran didn't know if there was a physical examination specially designed for dogs, but in the current situation, some are good.

"14 times a minute." Ling Ran heard his breath and asked blankly, "How much should the dog's breath be?"

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

"What about those 14 times?" Ling Ran continued blankly.

Dr. Zhou, who walked back with his hands on his back, suddenly wanted to laugh and said, "This question is like a question for an intern."

The medical staff around me couldn't help it.

A dog anesthetist ran back at this time, listened to the numbers from Ling Ran Bao, raised the needle in his hand, and said, "I'll make an intramuscular injection."

Then he approached Labrador, looked down at the wound, and gave the dog an injection.

The police dog "Chestnut" twitched, but was not strong enough to struggle.

Soon the limbs of the police dog relaxed and the sound of breathing became lighter.

"Skin the dog, and the limbs can be locked or locked." A dog anesthetist looked at the cell phone and began directing the crowd.

The nurse looked at the big dog weighing more than 30 pounds in embarrassment, and repeated herself: "Skin the dog?"

"Yes, prepare the skin for the dog. The hair around the neck is shaved. Hurry up, it's hard to breathe." The anesthesiologist urged.

"Have you ever been a pet doctor?" Dr. Zhou asked a dog anesthetist curiously.

"My friend did it." A dog anesthetist had a serious expression. By the way, he took another look at the mobile phone and looked at the image above. It was obviously a state of live teaching.

The little doctor and nurse working at the scene paused for a moment, and then restarted quickly.

Otherwise, someone's guidance is fine.

When it is dangerous, people are instructed to perform surgery.

Most doctors don't care about a dog's life. As a doctor, who doesn't have a few dogs' hands under him. However, the police dogs are different, especially the police dogs that have saved lives, and everyone is still willing to pay half an hour of effort.

"Okay."

The skin preparation is complete, and the dog's breathing is extremely difficult.

Ling Ran carefully chose a scalpel, and then made a longitudinal knife stroke along the exposed dog's cervical spine, lowered the scalpel, and then bluntly separated the muscle layer, exposing the trachea.

The trachea was stroked horizontally, Ling Ran was accurately intubated, and oxygen was connected, and the breathing condition of the police dog "chestnut" immediately improved.

Throughout the process, Ling Ran did not particularly pursue speed.

Difficulty breathing, suffocation, etc., are very urgent, but as long as there is no emergency to complete suffocation, emergency tracheotomy is not necessary.

Tracheostomy is inherently sequelae, and emergency tracheotomy is even worse. In contrast, short-term breathing difficulties can be eased as long as they can be tolerated.

Of course, don't wait too long.

Dr. Zhou held his hands aside and looked at Ling Ran.

Although he looked like he was doing nothing, beside Ling Ran was to prevent Ling Ran from making mistakes.

Tracheostomy is a small and irreplaceable operation in the emergency department. The laryngeal tube is cut in four layers. In the middle of the two cervical vertebrae, the trachea is cut open, and the oxygen tube is inserted. The injury is OK. It can be said to be extremely small and not dangerous.

But this is the kind of operation, if it is left to the intern to do, some people will continue to make mistakes.

Imagine the performance of ordinary students during manual classes, or the performance of some adults who organize their own furniture at home.

The molds for manual lessons and furniture are at least standard. They are appliances of uniform size and traceable instructions. They were designed for easy installation at the beginning, but they are still rusty for the first time installation-doctors who can perform heart surgery Not good IKEA furniture, it is no longer a joke.

This illustrates the importance of repetition and experience.

For patients, exercises such as needle sticks are just fine. Tracheotomy or cardiopulmonary resuscitation will cause irreparable mistakes. If an intern or a practitioner wants to get started, it will take a long time. Practice privately and find the right one.

Ling Ran was doing tracheotomy for dogs, so nobody talked much.

Even so, Dr. Zhou still needs to be concerned.

"Experienced?" Dr. Zhou asked Ling Ran after the wound was treated.

"No. Just met." Ling Ran answered a little strange, but true.

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

As a police dog, "chestnut" is wearing a stab-resistant uniform for dogs. Therefore, there is no trauma to the chest and abdomen, but there are multiple scratches on the limbs, and the dangerous area behind the ears is also open.

Such injuries fall on people, which must be scanned by CT or MRI before surgery.

Dogs do n’t have such good treatment. Doctors are judged purely on experience, and they do n’t think the problem is serious. Then they give antibiotic injections, and Ling Ran makes a full suture.

For doctors, this kind of work is actually quite easy, but in daily work, in the face of human life, even if they are required by their families, they cannot do so.

Master-level **** stitching, trauma is the easiest as long as the needle goes in.

Ling Ran is still a thick line to thin line method, try to help the "chestnut" to maintain the beautiful appearance, especially the location of pores, the needle must be considered.

Even if it is a police dog, there is no harm in long beauty.

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

Even if the dog was sutured, Ling Ran was surrounded by a nurse to help him, including follow-up bandaging.

An anesthesiologist with a dog looked at the instrument with a smile and said, "It's over, the dog is alive, but ... your things have been cleaned up. Come on, I'll go first."

The anesthesiologists are all in the anesthesiology department, but they have all seen Director Huo's spraying power. Dogs are anesthesia to see police dogs are okay, turn around and leave, nostalgia.

Some nurses could not help but wailed, "I will be scolded to death by the head nurse."

"Show her the dog at that time, don't deduct the salary." Dr. Zhou grinned twice, then touched the police dog with her eyes closed, took out her mobile phone, took a very loving selfie, and started sending friends. .

The little nurse was no different, so he had to take a selfie of the drum cheeks and edit the circle of friends.

Ling Ran turned to wash his hands. After washing, he found dog hair on his body. He went to the operating area and took a bath. By the way, he changed into a new pair of underwear. Then he looked at the mirror with ease: How much? "

"Your pen-operated operation currently ranks 766 in Yunhua City, and your bow-operated operation currently ranks 558 in Yunhua City." The system responded.

Ling Ran frowned: "How old was it when I asked last time?"

"Since your last inquiry, the ranking of Yunhua City with a bow-type operation has not changed, and the ranking of Yunhua City with a pen-type operation has fallen down."

"Will it fall?"

"Yes."

Ling Ran laughed twice, and his ranking would rise, and there would always be a drop in the rankings.

Thanks to the fitting feeling brought by the new underwear, Ling Ran took another bath in annoyance ~ www.novelhall.com ~ He turned his head and returned to the first floor, and naturally took out his mobile phone. I waited for three hours just now and waited for a dog that needed to cut the trachea. Ling Ran had no confidence to wait for anyone.

There was jubilation on the first floor.

Looking closely, it was the police dog who was awake and was licking his hands to sell cute.

The pale gold Labrador has square heads and brains, and the black eyes are very godlike. He leans his head and spit out his tongue a little, which makes people look interesting.

The policewoman who had also undergone a minor operation lay next to her. She had white skin under her sick clothes. I do n’t know if I had a makeup face with a delicate face, a big breast and a thin waist. It was interesting to look at.

The male doctors around him watched the policewoman, and the little nurse played with the dogs.

The police dog "chestnut" did not know if he smelled Ling Ran. When he approached, he immediately sobbed his head, and the policewoman had to order: "chestnut, lie down."

The two-year-old Labrador police dog is more stable than most 22-year-old humans. He hummed twice, and then he couldn't move.

Ling Ran couldn't help coming forward and rubbed it two.

The policewoman stared at Ling Ran for a few seconds before saying to herself: "I thought I was hallucinating."

"It is possible to have hallucinations after trauma." Ling Ran answered from a doctor's perspective.

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

"You're welcome." Ling Ran smiled in line with the patient's needs, which is his new skill.

The policewoman's face turned redder.

"Woo ..." The police dog chestnut's voice was very light. She looked at the policewoman in disbelief, feeling that she was smelling just like before each big operation, so the whole dog's attention was concentrated, waiting for the order at any time .