A Hospital in Another World?

"How did this happen!"

In the midst of urgency, Mage Simond unleashed a spell to knock out the deer and then reinforced his protective magic. Garrett shrugged:

How?—Woke up during the procedure. No anesthesia was used, just a magical sleep spell. And you infused so much water into its lungs; how could it not wake up?

Ah, going without anesthesia really doesn’t work...

Then, looking at the poor deer that had bad luck for eight generations. Lying on the ground, its hooves twitching, even though it was knocked out, bubbles were still popping from its nostrils and mouth. Once the magic was interrupted, the vine automatically retracted, and the deer’s chest heaved, desperately coughing in fits—

Oops, infused so much water without draining it out, see, it’s choking.

Speaking of which, pulmonary water leakage during ventilation could cause poor ventilation, obstructed drainage, hypoxemia, increased airway pressure, and a series of complications... So, it’s really time to save, no, rescue the deer!

Garrett directed Bernard to rebind the deer in a four-legs-tied-up position—uh, perhaps a four-deer-legs-tied-up position? They secured the deer again. Positioning the body, prying open its mouth—this time it’s easier, not going through the nose—secured with a mouth gag, forcibly twisting the deer’s head to tilt it backward...

"What are you doing now?" Mage Simond came over to look. Garrett, expressionless, first conjured a bubble spell over his head and used a mage trick to create a transparent face shield, floating in front of him. While protecting himself, he advised Simond:

"No worries, I knocked it out!" Mage Simond was full of confidence. He was adorned with a bunch of shields, shield spells, mage armor, protection from arrows... Just a deer, not a supernatural creature, what’s there to be afraid of!

Garrett operated silently. In a moment, the deer struggled, its chest heaving—

"Blargh—Cough! Cough! Cough! Cough!"

Saliva, the injected saline, and various sticky tracheal secretions sprayed half of Mage Simond’s robe. The poor mage, with a disgusted face, frantically used cleansing spells to save the day...

"Ah..."

Garrett sighed. Ignoring the elder’s advice leads to immediate loss, do you know how many times we got sprayed with phlegm all over our faces and bodies when intubating patients?

Especially during the pandemic. That was simply horrendous, not to mention the discomfort and disgust, the risk of infection skyrocketed!

He took a seed, fostered the growth of vines, and started the tracheal intubation again. However, this time it wasn’t so easy, the deer kept coughing "Cough," "Cough," "Cough," with each cough, the vine retreated a bit more, and then with another cough, it retreated further...

"What’s the matter? Can’t get it in?" Mage Simond peered again: "Didn’t I already knock it out? Need another go?"

"Being knocked out doesn’t mean it won’t cough..."

Garrett was helpless. This is the difference between voluntary and involuntary muscles, breathing is controlled by involuntary muscles, what use is knocking it out? Рά

Mage Simond fell silent, simply standing by Garrett’s side, rolling up his sleeves, eager to try. He never bothered with these things before, always solving problems with a spell, if it didn’t work, just cast another. However... Well, seeing all of Garrett’s innovative ideas was quite interesting...

"So, what do we do now?"

Garrett focused on the situation transmitted by the Arcane Eye. On the light screen, the pink walls of the tube trembled violently, quivering intensely. Without thinking, he blurted out the solution:

"Airway spasm. A muscle relaxant would do."

"What?"

Ah, anesthesia isn’t just about a shot that puts the patient to sleep. For instance, during tracheal intubation, pain relief, sedation, and muscle relaxation are indispensable:

Pain relief reduces or even eliminates the sensation of pain, like when the intubation tube is inserted, it won’t hurt;

Sedation reduces fear, relieves anxiety, stabilizes emotions, and induces necessary amnesia—say, seeing someone sticking a tube down your throat, you can still lie down calmly, without jumping up in fright;

Muscle relaxation loosens the muscles, like during intubation, if muscle relaxants are used beforehand, the airway won’t even have the strength to spasm. The anesthesiologist’s tube, of course, can then be smoothly inserted...

The problem is, local anesthesia, general anesthesia, sedatives,

pain relievers, muscle relaxants... Garrett didn’t have any of these medications. Ever since his arrival in this world, during surgeries, he always relied on various spells. However, now that he needed a specific function...

"So, uh... got anything to relax the muscles?"

Garrett pondered hard. Zeroth level, first level, second level, he went through all the spells he learned, but none seemed particularly suitable. While struggling, Mage Simond beside him wiped sweat from his brow and slapped the deer.

Visibly, the deer that was just twitching its limbs went limp in an instant...

"Touch of Fatigue. Zeroth-level magic, necromancy, you’ve learned it, right?"

"Er... that seems a bit too fatiguing... I only need the respiratory muscles to relax!"

Regardless, a solution was finally at hand. As for the spell’s short duration (with Mage Simond’s level, just over a minute), the wide range (actually not needing to cover the whole body), and incomplete muscle relaxation (not reaching the level of anesthetic drugs), these could be adjusted later.

The next magic experiment’s topic just appeared...

Garrett calmly proceeded with intubation and drainage. Inserting the vine into the drainage bottle, placed 60cm below the patient’s axillary line—well, everyone is sitting on the wagon floor, can’t dig a hole in it, just casually place it there—watching the liquid flow out. One milliliter, ten milliliters, twenty milliliters...

150 milliliters!

Previously estimated, Mage Simond infused about 250 milliliters of saline. Draining 150 milliliters is a bit less, but considering the deer coughing and spraying out an unknown amount, maybe...

It’s okay?

The only problem is, the data on inflow and outflow needs to be recalculated...

Garrett continued with the saline. Suddenly, Mage Simond nudged him:

"Hey, look at this deer, it seems like it’s dying!"

"Oh, no worries, just over-relaxed muscles, it doesn’t have the strength to breathe." Garrett pointed to a corner of the wagon expertly. An electrolysis device, a manual oxygen pump, everything was already assembled and ready to go. Garrett snapped his fingers...

Two invisible servants silently floated out, one grabbing the crank of a hand generator, the other seizing the airbag, huffing and puffing, starting to work. Garrett calmly connected the vine to the airbag, and soon, pure oxygen hissed along the tracheal tube, spraying into the deer’s left lung.

What to do after muscle relaxation?

Of course, use a ventilator!

Ah, to be safe, should also add an oxygen saturation monitor... Which spell to use for that?

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