I'm really an intern

Chapter 117 Why Are You So Skilled? (Thanks to the Baiyin League who has repeatedly asked for important things)

Yang Wen has always been a gentle person in his daily life.

Even in the emergency department, when the patient's condition is not critical, she can speak well.

Only when she encounters a dying patient, she only talks and moves by running and talking by shouting.

Like today, it is extremely rare to directly call out Zhang Tianyang's name and ask him what he is doing.

In an instant, all the white coats and several awake patients in the emergency room turned their heads and set their eyes on Zhang Tianyang.

So, what is Zhang Tianyang doing?

At this moment, he has cleaned up all the sundries on the side of the old lady's head on the flat car, and then lifted the old lady's head, ready to do the intubation himself!

As long as the matter is not urgent, he will not make his own decisions.

But now, the old lady's blood oxygen saturation is visibly decreasing. In just two seconds, it has dropped from 76 to 74.

In this case, successful intubation must be performed as soon as possible.

As long as you don't poke it in and poke it in, and waste a second, the old lady will be in danger.

At the critical moment, the only thing he believes in is himself!

"I'll insert it, you put down the catheter!"

Professor Yang has already flown over here, but Zhang Tianyang is not in a hurry, his face is calm, and his hands are more stable.

He put the prepared endotracheal tube on the old lady who was lying flat, with ordinary gloves that he had put on at some point.

I saw him holding the video laryngoscope with his left hand, pressing it on the old lady's chin, and resting his right hand on the back of the old lady's head. Together with his hands, he moved the old lady's head into an upward position.

Then with a slight force on the left hand, the old lady's chin was pressed down, and her mouth opened.

Holding the visual laryngoscope in his left hand, he moved upwards, used the laryngoscope to press down the bulging tongue of the old lady, and then pushed inward along the base of the tongue and throat.

Soon, it was sent to the position, and the epiglottis was clearly displayed on the screen of the video laryngoscope.

"Very good, it's not a difficult airway!"

Zhang Tianyang was overjoyed. With his right hand, he took out the lubricated endotracheal tube, and inserted it bit by bit along the gap between the video laryngoscope and the old lady's mouth.

Soon, the front end of the catheter and the air bag appeared on the video laryngoscope. Zhang Tianyang trembled slightly, adjusted the position, and sent it forward, the front end of the catheter smoothly slid into the airway.

Professor Yang rushed to Zhang Tianyang, his face was full of anger, "Why did you start by yourself?"

"Help me pull out the catheter!"

"you!"

Yang Wen opened his mouth to scold, but his eyes turned away from the screen of the video laryngoscope, and he paused.

The next moment, she reacted quickly.

Zhang Tianyang has already succeeded in half!

She stopped scolding, and quickly cooperated with Zhang Tianyang to pull out the tube used for shaping the endotracheal tube.

At the same time, Zhang Tianyang held the endotracheal tube with his right hand and pushed it in, while the laryngoscope in his left hand moved out at the same time.

"It's inserted!"

For a moment, the white coats in the emergency room breathed a sigh of relief.

The other half of the breath cannot be spit out until the real ventilation is successful.

Professor Yang stopped talking, and she didn't look at Zhang Tianyang's face, but only at his subordinates' operations.

Although she didn't say anything, her clenched lower lip and unconsciously clenched fists all proved her shock.

Zhang Tianyang concentrated all his attention on his subordinates and the old lady.

The visual laryngoscope had lost its function, and he handed it to the senior brother behind him.

The abdomen looked at the scale on the surface of the endotracheal tube, which represented the depth of the endotracheal tube, and found that the tooth was exactly 22cm.

"Just right."

The left hand replaced the right hand, holding the endotracheal tube tightly, preventing it from going deeper or pulling it out. The right hand picked up the syringe just used for leak testing, and injected half of the tube of air into the air bag.

Throwing away the syringe, he removed the airbag connected to the mask with one hand with his right hand, then connected it to the endotracheal tube, and began to ventilate the old lady.

"Puff-inhale-inhale-inhale-"

Professor Yang had automatically and consciously regarded himself as Zhang Tianyang's assistant. At this time, he picked up the stethoscope and began to listen to the old lady's lungs for breath sounds.

If the endotracheal tube is inserted into the stomach, the breath sounds of both lungs cannot be heard. Only when the endotracheal intubation is successful can the breath sounds of both lungs be heard.

As for Zhang Tianyang, his whole body was weak and unable to auscultate, so he could only stare at the blood oxygen saturation on the monitor screen.

"Didi, Didi, Didi"

The monitor issued a rapid and brief alarm sound, and the blue blood oxygen saturation on the screen fluctuated with the old lady's heartbeat.

The value next to the curve dropped from 76% to 74% at the beginning before intubation, and with Zhang Tianyang's ventilation, this value is rising a little bit.

78%

84%

89%

92%

"call--"

Finally, all the tense white coats breathed a sigh of relief.

"Okay, okay, I've been tossing around for a while, I'm off work!"

The doctor in charge of the previous class waved his hand, said goodbye to Professor Yang, and led his two students to open the door and go out.

"Huh, this patient's family members are so difficult!"

The team leader, who got in through the gap of the door, held his lower back with his right hand, and walked over with a somewhat unnatural gait.

"Where was the patient just now? Does he need to be intubated?"

"Neng, here it is."

The male nurse who had just helped to push the flatbed car out pouted at Zhang Tianyang, who was still holding the endotracheal tube, and pointed out a clear way for the team leader.

The team leader was a little dazed.

He moved closer, following Zhang Tianyang's gaze, and saw that the blood oxygen saturation on the old lady's monitor jumped from 99% to 100%.

Turning around again, Zhang Tianyang had firmly held the endotracheal tube with his left hand, removed the inflating air bag with his right hand, and connected the tube connected to the ventilator that Professor Yang handed over.

The dental pad was removed and stuffed into the old lady's mouth against the endotracheal tube.

Take the adhesive tape, tie the endotracheal tube and the dental pad together, and fix the cross on the old lady's face.

"Okay, I won't have difficulty breathing anymore, and I can go for examination and treatment."

Zhang Tianyang retired with a smile on his face.

The team leader watched this short section, and was still a little dazed.

"That's it, are you done?"

Zhang Tianyang nodded while taking off the contaminated gloves, "Yes, the insertion is over."

"So fast?!"

The team leader was anxious, "I came here just to see how you intubate. I heard that it usually takes several minutes to intubate. What's the matter? It's over in half a minute?"

"well enough."

Zhang Tianyang went to the sink in the corner of the emergency room to wash his hands, leaving the team leader and Professor Yang to look at each other.

"Dont look at me."

Professor Yang was regretting that he was angry with Zhang Tianyang for no reason just now. At this time, he was both shocked and emotional.

"I didn't insert it, it was your classmate who inserted it himself. I don't know why he is so proficient, faster than me."

Yang Wen simply admitted that he was inferior to others, and then apologized to Zhang Tianyang.

"I'm sorry Xiao Zhang, I thought you wouldn't know how to intubate, I was acting on my own, I didn't expect you to be so proficient."

Zhang Tianyang raised a smile, "It's okay."

Zhang Tianyang is already used to this kind of thing that doesn't match his status as an intern.

Instead, what he cares about now is the patient's affairs, "Professor, do you need to ask about the medical history?"

"I just asked, but you can ask more details." Professor Yang also smiled.

"Give the family members and patients the authorization and consent form, and the critical illness notification. Then let them go to pay for the medicine quickly, and I will order some checks for her to see what's going on now."

"Ok."

Zhang Tianyang and Professor Yang occupied a computer alone, and they split up.

After opening the doctor's workstation and logging into Yang Wen's account, Zhang Tianyang poked his head over to ask.

"By the way, what's the name of this patient?"

"Call, Mrs. Sun Wei."

　Thank you friends for your rewards, votes, and messages of support.However, let’s just show our support by rewarding them casually. What’s ten or eight yuan, one hundred and two hundred, don’t exceed a thousand percent?

　　In the past, a senior author asked me to figure out the reader's intentions, but now I realize that you may want me to die

　　I haven't saved the manuscript, and with the update on the 31st, I have coded [-] and my head hurts. I will go to bed first and continue working at noon tomorrow.

　　love you guys happy new year

　　

　

(End of this chapter)