I can see health

Chapter 140 The air pipe is inserted!
Yang Chunlai, the deputy chief physician of the Emergency Department of Jinghua Second Hospital.

However, he is 50 years old this year, and he has no subject and no thesis.

If you want to be promoted to Zhenggao, there is basically no hope.

Therefore, Yang Chunlai spent every day in the emergency department just muddling along, muddling along.

But he's a little bit better and doesn't make trouble for the emergency department.

Please ask each department for consultation if you have any questions, and try to triage the patient to other departments.

"Xiao Wang, what's the situation in the ward?" Yang Chunlai's expression turned ugly.

After finally lying down in the duty room for a while, he was called up.

"Director Yang, there are three people here. I'm really too busy, so I can only invite you out." Wang Xiaodong looked anxious, ignoring Yang Chunlai's complaining face. "The patient's condition is not stable. Possibly acute cerebral infarction; a chest pain, especially high blood pressure."

Yang Chunlai walked into the emergency room and looked at the two patients separately.

"Please refer to the Department of Neurology for comatose patients, and refer to the Department of Cardiology for patients with chest pain. First lower the blood pressure, and then urgently check myocardial enzymes and D-dimer."

Wang Xiaodong complained about Yang Chunlai's doctor's order in his heart, as always, he liked to throw the pot away, without any practical effect.

"Director Yang, all the consultations have been invited, please see if there are other measures to deal with it." Wang Xiaodong said.

"Let's do it first."

Yang Chunlai is doing a physical examination on a patient with chest pain.

Suddenly, the patient rolled his eyes and spit out a few mouthfuls of white foam, mixed with a lot of food residue.

His people have no consciousness at all.

"Beep beep..."

The ECG monitor beside the bed also started to alarm frantically.

"Fuck, ventricular fibrillation!"

Wang Xiaodong glanced at the ECG monitor, cursed in his heart, and his movements were not slow at all.

He quickly ran to the hospital bed and immediately performed cardiopulmonary resuscitation on the patient!
"The patient is in ventricular fibrillation! Come on, get the defibrillator!"

Wang Xiaodong yelled loudly for a round.

Fortunately, this is the emergency room, and the defibrillator is placed next to the hospital bed.

The nurse was immediately alert and quickly pushed the defibrillator over.

And Yang Chunlai, who was on the side, immediately said to He Qin: "Student, please call the cardiology department for an emergency consultation!"

He Qin nodded quickly, and hurried to the nurse's station to call the cardiology department.

Wang Xiaodong wanted to cry but had no tears!
Although it is important to consult a cardiologist, this patient is likely to have an Aspen attack.

But at this time, it's a waste of help to send a vital force to make a call?
However, Wang Xiaodong can't control so much anymore.

Because the patient's ventricular fibrillation is still going on!

"Charging is complete!"

After Wang Xiaodong applied the conductive paste, he placed the two electrode plates on the patient.

"Discharge!"

He stared closely at the waveform on the ECG monitor.

When the discharge was over, Wang Xiaodong breathed a sigh of relief.

"Sinus rhythm restored!"

Zhang Huan has been performing balloon-assisted ventilation on patients.

At this time, it was noticed that the patient's blood oxygen saturation dropped from 95% to 86%.

"Doctor Wang, the patient's blood oxygen has dropped!"

Wang Xiaodong's heart skipped a beat.

I quickly looked at the ECG monitor, and sure enough, the patient's blood oxygen saturation was decreasing.

"The patient's blood oxygen is gone too! Director Yang, let's intubate!" Wang Xiaodong looked anxiously at Yang Chunlai who was beside him.

"Okay, you intubate him. I will communicate with the patient's family about the condition."

Yang Chunlai nodded, then walked out of the emergency room with his hands behind his back.

"This..." Wang Xiaodong sighed softly, feeling a little helpless.

It is indeed important to communicate the condition, but Director Yang, you are too confused, right? !

……

The next room was in full swing.

But the patient who was poisoned by rat poison was ignored.

"Doctor, how long will it take to wash my mother's stomach?" The young woman became more and more nervous.

Although it was less than 3 minutes before Wang Xiaodong left.

But for her, every minute and every second is an incomparable torment.

Lu Chen's heart sank.

Compared with the two rescued patients next door, the condition of this rat poisoned patient is relatively stable.

But it is also necessary to perform gastric lavage as soon as possible.

Otherwise, once the time is prolonged, toxins will be released into the blood, which may cause irreversible damage to liver and kidney functions.

Gastric lavage is usually performed by a nurse.

But the nurses in the emergency ward are all doing rescue work next door!
The nurse next to Lu Chen named Nan Nan is just a new nurse who just came to the emergency department.

"Sister Nan Nan, do you know how to do gastric lavage?" Lu Chen looked at the pretty nurse beside him.

"Teacher Zhang Huan has taught, and I have done a few cases with her cooperation." Nan Nan shook her head, "But now I can't operate without the authorization of the superior teacher."

"Sister Nannan, then you stay here first." Lu Chen said, "I'll go next door and ask Teacher Wang."

Poisoned patients can no longer procrastinate!

……

Lu Chen came to the emergency room next door.

As soon as he walked in the door, his eyelids twitched.

Two patients were lying on the hospital bed.

their health.

A 31!

A 45!

It's no wonder that Wang Xiaodong didn't come over for a long time. These two patients are at risk of death at any time.

"The endotracheal intubation was successful!"

At this time, Wang Xiaodong finally breathed a sigh of relief.

After using the ventilator, the patient's blood oxygen saturation tends to stabilize!

Lu Chen hurried forward and took the time to ask, "Brother, the family members of the patient next door are a little anxious and asked when we will perform gastric lavage for the patient."

"There are too many patients. The nurses in the emergency ward are all trying to rescue them. They can't spare any manpower. Let the patients wait for a few more minutes. Hey, by the way, Gong Nannan is also next door. I remember she did it. Please let the patient wait for a few minutes. Plug it in." Wang Xiaodong shook his head slightly.

"Yes." Lu Chen nodded.

So far, this seems to be the best solution.

"That's it, let's not talk about it, the consultant doctor from the Department of Cardiology is here."

After Wang Xiaodong left these words, he immediately went up to the cardiologist.

Lu Chen looked at the door, and he also knew the doctor who came to the cardiology department for consultation.

It's Li Qinghua, the chief resident of the Department of Cardiology.

……

Go back to the rescue room.

Lu Chen pulled Gong Nannan aside.

"What did Doctor Wang say?" Nan Nan whispered.

"He asked you to do it." Lu Chen glanced at the family members of the patient not far away, and said softly, "Can you do it?"

"Of course!" Nan Nan's small face was full of confidence, "Although I have only inserted a gastric tube twice, Teacher Zhang is beside me and praises me for being very skilled."

"Okay, let's hurry up." Lu Chen said, "The patient can't delay any longer.

"Yes." Gong Nannan nodded.

Gastric lavage is the content of basic nursing.

The difficulty of gastric lavage with gastric tube is to insert the gastric tube.

Lu Chen really wanted to do it, but he currently doesn't have any qualifications or authorization from a superior doctor.

Once there is any error, it is not a small problem.

……

Gastric lavage tools are ready.

Lu Chen confirmed with the patient's family again.

The patient had no previous contraindications to gastric lavage, including gastrointestinal bleeding, esophageal varices, aortic aneurysm, and severe cardiac disease.

After the confirmation, the family members were invited to the rescue room.

"Lu Chen, then I'll start."

Gong Nannan coated the front end of the sterilized gastric tube with paraffin oil, pinched the gastric tube with gauze with his left hand, and wrapped the gastric tube at 5-6 cm with gauze with his right hand.

From the nasal cavity, slowly insert the stomach tube.

The gastric tube went in smoothly.

Gong Nannan continued to push the gastric tube forward.

1cm, 3cm, 5cm...

The process went very smoothly, and the nervous look on Gong Nannan's face gradually disappeared.

The stomach tube slowly started to go deep.

8 cm.

10 cm.

Up to 11cm.

"Cough...cough cough...cough cough cough..."

Suddenly, the patient coughed violently.

This startled Gong Nannan.

However, the movements of her hands were steady, and she comforted the patient, "Auntie, don't be nervous, it's normal to have a little reaction."

Gong Nannan continued to push the gastric tube.

Lu Chen frowned.

Something seems wrong!
at this time.

The patient's eyes suddenly opened wide, and he held the railing of the bed tightly with both hands, panting heavily.

"Sister Nannan, get out quickly! You have inserted the air pipe!"

(End of this chapter)