Doctor Song, are you married?
Chapter 234 234 Don’t use the knife if you can.
Chapter 234 234. If you can’t do it, don’t do it.
The emergency room is not very busy today.
He had a febrile convulsion in the morning and was sent to the observation room after some treatment.
Later there was another traumatic injury, which was sent to the debridement room for suturing.
Song Qi and Dongfang Wenyan are the center of attention wherever they go.
"Did you see that? That is Song Qi. It is said that the traditional Chinese and Western medicine in the district has fascinated a bunch of young female doctors and nurses. My classmate is in the district traditional Chinese and Western medicine."
"To be honest, it looks really good. It's slightly better than our yard grass."
"Compared with him, our courtyard grass does taste a little worse. I heard that he is still a small Internet celebrity. Have you seen his live broadcast? He sold facial masks in Zhou Zhou's live broadcast room, and I also grabbed a box."
"The one named Dongfang is pretty good-looking too. When these two stand together, they really look like a golden boy. It seems that our emergency department will be more lively in the future."
Hearing these comments, Song Qi was also quite embarrassed. Just when he was thinking about whether to change places, the siren of the ambulance rang.
Song Qi's tiger body trembled, and he suddenly became interested again.
"Let's go out and pick up the patient!" Yi Yi, who was on the front line of the emergency department, shouted.
Song Qi and Dongfang Wenyan could follow him.
As soon as the ambulance door opened, the pungent smell of alcohol hit my nose.
Immediately afterwards, he saw the patient being tied to a stretcher with restraints and his hands waving wildly in the air.
"I drank alcohol last night until this morning. I was given 0.4 mg of naloxone because I was afraid that the alcohol was moderate. Now I am not very conscious. I vomited several times in the car. My blood oxygen saturation is 94% and my blood pressure is 146. /96mmhg" The ambulance and the doctor explained the condition.
It's not uncommon for the emergency department to admit drunks in the middle of the night, but it's really rare to admit drunks after nine in the morning.
The patient was a fat man with a big head, a thick neck, and a small chin that was almost compressed in his neck.
After being placed on the emergency bed, the nurse quickly connected him to a monitor and measured his vital signs.
Today's emergency frontline is a junior attending physician. Considering that naloxone has been used in the ambulance and the dose is sufficient, he decided not to use the drug for the time being. However, considering that the patient is unconscious and vomiting, it is easy to be accidentally aspirated. He was suffocating, so we decided to intubate him first, just in case.
"10% glucose 500ml intravenous infusion, blood glucose measurement, in addition, endotracheal intubation"
After the emergency doctor gave the order, one of the nurses began to puncture the patient's veins, and the other nurse quickly took out an intubation kit from the ambulance.At the same time, assist the patient in getting into position.
The front-line doctor also put on gloves at this time. He walked to the patient's head, tilted the patient's head back, and lifted the mandible forward and upward with both hands to open the mouth. Then he held the handle of the laryngoscope with his left hand and turned the laryngoscope. Put the right corner of the mouth into the patient's mouth, push the tongue to the left side and then slowly advance.
Normally, at this time, he will see the uvula, and then he only needs to lift the lens vertically and advance it until the epiglottis is exposed. After lifting the epiglottis, the glottis can be exposed.Just plug it in again.
However, the patient's tongue could not be pushed at all, and the patient's obese tongue directly blocked the entire pharynx. Not to mention the uvula, even the pharyngeal arch of the palate could not be seen!
The frontline doctors worked hard for a long time, but the laryngoscope still couldn't be moved forward.
He was defeated, withdrew the laryngoscope, and then said to the nurse: "Inform Brother Ye, this man is too fat and cannot be inserted at all."
The nurse seemed to have been used to this situation for a long time, and immediately ran to the side to make a phone call.
However, the phone rang several times, but Cheng Weiye didn’t answer it.
She suppressed her anger and dialed again, but there was still no response.
The nurse became angry and ran to the emergency room, "Cheng Weiye is taking care of the students today. Do you know where he went?"
At this moment, in addition to Song Qi, there were several interns watching in the rescue room.
But everyone shook their heads and said they didn't see Cheng Weiye.
"Go find him and see if he is in the observation room," the nurse said to one of the interns.Although the intern was reluctant, he still went to find someone honestly.
"The saturation level is only 90%. Brother Ye hasn't been contacted yet?" The frontline doctor stared at the monitor panel and asked anxiously.
"I haven't contacted him yet. He was supposed to be responsible for today's mission, but the graduate students are all here, and the others are missing. There is also a graduate student who is not here. That Puxin, uh, no, that one is gone. I have been a primary care doctor for two years." The nurse muttered.
"How about asking Director Gong to come over and take a look first?" The frontline doctor was a little anxious.
Drunkness is not a difficult situation to deal with, but it would be troublesome if it accidentally caused suffocation and the tube could not be inserted.
"Lao Gong went to the hospital to get it done."
"Then let's call him Brother Da."
"Brother Da is also busy. The one injured in the morning is more troublesome. Brother Da has been stitching it inside for a long time. I guess it's not finished yet."
Song Qi was also very anxious. He wanted to say, let me try, I will definitely be able to do it.
But he knew that it was all in vain.
Dongfang Wenyan kept staring at the patient's stubby neck.
"This tracheal intubation is difficult. Even Cheng Weiye may not be able to intubate it. I estimate that there is a high probability that a tracheotomy will be required!"
At this moment, a gurgling sound suddenly came from the patient's throat, and immediately after, the patient's eyes rolled up.
Blood oxygen saturation began to drop sharply.
"No! Maybe she's suffocating!" the nurse yelled.
The front-line doctors also noticed this situation and immediately shouted to the nurse: "Hurry up and call Brother Da. Also, hurry up and contact the anesthesiology department and ask them to come down and intubate. Hurry!"
At this moment, the system interface suddenly flashed in front of Song Qi.
[System task: Complete 100 tracheal intubations.Mission requirements: Timely and effective intubation to gain the best opportunity to save lives. 】
[Do you want to receive it? 】
At this time, the system issued a task to him, which made it clear that he was going to grab the job.
Definitely get it!
Since the system reminded him like this, what else could he refuse?
After all, expert endotracheal intubation skills are not just for looking at!
With this in mind, Song Qi clicked the receive button without hesitation.
However, when Song Qi was waiting for an opportunity to grab a job, Dongfang Wenyan also started her action!
When the blood oxygen on the monitor started to alarm, Dongfang Wenyan decisively turned around and got a tracheostomy bag from the rescue vehicle!
When Song Qi saw this situation, he knew that this guy was definitely going to go under the knife again.
The best way to master human anatomy is to be willful, you can cut wherever you want!
However, since he has expert tracheal intubation skills, don’t go under the knife if you can!
After all, not only is the patient in pain, he also needs to heal after surgery!
By the way, it also costs more!
A veritable waste of money to find suffering!
Thinking of this, Song Qi quickly stopped her: "Tracheotomy is an invasive operation, so don't do it until it's an emergency!"
(End of this chapter)
The emergency room is not very busy today.
He had a febrile convulsion in the morning and was sent to the observation room after some treatment.
Later there was another traumatic injury, which was sent to the debridement room for suturing.
Song Qi and Dongfang Wenyan are the center of attention wherever they go.
"Did you see that? That is Song Qi. It is said that the traditional Chinese and Western medicine in the district has fascinated a bunch of young female doctors and nurses. My classmate is in the district traditional Chinese and Western medicine."
"To be honest, it looks really good. It's slightly better than our yard grass."
"Compared with him, our courtyard grass does taste a little worse. I heard that he is still a small Internet celebrity. Have you seen his live broadcast? He sold facial masks in Zhou Zhou's live broadcast room, and I also grabbed a box."
"The one named Dongfang is pretty good-looking too. When these two stand together, they really look like a golden boy. It seems that our emergency department will be more lively in the future."
Hearing these comments, Song Qi was also quite embarrassed. Just when he was thinking about whether to change places, the siren of the ambulance rang.
Song Qi's tiger body trembled, and he suddenly became interested again.
"Let's go out and pick up the patient!" Yi Yi, who was on the front line of the emergency department, shouted.
Song Qi and Dongfang Wenyan could follow him.
As soon as the ambulance door opened, the pungent smell of alcohol hit my nose.
Immediately afterwards, he saw the patient being tied to a stretcher with restraints and his hands waving wildly in the air.
"I drank alcohol last night until this morning. I was given 0.4 mg of naloxone because I was afraid that the alcohol was moderate. Now I am not very conscious. I vomited several times in the car. My blood oxygen saturation is 94% and my blood pressure is 146. /96mmhg" The ambulance and the doctor explained the condition.
It's not uncommon for the emergency department to admit drunks in the middle of the night, but it's really rare to admit drunks after nine in the morning.
The patient was a fat man with a big head, a thick neck, and a small chin that was almost compressed in his neck.
After being placed on the emergency bed, the nurse quickly connected him to a monitor and measured his vital signs.
Today's emergency frontline is a junior attending physician. Considering that naloxone has been used in the ambulance and the dose is sufficient, he decided not to use the drug for the time being. However, considering that the patient is unconscious and vomiting, it is easy to be accidentally aspirated. He was suffocating, so we decided to intubate him first, just in case.
"10% glucose 500ml intravenous infusion, blood glucose measurement, in addition, endotracheal intubation"
After the emergency doctor gave the order, one of the nurses began to puncture the patient's veins, and the other nurse quickly took out an intubation kit from the ambulance.At the same time, assist the patient in getting into position.
The front-line doctor also put on gloves at this time. He walked to the patient's head, tilted the patient's head back, and lifted the mandible forward and upward with both hands to open the mouth. Then he held the handle of the laryngoscope with his left hand and turned the laryngoscope. Put the right corner of the mouth into the patient's mouth, push the tongue to the left side and then slowly advance.
Normally, at this time, he will see the uvula, and then he only needs to lift the lens vertically and advance it until the epiglottis is exposed. After lifting the epiglottis, the glottis can be exposed.Just plug it in again.
However, the patient's tongue could not be pushed at all, and the patient's obese tongue directly blocked the entire pharynx. Not to mention the uvula, even the pharyngeal arch of the palate could not be seen!
The frontline doctors worked hard for a long time, but the laryngoscope still couldn't be moved forward.
He was defeated, withdrew the laryngoscope, and then said to the nurse: "Inform Brother Ye, this man is too fat and cannot be inserted at all."
The nurse seemed to have been used to this situation for a long time, and immediately ran to the side to make a phone call.
However, the phone rang several times, but Cheng Weiye didn’t answer it.
She suppressed her anger and dialed again, but there was still no response.
The nurse became angry and ran to the emergency room, "Cheng Weiye is taking care of the students today. Do you know where he went?"
At this moment, in addition to Song Qi, there were several interns watching in the rescue room.
But everyone shook their heads and said they didn't see Cheng Weiye.
"Go find him and see if he is in the observation room," the nurse said to one of the interns.Although the intern was reluctant, he still went to find someone honestly.
"The saturation level is only 90%. Brother Ye hasn't been contacted yet?" The frontline doctor stared at the monitor panel and asked anxiously.
"I haven't contacted him yet. He was supposed to be responsible for today's mission, but the graduate students are all here, and the others are missing. There is also a graduate student who is not here. That Puxin, uh, no, that one is gone. I have been a primary care doctor for two years." The nurse muttered.
"How about asking Director Gong to come over and take a look first?" The frontline doctor was a little anxious.
Drunkness is not a difficult situation to deal with, but it would be troublesome if it accidentally caused suffocation and the tube could not be inserted.
"Lao Gong went to the hospital to get it done."
"Then let's call him Brother Da."
"Brother Da is also busy. The one injured in the morning is more troublesome. Brother Da has been stitching it inside for a long time. I guess it's not finished yet."
Song Qi was also very anxious. He wanted to say, let me try, I will definitely be able to do it.
But he knew that it was all in vain.
Dongfang Wenyan kept staring at the patient's stubby neck.
"This tracheal intubation is difficult. Even Cheng Weiye may not be able to intubate it. I estimate that there is a high probability that a tracheotomy will be required!"
At this moment, a gurgling sound suddenly came from the patient's throat, and immediately after, the patient's eyes rolled up.
Blood oxygen saturation began to drop sharply.
"No! Maybe she's suffocating!" the nurse yelled.
The front-line doctors also noticed this situation and immediately shouted to the nurse: "Hurry up and call Brother Da. Also, hurry up and contact the anesthesiology department and ask them to come down and intubate. Hurry!"
At this moment, the system interface suddenly flashed in front of Song Qi.
[System task: Complete 100 tracheal intubations.Mission requirements: Timely and effective intubation to gain the best opportunity to save lives. 】
[Do you want to receive it? 】
At this time, the system issued a task to him, which made it clear that he was going to grab the job.
Definitely get it!
Since the system reminded him like this, what else could he refuse?
After all, expert endotracheal intubation skills are not just for looking at!
With this in mind, Song Qi clicked the receive button without hesitation.
However, when Song Qi was waiting for an opportunity to grab a job, Dongfang Wenyan also started her action!
When the blood oxygen on the monitor started to alarm, Dongfang Wenyan decisively turned around and got a tracheostomy bag from the rescue vehicle!
When Song Qi saw this situation, he knew that this guy was definitely going to go under the knife again.
The best way to master human anatomy is to be willful, you can cut wherever you want!
However, since he has expert tracheal intubation skills, don’t go under the knife if you can!
After all, not only is the patient in pain, he also needs to heal after surgery!
By the way, it also costs more!
A veritable waste of money to find suffering!
Thinking of this, Song Qi quickly stopped her: "Tracheotomy is an invasive operation, so don't do it until it's an emergency!"
(End of this chapter)
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