Doctor Song, are you married?

Chapter 290 290. Do you want to accept the task?

"Old Huang, where are you now?"

Song Qi looked at the declining blood oxygen value and quickly asked the driver.

"It's still 10 minutes away. There's a bit of traffic ahead."

That's too late!

Song Qi thought about it in his mind, then stood up and took out the endotracheal intubation equipment from the rescue vehicle.

"Really do it in the car? If it takes 10 minutes, maybe I can last." Wang Xiaosong was a little reluctant.

"The condition progresses very quickly, so it's better to plan ahead!" Song Qi said, washing her hands with disinfectant gel, then driving and putting on rubber gloves.

"Anyway, Song Qi is better at tracheal intubation. I might have to let him intubate me when I get back to the emergency room. Anyway, he should do it sooner." Xu Dali knew Song Qi's intubation skills, so he was very relieved to pack the tracheal intubation bag. He opened it, took out the laryngoscope and handed it to Song Qi.

Song Qi positioned the patient, infiltrated and anesthetized the larynx, then picked up the laryngoscope and prepared to insert it.

However, after pushing open the tongue and finding the glottis, when the laryngoscope was about to be inserted downward, Song Qi clearly felt that there was resistance in the airway!
There is resistance in the lower airway!This is most likely due to a mass that is compressing it!
Song Qi decisively withdrew the laryngoscope.

If there is really a mass in the airway and a laryngoscope is inserted blindly, if the mass is punctured and there is heavy bleeding, then it will be over!
Therefore, endotracheal intubation is not feasible!

"What's wrong?" Xu Dali saw that Song Qi's flowing movements suddenly stopped. It was like watching a sudden power outage at the climax of a TV series. He was quite surprised and quite unhappy.

"The airway is obstructed!" Song Qi said.

"What? Is there an obstruction? What could happen?" Wang Xiaosong also joined in the fun.

"We won't know the specific situation until we take a CT scan. What needs to be solved now is her blood oxygen problem. Lao Huang, why did she stop and not move?" Song Qi said, realizing that the car had stopped, and hurriedly asked.

"There seems to be an accident ahead. I saw the traffic police were already clearing the traffic!" Lao Huang said calmly.

Lao Huang saw that the cleaner walked into the ambulance on his own, and felt that there was nothing particularly urgent about the patient, so he was not in a hurry.

Song Qi looked up again and looked at the blood oxygen saturation on the monitor.

At this time, the blood oxygen saturation had dropped to 50%, and it continued to drop.

"Lao Huang, use the horn and shout to ask everyone to make way. This patient's condition is not optimistic." Song Qi said to the driver.

"It's not that bad. I think it will be cleared soon." Lao Huang muttered and glanced at Wang Xiaosong.

Among the medical staff on the car, only Wang Xiaosong and he were old partners, and the others were all strangers, and they had never worked with 120 before. Lao Huang subconsciously felt that Song Qi was making a fuss out of a molehill.

Although ambulances have sirens and emergency horns, they are generally not used unless there is an extreme emergency.

Therefore, many times, there are obviously patients on the ambulance. If the road conditions are okay and the patient's condition is stable, they will not sound the siren, mainly to clear their ears.

After spending all their time in the ambulance, they were tired of the sirens.

Wang Xiaosong quickly understood the meaning of Lao Huang's glance at him. He checked the patient's condition, and then looked at the traffic conditions outside.

"Song Qi, how about increasing the oxygen flow for him?"

The implication is naturally that it is not yet time to shout with a loudspeaker.

After all, this is the era of national self-media. If any bad media takes pictures and spreads rumors or something, the leaders will have to hold them accountable at that time!

While Wang Xiaosong was talking, the patient's blood oxygen saturation dropped to 45% again!The alarm kept beeping.

"What's the use of increasing the flow rate? The airway is blocked." Song Qi was a little irritated.

Wang Xiaosong also looked up at the blood oxygen data.

It did fall faster!
"If breathing suddenly stops, artificial respiration will be useless!" Song Qi's voice rose.

Seeing that the atmosphere in the car was not right, Lao Huang reluctantly picked up the horn and said: "Please give way to the car in front. The patient in the ambulance is in critical condition and needs to be rushed to the hospital."

The private car in front heard the horn sound and consciously pulled over to make way for the ambulance!

Just when everyone breathed a sigh of relief, the patient's blood oxygen saturation suddenly dropped from 45% to 35%. Moreover, the patient's skin and lips had become cyanotic, which was a sign of severe hypoxemia and respiratory failure. Got it!
If the airway obstruction cannot be relieved and oxygen cannot enter the body as soon as possible, the brain will suffer from irreversible cerebral hypoxia, or even death!

Moreover, as the patient's blood oxygen saturation plummeted, the patient's heart beating rhythm seemed to become disordered.
Wang Xiaosong became nervous now!

"It's broken. What if my heart and breathing stop?"

"You can walk into an ambulance alone, but if something happens in the car, you'll be in trouble."

"Dali, please say something, what should I do at this time?" In desperation, Wang Xiaosong quickly looked at Xu Dali.

In terms of professional title, Xu Dali is the attending physician, and he is the resident doctor, so there is nothing wrong with calling him at this time.

However, Xu Dali was also very anxious at the moment.

"You're 120 years old, you ask me?"

"Today is my first day with 120. Why am I so damn lucky!" Xu Dali rummaged through the ambulance and tried to give him a respiratory stimulant.

"How about breathing three times?" Xu Dali asked Song Qi tentatively.

Throughout the whole process, Song Qi acted the calmest and did not do anything special.

Song Qi looks calm on the surface, but in fact he is not calm inside.

Expert tracheal intubation is useless when encountering airway obstruction.

If a tracheotomy is performed, if a lump is found and there is heavy bleeding, the patient will probably over!
How to do!
Song Qi was also very anxious at the moment!

"The breathing triplet doesn't make much sense!"

Song Qi said, quickly took a 20ml syringe from the emergency room, removed the needle cap, fixed the trachea with his left hand, found the anatomical position, and stabbed it straight in at the cricothyroid membrane!

The air entered the airway along the small hole of the needle and then reached the lungs. The blood oxygen saturation finally stopped falling at 25%!

25%, 26%, 27%
The blood oxygen saturation began to rise slowly, and Xu Dali and Wang Xiaosong finally relaxed their worries.

Seeing hope in an instant, Song Qi's thrilling heart found some comfort.

But he did not stop there. Instead, he quickly extracted air with a syringe and injected it into the needle. He repeated this action to allow more oxygen to enter his lungs, and then connected the oxygen tube.

At this time, the blood oxygen saturation slowly rose to 61%, but it never rose again!
[System prompt: Complete a case of pre-hospital first aid, task completion degree 2/50]

[System command task: Pre-hospital first aid is only a temporary life-saving measure, and the problem of difficult airway obstruction still needs to be solved in the future. Do you want to accept the task? 】

(End of this chapter)