Back in 2002 as a doctor

Zhou Congwen looked at the monitor coldly, auscultated every 10 minutes, and walked out of the small intensive care unit after 10 minutes.

When he came to the nurse's station, Zhou Congwen picked up the phone and called the anesthesiology department.

"Anaesthesia, I'm Congwen, who is the anesthesiologist today."

"Brother Wenbo, okay, please call me."

Ten seconds later, the anesthesiologist answered the phone.

"Brother Wenbo, I, Zhou Congwen. There is a patient who wants to ask you for consultation. Would you like to come and see?"

The anesthesiologist asked about the specific situation, Zhou Congwen did not hide anything, and told the matter again.

Soon, the anesthesiologist ran down wearing an isolation suit and a long-sleeved sterile gown.

"Xiao Zhou, where is the patient?"

Zhou Congwen took the anesthesiologist to see the patient.

After the physical examination, the anesthesiologist didn't say anything, but didn't leave, and went directly to the duty room.

"Xiao Zhou, the patient looks fine, but the extubation is too early." The anesthesiologist said suspiciously, "Let's do a blood gas analysis and see the situation."

"The patient suffered from severe heart contusion and poor cardiopulmonary function. He looked fine, and I guess his body reserves could keep up. Now he is short of breath and very shallow, and there are blistering sounds in both lungs upon auscultation..."

"Oh, Xiao Zhou, you are too dogmatic. You know that you need to assist breathing, and I know it too, but what did you old Wang say?"

"Hehe." Zhou Congwen smiled helplessly.

"When Director Wang said that the tube should be extubated, I objected. Brother Wenbo, you know, the result must be disgraceful."

"You..." The anesthetist looked at Zhou Congwen in surprise, "You don't have a fever, how can you question the director's decision."

"No, I think the patient must have a problem, and opinions should be raised." Zhou Congwen said helplessly.

The anesthetist glanced up and down at Zhou Congwen, "You old Wang didn't do it on purpose, did he?"

Chapter 0110 Murderous

"On purpose?" Zhou Congwen glanced at the anesthetist and smiled happily.

He knew what the anesthetist meant, but based on Zhou Congwen's understanding of Wang Chengfa, he probably didn't.

The anesthesiologist frowned, looking at Zhou Congwen who was smiling foolishly, he was worried from the bottom of his heart.

This child is too kind, and he is afraid that Wang Chengfa will spoil him.

"Brother Wenbo, Wang Chengfa is bad for me, but he is okay for patients." Zhou Congwen put away his smile and said seriously with a cigarette in his mouth. And I didn’t study, that’s why I’m in the current situation.”

"..." Hearing Zhou Congwen's words, the anesthesiologist was stunned.

No matter how you say it, Wang Chengfa is an old doctor for decades. Back then, he drove all the old directors to feed the rabbits, and he monopolized the operating room.Although the time is not long, only 2-3 years, but almost all board and lodging is there, and I have accumulated countless rich experiences.

And Zhou Congwen,

A young doctor who has just graduated less than two years ago and has never even touched a knife before surgery,

To say that Wang Chengfa is just not good enough? !

The words were so ridiculous that the anesthesiologist was in a daze.

A young doctor, he didn't know how much he knew, and he could say such a thing.

"Zhou." The anesthetist hesitated for a long time, he shook his head, and whispered, "It doesn't matter what you think, the key is how you plan to solve the current problem."

"The patient is in your small intensive care unit. I think he is in a normal state and may suffer from respiratory failure again at any time. The best way now is to use a ventilator to blow for a while, right?"

Zhou Congwen nodded.

"But I know your old Wang's temper. Neither of us can change what he decided. Didn't you say it all? At that time, you raised objections but were beaten back."

"Yes." Zhou Congwen looked at the anesthesiologist with clear eyes.

"There is another operation above me, and my assistant is watching, so I have to go back. What about you, what should I do next? Will you rescue the patient's respiratory and circulatory arrest?" Why.

"Hey, this is the difficulty of society. You just came to society and don't know the dangers."

At the end, the anesthetist sighed deeply and looked into Zhou Congwen's eyes meaningfully.

Zhou Congwen smiled, "Brother Wenbo, leave me an adult tracheal intubation tube. I'll ask the nurse to call you if something happens. I'll deal with the situation first."

"Have you ever learned intubation?" the anesthetist looked at Zhou Congwen in surprise and asked.

"Slightly understand." Zhou Congwen said lightly.

"Don't fool around." The anesthetist said cautiously, "Well, I'll keep a set of things here, don't call the department, just call my cell phone.

If something happens, I will run down immediately, it should be within 2 minutes.I strive for 30 seconds to send the tracheal intubation in without affecting the patient's treatment. "

"By the way, don't be too polite. Don't wait until the patient is out of breath before making a call. It's almost enough." The anesthetist was afraid of accidents and continued to advise.

"Thank you, Brother Wenbo." Zhou Congwen could sense the kindness of the anesthetist, and he replied seriously, "I can try it first. I am actually quite professional in intubation."

major?The anesthesiologist glanced at Zhou Congwen and said nothing.

"Then you go ahead and leave a set of equipment. I won't wait for the most dangerous patients to call you. Let's go as soon as possible. But there is something I need to tell you first, Brother Wenbo."

"It's okay, I'll tell you, old Wang, that the anesthesiologist must intubate for consultation." The anesthesiologist said firmly.

After all, he and Wang Chengfa belonged to two departments, and even the director Wang Chengfa had to hold his nose to recognize matters decided by the emergency consultation.

It is related to the patient's life and death, Wang Chengfa's face is nothing.

Zhou Congwen stood up, stretched out his hand, and looked into the eyes of the anesthetist very formally.

"Still shaking hands? What the hell." The anesthetist slapped Zhou Congwen's hand away.

"Hahaha, that's hard work."

Zhou Congwen didn't care either, he laughed, this matter is over.

After the anesthesiologist left a complete set of equipment for endotracheal intubation, he hurried upstairs.

Zhou Congwen began to prepare for the rescue in advance. Although the patient's condition looked good, who knows when it will fail.

Medical care is a big system, and I don't even count as screws now. Zhou Congwen is very clear about his identity and doesn't complain too much.

As for the "dark" guess of the anesthetist, Zhou Congwen's judgment based on the experience of the two lifetimes was wrong.Wang Chengfa is simply not good enough. Although he is bad, he is not so bad.

Most importantly, he didn't dare.

But Zhou Congwen is still very unhappy about what happened today, wouldn't it be fragrant if he honestly blows it on a ventilator all night?It is not necessary to extubate and go offline when off work.

dog day.

Not to mention anything else, in Wang Chengfa's eyes, he is just an inexperienced little doctor.With such a complicated condition of the patient in front of him, it is the best choice to keep talking steadily for another night, not seeking merit but seeking no fault.

But this guy has to be extubated and offline when he gets off work, what the hell.

The brain is flooded, and the extubation is done during the day.There were many people at that time, and accidents were easy to deal with.Now I was alone, no wonder the anesthetist insisted that Wang Chengfa set a trap.

This guy is simply out of his mind, and his level is too low. Zhou Congwen was thinking about it while preparing the equipment.

Gloves, masks, suction, suction tube, oxygen, lubricant, syringe, stethoscope.

Endotracheal tubes, catheter cores, dental pads and adhesive tapes, masks, breathing bags, anesthesia machines and monitors.

General items and general equipment are all ready.

The anesthesiologist also left behind a laryngoscope. Zhou Congwen will connect the laryngoscope blade to the handle of the laryngoscope to confirm that the connection is stable, and then check the brightness of the light source.

"Brother Zhou, you look so strange." Seeing Zhou Congwen busy in the small intensive care unit, the nurse said strangely.

"What's the matter?" Zhou Congwen asked casually while checking the equipment.

"Uh, I can't tell. It looks like... like... the killer in the movie is going to perform a mission and repeatedly checks the gun. You look like a killer, and I can feel a murderous aura. "

"It's not pleasant at all for you to say this. Do you and your boyfriend also talk like that?" Zhou Congwen shook his hand, and the laryngoscope clicked.

"..." The little nurse froze for a moment.

"You should say that I am like a soldier of the People's Liberation Army defending the country and going to the battlefield to clean the guns I am most familiar with."

"Hahaha, you're so funny, but it's better to say that." The little nurse lowered her voice and laughed happily.

Zhou Congwen continued to check. The endotracheal tube left by the anesthetist was No. 8. He opened a syringe to test whether the air bag was leaking.

"Brother Zhou, what are you planning to do?"

"It's not my preparation, you are going to call Director Wang. Dial the department's number first, and then press the repeat button." Zhou Congwen said lightly.

"Huh? Do you need emergency treatment? We haven't eaten yet, and I'm already a little hypoglycemic."

"Can't eat. If you eat, you must be rescued. If you don't eat, you may be able to survive the night. If you have low blood sugar, you should drink some glucose first. It's hard to drink, but you can carry it for a while. Don't faint during the emergency rescue." In the past, I have to rescue you."

……

……

Note: I was still young at the time, and I was a little confused when I encountered this incident.Although he didn't agree, he didn't say much, and could only go to the anesthesiologist silently.I remember that when the anesthesiologist answered and called at any time to help with intubation, I finally breathed a sigh of relief. I felt that the anesthetist was so handsome.

Chapter 0111 Textbook Rescue

But no matter whether Zhou Congwen speaks well or not, whether the little nurse drinks glucose or not, things with a high probability will always happen.

Prepared everything like a soldier about to go to the battlefield. Zhou Congwen didn't think about eating, and sat on a chair to observe the patient's condition.

After the two arterial blood gases were analyzed, Zhou Congwen called Wang Chengfa to report the situation.

Wang Chengfa doesn't know much about arterial blood gas analysis. For him, a blood gas analysis is a "new" technology.

Zhou Congwen wanted to emphasize that the value was wrong, but Wang Chengfa interrupted him and asked about the blood oxygen saturation of ECG monitoring.

When he heard that the blood oxygen saturation was 95%, Wang Chengfa hummed and hung up the phone.

It seemed that there was no way to avoid everything, and Zhou Congwen was also angry. He put the receiver on the phone holder coldly, and turned back to the small intensive care unit.

Two or 10 minutes later, the patient became restless and his blood oxygen saturation dropped rapidly.

"Xiao Sun, call Director Wang and say that the patient's condition is not right!" Zhou Congwen didn't have time to communicate with Wang Chengfa, so he stood at the door and shouted, then took out his mobile phone and started calling the anesthesiologist.

"Doctor, how is he?" A worker felt that the atmosphere was not right and asked tremblingly.

Although he thought Zhou Congwen was young, he could hear a sense of anxiety in Zhou Congwen's words.

"The situation is not good. Emergency rescue is needed. Ask your boss to sign. Hurry up!" Zhou Congwen held the mobile phone, heard the call from the other side, and immediately said, "Brother Wenbo, the patient's blood oxygen cannot be stabilized!"

"I'll come down right now."

After hanging up the phone, Zhou Congwen returned to the intensive care unit to check the patient's mouth, teeth, mouth opening, neck mobility, and throat conditions, and make preparations before intubation.

To put it bluntly, Zhou Congwen just glanced at it to confirm again that the patient has no dentures, no secretions in the mouth, etc.

Zhou Congwen immediately pulled the hospital bed out by half a meter. The action was a little rough. The patients and workers outside were very scared and whispered.

Having prepared a small thin pillow, Zhou Congwen frowned and looked at the ECG monitor.

In a short period of time, the patient's vital signs changed dramatically, the blood oxygen saturation dropped again, the waveform of the electrocardiogram was no longer sinus, and the damn supraventricular tachycardia appeared again.

Remove the oxygen catheter and buckle the patient's face with a simple breathing mask.Zhou Congwen's heart is like still water, and under the action of adrenaline, he directly enters the supernatural state of emergency rescue.

Every rescue must be meticulous, even if you think you are [-]% sure.

This is what Zhou Congwen taught his students, and it is what he must do in every emergency.

At this time, it doesn't matter how much adrenaline the body secretes. Zhou Congwen operates calmly, earnestly, and meticulously, just like a textbook.

When holding the simple respirator, he pressed the mask with his left thumb and index finger in a C shape, and supported the patient's jaw with his middle finger and ring finger.

The middle finger, ring finger, and little finger form an "E" and hook the lower jaw to open the airway; the thumb and index finger form a "C" to fix the mask.

The standard EC method is flawless.

"Bang~" The door of the small intensive care unit was knocked open, and the anesthesiologist ran down wearing slippers, and a gust of wind blew on Zhou Congwen's face.

"Ready!" Zhou Congwen said immediately.

The anesthesiologist was stunned for a moment. He saw that all the equipment he needed had been placed in the most convenient position around the patient, and the hospital bed had been pulled out half a meter to reserve a place for himself to intubate in the patient's head.

Before he could speak to Zhou Congwen, the anesthetist immediately ran to the patient's head and picked up the laryngoscope.At the same time, the simple breathing mask was also removed.

A thin pillow is stuffed into the patient's neck, and the three drawing lines of the mouth, pharynx, and larynx are as consistent as possible.

He held the laryngoscope with his left hand, opened the patient's mouth with his right hand, and inserted the lens from the corner of the patient's right mouth.