I'm really an intern

Chapter 115 Emergency Mobilization (Part [-])

"Hurry up!"

In an instant, all the white coats moved into action, and the laziness on the faces of the doctors who were about to leave work instantly turned into determination.

There are three doctors in the first shift, the head doctor and an intern are responsible for the shift, and an intern is assigned to Professor Yang to help.

And the brother under Professor Yang, who is a little more experienced than Zhang Tianyang, took the initiative to accept the task of accepting the handover, and sent Zhang Tianyang, who had just entered the emergency department, to pick up new patients with Yang Wen.

After all, there is a teacher watching over there, and I only have myself on my side!

In just three seconds, the six white coats had already assigned their respective tasks tacitly, and then suddenly scattered in all directions.

The three white coats went to the bedside to race against the clock to complete the shift.

As the head teacher, Professor Yang went to the emergency internal medicine department to familiarize himself with the condition of the new patient.

The brother who was assigned to help greeted the male nurse next to him and began to push out an empty bed in the emergency room to prepare to pick up the patient.

The head nurse in the emergency room also responded quickly, and ran to dig out the boxes containing epinephrine and other emergency medicines.

As for Zhang Tianyang, he came ten minutes earlier and was already familiar with the placement of various items in the emergency room. At this time, he ran straight to the cabinet with the sticker on the corner saying "first aid items".

The little nurse next to him who wanted to guide the "cute new doctor" only felt that a figure flew to the place her finger wanted to point to in a blink of an eye.

"Whoa!"

The cabinet door was pulled open suddenly, Zhang Tianyang's eyes quickly scanned the items inside, and then instantly confirmed the target.

All the rescue medicines are in the hands of the head nurse. What he needs to find now are rescue equipment and consumables!

The patient was admitted not from the emergency department of surgery, but from the emergency department of internal medicine, indicating that it was not trauma.

It is more likely that it is similar to the kind of cardiac and respiratory arrest that Zhang Tianyang encountered before, or he has an underlying disease that suddenly worsens.

No matter what the situation is, in addition to establishing the arteriovenous channel as soon as possible, the most important thing to pay attention to is the problem of dyspnea!

Zhang Tianyang quickly found the mask, balloon, bronchoscope, endotracheal tubes with two diameters of 7.0 and 7.5, dental pads, and lubricating fluid

When the gender of the patient is not known, the models commonly used by men and women for endotracheal intubation are indispensable!

Zhang Tianyang piled things up on the treatment cart, bent down and took out a tracheotomy kit.

When the mask fails to supply oxygen, the endotracheal intubation is required. If the difficult airway endotracheal intubation fails, the trachea must be intubated.

Zhang Tianyang got it right in one step!

Usually nurses are responsible for establishing venous access, while doctors are responsible for establishing arterial access. Zhang Tianyang opened another cabinet and found everything including the arterial puncture needle.

"Clah la la la blah blah blah"

Over there, a white coat and a male nurse were already pushing the flat trolley to pick up the patients.

Zhang Tianyang followed closely behind with a bunch of things in his arms.

"Teacher Yang, where is the patient?"

"Still in the car, we'll be there soon!"

Professor Yang regained the same serious expression as when he met Zhang Tianyang the previous two times, and he spoke quickly.

"A 95-year-old, elderly woman with sequelae of cerebral infarction, bedridden for a long time, suddenly vomited an hour ago, and was unconscious. The family members who were close to her rushed over first, and the patient was in the car behind."

"Is everything ready? The patient is unconscious. Vomiting can easily cause suffocation. Have you taken the endotracheal tube?"

The brother who came to help slapped his head suddenly, "I'm sorry, I forgot to take it!"

As he said that, he turned around and wanted to rush back, but Zhang Tianyang was one step ahead of him, lifting a bunch of things in his hand.

"I've taken it! I've taken the mask, balloon, bronchoscope, and intubation!"

The senior brother who was about to go back to make amends looked at Zhang Tianyang's unfamiliar face, and a trace of surprise flashed in his eyes.

His eyes quickly scanned Zhang Tianyang's badge, and he couldn't help being even more surprised when he saw that it was this year's "whole hospital rotation" intern.

Professor Yang nodded to Zhang Tianyang.

Normally, she would exaggerate Tianyang, a student who didn't need her to bother at all.

But now, there is a patient waiting to be rescued!

Her eyes quickly scanned the pile of things in Zhang Tianyang's hands, "What is the number of the endotracheal tube!"

Generally speaking, due to differences in regions and physical fitness, adult female patients in our country usually use a 7.0-size endotracheal tube, and individual thinner patients can use a 6.5-size endotracheal tube.

Adult males in my country are generally suitable for using a tracheal tube of size 7.5.

Different models have different diameters. If it is too small, it is difficult to ensure normal ventilation, and if it is too large, it will damage the trachea and cause many sequelae.

It wasn't that she was worried about Zhang Tianyang, but she knew that this was the first time Zhang Tianyang encountered a situation where he needed to use a tracheal intubation, and she was afraid that Zhang Tianyang would not be familiar with the situation.

But Zhang Tianyang put the things in his arms on the flat car, and instantly found the two pipes inside.

"The 7.0 is for women and the 7.5 is for men. I took both."

"it is good."

Professor Yang nodded and gave Zhang Tianyang a look of approval.

"You start to make preparations now, will you prepare?"

Professor Yang knew that as an intern, Zhang Tianyang could participate in the rescue, but he definitely didn't have the chance to do the intubation himself.

So she never asked Zhang Tianyang if he would be intubated.

Zhang Tianyang doesn't need to know either.

As long as the tools for intubation can be prepared in advance!

Zhang Tianyang replied directly, "Yes!"

Endotracheal intubation has never been done in reality, nor taught in school, but in the system, he has practiced it hundreds of times!

Not to mention the items are prepared, it is not a problem for him to insert it himself!

"I leave it to you! Now prepare the items!

Who, go out with me and wait for the patient!

Put the car here first, don't get in the way, come back and push at any time! "

Professor Yang gave a series of orders quickly, and the brother who called up to help hurriedly walked out of the door, waiting anxiously with the family members for the patient to come.

Zhang Tianyang stayed where he was, and stretched out his hand to move the flat car slightly so that it wouldn't block the aisle.

The channel of the emergency department is the channel of life. Although their patients seem to be in critical condition, they haven't come yet.

What if there was a car accident before her?

When the time comes, whoever gets blocked by this car will die!

Zhang Tianyang stood beside the flat car, and under the watchful eyes of countless patients and family members in the emergency waiting area, he began to prepare the items for tracheal intubation.

"Do you need help?"

The five-year team leader who was in the same group as Zhang Tianyang suddenly appeared from the side.

"unnecessary!"

Zhang Tianyang didn't look up at who it was at all.

He only knows that the patient will arrive at any time. Once the patient is in place, the first thing to solve is to ensure the smoothness of the airway, venous access, and arterial access!

He can't help with the establishment of venous access, so we must ensure that the airway can be opened as soon as possible!

Time is running out, every second counts, and the only requirement is to be fast!

And with his hand speed and reflexes, anyone who comes can only do a disservice to him!

The team leader of the five-year system was moved to the back by Zhang Tianyang, and he was stunned for a moment.

But he didn't leave in anger, but was ready behind Zhang Tianyang at any time.

Not only ready to help, but also ready to admire Zhang Tianyang's divine operation!

Brother Yang is in his heart, and he will never make a mistake!

Zhang Tianyang didn't care so much anymore, and quickly moved the pile of things scattered on the flat car to a place where he could get it in an instant.

Then, unpack!

　The group number is in the profile

　　

　

(End of this chapter)