I'm really an intern

Chapter 116 Zhang Tianyang, what are you doing! (Second more)

The first is the mask, directly unpacked.

Zhang Tianyang pinched the air cushion around the mask, feeling a little soft, and there was not enough gas inside.

The air cushion is the place where the mask directly contacts the patient's skin. If there is not enough gas inside, the mask will not be tightly buckled.

When the patient's own airway is not opened, the mask cannot be fastened tightly, the pressurized ventilation cannot be performed, and the airway cannot be successfully opened.

The final result is similar to the sudden death of the doctor and the suffocation of the patient.

Zhang Tianyang quickly disassembled a 5ml syringe, sucked in the air, injected it in, and the air cushion was instantly inflated.

After connecting the mask with the airbag and putting it aside for later use, Zhang Tianyang rushed to another pile of items.

The group leader following Zhang Tianyang was shocked instantly.

He was still preparing to help Zhang Tianyang just now, if he had sleeves, they should be rolled up.

But how long?

Five seconds?

How come you have already picked up one?

The team leader couldn't hold back and wiped the sweat that had just leaked from his forehead. When he turned his head, he saw Zhang Tianyang's hand flying up!

The laryngoscope equipped in the emergency department is a visual laryngoscope, which does not need to be disassembled and assembled, just press a switch.

Take off the protective cover and put it on the laryngoscope that has started to light up.

About three seconds is just the time for the laryngoscope to be powered on successfully. Zhang Tianyang has already prepared this piece and put it aside for later use.

The patient is female, and the corresponding endotracheal tube diameter should be 7.0.

Zhang Tianyang shook his hand and easily unpacked a corner of the 7.0-caliber catheter, but did not pull out the catheter.

Pull out the thick guide wire full of metal texture, poke the guide wire in from the end of the catheter, and send the end of the guide wire to the balloon of the catheter.

The front end of the catheter is moved by hand, and the catheter is fixed in an arc with the help of the fixing effect of the guide wire inside.

Untie the small hollow tube wrapped around the end of the catheter, quickly disassemble a 5ml syringe, and suck air to check the leak of the air bag at the front end of the catheter.

It took him ten seconds to get here.

Zhang Tianyang's hands are always fast.

It was so close that afterimages appeared, so close that the family members of the patients who were sitting in the waiting area casually watching his operation all stood up subconsciously, and so close that the team leader behind him completely gave up the idea that he could help.

But when he did this action, he obviously slowed down.

The expressions on the faces of several family members staring at him changed slightly, and they wanted to speak, but held back.

But the team leader behind him knew that it wasn't stuck, nor did he forget what to do next, but he was serious and responsible.

Before endotracheal intubation, it is an important step to check the balloon on the catheter to be used for leaks.

The endotracheal tube must be smaller than the airway in order to be inserted smoothly.

However, it is precisely because of the small circle that the endotracheal tube cannot fill the airway, which leads to a gap between the tube and the outer trachea.

Once assisted breathing is performed, the gas will all leak out through these gaps.

Effective ventilation cannot be guaranteed, and the patient must die.

So, at this time, the airbag must be used.

A balloon is used to blow up a bubble at the end of the endotracheal tube to fill the entire airway, so that all the bypasses through which the gas can pass are blocked, so that the successful opening of the airway can be guaranteed.

Sometimes, the situation is very urgent, and some people forget to test the airbag for leaks in a hurry, so they directly send the catheter in.

It turned out that after finding that there was no way to assist breathing, it had to be pulled out, replaced with a tube, and inserted again.

How can a patient in a critical situation survive such back and forth?

Therefore, it is necessary to carefully check for leaks in advance.

Zhang Tianyang stared intently at the changes in the gas-filled airbag, and waited for three seconds before nodding in satisfaction.

Quickly pump the air back to deflate the air bag.

The prepared endotracheal tube was photographed on the flat car together with the packaging, and Zhang Tianyang carried out the last step.

Quickly disassemble a small bottle of new lubricating oil, and disassemble a 5ml syringe, pull out the needle, and directly use the blunt tip of the syringe to forcefully poke into the rubber film of the lubricating oil.

After repeated pumping several times, I finally got more than half of the tube of viscous colorless liquid.

Directly inject all of it into the packaging bag containing the endotracheal tube, rub the tube up and down, and lubricate it.

Zhang Tianyang stopped moving.

That's it, 40 seconds.

Everything is ready.

The tracheotomy kit is a bit expensive, and it can be removed when the endotracheal tube cannot be inserted, and there is still time.

"call--"

This is not Zhang Tianyang's voice, but the voices of the patients and family members who were facing Zhang Tianyang and watched his "performance" from the emergency waiting area.

Zhang Tianyang's movements were too fast and his expression was too serious. Even though they didn't know exactly what happened, they could guess that it was urgent.

Therefore, after Zhang Tianyang completed the preparations, they felt even more excited and finally relieved.

"Old Zhang, you are awesome"

The group leader behind him also heaved a sigh of relief, just as he was about to exaggerate Tianyang, a white coat suddenly rushed over from the hospital entrance.

"Quick! Quick! The patient is here! Push the cart!"

The one who rushed in was the brother who had just followed Professor Yang out to wait for the patient.

While rushing, the senior brother panted, "Is the endotracheal intubation ready? Come on, you got it done so quickly? Let's go!"

Zhang Tianyang grabbed the relatively expensive video laryngoscope with one hand, and pressed the prepared endotracheal tube on the flat car with the other, pushing the car forward with all his strength.

"go!"

In the eyes of the team leader, a white coat rushed over with a "swoosh".

Immediately afterwards, two white coats and a flat car rushed out again with a "swoosh".

The mobility of the two was simply astonishing, the flat car rattled and was pushed so fast.

The team leader was stunned for a moment.

"Why don't you go!"

The patients and their family members watching from below couldn't stand it any longer.

This is obviously a critically ill patient who needs to be rescued!

Those two white coats flew over, why did this white coat stay here in a daze!

"Go!"

After being yelled at by a muscular family member, the team leader was quick-witted and rushed over.

As soon as he rushed to the door, he met Zhang Tianyang's serious face.

"Get out of the way!"

The team leader was taken aback, he instinctively wanted to ask why.

But in the same way, instinct told him that he should listen to Zhang Tianyang.

In an instant, he exhausted all his strength and dodged to the side——

"Crack!"

"Finally, get out of the way."

Behind Zhang Tianyang, followed by a cart that could not rattle after putting on the patient. At this time, under the guidance of Zhang Tianyang, he was sent directly to the emergency room.

"Family members stay outside! Rescue is needed!"

The flat cart was pushed in, and the four family members, three men and one woman, wanted to follow, but Zhang Tianyang pushed them out directly.

"We want to go in! You give me, what are you doing!"

The group leader who rushed over clutching his waist received Zhang Tianyang's gaze before closing the door, and firmly blocked several family members from the door.

Inside the door, the white coats from the previous shift who were supposed to be off work were still at their posts, ready to help.

The old lady is not doing so well.

Although the family took a taxi as soon as they found something wrong, it still took a lot of time on the road.

The old lady was unconscious and vomited twice in the car. During the 2 minutes approaching the hospital, she seemed to have symptoms of dyspnea.

"Click!"

The fixed pedal under the flat car is stepped on and the body is fixed.

Zhang Tianyang quickly took the monitor handed over by the nurses, quickly connected it, and the waveform soon appeared on the screen.

"Blood oxygen saturation is dropping!"

The blood oxygen saturation has dropped to 76, which is shocking. Professor Yang has long lost his usual gentleness, and only growls are left in his speech.

"Suspect that the vomitus is blocking the trachea, intubate immediately!"

Professor Yang yelled and directed, and the little nurses had already spontaneously and consciously come over to open the veins for the old lady.

The moment Zhang Tianyang saw the blood oxygen saturation of his fingertips displayed on the screen, he grabbed the things in his hand and dodged to the side of the old lady's head.

"Adrenaline ready?"

"Are your items for endotracheal intubation ready? I'll give them to you"

Yang Wen stared at Zhang Tianyang who rushed to the old lady's head, his eyes widened.

"Zhang Tianyang! What are you doing!"

(End of this chapter)