Do nothing

Yan Ke didn't have any feelings about the wedding, and he didn't have much to say to those old classmates.Anyway, doctors will be forced to see a doctor for free when they come out for dinner. Yan Ke took a few pulses casually, saying that they have kidney deficiency, and sent them to take Liuwei Dihuang Wan.

After the dinner, someone asked him if he wanted to take the ferry to Macau together, and Yan Ke knew that many people came to Hong Kong and Macau by the way, so he followed him to the casino when he had nothing to do.The slot machines and roulette boards were too noisy, so he found a corner to sit down and play blackjack. Unexpectedly, he won several big hands in a row, and the chip unit in his hand changed from 21 to 500, which made him look dazed force.

He remembered that an ordinary outpatient clinic costs 5 yuan per number, and with this bargaining chip, he has to see 2000 patients.Oh no, the registration fee was not all paid to him.He probably only got fifty cents.

Damn... what's the use of this white coat!

Yan Ke thought about life for a while, and remembered that he hadn't bought a gift for Yu Cheng, so he firmly rejected the temptation of capitalism, took the money and left.

The next day he went shopping in several shopping malls, but still couldn't decide what to buy.In the end, I had to go to Pelikan to see the pen according to the initial idea.He didn't have much research on fountain pens, so he could only pick one that looked pleasing to the eye, but the price exceeded his budget.He thought it was sponsored by the casino anyway, so he bought it without hesitation.

Fortunately, the plane was not delayed this time.Yan Ke's VIP channel allows early boarding. When checking the ticket, he inadvertently saw an old man coughing and taking off his mask in the ordinary waiting area. The old lady next to him was waiting for him to take medicine.Out of professional instinct, he thought of the Spanish flu.

The Spanish flu pandemic of 1918 infected approximately 10 billion people worldwide and killed 4000 million.The Hong Kong flu in previous years was also suspected to be a precursor to a major flu outbreak, causing panic.

Recently... it seems that there have been reports of fatal cases of influenza in Hong Kong.

But it should be fine, right?Since the old man is taking medicine and wearing a mask, the airport staff should have taken his temperature?

Yan Ke felt that he was thinking too much.The stewardess returned the ticket to him with a smile, and he smiled too and boarded the plane.

He was the only passenger in the business class, and there was a faint smell of perfume in the air. He felt much better and quickly forgot about the old man.After the plane took off, he took out the documents to read, but he still couldn't concentrate, so he played with the pen.

This pen is very delicate, he forgot why the clerk introduced it to him, it seems that it is a limited edition... I don't know if my uncle will like it.

Yan Ke looked at the clouds that were close at hand outside the window, thinking about Yu Cheng in his heart.

Suddenly, the flight attendant's anxious voice sounded on the radio, saying that an old gentleman in the back row had difficulty breathing, and if there was a doctor among the passengers, he asked for help.

Yan Ke instinctively unfastened his seat belt, and was about to stand up when he suddenly realized that he was just a small resident doctor.He doesn't even have the qualifications for consultation, so there is a high probability that he will make a wrong judgment and make a wrong operation, which will harm others instead.Or wait, maybe there are other doctors present?

The flight attendants should also have first aid knowledge and equipment, maybe they can handle it by themselves...

Yan Ke prayed uneasily, the radio rang again, but it was the stewardess asking for help in a more urgent tone.

Want to go?

In the event...in the event of a medical error with serious consequences...his career would be over.

Have there been fewer such doctor-patient disputes in recent years?The hospital held countless meetings for them, emphasizing medical regulations and asking them to protect themselves.In a situation like this, no matter whether the rescue is successful or not, if the family members of the patient bite back and the inspection team reviews it step by step, they will always find mistakes.

What's more, he is only a traditional Chinese medicine doctor who has been in the clinic for less than two years. In the past two years, he has only participated in the first aid in the department under the guidance of the superior doctor, and has no experience in first aid outside the hospital.There is no equipment or medicine on the plane, so what can he do?Artificial respiration?Chest compressions?These stewardesses can do it too!

Yan Ke hoped that he could calm down.He thinks that he is not capable of saving people, and recklessness will only harm people.But his palms were sweating non-stop, and his heart was beating very violently.

It's none of my business and I can't do anything about it.can not go.

I'm not a doctor at all.

Yan Ke closed his eyes and tried to breathe calmly.

"Doctor! Is there a doctor? The situation of the elderly is very urgent! If there is a doctor present, please raise your hand!"

This is the third broadcast.

This shows that there are really no other doctors around.

Head hurts.

Yan Ke gritted his teeth and pulled open the curtain.

"I am a doctor! Where is the patient?"

The stewardess quickly brought him to the patient.All the passengers along the way looked at him with reverence, which made him even more nervous.

The old man lying on the ground turned out to be the old man just now, and two stewardesses knelt beside him, frantically breathing oxygen into him.Yan Ke saw that there was simple artificial respiration equipment in the first aid kit, and the operation of the stewardess was pretty standard, but the old man's chest was still heaving violently, his whole face was as red as a boiled shrimp, but his lips showed a strange state : The periphery is pale and edematous, and a small circle close to the oral mucosa is purple.

Purple should be cyanosis, but...why is it swollen?

The stewardess leading the way shouted, "The doctor is here!" The kneeling stewardess immediately stepped aside.Yan Ke also knelt beside the old man, opened his mouth, and found that his tongue was also swollen.

allergy?

"What did he eat?" Yan Ke asked the surrounding passengers while putting on his gloves.

An old lady who seemed to be a family member was crying and said: "He didn't eat anything! He has a cold and has a bad appetite, so he didn't eat anything in the morning!"

"What about the medicine?" Yan Ke asked anxiously, remembering what he saw when boarding the plane, "What kind of medicine did he take? What was the one he took before boarding the plane? Does he have high blood pressure and heart disease?"

The old lady was anxious and frightened, so she hesitated and couldn't answer.Instead, a foreign woman came up next to her, chattering a lot of English.

Yan Ke couldn't understand at the moment, so he could only look at the stewardess for help.The stewardess didn't hear clearly, she blushed and said pardon to the foreigner.

"Asprin!" The foreigner was also anxious, and shouted in broken Chinese, "Wo gave him Asprin!"

aspirin?

Antipyretic and analgesic drug aspirin... this old drug can cause allergies?Yan Ke pulled the old man's shirt, and sure enough, his chest was also red with many rashes.It is indeed a drug allergy!

For drug allergy, the sensitizing drug should be stopped first, and then oral or intravenous antiallergic drugs should be injected to prevent shock.It is estimated that there will be no anti-allergic drugs for the flight preparations. He caught a glimpse of adrenaline in the medicine box and hurriedly injected the old man intramuscularly.The old man twisted wildly, Yan Ke finally finished pushing the medicine, suddenly his heart tightened.

No, the number one problem right now is difficulty breathing!

Mistaking the priorities, Yan Ke suddenly trembled, and hurriedly asked, "Is there any endotracheal intubation kit?"

The stewardess quickly arrived with a first aid kit.Yan Ke tried intubation with the help of the stewardess, but the old man struggled and refused to cooperate. His swollen tongue kept moving and he couldn't insert it at all.

The stewardesses all looked at him knowingly, and the old lady beside him was also crying. The scene was very chaotic.

Yan Ke's hands began to tremble. He didn't know whether it was his own judgment error or poor operation.Judging from the degree of cyanosis of the old man, the lack of oxygen is already very serious, and I am afraid it will die in a few minutes.

The old man writhed in pain, waved his hands, and beat Yan Ke.Yan Ke gritted his teeth and pressed his hand, feeling a mess in his heart.

what to do?What next?

What a piece of crap I am!It's useless to regret now if you are lazy and lazy!

If little uncle is here...

No, it was because she had been relying on him all the time that she became such a waste!

I'm not qualified to be a doctor at all!It will only hurt people!It's just a waste of resources!

I should be the one to die.

Yan Ke's heart was ashamed, seeing the old man's strength getting weaker and weaker, he coughed twice from time to time.

...wait, why are you coughing?And this coughing sound...

Hoarse... hoarse cough?

Throat edema? !

Yan Ke suddenly realized.No wonder the intubation can't go in!The acute laryngeal edema caused by drug allergy completely blocks the airway, so it is difficult to breathe!

So the first step is to... open the airway!

"Is there a scalpel!" Yan Ke shouted.

The stewardess shook her head in despair.

"Where's the razor? A little blade, something sharp—" He looked around, everyone looked at each other, and shook his head.

sharp things, sharp...

Yan Ke fumbled around himself, and suddenly bumped into a heavy object.With a snap, the pen fell to the ground.

this is okay!

Yan Ke was ecstatic, threw away the pen cap, quickly sterilized the pen tip, and asked the flight attendant to hold the old man down and position his neck with one hand.

Cricothyroid - Between the thyroid cartilage and the cricoid cartilage.Down along the most protruding part of the Adam's apple, about 2-3 cm in the depression.

Cricothyropuncture is suitable for acute upper airway obstruction, laryngeal dyspnea, severe head and face trauma, and when tracheal intubation is contraindicated or the condition is urgent and the airway needs to be opened quickly——

His uncle had taught him.

Yan Ke pointed the tip of the pen that had not been dipped in ink at the cricothyroid membrane, and inserted it downwards forcefully——

If it fails, just switch careers.

I don't have to be a doctor anymore, I don't have so many scruples, and I can still come out of the closet if I say no.

Time has become extremely slow.There is a sense of resistance at the tip of the pen, then it falls, and then the resistance disappears.

Is it ok?Is this depth enough?

Yan Ke recalled the unfamiliar anatomical structure, thinking about Yu Cheng in his heart.

Little uncle, if I kill someone, will you still recognize me?

He suppressed the trembling of his hands, gritted his teeth and pulled out the pen, only to see the old man coughed twice, and then let out a long breath.

Breathing gradually calmed down.

It worked!

Yan Ke fell to the ground exhausted, cheers erupted around him.The flight attendants also wept with joy.

Yan Ke was still a little worried, so he crawled over and removed a tracheal intubation bag again, inserted a sterile hose into the cricothyroid membrane puncture point, and covered it with gauze to prevent infection.

"How long will it take to land?" Yan Ke asked.

"Two 10 minutes at most!"

At the same time, the voice of the captain also came from the radio, saying that he is preparing to land, and all passengers are asked to return to their seats.

Yan Ke nodded.Twenty minutes, the old man should be able to hold on.But even if his condition changed, there was nothing he could do.Oral infusion conditions are not available, and there are no other measures for drug allergy.I can only pray.

Yan Ke was very tired at this time, and after explaining the follow-up care measures, he stood up unsteadily.The flight attendant quickly came to help him and handed out a tissue.Only then did he realize that he was drenched in sweat.

"Thank you." Yan Ke smiled and heard the sound of shutters around him.

"Doctor, you are so handsome! Can you leave a WeChat message?" The stewardess had a red face and was charming.

Yan Ke thought to himself, I'm fucking scared to pee, you still think I'm handsome with this bird look?Unexpectedly, more people came up to ask for a group photo and autograph. He was so flattered that he hurriedly fled and ran back to the business class to wipe his tears.

It should be... okay?The operation just now.

Yan Ke reflected, and at the same time had a small expectation in his heart.

Will Yu Cheng praise me?

Father……

Father probably wouldn't.He would say: Isn’t cricothyroidopuncture a basic operation?

Even so, Yan Ke was still in a very happy mood.Until the stewardess ran over holding his pen.

What the hell!

Yan Ke quickly checked the nib of the pen, whether it was damaged or not, the stewardess also carefully wiped off the blood.Although the pen cap was thrown on the ground by him, fortunately the plane was covered with carpet, so there was no scratch.

But it can't be sent out like this!The pen that pokes through the cricothyroid membrane...

It must be too late to return to Hong Kong...Limited edition, will City A sell it? ...

Yan Ke sighed heavily.