The first is the mask, which is unpacked directly.

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

The air cushion is where the mask comes into direct contact with the patient's skin, and if there is not enough gas inside, the mask will not be tightly fastened.

When the patient's own airway is not opened, the mask is not tightly buckled, and the airway cannot be pressurized and ventilated, and the airway cannot be successfully opened.

The end result is that the doctor dies in a hurry, and the patient suffocates to death.

Zhang Tianyang quickly dismantled a 5ml syringe, sucked air, injected it, and the air cushion was instantly filled.

After connecting the mask to the airbag and placing it next to it for later use, Zhang Tianyang pounced on another pile of items.

The team leader who followed Zhang Tianyang was instantly shocked.

He was still preparing to help Zhang Tianyang just now, and if he had sleeves, it should be in a state where the sleeves were rolled up.

But how long has it been?

Five seconds?

Why is it already a good one?

The team leader couldn't help but reach out and wipe the sweat that had just oozing from his forehead, and when he turned his head, he saw that Zhang Tianyang's hand had already flyed!

......

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

Unwrap the protective sleeve and put it on the laryngoscope that has started to light up.

About three seconds, which is just the time for the laryngoscope to be successfully energized, 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 the corner of the 7.0 caliber catheter, but did not pull out the catheter.

Pull out the thick metallic guidewire, poke the guidewire through the end of the catheter, and send the end of the guidewire to the air bag of the catheter.

Break the front end of the catheter by hand, and fix the catheter into an arc with the help of the fixing effect of the guidewire inside.

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

It had taken him ten seconds to get there.

Zhang Tianyang's hands have always been fast.

It was so fast that there was an afterimage, so fast that several family members of patients who were sitting in the waiting area and casually watching his operation subconsciously stood up, and the team leader behind him completely gave up the idea that he could help.

But when he did this, he slowed down significantly.

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

But the team leader behind him knows that this is not stuck, nor has he forgotten what to do next, but is serious and responsible.

Before endotracheal intubation, it is important to check for leaks in the balloon on the tube to be used.

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 lateral trachea.

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

Effective ventilation is not guaranteed, and the patient will die.

Therefore, at this time, it is necessary to use airbags.

A bubble is blown up at the end of the endotracheal tube with an air bag to fill the entire airway, blocking all the bypasses through which the air can pass, so that the airway can be opened successfully.

Sometimes, the situation is very urgent, and some people are in a hurry and forget to check the leakage of the airbag, so they directly send the catheter in.

It turned out that after finding that there was no way to assist breathing, I had to pull it out, change the tube, and insert it again.

How can a patient in a crisis withstand such a back-and-forth toss?

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

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

Quickly pull the gas back and let the airbag deflate.

The prepared tracheal tube was patted on the flat car along with the package, and Zhang Tianyang proceeded to the final step.

Quickly open a new bottle of lubricant, disassemble a 5ml syringe, remove the needle, and use the blunt tip of the syringe to poke directly into the rubber film of the lubricating oil.

After pumping several times, I finally got a large half tube of viscous colorless liquid.

Shoot all of them directly into the bag containing the endotracheal tube, rub the tube up and down, and lubricate it.

Zhang Tianyang stopped moving.

That's it, forty seconds.

Everything is ready.

The tracheostomy bag is a bit expensive, and it is too late to remove it when the endotracheal tube cannot be inserted.

"Whew-"

This is not Zhang Tianyang's voice, but the voice of the patients and family members who are facing Zhang Tianyang and watching his "performance" throughout the whole process.

Zhang Tianyang's movements were too fast, his expression was too serious, and they didn't know exactly what was going on in time, but they could guess that this matter was in a hurry.

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

"Lao Zhang, you're awesome......"

The team leader behind him also breathed a sigh of relief, and just wanted to exaggerate Tianyang, but a white coat suddenly rushed over at the door of the hospital.

"Hurry, hurry, the patient is coming, cart!"

It was the senior brother who had just followed Professor Yang out to wait for the patient.

The senior brother gasped as he rushed, "Are you ready for tracheal intubation, ...... Eh, you've got it done so quickly, let's go!"

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

"Let's go!"

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

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

The action of the two is simply amazing, and the flat car is stunned and pushed quickly.

The team leader was stunned for a while.

"Why don't you go!"

The patients and their families who were watching from below couldn't stand it.

This is obviously a critically ill patient to be rescued!

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

"Let's go!"

was yelled at by a muscular family member, and the team leader instantly became clever and rushed over.

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

"Get out of the way!"

The team leader was taken aback, and 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 used all his strength to flash to the side-

"Click!"

Finally, dodge. ”

Behind Zhang Tianyang, followed by a board car that couldn't stand up after putting the patient, at this time, under the guidance of Zhang Tianyang to open the road, he was directly sent to the rescue room.

"The family members stay outside!

The flat car was pushed in, and the four family members of three men and one woman also wanted to follow, but they were directly pushed out by Zhang Tianyang.

"We're going in! you give me ...... Eh, what are you doing!"

The team leader who rushed over with his waist covered received Zhang Tianyang's eyes before closing the door, and firmly blocked several family members out of the door.

Inside the door, the white coats of the previous shift who were supposed to get off work were still guarding their posts, ready to help.

The old lady's situation is not too good.

Although I was sent by my family to take a taxi as soon as I found out that something was wrong, it still took a lot of time on the road.

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

"Click!"

The fixed pedal under the flat car is pressed and the body is fixed.

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

"Blood oxygen saturation is dropping!"

The oxygen saturation of the blood has dropped to 76 is shocking, and Professor Yang has long lost his usual gentleness, and he only grows when he speaks.

"Suspect vomit blocking the trachea, intubate immediately!"

Professor Yang shouted and commanded, and the little nurses had already come over to open the venous access to the old lady unconsciously.

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

"Is the adrenaline ready?"

"Are you ready for the endotracheal tube? I'll give it to her...... You ......"

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

"Zhang Tianyang, what are you doing!"

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