Yang Wen has always been a gentle person in his usual life.

Even when she works in the emergency department and the patient's condition is not critical, she can speak well.

When she encounters a patient who is about to die, she will speak, move, run, and roar.

Like today, it is extremely rare to directly yell Zhang Tianyang's name and ask him what he is doing.

In an instant, all the white coats in the emergency room, along with several awake patients, turned their heads and fell on Zhang Tianyang's body.

So, what is Zhang Tianyang doing?

At this moment, he had cleaned up all the debris on the side of the old lady's head on the flat car, and then lifted the old lady's head, ready to intubate it himself!

But if the matter is not urgent, he will not make up his own mind.

But now, the old lady's blood oxygen saturation is visibly decreasing, and in just two seconds, it has dropped from 76 to 74.

In this case, intubation must be successful as soon as possible.

If you don't poke it in, waste an extra second, and the old lady will be in danger.

And at the critical moment, he believes in only himself!

"I'll plug it in, you put the catheter down!"

Professor Yang had already flown over here, but Zhang Tianyang was not in a hurry, his face was calm, and his hands were more steady.

The prepared tracheal tube was placed on the body of the old lady who was lying flat, and in his hand was an ordinary glove that had been put on for some time.

I saw that he held a video laryngoscope in his left hand, pressed it on the old lady's chin, and supported the top of the old lady's head with his right hand, and moved the old lady's head into an upward state with both hands.

Then with a slight pressure on her left hand, the old lady's chin was pressed down and her mouth opened.

Holding the video laryngoscope in his left hand, he used the laryngoscope to press down the old lady's bulging tongue, and then pushed it down the base of the tongue and throat.

Soon, delivered to the position, a clear epiglottis was shown on the screen of the video laryngoscope.

"Very good, not a difficult airway!"

Zhang Tianyang was overjoyed, and his right hand took out the tracheal tube stained with lubricant, and inserted it little by little along the gap between the video laryngoscope and the old lady's mouth.

Soon, the front end of the catheter and the air bag appeared on the video laryngoscope, Zhang Tianyang's hand trembled slightly, adjusted the position, and sent it forward, and the front end of the catheter smoothly slid into the airway.

Professor Yang had already rushed to Zhang Tianyang, his face full of anger, "Why did you start ...... yourself?"

"Help me get the catheter removed!"

"You!"

Yang Wen opened his mouth and wanted to scold, but his eyes skimmed over the screen of the video laryngoscope, and he paused.

The next moment, she reacted quickly.

Zhang Tianyang is already half the battle!

She didn't scold anymore, and quickly cooperated with Zhang Tianyang to pull out the tube used for styling in the tracheal tube.

At the same time, Zhang Tianyang grabbed the endotracheal tube with his right hand and sent it in, and the laryngoscope in his left hand retreated outward at the same time.

"Plugged in!"

In an instant, the white coats in the rescue room breathed a sigh of relief.

The other half of the breath can not be spit out until the actual ventilation is successful.

Professor Yang didn't speak, and she didn't look at Zhang Tianyang's face, only at the operation of his subordinates.

Even though she didn't say anything, her clenched lower lip and unconsciously clenched fists proved her shock.

Zhang Tianyang's entire attention was focused on his subordinates and the old lady.

The video laryngoscope had lost its effect, and he casually handed it to the senior brother behind him.

The abdomen looked at the scale on the surface of the endotracheal tube, which represented the depth of the endotracheal tube, and found that the tooth was exactly 22cm.

"Just right. ”

With his left hand instead of his right hand, he held the endotracheal tube tightly to prevent it from going deeper or pulling it out, and with his right hand, he picked up the syringe he had just used to detect the leak and injected half a tube of air into the air bag.

Throwing away the syringe, he removed the air bag with the mask with one hand with his right hand, and then connected it to the endotracheal tube, and began to ventilate the old lady.

"Breathe-in-breathe--"

Professor Yang had already consciously regarded himself as Zhang Tianyang's assistant, and at this time he picked up the stethoscope and began to listen to the old lady's lungs for breath sounds.

If the endotracheal intubation is inserted into the stomach, the breath sounds of both lungs cannot be heard, and only when the real tracheal intubation is successful, the breath sounds of both lungs can be heard.

As for Zhang Tianyang, he was weak and couldn't auscultate, so he could only stare at the blood oxygen saturation on the monitor screen.

"Didi, Didi, Didi"

The monitor emitted a rapid and brief alarm sound, and the blue oxygen saturation on the screen tossed with the old lady's heartbeat.

The value next to the curve was 76% at the beginning and dropped to 74% before intubation, but with Zhang Tianyang's ventilation, this value is rising little by little.

78%

84%

89%

92%

"Whew-"

Finally, all the tense white coats let go of the last half of their breath.

"Okay, okay, tossing for a while, I'm off work!"

The head doctor of the previous class waved his hand, said goodbye to Professor Yang, and led his two students to open the door and go out.

"Huh, this patient's family is so difficult!"

The team leader, who came in through the gap of opening the door, covered his back with his right hand, and his gait was a little unnatural.

"Where was the patient just now, is he going to be intubated?"

"Hey, here. ”

The male nurse who had just helped push the car out of the car nodded at Zhang Tianyang, who was still pinching the tracheal intubation, and pointed out a clear way to the team leader.

The team leader was a little stunned.

He leaned closer, followed Zhang Tianyang's gaze, and saw that the blood oxygen saturation on the old lady's monitor had jumped from 99% to 100%.

When he turned around again, Zhang Tianyang had firmly pinched the tracheal tube with his left hand, removed the air sac that was inflating with his right hand, and then connected the tube connected to the ventilator handed over by Professor Yang.

The tooth removal pad was inserted into the old lady's mouth with the tracheal tube attached.

Take the adhesive tape, tie the tracheal tube and dental pad together, and fix the cross on the old lady's face.

"Okay, I won't have trouble breathing, and I can do a check-up and treatment. ”

Zhang Tianyang retired with a smile on his face.

The team leader watched this short period of time, and he was still a little stunned.

"That's it, it's done?"

Zhang Tianyang took off his contaminated gloves and nodded, "Yes, it's done." ”

"So fast?!"

The team leader was anxious, "I just came in to see how you are intubated, I heard before that it usually takes a few minutes to insert, what's going on with this, it's over in half a minute?"

"It's okay. ”

Zhang Tianyang went to the sink in the corner of the rescue room to wash his hands, leaving the team leader and Professor Yang looking at each other.

"Don't look at me. ”

Professor Yang was regretting that he had just been angry with Zhang Tianyang for no reason, and he was both shocked and emotional.

"It's not me who plugged it in, it's your classmate who plugged it himself, and I don't know why he's so skilled, faster than me. ”

Yang Wen simply admitted that his skills were not as good as others, and then apologized to Zhang Tianyang.

"I'm sorry Xiao Zhang, I thought you wouldn't be intubated, you were acting on your own, I didn't expect you to be so skilled. ”

Zhang Tianyang smiled, "It's okay." ”

has an excellent that does not match his identity as an intern, this kind of thing Zhang Tianyang is used to.

Instead, he was concerned about the patient's business, "Professor, do you need to ask for a medical history?"

"I've just asked, but you can ask for more details. Professor Yang smiled as well.

"Sign the authorization and consent form and critical illness notice for the family and the patient, and then let them hurry up to pay the money and get the medicine, and I will give her some examinations to see what the situation is now. ”

"Okay. ”

Zhang Tianyang and Professor Yang occupied a computer alone, and the two acted separately.

Opening the doctor's workstation and logging on to Yang Wen's account, Zhang Tianyang poked his head over and asked.

"By the way, what's this patient's name?"

"Called, Sun Wei. ”

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