Chapter 22 - Cardiopulmonary Resuscitation of Drowning Children (Part II)

The young mother heard everyone's cries for help, and the plot in the play happened to come to a small climax, she muttered quietly in her mouth, what a noise, and unconsciously raised her head.

The little boy sitting on the opposite side was empty, and he didn't see anything.

"Your kid fell overboard. ”

A great sense of foreboding appeared in the mother's heart.

Where did she care about the plot, lost the tablet, and screamed miserably in her mouth, "Xiaobao, where are you, mom came to save you." After that, he stabbed down...

Where did you think that this stupid woman, she herself can't swim.

Hearing that someone had fallen into the water, Zhang Yang threw the racket to the ground and quickly rushed towards the lake.

With him were the group of middle-aged uncles playing badminton...

A four or five-year-old child fell into the water and didn't come up directly, and the mother couldn't swim, so she plunged down to save her son.

Everyone rescued the mother to the shore, and the young mother didn't see her little treasure, and sat on the shore crying very unimaged.

Plop, seven or eight men who had taken off their shirts went into the water.

At a critical juncture, there is no shortage of people who work hard.

"Found the child. "Everyone saw a young man with a bare upper body carrying a child on his shoulder.

Pushing him into the rowing boat...

Zhang Yang watched the child's breathing, and even his heartbeat was gone.

The situation at this time is very critical, the child's mouth is full of mud and weeds...

"Call 120 with a mobile phone, and say that there is a child who is drowning, has respiratory arrest, cardiac arrest, and asks them to send defibrillation equipment quickly, quickly, row the boat to the shore..."

It is difficult to carry out effective cardiopulmonary resuscitation on the boat, Zhang Yang used the fastest speed to clean up the dirt and weeds in the child's mouth and nose...

Originally, cardiopulmonary resuscitation is now recommended for CAB is: C chest compressions, A open airway, B insufflation, which is what people call artificial respiration.

However, Zhang Yang believes that the site does not meet the CAB conditions.

In the more than one minute that the boat docked, Zhang Yang used the fastest speed to clear the airway.

Zhang Yang knelt on the side of the little boy, put one hand on his forehead and pressed back slightly, and placed the other hand on the lower edge of the patient's lower jaw with his index finger, and lifted the jaw up and forward, so that the patient's oral cavity and throat axis were straight. Then check whether the patient has self-breathing by three methods: looking (whether the chest is undulating), listening (whether there is an exhaled sound of airflow), and feeling (whether the face feels whether there is airflow exhalation).

Of course, this is the standard procedure, and spontaneous breathing is certainly not available.

The boat is fast to the shore. Not only were people rowing, but there were also a few middle-aged uncles who played badminton pushing on the side.

At a critical juncture, there will always be a group of warm-hearted hearts to warm the indifferent heart of this society...

Artificial circulation is to form a pressure difference between the inside and outside of the chest cavity through chest compression, maintain blood circulation power, and supply blood with oxygen after artificial respiration to the brain and heart to maintain life.

The group lifted the boy off the boat and laid him flat on the flat ground next to him.

Fortunately, the weather conditions are good now. Lying flat on the ground will not cause secondary injury to the patient due to the bad climate.

The child's mother saw that the child, whom she regarded as her life, was lying on the cold ground like this at this time, and the whole person had already collapsed...

However, now she can only cover her mouth and cry in a low voice, she still has to pray, pray for Guanyin Bodhisattva, Jade Emperor, Jesus Mary, Allah Allah, etc., as long as her child can be lived, she can agree to anything...

It's just that her prayers can't be heard, and he is preoccupied with rescuing the patient.

As a doctor, being there for patients when they need them most is good luck.

The little boy is unfortunate and lucky...

Zhang Yang laid him flat on the ground and immediately performed heart compressions:

In the lower half of the sternum, in the middle of the chest, the midpoint of the two ** lines.

Lean forward with both shoulders directly above the patient's chest, waist straight, take the buttocks as the axis, press down vertically with the weight of the entire upper body, overlap the palms of both hands, interlock the fingers and press with the palms, the arms should be straight, and the elbows should not be bent. In general, the ratio of cardiac compressions to rescue breaths is 30:2.

Standard CPR is really fast and forceful compressions, as they were told by their instructor when they were studying medicine.

The frequency should reach more than 100 times per minute, and as for the patient's body that cannot withstand the strength of an adult doctor, it is not considered for the time being, even if it breaks two ribs for the patient, it is better than losing their lives.

Saving lives first, and then treating the disease, is the standard that Zhang Yang has always implemented and conscientiously implemented.

Life is precious, and everyone only has one chance, so we should cherish it

For every 30 compressions, 2 rescue breaths are required, and then the chest is repositioned and chest compressions, and so on, which is the most standard first aid method.

Although An Nuan studied traditional Chinese medicine, how could artificial respiration not be.

Zhang Yang squatted on the child and pressed and counted quickly, when 30 was counted by Zhang Yang, An Nuan quickly took a deep breath and crossed into the little boy's mouth...

After two rescue breaths, another quick and firm chest compression...

Rapid and skillful CPR is very physically demanding.

Even though Zhang Yang was naked and soaked, sweat still appeared on his forehead.

His breathing began to get heavy...

Fortunately, after 30 compressions, I stopped for two artificial respirations, and if I kept pressing for five minutes, it was estimated that the doctor was tired and paralyzed.

The chance of being rescued from drowning for more than 10 minutes is about 50 percent, and the chance of being rescued after more than 25 minutes cannot be said to be zero, because a miracle can happen.

The little boy drowns within 10 minutes, so the next 10 minutes are very important...

According to the usual style of ambulances, even the rescue time of extra express will be 10 minutes later.

Therefore, there is no defibrillation equipment around, and Zhang Yang can only use cardiopulmonary resuscitation to carry out rescue again and again...

One minute, three minutes, five minutes...

As the minutes ticked by, there were many people around, many of whom were silently praying for the little boy to turn the corner.

It was quiet, except for the sound of ambulances speeding from near and far, and the sound of heavy breathing...

"There's breathing, there's a pulse," An Nuan touched the little boy's carotid artery. Said happily.

"Thank goodness. The people around him let out a long breath.

The child's mother came running.

Holding his own child and crying.

"Mom, my chest hurts. The child cried after coughing violently.