Su Hongwen didn't know how he got home, lying on the bed with a dizzy head but couldn't sleep, he knew he was drunk, but he was very awake, he was lying on the bed, the mobile phone was still on the side, staring at the mobile phone by the moonlight, he was waiting for Fei Ran's call, but the mobile phone was still quiet until three o'clock in the middle of the night, I don't know when Su Hongwen fell asleep.

The next day was Monday, Su Hongwen got up from the bed with red eyes, the first thing was to see if there were any missed calls and text messages in the phone, but unfortunately there was nothing, he laughed at himself and shook his head and went to wash, the ridiculous thing he did yesterday should be regarded as a dream, and today this dream should wake up.

Coming to the hospital and looking at the emergency triage desk that was busy early in the morning, densely packed with patients and family members, smelling the familiar smell of disinfectant water, Su Hongwen felt that this was his world, a more real world, and yesterday's events were a little blurry like a dream.

After changing his clothes, Su Hongwen just sat down Zhuang Ying and Jin Hao came, Su Hongwen tested the homework left for them as usual, Jin Hao, this kid is not as smart as Zhuang Ying, but he is willing to work hard, he will watch whatever you let him see, and let him carry him, so Jin Hao has done a good job of these homework, but Zhuang Ying is lazy and likes to be smart, always thinking that she can get away with it by taking a few quick glances, but Su Hongwen saw through her careful thinking by a few questions.

As a teacher, Su Hongwen knew that it was difficult to change her mentality if she was punished for the night shift, and she had to use facts to make her understand that as a doctor, it was not enough to be smart, but also to have a solid basic knowledge. directly took Jin Hao and Zhuang Ying to the triage table.

Zhuang Ying thought that she had escaped a catastrophe and was a little complacent at this time, while Jin Hao stood beside Su Hongwen a little smugly and stared at the patients who came to see her, with a look of eagerness in his eyes.

Zhang Qingmeng was at the triage desk, and when he saw Su Hongwen standing here with two students, he didn't go in and handed over the class, and couldn't help but say, "Dean Su, who are you?" ”

Su Hongwen smiled and said, "Take them to a long experience." ”

As soon as Su Hongwen's voice fell, the phone at the triage desk rang, and after Zhang Qingmeng answered, he simply recorded it, and then turned his head to Su Hongwen and said: "Dean Su just said that there is an emergency patient who is being sent to us, and the preliminary diagnosis is respiratory failure, do you see if you are the patient, or will I call the doctor on duty today?" ”

Su Hongwen said: "I will receive the treatment, so I don't need to inform them." ”

After about twenty minutes, the siren of the ambulance was heard outside, and Su Hongwen directly pushed the flat car and ran out with Jin Hao and Zhuang Ying.

When he got outside, Su Hongwen asked his family members about the patient's condition while helping the 120 emergency personnel lift a man in his fifties onto the flat car. She was followed by a woman in her twenties, the man's daughter. called Liu Miao, and said to Su Hongwen anxiously: "My dad has a cold these days and keeps saying that he has a sore throat, so I asked him to go to the hospital and said that he would take some medicine." We didn't take it seriously. When I woke up this morning, my dad was speechless. I was trying to persuade him to go to the hospital to see him, but he was pinching his neck and was out of breath, doctor, please save my dad. ”

Su Hongwen nodded and said, "Don't worry, we will do our best." ”

Speaking of this, he pushed the man inside, and suddenly turned his head to Zhuang Ying and said, "What is this patient's disease?" ”

Zhuang Ying looked at the man's face turned blue. His lips were purple, his expression was very painful, his hands were scratching at his neck indiscriminately, his mouth was wide open, but he couldn't breathe, just like a fish falling to the shore, seeing the patient like this, Zhuang Ying was anxious, wrinkled and stammered: "I, I don't know." ”

Su Hongwen saw that the patient's family had not caught up and said, "You are responsible for the treatment of this patient." ”

Zhuang Ying was dumbfounded, and said with a pale face: "Teacher Su, I won't." "I'm going to cry when I say this.

Su Hongwen glared at her and said: "You know that you are clever, you don't even know what disease the patient has at the critical moment, and you will become a doctor in the future, either to save people but to kill people." Speaking of this, he turned his head to Jin Hao and said, "What kind of disease does he have?" ”

Jin Hao was a little nervous and said, "It seems to be an acute laryngeal obstruction." ”

Su Hongwen nodded with satisfaction and continued to push the patient to run quickly into the emergency room, and shouted when he passed by the triage table: "Prepare for emergency tracheotomy, quickly." ”

On the way to the rescue room, Su Hongwen said to Zhuang Ying: "I know you are smart, but where is your cleverness used?" You don't even know acute laryngeal obstruction, one of the three major emergencies in otolaryngology, what will you do if your relatives and friends get this disease in front of you in the future? Jin Hao sued him for the critical course of this disease. ”

Jin Hao scratched his head a little embarrassed, but still said: "Acute laryngeal obstruction is one of the three major emergencies in otolaryngology-head and neck surgery, and the patient in front of him has cyanosis and unconsciousness, and has reached a severe state, if he can't rebuild his respiratory tract within ten minutes, he will die." ”

Zhuang Ying was surprised: "Is there such a strict zhòng? ”

Su Hongwen snorted coldly and said, "If you don't learn countless things, you are so strict?" It's a shame that you can ask, you can think about this matter for me today, and in the future, if you are playing smart and not reading good books, you will go back and forth. ”

Zhuang Ying was anxious when she heard this: "Don't, Teacher Su, can't I read a book well?" ”

At this time, the patient had been pushed into the emergency room, Su Hongwen didn't have time to deal with Zhuang Ying and said directly: "You two go to the patient's family to sign, this patient must have a tracheostomy immediately, remember the conversation skills I told you, you are now the patient's family, what the patient's family will want to know the most, how do you need the doctor to comfort you, you think for yourself." ”

Zhuang Ying and Jin Hao were just about to turn around when Liu Miao rushed in, Zhuang Ying stopped her and said, "You come out first, there is a rescue inside." ”

The nurse had already installed the ECG monitor, and Su Hongwen was wearing gloves, at this time, the patient suddenly struggled violently, and the nurse couldn't hold him down, so she hurriedly called Su Hongwen: "Dean Su's patient is going to die, what should I do?" ”

Su Hongwen turned his head to look at the ECG monitor, the blood oxygen was falling rapidly, and it was obviously too late to do a tracheostomy at this time, so he shouted directly: "Give me the trocar, do the cricothyroid puncture first, call someone to come in and press him, quickly." ”

When Liu Miao saw the nurse rushing out and shouting, she immediately became excited, pushed Zhuang Ying away, rushed in, and rushed in front of her father, saying urgently: "Doctor, what's wrong with my dad?" You must save him, I beg you. ”

Su Hongwen knew that it was impossible to push the family out forcefully at this time, and she could also help when she arrived, but now there was not enough manpower, so he thought of him and said: "Your father has acute laryngeal obstruction, and now he must do cricothyroid puncture, you hold him down, and the surgical consent form or something will be said later." ”

Zhuang Ying and Jin Hao also rushed in, helping the nurse and Liu Miao to hold down the patient, Su Hongwen held an iodophor cotton ball in one hand and a trocar in the other, directly disinfecting between the thyroid cartilage and the cricoid cartilage.

If you want to find it yourself, you can lower your head and gently touch it down along the most prominent part of the Adam's apple, and there is a soybean-sized depression about 2-3 cm, which is where the cricothyroid membrane is located.

Su Hongwen held the trocar needle in his right hand and pierced it directly, as soon as the resistance in his hand disappeared, Su Hongwen pulled out the needle, and left the needle tube inserted in the airway.

Su Hongwen wiped the sweat on his forehead and said, "Take the family out and let him sign, and you have to do a tracheotomy." ”

Liu Miao also breathed a sigh of relief when she saw her father quieting down, and reluctantly glanced at her father and followed Jin Hao and Zhuang Ying out.

The so-called tracheostomy is actually not very difficult, that is, to make a hole about three centimeters under the thyroid gland, push the lower edge of the thyroid gland, and then bluntly separate the muscles below, and finally use a knife to punch a hole about two to three centimeters on the trachea tube, if the patient needs to connect the ventilator to the cannula.

This operation is not very difficult, but if Jin Hao and Zhuang Ying are asked to do it, they can't do it, even if they work in the otolaryngology department for a year or two, they may not be able to do it, the reason is naturally inexperienced, there is a difficulty in this operation, that is, the cannula, it is difficult for inexperienced people to go in, and it is very difficult.

But these are not difficult for Su Hongwen, in less than five minutes, he cut the trachea and then took the tracheal cannula and went inside with the help of tracheal forceps, but at this time, the patient's trachea was stimulated, he began to cough violently, and a large stream of yellow mucous sputum sprayed Su Hongwen all over his face, and other people were afraid that they didn't have the heart to get off the tracheal cannula at this time, but began to complain and then went to find a place to wash.

But as a doctor, you have to endure it, no matter how nauseous you are, you have to put the tracheal cannula in Su Hongwen finally put the tracheal cannula in with a hard hand.

At this time, Liu Hongsheng and Chen Jinzhou also came in, Liu Hongsheng looked at the yellow phlegm on Su Hongwen's face and hurriedly said, "Dean Su, you go wash and leave the fixed matter to us." ”

Su Hongwen nodded and didn't refuse, but before leaving, he still said, "Hurry up and inhale it." He said this before leaving.

Chen Jinzhou couldn't help but say when he saw him leave: "The size is also a dean, as for fighting so hard?" You can't just get this job by someone from the otolaryngology department. ”

Liu Hongsheng glared at him and said angrily: "What are you talking about?" Can this patient wait for someone from the ENT to come? You look at his face, you look at his lips, Xiao Chen, what do you want me to say about you? Okay, hurry up and fix the casing. ”

On the other side, Su Hongwen went to take a bath, and Feng Xu arrived as soon as he came out. (To be continued......)

PS: The second more is sent, popularize medical knowledge, and if you are interested, you can find your own cricothyroid membrane according to what is written in it, and finally continue to ask for a monthly pass!