Chapter 37 Preparing for intubation

After Dai Yunyang finished explaining, he turned off his mobile phone and hurriedly came to the fever ward of the emergency internal medicine department.

As soon as I entered the door, I was shocked, there were more patients than yesterday, and even there was a queue outside.

The hall was crowded with people, and because of yesterday's lesson, security guards have added sentry posts at the door to maintain order, and a nearby police station has sent a police car to park on the street outside the gate of the emergency center, flashing police lights, ready to respond to emergencies.

After all, there are too many people, and once an incident occurs, it can be catastrophic, and it is necessary to be warned in advance.

Dai Yunyang went straight to the consultation room, and the nurse Wang Bingbing saw him and said, "Doctor Dai, go to the intensive care unit on the second floor, Director Li and they just went up." ”

Dai Yunyang was taken aback and said, "What's wrong?" ”

"I just got the news, that Cai Liya is the girl who committed suicide, her condition has worsened, and her blood oxygen saturation has dropped very badly. Director Li said that he was going to be intubated. ”

Dai Yunyang hurriedly pulled out his legs and ran to the second floor, but he didn't have time to wait for the elevator. When I got to the second floor, I hurriedly changed into protective clothing and entered the quarantine area.

After entering the hall of the intensive care unit, Dai Yunyang was startled, because Wu Hao and Ma Feng and other doctors were rescuing a patient.

At this moment, the screen of the ECG machine next to the head of the bed has become a straight line, and the group of doctors are using electric shock defibrillation on the patient on the bed, the patient is very fat, and every time he is shocked, his mountain-like body trembles slightly. Unlike a thin person, who can jump out of the hospital bed during an electric shock, he is too heavy.

It is precisely because of his obesity that the burden on the heart and lungs is much heavier, and in this case, once there is a problem with the respiratory system of the lungs, it is far more serious than others. So in the entire intensive care area, he was the first patient to enter the critical stage.

However, he was not Dai Yunyang's patient, so Dai Yunyang just glanced at it and hurriedly came to Li Yanling's side.

Li Yanling glanced at him and said, "You came just in time, the patient's condition is not good, hurry up and carry out tracheal intubation." ”

Dai Yunyang agreed, he had already prepared for tracheal intubation when he came in just now, especially wearing a hood-type mask, and took a laryngoscope to skillfully perform tracheal intubation.

When he tilted Cai Liya's head back to open the airway, he could still hear the hissing sound coming from deep in his throat, which was the sound of breath coming out, even through the thick isolation mask.

He hadn't cared about this sound before, but now he felt like the claws of death breaking through the air. He subconsciously stopped, and checked his protection around the corner of his eye, there was absolutely no problem, the protective hood wrapped his entire head and shoulders, even including part of his chest.

It was also the first time he had been intubated in the face of level 3 protection, which had never been done before. He only now realized that it was very difficult, because the feeling of his hands was basically gone, and the heat exhaled made the goggles and mask quickly covered in a layer of white mist, which was impossible to see, and there was no way to clean it with his hands.

Li Yanling next to her saw it and said, "Why don't you take a breath first and wait for the moisture to disappear before doing it?" ”

Dai Yunyang shook his head, and the thought of the patient had dropped to 80 percent oxygen saturation, and her heart would go into arrest at any time if rescue measures were not taken.

Dai Yunyang took a deep breath and continued to intubate. He tried to keep his eyes open for directions, but the fog was completely obscured, so he simply closed his eyes.

Before the written test of the post training, in order to practice his own feel, he had practiced blind insertion, that is, in the case of no perspective, completely relying on the feeling of the hand to intubate, which required repeated practice, although the thick rubber gloves and isolation gown were a great obstacle, but he still quickly found the feeling, and finally successfully completed the intubation.

Li Yanling couldn't help but smile, and she could feel it from the corner of her eyes through the thick mask. She approving: "It's good, you can do it without seeing it, you really deserve to be the first master of intubation in our hospital." ”

The video intercom on the wall suddenly beeped.

Li Yanling connected to the video, and on the screen was the anxious face of the nurse at the nurse station outside: "Director Li, 120 calls to inform that there are three severe new crown pneumonia patients to be transferred to our hospital, which are assigned by the Health Commission." ”

Li Yanling said anxiously: "We only have two empty beds in the intensive care unit now, how can I arrange for three patients?" ”

"Director Zhou of the hospital office said that this was assigned by President Liu, and we were asked to overcome difficulties and find a way to admit them, all of whom were seriously ill patients."

"How to overcome difficulties? There are no beds, ECG monitoring, ventilators, manpower, medicines, protective clothing, these packages can't keep up, how can I figure out a way? ”

The nurse looked bitter. Li Yanling knew that it was useless to get angry with her about this, so she said that she knew.

She walked quickly to Wu Hao's side, and Wu Hao was directing the rescue. Li Yanling couldn't take care of it, and said anxiously: "Director Wu, Director Zhou of the hospital office said that three severe new crown patients would be sent to the hospital, but there are not enough beds, what should I do?" ”

Wu Hao thought for a while and said, "You communicate with the hospital to see if you can mobilize ICU equipment from other departments to expand our wards." ”

"I don't think so, there are also patients in the ICU of other departments, and the ones that can be transferred were transferred last time, and it is estimated that they will not be able to be withdrawn again."

"Then let's figure it out!" Wu Hao was very angry, glared and said, "I'm busy rescuing patients, what are you complaining to me, is the problem solved?" ”

Li Yanling was also angry: "You are the director, who will I tell you if I don't tell you?" If you're the director, you've got to find a way. ”

"I'm the director, but didn't the ICU ward say that you are in charge? Isn't it your own initiative to be responsible for the critical isolation area? Since you are responsible, then you have to find a way! When encountering difficulties, we must find ways to solve them, which is called being responsible. ”

Li Yanling was so angry that her face turned pale, she bit her lip, turned around and rushed out, quickly came to the locker room, disinfected and took off her isolation gown one by one, and rushed straight to the administrative comprehensive office building where the leaders of the hospital were located.

In the corridor, I saw Zhou Weiyan, the director of the hospital office, laughing with a young waitress, the waiter was holding a teapot in his hand and holding a cup, as if he was about to pour water for the conference room, giggling with laughter, but his voice was still suppressed, worried about being heard by the leader.

Zhou Weiyan was originally smiling, but after seeing Li Yanling, he immediately collapsed, looked at her seriously and said, "Director Li, what are you doing in such a hurry?" ”

"I'm looking for Dean Liu, is he there?"

"Dean Liu, they are in the conference room, tell me something."

"It's the three patients transferred by Dean Liu, and there are only two beds in our ward. Since it is a task assigned by the leader, we are obliged to complete it, but it is difficult for a clever woman to cook without rice, and there is no corresponding equipment, how can we save people? So I would like to ask the hospital to find a solution. ”