Chapter 132: Wise

Aunt Huang on the bed next to her was stunned, and at the same time felt a little scared.

She had almost the same symptoms as Fat Zhou just now, both of them were extremely saturated with blood oxygen, but there was no major change in the whole person, and there was no major obstacle to even breathing and speaking.

The only difference is that she feels as if she is holding her breath and the symptoms are relatively obvious, but it is not unbearable, it is much milder than Aunt Huang when she first entered the intensive care unit, and she did not have tracheal intubation at that time.

However, this time, the young Dr. Dai decided to intubate her trachea, which she felt was simply too wise, and she was also very good at agreeing to Dai Yunyang's decision when her symptoms were not particularly dangerous.

Endotracheal intubation turned out to be right. Her blood oxygen saturation basically returned to normal, so she witnessed the death of Zhou Fatzi, who resisted intubation and fell to the ground after getting out of bed and walking two steps.

If she hadn't agreed to endotracheal intubation just now, I'm afraid that she would have fallen to the ground and died at this time.

Seeing that the fat man Zhou, who was still talking to her just now, turned into a corpse at this moment, she twisted her head to the side in a panic, didn't dare to look at it anymore, and her breathing became unusually short.

Nurse Wang Bingbing hurriedly comforted her and told her to relax, otherwise her breathing would be chaotic and her oxygen saturation would drop again.

This sentence is very crucial, and Aunt Huang quickly controlled her mood and adjusted her breathing.

Dai Yunyang and other doctors gathered around Zhou Fatzi's bedside, looking at each other all the time, and they couldn't come back to their senses for a long time, because Zhou Fatzi's death was too weird.

Wu Hao suddenly said to everyone: "Doctors, all the people who can go to the big conference room, let's discuss this medical record." I think this case needs to be summarized to avoid similar situations in the future. ”

Almost everyone has a heart on their minds. That's right, if this patient appeared in their hands, they wouldn't do better than Dai Yunyang.

Soon, except for a few doctors and nurses on duty, the intensive care isolation unit was concentrated in the medical office.

Wu Hao said: "There were just two patients, and the blood oxygen saturation dropped sharply almost at the same time, and it was extremely dangerous to thirty or forty percent, and we heard the alarm and rushed to check. Although the oxygen saturation of both of them is unimaginably low, according to normal circumstances, they should be in a coma or have their hearts stopped beating with such a low blood oxygen saturation, but no, two people are next to each other, a man and a woman, one in his thirties, and the other in his fifties. Both of them breathed normally, their breathing was not short, their heart rate was not fast, and the only thing was that their blood oxygen saturation far exceeded the coma warning line. ”

"At first we thought it was a problem with the oximeter, but after the examination, everything was normal, and the fingers were not painted with nail polish or anything, so we tested it with our fingers and showed that it was normal. It means that their oxygen saturation has been severely reduced, but why do they breathe freely? There was no coma or other conditions of hypoxemia, I couldn't figure it out. ”

Fortunately, Dr. Dai proposed intubation, and the female patient agreed to be intubated quickly, and the oxygen saturation immediately returned to normal values. However, the fat male patient in his thirties was reluctant to be intubated, thinking that he was fine, and went to the toilet by himself. ”

"I think this issue needs to be taken seriously, and we need to figure out what is going on and what causes it. Have you ever been in a similar situation?—— you may have been too busy to think about it before. Now that you think it's not an isolated case, I don't think it's an isolated case. ”

All the doctors and nurses bowed their heads in contemplation.

A doctor suddenly said, "I have a patient who was talking to me before he died. The monitor began to chirp, and the heart waves turned into a straight line. But he was still talking to me a minute ago! I just thought I was useless, but now I think about it, his blood oxygen saturation was very low, it seemed to be in the 40 percent, but because he was fine, I thought it was a machine failure, I didn't pay much attention to it, and before I could say it, he died. ”

Another old doctor said: "I also remember, there is a patient on my fourth floor, a middle-aged man in his forties, and I asked him how he was during my ward rounds. He said he felt better. As a result, when I left his room to check the next room, I just went out, and the ECG monitor behind me ticked, I turned my head to look, his ECG became a straight line, and the emergency rescue was not saved, now I recall that his blood oxygen saturation was also very low at that time, and I forgot how much I both, anyway, it was below 70%, but the person is normal. ”

A female doctor said: "You have reminded me that I also have a patient who was eating when he died, and the non-invasive ventilator mask was taken off, and while eating, suddenly the lunch box rolled off his hand and fell to the ground, with a bang. I hurried over to see that he was dead, and he was still eating! ”

A doctor next to him asked, "Could it be that you take off your mask and suddenly lack oxygen?"

"Impossible! He ate like this for the first two days. Take them off when you eat, eat two, and put them back on, and you're fine! That deoxygenation didn't last long, but he died suddenly. I couldn't sleep that night, thinking about how human life is so fragile. Say no, it's gone. Now that I think about it, I think my blood oxygen saturation should be low, but I didn't pay attention at the time. ”

Everyone was gossiping, and according to statistics, several patients died very suddenly, and there was no sign of deterioration at all in the first minute, and the ECG monitoring became straight in the next minute, and no matter how much they rescued, they couldn't be saved.

Wu Hao listened to everyone quietly, and carefully recorded it in a notebook. When everyone had said more or less, he asked, "Did you pay attention to the patient's oxygen saturation at that time?" ”

Most of the doctors shook their heads. The patient died so suddenly that he didn't think about it at the time. Now that I hear Wu Hao mention this problem, everyone thinks this is too weird, why is it that people who are so seriously saturated with blood oxygen are still nothing?

Among these patients who died suddenly, after careful investigation, Wu Hao found three cases of blood oxygen saturation falling very violently, and then the patients died suddenly. This shows that the case of Zhou Fatzi encountered now is not a special case.

Wu Hao said: "This issue deserves our attention, and it seems that we need to move the intubation forward. The female patient Aunt Huang just now was intubated in time by Dai Yunyang and saved her life, otherwise she would probably collapse and die like Zhou Fatzi. But we can't wait until that's the time to intubate, because it's too late and dangerous. He should be intubated before his blood oxygen saturation falls below 90. ”

This proposal was a bit ahead of its time, the doctors looked at each other, and the doctors in several emergency centers such as Dai Yunyang nodded in agreement.