Chapter 20: Simple and Crude
The patient's father came to the bedside, and Director Feng introduced the patient's condition and asked what happened and how the patient could have organophosphate poisoning.
The patient's father sighed and said, "This girl really can't think about it, and after a few quarrels, she said that she was going to die to show me." At first, I thought she was angry, but then I couldn't get through on the phone, so I panicked and called her mother to rush to her place, went into the house to see, the person was gone, and found a pesticide bottle on the bathroom table. I was terrified and asked my neighbors, only to find out that I was in a coma and had been taken to the hospital. ”
When Director Feng heard this, he asked in surprise: "Found the pesticide bottle?" ”
"Well, on the bathroom table."
It turned out that the neighbor did not find the pesticide bottle at the scene of the patient's coma, because the patient took the pesticide in the bathroom, and then walked to the living room to collapse. Fortunately, Chen Tianming has always been resolute in organophosphate poisoning, and Zuo Li proposed to wash the stomach first, and at the same time make preparations and plans for organophosphate poisoning rescue, so that he can be quickly treated.
Sun Tao was a little embarrassed, it turned out that Chen Tianming was right, his misjudgment delayed the rescue, and he changed the topic curtly and asked the patient's parents: "Are you from the countryside?" ”
The patient's parents shook their heads, saying that both of them were employees of the unit.
Sun Tao asked again: "Then how did your daughter's pesticides come from?" ”
The husband and wife couldn't figure it out. However, the patient's mother suddenly remembered something and said: "A few days ago, my daughter went back to her hometown to see her grandparents, who were in the countryside and had pesticides in their old house, so she secretly brought them back. ”
"So, your daughter has been thinking about suicide for a long time, haven't you noticed?"
"Hey, who would have thought. Today's children are more powerful than the other, and if they don't say a few wrong words, they will die or live. It's hard to figure out how big a person is to commit suicide......"
As he was talking, he suddenly heard an anxious voice from the other side of the hospital bed that was being rescued: "What's going on?" The ventilator intubation and interface are not matched, what's going on in your emergency department? ”
Director Feng was startled, hurriedly ran over, and asked, "What's wrong?" ”
The person in charge of the rescue was an attending physician of the otolaryngology department who came to the consultation, surnamed Tong, holding an intubation in his hand, pointing to the throat of the patient on the bed and saying: "The trachea has been cut, only to find that the tracheal plug and ventilator interface in your emergency center are not of the right model, it can't be connected, and the ventilator can't be used, what should I do?" ”
Director Feng hurriedly said, "Where's the oxygen supply ball?" ”
The head nurse hurriedly said, "There is only one, the bed over there is in use, and there is nothing superfluous." ”
Director Feng was angry and said, "Why don't you prepare a few more?" This is only now happening. ”
The head nurse said aggrievedly: "The equipment department didn't give it, we said a few times that they still didn't give it, saying that they all had ventilators, what do you want so many oxygen balls for, waste, only one." ”
"These bastards! Ask them what to do with the equipment section now? ”
Chen Tianming rushed over and asked, "What is the patient's disease?" ”
Dr. Tong said: "Staphylococcus aureus sepsis, renal insufficiency, adult respiratory distress syndrome. A tracheostomy must be performed and put on a ventilator. I cut open the throat, but I didn't expect that the ventilator in the emergency center and the interface would not match! It's amazing! ”
Director Feng asked sharply, "Where is the head nurse?" ”
The head nurse had previously called in the doctor's office and had returned to the emergency room of the ward. Hearing that she was called, she hurriedly ran over and explained: "Director, we can't be blamed for this, the ventilator was replaced by the equipment department yesterday, and the original ventilator was not good, so it was replaced with the latest one." After the change, they left, who would have thought that they had changed to a new machine, and they didn't even change the interface conduit. ”
"Why don't you check? When I came to the end, I found that there was a problem, so I hurried up and called the equipment department to send the interface. ”
The head nurse said, "They won't send it, we'll go down and get everything we want." It always has been. ”
"Then hurry up and send someone to the equipment department!"
The head nurse hurriedly said: "It's too late, from here to the basement, even if the elevator is waiting there, the people from the equipment department are also waiting there, and they can get it immediately, and it will take at least twenty minutes to come and go." The patient's trachea has been cut open and will die within minutes of not being on a ventilator! ”
Chen Tianming said: "I called someone from our department to send an interface over, and our department should have this type of interface." ”
The head nurse hurriedly said: "No, your chest and lung department will take more than fifteen minutes to get here." And do you have an intubation interface for this new ventilator? ”
Chen Tianming said: "We have just changed to a ventilator, there should be, call them to send it, we can't sit still and wait for it." As he spoke, he took out his mobile phone from his pocket and was about to dial the number.
Zuo Li squeezed in from behind, went directly to the patient, and without saying a word, took a piece of gauze and covered it on the patient's incisional trachea, leaned down and breathed directly from mouth to mouth.
Suddenly, everyone was stunned.
No one expected that Zuo Li would solve the problem in such a simple way! Direct mouth to incision with rescue breaths.
The method is simple, but all people didn't expect it, because this kind of thing has never been encountered before, everyone is thinking about how to find a suitable tracheal interface, thinking is limited to this problem, and there is no way to think of it from the perspective of rescue.
On the contrary, it was Zuo Li, a young doctor in the Department of Traditional Chinese Medicine, who simply and rudely came directly to a mouth-to-incision for artificial respiration. Only then did everyone realize that there was such a simple solution to the problem, and they were a little ashamed for a while.
Fat Tiger hurriedly came over and said, "Let me come." ”
Left Force waved his hand to signal that it was not needed.
Unexpectedly, the fat tiger pushed him away directly, took a deep breath, and leaned down to start artificial respiration with his mouth against the incision.
The searchlight showed approval in his eyes, and said to Zuo Li: "Let the fat tiger come, don't look at him fat, the fatter the person is, the more beneficial it is to do artificial respiration, the mouth is as thick as a sausage, and the incision is more tightly blocked." Hey, he's like a big oxygen ball, and you're a trumpet at most. ”
Zuo Li smiled, watching the fat tiger inhale rhythmically, and the pain of suffocation on the patient's face began to ease, and then he was relieved.
Director Feng also breathed a sigh of relief, and hurriedly sent two nurses to the equipment department to find a new interface, and Chen Tianming also called, asking them to take the port of a ventilator from the thoracic surgery department immediately, so as not to find it in the equipment department, there can be a backup.
After Chen Tianming finished calling, he smiled and said to Zuo Li: "You are still clever enough to think of this way." To be honest, I just had to think about where to get the interface faster. ”
"Mouth-to-mouth artificial respiration can be thought of by everyone, but mouth-to-mouth artificial respiration through tracheal incision is beyond the general mindset of people, and it is normal to think of it. Especially a big beauty like you, you would definitely not think of breathing with a bloody incut with delicate red lips. ”
Chen Tianming couldn't help blushing when he heard him praise his beauty, and glanced at him quickly: "You are praising yourself, right?" You can transcend the mindset of ordinary people, which means that you are not ordinary people! ”
"Our TCM is originally divergent thinking, multi-angle thinking, and all-round syndrome differentiation and treatment. Unlike your Western medicine, which pays attention to rigorous logic and accurate testing, it is relatively easy to form a mindset. ”
"Yo, even your Chinese medicine is boasting? Don't be ashamed! ”
"I also praise the rigor of Western medicine."