For such a serious and urgent condition, it is necessary to consult a senior physician in time.

Fortunately, everyone saved the phone number of the doctor in the car, and it was used at this time.

Tao Le remembers that in the annex of the practical assessment, a list of drugs and equipment was listed in the assessment. Among them is a sufficient dose of tetanus antitoxin.

The phone rang for a long time before Ye Chen picked it up.

"Dr. Ye, it's like this, we found a patient with high fever from an injury infection, and now the facial muscles are stiff and unable to open the mouth, and it is highly suspected that it is a patient with tetanus......"

She quickly and clearly introduced the situation, and then asked Dr. Wei next to her, "What is the patient's name?" ”

"Huang Fushan." Dr. Wei replied.

"We are at Huang Fushan's house." Tao Le said into the microphone.

"I'll find someone to lead the way right away." Ye Chen's heart immediately lifted: "Before I arrive, closely observe the patient's situation and pay attention to ......."

"Keep your airway open." Tao Le said.

"That's right." Ye Chen breathed a sigh of relief, hurriedly went to get the medicines and equipment, and found the village director to briefly explain the situation.

The latter was also worried when he heard it, so he beckoned someone to take the initiative to lead the way.

Along the way, Ye Chen was afraid. If it weren't for Tao Le following Dr. Wei over and carefully observing the indications of tetanus, how would they have thought that there was such an acute and seriously ill patient in Tianqiao Village.

If the best treatment period is delayed, and the patients lose their lives before and after they go to the countryside for free treatment, where will their faces be left in the first hospital of the city?

This Tianqiao village is not in a hospital, and there are various sound monitoring instruments and facilities, which are very bad for monitoring the symptoms of patients.

But it only takes fifteen minutes at most, and they can get to the patient's home. In such a short period of time, it shouldn't have been the kind of symptom he feared the most and the most fatal, right?

Ye Chen didn't expect that his worries would come true.

Only five minutes after hanging up the phone, the patient suddenly sweated profusely, his face became cyanosis, his neck was stiff, his horns were retracted, and he had symptoms of laryngeal muscle spasm.

The muscles on his face were tense, his expression was distorted, and he was very painful, which frightened the Huang family.

"Doctor Wei, show Shanzi quickly, what's wrong with him?"

Dr. Wei also sweated urgently on his forehead. He had heard of the symptoms of this laryngeal spasm caused by tetanus, and now he saw it, but there was nothing else but endotracheal intubation.

He can do tracheal intubation himself, but the problem is that Shanzi can't open his mouth now, so he can't do it at all!

"Doctor Tao, what should I do?"

As soon as he spoke, he felt that something was wrong. Even if this young girl is from a big hospital, what can she do, she is just a little more knowledgeable, and she can use all kinds of instruments, but there is no equipment at the moment, what can she do?

When it comes to grassroots practice experience, she may not be able to compare with herself!

Can you only watch Shanzi die of suffocation like this?

When it came to their son's life, the Huang family immediately understood that Dr. Wei was helpless.

The only person who could save his son's life now was the woman in front of him, no, a female doctor.

"Doctor, doctor! I beg you to save Shanzi, save him, he is only fourteen years old! ”

In an emergency, she couldn't care about Tao Le's gender.

Tao Le's heart sank. That's the worst-case scenario, and that's why she's staying and observing. Before Ye Chen's arrival, the patient had difficulty breathing.

Her gold finger is still being upgraded and cannot be used.

For patients with dyspnea, immediate endotracheal intubation should be performed to establish an artificial breathing channel.

Otherwise, even if Ye Chen arrived, it would be too late.

However, the patient's facial muscles are so tense at this time that he can't even open his mouth, and he must not use the method of endotracheal intubation through the mouth.

Incision of the airway is even less feasible. There is neither a sterile environment, nor ventilators and suction devices. Once the trachea is cut and the blood is inhaled back into the lungs, it is not to save people, but to harm people.

Thousands of thoughts flashed in Tao Le's mind, and there was only one feasible and effective method left.

Immediate nasal endotracheal intubation followed by pinching the ball for oxygen.

An endotracheal tube is inserted into the nose and through the back of the throat into the upper airway, and is mainly used when the mouth or throat is injured or swollen and cannot be intubated.

This method of intubation is uncommon, and blind cannulation is much more difficult to operate than normal oral intubation, and often needs to be completed under the guidance of a flexible bronchoscope.

Now, although there are no such good guidance conditions, there is an equally critical respiratory emergency.

Tao Le must successfully establish a breathing passage within 30 to 40 seconds, otherwise the patient will suffer brain damage from lack of oxygen and die.

If you are in a hospital, after the first failure of nasal intubation, you can immediately connect the ventilator and breathing mask, and wait for the patient's oxygen saturation to rise before trying again.

But in the current conditions, she only has one chance.

Fortunately, during the time he was waiting, Tao Le had already opened the diagnosis and treatment kit and put the laryngoscope, several catheters and the emergency respiratory balloon in the most convenient place.

At this time, she didn't care about answering at all, and directly took out the emergency balloon, F28 catheter and a roll of medical bandages, and stood above the patient's head.

"You get the ball and get ready, I'll plug it in as soon as I get it." She threw the ball to Dr. Wei.

The emergency breathing balloon, which doctors call "leather ball", is a simple breathing apparatus made in the shape of a hollow ball.

As long as it is connected outside the endotracheal tube, oxygen can be supplied to the patient by manually pinching the "ball".

It's easy to use, it's cheap, and it's suitable for all environments. Except for tired hands, there is nothing wrong.

Dr. Wei subconsciously unpacked the sterile packaging outside the "leather ball", but his eyes were wide, staring straight at Tao Le's movements: "What are you...... Going to have a nasal cannula? ”

He was so shocked.

If the difficulty of oral tracheal intubation is grade D, then the difficulty of nasal endotracheal intubation is grade A, and the difficulty of blind insertion without fiber brondscope guidance can be increased to grade A+.

Are medical school students so good now? Dare to get started with such a difficult operation directly.

Tao Le didn't have time to answer him. She was engrossed in the nasal cannula.

She gently and slowly inserts the bevel of the tip of the catheter into the patient's anterior nostrils, directed towards the nasal septum.

The Huang family had already covered her mouth, for fear of disturbing her movements.

Tao Le's hand is very steady. The heart is also very stable.

For some reason, when the catheter entered the patient's body, she had a vague intuition that she seemed to be able to sense the state around the catheter.

It's hard to describe the feeling of having everything under control.

------Off topic------

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