Chapter 105: Forty Seconds of Life and Death
With this intuition, Taule placed the catheter behind the patient's nose.
With a precise movement of the right hand, the catheter is rotated 90 degrees so that the bevel is directed towards the posterior pharyngeal wall, advancing smoothly but gently.
Approaching the glottis. She swirled the catheter so that the bevel was facing the sidewall, and her left hand raised the patient's neck through the glottis and into the trachea.
First-time success. Tao Le quickly pulled out the catheter wick, used a medical bandage to fix the nasal cannula, and immediately took the "ball" from Dr. Wei's hand and connected the catheter.
By pinching the balloon, oxygen enters the patient's airway through the catheter, and oxygenation is quickly improved.
The patient's eyes visibly relaxed, and the cyanosis on his face began to fade away.
From the patient's respiratory muscle spasm to the unobstructed airway, no more, no less, just forty seconds.
Tao Le counted down the time accurately through the countdown in the upper left corner of the field of vision.
It was in this short forty seconds that the smell of gunpowder smoke filled the silence, cutting off the door of life and death.
It wasn't until this moment that Tao Le raised his head, and what he received was Dr. Wei's adoring gaze.
"Doctor Tao, you're amazing!" That's what he really said.
If at the beginning, he relied on his years of experience in the countryside to despise these young doctors from the city, now this idea is gone.
A blind insertion of a nasal canal made him realize the huge gap between himself and the medical students who came from a professional class.
Any female doctor, who may also be a Chinese medicine professional, can do it so neatly as soon as she makes a move.
If you look at it this way, what kind of powerful Dr. Xiao Chen, who is now even famous in the ears of the villagers?
When Ye Chen and the village chief rushed into the house in a hurry, they saw Dr. Wei seriously pinching the ball.
His frequency is very steady, maintaining about eighteen times a minute, and he is very serious and focused.
The patient's nasal tube was very eye-catching, Ye Chen could see it at a glance, and his heart was excited.
It seems that what he was worried about happened just now.
"Doctor Ye, are you here?" Seeing them come in, Tao Le, who was observing the wounds, immediately stood up.
"Just now, the patient had a sudden laryngeal muscle spasm, and the situation was urgent, so he could only do nasal tracheal intubation....."
As soon as she said this, she was interrupted by Ye Chen.
"Xiao Tao, you go and take over and pinch the balloon for the patient."
"Okay!" Tao Le obediently took over the shift change and replaced Dr. Wei, who had just desperately snatched this job.
Ye Chen walked towards Doctor Wei with an emotional expression and held his hand: "Doctor Wei, you are a real person who doesn't show your face!" ”
Doctor Wei looked ignorant: "Huh? What? ”
He couldn't think of what he did so well that he deserved such praise from Dr. Ye, who led the team in the first hospital.
Is it because I pinch the ball well, my hand strength is big, and the frequency is stable? This is indeed true.
Thinking of this, he hurriedly said modestly: "This work of pinching the ball, as long as you practice a little, anyone can do it well, it's nothing." It's ......."
"Dr. Wei has such a good sense of humor. Naturally, I'm not talking about this ball, but about nasal cannula. Ye Chen's evaluation of Dr. Wei has been raised a lot, not only has rich practical experience, but also is so modest!
"Without any assistive devices, I can successfully complete the nasal intubation with blind insertion and keep the patient's airway open, and even I may not be able to do better than you."
"Ah, that's not ......" Doctor Wei opened his mouth to refute, but he didn't stop Ye Chen's words.
I only heard him sigh: "Doctor Wei, you have refreshed my understanding of the village doctor!" ”
It was only then that Dr. Wei had time to interject.
"But the one who did the blind nasal cannula just now is Dr. Tao!"
Doctor Tao, which Doctor Tao? Ye Chen's mind reacted for a while before realizing that the person Dr. Wei was talking about was Tao Le.
How is this possible?
It's no wonder that he didn't think about her from the beginning.
In addition to seeing Dr. Wei pinching the ball, it is also because of this nasal intubation technique, which is a very difficult practical skill.
Even if he himself was the chief patient a few years ago, without the guidance and support of the fiberscope, the probability of a successful blind insertion is not high, let alone the residents.
As for Tao Le, she hasn't participated in regular training yet, it would be good to be able to give the patient a normal oral intubation, nasal? Does blind mating have to be done right the first time? Are you kidding.
Newcomers practice, and there are a few who don't shake their hands. There are no men or women in this matter, everyone is similar.
At this time, his mind suddenly flashed that Tao Le's steady and accurate movements on the overpass fluttering in the wind.
By the way, she has a high psychological quality, so her hands are steady. It is because of this that she was able to do something that was almost impossible for her in such an urgent situation.
Ye Chen looked at Tao Le and saw that she was not angry and resentful of her misunderstanding at all, but seriously pinched the ball in her hand, again and again, and the interval was as accurate as if it was coming out with a stopwatch card.
The sound of the patient's family crying to the village chief also reached his ears.
"I almost thought just now that Shanzi was about to be gone, and my heart was mentioned on my lips, and I was so scared that I couldn't do it - even Dr. Wei couldn't do it!"
"Fortunately, there is Dr. Tao, I can't understand how she did it, and after a few moments, Shanzi came back to his senses!"
"Fourth uncle, you have to thank Dr. Tao for me!"
Ye Chen's eyes froze. He always thought that no matter how good a person is, he will be suppressed by the environment and bound by luck.
So he is not optimistic about all the girls in this group, including Tao Le, and he doesn't want to do useless work for them.
But the incident in front of him was like a loud bell striking his head, letting him know that he was wrong.
Even in such a severe patriarchal environment, capable people will still rely on their own to find a way.
Just like right now, isn't there a family of patients who sincerely identify with Tao Le's identity as a doctor and forget her gender?
So he himself also needs to think about what to do.
What followed was like water. Ye Chen personally did the incision and debridement of the wound, completely removed the spores and necrotic tissue, and picked out a few tiny wooden thorns from the middle, which made Dr. Wei's face slightly red.
After a skin test, Tao Le established an intravenous line and gave the patient an intravenous infusion of 20,000 units of tetanus antitoxin.
"Tetanus has already occurred, we are just doing first aid, and many monitoring equipment in the village can't keep up, so we have to send it to a higher-level hospital." Ye Chen said to the village director.
"I immediately organized a few people to come over, carry him down the mountain, and send him to the township hospital." Director Huang of Tianqiao Village, who is also Huang Fushan's fourth uncle, immediately went out to call someone.
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