Chapter 14 Cricothyroid membrane puncture
Weekend.
Li Xiyang got up at six o'clock, had breakfast, went for a run, and arrived at the hospital at a quarter past seven.
It's hard to rest, and the original plan was to sleep in,
But when you think of the rules of the system, the task of earning medical ethics is imminent.
finally turned positive, Li Xiyang didn't dare to be careless at any time.
At this time, there was still some time before the eight o'clock shift, and there was a rare silence in the emergency room.
As soon as I went to the lounge to change into a white coat, I met Ouyang Ming when I came out.
Ouyang Ming was the attending physician in the emergency department, and Mo Kai was the same time.
"Hello Doctor Ouyang!"
Li Xiyang smiled and said hello.
Ouyang Ming was stunned at first, probably because of an accident, why is Li Xiyang still here.
After all, the emergency department is so big, and everyone knows about the newcomers who come in.
The news that Li Xiyang was eliminated by the internal determination has long been spread.
So seeing that Li Xiyang was still there, Ouyang Ming didn't react for a while.
"Dr. Li is also early!"
Li Xiyang smiled: "It's close, come over and see if there is any help." ”
Ouyang Ming nodded: "It's diligent, not bad!" ”
At this time, the radio in the hall sounded, "There is a patient at the consultation desk, and the doctor on duty is coming." ”
Ouyang Ming frowned, he had just opened three surgeries in a row, and he hadn't even had time to drink saliva.
"Doctor Ouyang, why don't I go!."
"You?"
Ouyang Ming hesitated, "Okay, if you can't solve it, remember to call me!" ”
"Good!"
Li Xiyang hurriedly ran to the consultation desk.
When he arrived at the consultation desk, Li Xiyang saw a little girl lying on the ground, and an old man sitting at a loss next to him.
"What's going on?"
Li Xiyang patted the little nurse who was helping the little girl with the examination.
The little nurse raised her head and said anxiously, "The patient is 4 years old, swallowed a hard building block raw, and his breathing is abnormal..."
"Huh? How are you? ”
The little nurse's name was Chen Ruo, and as she spoke, she noticed that it was Li Xiyang standing in front of her.
Li Xiyang's gaze fell on the little girl.
[Trachea: Oops, something is blocked here, the baby can't breathe]
[Heart: There is a disorder of circulation in the body, so panicked]
[Brain: I can't think...]
"Doctor Lee, Doctor Lee?"
Seeing that Li Xiyang was in a daze at this time, Chen Ruo said anxiously,
"Dr. Li, the patient must be sent to the emergency room immediately, and there can be no further delay."
Li Xiyang shook his head, "It's too late." ”
"What?"
"You haven't tried, do you have to give up?"
Although Li Xiyang's performance in the emergency department was not very outstanding before, he had a low-key personality and was down-to-earth and hardworking, so Chen Ruo's impression of him has always been very good.
Yesterday, I heard the news that Li Xiyang could stay in the hospital, and I was quietly happy for him.
Now it seems that Chen Ruo feels that he has seen the wrong person.
As a doctor, how can you give up on patients!!
Just when she was about to pick up the girl and go to the rescue room, she heard Li Xiyang suddenly say: "No. 12 needle, sterilization!" ”
"Gauze."
"Duct tape."
"Family, please hold the patient's head!"
"Huh?"
The old man didn't know what Li Xiyang was going to do, but when the doctor spoke, he hurriedly got up from the ground and did so.
"Doctor, you must save my granddaughter, please!"
"Don't worry, old man, it'll be fine soon!"
"Dr. Li, what exactly are you going to do?" Chen Ruo looked puzzled.
Li Xiyang said, "Cricothyroid membrane puncture!" ”
Cricothyroid puncture is the most rapid first aid measure to open the airway in an emergency.
A new airway is created by inserting a thick needle, knife, or other sharp object through the cricothyroid membrane, thereby relieving airway obstruction and asphyxia.
"Let's go to the rescue room!"
Chen Ruo heard that Li Xiyang was not going to give up on the patient, and his tone was much better.
If you rescue here, you can't guarantee that the wound will be clean and sterile.
Li Xiyang shook his head, "It's too late, the patient is already suffocating, and the artificial airway must be opened immediately." ”
As soon as he heard this, Chen Ruo hurriedly ran to the medical guidance desk and took out a first-aid kit from behind.
"Dr. Lee, size 12 needle!"
"Sanitize!"
"Good!"
Just when Chen Ruo was sterilizing the needle, a system prompt sounded in Li Xiyang's brain.
[Detected host may currently require cricothyrocentesis, now recommended for you]
[Municipal medical-grade cricothyroid membrane puncture, 10 points of medical ethics can be redeemed]
[Provincial medical-grade cricothyroid membrane puncture, 25 points of medical ethics can be redeemed]
[Quasi-national medical-grade cricothyroid membrane puncture, 50 points of medical ethics can be redeemed]
[Chinese medical-grade cricothyroid membrane puncture, 100 points of medical ethics can be exchanged]
Seeing the terrifying medical ethics points behind, Li Xiyang also shook his head with a wry smile.
Because the surgery during the exemption period is not counted, Li Xiyang's current medical ethics point is 0.
I had no choice but to rely on myself.
Receiving the needle handed by Chen Ruo, Li Xiyang's mind quickly flashed knowledge points about cricothyroid membrane puncture.
"The patient lies on his back to remove the pillow, padded the shoulders, and tilts his head back.
Puncture is performed in a depression between the cricoid cartilage and the thyroid cartilage.
The surgeon has a left hand to the index and the middle finger to fix both sides of the cricothyroid membrane, and the right hand holds a syringe to pierce vertically from the cricothyroid membrane.
When the needle penetrates and the resistance is suddenly lost and the air can be withdrawn, the puncture is successful. ”
Although Li Xiyang had never had a cricothyroid puncture before, he had a strange feeling at this moment, and those movements seemed to have been integrated into his body a long time ago.
Holding the needle in one hand, finding the position with the other,
Li Xiyang did not stab in without any hesitation.
Chen Ruo on the side was also shocked by Li Xiyang's neat and tidy methods.
Cricothyroid puncture is not a difficult operation, but the techniques she has seen other elderly doctors in Corey do not seem to be as clean and neat as Li Xiyang, giving people a sense of steadiness.
Chen Ruo suddenly felt that maybe it was not luck that Li Xiyang could stay in the hospital, but he was too low-key in the past.
Now he is just beginning to shine with his own light.
For a while, Chen Ruo stared at Li Xiyang's side face and was stunned.
"Doctor, is my granddaughter okay?" The old man noticed that his granddaughter's face was noticeably better.
Li Xiyang shook his head, "It's just that I'm out of danger temporarily, and I still need to immediately surge to remove the foreign body in the trachea." ”
The old man said anxiously, "Then doctor, please help my granddaughter with surgery!" ”
Li Xiyang said, "I am not good at this surgery, but don't worry, we have better doctors here." ”
As he spoke, Li Xiyang looked at Chen Ruo, "Nurse Chen, please go to the lounge and inform Dr. Ouyang!" ”
"Huh?"
"Oh oh oh!"
Catching up with Li Xiyang's gaze, Chen Ruo's little face immediately became hot,
Hurriedly lowered his head and ran to the lounge.
At the same time, the voice of the system sounded again.
[Congratulations to the host for successfully completing a case of cricothyroid puncture, medical ethics +1]
[Feel the gratitude from the patient's family, medical ethics +2]
[Feel the recognition from your peer Chen Ruo, medical ethics +2]