"Doctor Zhou! Dr. Chow! Fast! Fast! Danielle, she can't do it, she can't hold her breath! ”

Cathy rushed in with the stroller and almost fell, but luckily the child was tied with a seat belt.

Elena immediately ran out and came to the stroller to take a look, little Danielle was really pitiful, her face was pale, her breathing was short, her chest rose and fell with her breathing, and every time she inhaled, it would form a deep "pit", which made people worry when they looked at it!

"Did she choke on something?" Elena asked quickly as she unfastened Danielle's seat belt.

Cathy burst into tears, and hurriedly cried: "I don't know, I really don't know, I just went to the toilet, and when she came back, that's it!" ”

At that time, Cathy was in a hurry and had no first aid experience, so she immediately pushed her to run to the Iris Clinic, because she didn't have time to check the situation at home, so she didn't know what Danielle had swallowed.

Most likely, it was a small hand scratching at something, and then stuffing it in the mouth.

"It can't be a gummy, right? How many gummies did I eat at the time, could it be that one fell out on her cot? Cathy said uncertainly.

At this time, she regretted it very much, what kind of gummies she had nothing to eat!

Elena tried the Heimlich maneuver by placing her baby face down, holding her breast, head and neck with one hand, and tapping the shoulder blade area on her back with the other hand.

However, little Danielle didn't spit out anything at all!

There is no problem with her operation, the chest cavity of babies under one year old is soft, and the way of treatment is different from that of adults, Elena just used the back percussion method.

Seeing that the back percussion method was ineffective, Elena immediately switched to the chest impact method!

But it still didn't work!

In fact, the Hai's first aid method is more suitable for suffocation caused by a relatively solid and slightly harder foreign body, which can be completely removed by pushing and pushing under air pressure. If it's something soft, such as bananas, very soft gummies, it's unlikely that the Haiss method will be discharged!

"What to do? What to do? Elena was in a hurry, and her eyes suddenly lit up, "By the way, the skin is pressurized, let her take a few breaths first!" ”

Elena hurriedly carried Danielle to the disposal room, and at the same time shouted to Cathy without looking back: "Help call Zhou Qiao and ask him to rush back immediately!" The phone number is posted right on the wall! ”

"Okay, okay, I'll fight right away." Cathy also went around and around, and finally saw Zhou Qiao's number, so she quickly took out her mobile phone to dial.

Elena had already carried Danielle to the disposal room, hurriedly found the breathing skin, and after receiving oxygen, she gave Danielle first aid, pressed a few times, and found a finger clip oximeter for little Danielle to clip, and then continued to press.

Seeing that the oxygen saturation had risen, from 80% to 90%, and when I was happy, suddenly, Danielle's situation took a sharp turn, and the large "pit" between the breaths reappeared, and it lasted for a long time, for several seconds, and at the same time, the oxygen saturation dropped rapidly, from 90% to 80% again, and continued to fall, 79%, 78%......

Every time the number jumped, Elena worried: "Joe, Joe, why haven't you come back yet?" ”

Elena is going to cry! I was so anxious that I stomped my feet.

When he was desperate, a very calm voice suddenly came from his ear: "This is a serious airway obstruction, there are two options, one is to directly operate to remove the foreign body, and the other is to intubate the trachea first, and then perform surgery after identifying the foreign body." ”

"Huh?" Elena looked back and saw the cold, taller girl with curly chestnut hair and many freckles on her face, standing behind her.

She couldn't help but be surprised and asked, "Are you a doctor?" Then you come to first aid! ”

Murphyllo groaned and said, "It's better to do tracheal intubation first, and wait until the cause is clear before surgery." ”

Elena immediately said: "There is an endotracheal intubation, I'll get it right away!" ”

Looking at Elena's back running away, Murphy was unusually calm on the surface, but he was slightly relieved in his heart, because she had the theoretical knowledge of surgery, but almost never practiced it!

Even if it is an endotracheal intubation, she has only been a dummy, and she is also an adult prop, and she has never operated on such a small baby!

The difficulty of infant endotracheal intubation is naturally higher than that of adults! Not to mention anything else, the baby's trachea is thin, and the mucous membrane is very fragile, which is easy to damage and even cause edema.

Elena hurriedly brought the full set of equipment for endotracheal intubation.

When she came in, Cathy was also at the door of the disposal room, waiting anxiously, and when she saw Elena, Cathy hurriedly said, "I have contacted Dr. Zhou, and he said to rush back immediately." ”

Elena nodded, then immediately entered the disposal room, put the things on the table, and looked at Murphy.

Saving people is like fighting fires, she naturally can't wait for Zhou Qiao to return, even if it doesn't take more than five minutes.

Murphy glanced at the instruments, including laryngoscopes, intracatheter guidewires, suction tubes, dental pads, syringes, anesthetic sprays, etc., while the disposal room already contained stethoscopes, oxygen masks, small portable ventilators, and hand-held end-tidal carbon dioxide monitors.

Although the clinic is small, everything is quite complete.

Murphy's calm face was like the surface of a frozen lake in winter, and the theoretical knowledge and simulation skills he had learned in school were like an undercurrent at the bottom of the lake.

She glanced at little Danielle, and a virtual three-dimensional airway model appeared in front of her.

It's like a holographic projection, but it's not. It's a condensation of her imagination.

Immediately, her hands began to move.

Chin lift and forehead push.

With Danielle's atlanto-occipital joint as the turning point, his head is tilted back as much as possible, and his mouth, pharynx, and larynx are in a straight line.

Then, pinching little Danielle's mouth, getting closer, three big breaths were blown in, giving positive pressure artificial respiration!

Subsequently, an anesthetic spray was used to administer a topical anesthetic to little Danielle's throat.

In fact, it is better and more convenient to do endotracheal intubation after general anesthesia, but it is simply too late now.

"Laryngoscope, No. 1 lens, 3.5mm catheter."

Almost as soon as Murphy's words fell, these few things were in her hands.

Murphy couldn't help but glance at the little nurse next to him in surprise!

Elena blinked and motioned for her to hurry!

At this moment, with Murphy as the backbone, Elena is used to being an instrument nurse, and she has calmed down, and has already connected the carbon dioxide monitor, almost as soon as Murphy speaks, her things have arrived.

In general, there is a calculation formula for the selection of pediatric catheters: (legal number) F = age + 18, and a total of 3 serial catheters are prepared for use.

Because the pediatric common trachea is short, with the glottis reaching only 4 cm from the neonatal process, the depth of insertion is usually such that the anterior end of the catheter will exceed the upper sternal border.

However, this formula only works for toddlers over 2 years old.

A 3 mm or 3.5 mm catheter is available for full-term neonates and small infants, a 4 mm catheter for 1-year-olds, and a 5 mm catheter for 1-2 year olds.

Little Danielle is only a little more than a month old, so it is naturally more suitable to choose a 3.5mm inner diameter.

Poor little Danielle, there is no full moon wine, no Baby Shower (baby shower), but ushered in tracheal intubation in more than a month!

And it was also the first real operation of a resident doctor who couldn't find an internship hospital and was rejected N times!