Chapter 173: Confession is the most useless apology (seeking a monthly ticket~)
Generally speaking, the most commonly used method for foreign objects to obstruct the airway is Heimlik's first aid.
The principle is to use the impact of the abdomen and soft tissue under the diaphragm to be suddenly impacted, creating upward pressure, pressing the lower part of both lungs, thereby driving the residual air in the lungs to form a stream of air. This impactful and directional air flow that drives straight into the organs can eliminate foreign objects blocking the organs and throats, causing people to be rescued.
But, again, Heimlik's first aid method is prone to complications and is not very efficient.
The little girl's father is obviously not good at this kind of operation.
When she was sent to the hospital, the little girl was already in a state of loss of consciousness. At this critical moment, Heimlik was not the most effective measure.
In hospitals, bronchoscopy and airway ventricular options are much more appropriate than Heimlik's first aid.
If Chen Cang encountered such a patient outdoors and outside the hospital, he would definitely use Heimlikfa for first aid.
However, if the patient's breathing and heartbeat stops, do not knock on the patient's back at this time, but contact the hospital in time.
The treatment room of the endoscopic room of the Provincial Second Hospital is very high. Although it is not comparable to that of the operating room, it is sufficient for airway ventilation.
However, since it is a surgery, no matter whether it is a big or not, it is necessary to sign a lot of things such as informed consent form and surgical consent form with the family. Although the matter is urgent at this time, Chen Cang must also do these things well.
Don’t think that these things are all optional. Since surgery is called surgery, it means there are certain risks and limitations, and it cannot be foolproof.
Chen Cang left the door of the endoscope room and saw a man and a woman quarreling!
To be precise, a woman in a bank career suit standing there, pointing at the man sitting on the chair with tears on her face.
"Xu Liang, tell me what can you do as an adult? You can't even bear to see your child. You play your broken game all day long! Why don't you play? Let me tell you, if a child has a divorce if he has a big or two, he will get a divorce!"
Xu Liang buried his head between his legs, held the back of his head with both hands, and let the woman curse without saying a word.
It's really his fault!
If something really happened to the child, he would never let him go in his life.
When I kept thinking about the sweet smile in my mind, Xu Liang was like a knife slashing his mouth in his heart!
Is it painful?
The heart is like a knife cutting!
Xu Liang even was willing to use his name to exchange for the life of his child.
She is only three years old!
Cute, sensible, and laughing.
I just taught her the pinyin letters these two days. Tiantian was very happy. She seemed to be full of infinite enthusiasm for those letters, reading them over and over again, writing them over and over again.
Whenever Xu Liang thinks of this, he wants to throw away his phone!
If you don’t play games, accompany your child to finish your homework, accompany her to read the spelling letters, and accompany her to grow up...
How great it should be!
Thinking of this, Xu Liang's tears fell on the ground one by one.
Not aggrieved!
It's confession!
It's helpless!
There is only one life, no one pays for your mistakes, Xu Liang's hands are inserted into his hair, scalp, and even... flesh!
But these pains are nothing.
Nothing is more important than the sweet life at this moment.
Thinking back to the little things in life, thinking of the cute girl sitting on her head and pulling her hair, and shouting that her father's head is so oily that his father doesn't wash his hair, Xu Liang could no longer help and burst into tears.
He was so scared!
He was so scared that he was dying!
He regretted it so much!
His wife's scolding, venting, and getting angry was actually a relief for him.
Swear to me!
I was wrong!
I really regret it...
My wife's anger and anger actually relieved my guilt a little.
"Xu Liang, you pay me, you pay my daughter..." The woman cried so hard that she was covered in snot and tears on her professional suit. Nothing is important. What can be more important than a child.
The patients around him sighed when they saw the two of them!
No one blames or complains.
There are too many stories performed by the hospital every day. Here are joys, anger, sorrows, sorrows, sorrows, and sorrows, and sorrows, and...
Everyone looked at the woman and could only sympathize with her.
What else can I do?
Seeing this, Chen Cang walked over: "That, the patient's family."
When Xu Liang saw Chen Cang, he quickly stood up: "Doctor, Doctor! How is my daughter?"
The woman also suddenly calmed down, with tears in her eyes: "Doctor... Doctor, how is Tiantian?"
Chen Cang looked at Xu Liang, whose face had not been wiped clean: "Don't be so nervous, the child is not in danger of life for the time being, but the bronchoscopic forceps cannot be removed, and surgery is required. Open the trachea and remove the foreign object. You need to sign a letter."
When Xu Liang and the woman heard that they were not in danger of life, they immediately breathed a sigh of relief!
After all, when the child was delivered, his breathing was weak and almost disappeared...
Xu Liang nodded quickly: "I sign! I sign everything! Doctor... You must save the child, how much money will cost, I will save everything, okay?"
Chen Cang nodded seriously: "Well, I will do my best."
...
...
After Chen Cang asked the nurse to explain the sign to his family, he returned to the operating room to prepare various equipment needed for the operation and medicines prepared.
Chen Cang began to explain and arrange the next work and things, and everything was carried out in a tense and orderly manner.
Chen Cang's mature performance made Xiao He no longer have the nervousness he had just now.
But he was a little more curious. This young man really had the style and demeanor that an emergency doctor should have, as if everything was confident.
Why don’t you know such an excellent young man very well?
You should know that many critical things often occur in the endoscopic chamber. After this situation occurs, it is rare to see this young man come to help.
Is it new?
The nurse walked in, took various signatures and said to Chen Cang.
"Doctor Chen, he signed it."
Chen Cang nodded and glanced at Xiao He: "Start! Director, please help me straighten my child's head."
Xiao He nodded. He understood what Chen Cang meant. Although it was not outside the chest, it was also common medical knowledge. He put his head in the center to make the trachea.
Chen Cang began to regularly disinfect and lay towels.
Chen Cang suddenly discovered that if the soldiers had the skill of folding quilts that could be used to make one hand, then our surgical practitioners would definitely have a sharp and smooth bed sheet-making level!
At least it is perfect!
“1% lidocaine + 1 drop of adrenaline!”
The nurse nodded, these were ready in advance.
This anesthesia is a local infiltration anesthesia. Chen Cang slowly cartilage and began to inject slowly into the supraster fossa.
In fact, this is the reason why Chen Cang did not call Liu Jian. If the patient is still running around during tracheotomy, he must have a professional anesthesiologist give intravenous medication.
This kind of local anesthesia is actually not much different from treating a small wound.
Chapter completed!