The little patient was taken out of the ward by his mother and put on a minibus, ready to be transferred to the Fourth Hospital.

This simple emergency vehicle converted from a minibus was specially borrowed by Chen Qi from the People's Hospital. Why don't the second hospital and the fourth hospital have emergency vehicles?

Dean Gai was a little downcast. According to the previous rules, patients who could not be handled by the fourth hospital were transferred to the second hospital. As a result, the second hospital has now been reduced to sending patients to the fourth hospital.

Is this because the Fourth House is getting stronger? Or is it that the Second House is falling behind?

Chen Qi was happy in his heart, but he didn't dare to irritate the little old man.

I'm afraid that this person really has the guts not to transfer me to another hospital. It doesn't matter if I can't find an excellent subject. It's a big deal that it delays the medical treatment of minor patients.

"Dean Gai, don't worry, there will be no problem in leaving the patient to us."

"Well, things are really changing, but I'm a little surprised. For a disease that our second hospital can't cure, what special method does your fourth hospital have?"

"Ahem, let's keep this confidential for now. We also need to make a treatment plan based on clinical practice."

While the two deans were still chatting, Director Yao from the Department of Pediatrics came over and said softly:

"Dean Chen, please pay special attention to this small patient on the road. The situation is not very good. If the patient's family had not strongly requested to be transferred to the fourth hospital, otherwise I would not have agreed to it anyway. An accident is easy to happen on the road."

Chen Qi looked not far away, where two assistants were placing patients, and felt quite unconcerned:

"Don't worry, Director Yao. Look, our car is equipped with oxygen and a lot of emergency medicine. As long as we survive the half-hour drive, we'll be fine when we get to the Fourth Hospital."

Director Yao still wanted to give a few more warnings, but Yan Shifan shouted over there: "Tou Chen, we are ready and can go."

"Okay, here we come."

Chen Qi turned his head and shook hands with Dean Gai and Director Yao, "Then let's set off first, comrades, just wait for our good news."

When Dean Gai watched the ambulance drive out of the hospital, he was so angry that he threw his cigarette on the ground:

"Damn it, why am I feeling so aggrieved? Look at how this guy Chen Qi can immediately convene a middle-level meeting of the entire hospital to cheer me up. If you don't do business properly, I'll skin you!"
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After saying that, Dean Gai coaxed him away angrily. Director Yao and others next to him all looked at each other, not daring to express their anger.

"Hey, old man, what happened today?"

"What else can I do? I'm losing face. The level of the Second Hospital is not as good as that of the Fourth Hospital. How can the old man be happy?"

"Speak softly, don't look at the dean who is back again."

Dean Gai came back aggressively at this time, glared at the doctors present, picked up the cigarette butt he had just thrown away, cursed, and walked towards the administration building.

The ambulance had just left the city and was about to pass by Xiguo Gate. Chen Qi's eyes unconsciously looked towards the construction site of the hospital's staff community.

These days, because houses are built with red brick prefabricated panels, the staff community in the Fourth Courtyard is being built very quickly. It seems that the walls are already being built, and it is expected to be completed by the end of the year.

This community is the heart and soul of the employees of the Fourth Hospital. These doctors and nurses have nothing to do after get off work, so they like to take the No. 5 bus to the construction site and supervise the work to see if any corners are cut.

Chen Qi is not short of money and does not take kickbacks from the project funds. His requirement is to spend 100% of all money on the project.

And he also asked Wang Yongjun, the deputy director in charge, to pay attention to the quality of the project. It is acceptable for the contractor to treat guests to dinner, but do not take red envelopes.

Wang Yongjun is one of Chen Qi's allies, so he will naturally not undermine his own family.

Of course, only he himself knows whether he got a kickback or not...

Just when Chen Qi was thinking about the project, he heard Yan Shifan exclaiming from the side: "Tou Chen, something is wrong."

"Huh?"

Chen Qi came back to his senses and immediately looked at the patient who was taking oxygen. His heartbeat suddenly accelerated, thinking that Director Yao had really told him that there was an accident on the way.

Because the young patient suddenly coughed violently for a few times, and then his whole face turned red, as if he was holding his breath, and his hands and feet became stiff.

Chen Qi knew at a glance that the respiratory tract was blocked. Infants and young children are most likely to have phlegm blockage, which is very fatal. If the rescue is not timely, the sick will die on the road.

The problem is that later generations of ambulances were routinely equipped with sputum suction devices, but the ambulances in 1986 had almost nothing.

When Shen Lifen saw the sudden change in the condition of her son in her arms, she was so frightened that she screamed.

For a moment, everyone in the ambulance was in a panic.

Chen Qi hugged the child, not caring whether the cold would hit the child. He tore off the small quilt and cotton-padded clothes wrapped outside, and then placed the little sick patient prone on his forearm, so that the baby's head

Lower than the body, with the forearms supported above the thighs.

Support the baby's head, neck and chest with one hand, and quickly pat the area between the patient's shoulder blades with the other hand, 5 times in a row.

Yan Shifan squatted on the head of the small patient and kept observing. At this time, he shouted: "There is no improvement."

Chen Qi remained silent and continued to pat his back, performing three movements in a row. As a result, the patient's face did not spit out phlegm, and his face became redder and redder, beginning to turn purple.

Chen Qi knew that the back pat method failed, so he immediately changed to another first aid method, the chest push method.

I saw him quickly turning the patient over, placing him face up on his lap, keeping the patient's head lower than his body, and then pressing the chest with two fingers.

This is actually a standard "Heimlich maneuver". After pressing, you will relax and repeat rhythmically to form airflow to impact the foreign body and help it to be expelled.

However, after this combination of punches, it may be that the phlegm is too thick, or the phlegm blockage is too deep. In short, the phlegm is not discharged smoothly.

By this time, the little patient's face had turned gray-black, and his whole body began to convulse.

Shen Lifen started to cry loudly, while Bian Meng loudly urged the driver to go faster and faster. Yan Shifan started looking for emergency medicine with trembling hands.

Even though it was a relatively cold season in early spring, the sweat on Chen Qi's back was breaking out.

This little patient died in the ambulance being transferred to the hospital today, so Chen Qi's responsibility is huge.

Chen Qi could imagine how outsiders would scold him for accepting this porcelain job without a diamond, just like they scolded him for not doing his job when he was doing hand surgery. A plastic surgeon would treat "pediatric surgery" diseases?

Isn't this delaying the child's condition? How do you explain this to the child's fighting hero father who is far away in southern Xinjiang?

The situation is already very critical. The car has just passed outside Xiguomen and is still in the Zhongjiawan area. Even if the ambulance is already flying, it will take at least 10 minutes to reach the Fourth Hospital.

The child cannot last more than 10 minutes.

Moreover, the golden rescue time is only 5 minutes. After this time, even if you are rescued, you will still be in a vegetative state or a fool, so you might as well be dead.

It was too late but it was too soon. Chen Qi didn't care so much anymore and quickly laid the little patient on the stretcher.

Then he knelt on the carriage, lowered his head, and spoke to the little patient mouth to mouth.

Since there is no sputum suction device, the only last resort Chen Qi can think of is "artificial suction".

Yan Shifan, Border Meng, and Shen Lifen were all dumbfounded. Shen Lifen even forgot to cry and covered his mouth with his hands at a loss.

(Fortunately, it’s not in the United States, otherwise this lawsuit will probably be fought. For child abuse, it will rival Michael Jackson.)

Artificial mouth-to-mouth suction can be used during first aid. The method is that the rescuer wraps the patient's mouth with his mouth, pinches the patient's nose with his hands, and sucks hard. Through the artificial negative pressure, the oral cavity is removed.

The purpose of sputum suction.

However, artificial mouth-to-mouth suctioning is not recommended unless necessary, because the human mouth contains a variety of viruses and bacteria, which can cause cross-infection.

Another thing is that from a psychological point of view, most people cannot accept the idea of ​​sucking other people's phlegm into their own mouths. Even close relatives will have psychological shadow.

Therefore, Chen Qi's actions stunned several people in the car, and at the same time, it also ignited the last hope.

Finally, the hard work paid off. When Chen Qi took the third puff, the phlegm that caused the airway obstruction of the small patient was finally sucked out.

As soon as the respiratory tract became clear, the patient started crying immediately, and his originally dark and purple complexion immediately improved.

Shen Lifen cried again, with a lot of snot and tears, and she cried and laughed like a lunatic. She was really tortured to the point of going crazy.

Yan Shifan and Bianmeng were so frightened that they collapsed in their seats and breathed a long sigh of relief.

Chen Qi quickly spit out the thick phlegm sucked out of the patient onto the gauze. At this time, he felt a strong sense of vomiting in his stomach, which he suppressed. This was vomiting in front of the patient, which was the greatest harm to the patient and his family.

disrespectful.

Anyway, Chen Qi has secretly decided that he will never eat fish heads again in this life, especially the brain inside the fish heads, which he cannot even look at...

The ambulance driver also knew that the situation was not good and almost stepped on the accelerator to the bottom.

The car almost drifted through the gate of the Fourth Hospital and stopped outside the inpatient department of the Second Department of Surgery. Everyone was making their own efforts and contributions to rescuing the child.

Fourth hospital, in the special ward of the second department of surgery.

Chen Qi wears a stethoscope on his ear and is carefully identifying and auscultating the chest of a small patient.

Behind him, Director of Pediatrics Wang Xiaoxian, Director of Surgery Bian Pengfei, New Director of Internal Medicine Li Chunsheng, and Chief of Medical Department Zhou Liuxin were gathered around, looking at a series of examination reports and chest X-rays brought from the Second Hospital.
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Shen Lifen and other family members were waiting anxiously not far away, and everyone's eyes were filled with fear and distress.

At this time, let’s take a look at the situation of the little patient. This is a child who was less than 2 months old. After this series of torture, it is obvious that moans can be heard, and the breathing becomes quite irregular, not only rapid, but also long and short, and finally

The scary thing is that it is accompanied by apnea from time to time.

Looking at the young patient's complexion, he turned blue-gray due to hypoxia. His physical signs include flaring of the nose, and obvious depression of the soft tissue of the thorax during inhalation, which is most obvious under the costal margin and at the lower end of the sternum.

Chen Qi straightened up and said softly: "The breath sounds of the lungs are reduced, and thin moist rales can be heard when inhaling."

Director Li from the Department of Internal Medicine was a little anxious: "This is respiratory distress."

Director Wang said indifferently to Chen Qi: "More than that, he has respiratory failure, inflammation indicators are so high, and he has a high fever. Chen Qi, you are really going to cause trouble for everyone."

Not all doctors are willing to treat critically ill or intractable patients. Most doctors hope that they can be peaceful and smooth at work, go to work happily, and leave work with high spirits.
To be continued...