I Can See Health

   Chapter 140 The intake pipe is inserted!

   Yang Chunlai, Deputy Chief Physician of the Emergency Department of Jinghua Second Hospital.

   However, he is already fifty years old this year, and he has no projects or papers.

  If you want to be promoted to Zhenggao, there is basically no hope.

   Therefore, Yangchunlai is a mess every day in the emergency room, just living by.

   But he's a little good, and doesn't bother the emergency department.

   If you have any questions, please consult each department and try to triage patients to other departments.

   "Little Wang, what's the situation in the ward?" Yang Chunlai's face was a little ugly.

   After finally laying down in the duty room for a while, I was called up.

"Director Yang, there are three people here, and I'm really too busy, so I can only invite you out." Wang Xiaodong looked anxious, and he ignored Yang Chunlai's complaining face, "The patient's condition is not stable, one is in a coma, and Acute cerebral infarction possible; a chest pain, especially high blood pressure."

   Yangchun Lai walked into the rescue room and saw two patients respectively.

   "Patients in a coma should consult a neurology department, and patients with chest pain should consult a cardiologist. First, lower the blood pressure, and then urgently check myocardial enzymes and D-dimer."

  Wang Xiaodong complained in his heart about the doctor's advice from Yangchun.

   "Director Yang, the consultation has already been requested, please see if there are other measures." Wang Xiaodong said.

   "Let's do it for now."

   Yangchunlai is doing a physical examination for a patient with chest pain.

  Suddenly, the patient rolled his eyes and spit out a few mouthfuls of foam, mixed with a lot of food residue.

   His people have no consciousness at all.

   "Dududu..."

   The ECG monitor beside the bed also started to alarm frantically.

   "Damn, ventricular fibrillation!"

  Wang Xiaodong glanced at the ECG monitor, scolded in his heart, and the movements of his hands were not slow at all.

   He quickly ran to the bedside and immediately performed CPR on the patient!

   "The patient has ventricular fibrillation! Quick, get the defibrillator!"

  Wang Xiaodong shouted loudly.

   Fortunately, this is in the emergency room, and the defibrillator is placed next to the hospital bed.

  The nurse was immediately alert and quickly pushed the defibrillator over.

   On the side, Yang Chunlai immediately said to He Qin: "Classmate, please call the Cardiology Department again to urge an emergency consultation!"

  He Qin nodded quickly and ran to the nurse station to call the Cardiology Department.

  Wang Xiaodong was about to cry but had no tears!

  Although it is important to have a cardiologist consultation, this patient is likely to have an Aspen attack.

   But at this time, he also sent a living force out to make a phone call. Isn’t this a disservice?

   However, Wang Xiaodong can't control so much anymore.

   Because the patient's ventricular fibrillation continues!

   "Charge complete!"

  Wang Xiaodong finished applying the conductive paste and placed the two electrode pads on the patient's body.

   "Discharge!"

   He stared at the waveform on the ECG monitor.

   When the discharge was over, Wang Xiaodong breathed a sigh of relief.

   "Sinus rhythm restored!"

   Zhang Huan has been giving patients balloon-assisted ventilation.

   At this time, he noticed that the patient's blood oxygen saturation dropped from 95% to 86%.

   "Doctor Wang, the patient's blood oxygen has dropped!"

  Wang Xiaodong groaned in his heart.

   hurriedly looked at the ECG monitor, and sure enough, the patient's blood oxygen saturation was decreasing.

   "The patient's blood oxygen is not good either! Director Yang, intubate!" Wang Xiaodong anxiously looked at Yang Chunlai who was beside him.

   "Okay, you can intubate him. I'm going to communicate with the patient's family about his condition."

   Yang Chunlai nodded, then walked out of the rescue room with his hands behind his back.

   "This..." Wang Xiaodong sighed softly, a little helpless.

  It is indeed very important to communicate about the condition, but, Director Yang, are you too stupid? !

  …

   The next room is in full swing for rescue.

   And the patient who was poisoned by rat poison was ignored.

   "Doctor, how long will it take to wash my mother's stomach?" The young woman became more and more nervous.

  Although it was less than three minutes before Wang Xiaodong left.

   But for her, every minute and every second is an incomparable torment.

  Lu Chen sank his heart.

  Comparing to the two rescued patients next door, this patient who was poisoned by rat poison is relatively stable.

   But gastric lavage is also required as soon as possible.

  Otherwise, once the time is prolonged, the toxins are released into the blood, which may cause irreversible damage to the liver and kidney functions.

   Gastric lavage is usually done by nurses.

   But several nurses in the emergency ward are now rescuing them next door!

   Now the nurse named Nan Nan next to Lu Chen is just a new nurse who just came to the emergency department.

   "Sister Nan Nan, can you do gastric lavage?" Lu Chen looked at the handsome nurse beside him.

   "Mr. Zhang Huan taught me, and I did a few cases with her cooperation." Nan Nan shook his head, "But now without the authorization of the superior teacher, I can't do it."

   "Sister Nan Nan, then you stay here first." Lu Chen said, "I'll go next door and ask Teacher Wang."

   Poisoned patients can no longer procrastinate!

  …

  Lu Chen came to the rescue room next door.

   As soon as he walked in the door, his eyelids jumped.

   Two patients were lying on the bed.

   their health.

   A 31!

   A 45!

   It is no wonder that Wang Xiaodong has not come over, these two patients are at risk of death at any time.

   "Successful tracheal intubation!"

   At this time, Wang Xiaodong finally breathed a sigh of relief.

   After using the ventilator, the patient's blood oxygen saturation tends to be stable!

  Lu Chen hurriedly stepped forward and took the time to ask: "Senior brother, the family members of the patient next door are a little anxious. Ask us when we will give the patient gastric lavage."

"There are too many patients, and the nurses in the emergency ward are all resuscitating them. They can't take any manpower. Let the patients wait for a few more minutes. Hey, by the way, Gong Nannan is also next door. I remember she did it. Please put your stomach first. Plug it in." Wang Xiaodong shook his head slightly.

   "Yes." Lu Chen nodded.

   At present, this is the best solution.

   "That's it, let's not talk about it, the consulting doctor from the Cardiology Department is here."

  Wang Xiaodong dropped these words and immediately greeted the cardiologist.

  Lu Chen looked at the door. He also knew the doctor who came to the Cardiology Department for consultation.

   is the chief inpatient of the Cardiology Department, Li Qinghua.

  …

   Go back to the rescue room.

  Lu Chen pulled Gong Nannan aside.

   "What did Dr. Wang say?" Nan Nan whispered.

   "He asked you to do it." Lu Chen glanced at the patient's family members not far away, and said softly, "Can you do it?"

   "Of course!" Nan Nan's little face was full of confidence, "Although I have only inserted gastric tubes twice, but Teacher Zhang is beside me and praises me for being very skilled."

   "Okay, then hurry up." Lu Chen said, "The patient can't delay any longer.

   "Yes." Gong Nannan nodded.

  Gastric lavage is the content of basic nursing.

   The difficulty of gastric lavage is the insertion of the gastric tube.

  Lu Chen really wanted to do it, but he currently does not have any qualifications or authorization from a superior doctor.

   Once there is any error, it is not a small problem.

  …

   Prepare the tools for gastric lavage.

  Lu Chen confirmed with the patient's family again.

   The patient had no previous contraindications to gastric lavage, including gastrointestinal bleeding, esophageal varices, aortic aneurysm, and severe heart disease.

After the confirmation of   , the family members were invited to the rescue room.

   "Lu Chen, then I'll start."

  Gong Nannan applied paraffin oil to the front end of the sterilized gastric tube, held the gastric tube with gauze in his left hand, and wrapped the gastric tube 5-6 cm with gauze in his right hand.

   From the nasal cavity, slowly insert the gastric tube.

  The gastric tube entered smoothly.

   Gong Nannan continued to advance the gastric tube.

  1cm, 3cm, 5cm…

The    process went very smoothly, and the nervous look on Gong Nannan's face slowly disappeared.

   The gastric tube slowly started to go deep.

  8cm.

  10cm.

   until 11cm.

   "Cough...cough...cough...cough..."

  Suddenly, the patient coughed violently.

   This shocked Gong Nannan.

   However, the movements on her hands were steady, and she comforted the patient immediately: "Auntie, don't be nervous, it's normal to have a little reaction."

   Gong Nannan continued to push the gastric tube.

  Lu Chen frowned.

   Something seems wrong!

at this time.

  The patient's eyes suddenly widened, his hands tightly gripping the guardrail of the hospital bed, panting heavily.

   "Sister Nan Nan, get out! You've inserted the intake pipe!"

   (end of this chapter)