After raising a cat, the goddess doctor became popular in the interstellar

For such a serious and urgent condition, it is necessary to consult the superior physician in time.

Fortunately, everyone saved the phone number of the leading doctor in the car, so it will come in handy at this time.

Tao Le remembered that in the appendix of the practice assessment, there was a list of medicines and equipment for this assessment.There is a sufficient dose of tetanus antitoxin in it.

The phone rang for a long time before Ye Chen picked it up.

"Doctor Ye, it's like this. We found a patient with a traumatic infection with high fever. His facial muscles are now stiff and he can't open his mouth. It is highly suspected to be a patient with tetanus."

She introduced the situation quickly and clearly, and then asked Dr. Wei beside her, "What is the patient's name?"

"Huang Fushan." Doctor Wei replied.

"We're at Huang Fushan's house." Tao Le said into the microphone.

"I'll find someone to lead the way there right away." Ye Chen's heart rose immediately: "Before I arrive, closely observe the patient's condition and pay attention."

"Keep the airway open." Tao Le said.

"That's right." Ye Chen breathed a sigh of relief, and hurried to get the appropriate medicines and equipment, and then asked the village director to briefly explain the situation.

The latter was also worried when he heard it, and called for the staff to lead the way.

Along the way, Ye Chen was always afraid.If Tao Le hadn't followed Dr. Wei there and carefully observed the signs of tetanus, how could they have imagined that there was such a critically ill patient in Tianqiao Village.

If the best treatment period is delayed, and the patient loses his life before and after they go to the countryside for free consultation, what will happen to their city's first hospital?

After all, Tianqiao Village is not in a hospital. It has all kinds of sound monitoring instruments and facilities, which are very unfavorable for monitoring patients' symptoms.

But it only takes 15 minutes at most, and they can rush to the patient's home.In such a short period of time, shouldn't there be the symptom that he is most worried about and the most fatal?

Ye Chen didn't expect that his worries came true.

Within 5 minutes of hanging up the phone, the patient suddenly sweated profusely, his face became cyanotic, his neck was stiff, his horns were opisthotonous, and he developed laryngeal muscle spasm.

The muscles on his face were tense, his expression was distorted, and he was in great pain, which frightened the Huang family.

"Doctor Wei, quickly show Shanzi, what's wrong with him?"

Dr. Wei also broke out in sweat on his forehead.He had heard about the spasm of the laryngeal muscles caused by tetanus, and he saw it now, but there was no other way except endotracheal intubation.

He can do endotracheal intubation by himself, but the problem is that Shanzi can't open his mouth now, he can't do it at all!
"Doctor Tao, what should we do?"

As soon as he said it, he felt something was wrong.Even if this young girl came from a big hospital, so what? She is just more knowledgeable and able to use various instruments, but she has no equipment at the moment, so what can she do to deal with it?

When it comes to grass-roots practice and medical experience, she may not be able to compare with herself!
Could it be that he could only watch Shanzi die of depression like this?
When it came to his son's life, the Huang family immediately realized that Dr. Wei was helpless.

Now the only person who can save his son's life is the woman in front of him, no, the female doctor.

"Doctor, doctor! I beg you, please save Shanzi, please save him, he is only 14 years old!"

In an emergency, she couldn't care less about Tao Le's gender.

Tao Le's heart sank.This was the worst scenario that was expected, and it was also the reason why she wanted to stay and observe.Before Ye Chen arrived, the patient had difficulty breathing.

Her golden finger is still being upgraded and cannot be used.

For patients with dyspnea, endotracheal intubation should be performed immediately to establish an artificial breathing channel.

Otherwise, even if Ye Chen arrived, it would be too late.

However, the patient's facial muscles are so tense at this time that he can't even open his mouth, so it is definitely not possible to use the method of oral intubation.

Cutting the airway is even less feasible.There is neither a sterile environment nor ventilators and suction devices.Once the trachea is cut and the blood is sucked back into the lungs, it is not saving lives, but harming them.

Thousands of thoughts flashed in Tao Le's mind, leaving only the only feasible and effective method.

Immediately perform nasal endotracheal intubation, and then pinch the bulb for oxygen.

The endotracheal tube is inserted through the nose and through the back of the throat into the upper airway, and is mainly used when the mouth or throat is injured or edema cannot be intubated.

This method of intubation is not common, and the difficulty of blind intubation is much higher than that of normal oral intubation, and it often needs to be completed under the guidance of a fiberoptic bronchoscope.

Although there is no such good guiding condition now, there is the same critical respiratory emergency.

Tao Le must successfully establish a breathing channel within 40 to [-] seconds, otherwise the patient will suffer brain damage due to lack of oxygen, and then die.

If it is in the first hospital, after the first nasal intubation fails, you can immediately connect the ventilator and breathing mask, and try again after the patient's blood oxygen saturation rises.

But under the current conditions, she has only one chance.

Fortunately, during the waiting time just now, Tao Le had already opened the diagnosis and treatment kit, and put the laryngoscope, several kinds of catheters, and emergency breathing balloons in the most convenient place to take them.

At this time, she didn't care about answering at all, and directly took out the emergency balloon, F28 catheter and a roll of medical bandages, and stood above the patient's head.

"You take the ball and get ready, I will connect it immediately after intubation." She threw the ball to Dr. Wei smoothly.

Emergency breathing balloon, doctors call it "ball", is a simple breathing device made into a hollow ball.

As long as it is connected outside the endotracheal tube, the patient can be supplied with oxygen by manually pinching the "ball".

This thing is easy to operate, cheap and suitable for all environments.Nothing wrong with it other than tired hands.

Dr. Wei subconsciously removed the aseptic package from the "ball", but his eyes were wide open, staring straight at Tao Le's movements: "Are you... wanting to insert a nasal tube?"

He was so shocked.

If the difficulty of oral tracheal intubation is grade D, then the difficulty of nasal endotracheal intubation is grade A, and the difficulty of blind intubation without fiberoptic bronchoscopy can be raised to grade A+.

Are all medical college students so good now?Dare to get started with such a difficult operation.

Tao Le has no time to answer him.Her full attention was devoted to the nasal cannula.

She gently and slowly inserted the bevel at the front end of the catheter into the patient's anterior nostril, facing the nasal septum.

The Huang family had already covered her mouth, for fear of disturbing her movements.

Tao Le's hand was steady.The heart is also very stable.

For some reason, when the catheter entered the patient's body, she had a vague intuition and seemed to be able to perceive the state around the catheter.

It's an indescribable feeling of being in control.