"Doctor Zhou! Doctor Zhou! Hurry! Hurry! Danielle can't survive. She can't hold her breath!"
Cathy pushed the stroller and rushed in in a hurry, almost falling. Fortunately, 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 rapid, her chest rose and fell with her breathing, and every time she took in a breath, a The deep "pit" is heart-wrenching to look at!
"Did she choke on something?" Elena asked quickly while unbuckling Danielle's seat belt.
Cathy burst into tears and cried quickly: "I don't know, I really don't know, I just went to the toilet, and when I came back she was like this!"
At that time, Cathy was extremely anxious and had no first aid experience, so she immediately pushed her to the Iris Clinic. Since she had no time to check the situation at home, she did not know what Danielle had swallowed.
Most likely, his little hands were scratching around, caught something, and stuffed it into his mouth.
"Could it be gummy candies, right? I ate a few gummy candies at the time, and maybe one fell on her crib?" Cathy said uncertainly.
At this time, she felt very regretful. Why should she eat gummies when she had nothing to do?
Elena tried the Heimlich maneuver, turning the baby's face down, supporting its chest and head and neck with one hand, and tapping the back and shoulder blades with the other hand.
However, little Danielle didn’t vomit anything at all!
There was no problem with her operation. Babies under one year old have soft chests and the treatment method is different from adults. Elena just used the back tapping method.
Seeing that the back tapping method was ineffective, Elena immediately switched to the chest impact method!
But, it still doesn't work!
The Hai's first aid method is actually more suitable for suffocation caused by solid, slightly higher hardness foreign objects, which can be completely removed by pushing with air pressure. If it is something softer, such as a banana, or a very soft gummy candy, it is unlikely that it will be excreted by the Heidegger method!
"What to do? What to do?" Elena was so anxious that her eyes suddenly lit up, "By the way, pressurize the skin bag, let her take a few breaths first!"
Elena hurriedly carried Danielle to the treatment room, and at the same time shouted to Cathy without looking back: "Help call Zhou Qiao and ask him to come back immediately! The phone number is posted on the wall!"
"Okay, okay, I'll call right away." Cathy also looked around and finally saw Zhou Qiao's number, so she quickly took out her mobile phone and dialed.
Elena had already carried Danielle to the treatment room. She hurriedly found the breathing bag. After connecting with oxygen, she gave Danielle first aid. She pressed a few times and found a finger-clip oximeter for Xiao Dan. Nell clamped it on and continued to press.
Seeing the oxygen saturation rise from 80% to 90%, and feeling happy, suddenly, Danielle's condition took a turn for the worse, and the big "pit" created between breathing reappeared, and lasted for a long time. , for several seconds. 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 was worried: "Qiao, Qiao, why don't you come back?"
Elena is going to cry! He was so anxious that he stamped his feet.
When I was in despair, a very calm voice suddenly came to my ears: "This is severe airway obstruction. There are two options. One is to directly remove the foreign body through surgery, and the other is to intubate the trachea first and then perform surgery after the foreign body is identified." "
"Ah?" Elena looked back and saw the cold girl from before, who was taller than her, with curly chestnut hair and many small freckles on her face, standing behind her.
She couldn't help but be surprised and asked: "Are you a doctor? Then come for first aid!"
Murphy pondered for a moment and then said: "It is better to perform tracheal intubation first, and then perform surgery after the cause of the disease is clear."
Elena immediately said: "There is a tracheal intubation, I will get it right away!"
Looking at Elena's running back, Murphy looked extremely calm on the surface, but he was slightly relieved in his heart, because she had the theoretical knowledge of surgery, but she had almost never practiced it!
Even for tracheal intubation, she had only made dummies, and they were adult props. She had never operated on such a young baby!
The difficulty of tracheal intubation in infants is naturally higher than that in adults! Among other things, the baby's trachea is thin and the mucous membrane is very fragile, so it is easy to be damaged or even cause edema.
Elena hurriedly brought the complete equipment for tracheal intubation.
When they came in, Cathy was also at the door of the treatment room, waiting anxiously. Seeing Elena, Cathy hurriedly said: "I have contacted Dr. Zhou, and he said he would be back soon."
Elena nodded, then immediately entered the disposal room, put the things on the table, and looked at Murphy.
Saving people is like putting out fires. Naturally, she couldn't wait for Zhou Qiao to return, even if it didn't take more than five minutes.
Murphy took a look at the instruments, including a laryngoscope, intracatheter guide wire, suction tube, dental pad, syringe, anesthetic spray, etc. The treatment room originally contained a stethoscope, oxygen mask, small portable ventilator and handheld end-expiration device. Carbon dioxide monitor.
Although the clinic is small, it is quite complete.
Murphy's calm face was like a frozen lake in winter, while the theoretical knowledge and simulated operation skills learned in school were slowly flowing through his mind like the undercurrent at the bottom of the lake.
She glanced at little Danielle, and a virtual three-dimensional airway model appeared in front of her eyes.
It's like a holographic projection, but it actually doesn't exist. This is the condensation of her imagination.
Immediately, she started moving her hands.
Lift your chin and push your forehead.
Using Danielle's atlanto-occipital joint as a turning point, tilt her head as far back as possible so that her mouth, pharynx and larynx are in a straight line.
Then, he held little Danielle's mouth, put it close, blew in three big breaths, and gave positive pressure artificial respiration!
Then, an anesthetic spray was used to apply topical anesthesia to little Danielle’s throat.
In fact, it is better and more convenient to perform tracheal intubation after general anesthesia, but it is too late now.
"Laryngoscope, No. 1 lens, 3.5mm catheter."
Almost as soon as Murphy finished speaking, these things came into her hands.
Murphy couldn't help but glance at the little nurse next to him in surprise!
Elena blinked and signaled her to hurry up!
Now with Murphy as her backbone, Elena, who was used to being a device nurse, calmed down and had already connected the carbon dioxide monitor. Almost as soon as Murphy opened his mouth, her things arrived.
Usually, there is a calculation formula for the selection of pediatric catheters: (legal number) F = age + 18, and a total of 3 serial-numbered catheters that are thicker and thinner are prepared for use.
Because the common trachea in children is short and the distance from the glottis to the carina is only 4cm in newborns, the insertion depth is usually such that the front end of the catheter exceeds the upper edge of the sternum.
However, this formula only applies to children over 2 years old.
For full-term newborns and small infants, you can choose a 3mm or 3.5mm catheter, for 1-year-old children, you can choose a 4mm catheter, and for 1-2 years old, you can choose a 5mm catheter.
Little Danielle is just over a month old, so naturally it is more appropriate to choose one with an inner diameter of 3.5mm.
Poor little Danielle, there was no full moon wine or baby shower, but she was intubated at just over a month old!
And it’s the first real-person operation for a resident doctor who couldn’t find an internship hospital and was rejected N times!
