For such a serious and urgent condition, a superior doctor must be consulted promptly.
Fortunately, everyone had the phone number of the leading doctor in the car, which came in handy at this time.
Tao Le remembered that in the attachment of the practical assessment, there was a list of medicines and equipment to be carried during the assessment. Among them was a sufficient dose of tetanus antitoxin.
The phone rang for a long time before Ye Chen picked it up.
"Dr. Ye, it's like this. We found a patient with high fever due to trauma and infection. Now his facial muscles are stiff and unable to open his mouth. It is highly suspected that he has 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 are at Huang Fushan's house." Tao Le said into the microphone.
"I'll find someone to lead the way right away." Ye Chen's heart immediately jumped up: "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, hurriedly went to get suitable medicines and equipment, and then asked the village director to briefly explain the situation.
The latter was worried when he heard this, so he called for help and took the initiative to lead the way.
Along the way, Ye Chen was afraid. If Tao Le hadn't followed Dr. Wei 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 patients die before and after they go to the countryside for free clinics, where will the reputation of their city's first hospital be lost?
This Tianqiao Village is not in a hospital after all. It has various sound monitoring instruments and facilities, which is very detrimental to monitoring the symptoms of patients.
But it only takes fifteen minutes at most for them to arrive at the patient's home. In such a short period of time, the symptoms that he is most worried about and the most fatal should not appear, right?
Ye Chen didn't expect that his worries would come true.
Within five minutes of hanging up the phone, the patient suddenly started sweating profusely, his face became cyanotic, his neck was stiff, his angles were tense, and he developed symptoms of laryngeal muscle spasm.
The muscles on his face were tense and his expression was twisted and painful, which frightened the Huang family.
"Doctor Wei, please check on Shanzi quickly. What's wrong with him?"
Doctor Wei also broke out in sweat on his forehead. He had heard of the symptoms of laryngeal muscle spasm caused by tetanus, and he had seen it now, but there was no other way except tracheal intubation.
He can also do endotracheal intubation himself, but the problem is that Shanzi can't open his mouth now, so he can't do it at all!
"Doctor Tao, what should we do?"
As soon as he said the words, something felt wrong. So what if this young girl comes from a big hospital? She is just more knowledgeable and knows how to use various instruments. But there is no equipment at the moment, so what can she do to deal with it?
When it comes to grassroots medical practice experience, she may not be able to compare with myself!
Can we just watch Shanzi die of depression like this?
When it came to their son's life, the Huang family immediately understood that Doctor Wei was helpless.
The only person who can possibly save his son's life now 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 fourteen years old!"
At the critical moment, she couldn't care less about Tao Le's gender.
Tao Le's heart sank. This was the worst-case scenario expected, and 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 difficulty breathing, tracheal intubation should be performed immediately and an artificial breathing channel should be established.
Otherwise, even if Ye Chen arrives, it will be too late.
However, the patient's facial muscles were so tense at this time that he could not even open his mouth, so tracheal intubation through the mouth was definitely not possible.
Cutting the airway is even less feasible. There is neither a sterile environment nor ventilators and suction devices. Once the trachea is cut and blood is sucked back into the lungs, it is not saving people but harming them.
Thousands of thoughts flashed through Tao Le's mind, leaving only the only feasible and effective method.
Immediately perform transnasal tracheal intubation, and then pinch the rubber ball to provide oxygen.
The endotracheal tube is inserted into the nose and into the upper airway through the back of the throat. It is mainly used when the mouth or throat is injured or edematous and cannot be intubated.
This intubation method is not common. The operation difficulty of blind intubation is much higher than that of normal oral intubation, and it often needs to be completed under the guidance of fiberoptic bronchoscope.
Although we do not have such good guidance conditions now, we still have the same critical respiratory emergency.
Tao Le must successfully establish a breathing channel within thirty to forty seconds, otherwise the patient will suffer brain damage due to lack of oxygen and subsequently die.
If it is a hospital, after the first nasal intubation fails, the ventilator and respiratory mask can be immediately connected, and the patient can try again after the patient's blood oxygen saturation recovers.
But under the current conditions, she only has one chance.
Fortunately, during the waiting time, Tao Le had already opened the diagnosis and treatment bag and placed the laryngoscope, several catheters, and the emergency breathing balloon in the most convenient place.
At this time, she didn't even bother to answer. She directly took out the emergency balloon, F28 catheter and a roll of medical bandages, and stood above the patient's head.
"Get ready with the ball. I will connect the tube immediately after intubation." She threw the ball to Dr. Wei.
The emergency breathing balloon, which doctors call “ball”, is a simple breathing device made into a hollow sphere.
As long as it is connected to the endotracheal tube, the "ball" can be pinched manually to supply oxygen to the patient.
This thing is simple to operate, cheap, and suitable for all environments. There is nothing wrong with it except tired hands.
Doctor Wei subconsciously opened the sterile packaging outside the "ball", but his eyes widened, staring at Tao Le's movements: "Are you... trying to insert a nasal cannula?"
He was so shocked.
If the difficulty of oral tracheal intubation is level D, then the difficulty of transnasal tracheal intubation is level A. The difficulty of blind insertion without fiberoptic bronchoscope guidance can be upgraded to level A+.
Are all current medical college students so good? Dare to start such a difficult operation directly.
Tao Le had no time to answer him. She concentrated on the nasal cannula.
She pointed the bevel at the front end of the catheter toward the nasal septum and gently and slowly advanced it into the patient's anterior nostril.
The Huang family member had already covered her mouth, for fear of disturbing her movements.
Tao Le's hand was very steady. The mind 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 sense the state around the catheter.
It's an indescribable feeling of being in control.
－－－－－－Digression－－－－－
Thanks to Yueyue Yuexin, Star Baby and Book Friends 20220405123850195 for the reward!
7017k
