Since 1981 Health School Chapter 417

  Chapter 417 Transfer to hospital halfway emergency rescue

  The little patient was taken out of the ward by her mother and sent to the minibus, ready to be transferred to the fourth hospital.

   This simple ambulance converted from a minibus was borrowed by Chen Qi from the People's Hospital on purpose. No one in the Second Hospital or the Fourth Hospital had any ambulances.

  President Gai was a little dejected. 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 reduced to sending patients to the fourth hospital.

   Is the Fourth Academy stronger? Or is the Second Academy behind?

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

   I'm afraid that this family really has the guts not to transfer the hospital. It's fine if I can't get a good project. It's a big deal to delay the treatment of minor patients.

   "Dean Gai, don't worry, the patient will be handed over to us."

   "Hey, this is really a feng shui turn, but I'm a little strange, the disease that our second hospital can't cure, what special method does your fourth hospital have?"

   "Ahem, keep this secret first, we have to make a treatment plan based on the clinic."

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

   "President Chen, this small patient needs to pay special attention on the road. The situation is not very good. If the patient's family members strongly requested to be transferred to the fourth hospital, otherwise I would not agree to it anyway. There are accidents on the road."

  Chen Qi looked not far away, where two assistants were arranging the patient, and he didn't care much:

   "Don't worry, Director Yao, you see we have oxygen and a lot of emergency medicine in the car. As long as we survive the half-hour drive, we can talk about it when we get to the Fourth Hospital."

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

   Waiting for Dean Gai to watch the ambulance drive out of the hospital, he was so angry that he threw the cigarette on the ground:

   "Damn, why am I so aggrieved? See how this kid Chen Qi can call a middle-level meeting of the whole hospital immediately to cheer me up. If I can't do business well, I will take your skin off!"

   After finishing speaking, Dean Gai coaxed him away, and Director Yao and others next to him looked at each other in blank dismay, not daring to vent their anger.

   "Hey, what happened to the old man today?"

   "What else can I do? I've lost face. The level of the second courtyard is not as good as that of the fourth courtyard. The old man can be happy."

   "Speak softly, the dean is back without looking."

   Dean Gai came back aggressively at this time, glared at the doctors present, then picked up the cigarette **** that had just been thrown away, and walked towards the administrative building while cursing.

  The ambulance just drove out of the urban area, and when it was about to pass by Xiguomen, Chen Qi unconsciously looked towards the construction site of the hospital's staff quarters.

  Because houses are built with red brick prefabricated boards these days, the staff quarters of the Fourth Hospital have been built very quickly. It seems that the walls are already being built, and it is estimated that it will be completed by the end of the year.

  This community is the darling of the workers 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.

  Chen Qi was not short of money, and he didn't get a kickback from the project fund. His request was to spend 100% of all the money on the project.

  And he also asked Wang Yongjun, the deputy dean in charge, to pay attention to the quality of the project. It is acceptable for the contractor to treat guests to dinner, but never take the red envelope.

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

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

   While Chen Qi was thinking about the project, he heard Yan Shifan exclaiming beside him: "Tou Chen, the situation is not right."

"Ok?"

  Chen Qi came back to his senses, and immediately looked at the little patient who was inhaling oxygen, his heart beat faster, thinking that Director Yao really told him that there was an accident on the road.

  Because the little patient suddenly coughed a few times violently at this time, and then his whole face turned red and red, as if he was holding his breath, and his hands and feet were stiff.

  Chen Qi knew at a glance that the airway was blocked. The most likely cause for infants was phlegm blockage.

  The problem is that the ambulances of later generations are routinely equipped with sputum suction devices, but in this 1986 ambulance, almost nothing is needed.

  When Shen Lifen saw the sudden change in his son's condition in his arms, he immediately screamed in fright.

  For a while, everyone in the ambulance was in a hurry.

Chen Qi hugged the child, not caring whether it would be cold to the child, tore off the small quilt wrapped outside, and then put the little patient on his forearm, so that the baby's head Lower than the body, with the forearms supported above the thighs.

  One hand supports the baby's head, neck and chest, and the other hand quickly pats the area between the two shoulder blades of the little patient, papa papa papa 5 times in a row.

  Yan Shifan squatted on the head of the little patient and kept observing, when he shouted: "No improvement."

  Chen Qi didn't say a word, and continued to slap his back, doing three movements in a row. As a result, no phlegm came out of the patient's mouth, and his face became more and more red, and began to develop into purple.

  Chen Qi knew that the back pat method failed, and immediately switched to another first aid method, the chest push method.

  I saw him turn the little patient over quickly, put the little patient face up on the thigh, keep the head of the little patient lower than the body, and then press the chest with two fingers.

   This is actually a standard "Heimlich first aid method". After pressing, there will be rhythmic relaxation and repetition to form an airflow to impact foreign objects and help them expel.

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

   At this time, the face of the little patient was already gray-black, and the whole person began to convulse.

  Shen Lifen began to cry loudly, while the Border Alliance was loudly urging the driver to speed up, and Yan Shifan began to search for emergency medicine with shaking hands.

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

  This little patient died in the ambulance transferred to the hospital today, so Chen Qi must be more responsible.

   There are no diamonds but this porcelain job, Chen Qi can imagine how outsiders would scold him, just like when he did hand surgery and scolded him for not doing his job properly, a plastic surgeon to treat diseases of "pediatric surgery"?

   Isn't this delaying the child's illness? How can I 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 driven past Xiguomen, and it is still in the Zhongjiawan area. Even if the ambulance is already flying, it will take at least 10 minutes to get to the Fourth Hospital.

  The child can't last 10 minutes at all.

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

   It's too late to say it's too soon, Chen Qi didn't care so much, and quickly put the little patient on the stretcher.

   Then he knelt on the carriage, bowed his head, and lip-to-mouth with the little patient.

  Since there is no sputum suction device, the only way Chen Qi can think of is to "manually **** sputum".

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

   (Fortunately, it is not in the United States, otherwise it is estimated that this lawsuit will have to be fought, and the violation of young children will compete with Michael Jackson.)

Artificial mouth-to-mouth suction can be used in first aid. The method is that the rescuer wraps the patient's mouth with his mouth, and pinches the patient's nose with his hands to **** hard. The purpose of aspiration of sputum.

  But artificial mouth-to-mouth suction is not recommended if it is not necessary, because there are a variety of viruses and bacteria in the human mouth, which will cause cross-infection.

  There is another one. From a psychological point of view, sucking other people's phlegm into one's own mouth is unacceptable to most people, and even close relatives will have psychological shadows.

  So Chen Qi's actions stunned the people in the car, and at the same time ignited their last hope.

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

  As soon as the airway was unobstructed, the little patient cried out immediately, and his dark and purple complexion immediately improved.

   Shen Lifen burst into tears again, with a lot of snot and tears, crying and laughing like a crazy person, she was really tortured to the point of going crazy.

  Yan Shifan and the border alliance were also frightened and limp in their seats, and let out a long sigh of relief.

Chen Qi quickly spit the thick phlegm sucked out of the small patient onto the gauze. At this time, there was a strong vomiting feeling in his stomach, which was suppressed by him, and he vomited in front of the patient. This was the greatest harm to the patient and his family. disrespect.

  Anyway, Chen Qi has secretly decided that he will never eat fish heads in his life, especially the brains inside the fish heads are so thin that he can't even look at them...

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

  The car almost drifted into 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 save the child.

  In the fourth hospital, in the special needs ward of the second foreign department.

  Chen Qi wore a stethoscope on his ear, and was carefully auscultating the chest of the small patient.

  Behind him, Wang Xiaoxian, director of pediatrics, Bian Pengfei, director of surgery, Li Chunsheng, new director of internal medicine, and Zhou Liuxin, chief of medical department, gathered together, looking through a series of inspection reports and chest X-rays brought from the Second Hospital.

  Shen Lifen and other family members waited anxiously not far away, and everyone's eyes were full of panic and distress.

At this time, let's look at the situation of the little patient again. This is a patient who was born less than 2 months ago. After this series of torture, moaning sounds can be heard obviously, and her breathing has become quite irregular, not only rapid, but also long and short. The terrible thing is that it is accompanied by apnea from time to time.

  Looking at the complexion of the little patient again, it turned blue-gray due to lack of oxygen, and the signs include fluttering of the nose. When inhaling, the soft tissue of the thorax is obviously sunken, especially under the costal margin and the lower end of the sternum.

  Chen Qi straightened up and said softly: "Lung breath sounds are reduced, and you can hear fine moist rales when inhaling."

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

  er's Director Wang said to Chen Qi, “It's not enough, it's all respiratory failure, the inflammation index is so high, accompanied by high fever, Chen Qi, you will really cause trouble for everyone.”

  Not all doctors are willing to treat critically ill or intractable patients. Most doctors hope that their work can be peaceful, smooth sailing, go to work happily, and leave work with high hearts.

   Now that such a baby has come to the pediatrics department, it is not only a general consultation for the whole hospital, but even the pediatrics department has to send the strongest doctors to do the whole process of nursing and monitoring.

  One is not good, and in the end there is no way to recover from it, and the family members have to face the blame.

  Chen Qi hurriedly laughed and said: "Director Wang, I want to improve the rescue level of our hospital to a higher level. The medical treatment of chylothorax is invalid, so we can have a surgical treatment."

   "Surgery? Hmph."

  Director Wang continued to give Chen Qi a blank look, pointed to the auxiliary examination report on the medical record and said:

"Look, the white blood cells have reached 24,000, and the blood red cake is only 60 points, and the liver function is in a mess. Such a severe malnutrition, inflammation has not been controlled, and multiple organ dysfunctions, how do you operate? ?”

   "Ah!"

  Chen Qi slapped his forehead, and slapped himself angrily: "Ah, my thinking is too limited, I was careless."

  The thinking of surgeons is relatively limited.

  Like Chen Qi, he thought it was just a chylothorax. If it doesn't work, let's have an operation, isn't it just a thoracic duct ligation? Although it's a little troublesome, but he has the level of surgery in his previous life, and he has a golden finger.

  But he neglected another point, that is, the vital signs and inflammation of the minor patient did not allow him to perform an operation immediately.

  It's like some people's teeth are inflamed, and their face is swollen like a steamed bun. When they go to the dental hospital to have a look, the doctor will tell you to go back to reduce the inflammation first, and then move your teeth after the swelling subsides. It's the same reason.

   Looking back at this little patient, he alone accounted for three of the four major contraindications before surgery.

  First, severe cardiovascular and cerebrovascular diseases, such as: heart failure, respiratory failure, etc.

  Second, severe liver and kidney diseases, such as liver failure.

  Third, severe malnutrition, if surgery is performed, it will be very difficult for the patient to recover, and the wound may not heal.

  Chen Qi was scratching his head now. If the operation couldn't be done right away, it probably wouldn't last for a few days with a small patient like this, and it would really hit his hands.

   It is estimated that Dean Gai of the Second Academy has been able to make jokes for several years.

   "Then Director Wang, Director Li, from the perspective of internal medicine, what should we do now?"

  Director Li smacked his lips:

   "Now we need to do sputum culture, find the most suitable antibacterial drugs to reduce inflammation, and continue drainage. The trouble is that the infusion volume is difficult to control. If the infusion is too small, the dose is not enough. If there is too much infusion, there will be more pleural effusion."

  Director Wang added:

"Unfortunately, it would be great if we had a ventilator. I read magazines, and foreign hospitals have a ventilator that can help the human body maintain normal breathing, which is the function of the external lung. If we have one, then More time for internal medicine rescue can be gained."

  (end of this chapter)

Chapter end