Zhou Litao disinfected the patient's wounds and started tracheotomy after injecting anesthetic.
Cut the skin and subcutaneous tissue along the lower midline of the thyroid cartilage to the upper fossa near the sternum. Use vascular forceps to separate the sternohyoid muscle and sternum thyroid muscle along the midline to expose the thyroid isthmus.
The patient's thyroid isthmus was too wide and obstructed her vision. Zhou Litao slightly separated at the lower edge, and she pulled the isthmus upward with a small hook.
After determining the trachea, at the third tracheal ring, an anterior wall of the tracheal ring was cut in an arc from the bottom to the top with a pointed blade to form an anterior tracheal wall flap.
Zhou Litao extended along the mouth cut by Gao Shaojie and inserted the trachea. There was no way to bring a sputum suction to the emergency department. After Zhou Litao fixed the intubation, he asked the stretcher to take the time to send the patient down.
"Mr. Gao, are you going?" Zhou Litao asked.
"Let's take a look." Gao Shaojie felt his mouth full of **** taste. He didn't know if there were any infectious diseases. He couldn't take care of them in emergency treatment. Looking back now, Gao Shaojie was a little scared.
He followed the escalator and saw the girl breathing hard, a small amount of blood spray from the tracheal intubation, and a long breath.
"Boss Zheng, get on the 120 ambulance immediately." Gao Shaojie and Zheng Renhui reported.
I just got on the elevator and the signal was quite bad.
The signal got better when it was on the ambulance.
"Lao Gao, it's hard." The picture on Zheng Ren's side was moving up and down, it should be rushing to the hospital, Gao Shaojie's heart warmed slightly.
"Lao Gao, yes, take a look at the patient's vital signs." Su Yun said side by side.
Gao Shaojie gave the picture to the ECG monitoring. The nurse next to him was sucking the foreign bodies in the respiratory tract with the negative pressure of the vehicle.
"The vital signs are stable. How is the patient's nerve reflex?" Su Yun asked.
"Zhou is always testing," Gao Shaojie said.
"Lao Gao, rinse your mouth quickly, and it looks so embarrassing. How many little girls in the department like to know, you must not let them see this embarrassing look." Su Yun laughed.
Gao Shaojie knew that Su Yun was joking about himself, the little nurse in the department? Which one is not Yun Geer, Yun Geer screams, the voice is sweet, if you have diabetes, you can't hear it for two days, you will get ketoacidosis.
Asked for a bottle of saline, Gao Shaojie started mouthwashing after opening.
When I was in the emergency department, I didn't feel anything. I was always forcing myself not to shake. I must find a good location and not damage the thyroid. I didn't realize what was sucked into my mouth through a straw.
In retrospect, Gao Shaojie felt that his mouth was uncomfortable. After rinsing with sugar and salt water several times, he still felt a foreign body.
"Mr. Gao, you should be rescued in a timely manner and should be fine." Zhou Litao said after examining the patient's vital signs and nerve reflexes.
"Where can I rescue? When I got off the elevator, I found that she was calling for help at the elevator entrance. I was stunned at that time, and I called Boss Zheng with a phone call." Gao Shaojie reluctantly smiled and said, "Boss Zheng guided the rescue."
"Nothing, just cut it open and **** it out with a straw. Boss Zheng responded really fast." Zhou Litao admired. "So many secretions, I see how much you spit out, how many tens of milliliters."
Upon hearing the spit, Gao Shaojie felt that his stomach was down.
It is false to say that it is not uncomfortable, but if there is a chance to repeat it, Gao Shaojie will still do so.
Even if there were many complaints, confusions, confusions, and unwillingness, the memories that had been burned out of his bones when he encountered something would drive him to start doing the right behavior.
"Blood oxygen is 100%, it should be all right." Gao Shaojie shifted the topic and tried to distract himself as much as possible.
At the thought of the secretion, Gao Shaojie, who was a little petite, would involuntarily want to vomit.
"Well, there's so much secretion, just **** it clean. It's weird. Where is so much secretion? It looks like a white foam-like substance, like a patient with acute right heart failure ..." Zhou Litao seemed to be chatting with Gao Shaojie, and he was talking to himself.
He didn't feel anything. Gao Shaojie felt that the strength to turn the river between the chest and abdomen was getting stronger and stronger, and the feeling of nausea could not bear it anymore.
The rental house was very close to the hospital. When he came to the emergency aisle, the flat car was waiting at the door and the patient was taken to the flat car. Gao Shaojie followed the emergency car.
"Lao Gao, it's hard." Zheng Ren said patting Gao Shaojie's shoulder.
Seeing that Boss Zheng ran over in the middle of the night, Gao Shaojie felt a little embarrassed and said again and again: "Boss Zheng, I'm sorry, I haven't done a tracheotomy. This time ... it was too reluctant."
"It's okay, I've done a good job. That situation can be rescued successfully, which is perfect performance." Zheng Ren said with a smile, extremely generous and steady.
"Usually you don't realize what you are doing. You are too nervous when you do it yourself." Gao Shaojie sighed.
"Lao Gao, very clever, know how to call." Su Yun smiled and handed a bottle of pure water, the lid had been unscrewed.
Gao Shaojie reported a smile, rinsed his mouth several times, and then washed his face.
"I was frightened at the time," Gao Shaojie admitted frankly. "It was frightened. The legs were soft."
Talking, the three walked into the corridor of the emergency department. Zheng Ren just glanced at the patient's system panel and determined that nothing was going on. He was also confused as to why the patient suddenly had suffocation.
But those were not important. Zheng Ren called Zhou Litao and asked him to check the patients for a full set of infectious diseases.
A series of infectious diseases tests such as AIDS, syphilis, hepatitis B and C.
"Lao Gao, it's good to see the patient without counseling." Su Yun comforted Gao Shaojie.
"I almost persuaded ~ www.novelhall.com ~" Gao Shaojie whispered: "I rushed up without thinking at that time, but when I was holding a knife to make a tracheotomy, I started to wonder. It has something to do with me. At that time, I was thinking about a lot of things, but I couldn't help it. "
Zheng Ren knew that Gao Shaojie was telling the truth, especially when he was eating, his expression was a bit wrong, and he knew that this was an old doctor-human battle.
Faced with these things, those who can keep their original heart are worthy of respect.
"Now I don't feel well in my heart, I want to vomit ..." Gao Shaojie said a little embarrassed.
Zheng Ren smiled and switched the subject: "Lao Gao, what's wrong with Director Zhou?"
Gao Shaojie wondered whether Zhou Chunyong had discussed with Boss Zheng.
But after thinking about it, the possibility of this kind of thing is not high, but how did Boss Zheng know?
"Lao Gao, what kind of expression is that?" Su Yun laughed. "Will Zhou Chunyong go to their department, first be a team professor, and then mention the deputy director when the opportunity is right?"