76 76. New residents (3)

But Go-young Chan frowned.

‘Damn, there's nothing to be flawless about. ’

The director Lee Jong-myung's orders are to be fulfilled, but this one who has watched for a few days has no gaps.

I had no idea how all this could happen.

‘It won't be easy. ’

He realized that his task was more difficult than he thought, but he had no choice.

The name of the director shall be unconditionally followed.

“Then let's start the rounds. ”

At the end of the presentation, I began a roundabout.

Go-young Chan found the fault of Jinhyun, like a snake aiming for prey.

Of course, there was no performance.

"Shit."

However, it was at the end of the patient's last rounds.

High Young-chan frowned.

“He's in bad shape. ”

“Yes, the lungs are bad. It's a pneumonia condition that started with the possibility of antibiotic dosing. ”

It was a patient that Jinhyun and the chief discussed earlier.

The surgery went well after the car accident, but the lungs were getting worse.

“I should take a good look. I could get over it. ”

Jin Hyeon nodded heavily at the words.

Definitely felt bad.

“Yes, I understand. ”

* * *

It's not good to see a good doctor often.

That was the truth.

It's because it's in bad shape and I see it often.

Jin-hyun was prone to traffic accidents with poor lungs.

“Ahhh, sir. Take a break."

The patient's name in the car accident was Sungbaek Kim.

She was a 50-year-old male patient, and a caregiver who looked like a wife was a middle-aged woman with a similar peer impression.

“Oh, sir, are you here? Hahaha.... ”

The patient was also reflexive when he saw the progress.

Both the caregiver and the patient liked to look more than ten times a day.

But after a few words, I gasped for breath.

Despite wearing an oxygen mask, Jinhyeon's face darkened in bad shape.

“You don't have to tell me because you're hiding. ”

“Yes, I'm suffocating. Hahaha.... ”

Jinhyun looked at the oxygen meter next to the bed.

Measurement results 92%.

‘Not good. ’

Normal people record more than 97% without any oxygen supply.

92% even though it provides oxygen with an oxygen mask.

I don't think you'll like it more than 90%.

This meant that he was about to catch his breath.

After examining the patient, Jin left the room and the caregiver followed.

“Sir, how are you? ”

A voice full of worries.

Jinhyun said honestly.

“It's not good. I'm taking a number of actions that I can take, but my lungs are still getting worse. ”

Jinhyun's words were true.

He was contemplating the coup d 'état of the chief steward and was taking all steps.

However, the patient did not feel better with all the effort.

“Ah……. ”

The caretaker's eyes were shaken.

“Bad diagnosis... Does that mean you could die? ”

Jinhyun replied with a cautious voice.

“I'm doing my best... but if it's really bad... it could be. ”

“ ……! ”

The eyes of the guardian were filled with tears.

“Oh, no. I barely met him again... I haven't seen my father's face even a few times... I was just about to be good... ”

Jinhyun realized that there was a situation of seedling between the caregiver and the patient.

I don't know what's going on... but I feel bad for my heart.

Where can anyone be without pain?

When I felt that sadness, I remembered when my father died of gastric cancer.

It is so sad to lose such a precious person.

“Please, please save me, sir. ”

“I will do my best. ”

Jinhyun nodded.

There's only one thing a doctor can do at this point, and it's to do what's best for the patient.

‘It needs to get better..... ’

Jinhyun grabbed his fist.

But sadly, sometimes it gets worse even with the best.

This patient did.

* * *

3: 30 a.m.

Jinhyun placed his tired body in the on-call room.

‘I have to get up before 5: 00 to disinfect and prepare for morning surgery… I can sleep for about an hour and a half. ’

I sighed.

But what, what are we gonna do?

I know that the seller is destined to suffer.

I thought about dermatology again because it was too hard, but it's already folded.

And as soon as he lay down, he fell asleep.

But it's been 10 minutes?

Tyreeri!

The phone rang.

I received a non-nightmare call with my eyelids heavier than a thousand.

“... This is Kim Jin-hyun. ”

A dying voice.

Kim Jin-hyun!

It was Yeon-hee.

But it's not the usual contradictory voice.

I woke up in a rushing voice as if I was going to take a breath.

Kim Jin-hyun, I'm in trouble! Kim Seong-bok, who was in a car accident, has 80 percent oxygen! ”

“ ……?! ”

Jinhyun woke up in his bed.

“I'll be right there. ABGA, please. ”

Jinhyun jumped up to the ward.

“Standing, sir! Please help us! ”

The caretaker rolled his feet with a contemplative face and was struck.

Jinhyun hastily examined the patient.

“Ha, ha..... ”

The patient was whining as if he was running 100 meters with power.

Even though oxygen was at its highest, the figure came from the early 80%.

“Is your patient okay? ”

I couldn't answer even if I gave him a stimulus by knocking on my chest. I lost consciousness.

Respiratory failure! ’

Jinhyun was evil at it.

Eventually, the situation I was worried about came to an end.

Just as you can't run long with power, a person's respiratory muscles are limited in movement.

I can't breathe when I'm out of it.

“Sir, here's an arterial exam! ”

“ ……! ”

pH7.2 O2 45 CO2 65

It was the worst outcome.

Especially when the pH is 7.2 and the carbon dioxide in the body is 65.

Because the lungs don't properly exchange oxygen and carbon dioxide.

If the carbon dioxide is more moderate and the pH drops to about 7.1, a heart attack can occur.

Before doing so, I had to take action.

“Please prepare the tracheal intubation. ”

“Tracheal intubation? ”

Yeon-hee asked in surprise.

Jinhyun nodded firmly.

“Yes, there is no other way. I'm going to go down to the ICU after the tracheal intubation and start artificial breathing. ”

If you can't breathe on your own, there's only one way to artificially breathe with the machine.

“Please prepare quickly. It's urgent.”

“Yes, I understand! ”

In this case, one minute and one second is urgent.

Nurses, including Yeon-hee, moved quickly during an urgent emergency.

But it was then.

I heard a stubborn voice.

“Wait, what are you doing? ”

It was a steelstone, the chief.

He appeared in the ward in a rush to see how he was contacted.

He also looked at the patient's face and identified the situation at once.

“Oh my..... ”

“Respiratory failure and tracheal intubation. ”

Jinhyun explained in a quick voice.

But Kang Hyeong-seok said with a firm face.

“Yes, but Kim Jin-hyun. I'll see you in a minute. ”

“Yes?”

“Come here. ”

Outside the ward, Kang Hyeong-seok nagged.

“If the patient is this bad, you should call me. What are you trying to see for yourself? What would you do if it went wrong? ”

Kim Jin-hyun opened his mouth.

Of course, a year's drive to become a resident is not a patient you see alone, but do you really have to talk about this in such an urgent situation?

“Be careful next time. ”

“... Yes. ”

Yeon-hee exclaimed in a rush in the infirmary.

“Sir, more oxygen levels are dropping! Come quickly!”

“ ……! ”

Kang Hyeong-seok said in a hurry.

“Don't do this next time, it could be a big mistake, so I'll do the intubation. Watch and learn! ”

And they went into the infirmary.

Oxygen level 73%.

The patient struggled intermittently and could not breathe properly.

I'm tired of my breathing muscles. I'm paralyzed.

73% You shouldn't think there's more than half of the oxygen.

It's practically half free of oxygen. Moreover, figures are falling.

“Ambu, please. Kim Jin-hyun, put some ambu here. ”

Jinhyun creates an air pocket in the ambu mask that forcibly pushes oxygen outside.

“The brain doesn't bleed for 12 minutes, it's damaged. So unlike other treatments, the tracheal intubation should be successful at once. Otherwise, there is a big problem. ”

The stern stone turned the patient's neck backwards, making the path to the mouth, vocal cord, and prayer a work ().

“The more you do this, the more you don't panic. Make a mistake if you panic. Please prepare the tracheal intubation tube. ”

Yeon-hee rushed back.

“What's the size?! ”

“8.0, please. ”

The steeple was never embarrassed.

Definitely a commendable attitude.

But the situation was too urgent.

“Sir, the oxygen level is 65%. Ambu breathing is ineffective. It falls further.”

“Yeah, let's do it right now. Laryngoscope, please!”

The tracheal intubator is a drinker who pushes the tube directly into the airway.

Inserting a tube into the airway allows the patient to put in high concentrations of oxygen from the outside without breathing.

It could not be complicated because the laryngoscope wetted the laryngoscope and then pushed the tube in.

However, it is never easy to say that the process is simple.

Especially since tracheal intubation is often used in emergencies that involve feces, if not resolved well, it can be a fatal blow to the patient.

‘Wet the laryngeal caps……. ’

The chief stethoscope cleverly grasped the laryngoscope.

A resident car is the rank with the most institutional intubation in the hospital in three years.

He also had a wealth of experience and was better than the professor by one institute intubation.

However, his face was suddenly stiffened with a laryngoscope that wetted the patient's mouth.

An unexpected sight was unfolding.

I couldn't see the way to the airway with my mouth swollen.

‘I can't see a thing! Why are you so swollen? ’

Not a single path from mouth to vocal cord or prayer was seen with a Difficult airway that was not anticipated at all.

It's just chickenshit.

‘Oh, shit! ’

Then another nurse shouted.

“Oxygen readings are 50%, sir! ”

50%!

90% of the body suffers from hypoxia.

In less than a minute, there will be a heart attack.

If hypoxia causes a heart attack, the patient dies.

Nervousness rises on the calm face of the steel stone.

* * *

He moves his hand and manipulates the laryngoscope.

However, it was like a cave that had been set on fire, but I could not see the way to the castle.

"Shit! I can't see it. ’

The nurse shouted again.

“Sir, 40%! Quickly!”

10% drop in 3 seconds.

No more.

I had to make up my mind.

‘No one can intubate an organ other than me right now. Put it in without looking! ’

There are two holes in the mouth anyway.

Esophagus and prayer!

If you don't see it, push it in one of the two.

Especially since the airway is against the ceiling behind the mouth, scratching and pushing it in can have more than half the chance of success.

“Put it in!”

Argh!

The tube went down.

Please!

Everyone in that seat prayed earnestly.

“Oxygen, please! ”

Jinhyun connected the ambu to the airway tube and injected air.

Oxygen levels will now climb if you go in properly.

They all swallowed their saliva and looked at the oxygen levels.

Less than 2 seconds, but the timing is like a coward....

Numbers have changed from 30% to 30%.

(Continued on next page)