Chapter 174 Confession Is the Most Useless Apology
In general, the Heimlich maneuver is the most commonly used for foreign body obstruction of the airway.
The principle is to use the impact on the soft tissue under the abdomen and the diaphragm, and the sudden impact will generate upward pressure and compress the lower part of the lungs, thereby driving the residual air in the lungs to form an airflow. The airflow can remove the foreign objects blocking the organs and throat, and save people.
However, again, the Heimlich method is prone to complications and is not very effective.
The little girl's father is obviously not good at this kind of operation.
When she was sent to the hospital, the little girl was already unconscious. Heimlich was not the most effective measure at such a critical juncture.
In the hospital, the choice of bronchoscopy and airway incision is much more appropriate than the Heimlich maneuver.
If Chen Cang was outdoors and encountered such a patient outside the hospital, he would definitely use the Heimlich method for first aid.
However, if the patient's breathing and heartbeat stops, at this time, do not tap the patient's back, but contact the hospital in time.
The endoscopy room of the Second Provincial Hospital has a high configuration of the treatment room. Although it is not comparable to the operating room, it is still enough for airway incision.
However, since it is an operation, no matter how big or small, it is necessary to sign a lot of things such as informed consent and surgical consent with the family members. Although the matter is urgent at this time, Chen Cang must also do these things well.
Don't think that these things are optional. Since surgery is called surgery, it means that there are certain risks and limitations, which cannot be foolproof.
Chen Cang walked out of the endoscopy room and saw a man and a woman quarreling!
To be more precise, a woman dressed as if she was a professional banker stood there, pointing at the man sitting on the chair with tears on her face.
"Xu Liang, tell me what can you do for such an adult? You can't watch your child, and you play your shitty games all day long! You play? Why don't you play! Let me tell you, if the child has three long and two shortcoming, divorce !"
Xu Liang buried his head between his legs and cradled the back of his head with his hands, letting the woman scold him without saying a word.
It's really his fault!
If something really happened to the child, he would never let him go for the rest of his life.
Thinking of the sweet smile constantly in his mind, Xu Liang is just like a knife slashing his heart one by one!
Pain?
Heart like a knife!
Xu Liang was even willing to use his name in exchange for the child's life.
She is only three years old!
Cute, sensible, loves to laugh.
She has just taught her the alphabet in the past two days, and Tiantian is very happy. She seems to be full of enthusiasm for those letters, reading aloud and dictating again and again.
Whenever Xu Liang thinks of this, he can't wait to throw away his phone!
If you don't play games by yourself, accompany the child to finish the homework, accompany her to read the spelling letters, and accompany her to grow up...
How wonderful!
Thinking of this, Xu Liang's tears fell to the ground drop by drop.
Not aggrieved!
It's repentance!
is helpless!
You only have one life, no one will pay for your mistakes, Xu Liang put his hands in his hair, in his scalp, and even...in his flesh!
But the pain was nothing at all.
Nothing is more important than the sweet life of this moment.
Thinking back to the little things in life, thinking of the cute girl sitting on her head with her hair tucked, shouting over and over how her father's hair is so oily and how her father doesn't wash her hair, Xu Liang couldn't hold back any longer, and burst into tears.
He is so scared!
He was scared to death!
He is so regretful, so regretful!
His wife's reprimand, venting, and anger were a relief to him.
scold me!
I was wrong!
I really repent...
The anger and anger of my wife, on the contrary, relieved my sense of guilt a little bit.
"Xu Liang, you pay for me, you pay for my daughter..." The woman was crying, her professional suit was covered with snot and tears, these are not important, what can be more important than a child.
The surrounding patients also sighed when they saw the appearance of the two!
No one to blame and no one to complain.
There are too many stories in the hospital every day. There are joys, anger, sorrow and fear, joys and sorrows, separation and reunion, and...
Everyone looked at the woman and could only sympathize.
What else could it be?
Seeing this, Chen Cang walked over: "That, the patient's family."
Seeing Chen Cang, Xu Liang got up quickly: "Doctor, doctor! How is my daughter?"
The woman also became quiet all of a sudden, with tears in her eyes: "Doctor...doctor, how is Tiantian?"
Chen Cang looked at Xu Liang, who had not wiped away the tears on his face: "Don't be so nervous, the child is not in danger for the time being, but the forceps of the bronchoscope cannot be taken out, and surgery is required to open the trachea and take out the foreign body, and I need your signature. ."
Xu Liang and the woman were relieved when they heard that their lives were not in danger!
After all, when it was delivered, the child's breathing was weak and almost disappeared...
Xu Liang nodded quickly: "I'll sign! I'll sign everything! Doctor... You must save the child, how much does it cost, and I'll save it no matter what, okay?"
Chen Cang nodded seriously: "Well, I will try my best."
...
...
After Chen Cang asked the nurse to explain the signed items to the family, he returned to the operating room to prepare the various instruments and medicines needed for the operation.
Chen Cang began to explain and arrange the next work and things, everything was tense and orderly, and proceeded in an orderly manner.
Chen Cang's mature performance made Xiao He less nervous.
But he was a little more curious. This young man really had the demeanor and bearing that an emergency doctor should have, as if he had everything in mind.
Such an excellent young man, how can he not know it?
You must know that many critical things often happen in the endoscopy room. After this situation occurs, it is rare to see this young man come to help.
Is it new here?
The nurse walked in, holding various signatures, and said to Chen Cang.
"Doctor Chen, he signed it all."
Chen Cang nodded and glanced at Xiao He: "Let's start! Director, help me straighten the child's head."
Xiao He nodded, he understood what Chen Cang meant, although it was not outside the chest, but it was also common medical knowledge.
Chen Cang started routine disinfection and drape.
Chen Cang suddenly found out that if the soldiers in the army have the skill of folding quilts, then our surgical staff must have a sharp and smooth level of laying quilts!
At least it's perfect!
"1% lidocaine + 1 drop of epinephrine!"
The nurse nodded, these had been prepared in advance.
This kind of anesthesia is local infiltration anesthesia. Chen Cang slowly descended the cartilage to the suprasternal fossa and began to inject slowly.
In fact, this is the reason why Chen Cang did not call Liu Jian. If the patient is still alive and kicking during the tracheotomy, a professional anesthesiologist must be used for intravenous administration.
This local anesthesia is actually not much different from treating a small wound.