259 Do local tyrants bring a medical team to dinner?(1/2)
Looking at Xue Fei's speed as fast as a little leopard, Zhang Fan nodded in his mind: This kid has learned through experience.
In the eyes of manual workers, doctors feel like mental workers, and in the eyes of mental workers, doctors feel like manual workers.
To be honest, the job of an emergency physician can be said to be a moderately physical but heavy mental worker.
Because of this, in many emergencies, doctors are given very little time, and doctors must choose the most correct and effective way to treat the patient in the shortest possible time.
The difference between a good emergency doctor and an ordinary emergency doctor is really the difference between a human and a pig. For example, when facing a patient in shock, a good doctor and an ordinary doctor can immediately make a judgment call.
In clinical work, due to limited conditions, general wards do not have vascular visualization equipment such as infrared vascular imaging cameras, and the central venous catheterization operation requires an anesthesiologist to perform puncture, and the interval may be long.
Ordinary doctors can only make phone calls at a loss, or they can only hand over the command to the senior nurses in the department.
But if there are no old nurses, and all the nurses are prostitutes, the doctor can only cry to his superiors for rescue.
The family members feel that this doctor is so caring, and even think that there is no better doctor than this doctor in the world.
However, good emergency doctors directly deal with the jugular vein or femoral vein, which are large blood vessels that ordinary doctors dare not come to because they are not like the radial artery and the circumferential vein, which are related to each other.
Very few people commit suicide by cutting their wrists, because the average person's mental strength cannot cut the artery at all, but the jugular vein and the femoral vein are different. The veins and arteries here are where husbands and wives sleep together.
If you don't pay attention, a needle will be inserted into the artery. This is the rhythm of the fountain.
A good emergency doctor has a bad temper, not to mention his attitude towards patients. When asked, the answer is: Get out of the way, why are you coming over?
But it is really life-saving. A needle is inserted into the jugular vein and the patient is saved!
And Xue Fei is probably in this state right now, "Get out of the way, I'm a hammer!"
After saying that, regardless of what others did, he picked up the child, kicked it to a bench, stepped on it with his big feet, put the child on his lap, and started to pound directly.
Anyone with some knowledge knows this rescue method: Heimlich maneuver! This method is one of the most effective first aid methods at present.
To be honest, cardiopulmonary resuscitation and Heimlich first aid, especially the Heimlich first aid, are really simple. It is so simple that as long as a young person is literate, he can probably master it after reading it once.
Therefore, Zhang Fan thinks that younger people should learn this, not to mention why, just to help others in extreme crises, and this help may save a family.
Xue Fei put his big hand on the child's upper abdomen, and then impacted inward and upward. This action actually caused the diaphragm to move upward, which then generated pressure and compressed the chest cavity, resulting in impact force and ejecting foreign matter from the airway.
Once, twice, the little doll was like a rag doll, its limbs and body seemed to fall apart following Xue Fei's movements.
More and more people were gathering around, and even the master chef at the back of the restaurant came with a knife.
"Wang Yanan, bring the equipment box and get ready." Zhang Fan stood aside and said softly to Wang Yanan.
Zhang Fan did not interfere with Xue Fei's rescue, but he was still prepared to cut the trachea if the rescue failed.
Not to mention other things, and not to mention the doctor's sentiments or other lofty words, if this child cannot be saved today, and his colleagues find out, they will probably laugh at Zhang Fan for the rest of his life.
Nima, a doctor and nurse in a hospital encountered a child and failed to save him. Nima, do you still have the nerve to claim to be a surgical master?
"Well!" Wang Yanan quickly returned to his seat, unable to catch up with Shao Hua who was holding the child. He picked up the box next to him and ran back. Shao Hua held the child nervously and looked at the crowd.
If she didn't have a child, she would definitely go there, but now that she has a child, she is so curious that she won't go there.
When I came to Siya this time, Ms. Zeng and her company not only took care of the transportation, but also gave the surgeon a set of instruments when he got on the plane, and the physician's superior gave him a stethoscope.
They are all produced by their company. Although this kind of gift seems useless, it will not impress doctors. In fact, foreign companies like to do this.
For example, if a doctor uses equipment from one company for more than ten years or even decades, he will find it uncomfortable if he wants to use equipment from another company in the future.
If this doctor does not develop well, forget it. Once this doctor becomes the director of the department or a doctor who is famous in China, the company will make a lot of money.
This kind of doctor can influence several or even doctors in a region. This kind of influence is more effective than a drug dealer, a device agent or a skin grinder.
After Wang Yanan ran back with the box, he emptied the table with a click of the car key, then opened the box and took out the first layer of sterile gloves, quickly put them on and then opened the sterile bag.
Rows of sharp knives, rows of pliers, and rows of tweezers were illuminated with a cold light.
Then Wang Yanan picked up the needle holder and began to install the blade.
The child's mother looked at this posture and was so frightened that she burst into tears.
She didn't know anything now, and she didn't know what to do, but she saw this group of people guarding one side like a wall, and there were axes, axes, knives and forks with cold light placed in front of her.
She was scared to see this posture.
In fact, she and her child were really lucky among misfortunes. She encountered a tracheal obstruction while eating, but she was so good and had a doctor's dinner together. Really, the good luck accumulated over several lifetimes suddenly exploded.
Once, twice, while Xue Fei was rescuing, Wang Yanan was even ready with a blue disposable scarf. If it still doesn't work in two or three minutes, the incision will be made today.
At this time, Xue Fei raised his head and shook his head at Zhang Fan.
Zhang Fan understood that the effect was not good because the pressure on the chest was not enough and the force of the ejaculation could not be achieved.
"Clear the place!" Zhang Fan moved.
"Quick, make way, make way, everyone, step back five meters, the child needs rescue, we are doctors, quick, step back five meters, we are doctors."
The nurses in gorgeous clothes suddenly got into the mood. Some even kicked off their high heels and stood barefoot on the edge of the crowd, holding hands and pushing the crowd away.
"I am the child's mother, I..."
"Hurry back, don't waste time."
This momentum alone made a group of people feel that they were professional. Anyone who was not a doctor did not need to arrange to automatically form a human wall.
Bayin quickly got a pair of gloves for Zhang Fan, and the anesthesiologist had already put on the gloves and started injecting lidocaine subcutaneously into the child's neck.
I really want to thank Mr. Zeng for the small gift, otherwise I would have to use a kitchen knife today!
This kind of rescue does not have time to take any measures such as disinfection. It only lasts for six minutes. Once the six-minute rescue window is exceeded, the patient will suffer brain damage.
This stuff is no joke.
The child, who was pale and tinged with purple, lay flat on the dining table, like a little zombie, twitching constantly.
Wang Yanan quickly held the child's head, Xue Fei quickly took the gauze, and Zhang Fan had already taken the scalpel.
Xue Fei's rescue took about two minutes, but Zhang Fan and the others only took thirty seconds to prepare, not even thirty seconds.
The tip of the knife gently cuts along the skin texture and cuts directly along the thyroid cartilage.
At this time, 120 also came.
The 120 doctor from Siya ran up with two nurses carrying a stretcher.
Then everyone was dumbfounded, who is this? He is so brave, operating on a child at the dinner table.
120 The doctor didn't dare to shout, for fear that the second knife would be frightened and accidentally kill the person.
This is the neck. Next to the neck is the aorta. Oh my god.
After taking a few steps forward, I realized that something was not right, because the positions of these people were too standard. They were directly the standard positions on the operating table, with the surgeon, anesthetist, and nurse assisting.
There was even a circulating nurse waiting by the side with gauze.
The emergency doctor was shocked, "What kind of rich man is this? He knew in advance that something was going to happen, and he even brought a medical team with him. Why did he call 120 when he was like this?"
Although he didn't see the surgical incision, he knew from this posture that this was definitely a medical team.
At this time, the child's mother saw the doctor at 120, "Doctor, doctor..." The child's mother didn't know what to say. She was now like a drowning person.
"Why are you making such noise? Shut up. We are rescuing people, didn't you see?" The little nurse had a bad temper and would curse when she opened her mouth.
When the doctors at Siya 120 heard this, they probably understood that this nurse must have come from the operating room, otherwise ordinary nurses would not have the confidence.
He turned around and asked his colleague to stop, and he slowly walked to the operating table with the emergency kit in hand.
This was incredible. He felt that this person was so awesome. If he hadn't known that the patient was a human being, he would have felt that he was operating on the gross body teacher.
Because there is no bleeding at all under the incision, and the incision almost follows the texture.
Even a skilled surgeon can do this, but in such a short period of time, when the trachea is blocked and the patient is about to face brain death, it is amazing that he can do this step.
After cutting the airway, the child's chest started to rise and fall like a balloon, "Toothed forceps!"
Bang! Bayin quickly put the prepared tweezers into Zhang Fan's hand.
When the emergency doctors in Siya heard the sound of forceps being passed around, they no longer had any doubts. This is really a team, and a mature team at that.
He secretly compared it and estimated that his hospital might not be able to do this in a panic.
Those who formed the fence formed the fence, those who acted as assistants acted as assistants, those who acted as anesthetists acted as anesthetists, and there were even a few doctors with stethoscopes on the outside.
He really wanted to ask: Are you here to eat independently?
Zhang Fan took the toothed tweezers and said, "Turn on the light!"
Xu Xian, who was already standing on the bench, holding one in each hand, had already turned on the flash. When Zhang Fan said to turn on the light, he pointed the light source at the airway.
Zhang Fan looked around and saw the ball. No wonder Xue Fei couldn't push it out. It turned out that the child was born with a somewhat deformed airway and it got stuck in the deformed place.
Slowly find a good position bit by bit. Although it is urgent now, it is much easier than before when the airway was not opened.
Tweezers are equipped with teeth. If the bite is unstable at one time, tiny meatballs may enter the lungs, which may cause lung infection.
Therefore, Zhang Fan shook it slightly, and then in an instant, just like a turtle eating a small fish, he bit the ball tightly.
Then a faint sound of Peng was heard, and the meatball was pulled out.
"Hurry up and be quick, so sure. This doctor is probably a chief physician. But he seems too young."
The emergency doctor looked at Zhang Fan and seemed familiar, but he couldn't remember who he was.
To be continued...