Zhou Litao disinfected the patient's wound, injected anesthetic drugs, and then performed tracheotomy.
The skin and subcutaneous tissue were incised along the anterior midline of the neck from the lower edge of the thyroid cartilage to the suprasternal fossa. Use vascular forceps to separate the sternohyoid muscle and sternothyroid muscle along the midline to expose the thyroid isthmus.
The patient's thyroid isthmus was too wide, obstructing the line of sight. Zhou Litao slightly separated the lower edge and used a small hook to pull the isthmus upward.
After determining the trachea, use a sharp blade to arc-cut the front wall of the tracheal ring from bottom to top at the third tracheal ring to form an anterior tracheal wall flap.
Zhou Litao extended the incision made by Gao Shaojie and inserted the tracheal intubation. There was no way to bring a sputum suction device to the emergency room. After Zhou Litao fixed the intubation, he asked the stretcher bearer to send the patient down as soon as possible.
"Teacher Gao, are you going?" Zhou Litao asked.
"Let's take a look." Gao Shaojie felt that his mouth smelled of blood, and he didn't know if he had any infectious diseases. He couldn't care about that when he went to the emergency room. Looking back now, Gao Shaojie was a little scared.
He followed her into the elevator and saw the girl breathing hard, with a small amount of blood foam spraying out of the endotracheal tube, and took a long breath.
"Boss Zheng, get on the 120 ambulance immediately." Gao Shaojie and Zheng Renhui reported.
Just when I got on the elevator, the signal was quite bad and the screen froze.
The signal didn't get better until we got to the ambulance.
"Thank you, Lao Gao." The picture on Zheng Ren's side kept moving up and down. He must be rushing to the hospital, and Gao Shaojie felt warm in his heart.
"Lao Gao, that's good. Let's take a look at the patient's vital signs." Su Yun came over and said.
Gao Shaojie showed the picture to the electrocardiogram monitor, and the nurse next to him was using the vehicle-mounted negative pressure suction to suck out all the foreign matter in the respiratory tract.
"The vital signs are stable, how is the patient's neurological reflexes?" Su Yun asked.
"President Zhou is testing." Gao Shaojie said.
"Old Gao, rinse your mouth quickly. You look so embarrassed like this. Do you know how many girls in the department like you, but they must not let them see you looking so embarrassed." Su Yun laughed and said.
Gao Shaojie knew that Su Yun was teasing him, the little nurse in the department? Who is not Brother Yun? Brother Yun screamed with such a sweet voice. If he had diabetes, he would suffer from ketoacidosis within two days.
I asked for a bottle of saline solution and after opening it, Gao Shaojie began to rinse his mouth.
When I went to the emergency room, I didn't feel anything. I kept forcing myself not to shake and to find a good position so as not to damage the thyroid gland. Completely unaware of what was being sucked into the mouth through the straw.
Looking back now, Gao Shaojie felt uncomfortable in his mouth. He rinsed his mouth with sugar water and salt water several times and still felt like there was a foreign body in his mouth.
"Teacher Gao, you rescued me in time, so you should be fine." Zhou Litao said after checking the patient's vital signs and nerve reflexes.
"I don't know how to rescue. When I got off the elevator, I found her asking for help at the elevator entrance. I was stunned at the time, so I called Boss Zheng." Gao Shaojie forced a smile and said: "Boss Zheng's video guidance of the rescue."
"There's nothing. Just cut open and suck it out with a straw. Boss Zheng's reaction is really fast." Zhou Litao praised, "With so much secretion, I think the amount you spit out must be dozens of milliliters."
When Gao Shaojie heard the word vomit, he felt like his stomach was churning.
It would be a lie to say that it's not uncomfortable, but if given a chance to do it again, Gao Shaojie would still do it.
No matter how many complaints, confusion, confusion, and unwillingness he usually has, the memory that has been engraved in his bones when encountering something will drive him to start taking correct actions.
"Blood oxygen is 100%, everything should be fine." Gao Shaojie changed the subject and tried to distract himself.
The thought of secretions makes Gao Shaojie, who is a little bit mysophobic, want to vomit involuntarily.
"Well, there's only so much secretion, just suck it up and it'll be fine. It's really strange, where does so much secretion come from? It looks like a white foam-like substance, just like a patient with acute right heart failure..." Zhou Litao It seemed like he was chatting with Gao Shaojie, or talking to himself.
He didn't feel anything, but Gao Shaojie felt the overwhelming force in his chest and abdomen getting stronger and stronger, and the feeling of wanting to vomit was unbearable.
The rental house was very close to the hospital. When we came to the emergency passage, a flatbed truck was already waiting at the door to put the patient on the flatbed truck. Gao Shaojie followed him out of the ambulance.
"Thank you, Lao Gao." Zheng Ren patted Gao Shaojie on the shoulder and said.
Seeing Boss Zheng running over in the middle of the night, Gao Shaojie felt a little embarrassed and said repeatedly: "Boss Zheng, I'm sorry, I haven't had a tracheotomy. This time... I did it too reluctantly."
"It's okay, you've done a good job. If you can successfully rescue someone in that situation, it's a perfect performance." Zheng Ren said with a smile, extremely generous and steady.
"I usually don't notice anything when I see you do it. I'm too nervous when I do it." Gao Shaojie sighed and said.
"Old Gao, you're very smart. You know how to make phone calls." Su Yun smiled and handed over a bottle of purified water, with the cap already unscrewed.
Gao Shaojie smiled back, rinsed his mouth several times, and then washed his face.
"I was scared at the time." Gao Shaojie said frankly, "I was so scared that my legs were weak."
With that said, the three of them walked into the corridor of the emergency department. Zheng Ren just took a look at the patient's system panel and made sure that everything was fine. He was also very confused as to why the patient suddenly suffocated.
But those were not important. Zheng Ren called Zhou Litao over and asked him to check the patient for a full set of infectious diseases.
A series of infectious disease examinations such as AIDS, syphilis, hepatitis B and C, etc.
"Lao Gao, it's good that you didn't get scared when you saw the patient." Su Yun comforted Gao Shaojie.
"I almost gave up." Gao Shaojie whispered: "I rushed forward without thinking about anything, but when I took the knife to do the tracheotomy, I started thinking blindly. If the knife goes down, this matter will have something to do with me. . I was thinking about a lot of things like a revolving door at that time, but there was nothing I could do.”
Zheng Ren knew that Gao Shaojie was telling the truth, especially when he was eating. Seeing that something was wrong with his expression, he knew that this was the old doctor's battle between heaven and man.
When encountering these things, those who can stick to their original intentions are worthy of respect.
"Now that I think about it, I feel uncomfortable and want to vomit..." Gao Shaojie said with some embarrassment.
Zheng Ren smiled and changed the topic: "Lao Gao, what does Director Zhou want from you?"
Gao Shaojie was startled, wondering if Zhou Chunyong had already discussed it with Boss Zheng.
But then I thought about it, the possibility of this kind of thing was not high, but how did Boss Zheng know
"Old Gao, what's that expression on your face?" Su Yun said with a smile: "Did Zhou Chunyong ask you to join their department, to be the leading professor first, and then to be promoted to deputy director when the opportunity is right?"