Zhou Litao disinfected the patient's wound. After injecting anesthetics, he began the tracheotomy.
The lower edge of the thyroid cartilage was near the suprasternal fossa. The skin and subcutaneous tissue were cut along the front midline of the neck. The sternohyoid muscle and the sternothyroid muscle were separated along the midline with vascular forceps, exposing the thyroid isthmus.
The patient's thyroid isthmus was too wide, blocking the line of sight. Zhou Litao separated it slightly at the lower edge and used a small hook to pull the isthmus upward.
After confirming the trachea, at the third tracheal ring, he used a sharp blade to cut the front wall of a tracheal ring from bottom to top to form the front wall of the tracheal flap.
Zhou Litao extended the incision that Gao Shaojie had made and inserted the tracheal intubation. The emergency rescue could not bring a sputum aspirator up. After Zhou Litao fixed the intubation, he asked the stretcher worker 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 was full of the taste of blood. He did not know if there were any infectious diseases. He could not care about that during the emergency treatment. Now that he thought about it, Gao Shaojie was a little scared.
He followed them into the elevator. He saw the girl trying her best to breathe. A small amount of blood foam came out of the tracheal intubation. He let out a long breath.
"Boss Zheng, get on the first-aid ambulance immediately," Gao Shaojie and Zheng Ren reported.
However, when they got on the elevator, the signal was quite bad. The image was stuck.
When they got on the ambulance, the signal became better.
"Old Gao, thank you for your hard work." The image on Zheng Ren's side kept moving up and down. He should be rushing to the hospital. Gao Shaojie's heart warmed slightly.
"Old Gao, not bad. Take a look at the patient's vital signs," Su Yun said from the side.
Gao Shaojie turned the image to the ECG monitor. The nurse next to him was using the negative pressure suction in the car to suck all the foreign bodies in the respiratory tract clean.
"The vital signs are stable. How is the patient's nerve reflex?" Su Yun asked.
"Chief Zhou is testing," Gao Shaojie said.
"Old Gao, quickly rinse your mouth. You look so pathetic. Do you know how many girls in the department like you? We can't let them see you in such a pathetic state, "Su Yun said with a laugh.
Gao Shaojie knew that Su Yun was teasing him. The nurses in the department? All of them were calling him Brother Yun. Their voices were so sweet. If he had diabetes, he would get ketoacidosis in less than two days.
After asking for a bottle of saline, Gao Shaojie opened it and began to rinse his mouth.
He did not feel much during the emergency treatment. He had been forcing himself not to tremble. He had to find a good position and not damage his thyroid gland. He was completely unaware of what he was sucking into his mouth through the straw.
Now that he thought about it, Gao Shaojie felt that his mouth was uncomfortable. He rinsed his mouth several times with sugar water and salt water, but he still felt that there was something strange in his mouth.
"Teacher Gao, you rescued him in time. He should be fine," Zhou Litao said after checking the patient's vital signs and nerve reflexes.
"I don't know how to save her. When I got off the elevator, I saw her begging for help. I was stunned at the time. I called Boss Zheng. "Gao Shaojie forced a smile and said," Boss Zheng video-guided the rescue. "
"There's nothing. Cut it open and suck it out with a straw. Boss Zheng's reaction is really fast." Zhou Litao exclaimed in admiration as he continued, "So much secretion. I think the amount you spat out is at least tens of milliliters."
As soon as he heard the word vomit, Gao Shaojie felt his stomach churning.
It would be a lie to say that he did not feel uncomfortable, but if he had the chance to do it again, Gao Shaojie would still do it.
No matter how many complaints, confusion, and unwillingness he usually had, when he encountered something, the memory that had long been engraved in his bones would drive him to start doing the right thing.
"Blood oxygen is 100%. He should be fine." Gao Shaojie changed the topic and tried to distract himself a little.
At the thought of the secretion, Gao Shaojie, who was a little obsessed with cleanliness, could not help but want to vomit again.
"Yes, there's only so much secretion. It'll be fine once it's sucked clean. It's really strange. Where did so much secretion come from? It looks like a white foam-like substance, just like a patient with acute right heart failure … "Zhou Litao seemed to be chatting with Gao Shaojie, but also seemed to be talking to himself.
He did not feel anything. Gao Shaojie felt that the churning in his chest and abdomen was getting stronger and stronger. The feeling of wanting to vomit was almost unbearable.
The rental house was very close to the hospital. When they arrived at the emergency passage, the stretcher trolley was already waiting at the door. After sending the patient to the stretcher trolley, Gao Shaojie got out of the ambulance.
"Old Gao, thank you for your hard work," Zheng Ren said as he patted Gao Shaojie's shoulder.
Seeing Boss Zheng come over in the middle of the night, Gao Shaojie felt a little embarrassed and said repeatedly, "Boss Zheng, I'm sorry. I've never done a tracheotomy before. This time … I did it too hard. "
"It's okay. You've done very well. It's a perfect performance to be able to successfully rescue that kind of situation, "Zheng Ren said with a smile, extremely magnanimous and steady.
"I really don't feel anything when I see you do it. I'm too nervous when I do it myself," Gao Shaojie said with a sigh.
"Old Gao, you're quite smart. You know how to call." Su Yun smiled and handed over a bottle of purified water. The cap had been unscrewed.
Gao Shaojie smiled back, rinsed his mouth a few times, and then washed his face.
"I was scared out of my wits," Gao Shaojie said frankly. "I was really scared out of my wits. My legs were weak."
As they spoke, the three of them walked into the emergency department's corridor. Zheng Ren had just taken a look at the patient's System panel and confirmed that there was nothing wrong. He was also very puzzled as to why the patient suddenly had suffocation.
However, that was not important. Zheng Ren called Zhou Litao over and asked him to check the patient for a full set of infectious diseases.
AIDS, syphilis, hepatitis B, and a series of other infectious diseases tests.
"Old Gao, it's good that you didn't cower when you saw the patient," Su Yun comforted Gao Shaojie.
"I almost chickened out," Gao Shaojie said in a low voice. "At that time, I rushed forward without thinking about anything. But when I held the knife to do the tracheotomy, I started to think about it. If I had done it, this matter would have had something to do with me. At that time, I thought about a lot of things, but there was nothing I could do. "
Zheng Ren knew that Gao Shaojie was telling the truth, especially when they were eating. Seeing that his expression was a little off, he knew that this was the old doctor's internal struggle.
In the face of these things, people who could keep their original intentions were worthy of respect.
"Thinking about it now makes my heart uncomfortable. I feel like vomiting …" Gao Shaojie said a little embarrassedly.
Zheng Ren smiled and changed the topic. "Old Gao, why is Chief Zhou looking for you?"
Gao Shaojie was stunned. He wondered if Zhou Chunyong had already discussed it with Boss Zheng.
However, on second thought, the possibility of such a thing was not high. But how did Boss Zheng know?
"Old Gao, what's with that expression?" Su Yun smiled and said, "Is Zhou Chunyong going to their department to be a professor first and then be promoted to deputy chief when the opportunity is right?"
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