Tension pneumothorax, Zhao Zhaowei tried his best to search for the knowledge in medical textbooks in his mind. Now he wants to scold the counselor. Ren Chongda asked them to come for apprenticeship in advance. No teacher had taught them about diagnostics, internal medicine and surgery.
Teacher Ren was "bad" and deliberately let them come to trainee ahead of time to scare them, and sure enough, he was so scared that he was about to cry.
"What should I do now, Yingying?" Zhao Zhaowei asked again.
Hearing their conversation behind, the two traffic policemen in charge of driving broke into sweat and asked, "Can you do it?"
"Relax!" Xie Wanying said to everyone.
At this time, the doctor can't tell his weakness no matter what, otherwise the whole psychology will collapse.
It doesn't matter, she knows what tension pneumothorax is, the pleural cavity is leaking, and the leak channel is a one-way valve.
Normal breathing, inhalation is the inhalation of air into the lungs, and exhalation of air out of the lungs.
Tension pneumothorax becomes inspiratory gas inhalation as usual, and expiratory gas cannot be excreted. Gas has been accumulating in the chest cavity, the lungs collapse, the trachea is deflected, and the heart is affected.
This patient has heart disease, and tension pneumothorax appears even more dangerous at this time.
It is unclear whether it is spontaneous pneumothorax or pneumothorax caused by trauma. In any case, it must be dealt with immediately and exhausted, otherwise, the young patient will die at any time.
Although she is only a trainee, she can report to the higher-level doctor to obtain operation instructions.
Thanks to Dr. Jiang for his advice to her before she left!
Xie Wanying picked up her mobile phone and called Dr. Jiang first.
Dr. Jiang beeped and quickly connected with her: "What's the matter, you said!"
There must be something wrong with her calling, Dr. Jiang knows without thinking.
"The patient has a tension pneumothorax." Xie Wanying answered quickly and couldn't waste a minute or a second.
Hearing her words, Dr. Jiang broke out in a cold sweat: It's a big deal!
"I have to puncture and exhaust him immediately." Xie Wanying said.
"Wait!" Dr. Jiang calmed down.
This is a heart disease patient, and he can't mess around, even if he is at the scene. Fortunately, he called the hospital early and told Xie Wanying,
"I told the hospital that you accompany the patient back to the National Association. Dr. Yang from Cardiac Surgery should be guarding the phone in the emergency room. You should call him now!"
Instructed to call Xie Wanying back to the emergency department of the hospital without delay.
The emergency telephone rang, and the nurse answered the phone: "Hello, this is the National Association of Emergency Department. Please say anything."
"I'm Xie Wanying, and Dr. Jiang asked me to find Dr. Yang from Cardiac Surgery."
The call for help really came!
Dr. Jin, Dr. Lin, and Dr. Yang, who were discussing around the phone, just walked away when they heard the emergency nurse speak and all ran back. Fu Xinheng immediately instructed the emergency nurse to transfer.
The emergency nurse transferred the nurse's station phone to the phone in the emergency doctor's office.
A group of doctors entered the doctor's office and closed the door to listen, so they could hear it more clearly.
Dr. Yang picked up the phone: "What's wrong with the patient?"
Doctor Jin grabbed the phone in his hand, put it back, and pressed the speakerphone key. She was also nervous, she wanted to hear how her students were doing.
"Tension pneumothorax, Dr. Yang." Xie Wanying's answer came back from the opposite side.
The clinical seniors around the phone were as tight as a bow: tension pneumothorax is no longer a simple problem!