My Medical Skills Give Me Experience Points

Chapter 1186 - 469: Airway Obstruction, All Diagnoses Correct



Chapter 1186: Chapter 469: Airway Obstruction, All Diagnoses Correct



After finishing the rounds, he was still somewhat worried about Director Tang Fei’s current situation.


After causing trouble, it’s only right to inquire about the other’s condition.


His relationship with Director Tang Fei was basically that of a superior and subordinate, a certain friendship, but far less than the sibling bond with Director Xue Yan.


He happened to have a good excuse to make a call.


He was about to enter the emergency surgery room and start his day’s work. He could ask about the condition of the child diagnosed yesterday.


The call was made and it was quickly connected.


Which indicated that things were fine.


"Director Tang, I’m really sorry to disturb you so early!"


Zhou Can spoke first.


"It’s no bother at all; I’m already at the hospital working." Her mood seemed pretty good.


Zhou Can summoned his courage and tentatively asked, "Sorry for causing trouble in your family yesterday! If you need me to help clarify any misunderstandings, just let me know."


"Haha, I didn’t anticipate the unexpected yesterday; a minor mishap occurred. If anyone should apologize, it should be me. Fortunately, once I explained things to my spouse, he calmed down. He even woke up early this morning to make breakfast for me!"


She found yesterday’s situation amusing.


Zhou Can had specifically reminded her not to close the door to avoid misunderstandings. As luck would have it, she was busy with work and forgot her wedding anniversary. Her husband came to the hospital with gifts and found her behind closed doors with Zhou Can in the office for a long time.


"It’s good that everything’s alright. Did the child undergo the examination?"


Hearing that things were resolved, Zhou Can breathed a slight sigh of relief.


"Many departments had closed by yesterday evening, so arrangements couldn’t be made. But I communicated with the family, and they agreed to do the examinations. They should be completed this morning."


Zhou Can left her office when it was already approaching eight in the evening.


Most of the hospital laboratory staff had already finished their shifts. For the capsule endoscopy department, appointments are generally required unless it’s an emergency.


"Dr. Zhou, Dr. Zhou, there’s an emergency patient over there, with a purple face!"


A nurse sought a senior doctor to direct the rescue, but the shift change time had not arrived. The highest-ranking doctor on duty was at the chief level.


She saw Zhou Can at the end of the hallway by the window on a phone call and urgently sought his assistance.


"Okay, I’m heading over right away!"


After speaking, Zhou Can explained to Director Tang Fei on the phone, "Director Tang, we’ll leave it at that for now. I have a patient here who needs rescuing."


"Go ahead with your work!"


The two ended their call.


The misunderstanding from yesterday hadn’t greatly impacted her marriage, so Zhou Can could rest assured.


He followed the nurse towards the emergency hall and soon saw an elderly patient lying on a mobile stretcher. Two family members were tensely beside him. Dr. Xie was still on night duty today, as the shift change hadn’t occurred yet.


He was at the triage desk, holding the fort.


The patient was in a coma, and Dr. Xie was diligently performing CPR.


However, the patient’s face was cyanotically discolored with hints of gray, a sign of oxygen exchange problems, indicating imminent demise.


Dr. Xie’s actions during the rescue were professional; the force of chest compressions was just right. After pressing thirty times, he performed artificial respiration for the patient.


For artificial respiration, Dr. Xie chose the mouth-to-nose method.


In such situations, it’s typically difficult to open the patient’s mouth, severe trauma, or in water, or when the doctor’s mouth is smaller than the patient’s mouth.


In films and TV dramas, often the female lead is drowning and the male lead kisses her mouth for artificial respiration. This is purely for plot needs and is utterly unprofessional.


The correct approach should be mouth-to-nose artificial respiration.


Additionally, when a female doctor or nurse encounters a sudden coma patient on the road needing CPR, a woman’s mouth is usually smaller than a man’s. If their psychological quality is strong enough, they may choose the mouth-to-nose method.


Because if the female doctor or nurse tries to perform mouth-on-mouth artificial respiration, her mouth might be too small to completely cover the patient’s. Air blown in would escape from uncovered spots and not enter the patient’s lung.


This situation is deemed ineffective artificial respiration.


When blowing into the patient’s mouth without pinching the patient’s nose, this unprofessional rescue is usually by laypersons. It’s a common-sense error.


"The patient’s airway seems to have some issues."


Zhou Can’s extensive rescue experience allowed him to see that during artificial respiration, the patient’s chest was noticeably rising and falling.


This indicated that the air blown in had reached the lungs.


Assisting the patient in achieving lung dilation.


It’s known that lung respiration is completed through the dilation and contraction of alveoli. Intuitively, one could understand that when the left and right lungs swell like balloons, inhalation is happening. Contraction indicates exhalation.


Mouse dissection reveals lung changes quite clearly.


As for the anatomical teacher, there’s no need to even think about it.


The bodies used in medical research are those of humans whose lives had already ended. Conducting medical research on living humans, only the little devils are so cruel and anti-human.


Zhou Can approached and tried to raise the patient’s head at a greater angle, by supporting the patient’s chin and lifting upwards.


This is the most commonly used head tilt-chin lift method.


The patient’s teeth were tightly clenched, and his mouth was firmly shut.


He applied slight force to pry open the patient’s mouth, revealing a gap about two to three centimeters wide, and then observed the condition inside the oral cavity.



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