"0.5mg of epinephrine, intramuscular injection into the outer thigh, quick!"
Li Zheng pushed a stretcher to the emergency room and gave instructions calmly.
Director Tang was stunned for a moment, somewhat dissatisfied with Li Zheng's instructions. After all, this is an internal medicine issue. If you take care of everything, what is the point of me, the director of the emergency department? What's more, this is Director Wu's lover. You are so eager to show off that you have taken away my opportunity.
But when Director Tang heard about the injection into the outer thigh muscle, his brows furrowed instantly.
Epinephrine is usually injected subcutaneously, into the gluteus maximus, or into the deltoid muscle of the upper arm. Why is the outer thigh chosen?
Thinking of Li Zheng's strong basic medical knowledge, Director Tang simply kept silent and let Li Zheng take full charge of the rescue.
"Inhale oxygen, 8 liters per minute! Measure blood pressure and heart rate." Li Zheng issued two more instructions.
Emergency nurses quickly divided the work.
Open the first aid kit and quickly draw up the medicine.
The oxygen tube was also installed at the same time.
A nurse quickly picked up the blood pressure monitor and started measuring blood pressure.
Director Tang and Li Zheng helped take off the patient's trousers, exposing the outside of his thighs.
The nurse held the syringe and didn't know where to inject.
Li Zheng took the cotton swab and syringe, disinfected a random spot in the middle of the outer thigh, and injected the needle directly into the area.
The medicine was injected quickly.
Li Zheng returned the syringe to the nurse.
Director Tang put his pants back on.
"Blood pressure 77/45, heart rate 143, blood oxygen 87." The nurse quickly read out a string of numbers.
Director Tang felt a tightness in his heart. This was a sign of severe shock.
Although Director Wu Mingyuan is not a formal doctor, he is from the medical system after all. After hearing this series of data, he knew that the situation was very bad.
Although he usually acted like a superior in front of these doctors, he was now a little panicked. He looked at Director Tang and said in a pleading tone, "The situation is very bad! You must save her!"
Director Tang was at a loss as he watched the director's wife's breathing become increasingly difficult. She could remain calm with ordinary patients, but this patient was too special. If she couldn't be rescued, the impact on the hospital and herself would be enormous!
Director Tang looked at Li Zheng with a pleading look.
Li Zheng observed and found that the allergic inflammatory storm had fully formed and the adrenaline could not be controlled in time.
"Raise the affected limb and expand the volume quickly!" Li Zheng quickly gave another order.
Director Tang personally lifted the director's wife's legs, and the nurse quickly tucked the quilt under her legs.
Double intravenous access was quickly established.
Two bottles of 500 ml of saline solution are hung at the same time.
Increase the infusion rate to maximum.
“Huh…huh…”
Suddenly, the director's wife opened her mouth wide, tilted her head back, took deep breaths, and her face turned the color of liver.
"Severe laryngeal edema, respiratory restriction. Quick, notify the anesthesiologist in the operating room to intubate."
After Li Zheng finished speaking, Director Tang quickly ran out to make a phone call.
Director Wu was trembling with fear, but he still stood firmly by, looking at his lover, reaching out to grab his lover's hand, trying to give her the strength to breathe.
Li Zheng was standing by the bed, ready to perform CPR at any time.
"Continue to measure blood pressure and blood oxygen." Although the situation was urgent, Li Zheng remained calm and continued to give the necessary orders.
The nurse quickly took the blood pressure monitor and continued measuring.
"Doesn't your hospital even have a monitor?" Director Wu asked loudly. They are all manual, which is too inefficient.
Li Zheng shook his head and said, "The hospital's conditions are too poor. The only two monitors are now in the operating room to monitor patients!"
"It's ridiculous that the County People's Hospital doesn't even have a monitor. Your funding is a waste!" Director Wu was furious. His loved one needed help, and they didn't even have the most basic emergency equipment. The county medical system needed to be overhauled.
"Blood pressure 63/37, blood oxygen 75!" came the nurse's trembling voice.
This number is very bad! He could suffer respiratory and cardiac arrest at any time.
"Why hasn't he come yet!" Director Wu roared, anxiously.
His wife's eyes had already started to roll up, and it was obvious that she was dying.
At this time, Li Zheng was also powerless.
"I'm coming!" Director Tang ran in quickly.
Following behind was Zhang Lei, who was panting.
Zhang Lei quickly put the anesthesia box on the ambulance.
I quickly unpacked the box and took out the laryngoscope, endotracheal tube, guidewire, 10ml syringe, dental pad, stethoscope...
"He has stopped breathing and his heart has stopped beating!" the nurse screamed.
"Hurry up, hurry up!" Director Wu's face flushed and he almost roared.
After being yelled at like that, Zhang Lei's hands began to tremble involuntarily, and countless beads of sweat the size of soybeans instantly appeared on his forehead.
"Director Wu, please move aside, we need to rescue someone!"
Director Tang quickly pulled Director Wu away and placed his hand on the patient's carotid artery.
The pulse disappeared!
"Quick, chest compressions!" Director Tang looked flustered and shouted while he started pressing first.
Zhang Lei's hands were shaking like a sieve and he was unable to operate at all.
"I'll do it."
Li Zheng took the laryngoscope from Zhang Lei.
The pressure on Zhang Lei suddenly eased.
My hands stopped shaking and my mind became clearer.
He quickly put the patient's head into the "flower-sniffing position," which means the head is tilted back and the neck is flexed forward, to facilitate opening the airway.
Li Zheng held the mirror in his left hand, entered the patient's mouth from the right corner, pushed the tongue to the left, and saw the epiglottis lifted up.
The vocal cords and arytenoid cartilages were seen.
Li Zheng felt relieved.
Although the vocal cords and larynx are swollen, it is not as serious as imagined. Otherwise, the edema would be too severe and the catheter would not be inserted. Forcible insertion would damage the larynx.
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