The most worrying thing is that the foreign matter that cannot be expelled will stick to the airway wall.
There were some sweat marks on Cao Yong's forehead, and anxiety appeared between his brows.
Time passes by second by second. First aid is most concerned with timeliness. Every first aid action is a fight against death.
Five abdominal thrusts had no effect.
"Brother, put it on the ground." Xie Wanying suggested, seeing that this was not working.
Cao Yong nodded.
The two of them laid the child flat on the hard floor of the hospital and tested the child's breathing.
The airflow at the child's nose and mouth was very low. Fearing that the child would suffocate immediately, Cao Yong placed his fingers under the child's sternum and pressed to push the child's lungs to see if he could achieve an artificial cough. This was the chest impact method.
For patients with complete airway obstruction, chest impact produces a higher peak airway pressure than abdominal impact. However, if the airway is completely obstructed, these methods are like an egg hitting a stone, and the effect is almost zero.
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The most important thing is to get the blockage out. The above methods mainly involve the first aid provider helping the child use his or her own body strength to expel the foreign body. If the child cannot expel it by himself or herself, the doctor can only find a way to remove the foreign body from the patient's body.
You must first observe where the foreign body is, which requires the doctor's more careful insight and consideration, and takes a long time. Therefore, in an emergency, the first choice is to help the patient expel the foreign body by himself. It is best to expel it by yourself. If the doctor removes it, there will be other risks and it will be too late.
There was no other choice now. While her senior brother continued to give the child first aid, Xie Wanying could only pry open the child's mouth as quickly as possible, open her eyes wide and try to find a breakthrough in the child's mouth, and said to the nurse: "Get a bronchoscope."
"Bronchoscopy?" The nurse almost burst out laughing when she heard her words, and said, "We are in the dental department here."
The Department of Stomatology is not the Department of Otolaryngology or the Department of Respiratory Medicine, so where does the bronchoscope come from? Once they find that the patient has an emergency disease of other specialties that cannot be treated by the Department of Stomatology, they will immediately call 120 for support. The patient can only be urgently sent to a Class III hospital, a general hospital or other specialized hospital with corresponding diseases.
The nurse thought about it again and was reminded by her words, so she ran to the nurses' station and called 120.
"Wait." Seeing the man running away, Xie Wanying shouted anxiously, "If you don't have a bronchoscope, bring a laryngoscope first."
"You need a laryngoscope?"
The voice was not from a nurse. Xie Wanying turned around and saw the senior sister from the dental department.
When Lin Liqiong came out to find the nurse, she realized that an accident had occurred and hurriedly ran to them to ask about the situation.
"Yes, a laryngoscope is needed." Xie Wanying said confidently. Although she couldn't remember what had happened between her and this senior sister, she believed that any doctor wanted to save lives.
"I'll go find it." Lin Liqiong didn't think of anything else now. She ran away, ready to go to the emergency room to find first aid items. If she couldn't find them, she could contact the anesthesiologist in the oral operating room here.
The nurse who had just finished her call came out after hearing them talking and reported, "We've called 120 and they're sending the patient to the emergency department at Guozhi. Guozhi is relatively close to us, about a 20-minute drive away. We need to find her mother and tell her about the situation."
More than 20 minutes is too long. If the blockage completely blocks the airway, you can't wait even a second. Once the child is deprived of oxygen, even if he is finally rescued later, it will become permanent brain damage that cannot be cured.
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