The greatest fear is that the foreign object is stuck to the airway wall and can’t be expelled.
Cao Yong’s forehead was dotted with sweat, and anxiety was evident between his brows.
Ti ticked by second by second. In ergencies, ti is of the essence, and every ergency action is a race against the Death God.
Five abdominal thrusts had no effect.
"Senior brother, put him on the ground," Xie Wanying suggested, seeing that this wasn’t working.
Cao Yong nodded.
Together, they laid the child flat on the hospital’s hard tiles, probing the child’s breathing situation.
The airflow at the child’s nose and mouth was very low. They feared the child might suffocate at any mont. Cao Yong’s fingers pressed under the child’s sternum, compressing the child’s lungs, trying to induce an artificial cough—this was the chest thrust thod.
For patients with complete airway obstruction, the airway peak pressure produced by chest thrusts is greater than that of abdominal thrusts. However, if it is truly complete airway obstruction, these thods are like hitting Stone with an egg—overestimating one’s abilities, with almost zero effect.
The most critical task is to remove the obstruction. The above thods primarily help the child use their own strength to expel the foreign object. If the child can’t expel it themselves, it relies on doctors to find ways to remove the object from the patient’s body.
First, they must observe where the foreign object is, which requires more careful insight and consideration from the doctor, taking up ti. Therefore, in ergencies, the first choice is to assist the patient in expelling the object themselves. It’s best if they can expel it on their own; when handled by a doctor, other risks and ti constraints also arise.
Now there were absolutely no other options. While her senior brother continued to perform life-saving asures, Xie Wanying quickly pried open the child’s small mouth, straining her eyes to search inside the child’s oral cavity for a breakthrough point, telling the nurse, "Bring a bronchoscope over."
"A bronchoscope?" The nurse almost laughed out loud at her words, saying, "This is the Departnt of Dentistry."
The Departnt of Dentistry is not the ENT Departnt or the Respiratory Departnt; they have no bronchoscope. When a dental specialty discovers a patient has other ergency conditions not treatable by dentistry, they imdiately call 120 for support. Patients can only be urgently transferred to a comprehensive hospital with advanced ergency capabilities or other specialty hospitals related to the condition.
The nurse, on second thought, was prompted by her words and went to call 120 at the nurses’ station.
"Wait." Seeing the nurse run off, Xie Wanying yelled urgently, "If there’s no bronchoscope, bring a laryngoscope first."
"You want a laryngoscope?"
This voice didn’t belong to the nurse. Xie Wanying turned her head and saw the sister from the Departnt of Dentistry.
Lin Liqiong found out about the accident while coming out to look for the nurse and hurriedly ran over to inquire about the situation.
"Yes, we need a laryngoscope," Xie Wanying confird decisively. Although she couldn’t rember if anything had ever happened between herself and this sister, she believed any doctor would want to save lives.
"I’ll go find one." Lin Liqiong wouldn’t think of anything else now, and she dashed off, preparing to find ergency supplies in the ergency room. If she couldn’t find them, she could contact the anesthesiologist in the Dental Surgery Departnt.
The nurse, having finished the phone call, ca out and reported, "I called 120. They will transfer the patient to Guozhi Ergency Departnt. Guo Zhi Hospital is relatively close to us, about a twenty-minute drive. Now we need to find her mother and inform her of this situation."
More than twenty minutes was too long. If the blockage completely blocked the airway, not a second could be wasted. Once the child becos hypoxic, even if we’re finally able to save them, they’ll suffer irreversible permanent brain damage.
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