Chapter 1446: Chapter 1446: Follow the Guidelines
The boss stared at the pair without blinking, as the nurses’ alarms blared: What does this an? Are these two doctors? They should be. What kind of doctors?
Throwing off his jacket to the side, Zhang Huayao rolled up his sleeves and approached, asking Cao Yong and Xie Wanying, “What’s the situation?”
Hearing Teacher Zhang’s voice, Xie Wanying, who was standing at the bedside continuing to check the child’s oral cavity, raised her head and replied, “Looking inside the patient’s mouth now, I initially judge that the obstruction is not in the child’s mouth, and it probably isn’t in the pharynx or larynx either.”
Zhang Huayao stood beside her, listening to her report, personally prying open the child’s mouth to look inside, and asked, “Have you slapped the back? Perford the Heimlich maneuver?”
The Heimlich maneuver is not the sa as slapping the back, a common misconception. Dr. Heimlich, who invented the Heimlich maneuver, had been engaged in academic debates about his Abdominal Thrusts versus back slaps and Chest Thrusts, arguing which thod better saves patients with airway obstructions, stirring much public debate abroad.
To be precise, the Heimlich maneuver is the Abdominal Thrusts that Cao Yong demonstrated earlier. In many countries, the sequence of recomnded airway obstruction ergency thods for dical personnel are as follows: start with back slaps, five tis, then Abdominal Thrusts, and if that fails, Chest Thrusts, each five tis. Repeat the cycle until the foreign object is expelled or cannot be expelled, and if the latter occurs with signs of unconsciousness and cardiac or respiratory arrest, what urgently needs to be done is not foreign object removal but Cardiopulmonary Resuscitation (CPR).
Hearing that both had tried all three thods above with no success, Zhang Huayao sighed inwardly: No doubt these two are the best dical students from Guoxie, executing correctly according to the guidelines.
The most critical thing an excellent doctor or dical student should do is make the most rational decision at key monts. What is the most rational decision? To follow the dical guidelines.
“Is there a bronchoscope? A laryngoscope?” Zhang Huayao asked the sa question as Xie Wanying.
The nurse who ran to call him for help never expected the boss to say exactly the sa thing as this young doctor, stamring, “I-I’ll go look for—”
“Yes, the laryngoscope is here,” Lin Liqiong shouted, rushing over with a small case in hand.
She was right; trusting Xie Wanying was equivalent to trusting the boss.
The black small case was placed on the side table and opened to reveal the laryngoscope equipnt inside.
Laryngoscopes and bronchoscopes are different. From the na, the two have significantly different functions. A laryngoscope is mainly used for examining the larynx, while a bronchoscope examines the bronchi. It must be clarified that the bronchi are not the trachea but branches airways from the trachea. Why clarify this? Because a laryngoscope can be used to pass instrunts into the trachea but can’t reach the bronchi. If the foreign body is lodged in the bronchi, only a bronchoscope can be used.
A few doctors glanced into the box at the laryngoscope equipnt. Zhang Huayao almost rolled his eyes on the spot: “What exactly is this laryngoscope you found? Where did you get it?”
In fact, Lin Liqiong, who found the laryngoscope, didn’t think much either, given the urgency of the situation; she saw a case labeled with the big word “Laryngoscope” and imdiately grabbed it to rescue. Finding a laryngoscope specifically used in an otolaryngology departnt from the dental departnt is not easy. Now, seeing it, Lin Liqiong was also dumbfounded.
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