Zhang Huayao and his team, keeping a close eye on her actions, imdiately noticed her subtle adjustnt and made a tily judgnt:
"The cotton ball might be stuck to the tracheal wall, she thinks it can’t be extracted."
"Forcing it might cause bleeding."
"It’s not necessarily just the cotton sticking to the tracheal wall. Could there be other foreign objects present?"
This question from Cao Yong made the other two scratch their heads because there was indeed such a possibility.
Xie Wanying heard the teacher and senior talking and thought to herself, Senior Cao has sharp eyes, he can even figure out what her brain is thinking.
If it’s just the cotton ball stuck to the tracheal wall, there’s no need to be too afraid. With proper force, removing it may only bring out a bit of blood, which wouldn’t be a big problem. If there are other foreign objects obstructing the bronchus, only focusing on extracting the cotton may not be very aningful. The strategy needs to change. Allowing one of the bronchi to be ventilated temporarily will help sustain the child’s breathing function, which can be considered a success in ergency rescue. The next step would be to find a way to remove the foreign object obstructing the bronchus. The priority now is rescue first, ensuring the child’s breathing does not completely stop.
The right bronchus is relatively straight, so if foreign objects often fall into the bronchus, they would go to the right side. This seems to be the reason she promptly changed her plan to focus on the left-side cotton ball. However, this is definitely not the entire reason; she could completely try to hook the cotton ball first to see if the cotton and the embedded foreign object could be retrieved together. The actual reason she didn’t try at all is just this: ti is running out.
The contemplating seniors lifted their heads. Realizing the aning behind her actions, they collectively turned their gaze toward the child: breathing is becoming increasingly weak and inaudible, the small eyelids have already drooped, is the heartbeat really about to stop as she suspected?
No need to think further, Fu Xinheng’s fingers swiftly reached out to touch the child’s carotid artery: "Nothing."
Upon receiving Fu Xinheng’s assessnt, Cao Yong and Zhang Huayao felt a thud in their hearts. The thought flashed through their minds uniformly: It’s real.
Fu Xinheng decisively placed one palm on the child’s chest and began performing rhythmical cardiac compressions.
A child’s age is young, and the body is not fully developed, so the technique for external cardiac compressions undeniably differs from adults and may vary by age group. For this five-year-old child, a single palm compression thod is used, and fingers must avoid touching the chest wall to prevent causing rib fractures in the child.
One, two, three, four... Teacher Fu is performing CPR on the child. Xie Wanying’s forehead beaded with sweat as she felt the fragile life in front of her seemingly plumting into the abyss.
"Continue," Zhang Huayao, standing near her with a laryngoscope in hand, urged her, his voice filled with severity, insisting she must not stop.
The patient’s breathing has ceased, which absolutely cannot halt the procedure to extract the foreign object; this has a distinctive feature compared to other dical operations, demanding accelerated removal of the obstruction, or else all efforts will be for naught. Only cardiac compressions are ineffective; crucial is the extraction of the foreign object, the extraction of the foreign object.
Fully aware of this, Xie Wanying did not cease her actions, her fingers grasping the forceps ring striving to apply pressure distally, earnestly focusing on the left-side cotton ball.
Cannot forcefully stab; avoid causing the cotton ball to fall into the left bronchus. Must try to hook the cotton as much as possible, flipping it outward or to the right side, creating an opening for ventilation.
Perspiration banded densely across her forehead, seemingly uncontrollable, applying excessive force.
Cao Yong’s eyes were fixed on the sweat on her face, his brows furrowing tightly.
User Comments
0 comments from readers