Just after taking the night shift, the emergency department called: The patient needs intubation, and the anesthesiology department needs help!
Put down the phone, and Dr. Zhang immediately rushed to the emergency department at the speed of “100-meter sprint”. While running, I thought: What kind of patients come to the anesthesiology department again? After several tertiary hospital reviews, the intubation rate of the emergency department can be guaranteed!
Turn a corner, and Dr. Zhang opened the door of the emergency department with a bang.
In front of him is an old man with gray hair. Depending on the size of your neck and head, life should be good.
What’s the matter?
A: Considering the difficulty of intubation, please ask the anesthesiology department for help.
In the past, many patients with coma from cerebrovascular accident did not need to be given anesthetics because they lost consciousness due to aspiration. However, this patient’s neck is very hard and he still has a certain ability to resist. It’s okay to insert a normal tube in the emergency department, but for such difficult cases, the anesthesiology department may really need to take action.
So, immediately have the nurse draw an anesthetic. On Dr. Zhang’s side, he picked up the laryngoscope.
She hesitated, however, when she saw the patient’s mouth full of tall, short, crooked teeth.
So she used a simple respirator to hold the patient’s mouth tightly to assist in controlled breathing. At the same time, he turned his head and said to his colleagues in the emergency department: Tell the family that the teeth are not good and may be knocked off.
Unexpectedly, my colleague in the emergency department was a straight man: I just said it in front of the patient’s family.
Hearing the doctor say this, the family members naturally cannot obey. So, immediately choked up. Suddenly, there was a mess at the door.
In the room, after hearing about it, Dr. Zhang said with a wry smile to his colleagues in the emergency department: You are being more euphemistic! We are not shirking responsibility. Bad teeth, this is an objective fact. During intubation, the laryngoscope is iron. Even if it is not a loose tooth, there is a possibility of damage, not to mention the tooth in this case!
emergency department colleague said: Isn’t this a rush? We treat sickness and save people, and family members must understand!
Dr. Zhang said: Can we ask people who don’t understand medicine to accept medical problems that they don’t understand so quickly? Well explanation is necessary.
Seeing that the patient’s breathing was stable, Dr. Zhang turned around and went out to explain to the family.
As a result, the rescue time is indeed delayed. However, the conflict between doctors and patients is on the verge of breaking out, and it has to be explained.
Fortunately, the family members have strong understanding ability. When I heard that the doctor was for rescue, I patted my chest and said, “Don’t worry, it will fall, and I won’t look for you.”
[Warm reminder] Please pay attention, here are a lot of professional medical science, to reveal the secrets of surgical anesthesia for you~