I had just taken over the night shift when I received a call from the emergency department: a patient needs intubation and we need help from the anesthesiology department! After hanging up the phone, Dr. Zhang immediately rushed to the emergency department at the speed of a "100-meter sprint." While running, he thought: What kind of patient comes to the anesthesiology department again? After several tertiary hospital reviews, the intubation rate of the emergency department can be guaranteed! After turning a corner, Dr. Zhang pushed open the door of the emergency department with a bang. In front of me is an old man with gray hair. Judging from the size of his neck and head, he must be living a good life. Urgent question, what’s going on? Answer: Considering that intubation is difficult, please ask the anesthesiology department for help. In the past, many patients who were in a coma due to cerebrovascular accidents did not need to be given anesthetics because they lost consciousness due to aspiration. However, this patient's neck was very stiff and he still had a certain resistance. The emergency department could insert a general tube, but for this kind of difficult case, the anesthesia department might really need to intervene. So, he immediately asked the nurse to draw an anesthetic. Doctor Zhang picked up the laryngoscope. However, when she saw the patient's mouth full of uneven and crooked teeth, she hesitated. So, she used a simple respirator to tightly cover the patient's mouth to assist in controlling breathing. At the same time, she turned to her colleagues in the emergency department and said: Tell the family that the tooth is not good and may fall out. Unexpectedly, my colleague in the emergency department was a straight man: he said exactly what he said in front of the patient's family. Hearing the doctor say this, the family members naturally refused to give in. So they immediately started to argue. Suddenly, there was chaos at the door. After hearing this, Dr. Zhang, who was in the room, smiled bitterly and said to his colleagues in the emergency department: "You should be more tactful! We are not shirking responsibility. The teeth are not good, this is an objective fact. When intubating, the laryngoscope is made of iron. Even if the teeth are not loose, they may be damaged, let alone teeth in this situation!" A colleague in the emergency department said: Isn't this urgent? We are treating patients and saving lives, and the family members must understand! Doctor Zhang said: Can we ask people who don’t know anything about medicine to accept medical issues they don’t understand so quickly? A good explanation is necessary. Seeing that the patient's breathing was relatively stable, Dr. Zhang turned around and went out to explain to the family. This did delay the rescue time, but the doctor-patient conflict was imminent and had to be explained. Fortunately, some of the family members were very understanding. When they heard that the doctor was trying to save the baby, they patted their chests and said, "Don't worry, it's gone, we won't look for you." [Warm Tips] Follow us, there are a lot of professional medical knowledge here, revealing the secrets of surgical anesthesia for you~ |
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