Trinket was prescribing prescriptions in the emergency department, with a stack of medical records in front of him, with a sad face.
After receiving the notice from the hospital, all doctors have held a meeting in recent days, and section chief Wu will analyze and explain the medical records.
He also analyzed what his medical records were like. Wei Dabao knew that he was going to be scolded at the meeting. As for being scolded as a dog or being scolded as a sieve, it depends on the mood of little Shizu.
"Dr. Wei."
A voice came from the door as Trinket was opening the square.
"Ah? Young master... Chief Wu, why are you here? You''re too polite. Just call me Dabao." Wei Dabao was frightened and stood up in a hurry. His chair fell to the ground and made a "bang".
"Does our hospital have endotracheal intubation for children aged 15-20 months?"
"..." Wei Dabao was stunned for a moment and then smiled bitterly, "section chief Wu, there are no intubations for children. Only a few are prepared by the county hospital in our county, which are not often used. The key is that no one does pediatric surgery, which is only available in the provincial capital."
"Call me 120 with adrenaline, intravenous steroids, antihistamines and inhaled bronchodilators." Wu Mian said, turned and left.
What? Trinket stood where he was.
Wu Mian just said that a long string of drug names. If they were separated, he thought about it and should be able to understand. But together, Wei Dabao couldn''t remember any of them.
"Dr. Wei, I can write here." Chu Zhixi turned back. He thought that Wei Dabao couldn''t figure it out, so he picked up the pen on the table and wrote a series of drug names in the prescription book.
"Take these to the 120 ambulance and call you." Wu Mian stood behind and said.
"Section chief Wu, where is the ambulance?"
"County hospital."
"..." Wei Dabao looked at Wu Mian and turned away, his mouth bitter.
Drive 120 first aid to the county hospital, demonstration? In the county, the county hospital is the big brother. Although it has been sold recently, the loss of personnel is serious. But the broken boat still has 3 Jin nails. Why is it not better than yourself.
No, there''s a little Shizu. What are you afraid of. After thinking about it for a moment, trinket took the paper written by Chu Zhixi and began to make 120 emergency calls while preparing medicine.
Even if the doctors in the hospital want to use 120 emergency vehicles, they should call for the record. Otherwise, once a vehicle is assigned, but the vehicle can''t get out, there will be big trouble.
Unlike a long time ago, there were many people who used buses for private use and drove emergency vehicles to play.
When Wei Dabao prepares something, Wu Mian frowns and strides out of the emergency department of bajingzi traditional Chinese medicine hospital. As Wu Mian expected, there was no endotracheal tube for children in bajingzi traditional Chinese medicine hospital.
"Lao Lin, where have you been?" Wu Mian took out his cell phone and called Taoist Lin.
"Little martial uncle, it''s almost at the foot of the mountain. The child''s dyspnea is getting worse. I''ll take a film and I''m going to send it to you." Taoist Lin said in a hurry.
"Send it to the county hospital. I''ll go right away."
Wu Mian finished and went straight to the brown Skoda.
"It''s not convenient." Wu Mian said with a sigh that he didn''t know how to describe bajingzi traditional Chinese medicine hospital.
"No way, grass-roots hospital." Chu Zhixi said. Seeing Wu Mian walking directly to the driver''s seat, he quickly threw the key to Wu Mian and ran to the co driver himself.
It takes only about 15 minutes to get down from laogua mountain and closer to the county hospital.
Wu Mian felt that the mobile phone received wechat. While starting the car, he handed the mobile phone to Chu Zhixi.
"Look at the video data sent by Lao Lin."
"HMM." Chu Zhixi fastened his seat belt, picked up his mobile phone and began to read it.
"On CT, head and chest CT showed extensive subcutaneous emphysema, mediastinal emphysema, pericardial emphysema, and even gas around the orbit, and exophthalmos." Chu Zhixi said immediately after scanning the film.
"The test results show that there is a possibility of slight inflammation and infection."
"The patient has no history of trauma..."
"How is the medical record written?"
"No history of coughing, sneezing, violent vomiting, violent physical activity or trauma." Chu Zhixi knew what Wu Mian was asking and replied quickly.
Wu Mian frowned, narrowed his eyes into a seam, stared at the road ahead, kept honking, and the car drove under the speed limit.
That is, bajingzi, with few people, the car can still drive. If it were the imperial capital, I''m afraid Wu Mian would rush to the county hospital and the children would be cold.
However, there will not be such a thing that there is no endotracheal intubation for children in large class III hospitals in DIDU.
"Go on," Wu Mian said.
"The most important thing in differential diagnosis is trauma. Based on the analysis of medical records, the doctors who received the diagnosis before should focus on this point." Chu Zhixi said, "I think the medical history is credible."
"Before the first onset of the disease, we should consider pharyngitis.
The infection involves the deep fascia space at the retropharyngeal, parapharyngeal or submaxillary. Under the action of deep breathing, cough and negative pressure in the chest, the gas spreads downward to the mediastinum through the pre vertebral, pre tracheal and retropharyngeal spaces.
However, the child is only simple pharyngitis, does not involve the deep fascia space, and the basis is insufficient. "
"Third, upward migrating gas. Intestinal perforation caused by various reasons. The gas penetrates the diaphragmatic hiatus and enters the posterior mediastinum along the gap around the aorta, azygos vein, thoracic duct or esophagus.
There is no manifestation of intestinal rupture in the abdomen of the child, which can be basically excluded. "
"Fourth, children have rare interstitial emphysema... Brother, I think the inducement of interstitial emphysema may be a very important factor."
"Infection, severe cough, forced breath holding or excessive excitement caused by inhaling illegal drugs, etc. the alveoli rupture caused by various reasons, the air enters the pulmonary stroma, and enters the mediastinum along the vascular sheath in the pulmonary stroma, resulting in mediastinal emphysema. This possibility exists and may be very large," Wu Mian said.
"Later, the alveoli and bronchioles under the visceral pleura rupture, and the visceral pleura may remain intact or may not have pneumothorax."
"It just makes sense, but it''s still a little far fetched." Wu Mian drove the car and went straight to the county hospital, constantly analyzing the existing situation.
Chu Zhixi said something wrong. He asked for a check without a problem.
9 ′ 43 ″, the brown Skoda Yedi drove to the emergency department of the county hospital.
"Nurse! Is there an endotracheal intubation for children?" Wu Mian strode into the emergency department and asked.
"There is no emergency room. If there is one, it is also in the operating room." the guiding nurse said absently, turning her mobile phone under the guiding table.
"How many telephones are there in the operating room?" Wu Mian said in a deep voice.
"Who are you..." the nurse looked up, said two words impatiently and paused for a moment.
"Hello." the nurse brushed and stood up with a smile on her face.
"Operating room phone."
"********" the nurse blurted out a number. "The anesthesiologist who can be a pediatric anesthesiologist in our county hospital recently resigned. May I ask you..."
Without saying a word, Wu Mian''s figure had disappeared.