Chapter 7 Emergency Relief of Tension Pneumothorax by Needle Thoracostomy

  In a situation like this, in the hospital, anesthesiologists or internists will immediately be summoned to perform a tracheotomy, making a small incision in the neck at the cricoid cartilage, inserting a small tube to temporarily maintain airway patency, allowing the patient to quickly receive oxygen and improve hypoxia to rescue the patient's life.

  But now there are no tools at all, and Mom usually only looks at internal medicine and the like. There is no surgical equipment in the house at all, how can this be rescued? Ye Nan was really worried.

  Everyone around looked at Ye Nan with eager eyes, and now they saw Ye Nan frowning tightly. Everyone's heart tightened, and Qiangzi, who was tense on the side, quickly asked: "Ye Nan, can your sister-in-law be saved?"

  "Yes, Ye Nan, is she saved or not?" The people around her saw that Ye Nan didn't respond and all asked anxiously.

  At this time, Ye Nan's brain was spinning rapidly, and a vague idea emerged in his mind. This operation is not difficult, it should also be possible to perform emergency rescue for throat blockage without suitable instruments, but for the time being, he couldn't turn around.

  At this time, seeing Ye Nan had no reaction, Ye Nan's mother also became anxious and thought: "If you didn't have confidence, you should have said it earlier. If the patient dies at this time, if there are people who like to shift blame, they will easily shift the blame onto you, saying that you delayed the rescue of the patient. At that time, it would be hard to explain." She quickly pushed Ye Nan.

  Ye Nan was pushed by his mother, and suddenly a light flashed in his mind. He immediately came to himself, felt a surge of joy in his heart, and thought: "Right! I can directly perform the lumbar puncture!"

  "Mom, quickly go find the largest needle and some gauze and iodine solution! Hurry..."

  Old mother was stunned and secretly thought: "Does Nanzi still want to save? In this state, can he be saved?" She looked at Ye Nan with some concern.

  Ye Nan hastily smiled and nodded confidently to his mother. Seeing Ye Nan's confident appearance, his mother didn't say anything else and quickly turned around to run inside and get things.

  The people around saw that Ye Nan had already unfolded his brow, ready to start rescuing, and they were all overjoyed, discussing: "It's still Ye Nan who has a lot of experience and methods, the first doctor Wu said there was no rescue, now Feng Ayi also said there was no rescue, but Ye Nan dared to rescue people, worthy of being a great doctor from the provincial city!"

  In less than half a minute, Ye Nan's mother had already brought the things over. The onlookers immediately stopped making noise and held their breath, watching with tense faces as Ye Nan rescued the person.

  At this time, the woman had been delayed for a while, and the hand that was scratching her neck was also gradually weakening, and she was about to run out of breath. The people around her, including Ye Nan's mother, were all tense and wondered if Ye Nan could be saved.

  Only Fang Wei, who was standing outside, wasn't worried at all. He smiled as he watched, and he was really too familiar with Ye Nan. Just by looking at Ye Nan's expression, he knew that Ye Nan was very confident. If it wasn't something he had a grasp on, Ye Nan would never look so relaxed...

  Ye Nan didn't dare to slack off at this time, and gently pushed the woman's hand away. He made a gesture to Qiangzi on the side, asking him to help grab the woman's hand. If they didn't take action, this woman would be done for.

  Quickly then use a cotton swab to apply iodine to the woman's neck to quickly detoxify, then grabbed an iodine cotton ball and rubbed it between her fingers for two seconds, slightly detoxifying, then picked up the 10-gauge syringe needle with her right hand.

  With the disinfected left hand, she touched the woman's neck twice with her fingers to find the cricothyroid membrane between the thyroid cartilage and the cricoid ring. The left hand fixed the position, and the right hand slowly inserted the needle into the cricothyroid membrane, feeling a slight popping sensation after insertion, estimating that the needle had entered the trachea, and quickly stopped her hand.

  Everyone curiously watched Ye Nan's movements, and when Ye Nan inserted the needle and stopped his hand, he saw that as the needle was inserted, in a short while, the woman slowly began to inhale thin air through the large needle on her neck, and her already weak breathing gradually became stronger and faster.

  Listening to the gentle whistling sound of air passing through the tip of the needle, Ye Nan knew he had succeeded. He took a piece of gauze and wrapped it around the tip of the needle, then asked his mother to bring him a bottle of physiological saline solution. He dripped some onto the gauze covering the tip of the needle, preventing large amounts of dust from entering the woman's airway while also preventing her airway from drying out.

  As the gentle air entered the woman's lungs, her complexion also gradually improved, and the purplish hue on her face was slowly fading away. Seeing that the woman's condition had gradually taken a turn for the better, the onlookers finally put their minds at ease.

  Qiangzi also wiped away tears from his face with a delighted expression and stared at Ye Nan with eager eyes.

  The condition of the woman has basically stabilized. Ye Nan instructed his mother: "Give her a bottle of glucose and push 10 milligrams of dexamethasone!"

  The old lady also put her heart at ease and listened to Ye Nan's instructions, hurrying to prepare the medicine with a smile.

  Dexamethasone was administered, and glucose was also hung up. Within five minutes, the woman had basically recovered, her breathing had stabilized a lot, and it seemed that laryngeal edema had been well controlled under the strong effect of dexamethasone!

  The woman's condition has obviously improved, and everyone breathed a sigh of relief, secretly thinking: "Qiangzi's wife's life is saved!"

  Qiangzi's face was covered in tears as he grasped Ye Nan's hand, too moved to say anything. Ye Nan quickly instructed him to call the town hospital and have them send a car to take his wife to be treated for a few days, after which she would be fine.

  At Ye Nan's reminder, Qiangzi hurriedly dialed the phone to let the hospital's ambulance come and pick her up. When the ambulance arrived, the woman's complexion had almost recovered, and she was also awake. Ye Nan and the doctor who came to diagnose briefly introduced the situation before sending the woman onto the vehicle.

  The crowd waiting for the ambulance to leave, surrounded Ye Nan and praised him non-stop, saying that he was indeed a great doctor in the provincial city. Even Ye Nan's mother was praised by the crowd: "Feng Ji gave birth to a good son..."

  Hearing these praises, Ye Nan's parents were overjoyed for the entire afternoon! His father looked on with satisfaction and thought to himself: "It seems that my son has learned something in the hospital after all. The hard work of these few years hasn't been in vain!"

  PS: I just woke up and dropped from second to fourth. Everyone, please give Tian Nan a few more votes, at least keep him in the top three, thank you all!

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