Practicing Medical Skills in a Small Clinic
Chapter 879 - 420: Deadly Acute Epiglottitis—Trouble at the Baozi Shop (Part 2)
Chapter 879: Chapter 420: Deadly Acute Epiglottitis—Trouble at the Baozi Shop (Part 2)
She was filled with various worries.
"Cutting the trachea is an emergency measure of last resort. Compared to life, leaving a scar is nothing. Besides, although appearance is important for a host, I believe that hosting skills, knowledge, emotional intelligence, control over the event, and other professional skills are more important. Are you experiencing chills now?"
Li Jingsheng asked her.
"I don’t think so."
She was also unsure.
"That means there’s still some chance for conventional treatment. If you check in today, they will arrange treatment for you by tonight. If the medication works well and controls the inflammation, and the epiglottis doesn’t continue to swell, then surgery won’t be necessary. Right now, you need to do nothing but drink water and cooperate with medical treatment."
Li Jingsheng had already written her a note.
"Take this and quickly get a taxi to the emergency department of the second hospital! I’ll give you my personal phone number, and if there’s no bed or if they don’t admit you, call me."
He handed her a business card.
Personal numbers are generally not given to outsiders lightly.
This was only done as a favor to Chu Yao, to help this female host.
"Thank you, thank you! I’m Han Xiaoqing, and I’m very grateful for Dr. Li’s care and help. If there are hosting needs in the future, you can call me! Just provide food."
She thanked him sincerely.
"Haha, then this time I’ve profited from treating you. Next time my clinic celebrates its anniversary, I’ll invite you for help."
Li Jingsheng secretly thought that having her as a wedding officiant next year would be great.
After sending off the female host, Li Jingsheng’s heart was filled with blessings, hoping she could stabilize her condition with timely treatment and then wait for improvement.
With correct medication, swollen epiglottis usually shows initial results within one or two days.
The stubborn ones may see effects within three or four days.
Her condition was already quite dangerous, and the biggest fear was further deterioration.
The clinic was extremely busy today, with more patients than usual seeking consultation. After handling several complex cases, the subsequent patients didn’t have particularly difficult-to-treat illnesses.
For Li Jingsheng now, he could basically handle typical patients well.
Patients who seemed difficult to other doctors were just ordinary cases to him.
It’s like letting a top senior high school student solve junior high school problems—not particularly easy, but certainly not difficult.
"Dr. Li, Dr. Li, save us, save us!"
The bun shop owner’s wife stumbled in.
At this point, her breakfast shop should have closed the rolling shutter long ago, and she should have gone home to rest.
What happened?
Li Jingsheng used to have little presence on this street, but now he was seen as an excellent doctor by the neighbors.
Whenever they had headaches and fevers, or even when relatives back home fractured bones, they would seek treatment from Li Jingsheng.
"Don’t panic; clarify what happened!"
Li Jingsheng stood up, looking at the pale, weak bun shop owner’s wife.
Tears streamed uncontrollably down her face.
Her face was filled with a painful expression.
"My husband was just repairing the blender at home, and somehow he got electrocuted. I didn’t understand what happened, and by the time I turned off the power switch, my husband was already unresponsive. Please... go save my husband, I’ll pay anything!"
The bun shop owner’s wife wasn’t very old.
Just in her early thirties, running the breakfast shop with her husband, and business was pretty good.
At least they should have made some money.
Unexpectedly, such a thing happened now.
Without a second thought, Li Jingsheng grabbed the emergency kit and ran towards the breakfast shop.
The bun shop owner was a man of few words, usually honest and hardworking. When buying buns from him, he would pack them, hand them over, and take the money.
Sometimes he might ask if the soy milk needed heating.
Running such a small business has an advantage. As long as you use real ingredients and make the buns soft and tasty, you won’t lack customers.
At least in the Old Street of South City, where there’s a large flow of people, there’s no shortage of customers.
Many workers like to buy a few buns, a cup of porridge, or soy milk, then eat while catching the bus.
It’s much more convenient to carry than noodles.
Eating is also easy, without needing chopsticks, spoons, or other tools.
Li Jingsheng rushed into the breakfast shop with the emergency kit.
Outside, a crowd had already gathered.
The rolling shutter was only half open.
Opening the door for business like this means less effort to welcome buyers; if the door is fully open, people enter to buy things with less need for greetings.
For convenience, just half-open the door, and fewer people would enter with inquiries.
On the floor of the back room was a person, the bun shop owner.
The surrounding shop owners or their spouses were watching, but no one dared to touch him.
The supermarket owner saw Li Jingsheng coming and quickly said, "Dr. Li, please have a look! I just checked, and he seems to have no breath."
Upon hearing this, the bun shop owner’s wife immediately collapsed to the ground.
Pale, without crying.
This was fainting from excessive grief.
The couple usually ran the breakfast shop together and had a great relationship.
With her husband suddenly dying from electrocution, she couldn’t accept it at all.
They seemed to have a child, about five years old.
Not seen here, possibly left in the rental room.
Li Jingsheng didn’t focus on the bun shop owner’s wife because, in his view, the bun shop owner electrocuted on the ground was in greater danger.
The golden saving time was sometimes just a few minutes.
The bun shop owner’s wife was merely grieving excessively; she would be fine once she recovered.
"The greatest sorrow is nothing more than a dead heart."
She had basically reached this state.
Li Jingsheng squatted down, first unbuttoning the bun shop owner’s shirt.
Checked the carotid artery; no pulse.
This made his heart instantly sink to the bottom.
Checked for breath, and there was none.
The electrocution point was the right hand.
There were clear signs of burns, with burns on both feet as well.
Most likely, he touched something electrified with the right hand, forming a circuit through both feet and the ground.
Given the mild burn marks, it wasn’t particularly severe.
"Don’t crowd around. Boss Chen, help to open the window to keep the air circulating."
After saying this, Li Jingsheng began kneeling on the ground, performing chest compressions and artificial respiration on the patient.
The heel of one hand was placed on the lower third junction of the patient’s sternum, with the heel of the other hand placed over the first. Fingers should avoid touching the chest wall.
During compression, the elbows must be kept straight, pressing down vertically.
The pressing depth should be about 5-6cm.
If the rescue encounter’s body is skinny, be gentle during compression. Especially with kids; their ribs can easily be broken with excessive pressure.
This is secondary injury.
While rescuing, one bears no responsibility legally, but broken ribs can be serious for the patient.
If the rescue is for an adult, the compression rate is 100-120 times per minute.
Accurate counting is difficult; during urgent rescue, one lacks time and energy to manage this.
There’s a very simple method: compress thirty times, then perform artificial respiration once.
This can help maximize the chances of cardiopulmonary resuscitation.
Li Jingsheng placed a piece of gauze over the patient’s lips, then pinched the patient’s nose for artificial respiration.
Truthfully, even though doctors save lives, providing artificial respiration to male patients can still feel awkward internally.
Providing artificial respiration to pretty female patients won’t bring special feelings either.
Even without gauze, the experience is similar.
Because once someone isn’t saved, you’re dealing with a corpse.
He diligently pressed, performing thirty compressions followed by one artificial respiration.
This was physically demanding, soon leaving him somewhat worn out.
Checking the patient’s carotid artery, there seemed to be faint pulsations.
Very weak.
If not for his Bone Touching Skill and strong surgical proficiency and sensitivity to abnormal tactile sensations, detecting it would have been hard.
"Can anyone perform CPR?"
Li Jingsheng asked the surrounding people while compressing the patient’s chest forcefully.
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