Medical Return

77. New Residents (4)

20%!

I'm tired of everyone's face whitening.

“Pull out the tube again! It went into the esophagus, not the lungs! ”

Every time you inject air, your upper belly is rotten, not the thoracic cavity where your lungs are located, but the lower esophagus.

The stethoscope shouts as he hurriedly tries to intubate the organ again.

“Kim Jin-hyun, call Ita-soon quickly! Quickly!”

Lee Tae-soo is asking for help from the hospital to another senior car resident who is on call.

Jinhyun bites his lips.

It takes at least two minutes to get here, even if you're on call in the same building.

But now the patient can't hold out for 30 seconds.

No, what's 30 seconds?

You may have a heart attack in 15 seconds.

“I'll do it. ”

“What?! ”

“I'll do it. ”

The Chief Steel Stone frowns as if it's ridiculous.

“Hey, you've been driving this for a year...! ”

But Jinhyun hastily cut off the horse.

It was not the situation to pick out cases of courtesy and decency as usual. Then the patient dies.

“I'll do it! I've done a lot. I can do it! ”

“You……! ”

Each other's eyes met.

And Jinhyun's desperate gaze was flawed.

Jinhyun's eyes were shouting, "No, I will do it."

“Sorry!”

While he was dancing, Jinhyun rushed to the patient's head and grabbed the laryngoscope.

“Teacher Jin-hyun Kim, it's 10%! ”

Yeon-hee shouts with a pale face.

On the other hand, I was amazed by the fact that my tongue was wetted with a laryngoscope.

‘Oh, shit! ’

I could see why the older car, Kang Hyeong-seok, failed.

It was a prayer of hardship during hardship.

The reason the tracheal intubation is difficult is that it sometimes encounters these difficulties unexpectedly.

Jinhyun was evil at it.

‘No matter how hard you have, you have to do it. ’

If you don't do it, the patient dies.

I don't even have two chances.

I only had to do it once.

However, I had more experience of Jin Hyeon, so I managed to manipulate it so hard that I could see the prayer.

But it was a matter of showing.

‘The road is too narrow. What do we do?’

His throat was swollen, his throat narrowed, and his vocal cords narrowed.

This kind of prayer does not convince him of success either. No, I was more likely to fail than anyone else.

“Sir, the oxygen level is 0%! ”

0%!

There is not a toll of oxygen left in the body. Jinhyun felt his heart stop.

We have less than five seconds until the heart attack.

I must have succeeded in it.

Please!

I wish I had a thinner tube, but I can't prepare it in time.

Jinhyun stretched the curved tube in a straight line. The stylet that secured the tube was then pushed in.

That movement alone took two seconds.

At that moment, the nurses who were in the infirmary screamed.

“Argh! Heart rate is increasing! ”

“Broadcast the code! Go, go! ”

The rhythm of the heart stretched in a straight line, as it did at the time of death.

A heart attack is happening.

Though faintly rhythmic, it was weak.

Arrest soon.

A code was broadcast throughout the hospital indicating that CPR had occurred.

On the other hand, when everyone screamed, Jinhyun's eyes sank deeply.

Never panic.

No matter what!

If you panic, you lose the patient.

Headaches!

His heart sounded like thunder.

There is only one chance.

Forgot all perception.

I only felt the vocal cord at the end of my eye and the tube at the end of my finger.

Please!

As the light consumes, the moment of his death.

The guardian's words came to mind.

‘Please, please save me, sir. ’

I don't know what's going on between the caregiver and the patient.

But I wanted to help.

You must!

Jinhyun's hand moved.

Everyone looked at his fingertips.

The tube that passed through the resistance of the buccal mucous membrane passed through something.

I couldn't see if the tube had passed through my airway or through my esophagus.

“Please connect the Ambu!

Fuchup!

Oxygen was supplied through Ambu.

I looked at the oxygen levels as everyone prayed eagerly.

Tie Ik Tie Ik

0%.

1 second, 2 seconds, 3 seconds…….

Over time, the figure did not go up from 0%.

The chief shouts with a tired face.

“Shame doesn't heal! He didn't go into the lungs, he went into the esophagus! ”

He hurriedly tried to pull out the tube again.

But Jinhyun dried up.

“Please wait a moment. Figures can recover a little late. Unlike before, the thoracic cavities where the lungs are located are moving! ”

Every time I inject oxygen like that, my chest moves up and down.

It means the tube went in properly.

But the oxygen level is still 0%.

4 seconds, 5 seconds…….

The blood dries over time and the readings finally change.

10%, 20%, 30% …….

“Ah!”

Someone sighed with relief.

The tube is inserted correctly.

The number of people who started climbing once again recovered all the way up to 100% soon.

By exchanging air through the tube, the gas balance in the body is restored and the movement of the heart is back to normal.

Jinhyun wiped his sweat and said,

“Sir, I need you to squeeze the ambu in there. Chief, I'm going to call ICU and get the ventilator ready. ”

“Oh, that, yeah. ”

The chief steelhead nods trembly.

I was so surprised that my heart was not calm.

At that time, the outside of the room became chaotic.

“What's going on?! ”

“What about the patient? ”

They were medical doctors who listened to the Code broadcast and ran for CPR.

They are usually dedicated to in-hospital cardiopulmonary resuscitation because they have the most medical or emergency physicians.

Comedy, who had been in the car for a year now, was also in the back.

When a specialist or senior car acts as a leader, they follow along to do the work below.

"Jinhyun."

With tension, Hye Mi's eyes waved when she saw her sweaty appearance.

Jinhyun also saw her.

But now is not the time to talk about Saddam.

“What happened? ”

The on-call physician, who is the leader of the CPR team, asked.

Jinhyun calmly explained on behalf of the unconscious Kang Tai Seok.

“It was caused by respiratory failure. I was able to intubate the trachea before the heart attack, and I didn't get to the heart attack. ”

“Thank goodness. ”

The physician sighed.

Just before the paralysis and the heart attack. The difference is paradoxical.

Once you stop the heart attack, there will be no major blow to the patient's organs.

“Hmm……. ”

The physician quickly scoured the patient.

Seeing the patient's face, he groaned.

“Big jaw, short neck, whole body... In this case, our respiratory surgeon felt that the tracheal intubation would be very difficult. Are you the chief?”

“It's a year's drive. ”

The doctor's eyes widened at the end of the day.

Just a year ago, your car was able to intubate this difficult patient's trachea?

He was greatly admired.

“You're a surgeon, too. Amazing. Can we help you with anything? ”

“No, we're going down to intensive care, so we'll see. ”

“Well done, then. Please let me know if you need me. ”

At that time, the sober Kang Hyeong-seok hastily called an internal medicine specialist.

“Excuse me, sir, are you a respiratory surgeon? ”

“Yes, I am. ”

“Can't you take a look at this patient's Xray? I'm being treated for pneumonia... It keeps getting worse. ”

Respirators are medical practitioners who specialize in lung cancer.

In other words, I see my lungs best among all doctors.

While preparing to go down to intensive care, the respiratory surgeon looked at the photo with a brief explanation.

“Here is pneumonia……. ”

“Not pneumonia? ”

“Yes?”

“Of course, it's not exactly distinguishable from X-rays, but it's more like water-cooled pneumonia in the lungs than pneumonia. It's a stressful patient after a traffic accident, and there's a possibility of acute lung injury. ”

The eyes of the chief steelstone have grown.

Pulmonary congestion, acute lung injury.

This is all what Kim Jin-hyun insisted on a year ago.

“Did you just use antibiotics? ”

“Ah……. ”

The chief became dumb after eating honey.

The respiratory surgeon did not wait for an answer, but opened the computer by himself.

Recently, the treatment has been expanded.

“Still, you used diuretics... and you did everything you could to avoid pulmonary congestion or acute lung damage. You've done everything you can to do, but I can't help it. ”

Kang Hyeong-seok had a confused face.

‘I only told you to use antibiotics. When did you do all that? ’

Jinhyun is the one who secretly killed him.

“So... what about the artificial respirator...? ”

Apparently, the artificial respirator is more specialized than the respiratory physician.

The physician called Hyun to teach.

“I, the doctor? ”

“Yes?”

Kim Jin-hyun, the attending physician, answered.

“How are you going to control the ventilator? ”

“Pressure control ventilation with Low tidal, High PEEP. ”

“Shame?”

“Considering the Ideal body weight, I would like to adjust it to 350 ml. ”

“What about pressure?”

“We will adjust to the PEEP table. ”

The doctor admired the perfect answer.

“You already know everything. That'll do it. Are you Kim Jin-hyun? ”

Jinhyun looked surprised.

How do you know that?

The dentist smiled a little.

“No, just in case you know too well. Sir, you were very famous for being a monster intern. I wish you'd come to my medical school. That's too bad. We'll just go. If you have any difficulties, contact us right away. I'll help you.”

Then he turned his back and said to the remaining comedy,

“Lee Hye-mi, let's go. ”

“Oh, yes. ”

As she looked at Jinhyun, she nodded in astonishment.

‘Wake up, Lee Hye-mi. In an emergency like this, I don't know what. ’

Even in this situation, her heartbeat was pathetic, and she secretly shook her head.

‘You have no choice. I see it in a month. ’

Jin Hyun, who has met him for a long time, has suffered a lot, and his heart aches.

However, my chest trembled slightly as I looked good at defeating a critical patient.

It can't be such a stubborn mind.

Then a nurse said to Jinhyun,

“Sir, they're ready in intensive care. I think we should go down. ”

“Yes, I'll be right down. ”

Jinhyun then dragged the patient's bed with other medical personnel to the elevator.

* * *

I intubated the trachea. It wasn't the end.

No, because I had an artificial respirator, the real treatment was from now on.

“Sir, your oxygen levels are dropping! ”

“Raise the pressure (PEEP). ”

“What is the oxygen concentration of the respirator? ”

“Fix it to 50%. ”

His lungs were bad, so his condition continued to change every few minutes.

In the middle, the chief stethoscope had a problem with another patient in the ward and disappeared.

I had no choice but to stick to the patient alone and continue to adjust the ventilator.

Of course I couldn't sleep at all.

‘You're rising. ’

Jinhyun opened his eyes.

I always feel the right sunrise next to the patient, but is it refreshing... is there any way?

I was so tired.

But thanks to his efforts?

Patients were getting better.

“Jin-hyun Kim.”

However, he returned to the intensive care unit and opened his mouth.

“Yes?”

Jinhyun replied by adjusting the lever of the artificial respirator.

I couldn't turn my eyes to focus.

Lower the oxygen level a little more, and once the pressure is maintained... Okay, just like this...

But I heard something surprising.

“Thank you.”

(Continued on next page)