It was raining very heavily outside. There were no seniors in the - TopicsExpress



          

It was raining very heavily outside. There were no seniors in the hospital ward. We were just running about all over the pediatric ward, from one baby to the other, from one blood collection to the other intravenous line fixation. It was the day of our post emergency ward rounds. All the routine work was to be done like the common household chores. In the middle of all, a small child about an year old was brought with severe dehydration. He had around twenty vomits and some fifty odd motions. Come, come and go, go. At one moment pulse was felt the other moment it was not. The moment he was brought his heart was still beating, in matter of seconds he just gasped once and didn’t take any further breaths. I had to be with the child rather than informing the seniors. It was now or never time. I quickly called for two nurses, got the intubation tube (endo-tracheal tube), pulled on the suction machines and suctioned all the secretions out of his mouth, cleared the airway, applied a pillow under his head, held a free flow oxygen tube near his mouth, gave a few cardiac compressions, and then gave him positive pressure ventilation by the ambu bag. I was not even well versed with resuscitation of children; still without thinking of ‘why’, ‘what’, I did it. But the child was still not breathing so as a last attempt I decided to intubate him. Never had a chance before, only had seen it on dummy and heard of it in lectures and seen it once as a student in the medicine posting in graduation days. But practical on a child, damn difficult!!! Continue reading- flairwide/BLOG.aspx?TEXT_ID=22
Posted on: Mon, 29 Jul 2013 11:15:41 +0000

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