Zhou Qianwen
4月15日清晨,一場關乎生命的緊急接力在湖北省竹山縣官渡鎮中心衛生院上演,這不僅僅是一場救治行動,更是一場與時間賽跑的生命拯救戰。
日8時15分,官渡鎮中心學校一名12歲學生在早餐時突發意外,誤吞雞蛋大小饅頭導致氣道梗阻,呼吸驟停,情況危急。校方迅速啟動應急機制,在撥打120的同時,教師們立即對患兒實施海姆立克急救法,為後續救治贏得了寶貴時間。
8時20分,官渡鎮中心衛生院接到求助電話後,急診團隊迅速採取“即刻出診+遠程指導+現場待命”的雙軌處置模式,指導教師持續進行急救操作。
8時25分,患兒被緊急送達衛生院,此時已出現瞳孔散大、心搏驟停、大小便失禁等生命垂危的徵兆。急救團隊立即啟動“黃金4分鐘”搶救預案,醫療組持續進行胸外按壓,交替實施改良式海姆立克手法,同時建立靜脈通道注射腎上腺素。
經過多次衝擊,直徑約4cm的阻塞物於8時32分排出。在維持基礎生命支持的同時,醫療組歷經多輪高品質胸外按壓,8時48分,患兒的心跳和意識終於逐漸恢復,心電監護儀顯示室性自主心律,但生命危險並未解除。
9時50分,縣人民醫院急危重症團隊抵達現場,迅速參與急救。10時15分,患兒病情稍平穩后,被轉至上級醫院進一步搶救治療。
The director of the emergency department who participated in the treatment said that from the school's first rescue to the seamless connection of the medical system, every link is tightly linked to the chain of life. At present, the child's vital signs are basically stable, and the medical team will continue to follow up the follow-up treatment.
This case is yet another reminder to the public that the popularization of first aid skills is crucial, especially in key settings such as schools. It also reminds everyone that in the face of emergencies, mastering basic first aid knowledge may be able to save a life. (Qiu Liang, Tan Changjun, Yu Song)