/sci/ - Science & Math

>woman in labor goes to backwater hospital
>They do fetal monitoring, sinusoidal pattern, dipping to 80
>Be first year ped resident in other backwater hospital, no attending pediatrician
>Prepare for emergency C-section
>Everyone losing their shit
>Kid comes out, flaccid and doesn't breathe
>80bpm
>start PPV 15seconds
>not rising
>Take laringoscope, never had successfully intubated anything before
>it's all mushy and tube bents all wrong when inserted
>anesthesio technician helps and intubates successfully
>Do the rest of the shit, place umbilical catheter
>take about 20 minutes suturing the stuff, somehow do it right.
>Xray comes in, pic related
>"oh gee, the picture is rotated, we'll need a new one"
>next one comes in, same shit
>"damn baby keeps moving, we'll need a new one"
>third xray attempt. Kid extubates
>"Ah Shit."
>Anesthesio dude places new tube quickly and successfully
>Third Xray same fucking image
>It's a fucking pneumothorax
>up until this point kid was oxygenating well enough, ~88%
>never punctured a pneumothorax before
>call all the pediatricians sleeping until someone picks the fuck up
>"Yeah, pop it and pull the tube 1cm outwards"
>Pierce 2nd intercostal at midclavicular line with #18G catheter connected to the stopcock and 20ml syringe
>Fucking nothing comes out
>Suddenly Oxygen saturation goes down to 66%
>"What the fuck did I do wrong?"
>Pull tube as told, saturation fixes itself
>send the kid to tertiary care center like that
>By the grace of providence the kid doesn't complicate further and arrives safely
>they give me shit for not puncturing the pneumothorax
>they put thoracostomy tube and all gets fixed
>Kid gets better and is discharged in a week.