Extreme sweating, that typical pallor, wheezing to listening with the stethoscope, stridor to simple ear… He breathed with thoraco-abdominal asynchrony, saturation was 86%, high flow with reservoir O2 mask when he was admitted at ICU.
The comment from the Emergency physcian of 061 was very hard: “An ALE in respiratory pre-respiratory arrest, we have not waited to chest RX, he is receiving nitro, and we have already started with norphic chloride and diuretics”.
I convinced the doctor of adjust values of PEEP and pressure support (PS) according to the instructions the patient gave according what he felt. The doctor gave me 5 minutes but not before asking the assistant to be prepare for the intubation.
I considered that man who I did not know someone able, taking his own decisions, perhaps suffering a strong sensation of near death and I said: “You will note several things even some unpleasant, but in short time if you help us, you will notice the improvement – I told him while preparing the mask to his face-.”
First a certain force will prevent you to empty your lungs – all is the PEEP, I said to myself. You must keep on, and soon you will begin to notice the benefits that will go to more – he will be recruiting, I thought.
Then a blast of air that you don’t control will serve air in all the breaths – the PS, I said my inside-. According you, I can serve more or less. Perhaps at the beginning we do not program it well and that is: that you help us to know if we are doing well. We will be adjusting both depending on what you tell us.”
For a lover of technology, with this experience I would like to share the idea that technology is human, or that people make it human.
How? With our knowledge, skills, and the management of emotions.