I'm really an intern

Chapter 152 The Patient Has Ventricular Fibrillation!

In the next second, Dr. Chen was awakened by Zhang Tianyang's roar.

"Brother! It's best to contact the family members!"

The roar floated in the air, the door of the rescue room was closed, and the inside and the outside were separated into two spaces.

Arguing with the family members wasted at least 3 minutes.

The string in Zhang Tianyang's heart became more and more tense.

Although the old man is still awake, his sixth sense tells him.

Something will happen!

The flat cart was pushed into place, and the emergency room became busy immediately.

Zhang Tianyang's tone was rapid, and he roared directly.

"Quick! Go to guardianship!"

"It's time to come over to get blood! Blood routine, liver and kidney function, six items of ion, two items of infection, and myocardial enzyme spectrum are all required!"

"Where's the electrocardiogram machine? Where is the machine? I'll take the electrocardiogram for him!"

It seemed that the patients next to him were also being rescued. A group of people were over there, and only Senior Brother Deng and Nurse Ouyang came to Zhang Tianyang's side.

The three people moved quickly, and quickly connected everything that should be connected. Indicators such as blood pressure, heart rate, blood oxygen saturation, etc. began to be displayed on the screen of the monitor.

"Blood pressure 82/64mmHg!"

"Heart rate 94 beats per minute!"

"Blood oxygen saturation is 99%!"

The curve of the first ECG was slowly printed out on special pink paper.

Zhang Tianyang stared at the curve, paused for a few seconds, and made a judgment.

"There is no obvious abnormality in the electrocardiogram!"

It stands to reason that the old man's electrocardiogram is not abnormal. Although he is in shock now, he has already started rehydration, so there should be no problem.

But Zhang Tianyang always felt uneasy.

Even though he knew that there were many new patients waiting to be seen in the emergency internal medicine department, he just didn't want to leave the hospital bed.

For middle-aged and elderly people with chronic diseases, electrolyte disturbance after fever, diarrhea, vomiting, anorexia, and profuse sweating is very likely to induce severe malignant cardiovascular events.

And this old man, coincidentally, met all the conditions.

Although the patient looks normal at this second, maybe he will die for you the next second.

The patient next to him seemed to have suffered cardiac and respiratory arrest. A group of white coats and nurses surrounded the bed, pressing and administering medicine.

Zhang Tianyang did not participate.

This old man was taken in by him, and he had to watch it.

But Brother Deng and Nurse Ouyang joined the rescue there.

After all, on the surface, it seemed that the patient over there had gone wrong, but this old man seemed to be fine.

Zhang Tianyang gritted his teeth and looked at the numbers on the monitor that had not changed significantly for the time being, then turned around suddenly and began to operate on the computer.

Quickly downloaded all the doctor's orders and examinations that should be issued, and simply typed in the main complaint and the course of the disease in a few words.

Then print the patient's power of attorney, critical illness notification, and rescue consent, and take them to the old man and the old lady to sign respectively.

After signing these consent forms, if something happens, you can go directly to the emergency department without any scruples.

The door of the emergency room opened and closed. When Zhang Tianyang came back with a few signed consent forms, he suddenly found the old man on the hospital bed unconsciously covering his chest.

The heart rate number on the monitor was not too high, 105 beats per minute, but during the two seconds that Zhang Tianyang's eyes fell on it, the number jumped several times.

They are 88, 121, 105 respectively.

Zhang Tianyang's heart skipped a beat.

A bad premonition welled up in my heart.

Normal heart rate is generally relatively stable.

Whether it is beating too fast or too slow, or the heartbeat is gradually increasing, or the heartbeat is gradually slowing down, he will have a process.

The reaction on the monitor is that the heart rate value gradually increases or decreases.

And once this happens, the value changes very quickly, and the jump is very large. Sometimes it will be more than 80, then it will jump to [-], and then it will jump to [-], which means there is a problem!

This problem may be that the machine is not connected properly.

It is also possible that the patient has atrial fibrillation and ventricular fibrillation!

The heart has four chambers, left atrium, right atrium, left ventricle and right ventricle.

Although the electrical conduction of the heart is conducted from the atrium to the ventricle, the ventricle itself also has a pacing system.

And it is the ventricles that really play the main role in pumping blood.

When atrial fibrillation occurs, the patient is at risk.

When ventricular fibrillation occurs, the patient dies!

Just be afraid, the old man is ventricular fibrillation!

Countless thoughts flashed through Zhang Tianyang's mind, and Zhang Tianyang slapped the stack of documents in his hand to the side, and he rushed over.

"Master, how do you feel! Do you feel uncomfortable!"

He quickly pushed the uncle's arm away, pressed his pulse with one hand, and quickly pulled his clothes away with the other, exposing his chest.

As soon as the pulse was pressed, Zhang Tianyang only felt a throbbing under the belly of his fingers, and his heart sank.

The pulse rate increased rapidly and was uneven!

"I have a tight chest"

The old man clutched his chest, his voice was intermittent, and if he asked again, he couldn't respond.

Looking at the monitor again, the waveform on it jumps in a mess in an instant.

Although the waveform above had changed when Zhang Tianyang rushed in, the qrs wave was still in normal shape.

But looking at it now, the waveform has turned into a trembling curve, and there is no qrs wave at all!

The most feared situation has appeared!

"Come on! The patient is in ventricular fibrillation!"

Zhang Tianyang yelled without turning his head. With his right hand, he took out the gloves he had prepared a long time ago. With his left hand, he pressed on the guardrail next to the flat car, removed the baffle, and jumped on it.

The patient is under monitoring, and he clearly tells you that he is dying, so Zhang Tianyang directly omitted all the steps to judge his state, and went straight to the point.

The hospital bed was very high, and it was impossible to perform effective chest compressions while standing. Zhang Tianyang simply squeezed half of his body onto it, and knelt on the side of the bed to perform compressions for the old man.

"Defibrillator! Who has time to bring a defibrillator!"

Zhang Tianyang's roar was answered.

The patient who was being rescued next to him had just used the defibrillator. At this time, nurse Ouyang directly carried him and ran to this side.

"I'm ready!"

Nurse Ouyang held the electric shock with conductive paste in her hands, ready to defibrillate the patient at any time.

"I'm coming! You are ready to press!"

Zhang Tianyang just finished a set of compressions, quickly jumped off the bed, and took over the equipment.

The electrode pad was pressed on the old man's chest, Zhang Tianyang looked serious, "Get ready to discharge!"

"Drip!"

The old man arched his whole body from his chest, as if he was about to jump up.

Nurse Ouyang showed worry for a moment.

It is normal for a patient to bounce off the bed during defibrillation.

When many novices perform defibrillation for the first time, they will be startled by this reaction and let go directly.

But Zhang Tianyang's face was calm, and he pressed the old man back directly with a little force on his hands.

He is a novice on the surface, but in fact, he has practiced various clinical operations for a long time without knowing how many times.

The only difference between now and the system space is that this is a real person!

Although Zhang Tianyang rushed over the first moment something went wrong, it's not certain whether he can be rescued!

After the first defibrillation was over, Zhang Tianyang jumped to the side and roared.

"Keep pressing!"

(End of this chapter)