I can see health

Chapter 174 Speed ​​of Life and Death ([-])
Jinghua Second Hospital.

Emergency Department.

At this time, the emergency room was in chaos.

The patient's painful groans, the crying of family members and the shouts of medical staff were all mixed together.

The emergency ward was already full, and the corridors were full of wounded people lying down.

There are fractures, trauma, and barotrauma.

There are also some elderly people who already had underlying diseases in their early years. After this accident, their conditions suddenly deteriorated.

Gong Nannan trotted all the way to the emergency ward.

"Doctor Wang, the patient in bed No. 5 is going to have a head CT scan. Do you think there are any graduate students or Gui Peisheng who are free to help me get a CT scan?"

Wang Xiaodong was performing endotracheal intubation on a patient with apnea. When he heard this, he didn't raise his head, and replied loudly, "The students here are busy, go find Brother Xia!"

"I just asked Dr. Xia, and there is no one there!"

At this time, Wang Xiaodong finally inserted the endotracheal tube, quickly connected to the ventilator, and adjusted the parameters.

He raised his arm, wiped the sweat from his brow, and said to Gong Nannan who was beside him.

"There is no one left, so we have to wait for the support people to arrive. As Director Dai said just now, the courtyard is already sending more people to rush over."

Gong Nannan nodded solemnly, "That should be done as soon as possible. This is a patient with traumatic brain injury, and his condition is very serious."

Wang Xiaodong nodded helplessly.

"Everyone is running at full capacity now, we can only wait for support!"

Critically ill patients are being rescued.

Patients with milder conditions were placed in the observation room of the emergency department before the doctors had time to see them.

"Xiaodong, I just received a call from Peng Lei. He is about to send two more patients! The two of us will go to meet him immediately!"

Dai Bin walked into the first aid room of the emergency ward anxiously, holding his mobile phone.

There was a trace of helplessness in Wang Xiaodong's expression: "Director Dai, why are you still sending it to us? There are no doctors and nurses available!"

"These are two critically ill patients. If they are sent to the third hospital or other hospitals, it may be too late!" Dai Bin said in a deep voice, "I have already communicated with them, and the patients with mild illness will not be sent to us in the future. Our burden. But for critically ill patients, we may still have to take over!"

Even though the patients have been diverted as much as possible, there are still too many wounded.

New wounded were constantly discovered, and critically ill patients were sent to the emergency department of Jinghua Second Hospital.

"Director Dai! The severely burned patient who came here at the very beginning can hardly maintain his blood pressure and blood oxygen!"

Xia Yingzheng suddenly said loudly.

The first-aid wards in the emergency department are all connected. Hearing this, Dai Bin rushed to Xia Yingzheng's side immediately, leaving a word at the same time.

"Xiaodong, wait for the two patients from 120, you go to see them first!"

"it is good!"

Wang Xiaodong felt that his hands were numb, and he couldn't remember how many times he had performed cardiopulmonary resuscitation.

All he knew was that the nurse kept calling him, so he went back and forth between several emergency rooms.

……

5 minute later.

Peng Lei's ambulance arrived again.

Wang Xiaodong was already waiting at the door, and when the ambulance door opened, Peng Lei jumped out.

"Xiaodong, a patient was rescued from the wasteland, with crush injuries all over his body! His blood oxygen is gone, he may have ARDS!"

"The other patient is an old man in his 70s. He is still some distance away from the vegetable market and has not been affected too much. However, he has underlying heart disease. In the accident just now, he suffered a heart attack. , in the ambulance, he had ventricular fibrillation twice!"

Wang Xiaodong escorted the patient out of the ambulance while listening to Peng Lei's handover.

"Send it to the emergency room quickly, we have vacated two hospital beds."

Wang Xiaodong and several nurses trotted all the way to escort the patient to the emergency ward.

As soon as they arrived at the emergency room, Gong Nannan walked in.

"Dr. Wang, the 5-bed patient suddenly became unconscious during the head CT scan and is being rescued in the CT room! The CT room called, let us go and have a look and bring the patient back!"

This is really a house leak and it rains overnight!

"Who accompanied me to the examination?" Wang Xiaodong asked doubtfully.

"An intern and a nurse went."

"Damn it! How do you let the interns go?!" Wang Xiaodong said a national curse directly from his mouth.

"No way, there is really no one left!" Gong Nannan said helplessly.

"Then let the interns go!" Wang Xiaodong looked around, everyone was busy, and he still had two critically ill patients, "Is there anyone else with Director Dai and Teacher Xia?"

"No more, the burnt patient is being rescued!"

Wang Xiaodong really wants to have a shadow clone now, he can't leave now at all!

"Brother, let me go!"

A voice sounded in Wang Xiaodong's ear, strange yet somewhat familiar.

For Wang Xiaodong at this time, it was tantamount to the sounds of nature.

He looked back.

"You are Lu, Junior Brother Lu Chen?"

A look of joy flashed across Wang Xiaodong's eyes.

"En." Lu Chen nodded.

After he came to the emergency department, he immediately ran into the duty room and changed into an unused white coat.

Support is also about being organized and methodical.

So he found Wang Xiaodong immediately.

"Great, junior brother, go to the CT room, check the patient's condition first, and take him back to the emergency room!"

"it is good!"

Lu Chen didn't procrastinate at all, quickly found an old stethoscope in the cabinet of the nurse's station, and immediately ran towards the CT room.

Looking at Lu Chen's leaving back, Wang Xiaodong finally let go of his hanging heart.

As for why Lu Chen came to the emergency room, it is no longer something he considers.

There are two critically ill patients waiting for him to deal with.

……

Fortunately, the CT room is not far from the emergency department, and Lu Chen's speed is also very fast.

In less than a minute, he ran to the CT room of the outpatient building.

Before he walked in, he saw a group of people gathered at the door of CT Room No. [-].

In the innermost part of the crowd, three doctors and a nurse surrounded a hospital bed.

Lu Chen pushed through the crowd, and saw a young doctor performing chest compressions on a patient.

"What's the patient's condition?" Lu Chen stepped forward and saw that the electrodes of the bedside ECG monitor were not connected.

It seems that it should be for the sake of inspection, so the electrode sheet was temporarily torn off.

"After the CT scan, the patient suddenly became unconscious when he got off the CT machine." A middle-aged doctor next to him said, "You are..."

"He's from the emergency department." Lu Chen said.

It should be regarded as a blessing in misfortune that the patient relapsed after the examination!
The middle-aged doctor looked happy, and quickly said: "Come and see the patient, or else, hurry up and push it to the emergency department."

The doctors in the CT room are not doctors, most of them are clinical technicians.

It is to control the machine in the operation room, and there is no rescue skill at all.

Once encountering this kind of emergency rescue, there is absolutely no other way except to give oxygen and cardiopulmonary resuscitation.

Lu Chen stepped forward, immediately connected the electrodes to the patient, and put on the blood oxygen jacket.

"Beep beep..."

Cardiac monitoring resumed work.

The blood oxygen saturation is 95%, and the heart rate is 125 beats/min.

Because of chest compressions, the patient's heart rhythm waveform is disorganized.

Lu Chen conducted a physical examination on the patient.

The patient is unconscious and completely unresponsive to the outside world.

The patient had a trauma to the head, the skull was deformed, and a hematoma protruded from the surface.

"Don't press yet!"

Lu Chen's words stunned the middle-aged doctor and the doctors next to him.

"No more pressing?" The young doctor turned to look at Lu Chen suspiciously.

He is an intern in the emergency department.

He was sitting in the duty room playing with his mobile phone, but the sudden accident made him participate in the first rescue in his life, and was sent out to accompany the patient for examination.

"Well, don't press for now." Lu Chen nodded.

Because after his physical examination, the patient's breathing and heartbeat are still there.

Not all comatose patients need CPR!
The standard of cardiopulmonary resuscitation is cardiac and respiratory arrest.

"The patient's heartbeat and breathing have recovered." Lu Chen paused.

He didn't know the condition of the previous patients.

But in terms of the patient's current situation, there is no need to continue cardiopulmonary resuscitation.

Hearing Lu Chen's affirmative answer, the intern who was performing chest compressions stopped.

Everyone stared at the heart rate monitor.

On the ECG monitor, the patient's heart rate and oxygen saturation were still normal.

Lu Chen's judgment was correct, and everyone breathed a sigh of relief.

"Push the patient back to the emergency department." Lu Chen looked at the middle-aged doctor, "How is the patient's CT result?"

The middle-aged doctor immediately said: "Brain contusion, intracranial hemorrhage, symptoms of cerebral edema."

Lu Chen nodded. It seems that the patient's disturbance of consciousness is related to cerebral edema.

Then he and the intern and another nurse pushed the bed back to the emergency department.

"Senior Brother Wang, the patient is back." Lu Chen immediately reported the patient's condition to Wang Xiaodong, "The patient may have cerebral edema and disturbance of consciousness caused by intracranial hypertension. Please consult with the Neurosurgery Department?"

"Okay!" Wang Xiaodong nodded, "If the patient's family members come, remember to discuss the condition with the family members first. I will deal with this patient and come right away!"

Lu Chen immediately started calling to contact the neurosurgery doctor.

……

In less than 3 minutes, the neurosurgery doctor arrived.

To be more precise, the neurosurgery doctor stayed in the emergency department and never left.

After reading the patient's head CT, He Luping said in a deep voice, "According to the CT results and the patient's symptoms, there are indications for surgery, but the patient's family members haven't come yet, so it's not easy."

"Mr. He, we have contacted the family members of the patient, and they will be there in 10 minutes." Lu Chen said.

"Well, then pay close attention to the patient's vital signs first, especially the breathing and blood oxygen." He Luping nodded, "We will talk about the operation after the family members come."

Intracranial hypertension leads to brain herniation, compresses the brainstem, and may cause respiratory and cardiac arrest at any time.

"Okay, Teacher He."

After Lu Chen settled down the traumatic brain injury patient, Wang Xiaodong immediately called him over.

"Junior brother, a patient with coronary heart disease came here just now, and has been suffering from ventricular fibrillation, come and have a look!"

Wang Xiaodong knew that Lu Chen was in cardiology.

The eyes of this patient are different from other patients. There is no injury on the surface, but he has had ventricular fibrillation several times!
"Brother, I'm here!"

(End of this chapter)