I can see health

Chapter 175 Don't, don't, you are my senior brother!
"The ventricular fibrillation strikes again!"

Just as Lu Chen ran to the bedside, the patient's bedside ECG monitor showed ventricular fibrillation again!

Lu Chen let out a roar, and after reminding the surrounding medical staff to pay attention, he started chest compressions.

"The patient is 70 years old this year. He had coronary heart disease, high blood pressure, and diabetes. When this incident happened, he was still far away from the scene of the incident. After being frightened, he started to get sick!"

Gong Nannan explained the patient's condition and brought a defibrillator.

"Charging is complete!" Gong Nannan adjusted the defibrillation energy.

"Brother, I'm ready to defibrillate!" Wang Xiaodong took over the defibrillator and spread the conductive paste evenly.

"it is good!"

Lu Chen nodded and withdrew from the bed.

Wang Xiaodong immediately took his place and put the two electrode plates of the defibrillator on the patient.

"boom!"

After the discharge, the ECG monitor still showed ventricular fibrillation!

Wang Xiaodong put down the defibrillator, and Lu Chen immediately started CPR again!
Failed, could it be an acute psychogenic reaction?
No, if it's just a stress response, it won't be ventricular fibrillation all the time?

But now is not the time to think, the most important thing is to convert the patient's ventricular fibrillation first!

"Junior brother, come and defibrillate, do it again!"

"it is good!"

Continue to charge, 360J energy.

Lu Chen took over the defibrillator and discharged it!

"boom!"

The second defibrillation is over.

On the ECG monitor, the rhythm of ventricular fibrillation finally turned into sinus rhythm.

Wang Xiaodong breathed a sigh of relief.

Lu Chen put the defibrillator aside, frowned and said, "Sister Nannan, check the patient's heart enzymes, I think it's not as simple as a stress response!"

"Okay." Gong Nannan nodded, and immediately began to prepare test tubes for blood collection.

Lu Chen pushed the electrocardiogram machine and took an electrocardiogram for the patient. The ST depression in the chest leads and extensive T wave inversions!

"Junior brother, do you think it is ventricular fibrillation caused by acute coronary syndrome?" Wang Xiaodong asked aside.

"It's possible." Lu Chen said, "The patient has a medical history, and on this basis, he is prone to various malignant arrhythmias."

"Well, it makes sense." Wang Xiaodong nodded.

……

The rescue room in the emergency ward was already overcrowded.

Lu Chen is currently taking care of two critically ill patients, one with head trauma and cerebral hemorrhage, and the other with the ventricular fibrillation just now.

Wang Xiaodong went to deal with the new critically ill patients.

"Is there any idle nurse, here is a patient who needs catheterization!"

As Lu Chen rescued the bed, a young doctor shouted to the surroundings.

But in the ward, all the nurses were busy and the environment was noisy, no one heard his voice at all.

"Is there a nurse? This patient can't hold back!" He yelled four or five times, but still no one responded.

"Brother, help me take care of these two patients, let me insert the catheter."

Lu Chen walked to the young doctor and pointed to the two beds beside him.

"You? You know how to insert a urinary catheter?" Ning Siyang frowned and looked at the strange classmate in front of him.

He's currently on emergency rotation and doesn't seem to have seen this guy yet.

"I will. I have inserted it many times in the ward." Lu Chen nodded.

He has trained countless times in the virtual space, and he has also practiced in the eighth district of the heart many times.

Ning Siyang still hesitated.

If you are a novice and damage the patient's urethra, it will be even more troublesome.

"Ning Siyang, Lu Chen will do it, just let him do it." Gong Nannan, who was taking blood from the patient, raised her head and said.

Hearing Gong Nannan's words, Ning Siyang believed it, "Okay, then you come to insert the catheter, and I will take care of the patient."

Lu Chen nodded, and immediately found a catheterization bag.

Disinfect, spread drape, lubricate the catheter, find the urethral opening, and insert the catheter. .

In less than 30 seconds, Lu Chen's operation was completed.

"Ah? You, you..." Before Ning Siyang had time to react, he felt that this junior brother was done.

too fast!
Faster than he saw those nurses inserting catheters before!
"Brother, don't put too much in the first time, four hundred is enough, put it slowly, otherwise the bladder will bleed easily."

"Oh." Ning Siyang stared blankly at Lu Chen, feeling that this junior brother was a bit unusual!
At this moment, the old man with ventricular fibrillation just now, the bedside ECG monitor suddenly called the police.

Lu Chen looked back.

My heart trembled.

I wipe, why did he have ventricular fibrillation again!

What's even more frightening is that the old man's blood oxygen has also dropped!

Lu Chen immediately rushed to the bed and began to perform chest compressions.

Ning Siyang also picked up the breathing airbag at the head of the bed, put the mask on the patient's face, and performed balloon-assisted ventilation.

"Sister Nannan, hurry up and call Senior Brother Wang!" Lu Chen yelled at Gong Nannan.

"Okay!" Seeing this, Gong Nannan immediately ran out.

Lu Chen pressed about [-] times, and he found that the patient's ventricular fibrillation had recovered!
Although the heart rate is still fast, the heart rhythm waveform is normal!

He stopped chest compressions.

However, the old man's blood oxygen continued to drop!

"No way! Endotracheal intubation is required!" Lu Chen said loudly.

Ning Siyang was taking some balloons and kept pressing to deliver oxygen, "Intubation? Then we have to wait for Senior Brother Wang to come."

As soon as he finished speaking, he saw Lu Chen take out the equipment for tracheal intubation from the emergency cabinet, including laryngoscope and dental pads.

"Junior brother, you, you..." Countless question marks appeared on Ning Siyang's head.

This guy actually wants to intubate himself?
They did learn about endotracheal intubation and took the exam.

But it has never been used clinically at all!

"Brother, this patient can't wait!" Lu Chen frowned.

Only relying on balloon-assisted ventilation cannot maintain blood oxygen.

The continuous reduction of blood oxygen will cause hypoxia to major organs, especially the hypoxia of the brain, and the consequences are almost irreversible damage.

On Lu Chen's side, he had already prepared all the supplies for tracheal intubation, and stood beside Ning Siyang.

"Brother, make room."

"But, this..." Ning Siyang looked out of the ward, but he didn't see Wang Xiaodong's shadow at all. After hesitating for a while, he still took the bag and mask away, and made room for Lu Chen.

Lu Chen put on gloves, held a laryngoscope, squatted on the head of the bed, and began to intubate.

Tilt the patient's head back, lift the lower jaw forward and upward with both hands, so as to open the mouth,

Lu Chen holds the handle of the laryngoscope with his left hand, puts the laryngoscope blade into the patient's mouth from the right corner of the mouth, pushes the tongue to the left and then slowly pushes it forward.

After seeing the uvula, lift the lens forward vertically until the epiglottis is exposed, and after the epiglottis is lifted, the glottis is exposed.

Lu Chen pulled out the stylet and inserted the catheter into the trachea.

"It's plugged in!"

Ning Siyang watched the whole process very clearly.

Fast, accurate and steady!

Lu Chen's technique was not sloppy at all, it took less than a minute from preparation to completion.

This kind of person actually calls himself senior brother?

Ning Siyang blushed.

"Brother, bring some tape and I'll fix the catheter." Lu Chen said to Ning Siyang.

"Don't, don't, don't call me senior brother, I want to call you senior brother." Ning Siyang waved his hand quickly, took out the tape from the treatment tray on the side, and handed it to Lu Chen.

He is not such a powerful junior!
Lu Chen fixed the endotracheal tube, connected the ventilator, and set all the parameters of the ventilator. The patient's blood oxygen finally started to rise!

Ning Siyang on the side was even more surprised.

"You can even adjust the ventilator!"

But thinking about the speed with which he inserted the urinary catheter and endotracheal tube before, he felt that this was nothing.

At this moment, Wang Xiaodong finally rushed over, and before entering the ward, he called out to Gong Nannan.

"Bring over the laryngoscope and get ready for intubation!"

However, when he just walked into the ward, he saw Lu Chen setting the parameters of the ventilator.

"Junior brother, this, is this what you inserted?" Wang Xiaodong asked incredulously.

Lu Chen nodded, and said seriously: "The patient's blood oxygen drops quickly, so it won't work if you don't plug it in!"

A trace of surprise appeared in Wang Xiaodong's eyes, and he patted Lu Chen's shoulder: "Well done, Junior Brother."

But now is not the time to be shocked.

He picked up the stethoscope and auscultated the patient's lungs. The position of the trachea should be correct!

The blood oxygen of the bedside ECG monitor is also 97%!

The patient's vital signs have temporarily stabilized, and now he is considering why the condition has suddenly changed.

"Why did the patient's blood oxygen drop suddenly?" Wang Xiaodong wondered.

It was ventricular fibrillation at first, and after ventricular fibrillation, blood oxygen dropped.

At this time, Lu Chen handed the results of the quick troponin to Wang Xiaodong.

"Brother, the patient's rapid troponin has yielded results, and the troponin has increased by more than 50 times! It should be severe heart failure after acute myocardial infarction and respiratory failure caused by pulmonary edema!"

"Then we have to ask the cardiology department for an emergency consultation!" Wang Xiaodong glanced at Lu Chen.

Lu Chen nodded and said, "I've already called the chief resident of the Cardiology Department."

……

While the two were discussing, Xia Yingzheng suddenly shouted from the emergency bed next to him.

"Where is the head nurse?! The patient on my side can't get the needle!"

Wang Xiaodong put down the test sheet in his hand, and frowned slightly: "It's the severely burned patient. He doesn't have a good skin all over his body, and it's impossible to get the needle. After finally getting the needle, the liquid can't get in at all!"

When Lu Chen came to the emergency department, he also saw this patient. His whole body was completely wrapped in gauze.

"I went to the head nurse and she just gave another patient with low blood pressure an injection."

Gong Nannan ran away immediately after hearing the words.

At this time, new reminders kept popping up on Lu Chen's system panel.

"Congratulations, the catheterization proficiency has increased by 3%!"

"Congratulations, the proficiency of endotracheal intubation has increased by 5%!"

"Congratulations, the proficiency in using the defibrillator has increased by 6%!"

"..."

However, Lu Chen just glanced at the system prompt and didn't pay attention.

If this is normal, and the skill proficiency has improved, he will be very happy.

But at this time, he was not in the slightest happy mood.

In addition to the urgency of rescue, his heart was also filled with a faint sadness.

In his emergency room, the patient's condition was relatively stable.

The emergency room next door to Mr. Xia's is full of patients with severe burns, severe shock, and even patients who can only rely on oxygen and ventilators to maintain their lives.

(End of this chapter)