I can see health

Chapter 224 Awakened!

Clinical work is very repetitive.

On this point, Fan Zhiping has a good understanding.

Now the degree of specialization is very high, and there are only a few common diseases in each department.

For example, in cardiology, common diseases are coronary heart disease, heart failure, high blood pressure, arrhythmia and so on.

As long as you are familiar with the routine diagnosis and treatment of these diseases, you can be a qualified cardiologist in a primary hospital.

However, since he came to the Cardiology Department of Jinghua Second Hospital for further study, Fan Zhiping found that everything has changed!

As the top tertiary hospital in the province, most of the patients in the Cardiology Department of Jinghua Second Hospital are severe patients!
And in addition to patients in the Department of Cardiology, there are other professional diseases.

Fan Zhiping felt that his brain was not enough!
Especially since following Lu Chen, he encountered all kinds of severe and strange cases one after another.

This not only opened his eyes, but also enriched his diagnosis and treatment thinking!

As a deputy chief physician, although Fan Zhiping came to a primary hospital for advanced studies and has been following a graduate student, he did not have any embarrassment or psychological burden.

The master is the teacher!
What's more, in the Jinghua electrophysiology exchange group, Lu Chen has long been "Professor Lu"!

Lu Chen also gradually got used to Fan Zhiping by his side.

Although Fan Zhiping was born in a primary hospital, he has rich clinical experience.

The two usually communicate with each other.

Fan Zhiping has made progress, and Lu Chen has also gained a lot!

The current Fan Zhiping even has the idea of ​​taking the postgraduate entrance examination.

"Brother Fan, do you want to go to graduate school now?" Lu Chen heard Fan Zhiping's thoughts.

"Well, what do you think?" Fan Zhiping nodded.

"Very good, it's good to be a working graduate student." Lu Chen smiled.

Medicine is a process of continuous communication and progress.

As the saying goes, learn and live forever.

For the profession of doctors, the standards of diagnosis and treatment are updated very quickly. If you don't learn, you will be eliminated sooner or later.

"On-the-job postgraduate?" Fan Zhiping frowned, "But I want to study full-time."

Lu Chen was taken aback, and he glanced at Fan Zhiping beside him.

Comrade Lao Fan is not simple, he actually has such an idea!
Part-time and full-time are completely different.

On-the-job, to put it bluntly, is just messing around.

Full-time, that is the real diploma.

"Brother Fan, I support you." Lu Chen smiled.

Lao Fan grinned, "This matter has to be discussed in the long term."

Lu Chen and Fan Zhiping chatted for a while, and then went about their own business.

……

10:33am.

The nurse suddenly walked quickly to the office.

"Bed 15 just felt tightness in the chest, the doctor in the director's group should go see it!"

15 is a new patient who just arrived this morning.

This bed is managed by Ke Yue.

Ke Yue stood up immediately, grabbed the stethoscope beside her, "I'm going now!"

As soon as she walked to the door of the office, the nurse's shout came from outside the ward.

"Come on! 15 beds are gone!"

Ke Yue was startled, and immediately ran towards the ward.

Lu Chen also stood up and shouted to Yao Jie beside him, "Junior Sister, go to the director's office to find Senior Sister Sun!"

"Got it!" Yao Jie nodded and ran out of the office.

And Lu Chen and Fan Zhiping ran to the ward together!

……

Outside the 15-bed ward, there was already a circle of people around.

Lu Chen and Fan Zhiping pushed aside the crowd and walked into the ward.

The patient in bed 15 was an elderly male of about 60 years old.

At this time, he was lying flat on the bed, panting heavily.

Lu Chen looked up at his head, his HP was only 35!

Ke Yue is auscultating the patient's heart and lungs.

At this time, the ECG monitor suddenly issued a "beep" alarm sound!
"Vtrial fibrillation!" Fan Zhiping growled in a low voice.

Lu Chen also noticed the patient's condition, and when he saw it, he immediately rushed forward.

Begin chest compressions on the patient.

At this time, the patient was breathing like a sigh, lost consciousness, and the fluctuation of the aorta disappeared!

Ke Yue stood by the bed, feeling a little overwhelmed for a while.

Nurses had already rolled over the ambulance cart and defibrillator.

Lu Chen immediately opened his mouth and ordered: "Defibrillate immediately, the energy is 360j!"

"Give another shot of adrenaline!"

Fan Zhiping had already turned on the defibrillator and coated the electrode plates with conductive paste.

At this time, Sun Guoguo had heard the sound and rushed over.

Seeing Lu Chen and Fan Zhiping being rescued, Sun Guoguo's heart sank: "Junior Sister, you took this patient in. What's the specific situation?"

Ke Yue spoke a little nervously, and whispered: "The patient was admitted to the hospital with chest pains, suspected of angina pectoris, and just now had sudden chest tightness. When I came over, he had a sudden ventricular fibrillation."

Sun Guoguo looked at the ECG monitor beside the bed, and the patient's blood oxygen saturation was constantly dropping.

"What about the patient's family?"

Ke Yue said, "Wait at the door of the ward."

"I went to talk to the patient, maybe intubation."

Sun Guoguo immediately walked out of the ward, found the family members of the patient, and informed them of the condition.

Without the slightest hesitation, the family members immediately agreed to the endotracheal intubation and related operations!
……

On Lu Chen's side, although defibrillation has been done once, the patient is still in ventricular fibrillation on the ECG monitor beside the bed!

"Brother Fan, you come for the chest compressions, and I'll do the tracheal intubation!"

The patient's blood oxygen saturation is constantly declining. The most important task at present is to maintain the patient's blood oxygen besides maintaining the heartbeat.

"Okay!" Fan Zhiping immediately took Lu Chen's place.

The nurse has brought the tools for endotracheal intubation.

Without the slightest hesitation, Lu Chen immediately intubated the patient!
At this time, Sun Guoguo also returned to the ward.

She glanced at the ECG monitor on the bedside, and said in a deep voice, "Push another dose of epinephrine! At the same time, cool down the ice cap!"

"Got it, a static injection of epinephrine!" The nurse immediately carried out the doctor's order.

At this time, Lu Chen had finished inserting the tube.

Fan Zhiping started the second defibrillation!

Defibrillation ended.

There was still ventricular fibrillation on the ECG monitor, but it was still unsuccessful!
Lu Chen took Fan Zhiping's place and continued chest compressions.

"A shot of adrenaline!"

Five minutes later, Sun Guoguo issued another doctor's order.

Lu Chen calmed down and looked at the life value on the patient's head, it was only 21!

Is it really not possible?

……

Outside the ward, the family members of the patients were already crying.

"The third defibrillation!" Fan Zhiping picked up the defibrillator again.

Defibrillation ends,

Still ventricular fibrillation!
"Lidocaine 50mg is administered intravenously, and another dose of epinephrine is administered!"

At some point, Li Yao came to the ward.

"Received, lidocaine 50mg, epinephrine a static injection!" The nurse did not hesitate and immediately carried out the doctor's order.

"Give another 5ml intravenous infusion of 125% sodium bicarbonate!" Li Yao continued.

"Roger that!"

Fan Zhiping glanced at Lu Chen who was doing chest compressions.

"I'm defibrillating for the fourth time!"

Lu Chen nodded.

When he stopped chest compressions, Fan Zhiping immediately took his place.

Fourth defibrillation!
Defibrillation ended.

"Beep beep..."

Above the bedside monitoring, the patient's heart rate suddenly changed from ventricular fibrillation to sinus.

The life value of the patient has also risen to 48!

Sun Guoguo stepped forward and gave the patient a physical examination.

"Pupillary dilated to 5mm, slow to light reflex!"

The rescue was successful!

Although the patient's consciousness has not yet recovered, his heart rate and blood oxygen saturation have been maintained!
Everyone present breathed a sigh of relief.

From the start of the rescue to the end of the rescue, it took only 10 minutes, but Lu Chen felt like he had run a marathon.

His whole body was drenched with sweat.

Lu Chen and Fan Zhiping looked at each other and smiled.

This kind of joy of successful rescue cannot be given by other professions.

……

Sun Guoguo brought the family members of the patient to the office.

"The patient is admitted to the hospital this time, the possibility of myocardial infarction is higher, the rescue time is longer, the patient's central nervous system is more damaged, and he may not wake up."

The patient's family members were very compliant and understood the truth, nodded and said: "It's fine if you can save it."

In fact, this is a very simple rescue of ventricular fibrillation in the hospital.

The cooperation between doctors and nurses was smooth, and the rescue process was perfect.

However, although the patient's heartbeat recovered, it was difficult to regain consciousness.

But what everyone can't think of is...

About 30 minutes after the rescue was successful, the patient woke up on his own!

　And an update!
　　
　
(End of this chapter)