I can see health

Chapter 502 This night shift is so evil!

Before Lu Chen could react, he saw that the patient suddenly couldn't stand upright, his eyes were staring upwards, and a trace of white foam spit out from the corner of his mouth.

I go!

Lu Chen was shocked, this is really, want to shit, something happened!
Huang Hanlin also sensed the abnormality of the patient, he quickly said: "Lu Chen, help the patient to the bed!"

Lu Chen understood, and the two cooperated to quickly move the old man to the bed.

"The patient has ventricular tachycardia!"

The nurse connected the patient's electrode pads, and the "ventricular tachycardia waveform" was immediately displayed on the bedside ECG monitor.

"Electrical cardioversion immediately!"

"Use lidocaine!"

Lu Chen had already run to the central nurse's platform and pushed the defibrillator over.

Liu Han and Gao Rui also noticed the situation here and rushed over to help.

……

Lu Chen was very quick. He pushed the defibrillator to the side of the hospital bed, picked up two electrodes and handed them to Huang Hanlin.

"Everyone stay away from the hospital bed!"

"Charge, discharge!"

The real electrical defibrillation is not like in TV dramas, where the patient's body will be jerked, and at most there will be only a slight tremor.

A defibrillation is over.

Lu Chen quickly looked at the ECG monitor, it was still a series of ventricular tachycardias!
"Press first, then defibrillate again later!"

"The nurse puts the catheter on, and the ice pack protects the head!"

"Bring a set of intubation tools over here, and push over the invasive ventilator!"

As a senior doctor in charge of cardiology, Huang Hanlin was very calm when encountering this kind of rescue, and issued various doctor's orders in an orderly manner.

On the side, Liu Han and Gao Rui watched the rescue nervously.

For ordinary graduate students, it is impossible to rescue them.

However, Lu Chen is an exception!

At this time, Lu Chen was cooperating with Huang Hanlin in various operations.

"Lu Chen, prepare for the second cardioversion!"

"Roger that!"

Lu Chen's face was solemn, and he was always paying attention to the changes in the ECG monitoring at the bedside.

"Charge, discharge!"

"Beep beep..."

After the second defibrillation, the monitor still showed ventricular tachycardia, and even developed a tendency towards ventricular fibrillation.

"The blood oxygen can't be maintained anymore!" Huang Hanlin's face turned ugly, and he turned to look at Liu Han, "Go and call the hospital manager to help!"

There are only two doctors in the CCU ward at night.

Cheng Liangli is dealing with other critically ill patients, so now he can only call the head of the Cardiology Department to help.

"Okay!" Liu Han nodded, and immediately ran out of the ward.

There is always a lounge next to the CCU for inpatients in the Department of Cardiology, just separated by a wall.

……

Lu Chen was giving chest compressions to the patient, while Huang Hanlin was giving oxygen to the patient with a mask.

Before intubation, only artificial oxygen can be used.

"Teacher Huang, I know how to intubate, why don't you let me try?" Lu Chen volunteered.

Although hospitalization is always only a wall away from the CCU ward, it still takes a few minutes to get there.

Huang Hanlin was startled for a while, thinking of Lu Chen's performance in the CCU ward, and then nodded in agreement: "Okay, you can intubate."

For another student...

Other students will not have this kind of request for active intubation!
In fact, except for the intensive care unit, emergency room, anesthesia operating room, and other general departments, there are very few opportunities for medical staff to intubate.

Even if you know the basic theoretical knowledge of intubation, but you are negligent in training, you can't guarantee that you can successfully intubate yourself.

……

Lu Chen raised the patient's neck and tilted his head back.

Then the left-hand laryngoscope is inserted along the curvature of the back of the tongue to the base of the tongue, and the epiglottis cartilage is gently lifted to open the glottis.

Lu Chen's face froze, and he quickly inserted the endotracheal tube into the trachea with his right hand, pulled out the endotracheal tube, placed the dental pad, and pulled out the laryngoscope.

On the side, Huang Hanlin was shocked.

I'll go, this hand speed!
How fast!
Could it be that Lu Chen was often intubated before?

That's not right, he's just a student, he doesn't have a venue, and he doesn't have this kind of opportunity!
At this time, Lu Chen began to check whether the outer port of the endotracheal tube was expelled with breathing, and then auscultated the apex of the two lungs to see if the breath sounds were consistent, and after confirming that the intubation was correct, the dental pad and the tube were fixed together.

The nurse had already pushed the ventilator over.

Connect the catheter to the ventilator, adjust all the parameters, and the ventilator starts to operate.

At this time, Sun Guoguo, the head of the cardiology department, rushed over.

"Senior brother Huang, what's the situation here?"

Sun Guoguo walked into the ward, and saw everyone who was being rescued.

"The patient had sudden ventricular tachycardia and lost consciousness. Lao Cheng was dealing with patients in another ward, so I asked the students to call you over." Huang Hanlin said.

Sun Guoguo looked around and saw Lu Chen who was adjusting the ventilator.

"Junior brother, you are on night shift tonight!"

When Lu Chen heard a familiar voice, he turned around and saw that it was Sun Guoguo, and then smiled, "Senior sister, you're here."

"With you here, I might not be needed for intubation and rescue." Sun Guoguo smiled softly.

As Lu Chen's senior sister, she was very happy to see how good her junior brother is!
But Huang Hanlin stood aside, and he couldn't help being surprised when he heard Sun Guoguo's words.

As an attending doctor, Sun Guoguo actually thinks highly of Lu Chen!

What else is there that Lu Chen hasn't shown?

Sun Guoguo seemed to see Huang Hanlin's doubts, and said, "Brother Lu Chen, he is the champion of the national clinical skills competition, and he is very familiar with this kind of intubation work!"

When Huang Hanlin heard this, he felt a little relieved.

Although the champions of the National Clinical Skills Competition are all medical students in school, their clinical skills can definitely reach a very high level after standardized training.

……

The end of intubation is the third cardioversion.

Everyone breathed a sigh of relief in their hearts. If the cardioversion is not successful this time, then the next step will be difficult!
"Charge, discharge!"

When the defibrillation was over, everyone's eyes were fixed on the ECG monitor.

The waveform of ventricular tachycardia suddenly changed to sinus rhythm at the moment when the electrodes were discharged!
"It's done!"

Lu Chen's face showed joy.

It's so difficult!

He looked at the old man with a tube inserted in the hospital bed, and couldn't help but sigh in his heart.

"I don't know if the old man will be so stubborn after he wakes up this time!"

……

Liu Han and Gao Rui have been watching everyone's rescue in silence.

They are completely out of hand!

Looking at Lu Chen's busy back, the two looked at each other, they hugged each other tonight!

but……

It seems to be surprisingly busy tonight!
From taking over to the present, there has been no rest.

Although I said I was busy before, it wasn't so evil!

……

After cardioversion of the ventricular tachycardia, the old man's vital signs were all stable.

"Push the patient to the emergency room." Huang Hanlin said.

Everyone pushed the hospital bed into the emergency room together.

"Cuckoo..."

Lu Chen's stomach started growling.

He just remembered that he didn't seem to have finished his meal yet!
"Lu Chen, go eat first, and I'll take care of the rest." Huang Hanlin said, "After you finish eating, come and replace me."

"it is good."

Lu Chen has no ink marks, no food, no physical strength, this night will be difficult!

(End of this chapter)