This doctor is great

Chapter 57 Wow, Do You Know Bedside Ultrasound?
Zhou Mo and Huang Yiming began to perform cardiopulmonary resuscitation on the fainted young man according to the cardiopulmonary resuscitation process.

Zhou Mo pressed,

Huang Yiming opened the airway and gave artificial respiration.

At this time, the waiter also ran over.

Zhou Mo pressed down heavily, causing the patient's chest to shrink down several centimeters, and said to the waiter:
"Do you have a simple defibrillator here?"

Defibrillators are currently equipped in all subways in Guangzhou.

but,

Many people watch TV shows that someone who suffered a cardiac arrest can recover immediately with a defibrillator, thinking that a cardiac arrest can be recovered with defibrillation?
It's actually wrong.

Defibrillators are only suitable for patients with ventricular fibrillation and cardiac arrest.

For the young patient in front of him, Zhou Mo still couldn't tell whether it was a ventricular fibrillation arrest or no ventricular fibrillation, but the defibrillator could tell whether there was ventricular fibrillation.

The waiter shook his head quickly: "There is no defibrillator..."

Zhou Mo stopped asking and continued CPR.

at this time,

Two minutes had passed, and the patient showed no signs of cardiac resumption.

5 minutes……

7 minutes……

Zhou Mo was already sweating as he pressed his forehead.

But you can't let it go, once you let it go, the patient's blood cannot circulate and enter the brain, and the brain will die of oxygen deficiency.

Not long after,
Beep beep beep~~~~
The hospital ambulance came.

Doctors and nurses in the emergency department rushed in with medicine boxes and other things.

"Where is the patient?"

"There!!"

Zhou Mo saw the emergency doctor and shouted, "Did you bring epinephrine?"

Emergency doctor: "Bring it!"

Zhou Mo: "Get ready, it's been 7 minutes..."

The nurse quickly put down the medicine box and took out the epinephrine and the syringe.

Boom!
break!

Then pump fluid!

static note!

time is life!

How fast, how come!
IV!

On the doctor's side, he quickly intubated the patient's trachea, and then put on the air bag.

Compress to ventilate.

At this time, the patient's heartbeat had stopped for nearly 9 minutes.

The golden rescue time is now past.

But Zhou Mo is still insisting on rescue!

Persevere, don't give up!

3 minutes later, another dose of adrenaline!
At the 12th minute...

"There's a heartbeat!"

Huang Yiming shouted in surprise.

Then, the sphygmomanometer also showed the blood pressure.

"Blood pressure 70/45!"

call!
Zhou Mo, Huang Yiming, the emergency doctor and others also breathed a sigh of relief.

Zhou Mo said seriously: "Hurry up, send it to the emergency department... there must be something wrong...causing a sudden stop..."

……

8 minutes later,
Emergency Department.

The young patient is lying on the hospital bed, and now he has woken up.

However, the body is still extremely weak.

Zhou Mo and Huang Yiming were not in the mood to eat, so they simply followed.

Neither Zhou Mo nor Huang Yiming would let go of this opportunity to gain experience.

But soon,
The results of the two simplest checks came out.

ECG: incomplete right bundle branch block...

X-ray examination: right atrium, right ventricle enlarged...

It's not a heart attack,

But the deeper reason, the emergency doctor can't find it.

At this moment,
Zhou Mo suddenly had an idea.

"Is there a bedside color ultrasound in the emergency department?"

Emergency doctor: "Yes...but it's night and there is no doctor on duty..."

Zhou Mo: "I can use it!"

"I'll go, brother Mo, when will you learn bedside color ultrasound?" Huang Yiming was stunned.

"You know how to use it?" The emergency doctor froze for a moment.

"By the way, you two, which hospital do you belong to?" At this moment, the emergency doctor looked at Zhou Mo and Huang Yiming.

Huang Yiming: "We are from this hospital..."

Puff~~~
The emergency doctor was dumbfounded.

This courtyard?
Zhou Mo: "Yes, we belong to this hospital, the Department of Cardiology!"

The emergency doctor was stunned: "He's from the cardiology department? What a coincidence?"

If it is a cardiology department, it is not impossible to know color Doppler ultrasound.of
The emergency doctor looked at Zhou Mo: "You know how to do bedside color ultrasound, right?"

Zhou Mo nodded: "Yes."

The emergency doctor was overjoyed: "Good!"

quickly,

The bedside B-ultrasound was pushed to the emergency room.

Zhou Mo skillfully turned on the machine, adjusted the parameters, and then used the couplant...

Start probing for the patient.

First of all, it is naturally a heart problem.

The right atrium and right ventricle are enlarged, and this X-ray examination has confirmed it.

But why do the right atrium and right ventricle enlarge?

The general reason is that there is too much blood, which expands the right atrium and right ventricle.

So why is there so much blood?

Either not enough output, or too much input, or...

In response to these three problems, Zhou Mo used a B-ultrasound probe to search for continuous sections of the right atrium and right ventricle of patients.

Continuous operation...

Constantly pressing the buttons on the B-ultrasound machine...

very skilled.

Huang Yiming next to him looked confused.

I'll go, Brother Mo actually knows how to use it

B... B... B... B... super machine!
He and his friends were stunned!
Huang Yiming knew that Zhou Mo had been reading B-ultrasound-related papers, operation manuals, and following the B-ultrasound teacher to see a doctor for the past few days.

He felt that Zhou Mo was useless.

result……

Learned like this?

impossible!This is absolutely impossible!

Doubt life!
"found it!"

At this time, Zhou Mo suddenly raised his voice once.

Emergency doctor: "What's wrong?"

Zhou Mo pointed to the screen: "Look here... This should logically be the partition between the left atrium and the right ventricle, but now there is a gap..."

Emergency doctor: "..."

Huang Yiming: "..."

Sorry,
I can't see it!

On the screen, there is a piece of black and white + color strange things.

I can't see what the hell it is!

Zhou Mo pointed to one of them: "Look here, isn't there something vacant here?"

Emergency doctor: "..."

Huang Yiming: "..."

Forgive my blindness! !
No, pardon my dog ​​eyes, I can't see it!

Interlaced lines are like mountains, and those who don't know it really can't see it.

Zhou Mo: "..."

O mortal!

Finger pressed two buttons on the console,
Measurement……

5mm...

"The vacant place is as long as 13mm... Confirmed, it is a housing shortage!"

Emergency doctor: "Atrial septal defect??"

Huang Yiming: "Shortage of housing?"

stunned.

Zhou Mo frowned.

13mm, this length is a bit long!

"Atrial septal defect": referred to as 'atrial defect', is a common congenital heart malformation in clinical practice. It is the abnormality of the original atrial septum during embryonic development, resulting in a gap between the left and right atrium.

This disease is more common in young children, and adults occasionally have secondary atrial septal defects.

What are the consequences of lack of housing?
Naturally, when the left heart pumps blood to the aorta, the blood will flow back to the right heart due to high pressure.

As a result, the efficiency of the heart in pumping blood throughout the body is greatly reduced.

The consequences are: low blood pressure, hypoxia, heart failure, pulmonary edema...etc...

Cardiac arrest is also one of the serious consequences.

……

"Then what should we do next?"

The emergency doctor looked at Zhou Mo.

Now that he knew it was a housing shortage, although he knew about it, the professional doctors in the Department of Cardiology were here (mainly able to do bedside color ultrasound, which made the emergency doctor misunderstand that Zhou Mo was a master).

Therefore, he still wanted to hear Zhou Mo's opinion.

.

　I'm late, I originally sent it on time at 12 o'clock...

　　
　
(End of this chapter)