medical road high rise

Chapter 32 Coronary artery patients ([-])

Chapter 32 Coronary patients ([-])

"Yes, the First Municipal People's Hospital." Qin Feng explained the hospital carefully on the phone.

This is also a way to communicate with the patient's family members to prevent the family members from going to the wrong hospital and delaying the best signing time. The sooner the family members arrive at the scene, it is also a good thing for the patients.

After that, Qin Feng began to assist Dr. Wang in the rescue. After the ECG monitoring was connected, the patient's ECG monitoring showed a heart rate of 110 beats per minute and a blood pressure of 150/80mmhg.

But before Qin Feng could react, the patient's heartbeat actually stopped, and Qin Feng and Dr. Wang looked at each other.

Dr. Wang said: "Prepare epinephrine, intramuscular injection."

"Xiao Qin, what do you think of the patient's illness?" Dr. Wang asked when the nurse was preparing the medicine.

Qin Feng shook his head, expressing that he didn't know, because the patient was fine at the entrance of the mall before, only vomiting and chest pain.

Is this chest pain unusual?Not a heart attack?
"I think the possibility of myocardial infarction is very small, it may be brain stem hemorrhage." Qin Feng said.

Because the patient had a sudden cardiac arrest caused by shortness of breath, this situation is very likely to be a cerebral hemorrhage, especially a brain stem hemorrhage. The brain stem is an extremely important part of the human body.

Patients with brainstem hemorrhage can only be treated briefly in the ambulance and treated conservatively, but some functional impairment will be left behind.

"Well, it's similar to my guess. I also guessed cerebral hemorrhage." When Dr. Wang spoke, the movements of his hands were equally dissatisfied. He directly injected adrenaline into the body, and the patient's heartbeat resumed again.

Qin Feng and Dr. Wang both breathed a sigh of relief. The person in charge of the shopping mall sitting nearby was almost frightened. The two doctors next to him were chatting and laughing, but they themselves were afraid that the patient would die.

Once it dies, it will be a big blow to the reputation of the mall.

"Your method is very correct. If you didn't support the patient to sit up in time, whether the patient has a myocardial infarction or a cerebral hemorrhage, the recumbent position is fatal." Dr. Wang said.

From a medical point of view, the recumbent position is not conducive to breathing and circulation, just like we sleep. If you lie in bed for a long time, you will feel a slight breathing discomfort. Once you change the backrest position, it will be much more comfortable.

Qin Feng didn't greet him either, it was just a matter of raising his hands, waiting for the ambulance to drive all the way to the door of the emergency building.

Emergency doctors and nurses were waiting at the entrance of the hospital early, quickly opened the car door, picked up the patient and ran towards the emergency room.

Qin Feng didn't follow, and was about to leave when Lu Ming urged him to stop him.

"Xiao Qin, why do you have time to come to the emergency department today?" Lu Ming walked towards Qin Feng with a stethoscope hanging on his shoulder.

Qin Feng recounted what happened just now, and Lu Ming frowned and then relaxed it. Although the patient may have cerebral hemorrhage, he has already contacted the neurosurgery staff, and it depends on what diagnosis they give.

Coupled with the company of the resident doctor in the emergency department, Lu Ming is also happy to be at leisure. As a doctor, you can't take care of every patient. exhausted.

"Let's go, sit in my office and have a chat." Lu Ming extended an invitation to Qin Feng.

Qin Feng followed Lu Ming to his office, and when Lu Ming entered the office, he poured Qin Feng a cup of tea.

"Old Dong gave you a very high evaluation. I heard that you also performed a sharp instrument surgery, which is very good." Lu Ming praised.

After all, when Director Dong called Lu Ming, the tone on the phone seemed to be showing off, which made Lu Ming a little uncomfortable. What a genius, it would be nice to stay in the first hospital, but he was directly pushed away by those hospitals. To the arms of the second hospital.

"That's so-so. The main thing is to study more at the Second Academy." Qin Feng said.

"Learn what?"

"Imaging and interventional surgery." Qin Feng said.

"Well, not bad." Lu Ming didn't ask in detail. In terms of imaging and intervention, Taoshi No. [-] Hospital is indeed more than two blocks away from the No. [-] Hospital. The No. [-] Hospital focuses on radiation. Has its own attainments.

As for how much Qin Feng has learned, Lu Ming feels that with Qin Feng's talent, there is absolutely no problem in learning for a year or two.

During a cup of tea, the two chatted about many things. Lu Ming also told Qin Feng about the general surgery department. Wu Hai had entered the general surgery department and became Gui Peisheng.

Qin Feng doesn't care much about these anymore. For Qin Feng, the most important thing is to practice the surgery in his hands to the extreme.

[Ding, trigger a hidden mission, complete a radial artery interventional surgery, task reward: a new type of radial artery interventional surgery. 】

When Qin Feng heard the system prompt, his heart hurt again. This is the rhythm for him to grab the stage again.

Moreover, the release of this task by the system also proved that the patient should have a problem with the coronary artery, or it was a myocardial infarction rather than a cerebral hemorrhage.

Qin Feng looked at the task prompt, thinking frantically how to perform this operation in his mind, calculated the time, and now the patient's examination should have been completed.

"Jingle Bell!"

Lu Ming's cell phone rang, and Lu Ming picked up the surgery, took a look, and connected the phone.

"I'm Lu Ming, what's the patient's condition now?"

"Okay, I'll come over and take care of it right away."

Lu Ming stood up, and Qin Feng quickly followed suit.

"The patient you sent just now is in a serious condition. Now he has fallen into a deep coma. There are noises in the auscultation area, and the results of the physical examination are not very good. I need to go over to press the scene." Lu Ming explained to Qin Feng .

"Brother Lu, then I'll go there with you." Qin Feng was worried that there was no reason, and Lu Ming happened to be sleepy and came to deliver a pillow.

"Okay, I have a spare white coat here, you can put it on first." Lu Ming threw Qin Feng a white coat.

White coats and sterile masks are the standard equipment for doctors. If you don’t have a white coat, there are many places where you can’t get in. You can’t let outsiders participate in making troubles during surgery.

Arriving at the door of the emergency room, neurosurgery doctors and ICU doctors arrived, and the two sides were discussing intensely.

The patient's chest CT was hung on the film reader. Qin Feng took a look and found that there were several enlarged lymph nodes in the patient's two lungs in small nodules and bilateral armpits. It was obviously aortic and coronary artery sclerosis.

I heard the neurosurgeon shout, "Where's the echocardiogram?"

Soon a nurse found it and handed it to the neurosurgeon, and the atmosphere in the rescue room suddenly became extremely tense.

Qin Feng stood aside, and no one paid attention to Qin Feng. Everyone's attention was on the patient.

After Lu Ming came, he also quickly entered the working state.

"How do you see the patient's condition?"

"The patient has unstable angina and acute coronary symptoms. At the same time, he has a previous medical history in our hospital and has severe hypertension." The ICU doctor said.

As an ICU doctor, it is necessary to consider the various conditions of the patient. Compared with the specificity of doctors in other departments, an ICU doctor can only be performed by an all-round doctor.

(End of this chapter)