Back in 2002 as a doctor

At the same time, the task prompt sounded "Ding Dong~", and the system lost no time in grabbing Zhou Congwen's wool.

But after entering the treatment room, Zhou Congwen was stunned, thinking in the wrong direction completely.

The patient was still lying on the bed in the treatment room, looking at himself in a strange posture. The doctor was holding a knife with a trace of blood on it.

Just opened the skin, didn't even do blunt dissection, it wasn't the patient's accident at all.

Bowing his head, a man was lying on the ground, his face was pale and his breathing was weak.

The uncle of the patient who was still alive and clamoring to come in for surgery was already... lying on the ground half dead.Seeing that there is more air out and less air in, people are about to die.

Zhou Congwen cursed viciously in his heart, before he had time to explain, he knelt beside the patient and tore off his clothes.

Chapter 0265 can match everything

Zhou Congwen's right hand landed on the outside of the patient's pectoralis major, shouting loudly for you to wake up, while exerting force with his right hand.

This is a pain point, and it is difficult for ordinary people to bear it when they are eager to pretend to be dizzy.But Zhou Congwen pressed down hard, but the patient didn't respond at all.

Then Zhou Congwen pressed the patient's eye socket again, but there was still no response.

The patient was already in shock, and it took Zhou Congwen 8 seconds to confirm this.

The chest rises and falls slightly, and there is a slight breathing. Zhou Congwen's hand rests on the patient's carotid artery.

Carotid pulse weak...

Why did the man who was still alive and screaming to beat the doctor if he refused to let him in go into shock after a few minutes?Zhou Congwen sighed, it was really troublesome.

Hand back, no one handed the stethoscope.

Zhou Congwen was slightly taken aback, but he didn't waste time. Instead, he attached his ear to the patient's chest and listened to the heartbeat directly.

In the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Aid, the common causes of cardiac arrest are summarized in several points.

The first point is hypoxia, Zhou Congwen first ruled out this possibility.

He didn't meditate, all movements and behaviors were muscle memory, and there was no need to recall all the things written in the guide, and quickly checked them one by one.

Then there is hypokalemia, hyperkalemia, and other electrolyte abnormalities.

Looking at the patient's performance just now, Zhou Congwen also ruled out this possibility.

The third is hypothermia or hyperthermia.Touching the patient's carotid artery with his hand and putting his ear on the patient's chest, Zhou Congwen immediately felt that the patient's body temperature was normal, which was not the case.

Fourth, hypovolemia.

The patient was not traumatized, and if he happened to have aortic dissection... the probability is too low to be considered for the time being.

Ten points are summarized in the guideline. Zhou Congwen used 13 seconds to judge that the patient is most likely to suffer from haemorrhage. After seeing the knife moving and bleeding, he became nervous, which caused a myocardial infarction.

One thing left to check is hypoglycemia.

The patient's breathing is intermittent, as if he is sighing continuously.Zhou Congwen made an accurate judgment in more than ten seconds. The patient suddenly twitched, his eyes suddenly opened, and the eyeballs deviated to the left.

It's over, the heart must stop!

Zhou Congwen immediately touched the patient's carotid artery with his index finger and middle finger to feel whether there was a pulse. The pulse contact point was in the sternocleidomastoid groove next to the thyroid cartilage. The standard movement was like a textbook.

But he didn't wait for 10 seconds as written in the textbook. After about 4-5 seconds, Zhou Congwen shouted, "Defibrillator!"

Unlike the rescue that Zhou Congwen was used to, there was no defibrillator in front of him in the next second.

Rescue needs a team, like a precision machine, there will be no delay for a second.

But in a strange place, in 2002, all Zhou Congwen's ideas were in vain.

No way, Zhou Congwen had to put the patient flat, put the heel of one hand on the junction of the middle and lower 1/3 of the patient's sternum, and put the heel of the other hand on the first hand, with the fingers slightly upturned. Touch the chest wall.

With his elbows straight, he presses down straight down at a rate of 100 beats per minute.

Zhou Congwen presses down 5.2cm deep each time, and the chest should be fully recovered after each press.Pressing time and relaxing time each account for about 50%. When relaxing, the heel of the palm does not leave the chest wall to avoid displacement of the pressing point.

His movements were not flustered. When Deng Ming came in, he was slightly surprised to see that Zhou Congwen had already started performing chest compressions.

In the eyes of experts, there is only one description for Zhou Congwen's actions - standard, the same standard as a textbook.

However, Deng Ming didn't waste time. Double CPR was better than a single person. He walked over and pushed Zhou Congwen away with his shoulders.

Zhou Congwen almost didn't cry, the eldest brother really still has the same temper as before.

As the name suggests, CPR involves the heart and lungs.

The elder brother never refused to do artificial respiration. It is said that his father once blocked his airway with phlegm and did not have a sputum suction device.

There was no way, Zhou Congwen could only move to the patient's head.

First pinch the patient's mandibular joint with his hands and open the mouth to take a look. Seeing that there is no abnormal secretion, Zhou Congwen is ready to start mouth-to-mouth artificial respiration.

Zhou Congwen was not in a hurry, he made preparations first, and looked up at the doctor holding a knife in his hand, "What are you doing in a daze, go call the circulatory department!"

"Ah? Myocardial infarction?" The chest doctor was stunned for a moment and asked in a daze.

"It's a myocardial infarction with cardiac arrest, hurry up! The defibrillator is ready, who is that, put down the knife." Zhou Congwen reminded the doctor who was about to run outside with the knife in his hand to make a phone call while paying attention to Deng Ming's movements .

As soon as Deng Ming stopped, Zhou Congwen put one hand on the patient's forehead, and then pushed the patient's head backward with the palm of his hand; he placed the fingers of the other hand under the lower jaw near the chin bone , lift the lower jaw, raise the chin bone, and start artificial respiration.

Zhu Jun also heard the messy voices outside, but he didn't pay attention at first, but explained a few words to the patient's family, explaining the significance of Mr. Huang's visit to Jianghai City this time.

When he rushed to the treatment room, he happened to hear Zhou Congwen scolding his doctor like a director.

The instinct to protect the calf had an attack, but before he could speak, the CPR performed by Deng Ming and Zhou Congwen caught his attention.

The two cooperated extremely precisely, almost as soon as Deng Ming stopped, Zhou Congwen started artificial respiration without any interval.

as if……

like……

seem……

The two have cooperated countless times before.

Director Zhu Junzhu suddenly remembered a recent legend - Zhang You, the director of the Chest Department of the Second Hospital of the Provincial Medical University, drove to Jianghai City in the middle of the night to pick up Zhou Congwen, just to let him go to the hospital for surgery.

Could it be that he can match everything? !

Zhu Jun was a little at a loss.

In the past, he didn't believe that someone could match everything, even Zhu Jun didn't believe that Zhang You, Director Zhang, drove to pick up Zhou Congwen in the middle of the night.

However, when he saw Zhou Congwen and Deng Ming, who were able to perfectly cooperate to complete double CPR when they met for the first time, he couldn't help feeling at a loss.

Cardiopulmonary resuscitation is not a difficult task, but no matter what operation involves the adjective perfect, it is as difficult as heaven.

Director Deng Mingdeng understands well, but how did Zhou Congwen do it?

Seven or eight minutes later, the patient's heartbeat recovered, and an electrocardiogram showed that it was ventricular fibrillation.

Deng Ming picked up the defibrillator and bang it twice, and the heart rate returned to normal. The patient was carried onto the flat car, and trotted to their intensive care unit with the circulatory physician.

The treatment room was in a mess, and there was a group of family members of the patients who didn't know what happened until now.

They stared wide-eyed, completely unaware that the patient had already lined up on the Naihe Bridge just now, and the bowl of Mengpo soup had already reached his mouth, but Zhou Congwen and Deng Ming overturned it and "fished" him back.

……

……

Note: When I was in the emergency department, I met a family member of a patient with haemorrhage. I was still threading needles and threads on my side, and before suturing, he suddenly went limp, rolled his eyes and fell down.This is a mess... Let's rescue it, what should I do?If the heart doesn't stop, Xie will give him a bottle of candy.

Chapter 0266 Sequelae of mouth-to-mouth artificial respiration

"Director Deng, it's hard work, what's the matter?" Zhu Jun asked embarrassingly.

The chief director of 912 had to take care of his own rescue, Zhu Jun felt very guilty.

"Oh, it seems that the family members of the patient wanted to come in to see the closed drainage, but they fainted when they saw the blood." Deng Ming said his judgment while washing his hands, "Tell me, what's the matter, I fainted Do not know at all."

Sure enough, it was taught by a master. Deng Ming's brain circuit is the same as Zhou Congwen's.

"Fortunately, Xiao Zhou was rescued in time. Xiao Zhou, do you think so too?" Deng Ming asked gently.

"Yes." Zhou Congwen said to the elder brother very low-key.

Every time after artificial respiration, there was a strange taste in his mouth. Zhou Congwen just wanted to hurry up and rinse his mouth. It would be best if he could brush his teeth.

But he still habitually waited for Deng Ming to finish washing his hands before Zhou Congwen went to the tap to take a big sip of water and began to rinse his mouth repeatedly.

"It's hard work." Zhu Jun kept saying while holding Deng Ming's hand, while ignoring Zhou Congwen who was rinsing his mouth and working harder.

"It's okay, I happened to meet you. It's been a long time since I did CPR myself, Xiao Zhou, you're quite proficient." Deng Ming praised.

Snoring~~~Zhou Congwen is rinsing his mouth.

"Wait for Xiao Zhou to tidy up, let's go see the eye patient." Huang Lao said lightly.

Hululu~~~Zhou Congwen is still gargling.

Fortunately, the patient did not have sputum to block the airway, otherwise there was no suction tube nearby, and I would have to suck the sputum out by myself, which made me feel sick no matter what I thought.

snoring~~~

Zhou Congwen rejoiced and kept rinsing his mouth.

After several times, Zhou Congwen still felt uncomfortable.Emergency rescue, the most unbearable thing for him is artificial respiration.Even a young girl can't do it. When a person arrives at Naihe Bridge, the smell from his body has nothing to do with gender or age. Zhou Congwen felt a little conflicted in his heart.

No, I have to go home and brush my teeth.

Zhou Congwen raised his head with water all over his face, "Boss, go and do your work, I'm going home first."

"Oh, what's the matter?" Elder Huang asked.

"I want to brush my teeth." Zhou Congwen said truthfully.

"Go, by the way, come early tomorrow morning." After Huang Lao finished speaking, he glanced at Zhu Jun, "Director Zhu."

"Yes." Zhu Jun replied honestly.

"Is it okay to ask Dr. Zhou to play Deng Ming's station tomorrow? You don't have much to say."

"..." Zhu Jun was taken aback for a moment, but he did not lose his mind.Although he was unwilling in every possible way, he still endured his nausea and said, "No problem! You can do it, Mr. Huang."

"That's good, Doctor Zhou, come tomorrow morning for surgery." Huang Lao said lightly.

Zhou Congwen nodded, he didn't ask why, because he knew exactly what his boss wanted to do.

I did thoracoscopy with my senior brother, and the boss personally inserted the esophageal membrane stent.

At present, interventional surgery has just been carried out in China, and it seems that TIPS surgery is still learned from Japanese professors.In the past two years, the University of Traditional Chinese Medicine or Huaxi University has started to intervene, and esophageal stents have also been promoted.

But large-scale popularization will take 7 or 8 years.

Zhou Congwen bid farewell to the boss and senior brother, gave Zhu Jun a smile by the way, turned around and went downstairs dejectedly.

"Hey Zhou Congwen, what's wrong with you?" Liu Xiaobie asked while leaning against the door of the red flag car.

"Why don't you feel uncomfortable without leaning on something, as if you have no bones." Zhou Congwen said angrily.

"Did you take gunpowder? Or was it trained by Zhu Jun?" Liu Xiaobie asked suspiciously, "It's okay, I'll bring you back and scold you. Dare to bully you? Treat me like I don't exist."

Zhou Congwen smiled helplessly, how could Liu Xiaobie take him back to scold him like a parent.

"You're just too cowardly, the whole Wang Chengfa takes so long, it's just a waste of time." Liu Xiaobie said contemptuously, "It's just an old guy, can't it just be done?"

"You thought it was an online game?" Zhou Congwen asked.

A small hand grabbed Zhou Congwen's hand, "Go, I'll scold you back."

"..." Zhou Congwen was speechless.

But Liu Xiaobie's hands are quite soft, weak and boneless, unbelievably greasy, as if there is no friction at all.

"Let's go!"

"Oh, don't make trouble, go home." Zhou Congwen said helplessly, "How dare Zhu Jun scold me."

"Do what you can, you're not tough at all."

"Do you really think the Socialist Iron Fist is a joke?" Zhou Congwen took the seat of the co-pilot, "This is not a game. After going through ninety-nine and eighty-one hardships, I walked up to the Tathagata Buddha and took a closer look. Damn it, there is a blood bar!"

Liu Xiaobie was taken aback, then laughed loudly, "That's [-] times difficult."

Zhou Congwen shook his head, not thinking of joking at all.