Back in 2002 as a doctor

"Academic debates don't matter." Huang Lao said, "Everything is based on facts. If it doesn't work, be ready to rescue. People must be safe. This is the most basic bottom line."

"Xiao Zhou is ready. Similar patients should be able to return with chest compressions." Deng Ming glanced at the ambulance, rescue medicine, defibrillator and other equipment.

These are all things that should be there, and with the prudence of a junior junior like an old dog, there will be absolutely no omissions.

"Be prepared for the hardest."

"Boss, Xiao Zhou and I rescued a patient with haemorrhagic shock at Jianghai People's Hospital, do you still remember?" Deng Ming smiled slightly, "I don't know why, but I think it's easy to cooperate with him. "

"Well, I feel the same way." Huang Lao nodded slightly, "It is said that Zhou Congwen's level is very high, but you still have to be careful and careful, like walking on eggshells."

"Yes, boss."

Ten minutes later, Zhou Congwen came back with the patient.

"Uncle Wu, the surgery is over." Yuan Qingyao went up to him and asked.

The patient's face was black and red, and he was as strong as an iron tower. He didn't look like a rich man, but he looked like a farmer.

He looked hesitant, "Qingyao, just cut a small opening and stuff something in, is that okay?"

Chapter 0622 Will all the planes be fun?

"It should be no problem. We need to do a test to see how the installed equipment works. Don't worry, Uncle Wu." Yuan Qingyao introduced the visitor to the patient. The patient did not expect that the old man wearing a military coat sitting in the corner turned out to be a domestic The top doctor in cardiothoracic surgery.

He wanted to say hello, but was stopped by Zhou Congwen.

Saying hello is not important, the next step is to test whether the boss's little black box is useful or not, Zhou Congwen is also a little nervous.

The little black box was supposed to show up 15 years later, when the boss had died.

But when he was reborn in this life, even the small black box came out more than ten years earlier, Zhou Congwen was a little worried that the current technology could not be perfected.

Prepared for emergency medicine, Zhou Congwen moved a table for the patient to stand on, with his back facing the ground.

"There are people coming from behind, don't worry you won't fall." Zhou Congwen warned, "This test is to make you nervous."

The patient scratched his head and glanced at Zhou Congwen for some reason.

"The possibility of ventricular fibrillation increases greatly under stressful conditions, and it can test whether the little black box is useful." Zhou Congwen explained.

"Will I be able to fly a plane after the work is done?" The patient's mind is to fly a plane.

"Yes, but it's not recommended. But didn't you get caught flying a plane?" Zhou Congwen tried his best to calm the patient's emotions before getting nervous, and started chatting.

The steeper the tension in that moment builds up, the better.

"Flying low, the radar can't detect it. Besides, I contracted a little land. When I was caught, I said it was spraying pesticides or something. It's okay." The patient grinned.

Zhou Congwen knew it was not that simple, this is an airplane, and the control is very strict.But what happened behind the scenes, he didn't really care.

"You really love deeply." Zhou Congwen praised.

"I can't call it love. When I was young, I wanted to be a fighter pilot, but I was not accepted, so I had to go into business. With some money, it's just thinking about realizing my dream. I'm not interested in clubs or anything. Is it fun for young models to have airplanes?" ? You said yes, big brother."

"Hahaha." Zhou Congwen laughed.

Indeed, clubs and young models are not interesting in surgery.If I was reborn and won 8000 million and then indulged in the young model of the club, I am afraid that I have been hollowed out by now.

Arranging the patient to stand up, he scratched his head, "I won't fall."

"Try not to." Zhou Congwen said very vaguely.

Although the patient thought that this height was nothing to him before, the feeling of facing the ground and his back to the ground is completely different, and he is already a little nervous.

The heart rate value on the ECG monitoring has risen from 68 beats/min to 82 beats/min.

"You pick me up. If I fall to the back of my head, I don't have to have a heart attack to kill me." The patient urged with some worry.

Heart rate 86 beats/min.

"Try it, you are a bit overweight, heavier than I expected." Zhou Congwen said with a smile.

Heart rate 91 beats/min.

"Why don't you forget it." The patient hesitated.

"It's nothing, it's a serious injury, it's so easy to die. Besides, there are so many doctors here, it's impossible for you to have an accident." Zhou Congwen "comforted".

Heart rate 95 beats/min.

Yuan Qingyao smiled wryly, what is Brother Zhou doing?

He also knew that the more nervous he was, the better the effect would be when he fell for a while, but communicating and communicating with patients in this way... Forget it, with himself, Yuan Qingyao thought.

When the patient's heart rate reached 110 beats per minute, Zhou Congwen urged him repeatedly.

The patient hesitated for a few seconds between reality and the dream of flying an airplane, then leaned back without hesitation and fell from a high altitude.

Although the height is not very high, the eyes cannot see, and there may be an unknown cliff behind him. The patient's heart rate went up to 120 beats per minute without hesitation.

Mr. Huang and Zhou Congwen stared at the ECG on the ECG monitor, and the ECG machine next to them was also turned on, and began to print the patient's real-time ECG.

With this condition in 2002, there was no way.

The moment the patient fell, there was a slight change in the sinus rhythm ECG, the change was very slight, and the ST segment was elevated, as if a plateau was squeezed out by the crustal movement and appeared on the screen.

There seems to be some force suppressing it somewhere, and the ST segment elevation shown on the electrocardiogram.

The patient was picked up by the doctors arranged by Zhou Congwen. He didn't realize what happened at all, and he passed out.

Zhou Congwen raised his right hand and quickly walked over to ask someone to put the patient on the ground.

Ventricular fibrillation!

coma!

This is the moment to be captured.

Zhou Congwen did not perform chest compressions immediately. He knelt on the left side of the patient's body and pressed his hands on the lower 1/3 of the manubrium of the patient.

Zhou Congwen counted down silently in his heart. The small black box received the signal, and it took time from confirmation to discharge to reverse the heart rate.

But the patient cannot be ischemic for too long, he only gives himself 10 seconds.

10...

ST-segment elevation, QRS-T wave disappeared, showing varying sizes.

9...

Fine-wave ventricular fibrillation with a waveform >0.5 mV has been present.

8...

The heart rate was 180 beats/min, the ventricular tachycardia was obvious, and the heart was beating randomly.

7...

Rapid and weak contraction of the ventricular muscle or uncoordinated rapid fibrillation, the heart has not pumped blood.

6...

Heart rate 220 beats/min!

5...

4...

3...

2...

Zhou Congwen didn't move, he knelt beside the patient in a very standard posture, and pressed his hands weakly on the manubrium, ready to perform chest compressions anytime and anywhere.

Yuan Qingyao was holding the defibrillator, and he was also staring at the monitor intently, his hands were already trembling.

1...

Zhou Congwen's hands were ready to press hard, and at the moment when the last second came, the alarm sound of the ECG monitoring suddenly changed slightly.

It seemed that there was a mysterious power to reverse the patient's ventricular fibrillation. The heart rate of more than 220 beats per minute fell off a cliff.

The alarm sound of ECG monitoring disappeared quickly, as if the tension just now was just an illusion of people, and everything did not exist.

The patient opened his eyes and saw Zhou Congwen's hand on his chest in a daze.

"you……"

"You passed out." Zhou Congwen said flatly, "But there was no rescue, and the sinus rhythm recovered on its own."

"Huh?" The patient was taken aback.

"The subcutaneous implantable cardioverter defibrillator detects the problem within 10 seconds and releases the current to defibrillate. There is no danger." Zhou Congwen raised his arm and made a successful gesture to Mr. Huang.

"Did I faint? Why didn't I feel it myself?" The patient sat up from the ground, he couldn't remember what happened just now, and asked in a daze.

Chapter 0623

10 seconds of ventricular fibrillation, followed by recovery, without manual intervention, Professor Michael witnessed it all.

This is the equipment he has always wanted. No matter how the disease came, the first thing to consider is how to let the disease go first.

The equipment in front of him "perfectly" achieved all expected purposes, even better than what Professor Michael had expected.

Seeing that Zhou Congwen, who spoke with a rusty accent near the Great Lakes, was busy, Professor Michael felt itchy.

"Zhou, what is the principle of the equipment? Which company did you manufacture it through?" Professor Michael stepped forward and asked.

"The principle... was made by my boss, and I made a few small comments." Zhou Congwen glanced in Huang Lao's direction, and said with a smile, "Olida helped make the equipment, and the prototype is probably in Olida. In our joint laboratory."

Hearing Olida's name, Professor Michael showed disdain.

He is a member of Johnson & Johnson, and he takes money from Johnson & Johnson, so he has a natural hostility towards the dead Olida.And many years ago, Professor Michael and Olida had a past of grievances, so he couldn't hear the name of Olida the most.

Manager Chen has been paying attention to Professor Michael, and the product display a month later almost made Manager Chen's hairline worry about his waist.

This kind of strong style means that Johnson & Johnson's thrombolytic catheter has matured, and it is confident that it will overwhelm Olida's products.

And it is said that the researcher behind the scenes is this Professor Michael.

Losing face in public, losing market share, and similar things made Manager Chen extremely distressed.

After hearing Professor Michael's inquiry, Manager Chen immediately walked over and pulled Professor Michael aside to talk "kindly" to see if there was any chance to instigate the project expert of Johnson & Johnson.

Zhou Congwen ignored their small thoughts and focused on the patient.

Asked about the patient's feelings at that time, the patient only felt that his eyes were dark, and when he woke up, he saw Zhou Congwen's arms on his chest, and he didn't know anything else.

Zhou Congwen gave the patient another comprehensive physical examination, and no abnormalities were found in the physical examination.

Whether it is the ECG oscillogram on the ECG monitor, the fluctuation of the ECG or the heart auscultation, there is no problem.

This is the case with primary electrocardiographic disorders. If you are not sick, it is normal, and no problem can be found out no matter what checks are performed.

But when you get sick, it is really fatal. During the day and when there are people around you, it can be better. Many people just sleep to death, and there is no chance of rescue.

As soon as the eyes were dark, the person disappeared. Although he did not suffer, but he died for no reason, which made people feel very scared.

"It's all right." Zhou Congwen asked the patient to put on a hospital gown, and comforted him, "A good news or a bad news, which one do you listen to?"

The patient looked into Zhou Congwen's eyes, "What's the bad news?"

"In the future, you will stay away from machinery, such as flying airplanes and driving cars." Zhou Congwen said seriously.

"What's the good news?" the patient asked.

"Although the disease is not cured, it will attack anytime and anywhere, but it only lasts 10 seconds, and it will not cause organic damage to your body."

Zhou Congwen smiled, "And you don't have to worry about dying suddenly."

After listening to Zhou Congwen's words, the patient had a complex and tangled expression.

It's good to be alive, but it's really unacceptable that I can no longer play with the big toys from the past.

"It's good to be alive. If you had an attack in sleep for the first time, you wouldn't be here now, what do you think?" Zhou Congwen comforted.

The patient thought that this was indeed the case. He focused on the small box under the skin on his chest and asked Zhou Congwen related questions-how long to charge it, how often to replace it with a new one, and so on.

Zhou Congwen and his boss made a brief report and prepared to send the patient back.

Suddenly, Manager Chen and Professor Michael started arguing. Manager Chen clenched his fists with a look of grief and indignation, but immediately spoke to Professor Michael in a pleading tone.

Professor Michael snorted coldly, whispered something in Manager Chen's ear, and turned to leave.