Start From Emergency Doctor

Chapter 348

Brain death represents the complete death of a person, and it is impossible to save it with existing medical methods.

Death in the traditional sense is based on the cessation of breathing and the heart, which is actually called cardiac death in medicine. This is more easily accepted by the public.

However, heart death is not irreversible, especially with the development of artificial organ transplantation and replacement technologies in recent years, and the gradual development of operations such as heart transplantation. Heart transplantation can also save patients who have died of the heart.

But brain death is impossible to save. At the moment of brain death, all organs will be damaged quickly. The speed is fast, such as thunder and lightning, and there is no time to stop it.

To determine brain death, the process is very strict.

There are at least four international standards for the determination of brain death:

First of all, there is no perception and no response to external stimuli and internal needs of the body. Secondly, the patient’s voluntary movement and spontaneous breathing stop. Then, the reflex, mainly induced reflex disappears. Finally, the patient’s brain waves must be flat or equipotential.

Only when these four standards are met at the same time and repeated inspections within 24 hours with no change in the results can the death be declared.

The domestic judgment in this regard is not so cumbersome.

Deep coma, spontaneous breathing stopped, and brainstem reflex disappeared. At the same time, all the above three conditions are met, and the cause of the coma is clear, and the reversible coma of various reasons can be ruled out.

However, it does not mean that domestic judgments in this regard are not as rigorous as foreign countries. In fact, when these three requirements are met at the same time, brain death can be determined, and other standards are more redundant.

Medically, brain death is faster than heart death.

Once brain death occurs, it means that various tissues and organs in the body will fail and then die in a short period of time. This change is completely irreversible. No one or any medicine can prevent this from happening. And even if the heartbeat still exists when the brain is dead, it is no longer useful at this time.

The whole body’s organs are dead, and the heart won’t last long. Besides, the brain is dead, what’s the use of the heart?

Both Lin Wen and Zhang Ling have encountered brain-dead patients, and they don’t have much expressions.

“You go out with us first.” Lin Wen saw that Zhou Yuan and He Jianyi seemed to have something to say, so she took the sad Qian Haobo’s wife and left the rescue room to prepare for the funeral.

He Jianyi sighed long after hearing the sound of closing the door.

“Are you sure it’s brain death?”

Zhou Yuan nodded: “He died during the rescue. I just checked it again and confirmed the brain death.”

At this time, Qian Haobo’s internal organs had already experienced more or less necrosis.(Read more @ wuxiax.com)

He Jianyi was silent for a long time, picked up the medical record next to him, and looked at it.

“Teacher, it stands to reason that Qian Haobo’s ischemic stroke is not serious, and…this is the first time that Qian Haobo’s body is in good health and he can take thrombolytic drugs to heal it. Why does this happen? The situation?” Zhou Yuan didn’t want to understand.

His judgment can’t be wrong!

When Qian Haobo came to see the doctor, it was an ordinary ischemic stroke. Although this thing is terrifying to ordinary people, Zhou Yuan, He Jianyi and others are not panicked at all. If they see too much, they can just prescribe medicine just like a common cold.

The only thing to note is that this disease is life-threatening.

By now, Zhou Yuan has some doubts about his decision-making ability… Could it be that his condition was wrong?

He Jianyi did not speak, and continued to look at Qian Haobo’s medical record before his death. Ten minutes later, he noticed some abnormalities in the medical record and “found it.”

Zhou Yuan was taken aback.

found it?

The meaning of this sentence is very deep. He Jian knew it early on?

He Jian handed a medical record to Zhou Yuan and explained: “After the patient was transferred to me, I re-diagnosed…”

“Do you remember that he was prescribed medicine, but his wife disagrees?”

Zhou Yuan nodded silently: “Remember. He said he would use expensive drugs.”

He Jian nodded: “Yes. The last medicine I prescribed was the same as yours, but Qian Haobo’s wife disagreed. We are doctors, and we can’t change the prescription just because the patient’s hospital, so I insisted on my diagnosis.”

“But Qian Haobo’s wife heard that there was a thrombolytic drug with a price of more than 8,000 yuan, so she went outside to find another doctor for a diagnosis, prescribed that drug, and came to me to re-prescribe it. I can only agree… …”

Zhou Yuan’s expression was stern: “Teacher, this medicine is not the new thrombolytic drug of Huiwei Pharmaceutical Group, right?”

He Jianyi nodded solemnly: “Yes. That’s the kind of medicine.”

The two looked at each other, and their expressions became extremely serious.

Sure enough, something happened!

In the process of clinical trials, the new thrombolytic drug has already appeared fatal cases, and as a result, there has now been a person who died from taking the drug!

Zhou Yuan was silent for a moment: “…We can’t draw conclusions so quickly. We must figure out the real cause of Qian Haobo’s death.”

He Jian nodded.

Although they suspect the new type of thrombolysis, doctors rely on the results of the examination to speak.

“I will discuss with Qian Haobo’s wife and give Qian Haobo the last check. Although it is still unclear, it is very likely that the side effects of the new type of thrombolysis are really problematic…” He Jianyi was somewhat Self-blame.

Zhou Yuan frowned: “Qian Haobo should not be the first person. He took the medicine relatively late. At that time, it had been almost a month before he started using the medicine. Maybe someone else had a problem.”

The expressions of both of them are extremely solemn.

Drugs have side effects, dizziness, nausea, fatigue, etc. are common adverse symptoms.

But… the new type of thrombolysis leads to death. This is obviously not a side effect of the drug, but the drug itself has defects.

The side effect is death. Who still uses this medicine? !

In the previous negotiations between Huiwei Group and He Jianyi, it was mentioned that the new hemolytic drugs are effective for most patients and can dissolve blood clots extremely well, and only a small number of patients will die. accident.

One in 10,000 people died from taking new thrombolytic drugs, and this proportion seems to be nothing.

But… from the perspective of the patient, that one in ten thousand people died, which is 100% to him. A good family dies because of drugs. This is not a simple question of proportion, but it ruins a family!

Drug defects and drug side effects are always two different things. No matter how Huiwei Group whitens the new thrombolytic drugs, the market will eventually give the final answer. .