Start From Emergency Doctor

Chapter 385

Zhou Yuan pushed the emergency bed towards the rescue room, and asked, “What else?”

“The patient had a cardiac arrest again a few minutes ago! We performed cardiopulmonary resuscitation in the ambulance, but it didn’t work!”

Zhou Yuan looked calm, and whispered: “Immediately prepare five epinephrines and open the venous channel! Prepare a ventilator in the rescue room.”

The ambulance is only a simple ventilator, which certainly cannot be compared with the regular ventilator in the emergency room.

Soon, the door of the No. 3 rescue room opened. Zhou Yuan and others pushed Zhao Qiang into the rescue room, carefully lifted him onto the hospital bed, connected the ventilator, and opened the venous channel.

Zhou Yuan turned his head to look at the doctor with the car, “The specific time of the patient’s cardiac arrest!”

A few minutes ago, it was too rough, in the eyes of the doctor, in front of life, any second is extremely luxurious.

“7:51 minutes!!” The doctor on board roared.

It is naturally impossible for him to forget to record the time of cardiac arrest. This is a basic skill.

Zhou Yuan glanced at his watch and it was 8:03 now…

There is a saying in the medical community called the golden three minutes. The first golden point is within one minute of the patient falling to the ground. At this time, the survival rate for cardiopulmonary resuscitation is 90%. At this time, the survival rate of cardiopulmonary resuscitation can reach 50%, and if the rescue is at the third golden point, that is, four to six minutes later, even if it is rescued, it may become a vegetative person and return to normal. The odds are very small…

At this time, twelve minutes have passed!

Zhou Yuan’s eyes flashed and he was about to step forward to perform CPR, but at this time He Jianyi also changed his clothes and came over.

“Let me do it.”

He Jianyi put on medical gloves and walked to the bed.

“I have more experience.”

Zhou Yuan withdrew.

Indeed, although Zhou Yuan has studied CPR systematically, he has never been in actual combat and has always been practicing on a dummy.

This thing is not like nurses’ injections. Each other can use each other’s blood vessels to practice needles. If it’s a big deal, just leave a few small black spots.

Cardiopulmonary resuscitation is not the same. Strong pressing force is likely to damage the patient’s ribs and cause rib fractures. Therefore, it cannot be used on healthy people. Those who need CPR are those who don’t care about rib fractures anymore.(Read more @ wuxiax.com)

For example, Zhao Qiang in front of him is about to die if he doesn’t re-beat his heart. At this time, the broken ribs are not important at all.

He Jianyi is an old river and lake, and he has performed more CPR than Zhou Yuan has done so far. Although Zhou Yuan has achieved excellent results in CPR on the dummy, he dares to go up and save people. He Jianyi is still inferior in comparison.

Zhou Yuan retreated outside the door, and he could hear He Jianyi’s heavy breathing every time he pressed hard.

Li Li was leaning against the wall outside the rescue room at the moment, covering her mouth and crying.

“Doctor, how is my husband?!”

Seeing a doctor coming out, Li Li stopped crying for a while, sobbing and asking.

Zhou Yuan looked back at the heart rate monitor in the rescue room. The situation was not optimistic, and Zhao Qiang had not yet woken up.

“We are doing our best to rescue, don’t worry.” Zhou Yuan comforted mechanically.

At this moment, as a doctor, what else can he say besides these words?

Hearing this, Li Li almost collapsed, and anyone who doesn’t understand knows what the doctor said at this time!

Language affinity is completely useless at this time. For a desperate person who is about to lose his lover, no matter how pleasant the voice and warm words are, it is not as good as a lover’s hug…

Zhou Yuan couldn’t stand it anymore, he walked into the rescue room again, standing behind He Jianyi.

I saw He Jianyi cut open the patient’s pajamas, and then placed the palm base of one hand on the center of the patient’s mouth, above the lower half of the sternum, and the palm base of the other hand on the first hand. Above.

In the standard CPR method, the fingers cannot touch the chest wall, the elbows are kept straight when pressing, and the pressure is pressed vertically downwards.

After chest compressions, the airway is opened.

He Jianyi placed one hand on the patient’s forehead, and then gently pushed with the palm of the hand to tilt the patient’s head back, while the fingers of the other hand were placed on the lower jaw near the chin bone and lifted the lower jaw. Raise the chin bone.

This posture can open the trachea as wide as possible. He Jianyi checked the patient’s nose and mouth again, and found no foreign objects, and then began formal cardiopulmonary resuscitation.. ……

Thirty compressions and two artificial respirations are a cycle of cardiopulmonary resuscitation.

When performing artificial respiration, many people who do not understand may blow hard. At this time, everyone is in a panic and will use their strength subconsciously, but this is also wrong.

The correct artificial respiration should use the rhythm of normal inhalation and exhalation, that is to say, how often you breathe, you should use what frequency and strength to perform artificial respiration, but you need to pay extra attention to the time of artificial respiration. For more than one second, it is best to see the ups and downs of the chest as a good blow.

Those who blow frantically are the same as blowing balloons. They may explode… Once they use excessive force, they may cause excessive increase in intrathoracic pressure of the person undergoing cardiopulmonary resuscitation, which will cause obstruction of blood return and chest compressions. Blood flow output, which may be more serious than a rib fracture.

call.

call.

call.

Every time he pressed, He Jianyi used so much strength that later on, He Jianyi’s hands began to tremble.

Anyone who has undergone cardiopulmonary resuscitation knows that this is a rescue book that requires high technical and physical strength. It is not easy for an average adult to perform five rounds of operation. Five rounds of cardiopulmonary resuscitation is just one One hundred and fifty compressions and ten artificial respirations.

For example, Zhou Yuan, with his current strength, can complete at most five sets. Of course, if there is a beautiful little nurse beside him to cheer, he can make another set.

Because of the great physical exertion, it usually requires three to four doctors to take turns to perform the operation in order to rescue patients.

As time passed, He Jianyi insisted on staying in front of the hospital bed, and did not let anyone replace him.

Zhang Ling’s face was pale at the moment, and her eyes became sad.

Even though I have experienced such a moment countless times, when I see a new patient come to this dead end, the medical staff present will still feel sad, because for them, Zhao Qiang may only fail among countless patients. But for Li Li and Zhao Qiang’s family, this man is the backbone of the family…

She opened her mouth, not knowing what to say, her face was very ugly. .