Start From Emergency Doctor

Chapter 389

If it is a normal operation, and suddenly see pericardial bleeding, the doctor may be half-dead, but at this moment, everyone in the rescue room is ecstatic…Finally, the rescue is back!

Zhou Yuan didn’t hesitate anymore after seeing the bleeding. He ligated Zhao Qiang to stop the bleeding, and carefully washed the pericardial cavity and thoracic cavity.

“Scalpel.”

Zhou Yuan turned his hand over and made a pericardial drainage incision on the back of the phrenic nerve with a scalpel, and then sutured the pericardium perfectly. After finishing the treatment of the pericardium, he made a thoracic cavity insertion in the posterior axillary line of the eighth intercostal space Tube drainage.

After doing all this, Zhou Yuan picked up the needle-holding forceps and tweezers again, and sutured the chest wall in layers.

He Jianyi and the others looked at Zhou Yuan, who was not in a hurry, and suddenly felt unreal as if they were dreaming!

Everyone already knows how incredible Zhou Yuan’s medical skills are, but when they really stand next to him and watch Zhou Yuan complete a series of impeccable surgeries, they will still have doubts in their hearts.

Can anyone really make it so perfect…

There is no step error, no action is superfluous, and every knife drop is the undisputed best position!

He Jianyi felt that every time he had an operation, he was not in front of his familiar disciple, but a very sophisticated machine, but this machine had emotions and warmth…

Zhou Yuan put down the needle holder, and the clanging sound made the atmosphere in the rescue room calm again.

“Done…” Someone breathed a sigh of relief.

He Jianyi was extremely shocked, and at the same time he was afraid.

If Zhou Yuan really listened to his words and stopped the rescue, then I am afraid that it is not a patient who is lying on the hospital bed at this moment, but a corpse…

I was wrong!

He Jianyi knows that his decision is absolutely justified. In this case, the patient has no need to be rescued. The heart has stopped beating for nearly 30 minutes, and the probability of being rescued can be said to be basically zero!

He just relied on his rich experience and decades of clinical judgment that the rescue had no meaning.

However, reality slapped him in the face severely!

Have you really done something wrong… Have you seen so many dead people that you are now numb to the beginning of life?

This is a common problem for many doctors, especially the emergency department who is used to seeing life and death. Even Zhou Yuan, who has only worked in the emergency department for half a year, can now smile and say “the problem is not big” when he sees severed hands and feet. Up.(Read more @ wuxiax.com)

What’s more, He Jianyi, who has been in the emergency department for decades!

He Jianyi was still standing still thinking, Zhao Qiangyou had been pushed out of the rescue room and sent to the intensive care unit.

Naturally, Zhou Yuan has not forgotten that cardiac arrest is just a sudden illness. Zhao Qiang induced cardiac arrest and the sudden coma before the arrival of the ambulance. The cause has not yet been found…

“Doctor Zhou, how did you do it?”

As Zhou Yuan was about to leave, someone in the rescue room asked expectantly.

He turned his head to look, and the two doctors in the rescue room, two attending physicians in the emergency department, and a few nurses all stared at Zhou Yuan with admiration.

He Jianyi raised his head when he heard these words, and looked at Zhou Yuan with great relief, “Tell me, how do you do it… I definitely can’t do this for you.”

The other doctors in the rescue room also nodded silently.

Naturally, they can also see that Zhou Yuan’s temperament is different when doing CPR. Compared with He Jian, there are totally two styles of painting… Zhou Yuan is an extremely powerful style of painting.

Zhou Yuan also relaxed at this moment. He just pulled Zhao Qiang back from the ghost gate. He was very emotional and said with a smile: “Proficient CPR skills, there is still some luck.”

“Don’t be humble, can you explain it in detail! Several of us are doctors onboard, and we often need to use cardiopulmonary resuscitation, can you teach us!” a doctor onboard asked expectantly.

Several other people also joined together.

Zhou Yuan looked at He Jianyi, who showed a positive expression and said: “It just so happens that I want to hear it too… I didn’t expect that I would have to learn cardiopulmonary resuscitation again at such an age!”

Zhou Yuan smiled. It was only then that he integrated the knowledge of brain-centered pulmonary resuscitation and picked a few key points.

“Since there is a need for rescue with a car, let me first talk about the most basics. After discovering that the patient is unconscious, breathing stops, pulse and heart sounds disappear, immediately perform chest heart compression and artificial respiration. Do not repeatedly monitor blood pressure and change. The sphygmomanometer wasted precious rescue time… I guess you hesitated when you were in the ambulance?”

Several doctors in the car lowered their heads, and one of them said: “The blood pressure we measured at the time was very abnormal. We thought it was a problem with the sphygmomanometer. Several changes were made…”

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Zhou Yuan nodded silently.

Fortunately, the rescue came back. This situation is regarded as a delay in treatment. If it is to be strictly counted, it is actually a type of medical malpractice… It’s just that it is difficult to judge. Although the law may not punish the doctor, the doctor himself Is it okay?

Zhou Yuan said: “Don’t think too much, the person is rescued, and you must pay attention next time. As long as the cardiac arrest is judged, don’t worry about anything, immediately perform CPR, restore the heartbeat first and then take care of other things.”

“understood.”

“Thank you Doctor Zhou.”

He Jianyi echoed: “Thank you, Doctor Zhou.”

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Zhou Yuan was taken aback, and when he saw the smile at the corner of He Jianyi’s mouth, he also smiled lightly, and continued: “The other thing is to choose small incisions as much as possible for thoracotomy. Patients in cardiac arrest will not experience bleeding. It is a phenomenon, so there is no need to block the blood vessels with a vascular clamp, and there is no need to open a large incision to stop bleeding, which is conducive to postoperative recovery…Of course, life-saving is the most important thing if you are not sure.”

“Finally, as long as the patient’s myocardium is still responding, it means there is salvation. Don’t give up at any time! Even if the patient has only one finger left and the door is closed, there is still one finger left, isn’t it?”

…

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meeting room.

Ten minutes after the rescue was successful, everyone in the emergency department held an emergency meeting.

Zhou Yuan sat in the chief, with three deputy directors He Jianyi, Jiang Xiaoqi, and Liu Huimin beside him. Other attending physicians and residents were also present.

After calming down, Zhou Yuan realized that his hands were completely weak. The violent cardiopulmonary resuscitation exhausted his strength, even more tired than a seven or eight-hour operation…

“Now let’s analyze it. The patient’s electrocardiogram has come out, and the examination results have been printed. The diagnosis is shock caused by acute heart failure… We cannot determine the cause of the patient’s acute heart failure.” He Jianyi stood up, Said.

“The patient had had diarrhea before, and had a fever last month. He also ate normally recently. Why did he suddenly suffer from heart failure?” Jiang Xiaoqi read Zhao Qiang’s medical records with a face full of doubts. Spoon.