Great Doctor Ling Ran

"Doctor! Doctor!" The man lying on the flat bed shouted.

His shoulders were bandaged, bleeding a little, and two bottles of liquid hung on the side of the infusion stand. His gray-faced upper body and abrasions on his hands and faces made him look miserable.

However, none of the doctors and nurses passing by responded to him.

The emergency center at this moment is already busy.

There are already a lot of doctors and nurses rushing to the news, but patients are sending more. Yunhua's best emergency department is in Yunyi. The newly upgraded emergency center is facing more than half of the seriously injured and a large number of lightly injured.

At this time, even a seriously injured person will consume a lot of resources.

As for the lightly wounded, naturally no one cares.

The man with a bandage on his shoulders frowned, took out his mobile phone, checked it secretly, lowered the phone, raised his voice, and yelled, "Oh ... No, I'm going to die, oh, I'm so uncomfortable, my chest is so stuffy , Chest pain ... "

"Let's go." Lu Wenbin, who was fixing a fractured wounded, said to the attending doctor in front.

The attendant nodded slightly.

Chest tightness is a critical symptom and requires immediate response in the emergency room.

Some patients were talking about chest tightness and chest pain in their mouths, and a grunted mouth disappeared in a blink of an eye.

Therefore, even if you don't believe him anymore, you have to send someone to see it.

Lu Wenbin took off his gloves, shook his clothes, took out the alcohol gel and painted his hands, and then came to the corner of the treatment room.

The man with the bandaged shoulders had a long hair, wide eyes, wide nose, thick lips, fat cheeks, fat round face. When he saw Lu Wenbin in a white coat coming over, he groaned immediately and said, "Doctor, look at me ... ... "

"Listening to your call just now, it's pretty loud." Lu Wenbin looked at the other person's appearance, and he already had some guesses.

The doctor cannot look at the patient's appearance, and can't just use "glancing" as a unit.

When doctors see people, they basically use the routine of inspection, which is the hope and smell that ancient Chinese said.

Experienced doctors can judge a lot of information by looking at the patient's breathing rate, looking at the patient's nails, lips, etc.

The man with the bandaged shoulders laughed twice, not thinking of the pestle: "I have to shout loudly so that you can hear it, right? The shouting is also weird."

Lu Wenbin sighed helplessly: "Then how does your chest feel now?"

The other man's eyes rolled around and he said, "It's still a little stuffy, and it hurts a little."

"Let me see it for you." Lu Wenbin took out his stethoscope.

"This is useless." The patient lying on the bed turned flexibly, unwilling to let Lu Wenbin listen.

"Well ... what's the use?" Lu Wenbin was no longer a newcomer, and asked gently.

The man with the bandaged shoulders looked around, and said softly, "First of all, the cost of our medical treatment this time is from the government, right?"

"Either insurance or your construction company, I don't know exactly ..."

"Anyway, someone reimbursed, right?"

Lu Wenbin hesitated for two seconds and nodded: "Normally this is the case."

"Then you give me a full inspection."

"Yep?"

"That chest radiograph, cT, electrocardiogram or something, take a look at the blood and everything." The patient laughed and said, "You make money, I check the body, is it okay?"

The guessing boots fell to the ground, but Lu Wenbin was a bit relaxed.

"Let me listen first." Lu Wenbin was still a little worried. Although the patient looked like he was lying, he did not lie, but he lied that his chest was tight and his chest hurt, so Lu Wenbin had to pay attention to it.

The patient did not insist any more, and opened his arms, letting Lu Wenbin feel it, and said in his mouth, "If you promise me, if you can't do it, don't blame me."

"I see." Lu Wenbin's expression remained unchanged. Examinations such as chest radiographs are not worth a few dollars, and, as is the case with the other party, he doesn't even want to have an examination.

At the very least, an electrocardiogram is to be drawn, and blood cT or the like needs to be checked.

Of course, these words, Lu Wenbin will not speak now, so that the other party does not feel cheap enough.

"Heart sound is okay." Lu Wenbin put down his stethoscope.

"Hey, doctor!" The voice of the patient lying on the bed suddenly surged.

Lu Wenbin nodded: "There must be no problem with the lungs."

"Let's say yes ..."

Lu Wenbin shook his head, too lazy to care, and said, "I'll check it for you. But it will take a while. We are too busy now."

"No, what if I have a myocardial infarction?" The patient shouted loudly, also worried about the night long dreams.

Ling Ran had just finished the operation at this time, heard the word "myocardial infarction" and immediately came over.

Lu Wenbin is so familiar with Ling Ran. Looking at his movements, he can guess what he thinks, and quickly said, "There is no heart attack."

"I have a myocardial infarction." The patient yelled.

"You didn't." Lu Wenbin comforted softly.

"I screamed and shouted!"

"You ..." Lu Wenbin suddenly felt guilty. If this goods really roared out of myocardial infarction ...

Lu Wenbin turned his attention to Ling Ran.

At this time, when I saw Ling Ran's attention, he was already on the flat car that had just been pushed forward. A rescuer was kneeling on it, counting while pressing it, and the rescuer in the stroller hurriedly shouted: "Heart arrest for 5 minutes, cyanosis in the whole body, dilated pupils on both sides, disappearance of aortic pulsations, involuntary breathing ..."

In the rescue room, he suddenly became silent.

Cardiac arrest is a heart strike, and 5 minutes can be said to be quite a long time. The cyanosis of the whole body indicates that the blood in the whole body is hypoxic. If the pupils are dilated and said to be alive, a reflection of light should be added to the back, which is one of the signs of brain death.

It can be said that such patients are in the most critical state. Or maybe it is the most critical situation.

The doctors present all had work in hand and could not help thinking about it for two more seconds.

Ling Ran ran over without thinking.

"Defibrillation!" Ling Ran's voice was so loud that everyone could hear it.

The first responder saw Ling Ran's white coat, and after finishing the last set of chest compressions, he immediately gave up the position.

Two nurses quickly patched the patient's chest and charged the defibrillator.

"15o focus. Get out of the way!" Ling Ran shouted and pressed the button with his thumb.

No response.

Ling Ran didn't look, he knelt on the flat car directly, while pressing the patient's chest, he ordered: "Intravenous injection of adrenaline 1 mg."

A defibrillator is not a panacea.

Unsuccessful defibrillation is common. At this time, the only thing doctors can do is cardiopulmonary resuscitation.

Ling Ran straightened his posture, determined the patient's physical condition, and provided the quality of CPR as much as possible.

According to the medical profession, one minute of cardiac arrest, the chance of survival is reduced by 1%, unless high-quality cardiopulmonary resuscitation is performed.

High-quality cardiopulmonary resuscitation is a key factor in bringing modern medicine back to life.

Therefore, even if there is a first-aid responder trained in CPR, Ling Ran is not willing to give it to the other party, but only gives orders.

"1 mg of atropine, 5 mg of lidocaine." Ling Ran turned his head while pressing again, and said, "Open the airway."

Dr. Zhou ran over, cut across the knife, and performed a quick tracheotomy for the patient.

Such tracheotomy will be more difficult to achieve in the cultivation period, and the recovery time will be longer. The premise is that the patient can live up to that time.

"Oo1, oo2, oo3 ..." Ling Ran counted quickly in a standard posture.

Every 3o chest compressions, combined with two artificial respirations, ordinary CPR cannot be repeated. It is to repeat, repeat, repeat ...

He can look down at the patient's face.

This is a somewhat old face.

It should be the age of 3o, or the early age of 3o. The skin is rough, as if in a semi-wild state, and should never have been maintained.

He did not see a large wound, no signs of internal bleeding, and no way to know the cause of cardiac arrest.

Ling Ran gently adjusted her breathing to ensure continuous chest compressions.

Cardiopulmonary resuscitation is standard, simple, lengthy, and seemingly endless.

"Oo1, oo2, oo3 ..." Ling Ran counted to 3o before stopping twice, but the action remained unchanged.

The first responder who had just done a 5 minute CPR has felt very tired, panting and looking at Ling Ran under a flat bed.

From his perspective, the cardiopulmonary resuscitation of the doctor on the flat bed is more standard, the pressure is more uniform, and there seems to be some rhythm in the faint.

However, CPR is still just CPR.

three minutes.

five minutes.

ten minutes……

The combination of adrenaline, atropine and lidocaine has been injected twice-www.wuxiaspot.com-and defibrillation has been done three more times.

However, the patient's condition is only getting worse and worse, and the whole body is not as if it can be saved.

"Lao Hu is dead?" The patient with his shoulders bandaged behind Lu Wenbin had got out of bed and ran over to watch.

"Don't talk nonsense." Lu Wenbin turned, sternly: "If you don't go back now, don't do the inspection."

"I'm afraid of you." This said, still walking back, climbing himself to bed, pulling the sheets, placing the pillows, and lying round.

Lu Wenbin turned his head again, and then heard another voice saying, "Lao Hu's family is here."

"Well?" Lu Wenbin looked over and saw a fat woman rushing in from the outside.

"Lao Hu." The woman shouted.

"Lao Hu! That's my old Hu, let me pass." The woman shouted so loudly that she broke her voice.

The three security guards blocked her desperately, and the nurse explained, "You don't want to pass, the doctor is rescuing, you passed, but not good."

"Lao Hu ..." The woman struggled twice, and suddenly stood still, shouting, "Don't pull the curtain, don't pull the curtain, I won't pass."

The nurse, who was pulling the curtain to prepare for isolation, stopped and looked subconsciously at the head nurse.

The head nurse shook her head slightly.

The nurse then bowed her head and left.

The fat woman stood outside the isolated glass door as she said, looking inside through the glass, her voice was lowered: "Doctor, my son is only 9 years old, and my son ca n’t live without a father. A baby without a father is a recipient Bully ... "

The guards who stood beside him couldn't bear to bow their heads. They knew the meaning of CPR.

In the rescue room, Ling Ran turned a deaf ear to everything around him, just counting mechanically: "oo1, oo2, oo3 ..."