I Can See Health

Chapter 220 I woke up!

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Clinical work is very reproducible.

Fan Zhiping understands this very well.

Nowadays, the degree of specialization is very high, and there are only a few common diseases in each department.

For example, in cardiology, common diseases include coronary heart disease, heart failure, hypertension, arrhythmia, etc.

As long as you are familiar with the routine diagnosis and treatment of these diseases, you can become a qualified cardiologist in a primary hospital.

However, since he came to the Department of Cardiology of Beijing Second Hospital for further study, Fan Zhiping found that everything had changed!

As the top tertiary hospital in the province, most of the patients in the Cardiology Department of Jinghua Second Hospital are critically ill!

In addition to cardiology patients, there are also other professional diseases.

Fan Zhiping felt that his brain was not full enough!

Especially since following Lu Chen, he encountered all kinds of serious and strange cases one after another.

This not only opened his eyes, but also enriched his diagnosis and treatment thinking!

As a deputy chief physician, Fan Zhiping did not have any embarrassment or psychological burden even though he came to a grassroots hospital for further training and had been following a graduate student.

The master is the teacher!

What's more, in the Jinghua electrophysiology exchange group, Lu Chen has long been "Professor Lu"!

Lu Chen also gradually got used to Fan Zhiping being by his side.

Although Fan Zhiping is from a grassroots hospital, he has rich clinical experience.

The two usually communicate with each other.

Fan Zhiping has made progress, and Lu Chen has also gained a lot!

Fan Zhiping now even has the idea of ​​taking the postgraduate entrance examination.

"Brother Fan, do you want to go to graduate school now?" Lu Chen heard Fan Zhiping's thoughts.

"Well, what do you think?" Fan Zhiping nodded.

"Very good. It's good to study as a working graduate student." Lu Chen smiled.

Medicine is a process of continuous communication and progress.

As the saying goes, learn and live until you are old.

For the profession of doctor, the diagnosis and treatment standards are updated very quickly. If you don't learn, you will be eliminated sooner or later.

"Part-time graduate student?" Fan Zhiping frowned, "But I want to study full-time."

Lu Chen was stunned and glanced at Fan Zhiping beside him.

Comrade Lao Fan is not simple, he actually has such an idea!

Part-time and full-time are completely different.

Working, to put it bluntly, just messing around.

Full-time, that is a real diploma.

"Brother Fan, I support you." Lu Chen smiled.

Lao Fan grinned, "This matter needs to be considered in the long run."

Lu Chen and Fan Zhiping chatted for a while, then each did his or her own thing.

10:33 am.

The nurse suddenly walked quickly to the office.

"Bed 15 just felt chest tightness. The doctor from the director's team is going to have a look!"

15 is a new patient who just came this morning.

This bed belongs to Ke Yueguan.

Ke Yue immediately stood up and grabbed the stethoscope beside him, "I'm going now!"

As soon as she walked to the door of the office, a nurse's shout came from outside the ward.

"Someone, come quickly! Bed 15 is no longer available!"

Ke Yue was shocked and immediately ran towards the ward.

Lu Chen also stood up and shouted to Yao Jie beside him: "Junior sister, go to the director's office to find Senior Sister Sun!"

"Copy that!" Yao Jie nodded and ran out of the office.

And Lu Chen and Fan Zhiping ran to the ward together!

There was already a circle of people outside the 15-bed ward.

Lu Chen and Fan Zhiping pushed aside the crowd and walked into the ward.

The patient in bed 15 is an elderly man about 60 years old.

At this time, he was lying on his back on the bed, breathing heavily.

Lu Chen looked at his head and saw that his health was only 35!

Ke Yue is conducting auscultation on the patient's heart and lungs.

At this time, the ECG monitor suddenly sounded a beep!

"Ventricular fibrillation!" Fan Zhiping roared in a low voice.

Lu Chen also noticed the patient's condition and immediately rushed forward when he saw it.

Begin chest compressions on the patient.

At this time, the patient was breathing like a sigh, lost consciousness, and the fluctuations in the aorta disappeared!

Ke Yue stood beside the bed, a little at a loss for a moment.

The nurse has already pushed the ambulance and defibrillator over.

Lu Chen immediately gave instructions: "Defibrillate immediately with 360j of energy!"

"Give me another intravenous push of epinephrine!"

Fan Zhiping had already turned on the defibrillator and applied conductive paste to the electrode plates.

At this time, Sun Guoguo had heard the sound and came over.

Seeing Lu Chen and Fan Zhiping rescuing him, Sun Guoguo's heart sank: "Junior sister, you admitted this patient. What's the specific situation?"

Ke Yue spoke a little nervously and whispered: "The patient was admitted to the hospital with chest pain. He was suspected of having angina pectoris. He had a sudden chest tightness just now. When I came over, he had a sudden ventricular fibrillation."

Sun Guoguo looked at the electrocardiogram monitor at the bedside. The patient's blood oxygen saturation continued to drop.

"Where are the patient's family members?"

Ke Yue said: "Wait at the door of the ward."

"I'm going to talk to the patient. He may need tracheal intubation."

Sun Guoguo immediately walked out of the ward, found the patient's family, and informed them of the condition.

The family members immediately agreed to tracheal intubation and related operations without any hesitation!

As for Lu Chen, although he had been defibrillated once, the ECG monitor next to the bed showed that the patient was still in ventricular fibrillation!

"Brother Fan, you do the chest compressions, and I'll do the tracheal intubation!"

The patient's blood oxygen saturation is constantly declining. At present, the primary task, besides maintaining the heartbeat, is to maintain the patient's blood oxygen.

"Okay!" Fan Zhiping immediately took over Lu Chen's position.

The nurse has brought the tools for tracheal intubation.

Lu Chen didn't hesitate at all and immediately intubated the patient's trachea!

At this time, Sun Guoguo also returned to the ward.

She glanced at the electrocardiogram monitor on the bedside and said in a deep voice: "Add another dose of epinephrine! At the same time, cool down the ice cap!"

"Got it, an intravenous injection of epinephrine!" The nurse immediately carried out the doctor's order.

At this time, Lu Chen had finished inserting the tube.

Fan Zhiping started the second electric defibrillation!

Defibrillation is complete.

There is still ventricular fibrillation on the ECG monitor, and still no success!

Lu Chen took Fan Zhiping's place and continued chest compressions.

"One shot of adrenaline!"

Five minutes later, Sun Guoguo gave another medical order.

Lu Chen calmed down and looked at the health value on the patient's head, which was only 21!

Is it really not possible?

Outside the ward, the patient's family members were already crying together.

"Third electric defibrillation!" Fan Zhiping picked up the defibrillator again.

Defibrillation is over,

Still ventricular fibrillation!

"50 mg of lidocaine intravenously, and another dose of epinephrine!"

At some point, Li Yao came to the ward.

"Got it, 50 mg of lidocaine and one intravenous dose of epinephrine!" The nurse immediately carried out the doctor's orders without any hesitation.

"Add 125ml of 5% sodium bicarbonate intravenously!" Li Yao continued.

"receive!"

Fan Zhiping glanced at Lu Chen who was doing chest compressions.

"I'm going to be defibrillated for the fourth time!"

Lu Chen nodded.

When he stopped chest compressions, Fan Zhiping immediately took his place.

Defibrillation for the fourth time!

Defibrillation is complete.

"Dududu..."

On bedside monitoring, the patient's heart rate suddenly changed from ventricular fibrillation to sinus.

The patient's health points also increased to 48!

Sun Guoguo stepped forward and conducted a physical examination on the patient.

"The pupils are dilated to 5mm and the light reflex is slow!"

Rescue successful!

Although the patient's consciousness has not yet recovered, his heart rate and blood oxygen saturation have been maintained!

Everyone present breathed a sigh of relief.

From the beginning to the end of the rescue, it only took twenty minutes, but Lu Chen felt like he had run a marathon.

My whole body was soaked with sweat.

Lu Chen and Fan Zhiping looked at each other and smiled. UU Reading www.uukanshu.nett

This kind of joy of successful rescue cannot be given by other professions.

Sun Guoguo brought the patient's family members to the office.

"The patient is more likely to have a myocardial infarction when he is admitted to the hospital this time. The rescue time will be longer. The patient's central nervous system is damaged and he may not be able to wake up."

The patient's family members had very good compliance and were very understanding. They nodded and said, "As long as I can be saved."

In fact, this is a very simple rescue of ventricular fibrillation in the hospital.

The medical and nursing staff cooperated very smoothly, and the rescue process was quite perfect.

However, although the patient's heartbeat recovered, it was difficult to regain consciousness.

But what everyone doesn’t expect is...

About 30 minutes after the rescue was successful, the patient actually woke up on his own!

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