I Can See Health

The fifth ward of the Department of Cardiology, please support!

When Lu Chen saw the news, he had no intention of continuing to chat with Fan Zhiping.

"Brother Fan, I have rescue work here. Let's talk later."

Then he immediately set off for the fifth area of ​​​​the heart.

The five districts in my heart are just a few floors above u.

Fortunately, there is almost no one in the hospital elevator at night.

In less than two minutes, Lu Chen arrived at the fifth area of ​​​​the heart.

…

Striding to the nurse's station, Lu Chen looked around but saw no nurses or doctors.

And from the ward not far away, there were faint shouts and shouts.

When Lu Chen saw this, he immediately rushed over.

He had just walked in front of Ward No. 12 when the door of the ward was pushed open.

When a young nurse saw Lu Chen coming, she quickly said, "Is the hospital in your heart always there?"

"Yes!" Lu Chen nodded slightly.

"Rescue bed 12!"

There was no need for the nurse to remind him at this time. Lu Chen had already seen several busy rescue figures beside bed No. 12.

"The patient has ventricular fibrillation! Ventricular fibrillation!"

As soon as Lu Chen walked into the ward, the bedside ECG monitor suddenly sounded the alarm crazily.

A young female doctor immediately rushed to the bedside, performed chest compressions on the patient, and shouted loudly: "Get ready for defibrillation!"

The nurse had already taken out the defibrillator.

Lu Chen saw this and stepped forward quickly.

Nothing much, he quickly took the defibrillator from the nurse.

Adjust the defibrillator to defibrillation mode (the defibrillator has two modes, one monitoring mode and one defibrillation mode), and apply conductive paste to the two electrode plates.

At this time, Yang Fan also noticed Lu Chen coming.

Lu Chen carried the defibrillator and came to the patient's bedside. He said to Yang Fan aside: "Get ready to give up your seat. I will defibrillate!"

Although the two met for the first time, they cooperated very well.

When Yang Fan stopped cardiopulmonary resuscitation, Lu Chen stepped forward immediately and took her place.

"Everyone, get out of the bed!"

Lu Chen held two electrode pads and placed them on the apex and bottom of the patient's chest.

"Charge!"

"Discharge!"

As the huge electric current energy was released, the patient's body only shook slightly, and did not bounce violently like what was said in the TV series.

Lu Chen kept staring at the ECG monitor next to the bed.

Fortunately, after one defibrillation, the patient's ventricular fibrillation waveform converted to sinus heart rate.

However, the patient's blood oxygen saturation dropped further and could no longer maintain even 80%!

Yang Fan looked at the young resident general in front of him and immediately said: "Mr. Lu, the patient's family agrees, should we push the patient down now?!"

Lu Chen frowned, glanced at Yang Fan, and flatly refused, "No! This way, the risk of transshipment is too high!"

Although taking the elevator down to ward U takes only two minutes at most, or even less.

But two minutes are enough for many fatal problems to occur.

With such a simple sentence, Lu Chen stopped talking nonsense to Yang Fan.

Because he had already begun preparing to intubate the patient.

"The ventilator is ready, I'll intubate!"

Lu Chen's hand movements were extremely fast and there was no delay at all.

At the same time, he also issued other medical instructions: "Get an ice pack and protect the brain. Give the patient a bottle of sodium bicarbonate..."

The nurse heard this and immediately started to prepare.

…

What surprised Yang Fan was that as soon as she connected the ventilator tube, Lu Chen had already successfully intubated her.

Could it be that this is the overall strength of cardiology residents?

Yang Fan, who was originally a little nervous and fearful, slowly calmed down after seeing Lu Chen's calm and calm rescue.

After being connected to an invasive ventilator, and with the ventilator's assisted breathing, the patient's blood oxygen saturation finally increased.

"Does the family agree to u?" Lu Chen asked at this time.

"Yes, agreed." Yang Fan nodded, "This is a patient on the second day after acute myocardial infarction. At night, he suddenly complained of chest tightness and discomfort, and then his blood pressure and oxygen saturation could not be maintained."

"I understand." Lu Chen said calmly, "Let the nurse and family members pack their things and prepare for u. In this state of the patient, ventricular fibrillation or cardiac arrest may occur again at any time. I'll call the doctor on duty at u , let them prepare in advance.”

"Okay." Yang Fan finally breathed a sigh of relief and could finally send the patient away.

…

Lu Chen immediately called the doctor on duty.

The person on duty today happens to be Zhang Lulu.

"Sister Lulu, the five areas of the heart are going to transfer a patient who developed ventricular fibrillation and cardiogenic shock after myocardial infarction PCI."

"Okay, Mr. Lu, I'll prepare the rescue room right away."

During work, Zhang Lulu was still very serious. After hanging up the phone, she immediately asked the nurse to prepare the rescue ward.

"Mr. Lu, thank you so much this time." Yang Fan said to Lu Chen beside him with lingering fear, "This is my first independent night shift, and this happened..."

This blessing of peace and blessing is in vain, Yang Fan thought to himself.

"As long as the patient is fine." Lu Chen paused, then slowly said, "But I see that some medicines were not added to the patient in time after surgery, such as acei and beta-blockers. Patients with myocardial infarction are not Once the surgery is done, everything will be fine.”

Acei and beta blockers, as long as there are no contraindications, should be added to patients after myocardial infarction as soon as possible.

These two drugs can improve the long-term prognosis of patients. To put it bluntly, it means extending the survival period.

However, with the current medical vouchers, if you ask him to undergo interventional surgery, you can find a large circle of doctors.

However, it is probably difficult to find a master who can treat heart failure well and interpret electrocardiograms.

"I am not in charge of this patient's bed." Yang Fan whispered, "However, I will communicate with other doctors in the department to emphasize this issue."

"That's good." Lu Chen nodded.

Yang Fan secretly glanced at Lu Chen.

She knew Lu Chen's identity very well.

To be more precise, the doctors at the Department of Cardiology at the No. 1 Hospital in Shanghai may not have seen Lu Chen in person, but they have definitely heard of him after dinner.

Lu Chen is studying for a PhD and is several years younger than her!

But it already has its own R\u0026D team and has published several high-scoring SCI papers.

Now, UU Reading www.uukanshu.net has successfully become the Chief Resident of the Department of Cardiology as a PhD candidate.

Regardless of Dr. Yang Fan's graduation, if the department director asked her to be the chief resident of cardiology now, she would definitely not dare.

…

After the nurse and the patient's family had tidied up, the patient was successfully transferred to Ward U under the escort of Lu Chen.

"Mr. Lu, you are really good at it." Zhang Lulu said to Lu Chen helplessly, "When I became the first night shift as the resident general manager, you took care of me like this."

"You're welcome, you're welcome." Lu Chen also joked.

"You really dare to respond." Zhang Lulu smiled, "Do I have to treat you to another cup of milk tea?"

"This... let's talk about it again."

Lu Chen quickly ended the topic and returned to his lounge.

.