Start as an Emergency Physician
Chapter 383
Zhou Yuan pushed the emergency bed towards the rescue room, and asked again, "What else?"
"A few minutes ago the patient had another cardiac arrest! We performed CPR in the ambulance car, but it didn't work!"
Zhou Yuan's face was calm, and he commanded in a low voice: "Prepare five adrenalines immediately, and prepare to open intravenous access! "
The ambulance is only a simple ventilator, and it certainly cannot be compared with the regular ventilator in the emergency room.
Soon, the door of the No. 3 rescue room opened, and Zhou Yuan and others pushed Zhao Qiang into the rescue room, carefully carried him to the hospital bed, connected the ventilator, opened the intravenous access, etc.
Zhou Yuan turned his head to look at the doctor accompanying the car, "The specific time when the patient has cardiac arrest!"
It was too crude a few minutes ago, in the eyes of the doctor, in front of life, and any second is an incomparably extravagant luxury.
"7:51!!" yelled the on-board doctor.
Naturally, it is impossible for him to forget to record the time of cardiac arrest, which is a basic skill.
Zhou Yuan glanced at his watch, and it was already 8:03...
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 of cardiopulmonary resuscitation is 90%, the second golden point of first aid is within three minutes, the survival rate of cardiopulmonary resuscitation at this time can reach 50%, and if the third golden point, that is, four to six minutes later, and then rescue, even if it is saved, it may become a vegetative person, and the chance of returning to normal is very small...
And by this time, twelve minutes had passed!
Zhou Yuan's eyes lit up, and he was about to step forward for cardiopulmonary resuscitation, but at this time, He Jianyi also changed his clothes and came over.
"I'll do it. "
He Jianyi put on medical gloves and walked to the bed.
"I'm more experienced. "
Zhou Yuan retreated.
Indeed, although Zhou Yuan has studied cardiopulmonary resuscitation systematically, he has never practiced in actual combat, and has always practiced on dummies.
This thing is not like the injections of nurses, each other can use each other's blood vessels to practice needle pricking, and the big deal is just a few small black spots.
Cardiopulmonary resuscitation is different, the strong amount of pressure is likely to damage the patient's ribs, resulting in rib fractures, so it should not be used on healthy people, and those who need to use cardiopulmonary resuscitation are people who no longer care about rib fractures.
For example, Zhao Qiang in front of him, if he doesn't beat his heart again, he is about to die, and it is not important to break his ribs at this time.
He Jianyi is an old Jianghu, and the number of cardiopulmonary resuscitation is more than the sum of all the surgeries Zhou Yuan has done so far, although Zhou Yuan has achieved excellent results in cardiopulmonary resuscitation on a dummy and dares to go up to save people, but he is still inferior to He Jianyi.
Zhou Yuan retreated to the door, and he could still 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 silently.
"Doctor, how is my husband?!"
Seeing that a doctor came out, Li Li temporarily stopped crying and asked with a sob.
Zhou Yuan glanced back at the heart detector in the rescue room, the situation was not optimistic, and Zhao Qiang had not woken up yet.
"We're doing our best to salvage, don't worry. Zhou Yuan comforted mechanically.
At this time, as a doctor, what else can he say except to say this?
Hearing this, Li Li almost collapsed, and those who don't understand it know what the doctor means when he says this sentence 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 nice the voice is, no matter how warm the words are, it is not as good as a hug from the lover...
Zhou Yuan couldn't stand it anymore, he re-entered the rescue room and stood behind He Jianyi.
I saw He Jianyi cut open the patient's pajamas, and then placed the palm root of one hand on the center of the patient's fierce mouth and above the lower half of the sternum, and the palm root of the other hand on the first hand.
In standard CPR, the fingers are not able to touch the chest wall, and the elbows are kept straight while compressing, and the compressions are applied vertically downward.
Chest compressions are followed by an open airway.
He Jian placed one hand on the patient's forehead, and then gently pushed with the palm of his hand to make the patient's head face back, and the fingers of the other hand were placed on the lower jaw near the chin bone, lifting the lower jaw so that the chin bone was raised.
This position allows the trachea to be as open as possible, and He Jianyi checked the patient's mouth and nose again, and found no foreign bodies, and then began formal cardiopulmonary resuscitation.
Thirty compressions, two rescue breaths is a cycle of cardiopulmonary resuscitation.
When artificial respiration is performed, many people who don't understand it may blow hard, and everyone is panicked at this time, and they will subconsciously use their best strength, but in fact, this is also wrong.
Correct artificial respiration should use the normal rhythm of inhalation and exhalation, that is, how you usually breathe, what kind of frequency and force you use to carry out artificial respiration, but you need to pay extra attention to the blowing time of artificial respiration should be more than one second, and it is best to see the chest rise and fall as a good blow.
And those who blow up like crazy are the same as blowing up balloons, they may explode... Excessive exertion can lead to an excessive increase in intrathoracic pressure in the person being resuscitated, which can lead to obstruction of blood return and blood flow during chest compressions, which can be more serious than a rib fracture.
Call.
Call.
Call.
Every time he pressed, He Jianyi used great force, so much so that He Jianyi's hands began to tremble later.
People who have done cardiopulmonary resuscitation know that this is a rescue book with high requirements for technical and physical strength, and it is not easy for ordinary adults to operate and complete five rounds, which is one hundred and fifty compressions and ten artificial respirations.
Like Zhou Yuan, his current strength is at most able to complete up to five sets, of course, if there is a beautiful little nurse next to him to cheer him on, he can come to another group.
Because of the great physical exertion of physical strength, three to four doctors are generally required to take turns to operate the patient.
Time passed minute by minute, He Jianyi insisted on being in front of the hospital bed, and did not let anyone replace him.
Zhang Ling's face turned slightly pale at the moment, and his eyes became sad.
Even if they have experienced such a moment countless times, when they see a new patient come to this dead end, the medical staff present will still feel a burst of sadness, because for them, Zhao Qiang may only be one of the countless patients who have failed, but for Li Li and Zhao Qiang's family, this man is the pillar of the family...
She opened her mouth, not knowing what to say, and her face was very ugly.
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