Start as an Emergency Physician

This is a wonderful feeling, He Jianyi can't explain it, but he suddenly feels that his cardiopulmonary resuscitation is really a class axe in front of Zhou Yuan.

At this time, Zhou Yuan's attention was all on his hands.

He straightened his arms and used the strength of his upper body to rhythmically compress the lower part of Zhao Qiang's sternum in the direction of his spine.

Zhou Yuan's strength is used very delicately, if there is a ruler at this moment, then you will find that Zhou Yuan's sternum sinks by 4 centimeters every time he presses, which is exactly the same.

At the moment when the sternum sinks, the heart is put under pressure and all the blood in the heart is emptied. Zhou Yuan relaxed the oppression again. The sternum is restored to its original position by the elasticity of the ribs and costal cartilage on both sides, and the heart is relieved of compression at the same time.

At the same time, the negative pressure in the chest increases instantly, and venous blood flows back from the blood vessels to the atrium, refilling the ventricles.

"Twenty-four minutes. Zhou Yuan glanced at the time on the instrument.

A strange feeling came from the hand that was compressing, and the perfect level of cardiopulmonary resuscitation made him have an inexplicable intuition, and it was impossible for chest compressions to save Zhao Qiang!

"Prepare for a chest opening!" Zhou Yuan said categorically.

He Jianyi and the others were all stunned.

"Are you going to open the chest and compress the heart?!" He Jianyi asked.

Directly open the chest cavity to compress the heart, the required skills are countless times higher than chest compressions, once a little stronger, I am afraid that the heart will be damaged, the strength is small and has no effect, the general doctor will not choose open heart compressions at all!

Zhou Yuan nodded.

Zhang Ling immediately asked, "I'll let the No. 2 operating room prepare..."

Zhou Yuan interrupted her: "No, just do it here!

Now Zhao Qiang is connected to a ventilator, and there is a vein placement tube on his body, so he can't move easily. Moreover, the current situation is extremely dangerous, and for Zhao Qiang, a delay of even one second may lead to direct death!

At this moment, Zhou Yuan only has four words in his heart, racing against time!

Naturally, it doesn't matter whether the emergency room is a sterile environment, whether you are wearing a surgical gown, etc., compared to the infection caused by these small details, the consequences of delaying time are extremely serious!

He Jianyi walked up, tore open two pairs of medical gloves again, put on new gloves and gave Zhou Yuan a pair at the same time, and said, "Put it on." "

After Zhang Ling prepared the surgical instruments, he also tore off a medical mask.

Zhou Yuan didn't participate in the rescue just now, so he didn't wear a mask yet, but it was impossible to even wear a mask during surgery... Do you want to put it on for him yourself?

"Put it on for me. "

Seeing that Zhang Ling was a little distracted, Zhou Yuan reminded.

Zhang Ling blushed, walked over quickly, stood on tiptoe slightly, and looked at Zhou Yuan up close, the latter's serious expression was particularly attractive.

However, Zhang Ling was only distracted for a moment, and quickly put on a mask for Zhou Yuan, and then stood next to him as an instrument nurse.

"Carry out disinfection. Zhou Yuan said immediately.

At the same time, he picked up the scalpel, and with his other hand, he quickly marked Zhao Qiang's chest cavity and chose the location of the incision.

He Jianyi looked at Zhou Yuan's movements, and his mouth grew in surprise, "Such a small incision?

Zhou Yuan shook his head to indicate that it was okay.

Zhang Ling: "Routine disinfection?"

"Simple disinfection. Don't worry about anything, wait for the heart to beat again and then replenish the disinfection and spread the towel. Zhou Yuan replied immediately.

Zhang Ling quickly scrubbed Zhou Yuan's mark with an alcohol swab, and after a few seconds of disinfection, Zhou Yuan immediately dropped the scalpel.

Zhou Yuan chose the position along the fifth intercostal space from the left sternal border to the anterior axillary line, from where the incision into the thoracic cavity showed almost no bleeding.

Since Zhao Qiang's heartbeat had stopped, there was no bleeding when the blood vessel was cut, which meant that there was no need to stop the bleeding, that is, there was no need to enlarge the incision to place the hemostat.

"The chest cavity is automatically retracted. "

In dozens of seconds, Zhou Yuan had already cut open the chest cavity, and immediately took the automatic retractor handed by He Jianyi, pulled the incision open and fixed it, and then put his hand into the incision and directly pressed the heart.

Although through the gloves, Zhou Yuan immediately felt the abnormality of Zhao Qiang's heart...

A normal person's heart is about 50 millimeters, but Zhao Qiang's heart is obviously much larger, and Zhou Yuan estimates that it is about seventy or eighty millimeters, which is a huge heart.

"Can I press it?" He Jian asked worriedly when he saw that Zhou Yuan was silent.

Zhou Yuan nodded and closed his eyes.

When one feeling is lost, the others are strengthened accordingly. Zhou Yuan closed his eyes to let his attention be on his hands... Open chest compressions do not require eyes!

In other words, Zhou Yuan doesn't need eyes. What he chose before was a small incision, and he could barely get his two hands into it for compression, but the field was not good, and it was the same whether he saw it or not.

If it is replaced by He Jianyi, I am afraid that I will have to choose a large incision and perform intrathoracic compressions while ensuring the surgical field, but... Zhou Yuan's perfect CPR!

The perfect-level compression hemostasis method brought Zhou Yuan's fingers to life, and he could feel the pulse of the blood vessels only by the touch of the palm prints of his fingers, so as to judge the location of the bleeding and find the best hemostatic point.

Similarly, as long as Zhou Yuan now puts his hand into the patient's chest, then he is like a fish in water, and in his own territory, Zhou Yuan can immediately feel the heart and quickly find the best compression point for the heart.

"Found it. Zhou Yuan was overjoyed.

At this time, Zhao Qiang's heart had been further expanded, and the ischemia and loss of the pump had made the heart dark red, and the heart muscle was vibrating irregularly.

Zhou Yuan no longer hesitated, his right hand was placed behind the heart, and his left hand was pressed against the front edge of the heart.

The two-handed compression method he chose, this method is suitable for compressions on abnormally large hearts, such as Zhao Qiang at this time.

Twenty-eight minutes have passed since Zhao Qiang's heart stopped.

The emergency room has been cordoned off, and it is impossible to let outsiders in while the operation is being performed. Li Li couldn't cry outside for a long time.

No matter how common sense you have, you know how dangerous it is to not recover half an hour after cardiac arrest...

Just then, the door to the rescue room suddenly opened.

Zhang Ling walked out with a serious face, closed the door casually, blocked the door in front of the door to prevent Li Li from entering, and said, "You come with me." "

Li Li was completely numb, and followed Zhang Ling to the lounge not far away.

Zhang Ling left the room, and almost a minute later, she returned to the lounge with two more documents in her hand.