Start as an Emergency Physician

If it was an ordinary operation, the doctor might be scared half to death when he suddenly saw pericardial hemorrhage, but at this moment, everyone in the rescue room was in ecstasy... It's finally rescued!

Zhou Yuan no longer hesitated after seeing the bleeding, ligated Zhao Qiang to stop the bleeding, and carefully flushed the pericardial cavity and chest cavity.

"Scalpel. "

Zhou Yuan flipped his hand over, sat on the back of the phrenic nerve with a scalpel and made a pericardial drainage incision, then sutured the pericardium perfectly, and after completing the pericardial treatment, he made a chest intubation and drainage in the posterior axillary line of the eighth intercostal space.

After doing all this, Zhou Yuan picked up the needle forceps and tweezers again, and sutured the chest wall in layers.

He Jianyi and the others looked at Zhou Yuan, who was not in a hurry, and for a while they felt unreal as if they were dreaming!

Everyone already knew how incredible Zhou Yuan's medical skills were, but when they actually stood next to him and watched Zhou Yuan perform a series of impeccable surgeries, they would still be suspicious.

Can anyone really do it so perfectly...

There is not a single wrong step, no action is superfluous, and every knife drop is the undisputed best position!

He Jianyi felt that every time he had surgery, he was not a disciple he was familiar with, but an extremely sophisticated machine, but this machine had emotion and warmth...

Zhou Yuan put down the needle forceps, and the clanging sound made the atmosphere of the entire rescue room calm again.

"It's done," someone breathed a sigh of relief.

He Jianyi was extremely shocked, and at the same time there was a kind of fear.

If Zhou Yuan really listened to his words and stopped rescuing, then I am afraid that what is lying on the hospital bed at this moment is not a patient, but a corpse...

I was wrong!

He Jianyi knows that his decision is absolutely justified, in this case, in fact, there is no need for the patient to be rescued, nearly 30 minutes of cardiac arrest, the probability of rescue can be said to be basically equal to zero!

He just relied on his rich experience and decades of clinical judgment that there was no point in rescuing.

However, reality slapped him in the face!

Did you really do it wrong... Have you seen so many dead people that you are now numb to the beginning of life?

This is a common problem for many doctors, especially in the emergency department where they are accustomed to life and death, even Zhou Yuan, who has only worked in the emergency department for half a year, can now smile and say "It's not a big problem" when he sees those with broken hands and feet.

What's more, it is He Jianyi, who has been in the emergency department for decades!

He Jianyi was still standing in place and pondering, Zhao Qiangyou had been pushed out of the emergency room and sent to the intensive care ward.

Zhou Yuan naturally did not forget that cardiac arrest was just a sudden illness, and Zhao Qiang's cardiac arrest and the sudden coma before the arrival of the ambulance had not yet found the cause...

"Dr. Zhou, how the hell did you do that?"

As soon as Zhou Yuan was about to leave, someone in the rescue room asked expectantly.

He turned his head to see that the two on-board doctors in the emergency room, the two attending physicians of the emergency department, and several little nurses were all staring at Zhou Yuan with admiration at the moment.

As soon as He Jian heard this, he also raised his head and looked at Zhou Yuan with great satisfaction, "Tell me, how did you do it... I'm sure I can't do that. "

The other doctors in the emergency room also nodded silently.

They can naturally see that Zhou Yuan even has a different temperament when he does cardiopulmonary resuscitation, and compared with He Jianyi, they are completely two painting styles... Zhou Yuan belongs to an awesome style of painting.

Zhou Yuan's mood was also relaxed at the moment, he had just pulled Zhao Qiang back from the ghost gate, he was very emotional, and said with a smile: "Skilled cardiopulmonary resuscitation skills, there is also some luck." "

"Don't be modest, can you explain it in detail! Several of us are doctors who are on the bus, and we often need cardiopulmonary resuscitation, can you teach us?" asked a doctor on the bus expectantly.

Several others chimed in.

Zhou Yuan looked at He Jianyi, who showed a look of affirmation and said, "It just so happens that I also want to hear it... I didn't expect that I would have to learn cardiopulmonary resuscitation again at such an old age!"

Zhou Yuan smiled, and then integrated the knowledge of cerebral center pulmonary resuscitation and picked a few key points.

"Since the need for rescue with the car, let's talk about the most basic first, after finding that the patient is unconscious, respiratory arrest, pulse and heart sounds disappear, immediately carry out chest cardiac compressions and artificial respiration, do not repeatedly measure blood pressure, replace blood pressure monitor to delay precious rescue time... I guess you hesitated when you got in the ambulance, right?"

Several doctors on the bus lowered their heads, and one of them said: "At that time, the blood pressure we measured was very abnormal, so I thought it was a problem with the blood pressure monitor, and changed several..."

Zhou Yuan nodded silently.

Fortunately, the rescue came back, this situation is considered to delay the treatment, if you want to be strictly calculated, it is actually a kind of medical malpractice... It's just that this kind of is difficult to judge, although the law may not punish the doctor, but the doctor himself can get by?

Zhou Yuandao: "Don't think too much, the person has been rescued, next time you must pay attention, as long as you judge cardiac arrest, don't care about anything, immediately perform cardiopulmonary resuscitation, recover the heartbeat first and then take care of the rest." "

"Understood. "

"Thank you, Dr. Chow. "

He Jianyi echoed: "Thank you, Dr. Zhou." "

Zhou Yuan was stunned for a moment, and when he saw the smile on the corner of He Jianyi's mouth, he also laughed easily, and continued: "There is also the option to choose small incisions as much as possible for thoracotomy surgery. Patients with cardiac arrest will not have bleeding, so there is no need to block the blood vessels with vascular clamps, and there is no need to make a large incorporation to stop bleeding, which is conducive to postoperative healing... Of course, the most important thing is to save your life if you are not sure. "

"Finally, as long as the patient's heart muscle is still responding, then it means that there is salvation, and don't give up at any time! Even if the patient only has one finger left and does not enter the ghost door, but there is still one finger left, isn't it!"

......

......

Conference room.

Ten minutes after the successful rescue, everyone in the emergency department held an emergency meeting.

Zhou Yuan sat in the chief, next to He Jianyi, Jiang Xiaoqi and Liu Huimin, the three deputy directors, and other attending physicians and residents were also present.

After calming down, Zhou Yuan found that his hands were completely weak, and the violent cardiopulmonary resuscitation exhausted his strength, even more tiring than a seven- or eight-hour operation...

"Now let's analyze it, the patient's electrocardiogram has come out, the examination results have been printed, and the diagnosis is shock caused by acute heart failure... We are now unable to determine the cause of acute heart failure in patients. He Jianyi stood up and said.

"The patient had diarrhea before, had a fever last month, and recently had a normal diet, why did he suddenly have heart failure?" Jiang Xiaoqi read Zhao Qiang's medical records, her face full of doubts.