This Doctor is Great

"Hopeless……"

When the pressure reached 20 minutes, Zhou Mo had already marked the arrogant Mr. Liu with death.

Although many records have said that pressing for more than an hour can save the patient.

The longest report Zhou Mo saw was that he was pressed for a full 142 minutes, the number of compressions exceeded 15,000, and 85 shots of epinephrine were administered, and finally the person was rescued and sent to the ICU (Intensive Care Unit).

However, such miracles can be said to be very rare.

In the hospital, it is usually possible to give up after 20 minutes of pressing.

"Where is my husband?"

"Where's my husband?"

At this time, a young and beautiful young woman with a slender waist, an LV bag, and diamonds ran in.

Smiling... no, ran in with a crying face.

"Madam, please calm down, your husband is being rescued."

"Can he be rescued?"

"There is little hope, you need to be mentally prepared, but our doctors are still working hard!"

"Please be sure to save him, I can't lose my support as a woman..."

The voice is sad.

The corners of Zhou Mo's mouth twitched. If I hadn't seen the corners of your mouth √ up, I would have believed your evil.

Huang Li: "Let's go, go back to the cardiology department."

The three returned to the cardiology department.

...

afternoon,

News came from the emergency department that the patient Mr. Liu could not be rescued in the end.

His wife, who was 10 years younger, sent him to the crematorium with endless 'sorrow'.

...

soon,

The news was sent back to Mr. Liu's company.

"What? President Liu died of illness?"

"Isn't he fine this morning?"

"Yeah, I even posted it on Moments, saying that I am in good health."

"It seems that he died of myocardial infarction. He died immediately. It was too late to send him to the hospital. I said he was not in good health, so he should go to the hospital for an examination. He still didn't believe it."

"That's right, trust the doctor."

"You people, you were still bragging about Mr. Liu in your Moments this morning, saying that you exercise regularly and you are great, but now everything has changed."

"..."

As for the chairman's office, a document was soon circulated that the company will conduct an employee physical examination every year starting from this year...

...

...

Cardiology,

The three of Zhou Mo just returned to the duty room.

"Auntie, as I said, I'm a veterinarian, not a doctor. I don't treat people, I treat animals..."

Once in the door,

He heard Xiao Tong talking on the phone.

The surrounding doctors, with strange faces, forcibly suppressed a smile.

"What? Your son just has a simple cold and fever? It's not difficult? The problem is that my major is animal husbandry. I really dare not give you any medical advice..."

"Ah... Your pig hasn't eaten recently? Has it lost weight?"

"This... maybe... why don't you give your pig some antibiotics, maybe it has a cold and a fever..."

"Yes, yes, although I have a Ph. D., I really don't have any skills. I can only be a farmer..."

"Okay, okay, the farmer asked me to watch his sheep, I'm going to hang up..."

hang up the phone.

Xiao Tong shrugged at everyone.

"I'm sorry, a relative came to see me..."

Everyone gave Xiao Tong a thumbs up.

One word, absolutely!

Several medical students were stunned.

Can you still do this?

To be honest, since they became doctors, relatives and friends at home have frequently called to seek medical advice from them.

It's too much trouble.

How can you explain the illness clearly on the phone? If the diagnosis is wrong, it will be troublesome.

at this time,

Another call came from the nurse's station.

"Doctor Huang, emergency consultation!!"

"Ah? Again?" Huang Yiming was confused.

No way, there are too many, I've been squeezed dry.

"Xiao Mo, Xiao Ming... let's go!" Teacher Huang Li beckoned.

"Walk!"

Zhou Mo and Huang Yiming quickly followed Teacher Huang Li.

soon,

The three came to the emergency department and went straight to the emergency room.

"Doctor Huang, it's great that you're here!"

"We also called the Respiratory Department, but said that the consulting doctor has already gone to other departments for consultation. Fortunately, you came quickly..."

at this time,

Zhou Mo was observing the patient on the bed.

Female, thin, 170, estimated to be less than 90 catties, as thin as a stick.

Pale, gasping, and breathing hard.

A look of pain.

The emergency room has put the patient on an oxygen mask.

The ECG monitor shows:

Blood oxygen saturation: 87%...

Blood pressure: 140/92...

Heart rate: 136...

Breathing rate: 35 times...

When Zhou Mo saw the patient's lips, they began to turn a little cyanotic.

Teacher Huang Li: "What's the patient's condition?"

Emergency doctor: "Just half an hour ago, the patient suddenly felt chest tightness and was out of breath. She could only breathe faster to relieve symptoms, and then quickly called 120, and after explaining the situation, she fell into a coma..."

"Is there no family coming?"

"No."

"This is troublesome!"

Without family members, there is no way to understand the patient's medical history more clearly, and we don't know whether the patient has eaten anything or what disease he has.

Emergency doctor: "We checked just now, and the patient's consciousness has begun to be confused."

Confusion, this situation is generally because the brain has already started to lack oxygen, and if the oxygen deficiency lasts for a long time, it will become brain damage.

Basically, that's all.

Then how to analyze it next?

First, the main complaint of the patient when awake: "chest tightness, shortness of breath."

In this case, either the heart or the lungs are inseparable.

Myocardial infarction, heart failure, pneumonia, pulmonary embolism, pneumothorax, pleural effusion...

At this time,

Zhou Mo glanced at the ECG monitor.

The blood oxygen level was 87 just now, but now it has dropped to 85.

Hastily said: "His blood oxygen is dropping, he may need to be put on a ventilator..."

When the emergency doctor saw it, he quickly arranged for a nurse to intubate the patient, and the ventilator used low-frequency ventilation. (The high-frequency ventilator has a smaller and faster jet volume)

"This is an electrocardiogram..."

Huang Li and Zhou Mo saw that it wasn't a heart attack.

exclude.

Then listen to the heart and lungs. (The easiest and fastest method: listen to heart and lungs, electrocardiogram)

Upon hearing this, Teacher Huang Li's expression turned pale.

Wet rales, very heavy! !

"Severe pneumonia?"

To be honest, Zhou Mo has never heard such a serious wet rale!

This shows that there is a lot of liquid in the lungs!

but,

Why is there so much liquid?

Is pneumonia so exaggerated?

impossible?

"Zhou Mo, listen to her lungs."

Zhou Mo put on the 3m and got up for the female patient.

hiss!

What a heavy wet rale!

Zhou Mo thought of a disease -- drowning! !

What does drowning mean?

That is, the lungs are full of water, and the alveoli are in the water, so the air cannot enter, and the patient is hypoxic!

Has the patient drowned?

Or did you choke and get into your lungs when you drank water?

But it's not right, if this is the case, the patient will definitely explain it to the doctor as soon as possible.

.