This Doctor is Great

Looking again, the patient's blood oxygen continued to drop.

84%...

The emergency doctor was in a hurry: "Where's the ventilator? Why hasn't it come yet? There's also an anesthesiologist, have you invited me?"

"I'm coming……"

At this time, a nurse pushed a ventilator in from the outside.

The ventilator finally arrived.

The anesthetist followed suit.

The anesthetist, first a sedative, intravenous midazolam.

Endotracheal intubation is a relatively painful thing for patients, so sedation is required, but sedatives should also be careful. Excessive sedation will inhibit breathing, and the patient may die from hypoxia due to stopping breathing. In addition, sedatives also Can cause low blood pressure.

Fortunately, there are anesthesiologists in the emergency department, so they can measure the dosage of their medicines.

(Solemn statement: The medicine mentioned in this novel should not be used indiscriminately in reality, everything must be taken according to the doctor's doctor's advice.)

soon,

The sedative was pushed in, and after the effect of the drug appeared, the anesthesiologist began to hold the trachea, and then began to hold the trachea for intubation.

Endotracheal intubation can be done through the mouth or through the nose. The nasal intubation is relatively more comfortable, because after it is inserted through the nose, it does not stimulate the throat, which is relatively more comfortable.

In addition, if you enter through the mouth, you may be bitten by the patient, so it is safer to intubate through the nostrils.

(Boss can give a picture?)

The anesthesiologist did not know what to consider, so he chose oral intubation.

Just go down the tube,

"Huh!"

"It's not right!"

The anesthetist let out a scream.

"Why so much blood?!"

"Blood?!"

"My God, there's so much blood in my throat!"

Huang Li, Zhou Mo, Huang Yiming, and other doctors and nurses were shocked at this moment!

Zhou Mo's expression changed!

"Why so much blood?"

"etc!"

"Didn't there be a lot of fluid in the lungs just now, could it be—blood?"

Teacher Zhou Mo and Huang Li said loudly.

At this time, the anesthesiologist shouted: "Quick, suction device!"

Fortunately, the emergency department has all these, and the emergency room is always available.

Soon the sputum suction device was delivered and turned on.

"Gulululu~~~"

Blood is constantly sucked out of the suction tube! !

At this time, the emergency doctor yelled impatiently: "What's the matter with the respiratory department? Why hasn't it come yet? I'm going to complain later!!"

This is definitely a problem with the lungs.

At this time, it is natural to have a doctor from the Department of Respiratory Medicine come to the scene to help with the consultation.

This side is sucking the blood, while Teacher Huang Li, Zhou Mo, and Huang Yiming over there are already thinking about it.

With so much blood, the biggest possibility is pulmonary edema.

Pulmonary edema does not mean that it is really 'water', but fluid, which may come from the outside, possibly from the heart or kidney.

By the way, this is a symptom, not a disease. Just like a high fever, it is a symptom, not a disease. )

With so much blood in front of the patient, it should come from the heart.

So - cardiogenic (left heart failure) pulmonary edema? !

Specific process: (left) Heart failure - blood cannot be pumped out - excess blood accumulates in the heart - cannot hold - pulmonary vein reflux - enters the alveoli - sprays out along the trachea - sprays out in the form of phlegm... …

"But it's not right..."

Zhou Mo looked at the patient's drawn blood, which was bright red.

Cardiogenic pulmonary edema is pink with foam (reason: after the jetting of the alveoli and the mixing of blood cells and water, there will be many more bubbles, just like the washing water has many more bubbles than the quietly flowing water Same).

So, rule out cardiogenic pulmonary edema!

Huang Yiming said loudly at this time: "Cardiogenic pulmonary edema!"

Eyes shine!

loudly,

Hahaha~~~ It's finally time for me, Huang Yiming, to pretend to amaze everyone!

Mouth √

Teacher Huang Li interrupted directly at this moment: "It's not cardiogenic pulmonary edema!"

Huang Yiming: "..."

o(╥﹏╥)o~~~

isn't it?

Wow, what a shame!

Zhou Mo shook his head. There was nothing he could do at this time. He was in the Department of Cardiology, and he was really unfamiliar with things like Respiratory Medicine.

Teacher Huang Li was also frowning at this time, thinking about what kind of disease it was, but after all, he dared not make a conclusion easily.

"I'm sorry, cardiogenic pulmonary edema has been ruled out now, and the respiratory department may be needed..." Teacher Huang Li said.

However, they can't go to the cardiology department yet.

Because of the patient's situation, problems may arise at any time, and the experience of the cardiology department will still be needed to save lives.

The emergency doctor began to curse angrily: "What's the matter with the respiratory department? Why doesn't it come? If you don't come, the patient will be finished!"

Emergency consultation is sometimes so urgent, so the hospital stipulates that emergency consultation requires on-duty doctors (consultants) in specialized departments to arrive at the emergency department within 10 minutes.

At this time, the patient's blood oxygen dropped all the way to 80%.

"alright!"

The anesthesiologist breathed a sigh of relief and finally successfully intubated.

The ventilator starts to ventilate,

After a while, the patient's blood oxygen level finally stabilized at 79%.

"Huh~~~"

Everyone breathed a sigh of relief.

However, it is too early to rejoice! !

Zhou Mo kept staring at the ECG monitor, and suddenly realized something was wrong.

"No, the patient's heart rate is slow!"

Originally, the patient's heart rate was very high, reaching 103, which was because the body was working hard to deliver enough oxygen to the whole body.

but!

If the heart beats too fast, the load on the heart will be too high, it will be too tight, and then it will easily loosen all of a sudden.

The heart rate will start to drop (crash).

At this time, Zhou Mo looked at the heart rate on the ECG monitor, and it had quickly dropped from 103 to 97, and then continued to drop...

If it goes on like this, it is estimated that it will collapse directly!

Teacher Huang Li's expression changed drastically!

"Quick, adrenaline!!"

(Adrenaline: It's me again! Akimbo, let me be awesome for a while!)

While the nurse was still pumping epinephrine through the needle...

Beep beep beep~~~~~~

The familiar siren sound, the adrenaline rushing siren sound appeared.

Cardiac arrest! !

A straight line '———' appeared directly.

The emergency doctor reacted the fastest, ran over immediately, pressed quickly, and performed cardiopulmonary resuscitation.

The thin woman's chest suddenly seemed to collapse.

once... twice... three times...

Adrenaline injected!

The patient's ECG monitor displays an ecg compression waveform that is very similar to a normal qrs waveform.

The more similar it is, the higher the quality of pressing!

It shows that the doctor's cardiopulmonary resuscitation skills are higher!

After 3 minutes,

"One more!"

Just as the nurse was about to pump adrenaline again, the patient's ECG monitor started to move.

It is no longer an ecg compression waveform.

Normal sinus rhythm was restored.

The ECG monitor began to come out with various data.

Everyone breathed a sigh of relief, but at the same time they hung their hearts tightly.

The patient's condition is not optimistic, because she is still bleeding. If the cause is not found, the bleeding will not stop, and there is nothing the emergency department can do.

.