"Ah Jun has stopped breathing and heartbeat for two hours and five minutes. We've been defibrillated, pumped with epinephrine, intubated and given chest compressions."
The propellers rumbled. Inside the rescue helicopter, Uncle Dan quickly briefed his colleagues on the situation. The rescue team was mainly made up of Phecda members.
Liu Mingfeng, who came from the medical department and was now a member of the Spell Department, was the team leader. This middle-aged man in his forties knew both Gu Jun and Uncle Dan, but he was in charge of logistics. As Liu Mingfeng listened, he checked the vital signs of Gu Jun, who was secured on the stretcher.
This time, the Special Task Force did not lose any equipment after entering the abnormal space. The portable defibrillator and ventilator were still with them. Therefore, the quality of CPR was very high. The resuscitation drugs, electric defibrillation, tracheal intubation, continuous chest compressions … Uncle Dan and the rest had done everything they could.
But …
The pupils on both sides were dilated, the reflex to light had disappeared, and even the electrocardiogram showed that Gu Jun had lost control of his heartbeat.
It had been 125 minutes.
According to Uncle Dan, after the final battle, they needed some time before they could move again. Therefore, they started rescue six minutes after Gu Jun's heartbeat stopped. This meant that even with the highest quality CPR, the success rate was only about ten percent.
The current international standard was that if the patient had not recovered after thirty minutes of CPR, they would be declared dead.
Furthermore, if the heartbeat stopped for more than five minutes, due to the prolonged interruption of blood flow to the brain, the brain cells would start to suffer irreversible damage. Brain death was the reason why some patients who were still breathing and heartbeat ended up in a vegetative state.
There was an obvious skin tear on the right side of Gu Jun's forehead that was five centimeters long. The skin was swollen and the right eyeball was bloodshot. There was a possibility of brain damage.
Compared to these two injuries, the multiple fractures on his limbs were not that big of a deal.
The situation was not looking good.
The body on the stretcher that Liu Mingfeng and the rest were facing could basically be called a dead body.
"He's not dead yet." Wu Shiyu said firmly. She was still holding the dissecting instruments. "I can feel that he's not dead yet."
Uncle Dan knew this was a difficult situation for Miss Wu. It was she who led the Ancient Seal to destroy the Malformed Banyan Tree … but her mental state was relatively stable.
No matter how everyone felt, the rescue team never thought of giving up. Their job was to fight for life against the Grim Reaper.
Moreover, although it was rare, it was not rare to see patients whose heartbeat had stopped for two to three hours, or even patients with cerebral hemorrhage, being rescued in the emergency room of a normal hospital. Gu Jun was not an ordinary person, and they had the best medical resources to use.
As for the other two patients, Deng Ximei's condition was not as serious, while Xue Ba's condition was more serious, and he had been hospitalized earlier. However, the quality of CPR at the scene was very high, and they could not give up on either of them.
At the same time, Zhang Huohuo continued to perform chest compressions on Gu Jun. A nurse immediately wrapped an ice cap around Gu Jun's head to lower the temperature. Another nurse inserted a catheter into his body. Liu Mingfeng and Uncle Dan kept their eyes on the transparent urine bag. If there was urine, then there was hope. If there was no catheter, then there was no chance of survival.
When the catheter was connected, dark yellowish-brown urine flowed out of the catheter and into the urine bag.
"There's a chance, there's a chance!" Uncle Dan exclaimed excitedly. Everyone's spirits rose. Wu Shiyu's complexion improved.
"Yes, there's still hope. Record the urine volume," Liu Mingfeng told the nurse. Liu Mingfeng said decisively to the nurse. The urine could have been stored in Gu Jun's bladder before he fainted, but it was always a good thing to have urine. He added, "The ship has already prepared the ECMO. We'll do it once we get down."
ECMO was extracorporeal membrane oxygenation. The principle was to use a tube to connect the patient's veins to the corresponding cardiopulmonary machine. The venous blood would be directed to the oxygenator for artificial oxygenation. Then a power pump would circulate the oxygenated blood back into the patient's body to maintain organ function.
This kind of extracorporeal circulation could replace cardiopulmonary resuscitation in a short period of time. It was the last resort for critical care.
However, due to the expensive equipment and the technical difficulty, even with the equipment, it required an ECMO team that had gone through specialized training. Therefore, not every Grade Three Grade A hospital in the country could perform ECMO. There were very few experienced teams. But these were not the problems of the emergency rescue team on the destroyer.
Cardiovascular medicine, cardiac surgery, interventional medicine, emergency medicine, anesthesiology, neurosurgery, orthopedics, respiratory and critical care medicine …
A team of more than one hundred professors from different disciplines. Some were present at the scene while others were remotely connected. This ECMO had to be completed as soon as possible.
Whether Gu Jun would survive depended on this.
As long as ECMO was connected, even if Gu Jun was already a dead body, he would not decompose so quickly.
Xue Ba would also perform ECMO to save him.
"Was the patient's coma influenced by abnormal energy?" Liu Mingfeng asked.
Uncle Dan's hair stood on end when he thought back to the situation. "It was Ah Jun who gathered the dark energy together. He was basically consumed by it. That was how we had the chance to win. That was how he fell from the sky. That's how he got these broken bones and forehead injuries. "
They had applied the Ancient Seal and the cleansing stone. Both showed no sign of mental corruption on Gu Jun.
This was up to Wu Shiyu to explain. "I don't think so. The dark energy almost consumed him … but in the end, the energy was dispersed. He still tasted salty, not that salty but still salty. It's him."
Liu Mingfeng and the rest nodded. They hoped that was not the case or else there would be too many uncertainties.
Less than 5 minutes after they took off from the island, the helicopter landed on the deck of the destroyer. They immediately carried Gu Jun's stretcher out and placed it on the emergency bed. The medical staff who had been waiting on the deck pushed the emergency bed towards the ECMO surgery room. The chest compressions could not be stopped.
One minute earlier or later could mean the patient's life or death.
The battle at the frontline for the Special Mobile Force was over but the battle at the back was just beginning. They had to win this battle.
At the command central, Elder Tong, Yao Sinian, and the rest had serious expressions on their faces as they watched the rescue through the big screen.
Soon, Gu Jun was wheeled into the ECMO surgery room. The nurse changed his uniform into a patient's garb. The surgical team that was already prepared started to move.
The first step was to intubate the femoral artery and vein. It was the most important and difficult step of the surgery.
While they continued the chest compressions, they had to open a small hole in Gu Jun's thigh. They had to locate his femoral artery and vein to complete the intubation. Then they would use a long and thick tube to connect it to the ECMO machine. Any mistake in this step would cause the patient to bleed profusely. It would not only delay the emergency treatment but also worsen the situation.
At that moment, under the guidance of the ultrasound, about 10 doctors and nurses in blue surgical gowns surrounded Gu Jun who was lying on the operating table.
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