Department Director Ruan, if you can spare some time, please bring someone to the resuscitation room … It's a forty-week pregnant woman. Her heart has stopped for twenty minutes, and Doctor Ling is personally performing CPR … "Zuo Cidian picked up his phone and dialed.
Ruan Gaoge, who was on the other end of the phone, was originally prepared to argue about his status and consultation, but when he heard that it was Ling Ran, he immediately agreed. "I'll be there in ten minutes."
"Please be quick. Doctor Ling plans to make a final decision in ten minutes, "Zuo Cidian said briefly before he hung up the phone. He did not know what Ruan Gaoge was doing at the moment, so he only urged him.
However, he believed that Ruan Gaoge would definitely rush to the resuscitation room as soon as possible.
If he could not do it, then the ICU group in the Emergency Medical Center would no longer exist.
This was also the best time for Ruan Gaoge to prove himself.
When Ling Ran needed him, he would participate in the most important rescue … As long as Ruan Gaoge was smart enough, he knew that this was the time to show himself. There was the explosion of the Little Universe, the limited-time mission that could be activated, the cheats that could be used, and the elixirs that could be eaten. It was time to use them all.
Zuo Cidian hummed and dialed the Department of Obstetrics and Gynecology again. After the call was connected, he quickly said, "Department Director Li, Doctor Ling is performing CPR on a forty-week pregnant woman … Yes, I think you've received the call, but after thinking about it, we still believe in your skills. If you have time … Okay, Doctor Ling will make a final decision in nine minutes!"
He hung up and dialed again. Zuo Cidian called the Department of Anesthesiology and Neonatology, then the Department of Cardiology and the Department of Cardiovascular Surgery, and then Huo Congjun and the hospital administration.
After everyone heard Zuo Cidian's description of the situation and request, their attitude was similar to Ruan Gaoge's. No one delayed or delayed.
For the current Yun Hua Hospital, since Ling Ran had personally gone into battle, it would be appropriate for him to invite them to form a team.
In fact, even if Zuo Cidian did not call and directly asked for emergency consultation from the departments, as long as Ling Ran's name was mentioned, the departments would still send their elites over.
After making a series of calls, Zuo Cidian turned around and saw that Ling Ran's forehead was already sweating.
CPR had to be performed at a standard and high frequency, which was quite tiring. But if he wanted to save someone, he had to perform CPR at a standard and high frequency.
Ling Ran furrowed his eyebrows. It was not because the external chest compressions were tiring, but because he was racking his brains for a solution.
High-quality chest compressions might not be able to save the patient in front of him. Even if he used a large amount of drugs that were not suitable for pregnant women, he might not be able to get a definite answer.
The second thought popped up, but Ling Ran quickly threw it to the back of his mind. There was no need for a definite answer at this time. It was good enough to have a slim chance of survival.
When he thought of this, Ling Ran immediately ordered, "Check the airway and prepare for defibrillation. Inject one milligram of epinephrine."
The first two orders came naturally, but the second one made the anesthetist hesitate for a few seconds. He could not help but say, "Doctor Ling, the last epinephrine only took less than four minutes."
"Okay." Ling Ran did not intend to cancel the doctor's advice.
When the anesthetist saw this, he could only leave quietly.
The doctors by the side listened to their conversation without batting an eyelid. At times like this, any decision made by the chief surgeon would be correct, and the risks brought about by drugs and treatment were not something that could be avoided even if one wanted to.
But one thing was certain. Without drugs and treatment, although there would not be any side effects, the patient would not be able to survive.
"Doctor Ling, the defibrillator is ready," the nurse said in a low voice after she finished applying the gel.
“200J。” Ling Ran took a step back as he spoke. Then, he saw Lu Wenbin holding the defibrillator and pressing it firmly against the patient's chest.
There was a silent tremor. Everyone's eyes were on the monitor, trying to find an exciting bulge in the flat curve.
There was no bump.
A few young doctors turned their heads and saw that Ling Ran had already started chest compressions.
During the process of CPR, chest compressions were the most important, and the shorter the time, the better. Therefore, other than giving a short period of time for the defibrillation, Ling Ran immediately resumed the state of chest compressions.
Chest compressions could actually be understood as purely mechanical physical therapy. The heart originally played the role of a pump. Now that the pump function was stopped, the blood pumping would also stop. Therefore, continuous chest compressions were used as a replacement.
Now, the patient's internal organs, brain, and the fetus in the abdomen also relied on the blood pumped by chest compressions to survive.
High-quality chest compressions could provide forty to sixty percent of the blood supply, which could ensure the basic needs of the internal organs, brain, and fetus.
This was the theoretical basis of prolonged CPR, and it was also the reason why Ling Ran dared to fight for ten minutes.
He believed that ten minutes could give the pregnant woman a great chance of survival, and at the same time, the damage to the fetus would not be too great.
However, the basics were still the basics. No matter how good the chest compressions were, they could not restore the patient's heartbeat. A successful defibrillation was needed.
Eighty percent of adults who suffered from cardiac arrest would have their first abnormal arrhythmia being ventricular fibrillation. Ventricular fibrillation would go through stages of electrophysiological disorder, circulatory disorder, and metabolic disorder. Whether there was a time and how to find such a time to perform defibrillation was still a topic of discussion in the medical field. All kinds of CPR guidelines paid great attention to and cared about simplifying the process of CPR. That was because the people who performed CPR were usually not CPR experts or even trained professional doctors, but ordinary doctors, nurses, and even non-doctors.
Letting ordinary people perform the simplified CPR process in the correct way could theoretically bring the greatest benefit to the patients who suffered from cardiac arrest.
But at this moment, as one of the few CPR experts in Yun Hua Hospital and even in Xichang Province, Ling Ran no longer needed to think of a way to solve the problem with this kind of thinking.
The right time, the right defibrillation, and a little bit of luck were the only ways to bring about miracles.
The current obstacle was that Ling Ran still did not know the right time, did not know the energy needed for the correct defibrillation, and did not know how to obtain luck …
"Epinephrine." Ling Ran thought hard and gave another order.
The nurse carried out the order without hesitation.
The anesthetist took a deep breath and turned to the department director of the Department of Anesthesiology, who had just rushed over, and said in a low voice, "This is the fourth one."
During the first twenty minutes of resuscitation, Ling Ran used two epinephrines. It had only been a few minutes, and Ling Ran had used two more epinephrines.
The department director of the Department of Anesthesiology did not comment and said, "This is Doctor Ling's style."
"This is a little different from the guidelines …"
"If he succeeds, he can modify the guidelines based on his own experience." The department director of the Department of Anesthesiology waved his hand as he spoke and gestured for his subordinates to stand up. He then sat on a small round stool by the bed.
The department directors of the Neonatology Department, the Gynecology Department, and the ICU also rushed over, but they could only surround the bed and watch Ling Ran perform the extremely boring external chest compressions.
Before the CPR ended, the department directors would not be of any use. In fact, if the CPR failed, the department directors would have come for nothing. That might not be the case. During the discussion of death, there was still a possibility that they would cause trouble for them.
"Doctor Ling, let me perform the defibrillation." Ruan Gaoge looked around and took the initiative to find a job for himself.
He had worked in the ICU for many years, and he had used a lot of defibrillators. He also had experience in performing CPR and so on.
However, Ling Ran unexpectedly shook his head and refused. "I don't need a defibrillator."
"You don't need a defibrillator?" Ruan Gaoge was extremely surprised.
"Defibrillation." Ling Ran only said one word in a concise manner before he pursed his lips and said nothing else.
The department directors who came one after another looked at each other in confusion. They did not know what Ling Ran meant, and it was not appropriate for them to ask questions at this time.
Ling Ran continued to perform external chest compressions, but the frequency was gradually increasing.
Lu Wenbin saw that Ling Ran was sweating profusely, and he could not help but say, "Doctor Ling, let me take over."
"No." Ling Ran lowered his head and only exerted all his strength to perform external chest compressions. He performed more than one hundred compressions per minute, and soon enough, he created a sufficient amount of sweat, which dripped down his neck.
Lu Wenbin stepped back in confusion. He raised his head and looked at his watch. Seven minutes had passed since the ten-minute deadline.
Suddenly, Ling Ran stopped abruptly. He straightened his upper body and stared at the patient's chest. When the chest wall was completely retracted, he raised his right hand without hesitation, clenched his fist with one hand, and punched the patient's precordial region.
"Hammering the chest?" When Ruan Gaoge saw what Ling Ran did, he opened his mouth in surprise, but his body subconsciously turned to the monitor at the side.
* Beep *
A small bulge gently jumped up from the edge of the screen.
…..
He looked up some information and was later than expected.
(End of this chapter)
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