"It's done!"
"Has the heartbeat recovered?"
"It's done?"
The doctors who had been suppressed for a long time by the side let out soft cheers.
Whether they were doctors in the Emergency Department or not, they had seen a lot of life and death situations. However, normal doctors could calmly face the birth, aging, illness, and death of ordinary people, but when they saw a young mother who was pregnant with a new life and a new life who had never seen the world, they could not maintain their normal calmness.
Even if it was a wily old fox like Zheng Pei, even if he liked to tease young nurses and talk nonsense, he was willing to take a big professional risk and try to summon the only solution.
Fortunately, this seemed to be a successful risk.
Zheng Pei stole a glance at Ling Ran.
Even if he did not say anything, as long as it was not two lives, Ling Ran should not be too angry. If both mother and child survived, it was more likely that it would be a happy ending.
Ruan Gaoge also looked at Ling Ran with a surprised and admiring expression.
Chest pounding was a first aid technique that emerged in the sixties. It was not a traditional skill, and it was first reported in 1960. It was probably not a well-thought-out invention, but because the effect was unexpectedly good, it naturally spread.
From the sixties until 2000, the advantages of chest pounding were quite obvious. First of all, it did not require additional defibrillation equipment, which meant that it could be used in any rescue scenario. This was especially so in the era before the defibrillator was invented and popularized. Chest pounding could be said to be the only defibrillation method that doctors could use.
Secondly, and more importantly, until 1996, the defibrillator used single-phase wave technology.
Therefore, if you watched medical TV dramas before 2000, you would often find that doctors opened their mouths and used 360-joules. If you watched medical TV dramas after 2000, the defibrillator energy required by doctors would be reduced to 200 or even 120 joules.
The effect of the defibrillator using dual-phase wave technology was obviously higher than that of the defibrillator using single-phase wave technology. Therefore, it was not until 2010 that chest pounding was clearly listed as a second-line technique. This was because the defibrillator using dual-phase wave technology, which was developed in 1996, was basically common at this time.
From another perspective, before the emergence of dual-phase wave technology, chest pounding was actually not weak, at least it was not obviously weaker than the defibrillator using single-phase wave technology. Based on early CPR reports, the success rate of chest hammering was quite high. That was why chest hammering was widely used.
This was especially true in the sixties, seventies, and eighties, when single-phase wave defibrillators had not been popularized in the world, chest pounding could be said to be the best way for ordinary doctors to save patients.
Following this line of thought, it was only in 2010 that chest thrusting was listed as a second-line skill. This was also because there were fewer and fewer doctors who mastered chest thrusting techniques, and they were becoming weaker.
After all, skills had to be practiced. Doctors in the early days had enough medical cases to practice, revise, and even expand their skills, but doctors in the later years would still use defibrillators more and more. It was only natural that they would not dare to use defibrillators if they were not good at it.
Ruan Gaoge knew how to use chest pounding, but he rarely practiced it.
What he did not expect was that Ling Ran knew how to use it, and he seemed to have used it perfectly.
At that moment, based on the results, Ruan Gaoge felt that Ling Ran's choice of chest hammering was indeed better than the defibrillator.
The defibrillator mainly relied on a strong electric current to pass through the heart to stop ventricular fibrillation. It allowed the sinus node to reactivate impulses, and the heart would then resume beating.
In short, the defibrillator relied on the electric current.
There was no difference whether it was a dual-phase wave or a single-phase wave.
Chest hammering had a certain amount of mechanical force.
After trying the defibrillator many times, would he be able to get a satisfactory result if he repeated the electric shock again?
In fact, based on the current guidelines, a single defibrillator had the highest success rate. Even though the subsequent defibrillators were effective, the effects could not be compared to the first defibrillator.
If Ling Ran had enough time, he might have tried using the defibrillator two or three more times. But in a situation where he was pressed for time, Ling Ran tried other methods. While it might be riskier, it might be more effective.
This was also one of the differences between a Perfect Level CPR expert and a normal doctor who only knew how to read the guidelines.
Normal doctors did not have the right to choose, because apart from the methods provided in the guidelines, normal doctors did not know how to practice CPR at all. Doctors in the ICU and the Emergency Department might know more, but there were only a few who could reach Specialist Level.
And the guidelines provided were always the most basic plans.
In fact, just by looking at the changes in the CPR guidelines over the years, one could feel that they were not perfect, complete, and reliable. For example, the early CPR guidelines required the patient to perform chest compressions at a rate of sixty to eighty times per minute. In 1988, it was changed to eighty to one hundred times per minute. In 2010, it was emphasized that high-quality chest compressions should be performed at a rate of one hundred times per minute.
From a hindsight point of view, if a patient who received CPR before 1988 encountered a doctor who could accurately control the number of chest compressions, he or she might not be able to survive, and there would definitely be more sequelae.
Clinical medicine was always an empirical medicine, and success was the best reason.
Ling Ran chose the chest hammering plan. If he succeeded, it would prove that his experience and viewpoint were correct.
"Too bold." Ruan Gaoge looked at Ling Ran and did not know what to say.
If he failed, then the husband, who had lost his wife and child at the same time, would want to sue the hospital and the doctor out of grief. Chest hammering might become the wrong move that lawyers would say.
Of course, if he succeeded, he would not be blamed.
"Should we perform the surgery now?" The director of the Obstetrics Department looked at the curve of the patient's heartbeat, which had recovered a little. She had already bent her arms and put on latex gloves.
A few chief physicians who were still in a daze by the side also seemed to have been woken up, and they looked at Ling Ran together.
"Wait a little longer, wait a little longer …" Ling Ran did not feel happy like he was "sharing the joy of the people". He still maintained an objective and cautious attitude.
The patient's heartbeat had just recovered, but it did not mean that she could immediately receive an emergency C-section.
Based on the skills of the Obstetrics Department Director of Yun Hua Hospital, she might only need a few dozen seconds or even a dozen seconds to remove the fetus from the mother's belly. However, it would be wishful thinking to say that the mother's body would not be able to react in time due to the speed of the operation.
Immediately performing a C-section was equivalent to putting the mother's life on the gambling table again.
Although he still had to gamble in the end, Ling Ran still hoped that he could have a better hand.
"Ice cap, bring an ice pack over, and lower the temperature of the body surface …" Ling Ran also stared at the curve and numbers on the monitor, and he gave a new order. He then said to the director of the Obstetrics Department in a low voice, "Wait a little longer."
"Okay." The director of the Obstetrics Department wanted to object, but she still swallowed her words. She chose to believe in Ling Ran's judgment.
The many doctors around them did not say anything to object to it either. At this moment, everyone believed in Ling Ran's ability to create miracles.
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