"Doctor! Doctor! "the man who was lying on the gurney shouted loudly.
His shoulder was bandaged, and it was bleeding slightly. There were two bottles of fluids on the infusion rack beside him. His upper body was covered in dirt, and his hands and face were abrasions. He looked miserable.
However, none of the doctors and nurses who passed by responded to his call.
At this moment, the Emergency Medical Center was extremely busy.
There were already many doctors and nurses who rushed over after receiving the news, but there were even more patients. The best Emergency Department in Yun Hua was in Yun Hua Hospital. The newly upgraded Emergency Medical Center had more than half of the patients who were seriously injured, and a large number of patients who were lightly injured.
At this time, even one seriously injured patient had to consume a lot of resources.
As for the patients who were lightly injured, naturally, no one cared about them.
The man whose shoulder was bandaged frowned. He took out his phone and secretly checked. He then put down his phone, raised his voice, and shouted, "Ah … I can't take it anymore. I'm going to die. Ah, I'm so uncomfortable. My chest is so stuffy. My chest hurts …"
"I'll go," Lu Wenbin, who was fixing a patient with a fracture, said to the attending physician in front of him.
The attending physician nodded slightly.
Chest tightness was a sign of a critical situation. In the emergency room, it required immediate response.
Some patients complained of chest tightness and pain, but after a grunt, it was gone in the blink of an eye.
Therefore, even if the attending physician did not believe him, he had to send someone to take a look.
Lu Wenbin took off his gloves, shook his clothes, and took out a bottle of alcohol-based hand sanitizer to apply on his hands. Then, he went to the corner of the treatment room.
The man whose shoulder was bandaged had a buzz cut, wide eyes, a wide nose, thick lips, chubby cheeks, and a round face. When he saw Lu Wenbin, who was wearing a white coat, he immediately moaned, "Doctor, quick, look at me …"
"Your moans were quite loud just now." Lu Wenbin looked at the man's appearance and already had an idea.
When doctors looked at a patient, they could not simply use a glance as a unit of measurement.
When doctors looked at a patient, they basically used visual diagnosis, which was also known as "look, listen, question, and feel the pulse" in ancient China.
Experienced doctors could determine a lot of information just by looking at the patient's breathing rate, fingernails, lips, and other things.
The man whose shoulder was bandaged chuckled and said nonchalantly, "I have to shout so that you can hear me. Right? It's quite tiring to shout. "
Lu Wenbin sighed helplessly. "How does your chest feel now?"
The man rolled his eyes and said, "It's still a little stuffy, and it hurts a little."
"Let me take a look." Lu Wenbin took out his stethoscope.
"This is useless." The patient lying on the hospital bed turned around nimbly. He was not willing to let Lu Wenbin listen to him.
"Hmm … then what's useful?" Lu Wenbin was no longer a newbie, so he asked softly.
The man with the bandaged shoulder looked around and said softly, "Let me tell you something first. The government is paying for our medical fees this time, right?"
"Maybe it's insurance, or maybe it's the construction company you're working for. I'm not sure about the details …"
"Anyway, someone will reimburse you, right?"
Lu Wenbin hesitated for two seconds before nodding. "Normally, yes."
"Then give me a full check-up."
"Hmm?"
"Chest X-ray, CT scan, electrocardiogram, and blood draw. Take a look at all of them." The patient chuckled. "You're making money, and I'm doing a check-up. Is that okay?"
Lu Wenbin felt a little relaxed after he made his guesses.
"Let me listen to your heart first." Lu Wenbin was still a little worried. Even though the patient seemed to be lying, he did not tell any other lies, but he lied about chest tightness and pain. Lu Wenbin had no choice but to take him seriously.
The patient did not insist. He opened his arms and let Lu Wenbin touch him. He said, "If you can't do what you promised me, don't blame me for making a scene."
"Got it." Lu Wenbin's expression did not change. Chest X-ray and other examinations were not worth much money. Moreover, with the patient's current situation, he had no choice but to go for a check-up even if he did not want to.
At the very least, he had to take an electrocardiogram, and he also had to do a blood draw and CT scan.
Of course, Lu Wenbin would not say these words now, lest the patient felt that he had not taken enough advantage of him.
"There's no problem with your heart sound." Lu Wenbin put down his stethoscope.
"Hey, doctor!" The patient who was lying on the hospital bed suddenly raised his voice.
Lu Wenbin nodded. "There's definitely no problem with your lungs."
"We agreed …"
Lu Wenbin shook his head. He was too lazy to argue with him. He said, "I'll do a check-up for you. But you have to do it later. We're too busy now. "
"No, what if I have a myocardial infarction?" the patient shouted. He was also worried that a long delay would mean trouble.
At this moment, Ling Ran just finished the surgery and came over. When he heard the word "myocardial infarction", he immediately walked over.
Lu Wenbin was very familiar with Ling Ran. He could guess what the patient was thinking just by looking at his movements. He quickly said, "There's no myocardial infarction."
"I have a myocardial infarction," the patient shouted.
"You don't," Lu Wenbin comforted him softly.
"I got it when I kept shouting!"
"You …" Lu Wenbin suddenly felt guilty. If the patient really shouted until he had a myocardial infarction …
Lu Wenbin turned his gaze to Ling Ran.
At this moment, Ling Ran's attention was already on the stretcher trolley that was just pushed in. A paramedic was kneeling on it. He was pressing on the patient's chest while he counted. The paramedic who pushed the stretcher shouted in a hurry, "Cardiac arrest for five minutes, cyanosis all over the body, dilated pupils on both sides, absence of aortic pulsation, no spontaneous breathing …"
The resuscitation room suddenly fell silent.
Cardiac arrest meant that the heart went on strike. Five minutes could be said to be a very long time. Cyanosis all over the body meant that the patient's blood was lacking oxygen. If the patient's pupils were dilated, there should be a sign that the patient's reflex to light had disappeared. This was one of the signs of brain death.
It could be said that such a patient was in the most critical state. Or perhaps, he had already passed the most critical state.
The doctors in the room all had work to do, so they could not help but think for two more seconds.
Ling Ran ran over without even thinking about it.
"Defibrillator!" Ling Ran's voice was so loud that everyone could hear him.
The paramedic saw Ling Ran's large white coat. After he finished the last set of chest compressions, he immediately gave up his position.
Two nurses quickly put a patch on the patient's chest and charged the defibrillator.
"One hundred and fifty joules. Move! "Ling Ran shouted and pressed the button with his thumb.
There was no response.
Ling Ran did not even look at the patient. He directly knelt on the stretcher trolley and pressed on the patient's chest while he ordered, "Inject one milligram of epinephrine."
The defibrillator was not a universal instrument.
It was common for defibrillators to fail. At this time, the only thing doctors could do was to perform CPR.
Ling Ran straightened his posture and judged the patient's physical condition. He tried his best to provide the quality of CPR.
According to the medical world, if the heart stopped beating for one minute, the patient's chances of survival would be reduced by ten percent, unless high-quality CPR was performed.
High-quality CPR was the key factor in bringing the dying back to life in modern medicine.
Therefore, even if there were paramedics around him who were trained in CPR, Ling Ran was not willing to let them do it. He only gave orders.
"One milligram of atropine, fifty milligrams of lidocaine." Ling Ran then turned his head as he pressed on the patient's chest and said, "Open the airway."
Doctor Zhou ran over and performed a quick tracheotomy on the patient with a scalpel.
Such a tracheotomy would be more difficult to recover during the recuperation period, and the recovery time would be longer. The prerequisite was that the patient could live until that time.
"001,002,003 …" Ling Ran quickly counted with the standard posture.
Every thirty chest compressions, coupled with two mouth-to-mouth resuscitation, was a normal CPR that could not be any more normal. It was repeated, repeated, and repeated …
He could see the patient's face when he lowered his head.
It was a young face that looked a little old.
He should be thirty years old or a little over thirty years old. His skin was rough, as if he was in a semi-wild state. He should have never taken care of his skin.
There were no large wounds on his body, and there were no signs of internal bleeding. There was no way to know the cause of cardiac arrest.
Ling Ran gently adjusted his breathing to ensure that he continued to perform chest compressions.
The standard movements of CPR were simple, long, and seemingly endless.
"001,002,003 …" Ling Ran counted to thirty before he stopped twice, but there was still no change in his movements.
The paramedic who had just performed CPR for five minutes felt very tired. He panted and looked at Ling Ran from under the gurney.
From his perspective, the doctor on the gurney's CPR movements were more standard. The strength of the compressions was more even, and there seemed to be some sort of rhythm.
However, CPR was still just CPR.
Three minutes.
Five minutes.
Ten minutes …
The combination of epinephrine, atropine, and lidocaine had been injected twice, and the defibrillator had been done three times.
However, the patient's condition was only getting worse. His entire body was purple, and he did not look like he could still be saved.
"Old Hu is dead?" Behind Lu Wenbin, the patient whose shoulder was bandaged had already gotten off the bed and ran over to watch.
"Don't talk nonsense." Lu Wenbin turned around and said sternly, "If you don't go back now, don't do the examination."
"I'm afraid of you." As the patient spoke, he still walked back. He climbed onto the bed, pulled up the sheets, placed a pillow, and lay down.
Lu Wenbin turned his head again and heard a voice behind him. "Old Hu's family is here."
"Hmm?" Lu Wenbin looked over and saw a fat woman rushing in from outside.
"Old Hu," the woman shouted.
"Old Hu! That's my Old Hu. Let me go over. "The woman's voice was so loud that her voice became hoarse.
Three security guards blocked her with all their might. A nurse explained by the side, "Don't go over. The doctor is trying to resuscitate him. It'll be bad if you go over."
"Old Hu …" The woman struggled for a while and suddenly stood still. She shouted, "Don't pull the curtain, don't pull the curtain, I won't go over."
The nurse who was pulling the curtain to isolate the patient stopped and instinctively looked at the head nurse.
The head nurse shook her head slightly.
The nurse then lowered her head and left.
The fat woman did as she said. She stood outside the glass door and looked inside. She lowered her voice and said, "Doctor, my son is only nine years old. My son can't be without a father. A child without a father will be bullied by others … "
The security guards at the side could not help but lower their heads. They knew what CPR meant.
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