There were many types of acute myocardial infarction patients, but regardless of the type, modern medicine tended to carry out interventional or interventional surgeries.
In fact, this was the best plan to save the patient's life in a short period of time.
As a type of endoscopy, interventional surgery was often carried out in the Department of Cardiology, and it was also Wei Jiayou's forte.
Wei Jiayou was confident that with the patient's current condition, he had an 80% chance of saving the patient if he was directly pushed into the operating theater.
However, as time passed, the hope of saving the patient became slimmer and slimmer.
Wei Jiayou hid in the shadows and kept thinking of all kinds of plans.
"If you don't sign it, we won't have time for the surgery." The doctor from the Cardiology Department of Yun Hua Hospital also came to the Emergency Department and once again issued a notice of critical condition. His tone was anxious and impatient.
"We can't decide on this matter, and we can't sign it even if you want us to." The middle-aged man who was holding the phone kept shaking his head, and his tone became firmer.
"You still haven't found the patient's son? How long do we have to wait? "The doctor from the Cardiology Department looked at the time, and he did not feel good.
"I don't know." The middle-aged man was equally agitated and said, "His son works overtime all day long, and I've also called the company and rented a house. What can I do?"
The doctor from the Cardiology Department took a deep breath. "We really can't wait any longer. If you don't sign it, the patient will die."
The middle-aged man shook his head and did not even bother to explain.
He did not think that the doctors in the hospital would understand his condition, and he did not expect them to understand.
Wei Jiayou looked at the monitor again, then at Di Maocai. Finally, he stood up and said coldly, "We won't wait any longer. Send the patient to the operating theater first."
Di Maocai only looked at him and did not express any opinion.
The patient's family also breathed a sigh of relief. He quietly looked down as if he did not hear anything, grabbed his phone again, and loudly said, "Hello, hello."
The paramedics around the patient did not have much time to think about the problem. When they heard the chief surgeon's order, they immediately moved. No one wanted to see a person who could be saved lose his life because of a delay in the scene.
The brakes of the gurney were lifted, and a male nurse stood at the back and pushed the gurney evenly.
* Beep, beep, beep … *
Almost as soon as the stretcher trolley started moving, the monitor suddenly beeped.
"Defibrillator!" Wei Jiayou shouted.
The male nurse immediately stopped in his tracks. He first jammed the brakes, then went to charge the defibrillator.
Chi.
Wei Jiayou tore off the patient's clothes and applied the ointment on the wound. As he said, "Get out of the way," the heartbeat on the monitor trembled.
"CPR." He knelt on the gurney, interlaced his hands, and began to perform chest compressions.
"1, 2, 3, 4 …" Wei Jiayou hummed a song through his nose to ensure that his frequency was correct.
The nurses in the Emergency Department did their best to cooperate.
After a while, Yu Yuan also appeared at the scene and said loudly, "I can be a substitute."
"No need." Wei Jiayou did not believe in Yu Yuan's ability. In an unfamiliar hospital, Wei Jiayou did not believe in anyone's ability.
He performed CPR on himself while staring at the monitor, hoping to get the answer he wanted.
Di Maocai did not interfere. He brought Wei Jiayou out. For the local hospitals, it was an armed demonstration, but for Wei Jiayou, it was a test.
Since his age did not allow him to be knowledgeable, he would increase his knowledge by going to different local hospitals.
Some diseases may be rare in some provinces, but they may become very common in other provinces.
At the same time, facing patients from different regions and dealing with different patients could also allow doctors to improve quickly.
Take this trip to Yun Hua for example. Although he did not get the chance to operate on aortic dissection as he had expected, it was still good to practice CPR.
Wei Jiayou huffed and puffed as he performed chest compressions. After that, he defibrillated once before the patient was pulled back.
"Continue, go to the operating theater," Wei Jiayou ordered firmly.
The male nurse pressed the brakes again, and the gurney slowly moved forward. The patient's family members automatically followed. They did not want to sign the consent form to avoid taking responsibility, but they also hoped that the doctor could save the patient.
The gurney was sent to the operating theater at a constant speed. Before it entered the operating theater, the monitor beeped again.
This time, Wei Jiayou was more prepared. He steadily defibrillated and performed chest compressions.
One set.
Two sets.
Three sets …
Wei Jiayou's head was soon drenched in sweat.
"Defibrillation!"
Wei Jiayou shouted. After defibrillation, he continued to perform chest compressions without stopping.
One set …
Two sets …
Three sets …
"Defibrillation!" Wei Jiayou's voice was a little louder, but the effect of defibrillation did not become better.
This time, Wei Jiayou did not even look at the monitor. He prioritized chest compressions.
Each set was thirty times, and he performed one hundred and twenty chest compressions per minute. Wei Jiayou was sweating profusely.
Wei Jiayou was tall and thin. He had long and beautiful fingers, and his arms and legs were obviously longer than those of ordinary people. This made him look a little strange when he leaned over the patient.
He had fewer muscles on his arms. When he performed chest compressions, it was more like a bone stick poking the patient's chest.
For a short period of time, everyone's attention was still on the patient.
However, as time passed, everyone's attention was focused on the disharmonious parts.
Aside from Wei Jiayou's posture and posture, the frequent use of the defibrillator created an indescribable smell, which made everyone want to avoid it.
"Epinephrine," Wei Jiayou shouted again.
The nurse at the side was already prepared. A few commonly used emergency drugs for myocardial infarction were placed beside her. When she heard Wei Jiayou's order, she quickly injected a shot of epinephrine.
Wei Jiayou then asked to open up the advanced airway, which was tracheotomy, and put on a respirator.
Compared to a simple balloon ventilator, research had shown that the opening of a high-grade airway was beneficial for prolonged cardiopulmonary resuscitation.
Now that he asked to open up the advanced airway, it could also indirectly prove Wei Jiayou's judgment. The time needed for CPR would be greatly extended. In other words, CPR now was no longer a blitzkrieg, but a war of attrition.
Five minutes …
Ten minutes …
The time needed for CPR soon exceeded fifteen minutes.
If it were in a hospital in the United States, such a long CPR would basically be the limit. Most doctors would choose to give up chest compressions when they reached this stage.
Even in China, it was a matter of opinion whether doctors were willing to take the risk of a one in two hundred chance of survival.
Some doctors were not confident in their skills and the resuscitation ability of their hospital or department, so they would not perform prolonged CPR.
Some doctors understood the patient's choice, or had poor judgment of the patient's prognosis, but they would not perform CPR.
In fact, after prolonged CPR, the probability of the heart regaining function was 5%, and it was not a small number. The difference between one in two hundred and five percent usually meant that the patient was brain dead.
A few doctors turned to look at Wei Jiayou, as if they were trying to guess his decision.
At this moment, if it were a doctor who was familiar with the hospital, someone would definitely come forward and remind him of the time for CPR.
However, everyone was not familiar with Wei Jiayou, and they did not like him, so no one would take the risk to remind him.
"Someone else." Wei Jiayou finally could not perform chest compressions anymore, but he did not decide to give up. He wanted someone else to do it.
A doctor from the Department of Cardiovascular Surgery hesitated for a moment before he came forward and said, "Doctor Wei, let me help."
Wei Jiayou was a new doctor, but his teacher, Di Maocai, was one of the best doctors in the country. For the doctors in the Department of Cardiology of Yun Hua Hospital, currying favor with Di Maocai and flattering him was considered an investment.
Wei Jiayou persisted for another minute before he jumped down and gave up his position.
The doctor from the Department of Cardiovascular Surgery jumped onto the gurney and began to perform chest compressions while panting.
Panting …
Panting …
Panting …
Wei Jiayou looked at the doctor's movements, calculated the time needed for five waves, and said, "Someone else."
The department director of the Department of Cardiovascular Surgery had already come downstairs. Under his gaze, another attending physician from the Department of Cardiovascular Surgery stood up, followed by another one.
A few young attending physicians from the Department of Cardiovascular Surgery and Wei Jiayou were replaced again and again. Even the medical staff who were watching had changed many times.
Ling Ran followed the crowd and walked in.
He was quite curious about the skills of the armed patrols in the outer hospital.
There were no absolute rules in the life-saving process, from the frequency of changing people to the use of drugs, and the use of defibrillators. Most of the time, it was up to the doctors to make decisions on the spot.
After persisting in performing CPR for forty minutes, Wei Jiayou finally came to the conclusion that there was nothing he could do to save the patient.
"He's done." Wei Jiayou raised his head and looked at the clock on the wall. "Time of death …"
"You can continue to perform CPR. There's still a chance." Ling Ran interrupted Wei Jiayou's declaration of death.
Although forty minutes of CPR was already extraordinary, in Ling Ran's opinion, it was far from enough to declare the patient dead.
This was especially true for the patient's electrocardiogram. Although the baseline was unstable and the waveform was messy, it was caused by a lot of people performing chest compressions.
On the other hand, the patient was only in his fifties. Based on the lifespan and physical condition of modern people, as long as the patient was saved, the prognosis would still be optimistic.
However, Wei Jiayou did not like people interfering with his patient's life. He turned and glanced at Ling Ran. When he saw Ling Ran's face, he was even more displeased. He waved his hand and said, "Your patient is here."
"Alright." Unlike the doctors Wei Jiayou often saw, Ling Ran did not cry and shout to clarify the patient's rights first. With just one sentence, he knelt on the gurney and continued performing CPR.
"001,002,003 …"
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