For the Emergency Department, myocardial infarction and cerebral infarction were major events. If you had been to the hospital's emergency room, you would often see words like "Chest Pain Seeking Medical Treatment" or "Chest Pain Center" stuck in a conspicuous position.
Of course, not all chest pain was myocardial infarction, but from the perspective of the Emergency Department, any patient with chest pain was a high-risk patient, and they should not be missed.
If they were missed and pointed out by a doctor from another hospital, it would be even worse.
The doctor who was consulting other patients turned around and glanced at the patient in the prime of his life. He walked over. Whether it was a heart attack or not, he would ask first.
The nurse beside him was young, and she was a little immature. She explained first, "He injured his hand. He had it bandaged in our hospital, and he came to change the dressing today. Since there were more people, I asked him to wait first. "
The few doctors, including the senior nurse present, did not say anything. The patient's illness was a reality, and it was not something that could be explained away. Now that he was in the hospital, it would naturally be the best if he did not have a heart attack. He should scold this overly handsome doctor from another hospital for being a busybody. But if it was a heart attack, he would be asking for a scolding if he spoke hurriedly now.
The few doctors in the emergency room approached together, and naturally, it made the patient sitting on the bench feel strange. He held the armrest and wanted to stand up …
"Just sit down." Donghuang Regional Hospital's attending physician from the Emergency Department, Jin Xiongteng, quickly stepped forward and stopped the patient.
When he got closer, he also saw the problem. The patient's forehead was covered in fine sweat. It was not reasonable to say that his hand hurt.
"Where does it hurt?" Jin Xiongteng asked directly.
"There's something wrong here." The patient pointed between his chest.
This was basically a diagnosis. Jin Xiongteng reached out to touch the patient's clothes and found that he was already sweating.
"Get nitroglycerin, push the trolley over, and pull out the ECG. Be quick. Young Liu, make a phone call and inform the Department of Interventional Medicine. " Jin Xiongteng's forehead was also sweating. He ordered in a low voice and immediately turned to ask the patient, "Have you had any surgery recently?"
The patient pointed at his own hand. He spoke slowly and with some difficulty, "I just hurt my hand …"
"And?" Jin Xiongteng quickly asked.
The sweating patient in the prime of his life shook his head slightly. "No."
"Do you have high blood pressure?"
"No."
"Have you been bedridden for a long time recently? Do you have a cold or fever? "As Jin Xiongteng spoke, he asked the nurse to measure the blood pressure on both sides. The entire process was tense and … chaotic.
To Ling Ran, who was familiar with Yun Hua Emergency Medical Center, the standard of the Emergency Department of Donghuang Regional Hospital was indeed average. The experience of the doctors and nurses was obviously not as good as that of Yun Hua Hospital.
The biggest difference was that most of the staff in the emergency room had been mobilized for just one patient with chest pain. At a glance, there were at least three nurses running around the room to take things and push the trolley. Two nurses were by the side helping to take the patient's blood pressure. There was also one nurse who wanted to help but could not. Only two doctors came because there were only three doctors on duty in the emergency room.
At this moment, if another patient with chest pain came, he might be ignored again. They were not necessarily ignored, but the busy medical staff clearly lacked the energy and attention to deal with it.
However, Jin Xiongteng and the others had no problem dealing with this patient with chest pain. It was just a waste of manpower.
However, dealing with it step by step did not mean that the patient's condition would develop step by step.
Ling Ran watched for a while, and when he saw that Jin Xiongteng had confirmed that it was not an aortic rupture, he turned around and said to the young doctor who was smiling like a Pekingese, "Get me a large white coat."
The young doctor hesitated for a moment and said, "Isn't Doctor Jin taking over this?"
"Get one first." Ling Ran did not say much. He had been in the emergency room for a long time, and he knew the importance of equipment. A doctor in a large white coat would usually do things more smoothly, and he would not be questioned repeatedly.
The young doctor took his time to find a large white coat and handed it to Ling Ran. "I don't know if it fits."
"Okay. Thank you. "Ling Ran took it and put it on.
The large white coat did not fit him very well, but after he put it on, he still looked dazzlingly handsome.
The patient's family members and young nurses who had been staring at Ling Ran looked as if they were watching a fashion show. They stared at Ling Ran without blinking.
Ling Ran stared at the patient without blinking.
The patient was drenched in sweat, and he forced himself to speak, "Should I call my family?"
"Let the nurse help you," Jin Xiongteng answered.
The patient wanted to take his phone, but his arm moved a little before it fell down abruptly.
Jin Xiongteng's heart skipped a beat. 'Did he stop?'
"Pull the gurney over. Lift the patient up, take off his clothes, and prepare for cardiac pacing. Do it quickly." Jin Xiongbo's voice was still stable, and he did not shout like he did on television.
In fact, doctors from the Emergency Department would only use their throats in emergencies. Otherwise, they would save critically ill patients every day. Even if they could shout for one or two days, it would be impossible for them to shout for three to five years.
Jin Xiongteng, who predicted that the patient was going to have a myocardial infarction, did not even need to shout. He just needed to follow the operating guidelines for myocardial infarction and carry out the procedure step by step.
The gurney that was about to be pulled over by the side was stopped. The patient was lifted up, and his chest was exposed. Then, Jin Xiongteng was seen picking up the electrode plate …
After two consecutive defibrillations, Jin Xiongteng climbed onto the gurney and started to perform CPR.
The other two doctors in the emergency room also came over, but they did not know what to do at that moment.
With just one glance, Ling Ran knew that aside from Jin Xiongteng, the other two young doctors probably did not have any relevant experience. Even Jin Xiongteng might have a certain level of experience and skills, but it had probably been some time since he performed CPR.
Beijing was a big place, and patients with myocardial infarction were not sent to the district hospital every month.
Ling Ran looked at Jin Xiongteng with pity. He then walked forward and said, "Open the airway, inject epinephrine, and open the second venous channel."
The young doctors at the side looked at Ling Ran in a daze, then looked at Jin Xiongteng.
Ling Ran did not wait for them to speak and said, "I have experience in performing prolonged CPR many times, and the longest I have is more than two hours."
In short, prolonged CPR was the king of CPR. If one succeeded, they could boast about it for a long time. If there were multiple successful cases, it at least meant one thing … the person really knew how to perform CPR.
"Inject epinephrine, open the second venous channel." Jin Xiongteng repeated the order, but he did not agree to open the airway.
Ling Ran then said, "Open the airway as soon as possible. It will be beneficial for the next operation. Advanced tracheal management is beneficial for all patients who need CPR. "
Jin Xiongteng performed CPR while he said, "This is in-hospital CPR. There is no need to cut the trachea immediately."
The success rate of CPR in the hospital was generally much higher than that of CPR outside the hospital. It was normal for Jin Xiongteng not to want to perform any injurious operations immediately.
After all, many in-hospital CPR took effect within a few minutes.
Ling Ran shook his head slightly, but he did not argue. He could not be sure that this patient could not recover his heart rhythm within a few minutes. However, based on Ling Ran's experience, when a man in his prime suddenly suffered a myocardial infarction, the problem was usually more serious.
The success rate of in-hospital CPR was high, mainly because the patient was quickly treated after cardiac arrest. It did not mean that the patient was special.
Many patients suffered from heart attacks outside the hospital, and some of them could also receive sufficient treatment from pre-hospital emergency treatment. Ling Ran had seen many cases of CPR all the way to the hospital, and most of them received good treatment.
However, from Ling Ran's perspective, the prerequisite for all good treatment was to face the terrible situation.
The patient might wake up within a few minutes, but Ling Ran did not agree with Jin Xiongteng putting his hope on this. If they did not open the airway now, what should they do if the patient did not wake up within a few minutes?
Time ticked by.
"Three minutes." A nurse counted the time by the side.
"Change the doctor." Jin Xiongteng called another doctor over. His face was covered in sweat, and he frowned with a very unpleasant expression. He said to the nurse, "Get a tracheotomy kit."
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