[Mission: Save the Wounded and Dying]
[Mission Details: Resuscitate 10 patients in the ICU (1/10)]
[Reward: Cardiac Trauma Repair (Master Level)]
Ling Ran looked at the notification on the system panel and nodded slightly.
Regardless of whether it was emergency treatment or resuscitation in the ICU, they were all teamwork. Being an assistant could also push the progress of the mission, which was the only reasonable system.
'Put it away,' Ling Ran said in his mind, and the system panel flashed twice before disappearing.
Ling Ran turned around and was about to continue his ward round when the alarm from the monitor beeped again …
Once the monitor beeped, it would beep again and again. In the ICU, this was like some kind of metaphysical formula. It always happened again and again, and it made people study it with interest until they became numb.
Ling Ran was still the first to arrive at the resuscitation position.
Behind him, the doctors in the ICU also walked faster because of the beep, but they were obviously not as sensitive as Ling Ran. When the alarm from the monitor appeared in the emergency room, it was like a charge horn being blown, but in the ICU, it was at most like a phone ringing.
"Defibrillation." Ling Ran had already completed the examination, and he made the decision faster than the doctors in the ICU.
The nurse beside him also responded immediately, and she moved her hands away from the patient.
"Chest compressions," Ling Ran said, and he had already started performing CPR on the patient, who was lying flat on the ground.
The success rate of in-hospital resuscitation was much higher than out-of-hospital resuscitation because of the prompt judgment and rapid, high-quality resuscitation measures. For example, the average success rate of in-hospital resuscitation was definitely much higher.
Meanwhile, in the ICU, CPR was performed every day, and it was always done during the prime time. Patients in the ICU were able to live longer because of this.
However, CPR had always been tiring. At this time, since Ling Ran was willing to do it, the doctors who came later would not compete with him. They looked at Ling Ran's rise and fall, and they only felt that it was very rhythmic, but they did not know anything about it.
Even if it was Perfect Level CPR, the movement of chest compressions was still mechanical. It was just that the position was more accurate, the frequency was more stable, and the rhythm was better.
"Epinephrine," Ling Ran whispered.
A few seconds later, epinephrine entered the patient's body.
"Defibrillation." Ling Ran then let go, and a soundless tremor immediately came.
"My heart rhythm is back to normal." The ICU doctor who was watching from the back smiled and complimented Ling Ran like it was free of charge. He said, "Doctor Ling, you have a good grasp of the timing."
Ling Ran gave her a smile that she had been looking forward to seeing for a long time. Before he could say anything, the alarm beeped again.
"Come here." Ling Ran, who had just performed CPR, did not rush to perform it. Instead, he modestly let the attending physician in the ICU do it.
The attending physician, who was in his thirties, felt inexplicably happy. He walked briskly to his position and immediately began the familiar resuscitation process. However, it was different from before. Today, the attending physician was suddenly filled with a sense of urgency. It was a kind of …
The urge to show off.
Yes, he did what Ling Ran could not do in his area of expertise … At least, he did it better than Doctor Ling Ran …
The attending physician looked at the old and fierce nurses on both sides. Although he did not have any other thoughts, he could no longer suppress the urge to show off, show off, and fight!
After a brief examination, the attending doctor gave a medical advice, "Mannitol. Intubate. "
The nurses did as they were told and made preparations.
Another senior nurse walked over and whispered into Ling Ran's ear, "The patient has brain metastasis from nasal cancer. Previously, his head was swollen, and he was often unconscious, but he can breathe on his own …"
Ling Ran nodded slightly. Being able to breathe on his own was considered a good condition in the ICU. However, there was almost no chance of saving a patient with brain metastasis. Whether the patient would continue to stay in the ICU would depend on the outlook of the patient and his family, as well as the emergency situation.
Ling Ran stood in front of the hospital bed and watched as the attending physician unfolded the tracheal intubation kit, put on gloves, took out an adult laryngoscope, and began intubation.
The attending physician's expression was slightly excited.
"He has a slight laryngeal obstruction," the attending physician said, but he did not stop. It was obvious that he was ready to challenge Ling Ran.
Ling Ran frowned slightly, but he did not say anything to stop him.
Tracheal intubation was equivalent to making pasta in the world of gourmet food. There were many kinds of them, and they varied in difficulty.
According to the Mallampati score, a Grade I airway patient could see the soft palate, larynx, uvula, and anterior and posterior pharyngeal arches. It was as easy as cooking instant noodles!
However, a Grade II airway patient could not see the anterior and posterior pharyngeal arches. Only the soft palate, larynx, and uvula could be seen. The difficulty instantly increased to cooking … spaghetti …
When only the soft palate and the base of the uvula could be seen, the Mallampati score of Grade III meant that it was really difficult.
Usually, giving a Grade III airway intubation was equivalent to making knife-shaved noodles at home. Normal people would not make knife-shaved noodles at home. Therefore, Grade III airway intubation was only used under special circumstances. For example, the patient's head was obviously swollen, and he had already developed laryngeal obstruction. That was the starting grade for a Grade III airway intubation.
A Grade III airway intubation was actually not as good as a tracheotomy, but it also depended on the doctor's decision on the spot.
The attending physician in the ICU was obviously very confident in tracheal intubation, so Ling Ran did not need to stop him.
It was just like when he performed surgery, some of his maneuvers were also unconventional. An excellent chief surgeon would always perform some extraordinary maneuvers.
Ling Ran could understand this quite well.
Of course, if Ling Ran had to choose, he would still choose tracheotomy instead of tracheal intubation. The reason was very simple. His tracheotomy was at Perfect Level. Tracheal intubation was at most at Senior Novice Level, and it was not at Specialist Level.
Therefore, forget about the possibility of a Grade IV airway, even if he encountered a Grade III airway, Ling Ran would still perform tracheotomy without hesitation …
After all, if he did not perform tracheal intubation well, he could die.
When he thought of this, Ling Ran looked at the patient more seriously.
Clinical medicine was such a huge system that doctors in the system needed to spend many years to learn the basic maneuvers.
Even Ling Ran needed to make full use of his time.
"What the f * ck, he inserted the esophagus!" the attending physician who was full of confidence cursed, and the atmosphere around the hospital bed instantly sank to the bottom.
"Tracheotomy pack." Ling Ran was ready to take over immediately.
For him, this was also a very familiar scene. Attending physicians who failed in their maneuvers, guitarists who failed in their performances, and athletes who failed in their dunks would inevitably appear in his life. It was not strange at all.
The attending physician in the ICU was a little stunned.
He was truly a professional when it came to performing tracheal intubation. Of course, there was always a possibility of failure in this kind of work, especially when it came to Grade III airways. It was not easy for anyone to perform tracheal intubation, but it was still relatively rare to perform tracheal intubation in the esophagus.
The attending physician could not help but sigh secretly. He glanced at Ling Ran from the corner of his eyes and thought, 'I didn't manage to show off this time.'
The thoughts that came to him only lasted for a moment.
However, before the attending physician could sort out his emotions, Ling Ran's voice traveled into his ears. "Tracheotomy pack."
The attending physician raised his head in shock and saw that the nurse had already passed the tracheotomy pack to Ling Ran like a traitorous lioness.
Ling Ran had long since put on gloves. He opened the bag without saying a word and glanced at the unconscious patient. Without anesthesia, he picked up the scalpel and made a longitudinal incision on the patient's neck.
"So fast!"
"So cool!"
"It's all up to Doctor Ling."
The scene of the nurses clapping and dancing was exactly what the attending physician was looking forward to.
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