Today, we will do an emergency live broadcast. The patient was a doctor who had a heart attack. At the strong request of the patient, we decided to conduct a live broadcast of emergency treatment for myocardial infarction. "Zheng Ren put on a pair of livestream glasses and sat calmly at the table in the study.
Because it was an emergency, Xinglin Garden did not advertise or promote it. There were only a few people who happened to be in the live broadcast room.
Zheng Ren was not interested in reading the bullet screen.
In the image, Liu Xuzhi had already walked into the interventional surgery room with the help of a nurse.
"Old Liu, do an electrocardiogram first," Zheng Ren said.
Liu Xuzhi lay on the operating table and felt a little strange.
The nurse was hurriedly preparing things. He held his phone in one hand and unbuttoned his coat with the other.
"Find a phone holder and ask the nurse for it," Su Yun said.
"Pull the electrocardiogram first."
"Holding the phone will increase the burden on your heart."
"Emergency thrombolysis!"
Before they could even start, they were already quarreling.
The live broadcast room of the surgery instantly boiled over.
Was this a god-like surgeon starting to argue with his flawless assistant? Was this premeditated, or was it an accident?
The bullet screen started to increase.
After hearing the news, Xinglin Garden only hesitated for less than a minute before agreeing to the livestream request.
Now, Peng Jia only had the right to execute because he was no longer a major shareholder of Xinglin Garden.
Offend the boss behind the scenes? Peng Jia was not that stupid.
Moreover, the live broadcast of the diagnosis and treatment of chest pain patients belonged to the scope of emergency treatment. Usually, there was no chance for a live broadcast.
Boss Zheng was really a genius. Peng Jia thought so.
When the live broadcast of TIPS surgery, Gaucher disease surgery, and liver cancer surgery had reached its peak and was slowly declining, he actually came up with such a genius idea!
Boss Zheng was awesome!
All hail Boss Zheng!
Boss Zheng was domineering!
Peng Jia was in his office. As he watched the live broadcast, he applauded Boss Zheng's genius marketing idea.
But was it really okay to broadcast emergency treatment live? What if the patient died?
This thought flashed through Peng Jia's mind.
Who cares!
Traffic was the most important thing.
…
Liu Xuzhi raised his phone. He worked very hard.
Actually, it was just a small matter for the patient with chest pain. The belief that supported him the most was that even if he died, he would leave some money for his wife and children.
Moreover, he had used his life to add firewood to Boss Zheng's career. Should this be considered friendship? His son might have some security in the future.
The middle-aged man's thoughts were very simple.
Even if he drooled at the sight of girls in tight miniskirts, he would only think of his wife and children when he was in a life and death situation.
The ECG lead was turned on. Taking advantage of this time, the nurse took off the phone holder and fixed Liu Xuzhi's phone on the operating table.
An electrocardiogram appeared in his vision.
Complete right bundle branch conduction block, third-degree atrioventricular conduction block, high-sharp T wave in the inferior lead, and ST-segment depression in the lateral lead.
"According to the new diagnostic criteria for myocardial infarction, the" 1 + 1 "principle is adopted. Positive myocardial injury markers are accompanied by typical ischemic chest pain or electrocardiogram changes. Although the electrocardiogram has changed, we still can't determine that it's an acute myocardial infarction, "Zheng Ren said in the video.
"…" Liu Xuzhi was stunned.
"However, the patient's location is extremely remote. If we collect creatine kinase isozymes and troponin and wait for the test results, the myocardial infarction may be irreversible," Zheng Ren explained.
"Therefore, at this time, to ask for the patient's opinion, we can use a more radical method — such as imaging diagnosis," Zheng Ren said. "Old Liu, do you agree?"
"I agree," Liu Xuzhi said.
"You can definitely do the radial artery cannulation, but you have to stabilize your emotions because every time you move your body, you will feel like you are on the verge of death," Zheng Ren said in a deep voice.
Liu Xuzhi lay on the operating table and nodded.
The nurse felt that it was very strange, but the electrocardiogram was there. Other than Liu Xuzhi, no one in Xilin Town People's Hospital could perform interventional surgery. This was also a fact.
Was he sure that he was not messing around? The nurse was also a little suspicious.
"Now, do the preoperative preparations. Take off your clothes first, and then let the paramedics prepare the medicine.
"Prepare first. Take off your shirt and connect it to the ECG monitor.
"Okay, that's it. Electrocardiogram … The field of view of the phone is biased to the side of the ECG monitor. Why don't you go a little further? I want to see the ECG monitor." Zheng Ren's voice became more and more certain and unquestionable.
He began the surgery. Even though he was thousands of miles away, he was still the king, ruling over all the operating theaters.
"Okay! Now, prepare the medicine. Take an oral load dose of aspirin and clopidogrel as preoperative preparation.
"Take nitroglycerin under the tongue to relieve the symptoms of chest pain. If necessary, use opioid analgesics.
"Prepare the emergency medicine! Epinephrine, atropine, analgesics, defibrillator.
"Okay, that's it. Perfect.
"Old Liu, do you feel better now?"
"Let the paramedics inject 5 mg of morphine into the vein," Zheng Ren said. "Old Liu, after the morphine is injected, you have to be careful not to fall asleep. You are now the patient and also the surgeon. Your identity is more special. "
"What thrombolytic drugs do your hospital have? Urokinase or streptokinase? Or is it a second-generation tissue-type plasminogen activator? It would be even better if there was a third-generation thrombolytic drug that included a mutated tissue-type plasminogen activator, Reteplase. "
"Oh, there's only urokinase. That's fine too. The advantage of the first generation of urokinase is that it's very difficult to lose effectiveness. That's the only way, "Zheng Ren kept saying. He tried to comfort Liu Xuzhi with his own words.
"Micropump, get ready. First, 60,000 U of urokinase is injected intravenously, then 50ml of saline + 60,000 U of urokinase is pumped in with a micropump. This dosage is a little large, and it may cause complications such as cerebral hemorrhage. But during emergency treatment, we can't be completely safe, "Zheng Ren continued.
Urokinase was injected, and the micropump continued to pump in. Liu Xuzhi felt a little better.
Perhaps it was because of the medicine, or perhaps it was because Zheng Ren was unhurriedly instructing the action and explaining it.
In the end, Liu Xuzhi felt that as long as Boss Zheng was around, he would not die.
The doctors watching the live broadcast, including Peng Jia and the other staff of Xinglin Garden, were dumbfounded.
The electrocardiogram was then sent backstage by Hu Yanhui so that it could be browsed at any time.
What a myocardial infarction! Although the electrocardiogram was a little messy and could not be 100% sure that it was a myocardial infarction, and there was no D2 and other tests to support it, the probability of a myocardial infarction was very high.
Was there really someone who dared to broadcast this live?
They even wanted the patient to rush to the surgeon and perform thrombolytic therapy on himself.
Boss Zheng was playing with fire!
As time passed, there were more and more bullet screen comments. Zheng Ren had no choice but to turn them off.
"Has Little Feng booked a plane ticket?" Zheng Ren asked.
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