What the f * ck was going on?
The first-aid doctor was stunned.
No one knew the patient's condition better than him. After all, he had watched the patient go from hemorrhagic shock to respiratory and circulatory arrest.
Such a patient could still be resuscitated? Bullsh * t.
Could it be that he had been busy all night and his eyes were blurry?
The first-aid doctor asked the nurse beside him in a low voice, "Do you think the patient is alive?"
The nurse yawned and said, "Sea City General Hospital saved him. What's so strange about that? Hurry up and hand over. There are no more patients on the highway. If we rush back now, we can still sleep for an hour or two. I'm exhausted. However, the doctor who ran with the patient just now was really good-looking. If I were on duty with him, I wouldn't feel tired for a few hours. "
As she spoke, the nurse glanced at the first-aid doctor in disdain.
He was old and ugly. After working all night, his face was pale. It was really unsightly.
F * ck! He was really alive! The first-aid doctor did not notice the young nurse's gaze and was surprised.
"You guys are here to hand over the patient, right?" Zheng Ren stood at the door of the emergency resuscitation room and waved his hand. "This way, we'll handle the procedures here."
"Brother Yuan, please hand over to them."
The first-aid doctor walked over in a daze. He saw that Zheng Ren was very young, but his eyes were full of spirit. Even his hair, which was flattened by the sterile cap, seemed to have a different kind of spirit.
If it was in a TV series, he would be the kind of person who would know at a glance that he would win the game.
"Did you save him?" the first-aid doctor asked carefully.
"Yes." Zheng Ren nodded and called Yuan Li to handle the handover procedures with him.
Zheng Ren did not want to interfere in such trivial matters.
Yuan Li had been tossing and turning all night. His beard had grown very long, and he looked exceptionally dispirited.
"May I know your surname?" the first-aid doctor asked.
"My surname is Zheng. I'm the chief resident of the emergency department," Zheng Ren said.
"Chief Zheng, how did you manage to resuscitate him?"
The first-aid doctor was particularly curious. He knew the patient's condition very well. Moreover, he had done more than four minutes of CPR and several defibrillations in the ambulance.
Besides, the CPR he performed was extremely standard. No one would dare to enter the first-aid ambulance without practicing CPR.
A few years ago, he had even won first place in the hospital's emergency rescue competition.
His operation was completely textbook. He could guarantee this.
However, the fact was that the patient whom he had failed to save and thought to be dead had come back to life in less than a minute after arriving at Sea City General Hospital.
It would be nonsense to say that the patient was alive and kicking, but the patient had just opened his eyes and was still talking … This was something that he had seen with his own eyes.
Therefore, he was very curious and asked.
"If the heart stops for more than three minutes, there's no need to control the strength of the cardiac compressions. Of course, that was my understanding. That was not what was written in the book. He's a surgeon after all, so it's simpler and more straightforward. " Zheng Ren knew what he was asking about. Since he was not busy now, he explained to him, "If you press down, the ribs will break. Then, the heart will receive more force, and the possibility of saving him will be much higher."
"…" The first-aid doctor was stunned. This was not the standard procedure. If that was the case …
"Chief Zheng, what about the side injuries?"
"He's already dead and there are still side injuries?" Zheng Ren was also very curious about this question.
Secondary injuries referred to living people, alright? How could a dead man suffer any side injuries?
The first-aid doctor was speechless once again.
Chief Zheng's words seemed to make sense, but there seemed to be something wrong.
"Besides, the side injuries are only the heart muscle that might be pierced by the broken ribs. Isn't there a cardiothoracic department in the hospital? As long as the person can be saved, a stitch in the chest will be done. It's very simple, "Zheng Ren said.
The first-aid doctor was completely speechless and tears streamed down his face.
Look at him. He had a heart injury and yet he was so confident that he could be done with a stitch … Really … Really!
Imagine that kind of rough and wild rescue. Both palms pressed on the patient … That was not right. The standard procedure was to press on the lower half of the sternum.
"Chief Zheng, CPR is not to press the sternum …"
"Non-cardiogenic cardiac arrest. Press the sternum. I feel that my strength is limited to a certain extent." Zheng Ren saw that Yuan Li was filling in the form and had nothing to do, so he explained it to him. "The elasticity of the sternum is relatively poor. Most of the strength is dispersed by the sternum.
Press the left side of the sternum and break the rib cartilage. This way, a large part of the force can be transmitted to the heart. "
Unconventional operation? The first-aid doctor was a little confused.
"Cardiogenic needs to be defibrillated, but this kind of non-cardiogenic can be done as long as the strength is enough." A smile appeared at the corner of Zheng Ren's mouth. "Have you ever done a chest open and performed direct cardiac compression?"
"No …"
"Oh, that's a pity," Zheng Ren said. "For cardiac arrest caused by ischemia, most of the time, as long as a sufficient starting force is given, the heart will temporarily restore the bioelectric current supply and then give it time to rescue."
Seeing that the first-aid doctor still had a look of disbelief on his face, Zheng Ren knew that it was useless no matter how much he explained.
He smiled and said, "Your efforts in the first-aid ambulance were still effective. Otherwise, the patient would not have been able to open his eyes after his heartbeat recovered. If this patient's emergency treatment is successful, the effect will be very good. Thank you for your hard work. "
"No … It's not hard at all," the first-aid doctor said in a daze.
At this time, Yuan Li had already filled in the form and handed it to the nurse.
The nurse pulled the first-aid doctor back.
Along the way, he was still mumbling something. His expression was absent-minded, as if he had lost his soul.
Zheng Ren looked around. The emergency department's corridor was in a mess.
They had been resuscitating and triage. The nurse was so busy that she had been jogging for a few hours. How could she have had time to clean up?
"Chief Pan, it should be fine. I'll go to the ICU to take a look. You can go home first, "Zheng Ren said.
"It's already past three o 'clock. I'm not going back." Old Chief Pan looked at the time and said, "I'll sleep in the office for a while. If there's anything on your side, just call me."
"Okay," Zheng Ren answered crisply and hurried to the inpatient department.
The emergency department was cold and gloomy. He was wearing an isolation suit and only a white coat. He really could not stand it.
When he was busy, he could not feel it. When he was idle, he immediately felt his entire body trembling.
Zheng Ren quickly walked all the way to the ICU and took a look at the patient who had just undergone surgery. The drainage strip at the liver and kidney crypts was smooth, and about 10ml of blood was drained out.
This was all expected. Zheng Ren glanced at the patient's medical advice again. Three groups of hemostatic drugs were used at the same time.
That was about it. If Zheng Ren really wanted to say something about special treatment, he would not be able to say it.
However, without Su Yun sitting next to the patient's bed with an A4 paper and pen in his hand and a fluid cart beside him, Zheng Ren felt that something was wrong and could not be at ease.
…
…
This resuscitation happened in 2008 when I was in the emergency department. A 42-year-old male patient was angry with his wife. He punched the television screen and scratched his left radial artery.
Because he was angry, he wrapped his wrist with a towel at home and asked his family to send him to the hospital no matter what. Later, he fainted and his family called 120.
Our hospital's ambulance rushed over, but the patient's heart stopped on the way. All the way, the electric defibrillation, but it did not come back.
At that time, I was in the clinic, thinking that I should give it a try. No matter what, I had to comfort the family. I habitually used unconventional operations. I could not hear the sound of ribs breaking, but I always felt that the cardiac compression was not in place …
In fact, after the experience of opening up the chest and pressing under direct vision, rib fractures and the like were not so important anymore.
In any case, it was just a press, rib fractures, and the patient woke up. I told the nurse that he was sent to the hand surgery department and then walked away.
It was said that … the back view was very handsome. I did not experience it. It was just CPR. The first-aid doctor at that time was now retired. Every time I met Old Brother Li, he was very warm to me.
。 m.
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