Chapter 401 Cardiopulmonary resuscitation
Tian Qi looked at a group of medical staff surrounding the old lady, and she felt a little warm and curious.
After all, she had never deliberately visited such a scene before.
However, listening to the sharp sound of sounds and looking at the old lady who was talking with her eyes open, she was shocked almost instantly. Tian Qi felt that her heart seemed to have been caught by someone.
"Verve fibrillation! Doctor Ling?" Nurse Niu's voice increased again and looked at Ling Ran. In the final analysis, she had never seen Ling Ran show corresponding abilities in the emergency area. Therefore, she also wanted to raise her voice at this time to remind other doctors.
Ling Ran ignored Nurse Niu. He first looked at the electrocardiogram and confirmed the electrocardiogram himself. At the same time, he listened to the heart sound before ordering: "Asynchronous, defibrillation. 150 joules."
Nurse Niu breathed a sigh of relief and immediately handed the prepared defibrillator to Ling Ran.
At the same time, two other nurses placed the patient in a resuscitation position and applied conductive paste. Nurse Niu turned around and chose asynchronous electrical resection on the defibrillator.
Everyone did the whole set of actions in an orderly manner.
Tian Qi looked at it and felt that they were not doing it quickly, but they were dazzlingly quick, just like changing tires and refueling in the F1 game.
“Charging is complete.”
“Get out of position.”
Ling Ran held two large electrode plates in his hand and used a little force to ensure good skin contact. At the same time, his thumbs of both hands pressed the discharge button.
The patient trembled silently.
Ling Ran looked back at the electrocardiogram monitor and said, "Heart Press."
At the same time, Ling Ran turned to the patient's head and shouted: "Transectomy pack."
In just a few dozen seconds, Ling Ran completed the tracheal intubation as fast as possible and connected it to a simple artificial respirator. Then, Ling Ran took over the manual pressing work, and counted while pressing at a stable and fast rhythm.
Nurse Niu immediately followed Ling Ran's rhythm and cooperated to provide respiratory support to the patients.
CPR in the emergency room is basically a double-person CPR.
This is not only because doing chest compressions and artificial respiration can improve survival rates, but also because cardiopulmonary resuscitation is extremely physically consuming, and it takes more than 100 times per minute on average to play a good role. Therefore, it is often necessary to rotate between two people.
However, Ling Ran has no intention of rotation for the time being.
In essence, cardiopulmonary resuscitation is a weakened version of the Yeke membrane, that is, artificial extracorporeal circulation. Pressing the chest is to allow the heart to continue pumping blood, and artificial respiration is to allow oxygen to continue to supply. In this way, the process of cardiac arrest, the organs and brain stop working and die is transformed into cardiac arrest, and the organs and brain of the whole body are barely working to see if they can persist until the heart moves.
Blood and oxygen are necessary for the human organs and brain. In theory, cardiopulmonary resuscitation can provide 30% of the normal supply. If cells are described as an army, logistics support will be maintained at 30%. The army may have lost its combat effectiveness, but at least it will not completely collapse.
High-quality CPR is like maintaining a logistics supply in the worst case.
The force, frequency, degree of artificial respiration, etc. of the chest are all played an unusual and critical role at this time.
30% is already an extremely low limit. If it is reduced to 25%, 20% or 15%, it seems that there is not much change, but in fact it may be the last straw that broke the camel's back.
Ling Ran knelt on the hospital bed, just wanting to do the cardiopulmonary resuscitation as high as possible.
Just like Nurse Niu is not familiar with Ling Ran in the emergency room, Ling Ran is not familiar with the nurses and doctors in the emergency room.
Therefore, he would rather have CPR on his own.
How difficult is high-quality CPR? You can get a glimpse of the appreciation of super-long CPR in various journals and international conferences.
Extra-long CPR means a strong team that has performed high-quality CPR for a long time, coupled with excellent luck, can be a successful example.
In the papers that Ling Ran has read, a hospital counted a total of 190 cardiopulmonary resuscitations in one year (the resuscitation time is greater than 30 minutes), and only 17 cases recovered from autonomous circulation; among the 17 cases, only 3 cases were discharged alive; among the 3 cases, 2 cases were vegetative and 1 case recovered.
Even so, the only one successful case still inspires the doctor. After all, this is the person who was pulled back from the Hall of Hell.
“Defibrillation.”
Ling Ran jumped off the hospital bed and picked up the defibrillator again.
After completing the defibrillation step again, Ling Ran continued chest compressions.
Every 30 times, Ling Ran paused and Nurse Niu performed artificial respiration twice with a simple respirator.
The perfect level of cardiopulmonary resuscitation ability can almost guarantee the accuracy of each compression. Despite this, Ling Ran still cannot guarantee that the patient can wake up.
Perfect CPR is not perfect.
Ling Ran could only remain calm, counting while desperately thinking about various solutions and possibilities in his mind.
In the curtain, the only leisurely person is the patient Hotan Qi.
This is the first time Tian Qi has seen such a scene.
She was a little shocked, especially at Ling Ran's concentration, nervousness, calmness and calmness at this moment.
In Tian Qi's impression, a uncle who became famous in the copper futures market also had such concentration, tension, calmness and calmness at the most important moment. His third wife seemed to fall in love with his uncle because of this. Even if his uncle earns more money in the future, he will never leave him.
However, my uncle, who became famous in the futures market, still looked quite sorry for his identity. Even if he had a career, success, dreams and victory bonus, he could only be said to be ordinary.
Ling Ran...
Tian Qi looked at Ling Ran and unconsciously fell into intoxication.
“The heart rhythm has recovered.”
At some point, Nurse Niu's loud voice pulled Tian Qi back from his reverie.
More people were surrounded by the bedside, and cardiology doctors also joined in and began to consider transferring the patient for intervention.
The old lady's son and daughter were also called over and were talked to by the doctor not far from the curtain.
Tian Qi heard "acute myocardial infarction" and heard professional words such as "acute inferior myocardial infarction". At the same time, she could also hear the exclaims of the old lady's children.
Fortunately, the exclamation quickly turned into a heavy breathing sound that survived the disaster.
"Because the rescue is timely, the patient's condition is also good, the autonomic heart rhythm has recovered, and the blood pressure and blood oxygen saturation have improved. Next, we recommend interventional treatment to open the infarcted blood vessels..."
The doctor outside the curtain introduced the situation in a neither high nor low voice, with a gentle tone and comforting nature.
As Tian Qi listened, his attention shifted to Ling Ran again.
Ling Ran, who had completed cardiopulmonary resuscitation, had his arms tired, his legs and feet weak, but his smile was unexpectedly brilliant.
Tian Qi looked up at Ling Ran's face and smiled, "Doctor Ling is so awesome!"
Chapter completed!