Chapter 900 The Expected Scene
Mission: Save the dead and help the wounded.
Task content: Rescue 10 patients in IICU (1/10)
Mission Reward: Heart Trauma Repair (Master Level)
Ling Ran looked at the prompts on the system panel and nodded slightly.
Whether it is emergency rescue or rescue within the ICU, it is ultimately a teamwork behavior. Being an assistant can also promote the progress of the task, which is a reasonable system.
"Put it away." Ling Ran said silently, and then he saw the system panel flashing twice and disappearing.
Turning his head, Ling Ran was about to continue the round check process, and the alarm sound of the monitor rose again...
Once the monitor sounds, it will ring one after another. In the iCu, this is like some kind of metaphysical formula, which always happens again and again, making people go from interested research to numbness.
Ling Ran was still the first to arrive at the rescue position.
Behind him, the doctor of the ICU was also driven to walk faster, but obviously he could not be as sensitive as Ling Ran. When the monitor's warning sound appeared in the emergency room, it was like a charge horn was blowing, and in the ICU, it was at most the level of the phone ringtone.
"Defibrillation." Ling Ran had completed the examination at this time and made a decision faster than the doctor of ICIU.
The nurse next to him also responded immediately and left the patient with both hands.
"Chest compression." Ling Ran said, and started cardiopulmonary resuscitation on the patient who was laid flat.
The success rate of in-hospital emergency is much higher than that of out-hospital emergency, because of timely judgment and rapid and high-quality rescue measures. For example, cardiopulmonary resuscitation, the average value obtained by in-hospital emergency is definitely much higher.
In the intensive care unit, CPR is done every day, and it is always possible to survive prime time. Patients in the ICU can live longer, which is often due to this.
However, CPR has always been tiring. Ling Ran is willing to do it at this time, and the doctor later would not compete with him. Just looked at Ling Ran's ups and downs, and only felt that the rhythm was very strong, but he didn't have a special understanding.
Even with perfect cardiopulmonary resuscitation, the chest compression movement is still mechanical, nothing more than finding the position more accurately, the frequency is more stable, and the rhythm is better.
"Erepinephrine." Ling Ran whispered the doctor's advice.
In a few seconds, adrenaline had entered the patient's body.
"Defibrillation." Ling Ran then let go, and a silent vibration came immediately.
"The heart rhythm has recovered." Dr. ICU, who was watching from behind, smiled, and gave a compliment for no money, saying, "Doctor Ling can catch the opportunity."
Ling Ran gave the other party a long-awaited smile. Before he could speak, Didi's warning sound rang again.
"Come on." Ling Ran, who had just had CPR, did not rush to get started, but humbly gave it to the attending doctor of the ICU.
The attending doctor in his thirties felt inexplicably happy. He also walked hard and arrived at the position. He immediately started the familiar rescue process. But unlike before, today's attending doctor suddenly became full of hurry. It was a kind of...
The urge to show off.
Yes, in the area where you are best at, do what Ling Ran can't do...at least, you do better than Dr. Ling Ranling...
The attending doctor looked at the old and fierce nurses on both sides. Although he had no idea, the impulse to pretend, show and fight was no longer suppressed!
After a brief examination, the attending doctor gave a doctor's advice: "Mannitol. Do tracheal intubation."
The nurse prepared as she said.
Another senior nurse came over and introduced in Ling Ran's ear: "The patient has nasal cancer and brain metastases. He had swollen head and brain swelling before, but he often fell into a coma, but he could breathe independently..."
Ling Ran nodded slightly and was able to breathe independently. Even in the ICU, it was a better state. However, the patient with brain metastasis had almost no chance of saving it. Whether to continue living in the ICU depends on the patient's outlook on life and emergency situations.
Ling Ran stood in front of the hospital bed and watched the attending doctor unfold the tracheal intubation bag, put on gloves, took out the adult laryngoscope, and started intubation.
The expression of the attending doctor was slightly excited.
"Sometimes the throat obstruction." The attending doctor said, but did not stop, obviously preparing to challenge him.
Ling Ran frowned slightly, and did not say anything to stop him.
In the food industry, the technology of tracheal intubation is equivalent to making pasta. There are really a variety of types and difficulties.
If you judge according to the mallampati score, you can see the soft palate, throat, uvula and anterior and posterior pharyngeal bow at the i-level airway, which is simple like cooking instant noodles!
But the level ii is missing the front and back pharyngeal bow, and only the soft palate, throat, and uvula are seen. This difficulty instantly rises to cooking... pasta...
When you can only see the soft palate and the base of the uvula, the mallampati score iii is a real difficulty.
Generally speaking, intubation of a level iii airway is equivalent to making cutter noodles at home. Normal people will not make cutter noodles at home. Therefore, a level three tracheal intubation only occurs in special circumstances. For example, a patient with a significantly swollen head has already developed laryngeal obstruction, so the starting price is level iii.
Level iii tracheal intubation is actually not as good as tracheotomy, but it also depends on the doctor's on-site decision.
The main attributive of icu is obviously very confident in tracheal intubation, so Ling Ran has no need to stop it.
Just like when he is undergoing surgery, some operations are unconventional. An excellent surgeon can do some extraordinary operations.
Ling Ran still understands this quite well.
Of course, if Ling Ran had chosen, he would still choose tracheotomy rather than tracheal intubation. The reason is very simple - his tracheotomy is perfect. If he has practiced tracheotomy until today, he will be at most senior introductory, and he will not be as specialized as a specialist.
So, let alone this possible iv-level airway, even if you encounter a level iii-level airway, Ling Ran will do tracheostomy without hesitation...
After all, if the tracheal intubation is not done well, it will kill people.
Thinking of this, Ling Ran looked at it more seriously.
Clinical medicine is such a huge system that it takes many years for doctors in the system to learn basic operations.
Even Ling Ran needs to make full use of time.
"Damn it, it's inserted into the esophagus!" The confident attendant cursed, instantly pulling the atmosphere around the hospital bed into the bottom of the valley.
"Trature duct opening pack." Ling Ran was ready to take over immediately.
For him, this is also a very familiar scene. There is nothing strange about the main reason for failure in operation, the guitarist who fails to play, and the athlete who fails to dunk.
The main treatment of icu is a bit dumb.
He is really professional when doing tracheal intubation. Of course, this kind of work is always possible to fail, especially for the trachea with a level IIii difficulty, it is not easy to insert it to anyone, but it is still relatively rare to insert it into the esophagus.
The main subject couldn't help but sighed secretly, swept at Ling Ran with the light of his eyes, and thought to himself: This wave of show-off has not been successful.
The thoughts that come one after another are just a moment.
However, before the main treatment could be properly adjusted, Ling Ran's "tracheal incision pack" had already entered his ears.
The attendant looked up in shock and saw that the nurse had already cut the trachea and held it to Ling Ran like a rebellious lioness.
Ling Ran had already put on gloves, opened the cloth bag without saying a word, glanced at the patient who was already unconscious, and took up the scalpel and made a longitudinal incision on the patient's neck without undergoing anesthesia.
"So fast!"
"So handsome!"
"It's all up to Dr. Ling."
Chapter completed!