Chapter three hundred and thirty fourth decisive rescue
The characters of Dylan and Dai Lins are somewhat different. Dai Lins initially gives the impression of a somewhat cold woman, while Dylan's character is more active.∮
"Don't be too nervous, I have everything." This is what Dylan often likes to say when he is with these trainees. But when he is working, he does not do everything like Dai Lins.
After that, the whole process will be explained to Qin Chuan and others, and Qin Chuan and others will be guided to complete some easier things.
But Dylan likes to leave everything to Qin Chuan and others. During the whole process, except for the sentence "Don't be too nervous, I will take care of everything", he hardly said anything. Only when he found that the trainee made a mistake,
Only then did he make some changes. He didn't have the patience to explain any more. Especially when he saw that Qin Chuan seemed to be very proficient, and Qin Chuan did almost all the subsequent work.
Spacey was very depressed, and would complain when Dylan was away: "What kind of look does Dr. Dylan have? The future famous American doctor is here, and he turned a blind eye. Now you are going to take away all Dr. Dylan's work."
It has also robbed me, a future famous American doctor, of all the limelight." There is a lot of emotion in the world.
"You can be more proactive. Doctor Dylan is different from Dr. Dai Lins. Doctor Dylan encourages trainee doctors to be more proactive." Qin Chuan said with a smile.
"Really? Then I have to show off my talents as a future famous American doctor. I can't let you focus on your beauty." Spacey habitually stroked the hair on his forehead upwards.
But when it came to the next patient, Spacey still didn't get the upper hand. Classmate Deborah, a beautiful woman, did. This blond beauty may have just heard the conversation between Qin Chuan and Spacey, and before Spacey was about to ask him,
When she came forward, she said first: "Teacher Dylan, can I try this case?"
"Of course." Dylan agreed with great satisfaction. Then he said to Qin Chuan, "Qin, you are more experienced. You are responsible for helping Deborah."
Qin Chuan glanced at Spacey sympathetically, but he didn't expect that Spacey generously expressed that he didn't mind at all. In front of a beautiful woman, Spacey would pretend to be fat even if his face was swollen.
Deborah's foundation is very solid. Although there are still some shortcomings, with the help of Qin Chuan, she still completed the task well.
"Qin, thank you. No wonder Dr. Dylan trusts you so much. If it weren't for you, I wouldn't be able to complete it so well." Deborah completed the task and smiled at Qinchuan.
"You're welcome." Qin Chuan nodded casually.
The rest of the process turned into a chaotic battle. The trainee doctors, except Qin Chuan, rushed to the stage one by one. Spacey showed his gentlemanly demeanor every time, but almost didn't get it together. In the end, Qin Chuan couldn't stand it anymore, so he
Spacey was given a chance. However, the worried future famous American doctor was obviously out of shape and made frequent mistakes. Fortunately, with the help of Qin Chuan, he successfully completed his first time.
Due to the lack of experience of the rookies, the ward rounds in the morning were too slow, so Dylan had to slightly delay his lunch time to ensure that he would not spend the whole day patrolling the wards because there were still many things to do in the afternoon.
Do.
Just when the ward was relatively calm, Dr. Dylan's pager light came on again. Another call!
"Let's go to the tenth floor!" This time, Dylan was no longer as lazy as before. Instead, he quickly ran out of the ward and rushed directly to the stairs. He also ran to the stairs very decisively and went directly to the stairs.
He ran up the stairs. Qin Chuan quickly followed. Although Spike still wanted to follow, he was out of breath just like the other trainee doctors when he reached the stairs.
Dylan did not hesitate or slow down, waiting for these rookies. Qin Chuan chased quickly and kept following Dylan. After running up two floors, Dylan slowed down slightly.
, Qin Chuan sped up and ran past Dylan. Dylan was extremely surprised. He often exercised and looked stronger than Qin Chuan, but he didn't expect Qin Chuan to surpass him so easily. So he also
He sped up and wanted to overtake Qin Chuan.
But Qin Chuan seemed to be running faster and faster without panting. Dylan could only watch Qin Chuan running up to the tenth floor, and then rushed out of the corridor. When Dylan rushed to the stairs, panting,
, at this time the elevator dinged and opened, and several trainee doctors walked out of the elevator one by one.
"Hey, Doctor Dylan, hasn't Qin come up yet?" Spacey is such an unpleasant guy, and he actually dared to have a hint of schadenfreude in his tone at this time.
Dylan rolled his eyes and ran towards the ward faster.
After Qin Chuan entered the ward, the nurse did not notice that Qin Chuan was just an intern. Qin Chuan had been to this ward yesterday, but unexpectedly something went wrong again.
Nurse Alyssa was already doing cardiac compressions. When she saw Qin Chuan arriving, she quickly said: "Mr. Cowles, a 75-year-old male, coronary heart disease. The patient was found to have shortness of breath, cyanosis, and no pulse. He has been undergoing coronary artery bypass grafting for ten years.
Chronic renal failure, my dialysis was delayed yesterday due to low blood pressure."
Seeing that Alyssa could no longer hold on, Qin Chuan quickly said: "I'll do it."
Alyssa gave up her position and Qin Chuan immediately took over. Qin Chuan has been working in the emergency department for a year and encountered this situation often, so he can control the rhythm and intensity of compressions better than Alyssa. Alyssa is also very
With experience, after giving up the position, immediately count aside.
"Myocardial infarction?" Qin Chuan began to judge the patient's condition in his mind.
Qin Chuan pressed for a while, but the patient did not recover his spontaneous heartbeat. On the contrary, the condition became worse and worse.
The ventricular fibrillation signal is displayed on the monitor.
"Prepare for electrical cardioversion!" Qin Chuan said quickly.
The defibrillator was ready. Qin Chuan started defibrillation without any hesitation.
Two large electrodes were pressed on the patient's chest. When Qin Chuan pressed the red button, Cowles' somewhat bloated body suddenly jumped up, but the ventricular fibrillation was not eliminated.
"No matter how much the rhythm is restored, it will still be 360 joules!" Qin Chuan did not hesitate.
"Reconversion, still 360 joules!"
Several times in a row, the patient jumped up high under the influence of the electrodes, and then lay heavily back on the hospital bed. But there was still no effect.
"Continue cardiac compression! Endotracheal intubation! 100% air bag oxygen supply! Femoral artery puncture, blood gas delivery! Open a second fluid path! 1mg epinephrine bolus injection!" Qin Chuan fluently spoke out the further rescue measures.
means.
Dylan and others had already rushed over at this time. In fact, Alyssa also knew the identity of Qin Chuan's trainee doctor. Therefore, she was a little hesitant about Qin Chuan's words.
"I'm in charge here. Do as he says." Dylan said decisively.
Alyssa nodded.
"Stand aside and observe carefully so as not to interfere with the rescue efforts." Dylan rarely started to guide this group of rookies.
Qin Chuan has continued to press, but this time, Qin Chuan used some special techniques. However, the patient's condition was too serious. Qin Chuan tried all the techniques, but it didn't work this time.
Dylan has already performed intubation and is very skilled in his technique.
A series of rescue measures have been completed, but still have no effect, and Cowles is still in a state of ventricular fibrillation.
"360 joules for cardioversion! 75 mg of lidocaine bolus!" Qin Chuan decisively issued the order again.
This time, it finally worked, and it is possible that Qin Chuan's previous rescue steps also worked. Cowles' skin color slowly changed from pale to pink. The monitor also restored sinus rhythm. However, the symptoms of premature beats were obvious.
"The blood pressure is 80p, the pulse is 50, and there are breath sounds on both sides!" Dylan said.
"10% calcium gluconate 10ml intravenously! Lidocaine 50mg twice intravenously followed by 1mg drip per minute! Magnesium sulfate 1g intravenously! Sodium bicarbonate 1 tube bolus!" Qin Chuan said.
This time, Cowles finally returned to normal, moved his fingers slightly, and then his eyelids trembled slightly.
Dylan said with admiration: "Qin, your performance this time is very good. I heard that you once worked as a doctor in China. You should be a very good doctor."
Dylan put himself in Qin Chuan's shoes and thought about it. If he had been in Qin Chuan's position just now, would he be able to do as well as Qin Chuan and bring the patient back from the brink of death? Dylan was a little helpless. He couldn't do what Qin Chuan did.
Likewise, he was able to make correct judgments every time in such a fast time. He was not as good as a trainee doctor, and Dylan felt a little shy inside.
"Dr. Dylan, I'm sorry, I should have let you do the operation." Qin Chuan is now a trainee doctor, so the operation just now was somewhat inappropriate.
"You did a great job." Dylan didn't seem to want to continue the conversation.
The subsequent events have nothing to do with Dylan. Cowles is an ICU patient, and the ICU doctor has already rushed back. Dylan recorded the rescue process just now, and that's it.
"Let's go have lunch. Otherwise, we can only have dinner." Dylan seemed to be in a bad mood.
Spacey was obviously not a person who was good at observing colors, so he didn't see Dylan's bad expression and still said carelessly: "Dr. Dylan, we have done so much today, should we be rewarded?"
?Like lunch or something.”
Qin Chuan hurriedly touched Spacey. Unexpectedly, this idiot didn't understand what was going on: "Qin, what are you doing? You almost knocked me down."
Qin Chuan shrugged helplessly, this kid is really a fool.
However, Dylan is not a stingy person. After a slight adjustment, he has returned to his usual cheerful attitude.
"No problem. Let's treat you all to pizza for lunch today. I know there is a very good pizza shop nearby." Dylan seems to have forgotten all the previous unhappiness. (To be continued, please search Piaotian Literature, the novel will be better updated.
