Zhang Wenhao couldn't help but feel a little annoyed. He didn't expect that the injured person actually had congenital heart disease. There are many types of congenital heart disease. Zhang Wenhao couldn't diagnose which type this woman had at this moment. However,
The medical level in the United States is among the best in the world, and since the mother and daughter can ride in a multi-million-dollar Bentley, and their family is also very wealthy, they must have been diagnosed by world-class top doctors at that time. Many patients with congenital heart disease were diagnosed in
Before the condition worsens, surgical treatment is neither necessary nor possible. Since even top doctors do not recommend surgical treatment, it can be seen that this woman's congenital heart disease is not serious.
But there is usually no problem, but once there is a problem with the internal organs, the heart will be implicated. Just like now, when there is a problem with other parts of the body, her heart is much weaker than the average person's heart. If this woman is in her own hands,
She died of heart failure, so for Zhang Wenhao, this result was too difficult to accept! Because this woman was injured almost everywhere, except her heart!
Zhang Wenhao hurriedly laid the woman down on the ground, and immediately ignored the contact between the bodies. He placed the palm of his left hand over the woman's heart, made a fist with his right hand, and punched the back of his left hand three times without hesitation!
Three life-saving punches! When cardiac arrest occurs due to major problems such as heart failure or myocardial infarction, what the heart needs most is external stimulation. However, Zhang Wenhao cannot use a defibrillator to rescue her heart now, so she can only use this primitive
Method.
The other party himself has congenital heart disease, and his heart is already on the verge of failure. If the force is too great and the force is uneven, it will easily have a reaction, so Zhang Wenhao must use the entire palm of his left hand as a cushion to cushion the blow.
The force of a fist is released through a palm, so as to ensure that the entire heart can receive uniform stimulation.
After three punches, Li Changyun said: "The heartbeat has recovered a little bit, but it doesn't seem to be of much use..."
Zhang Wenhao nodded, gritted his teeth, and asked: "Do you have epinephrine in your ambulance?" "Yes." Li Changyun nodded, then opened his eyes wide and blurted out: "You want to use epinephrine? No, no!"
The stimulation to the heart was so severe. She suffered such severe internal injuries and lost so much blood. If she used epinephrine, her heart would not be able to bear it! Besides, she is still losing blood. If she increases her heart rate..."
"No problem!" Zhang Wenhao blurted out: "If she doesn't use it, her heart will stop beating soon! Prepare 1 mg of epinephrine for me, two of them!"
Li Changyun stared at Zhang Wenhao for two seconds, his eyes full of confusion and shock. Is he risking his life? If the blood vessels are already losing blood and the heart rate is artificially increased, wouldn't it accelerate the blood loss? And the patient has a history of heart disease, and no one can
I don’t know what kind of heart disease she has and how serious it is. The American doctor said that her heart problem is not serious. When did she say that? Who knows if it got worse after that? If a shot of epinephrine is pushed in, the heart will
What should I do if I can't bear complete exhaustion? If the patient really dies because of this injection of epinephrine, this is not a crime of delayed first aid, but a medical malpractice.
But Zhang Wenhao's expression was extremely determined...,
Li Changyun shook his head fiercely. If you don't get the injection, you will die. If you get the injection, you will die 90% of the time. Since Zhang Wenhao insists, then give it a try!
Adrenaline is mostly used to treat cardiac arrest and severe anaphylactic shock. Few people use it on the injured, and it is still such a serious injury. However, Zhang Wenhao is somewhat sure. He knows that if he controls the situation well, his adrenal glands will
The threat posed by toxins to patients can be reduced a lot.
The reason why this woman's vital signs were sluggish before was probably due to the aggravation of congenital heart disease. As long as her heart is saved, this woman will be able to support herself for a while longer.
"One milligram of diluted epinephrine." Li Changyun quickly prepared a syringe filled with transparent liquid from the first aid kit. The needle of the syringe was a few centimeters longer than the ordinary needle. Zhang Wenhao took it in his hand.
Without hesitation, he inserted the needle into the injured person's heart through the skin, straight to the heart.
After the needle penetrated the heart, Zhang Wenhao pushed the syringe with one hand, but the push was extremely small.
Zhang Wenhao controlled the flow rate of the medicinal solution very accurately, while Li Changyun stood aside with a stethoscope and did not even dare to breathe out, paying close attention to the beating of the woman's heart.
Chen lìlì was also nervous and sweating profusely, but he did not dare to relax his hands at all. He was still squeezing the oxygen bag to deliver oxygen to the injured.
In five seconds, Zhang Wenhao only pushed in less than half of the adrenaline liquid.
Immediately, Zhang Wenhao suddenly stopped and asked Li Changyun, "How is it?" Li Changyun shook his head and said, "I'm not sure, there seems to be no reaction."
Zhang Wenhao said: "Put the stethoscope on my ear." Li Changyun hurriedly took off the stethoscope and put it on Zhang Wenhao. Zhang Wenhao listened carefully to the beating of the heart. Indeed, as Li Changyun said, the heartbeat was extremely weak, and his fingers could also
I feel the tension of the other person's heartbeat. It seems to be very small.
Suddenly, at that moment, Zhang Wenhao felt a slight tremor on his fingers. This slight tremor was almost difficult to catch in the stethoscope.
Zhang Wenhao did not hesitate and pushed the remaining adrenaline up by a third. At this time, the heartbeat began to gradually become louder.
Zhang Wenhao breathed a sigh of relief. The stimulation of adrenaline was very strong, but as long as she controlled the dosage of the drug very accurately, she could ensure that her heart would not bear the huge stimulation from adrenaline.
"How's it going?" Li Changyun asked nervously.
"It shouldn't be a big problem for the time being." Zhang Wenhao frowned and said, "But in her current condition, it is difficult for her to withstand the bumps of the car. Her right lung is a huge hidden danger." Li Changyun suddenly realized that the two of them had been worried.
He had a heart problem, but he forgot that the other party's lung lobe was pierced by a broken rib. If he was careless while driving, fluid accumulated in the lungs or the ribs in the lungs were misplaced, it could be fatal.
"What should we do?" Li Changyun couldn't help but asked nervously.
Zhang Wenhao blurted out and asked: "Are there any silver needles for acupuncture?"
"Why do you need that thing?" Li Changyun was extremely puzzled and blurted out: "There is no such thing in the ambulance!"
Zhang Wenhao said: "I need to block her right pulmonary nerve first and excise the damaged lung, so that the injury to her lung can be temporarily stabilized."
"You don't play according to the routine at all!" Li Changyun seemed to have heard a fantasy, using acupuncture to block the nerves in the lungs? What does that mean? The lungs are organs that breathe independently. Could Zhang Wenhao still be able to heal the injured with just a few silver needles?
The patient's lungs are completely disconnected from the injured person?
Even Liu Hengshan was stunned. Not to mention that he had never heard of this kind of acupuncture, it even went beyond the scope of traditional Chinese medicine. He couldn't believe that Zhang Wenhao was telling the truth, and looking at Zhang Wenhao's expression, it didn't look like it.
Watching a joke.
Many of the medical skills in the top medical skills package are beyond the scope of the advanced medical community. Although there is talk everywhere about the so-called integration of traditional Chinese and Western medicine, in fact there is still a primary and secondary treatment. Most of the stubborn diseases are mainly based on Western medicine, supplemented by traditional Chinese medicine, and chronic diseases rely on traditional Chinese medicine.
Traditional Chinese medicine nourishes and treats, and Western medicine cooperates. In fact, in the top medical skills package, many medical skills have achieved a true combination of Chinese and Western medicine, just like acupuncture.
Just like the last time Zhang Wenhao used acupuncture to anesthetize Qian Ning, the effect even exceeded that of powerful analgesics such as morphine. The reason is that the acupuncture techniques in the top medical skills package no longer target acupoints, but directly act on the nerves of the human body.
The human nerve is like a data line that transmits data. If you find it and use the unique physical stimulation of acupuncture, you can temporarily block the nerve. In this way, you can block the connection between one of the lungs and the human body.
It was as if the kidney was pulled out of the body like a USB flash drive. In this way, the injury to the lung itself would not implicate the injured person.
However, this method is unimaginable in both the traditional Chinese medicine and Western medicine circles today.
"There are needles in my car!" Although Liu Hengshan couldn't believe it, he thought that he had his own medical kit in the car, so he hurried to the car and took out a box of silver needles. His acupuncture skills were not very high, nothing more.
It can treat some minor diseases, so he also wants to see if what Zhang Wenhao said is true.
Zhang Wenhao took out the needle, used the pad of his left index finger to find a suitable needle position on the right side of the injured person's abdomen, and inserted eight silver needles in a row. Then he breathed a sigh of relief, raised his head, and said to Li Changyun: "
Go carry the stretcher!" Li Changyun has been watching Zhang Wenhao perform the needles, but he still can't see what effect the eight needles have on the naked eye. But after hearing what Zhang Wenhao said, he didn't know why.
Suddenly he breathed a sigh of relief, nodded hurriedly and said, "Okay! I'll go right away!"
In Li Changyun's view, if Zhang Wenhao said that he wanted to prepare a stretcher, then this woman should be saved. Zhang Wenhao's character is not as cautious as his own. As long as there is a glimmer of hope, he will not let this woman die in the ambulance.
Li Changyun and the driver quickly ran over carrying a stretcher. The epinephrine needle was still inserted above the woman's heart, and the eight silver needles had not been removed either. There was still some liquid in the needle that had not been injected.
This was left deliberately by Zhang Wenhao. Before arriving at the hospital, as long as the other person's heart rate changes slightly, Zhang Wenhao can immediately give the other person's heart a powerful boost.
Zhang Wenhao and Li Changyun very carefully lifted the thigh and the shoulder, and then lifted the woman onto the wheeled stretcher.
While pushing the woman into the car, Zhang Wenhao said to Li Changyun: "Go to the car to prepare albumin and glucose injections, contact the hospital, report the injury, and ask them to prepare the operating room." (To be continued.
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