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Chapter 609

Bai Mingming has already auscultated.

At this moment, the patient's condition is not only confusion, urinary incontinence, and visible symptoms, but also cyanosis.

Cyanosis is a sign of hypoxia.

Judging from these symptoms, Zhou Sheng knew that the patient must have a heart problem without prescribing an auxiliary scan.

Give me a rescue order!

Although it is only two or three minutes away from the emergency room.

But this kind of cardiac arrest patient.

That's something we can't afford to waste even a minute.

Rescue must be carried out against time.

On the spot, Zhou Sheng overlapped his hands and pressed on the left side of the middle and lower section directly in front of the patient's sternum. Using the power of the heel of his palms, he pressed down 3 to 5 centimeters rhythmically.

Once, twice, three times...

Zhou Shengsheng was performing chest compressions on the patient while turning on the A-level auxiliary scan. At the same time, he said to Bai Mingming beside him: "Hurry up and prepare the emergency equipment for cardiopulmonary resuscitation and rescue on the spot."

Bai Mingming said "Yeah" and ran away.

In an instant, in addition to Bai Mingming's return, several nurses also joined the rescue team.

"Open the airway!"

Zhou Sheng continued to perform chest compressions while giving doctor's orders.

No need to explain anything, he is the commander of this rescue at this moment.

Bai Mingming and others spontaneously followed Zhou Shengsheng's command.

Bai Mingming immediately helped the patient clear his respiratory tract.

The other three nurses also put on a mask-assisted respirator for the patient under the command of Zhou Sheng.

One connected the patient to an ECG monitor.

The last nurse established intravenous access to the patient.

Zhou Sheng’s chest compressions continued.

The patient's heartbeat has not yet recovered.

At this time, the inspection results have come out in the system.

Cause: Grade 4 coronary heart disease, causing sudden myocardial infarction.

cardiac arrest.

Probability of heartbeat recovery: 30%.

Rescue steps.

Adrenaline shot...

Defibrillation...

Zhou Shengsheng immediately said: "Adrenaline injection 1 mg intravenously!"

The nurse in charge of intravenous access responded.

Bai Mingming finished the work of opening the airway.

His eyes were fixed on the electrocardiogram monitor that had just started working. He could only see the qrs wave group, st segment and t wave on it that could not be identified.

Bai Mingming immediately reminded: "Dr. Xiao Zhou, ventricular fibrillation!"

Zhou Sheng did not pay close attention to the ECG monitoring.

The system panel in front of him had already clearly given these results.

At this moment, the patient's heart electrical activity is disordered. It is no longer a powerful pulse, but an irregular peristalsis, and the heart no longer pumps blood.

The electrical activity disorder must be resolved first!

Zhou Sheng said in a deep voice: "Get ready for defibrillation!"

Bai Mingming immediately handed over the defibrillator.

Zhou Sheng immediately started operating. He placed one electrode on the front of the chest, above the right ventricle, and the other on the back, directly behind the left ventricle.

"Biphasic wave 200 joule electric defibrillation, please keep distance from the patient. I'm going to start the operation." Zhou Sheng said.

When performing electric defibrillation, it is strictly prohibited to contact the patient, and a certain distance must be maintained appropriately. Because contact with the patient may cause accidental injury due to electrical conduction on the one hand. On the other hand, when the defibrillator is working and discharging, the patient is very likely to be injured.

You may have convulsions, be hit by its limbs, or receive electric shocks.

Bai Mingming and several nurses nodded to express their acceptance. They left the patient a little bit.

Bai Mingming's heart suddenly shrank at this moment.

Instead of starting from tens of joules, we directly turned on 200 joules. It seems that this patient's condition is very serious!

Zhou Sheng is going to take strong medicine from the very beginning!

Defibrillation once, twice...

A total of thirty-five high-energy defibrillations.

After defibrillation ended, 3 minutes had passed since the rescue.

The patient still has not recovered his heartbeat.

But at this time, real-time system monitoring has been displayed.

The probability of the patient's heartbeat being revived reaches 60%.

Monday continued chest compressions.

Another minute passed.

This minute is extremely long.

Finally the patient's heartbeat recovered.

At this time, ECG monitoring showed sinus rhythm, 40 beats/min, and slow heartbeat.

Zhou Sheng continued to give the doctor's instructions, "Atropine injection 1 mg intravenously!"

The nurse standing by immediately followed the instructions.

At this time, the rescue work was carried out in the corridor against the clock.

Therefore, a large circle of people gathered around to watch.

Among them, there are patients and their families who come to the emergency center for treatment, and there are also nurses who are unable to help.

Everyone is extremely anxious.

I hope the patient can wake up.

After another 2 minutes.

After intense rescue efforts, the patient finally returned to normal heartbeat and spontaneous breathing. The onlookers and all the medical staff at the scene breathed a long sigh of relief.

The patient's family members were holding the patient in pain. The last 6 minutes were like 6 minutes of separation.

Some patients could not help but take the lead in applauding.

One response, two responses, three responses...

Gradually there was a round of applause.

However, Zhou Sheng did not relax just because the patient woke up.

The patient's condition given by the system is coronary heart disease level IV.

Generally speaking, coronary heart disease is clinically divided into four levels.

Level 1: Daily activities, no obvious symptoms.

Grade 2: Daily activities are slightly limited due to angina.

Grade 3: Daily activities are significantly limited due to angina pectoris attack.

Level 4: Any physical activity can cause angina pectoris.

Grade 4 coronary heart disease has a very high probability of sudden death.

Although the patient has now been brought back from the brink of death.

But this situation can happen again at any time.

Zhou Sheng notified the nurse immediately, u.

ccu and icu are one letter apart and have different meanings.

CCU is a specialized cardiac intensive care unit.

u, also knew that the situation was serious. Several people immediately acted quickly, looking for a stretcher bed, helping the patient, and the tallest nurse raised the water bottle. Several people worked together, u.

The nurses were all busy, and Zhou Yisheng did not leave Bai Mingming idle.

"Teacher Bai, please contact me inside and outside your heart and let's take a look."

This patient's condition is very serious, and Zhou Yisheng also wants to take over.

But there is some helplessness. Judging from the patient's current condition, it is estimated that conservative treatment in the heart may not be effective. In the end, it is estimated that cardiac surgery will be the treatment.

With conservative treatment and through the system, Zhou Sheng could handle it completely.

But once it involves surgery, Zhou Yisheng will not be able to do it. After all, he has not yet unlocked the field of cardiac surgery.

If we look at the difficulty of the surgery, cardiac surgeries are definitely top-notch.

Even if there is a system, Zhou Yisheng will not be able to do it without the training of the dungeon.

Zhou Shengsheng looked at Bai Mingming and the patient who were gradually going away. He was thinking in his mind that the emergency center encountered many heart disease patients every day. He must find time to put this extra-cardiac copy in the system.

Take it!




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