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Chapter 409 Autonomous Heart Rhythm
"Autonomous heart rhythm." The cow nurse shouted for the first time.
She has been a nurse for more than 20 years. It counts older than some doctors present. Although she has more than one hour of cardiopulmonary resuscitation, she rarely sees it, but does not hinder her perception of the patient's condition.
At this time, it is about the most critical time for this patient.
Lu Wenbin was also slightly excited: "It's QRS, a bit wide..."
Ling silently nodded and said: "Touch the big artery."
His own hand has been lost, fearing that nothing can be touched.
The voice of Ling Rang just fell, the cow nurse buckled the patient's artery: "very weak."
Weakness is better than nothing.
This time, the physical condition that is completely unacceptable in normal times has also become a good thing.
Ling Ran continued to press the chest and said: "Through lidocaine and adrenaline, add 15 mg of dexamethasone."
The cow nurse immediately executed, if, a few hours ago, she still had doubts about Ling Ran, now it has been transferred to admire.
Cardiopulmonary resuscitation is actually a matter of mixed despair and hope.
Ordinary people do cardiopulmonary resuscitation, five consecutive groups, each group is very hard for two minutes.
In some local medical examinations, cardiopulmonary resuscitation only needs to be done in three groups. The latter two groups only need to do oral simulation. That is to take into account the physical problems of the students who are in charge of the doctor.
But in reality, a single person who completes an hour or even two hours of cardiopulmonary resuscitation abounds.
In most hospitals, there is a story of a doctor who continues to do 30 minutes or 40 minutes of cardiopulmonary resuscitation.
These stories don't necessarily happen to some physically strong doctors. More often, they are unable to spare because they are saving lives.
Hold on for 10 minutes, maybe you can save it...
If you insist on it for another five minutes, you may be able to save it...
Do two more, and the two groups will know the situation...
Do another group, maybe you can do it...
Stick to it all at once...
To do cardiopulmonary resuscitation is to have the greatest expectations and often see the greatest disappointment.
This is especially true for extra long cardiopulmonary resuscitation
Of the 100 patients who have undergone ultra-long cardiopulmonary resuscitation, only one person can recover their own heartbeat, and 200 extra long cardiopulmonary resuscitation is possible to wake up one person.
However, if 2 million people receive a long-term cardiopulmonary resuscitation, 10,000 people will be discharged alive.
In the case of 20 million cases of ultra-long cardiopulmonary resuscitation, 100,000 people awakened.
However, on the other hand, this kind of hopeful effort is often brewing with greater disappointment.
When she arrived at the age of a cow nurse, she no longer looked forward to a miracle.
Step by step to complete the daily work, save people is happy, failure is not sad, when you go home, the hospital's emotions, with the white coat left together ...
However, the cow nurse is still looking forward to seeing a doctor like Ling Ran.Ask yourself, when you really encounter a terrible event, the cow nurse hopes that there will be such a doctor who will work hard to get a 1% chance of survival.
"Prepare magnesium and calcium. Bolus."
Ling Ran’s voice is clear and the order is firm.
The cow nurse turned to do something, but found that there was already a young nurse next to him and completed the task.
She turned back and saw Huo Congjun, Tao Director, and at least twenty or thirty medical staff members.
There have been many people who have seen the long-term cardiopulmonary resuscitation. If the long-term cardiopulmonary resuscitation is successful, there will be not many people who will see it.
Ling Ran looked up at the sour neck, and with the recovery of the chest wall, gently released his hand.
"Heart rhythm 130 times, self-help heart rhythm ... blood pressure 120, 74 ..." Niu nurse read the number on the monitor.
Lingren's fingers fluttered and touched the patient's aorta, his mood was also fluctuating, but the main reason for finger tremor was that the chest compression time was too long.
As long as his body muscles began to sore.
"How?" Huo Jun asked with a full expectation.
"The beat is obvious." Ling Ran dumbly said.
"Is it alive?" This time it was not Huo Congjun, but an official from the government. He is also wearing a white coat, dark circles, swollen eyes, and anxious.
"Not sure yet." Ling Ran said, "To continue to lose plasma and colloids, wear ice caps... supplement sodium bicarbonate."
He said one, there are nurses busy to get it.
On this long night, a miracle occurs and it is a touch to everyone.
"Old Hu, Lao Hu..." Outside the glass door, the fat woman shouted again.
"The patient can't hear you now," a nurse reminded.
"The vegetative people can hear, oh, our old man can hear... Laohu, Laohu..."
I was so tired that I couldn’t stop talking. I found a chair sitting against the wall and I didn’t want to move.
Huo Congjun took out a flashlight and opened the patient's eyes and swayed twice.
"Slightly reflected on the light." Huo nodded from the army, of course, the degree of pupil dilation was still very large, he just did not say it.
Ling Ran looked at the ECG monitor, "En" in the nose, and to the next Lv Wenbin said: "Give me a glass of water."
The little nurse next to "Glucose." immediately sent a small cup with a robot cat, and said: "The cup is autoclaved."
Ling Ran gave a small smile and drank the sweet glucose in the cup.
Also being drunk, there is a bottle of energy.
In a very short period of time, Ling Ran felt that the energy and physical strength consumed had a huge recovery.
"Let's go, take a break." Huo Cong whispered a word, and said to the doctor next to him, "Take the patient to the ICU and ask the neurology department to come to the clinic."
Ling Ran stood up and wanted to know something, but did not say it.Cardiopulmonary resuscitation is not the end of the heartbeat recovery. For such a long period of cardiopulmonary resuscitation, the trauma of the body is all-round. It is like an army that has lost its logistics and collapsed. To restore its organization and organization, it needs a lot of Work hard.
In this respect, Ling Ran has some ability and experience, but it requires specific analysis of specific situations, and does not need to say anything at this time.
Yunchuan's ICU and neurology departments are not weak, and they have experience in nursing long-term cardiopulmonary resuscitation.
"Old Hu, Lao Hu..."
Hu Hu outside the glass door, watching the husband's lying flat bed moving, he did not consciously follow the move.
Behind her is her son and mother-in-law, as well as several friends and colleagues who have heard the news.
With such a long period of cardiopulmonary resuscitation, the critical notice has been issued and everyone knows what is going on.
Now, they only have time to thank God, thank you for the miracle, and look forward to another miracle.
"Doctor, thank you." Going to the elevator, the fat Hu wife suddenly thought of something and turned back and shouted.
Still sitting in the chair, I couldn't help but smile, just got up and nodded to them.
"Doctor, your name." Hu wife can not enter the rescue room, just ask through the door.
Ling Ran looked at Huo Jun, and then turned to say: "My surname is Ling, Ling Ran."
"Ling Ran doctor, thank you." Hu wife smiled reluctantly, wanted to say something, and did not know what to say, just as the elevator came, then look at Lingran, then turn and leave.
After entering the elevator, Hu’s wife patted her son’s shoulder again and said, “If your dad’s pass is over, let’s go back to the home, buy two pigs, send it, thank you.”
The 9-year-old son nodded sillyly.
"Remember the names of people?"
"Ling Ran." The son pronounced accurately.
Hu’s wife leaned on the elevator and the car swayed twice.
My mother-in-law didn't look for a daughter-in-law's embarrassment this time, secretly praying to the god of the gods: God blessed, the ancestors of the old Hu family blessed, my son Hu Qiang can survive this time, healthy and healthy, I Zhu Xiulan killed Three animals do the three days and three nights of the dojo... Even if I leave some sequelae, I also kill three big fat pigs, please sing three days and three nights of the big show... As long as the head is good, people can eat and drink Lazar, I also slaughter Two big fat pigs...
When the elevator door opened, and saw the scene in the ICU, the mother-in-law Zhu Xiulan's rough fingers were tightly buckled together, and the prayer was more pious: as long as the head is good, people can move, I will take the next door to the old king's house. When the pigs are bought and raised to support you... I can’t do it. I can’t do it. You will take the life of my wife. Anyway, I am a lonely wife, I can’t live without my son...
Zhu Xiulan thought more and more sad, and finally could not help but sit on the ground and cried.
(End of this chapter)
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