What is cardiopulmonary resuscitation? To put it simply, it is to establish a circulation to restart the suspended heart and pump blood to the whole body. Important organs, especially the heart and kidneys, are particularly sensitive to hypoxia and ischemia. If effective circulation cannot be established in time, even if the patient is rescued, the sequelae will be many and severe.
"Shao Hua, hurry up and find the person in charge here and ask them to find a way to notify the hospital." Zhang Fan said to Shao Hua who came over. Although it was winter, under the ice and snow, Zhang Fan had already begun to sweat all over his body.
"Okay." After saying this, Shao Hua walked towards the approaching crowd. "Contact the hospital quickly, your employee has been electrocuted!" Shao Hua shouted loudly to the crowd.
"Bayin!" These people all belong to the same tribe and are more or less relatives, so a group of people huffed and puffed around them. "Don't get too close, spread out a little, we are rescuing people right now." Li Liang hurriedly said to the people surrounding him.
The crowd was talking about everything, "It can't be done! Bayin can't do it! We can't let the boss run away!"
"Let's go and notify Bayin's father quickly!"
The owner of the ski resort also ran over from a distance. Looking at Bayin lying on the ground and Bayin's wife crying on the side, his face turned pale with fright and he spoke stumblingly, "What's wrong! This What’s wrong!”
"If you get an electric shock, please contact 120 immediately." Shao Hua said quickly.
"There is no signal here. We have to go out of the mountain." The boss said bitterly. At that time, in order to avoid government inspection, he specially chose a place like this, but now something happened. He regretted it so much that he would smash his chest!
"Look for a car! Find a truck and put the patient in the truck bed. We will rescue him as we go. Wang Yanan, you drive my car and set off first. As soon as there is a signal, contact the hospital as soon as possible. Are you confident about driving?"
"Don't worry, it's okay." Wang Yanan said.
When the boss heard this, he quickly called for someone to drive the big truck from the ski resort over. The chest compressions could not be interrupted. Everyone worked together to lift the patient into the truck using the door panel. Zhang Fan, Li Liang and several strong men continued to press in the carriage.
Speaking of first aid, how to judge the need for compression is very simple. The first step is to judge whether the patient has a heartbeat and to touch the beating of large blood vessels such as the carotid artery. If you don’t know where the carotid artery is, the easiest way is to remove the clothes and stick it on Listen on the heart to see if you can hear the heartbeat.
Make sure the airway is unobstructed. The chest compression site is 1/2 of the sternum. Where is this place specifically? Men choose the left side between the two breasts, which is the fastest position that non-professionals can find.
To be effective, the compression depth must cause the sternum to sink four to five centimeters. The best speed is 100 times per minute, and the compression should not be interrupted by artificial respiration.
What makes compression effective? Touch the pulsation of the carotid artery or femoral artery. If the compression is effective, these large arteries will pulsate.
The cold wind is biting, and in winter on the frontier, there is no problem when the temperature is as low as minus 30 degrees Celsius. This temperature directly condenses the water molecules in the air. The cold wind in the air was dry and cold, and the cold wind brought by the speed of the car was like a knife across Zhang Fan's face, hands, and skin exposed to the air. After a few minutes, they felt that they were not their own.
Fortunately, there were many people, and Zhang Fan guided them in rotating compressions. Bayin was wrapped up tightly. In this environment, if the temperature is not guaranteed, frostbite will definitely occur over time. The perfusion is insufficient, and the circulation of the body's distal limbs is poor. If the temperature is not guaranteed, the rescued patient may have limbs that have to be amputated due to frostbite.
Bayin's wife was sitting on her knees in the corner of the carriage, like a lamb that had strayed from the flock, looking at her man with anxiety, fear, and worry, and her tears couldn't stop flowing down. She was afraid, extremely afraid, biting her sleeve and not daring to cry. The child was only three years old. If Bayin really passed away, she didn't dare think about what to do in the future.
"O Gods and Buddhas in the sky, I am willing to trade the rest of my life for Bayin's recovery!" The helpless woman looked at a group of men who kept pressing on her with steaming heat.
Wang Yanan drove in front of the truck. After all, it was a four-wheel-drive off-road vehicle and was very fast in the snow. Shao Hua and Jia Suyue kept making phone calls in the car. "It worked!" Shao Hua said happily.
"120, we are in Wumu Taixiang. There is an electric shock patient here who needs first aid. He is about to leave the mountainous area now!" Shao Hua quickly explained the situation.
"Hold the phone and let me talk." Wang Yanan is a doctor after all, and he knows how to make the best reasonable arrangements.
"I am Wang Yanan from the Orthopedics Department of the Municipal Hospital. We are about to enter the provincial highway. Please ask 120 to wait for us at the provincial highway intersection in Wumu Taixiang."
Wang Yanan led the way with emergency double flashers on, and the truck behind accelerated to follow.
Finally I saw the purple flashing light, and the 120 medical staff were already waiting by the car. When seeing this scene, the emotional Jia Suyue burst into tears, "Finally there is help! They are coming! They are coming!"
Wang Yanan parked the car, jumped out quickly and said to Dr. Li at 120: "Stretcher, the patient with electric shock, Zhang Fan has been pressing on it, I think he can still be saved."
After more than 20 minutes of compression, several strong men have lost their strength. If there weren't many people and professional doctors, there would be absolutely no hope today.
"It works!" Zhang Fan would feel the arteries from time to time. After opening the carriage door, the men lifted the door panel while Zhang Fan kept pressing. Although he could feel his pulse at this time, he still needed to continue pressing.
Entering 120, Xiao Li took over and continued the rescue. Zhang Fan put his cold-numbed hands on his armpits. His hands were already numb. I couldn't feel it when I was tense, but now that I relaxed a little, the numbness in my hands and ears that was so cold slowly spread.
At this time, the first aid was not considered successful. Although Zhang Fan put his hands in his armpits, he could not keep his mouth idle. After all, he was the first doctor. "Adrenaline 1.0 mg intravenously, plus 40 U of vasopressin, and put on a simple respirator." Open bilateral intravenous channels, inject atropine and calcium chloride, combined with sodium bicarbonate." Although the 120-meter space is small, the nurses and doctors who can rescue patients all year round handle the patients quickly.
Li Liang didn't go to the 120. The space of the 120 was too small, and there was no need for him now. After getting on the Cruiser, Shao Hua burst into tears when he saw Li Liang's appearance.
After more than twenty minutes of resuscitation, Li Liang's frozen lips turned purple. During the rescue operation, he was sweating all over, and his cotton-padded clothes were already freezing when the cold wind blew. He held the hot water cup shivering, took off his cotton-padded shoes, and wanted to put his feet into his mouth. The air conditioner in the car was turned up to the maximum. Within a short time, Li Liang's ears began to bleed and he suffered from frostbite. "I'm freezing to death! My hands and feet are no longer my own!" Li Liang said while trembling and taking a sip of hot water.
He looked like Zhang Fan. Shao Hua held his hands distressedly, his nails digging into his skin. Even though they were frozen like this, Zhang Fan still had to rescue the patients. What this was, it was responsibility, the responsibility given to doctors by their profession. Looking at the 120 in front of her, Shao Hua's heart was bleeding. She regretted that she should not have dragged Zhang Fan to ski. She felt sorry for her lover.
"Doctor Zhang, he has spontaneous circulation! His blood pressure has also risen." The emergency nurse from 120 said to Zhang Fan.
Zhang Fan finally breathed a sigh of relief, "Let's just send him to the ICU directly. The post-resuscitation treatment is still very troublesome." The patient was saved, but Zhang Fan finally felt the excruciating pain, and his ears, fingers, and toes felt burning pain!
But my heart is happy, thankful, and hot. He understands the importance of a young man to a family. This not only saves a person, but saves a family! He has no regrets!
