There are actually many types of consultations in hospitals, such as urgent consultations, which require doctors to arrive quickly in the shortest possible time.
When this happens, the doctor who is being invited must arrive at the inviting department as soon as possible. Even if there is a patient number in hand, he must handle it accordingly.
There are many situations like this in hospitals, especially in cardiology departments, where a doctor must be available at all times to prepare for emergencies.
To be honest, among internal medicine, cardiac emergencies are the most common and the most dangerous, often involving life and death in seconds.
The complexity of the heart is different from the complexity of the brain. The complexity of the heart lies in its variability, while the complexity of the brain lies in the unknown.
When there is bleeding or infarction somewhere in the brain, there is often still some room for choice as to whether surgery or conservative treatment is required. However, it is different with the heart. Once a problem occurs, the corresponding symptoms must be dealt with first before other considerations can be considered.
The reason why the heart is so changeable is because two systems work together.
One set of electrophysiology, one set of fluid mechanical physiology. To be honest, if you want to be a great cardiologist, you must first pass physics.
Fluid viscosity, electrical signals, turbulence, there are too many physical problems attached to the heart to make it difficult for doctors.
As soon as Zhang Fan saw Xu Lili's frightened face, he knew clearly that there was something wrong with Xu Lili's heart, even if he didn't even need to do a physical examination. As for which part of the heart was the problem.
If Zhang Fan could be given a little longer, he might be able to figure it out based on anatomy, physiology, pathology and other related knowledge, but if he was asked to confirm the diagnosis in seconds, he knew that he didn't have much ability yet.
Medicine is a very strange thing. It seems to be all about studying the organs of the human body and basic physiology. Doctors in any discipline must master it.
With a slight upgrade, a department and a department are directly like two disciplines in different fields that collapsed the discipline.
If a doctor wants to go further, these interdisciplinary knowledge must be tied together and overcome. Therefore, if you want to become an authoritative doctor, you must work diligently for decades before you can have any hope.
For heart diseases, it will not give you time to think about it. It must be like eating dumplings. Take one bite and tell the disease by relying on your taste buds without thinking. When you say it, you must also give relevant information at the same time. Deal with whether you like to eat or not.
Therefore, Zhang Fan asked the nurse to make an urgent call to the cardiology department, and specifically told him that it was best to ask the director of the department to call, because young people generally do not have heart symptoms, but once they do, it is more dangerous.
Ren Li is not only the director of the Department of Cardiology, but now also serves as a senior official of the hospital. She was hired by Ouyang from the Niaoshi Hospital. Currently in the Chasu area, as far as the Department of Cardiology is concerned, Ren Li is estimated to have He is the first person.
Like Zhang Fan, she is someone Ouyang treats with special regard. Ouyang handed over the surgery to Zhang Fan and the internal medicine to Ren Li.
After receiving an urgent emergency call, Ren Li rushed to the hospital with Na Duo.
When the male doctor got angry and ran quickly, he was like the character in the movie Once Upon a Time, picking up his coat and running hard because the white coat was too long, which affected his legs' ability to cross.
When female doctors are running in white coats, for some reason, they don't lift up the corners of their coats. Instead, they put one hand on their waist and the other hand covering their mouth, which is a very strange movement. Is it too windy to cover your mouth?
However, this does not affect their running speed. The white shoes are swishing, and the steps are very fast. If it takes less than three minutes, it is an accident!
Therefore, when you see a female doctor running with her mouth covered in the hospital, you must move away. Even when there was no wind, he was still not curious, so he pulled her and asked why she was covering her mouth.
Ren Li took Na Duo to the emergency center in two minutes. Before anyone could reach the patient, Zhang Fan began to loudly report the patient's preliminary condition to the two people in the distance.
"Quick, is the electrocardiogram out? That stethoscope!" Before anyone arrived, after hearing Zhang Fan's report, Ren Li had already begun to deal with it accordingly.
"The electrocardiogram is out!" When Ren Li just finished speaking, the doctor from the emergency center had already pulled the paper and handed it to Ren Li.
Rescue is like this. Everyone knows who takes the lead and who cooperates, and there is no need to make temporary arrangements.
"I almost fainted once, I fainted once, and the electrocardiogram clearly showed a rapid heart rate. How is that heart rate?"
In medicine, each word of a word often has different meanings and consequences. For example, heart rate, in layman's terms, is the speed of the heartbeat, while heart rate refers to the regularity of the heartbeat.
Fainting, not to mention ordinary people, even some surgeons are not very clear about the definition of this word.
When a patient suddenly loses consciousness, it is syncope, and dizziness is similar to syncope. This is the definition, but to be honest, it is difficult to quickly identify it clinically.
And this syncope and near-syncope represent different diseases, one after another, as is the case with diseases in the heart.
If one link is wrong, the treatment method will be wrong. This treatment must take effect within a few minutes. If you choose the wrong one, it means failure.
"Irregular rhythm, too fast!" Naduo lay next to the patient and gave the auscultation results within a few seconds. The girl's basic knowledge was quite solid.
As she spoke, Ren Li, like a female leopard, pounced on Xu Lili's side with a swipe.
He put his hands on the patient's neck and said, "Zhang Yuan, hurry up, prepare for electrical cardioversion."
"good!"
If you say this, people who are not engaged in medical treatment will not understand it at all. Let’s put it in layman’s terms.
Xu Lili was overcome by anger, and then the secretion of hormones caused problems with the electrophysiology of the heart, like electric waves. In the past, it was ticking, ticking like an elderly prostate patient, very regular.
But when there are too many hormones, the brain is stimulated. The brain drinks too much hormones, and then gets angry and screams. The heart's electric waves become as urgent as a law, biu! Biu! Biu!
When the signal is messed up, the heart muscles also start to mess up. They were originally contracting regularly, but it's because there's something wrong with the signal. They can't contract and can't contract.
What is the heart? The heart is just a pump. If the contraction is disordered, there will be problems with the blood pumped out.
The blood that was originally flowing smoothly became as smooth as a child spitting.
This very irregular contraction will cause countless whirlpools in the blood in the blood vessels, which is called turbulence.
When turbulence occurs, the blood cannot flow out and all gathers together to play in circles. If the blood vessels are enlarged, the blood at this time will be like the whirlpool on the human head, with countless whirlpools, playing one after another.
The blood begins to swirl, and the body begins to experience ischemia, and then the brain becomes even more anxious. Originally, it was just a little excess hormone, but now it is not only hormones, but also hypoxia, ischemia, and energy deficiency.
At this time, the brain is like a mentally disturbed person, talking nonsense.
The orders, which were already chaotic, became even more chaotic this time.
In the blood vessels, the swirling blood pressure will break off the thrombus originally attached to the blood vessel wall, and more serious consequences will follow.
Moreover, if this messed up order cannot be corrected in a short time, the heart muscles will not know what to do, so if they keep doing it, these muscle men will go on strike. This is the so-called cardiac arrest. I Quit!
After cardiac arrest, heart failure, kidney failure, electrolyte imbalance, and multiple organ failure follow, just like a major collapse, and the person dies.
Ren Li placed her hands on the patient's neck, doing a carotid sinus massage.
Many people may have this experience. Sometimes, for no apparent reason, they may experience sudden palpitations and feel their heart beating very hard, as if they are about to jump out.
This is palpitations. Many people, no matter old or young, will have palpitations. The heart can adjust itself in a short period of time. When palpitations occur for a long time, problems will occur and irregular heartbeats will occur.
Therefore, when encountering this kind of situation, ordinary people can cough, just like an embarrassing cough, or take a deep breath and hold it, then suddenly spit it out, or massage the eyeballs. These actions can correct palpitations. However, if you have underlying heart disease, Then, don't think about it and send him to the hospital immediately.
While massaging, Ren Li gave oral doctor's orders: "Prepare for 360J single wave electric shock, 1 mg of epinephrine intravenously, prepare amiodarone, and prepare lidocaine!"
Ren Li gave the doctor's orders, and the monitor was installed on the bed. In an instant, Xu Lili's chest was covered with wires, and Zhang Fan was ready for an electric shock.
Outside the hospital, Xu Lili's boyfriend and Wang Xiaohu's father stared at each other with bruises and bruises, but when they heard the nervous and urgent voices of the doctors and nurses inside the hospital, they couldn't care less.
Xu Lili's boyfriend felt his heart skip a beat when he saw the doctors acting like they were in danger. He knew something was wrong with his girlfriend.
"Doctor, doctor!" An anxious voice shouted, and a doctor from the emergency center came out, holding a book-like illness notification form.
"Who are you as a patient?"
"I'm her boyfriend!"
"It's best to contact her immediate family. Now you sign first. The patient has been reported to be in critical condition. The situation is very serious and there is a possibility that the rescue will fail."
"Ah!" This voice came not from Xu Lili's boyfriend, but from Wang Xiaohu's father. He never expected that his boy would cause such a serious disaster.
"It's over! It's over!" Although he is a demolished household, he is still an ordinary person. In his mind, what he thinks about is not whether his son is over 14 years old, but about how he must be saved!
When Xu Lili's boyfriend heard this, his heart was like a knife stirring, and he took out the phone tremblingly. He wanted to notify Xu Lili's parents.
After making the call, the young man looked at Xu Lili in the emergency room in despair. When he turned around, he saw Wang Xiaohu's parents.
In an instant, his dejected look changed as if his eyes were on fire. He stopped fighting and stopped making trouble. He took out his phone and said, "I want to call the police. Wang Xiaohu and his father from XX Village beat the school teacher to death!"
"No, I didn't beat him to death, no, no!" Wang Xiaohu's father burst into tears, waving his hands in prayer.
Xu Lili's boyfriend stared at her with a vindictive look...
The rescue of arrhythmia is effective, just like a broken dam. If it cannot be intercepted in the early stage, the consequences will be catastrophic.
If you still fail to see a doctor after five cycles of electric shock and drugs, it means that the rescue has failed, and this time is the so-called golden six minutes.
Doctors and nurses are becoming more and more involved. Ren Li almost kept giving verbal doctor's orders.
"Please call the anesthesiology department and prepare for intubation if necessary!" This is preparing to put him on a ventilator.
"good!"
As the sun set, Xu Lili's pale face was illuminated by the afterglow with a faint halo of light.
