"Director, the patient's heart rate is getting faster and faster, and the massage effect of the carotid sinus is not good!"
Naduo listened to the heart while watching the ECG monitoring, and quickly combined her own listening to inform Ren Li of the results.
The venous sinus, if you have heart palpitations on weekdays, the best effect is to massage here, but most people can't find it at all. If they can find it, it is estimated that everyone can chop the person on the neck with a palm and knock him out like in the movie.
"Electric shock!" Ren Li ordered.
With the help of the nurse, Zhang Fan adjusted the power supply and prepared for electric shock. Cardiovascular development has taken two paths until now.
One is intervention, bridge, and stent. This is the path of cardiac vasculature. It is to improve the circulation of blood in the cardiovascular system.
The second one is electrophysiology. This is the scene that everyone has seen in the movie, where the patient lying on the bed is being beaten repeatedly by the electric shock device.
In fact, it can be seen from this point that China still has many, many places where it needs to catch up with Europe, the United States and even the country of meatballs.
In Europe, the United States, and meatball countries, this kind of thing is very common. There are often such instruments in subway stations, shopping malls, and places with dense crowds.
Moreover, training on the use of this instrument is also very common. The key to defibrillation is actually time.
It's nonsense to hit the chest suddenly with a fist during contraction. I don't know why it can be openly mentioned in popular science books.
Not every boxer is a doctor, and not every passerby is both a doctor and a boxer.
"The electric shock is ready!" Zhang Fan took the electric shock device and made a verbal report.
Why is it ridiculous to say that a fist hits the chest? Because the power of an average person's fist can never reach the energy to change the heart rhythm.
How powerful is the energy of the electric shock device? In this way, if a third party appears during the electric shock and the handle comes into contact with the patient, then the electric shock device will definitely knock the third party away. It is so violent.
Can ordinary people beat a normal person away, not a heavyweight professional boxer? It's impossible.
"Electric shock!" After saying this, Ren Li stepped aside and Zhang Fan took the electric shock device and started to use it.
Although the electric shock device is very powerful, it does not look very fancy. It is just like an old-fashioned iron. It is applied to the patient's chest and energized.
He only heard and saw a bang. Xu Lili jumped up after being pressed down, as if she was lying on a spring bed, while Zhang Fan slightly bent his arms to resist the reverse impact.
After a click, everyone looked at the ECG monitor in unison, and Naduo immediately said: "No!"
At this time, everyone including the doctor felt secretly upset. The first click effect is generally the best. If it doesn't work, then you need to use cardiac stimulating drugs.
The use of heart-stimulating drugs, to be honest, is very risky, just like drinking alcohol.
After Wu Song finished three bowls of Laobaigan, he crossed the hill and fucked the tiger. He probably didn't dare to do it without drinking. If he drank a little more, the tiger might have done it to him.
This means that Wu Song's drink is just right, and the heart muscle group is like countless Wu Song.
It is very difficult to control the amount of medicine so that they can drink it to the point where they can kill tigers. Because the drinking capacity of these people is variable, high and low.
Sometimes, there is no reaction when 1ml is given, and 5ml is just right. Sometimes, when 1ml is given, the doctor is not ready yet, and they are all drunk.
And with the changes in blood and oxygen, it is even more difficult to control the amount of alcohol consumed by these muscular men. Therefore, when a cardiologist is rescuing a patient, her heart is actually beating wildly, because she Also gambling.
"5ml epinephrine, intravenous injection! Prepare for the second electric shock." Ren Li's face was dark and she had no time to think about it. She gritted her teeth and gave the verbal doctor's order.
Zhang Fan doesn't have any special feelings. After all, in this field, Zhang Fan is still wandering outside the door.
But that one was different. The girl looked at Ren Li in surprise, "How brave! If it were me, would I dare to give such medical advice?"
"Okay!" As the medicine continued to be administered, Zhang Fan started clicking for the second time. What is intravenous infusion? It is to use a needle to quickly inject medicine into the vein.
This method of administration is the fastest, fast but also very risky. It is different from intravenous infusion, which is what everyone usually calls infusion.
In fact, these two methods should not appear in daily medical treatment and treatment methods, and they should not be routine.
Intravenous point, it is clearly pointed out in the textbook that when the patient cannot take regular medication, intravenous point or intravenous push should be given to the patient for rescue use!
Therefore, there are times when things that are very strange and should be popularized can only be understood through movies and TV shows, and things that should be avoided are known to everyone from 90-year-old women to six-year-old children.
When there are no male doctors, the female doctor will also use the electric shock device. If there is a male doctor, the male doctor will use it.
To be honest, when you watch the female doctor struggling with this thing, gritting her teeth, frowning, using all her strength, and using this thing with a pained face, you will never want your girl to study medicine. .
Bang! Xu Lili's whole body was beating. And this kind of beating was like a zombie. Xu Lili closed her eyes tightly, her teeth clenched, and her whole body was straight up and down.
"It works! The electric shock works! The patient has been converted." Na Duo quickly reported the results to Ren Li and Zhang Fan.
If the heart cannot be restored this time, cardiac arrest will follow, and doctors will have to intubate.
"Okay!" Ren Li couldn't help shouting loudly. She was about to be intubated.
Zhang Fan also took a deep breath, and his arms were already a little sore.
When the flower was in the blue bird, the direction chosen was towards the direction of the blood vessels, so this kind of first aid was rarely involved.
Because in large hospitals, there is a department called the myocardial infarction and heart failure emergency channel. This kind of rescue counts every second and has a dedicated department, so Naduo rarely participates in this kind of rescue that considers courage and experience.
When the patient's heart rhythm was restored, Ren Li called out excitedly, and the doctor's face started to turn red as if he had drank a glass of pure wine.
This is the doctor's sense of accomplishment, when the patient's teeth are locked, the heart is about to stop, and the god of death is already standing beside the patient.
Doctors rely on years of knowledge, courage, and gambling to pull patients away from death. To be honest, it's very satisfying!
"Pay attention and observe! Don't take it lightly. Should the patients in Zhang Hospital be transferred to the ICU?" Ren Li said to Zhang Fan after checking again.
This is one thing about Ren Li's life, because Zhang Fan was the first leader to take over. Although he was not a doctor at heart, he still asked him respectfully.
"Okay, you are the expert in your heart, so I will do as you say. Xiao Wang, hurry up and ask your family members to sign and pay the deposit."
Zhang Fan said with a smile, and then called Shao Hua.
…
When they heard that Xu Lili was in critical condition, not to mention how her boyfriend was doing, Wang Xiaohu's parents were so frightened that their eyes turned blue.
Human life, he can't afford this even if he has a little money. Therefore, when the doctor walked out of the emergency room and said that the patient was temporarily out of danger, Wang Xiaohu's parents almost couldn't help but shed tears of joy.
When the doctor told him to pay, Wang Xiaohu's parents ran faster than a rabbit and went to the payment window immediately.
It really feels like I am surviving a disaster.
Xu Lili was really nearly disgusted to death this time. She is a bit of a mysophobic girl, and she will probably give up white food in the future.
Xu Lili was pushed into the ICU. With the cardioversion of her heart, the girl's frightened face turned red and she woke up, but she was still very weak.
Her parents also came, and Shao Hua was called by Zhang Fan. Shao Hua did not expect that her classmate was so serious.
Xu Lili's family are all workers in the education front, especially her father, who is also an education specialist in the Education Bureau, and seems to be in charge of the specialist who evaluates teachers' professional titles.
After her father came to the hospital, when he heard that his daughter almost died, he not only reported her in critical condition, but also gave her an electric shock.
Then, when I looked at my frail daughter in the ward, I felt so uncomfortable that I couldn't express it in words. Although the city hospital rescued his daughter, he was still worried.
"Old Chen, I heard that a heart specialist from Bird City came to Chasu Traditional Chinese Medicine Hospital to go to the countryside."
After seeing his girl, he called one of his friends.
"Well, the chief cardiologist at the top tertiary hospital in Bird City is very high-level. What's wrong, your body..." The other party is also surrounded by senior doctors from a big hospital, and he is quite familiar with the medical system.
"Hey, it's not me, it's my daughter...
Can you pull a string and ask him to come over and show my girl? "
"See if there's no problem then, it's just that this director is quite arrogant and it's hard for ordinary people to hire him."
When the other party said this, Xu Lili's father understood, "There are red envelopes. The amount is appropriate. Brother, I must help you."
"What's the red envelope? It's the consultation fee. Forget it, I'll contact you. My brother-in-law's professional title..."
The cardiology department of the traditional Chinese medicine hospital is not developing well, while the cardiology department of the city hospital is the leader in the tea area.
The director of the Traditional Chinese Medicine Hospital is extremely jealous. Not to mention his income, he gets a lot of awards just for treating the leaders.
Therefore, he specially invited a director from a tertiary hospital in Bird City to help the traditional Chinese medicine hospital develop the cardiology department.
In fact, lower-level hospitals invite doctors from higher-level hospitals on a business-to-business basis. To be honest, they cannot invite top doctors.
To be honest, for example, a department director would never leave his own department alone and go to a hospital below for long-term treatment.
Moreover, the most skilled doctors in the department will not be sent out, so the doctors who come from the public to the public are usually second-rate or third-rate doctors.
Top doctors are actually a very scarce resource. To be honest, it is illegal to use a knife to cut holes, but really, if this road is also blocked, ordinary people will still be injured.
The chief doctor who came to the countryside had mediocre skills in the bird market, so he was not very satisfied in the department. But after he came to the department, Guaiguai immediately became different.
Everyone held him in high esteem, so he was a little happy and unhappy.
"What, I need to go to the city hospital for consultation. Oops, there are quite a lot of patients here, so I can't get away."
"Oh, there is a consultation fee. I will go there sometime."
He didn't care about the patient's number and didn't have time. When he heard that there was a consultation fee, which was still two thousand, he immediately agreed.
In the ICU of the city hospital, Director Wang, who went to the countryside, originally wanted to show his face, but he had made up his mind that he must suppress the doctors from the city hospital today.
"What can I say? I'm not a doctor from a higher-level hospital! I'm an expert!"
This was what he thought as he reached the city hospital while touching the two thousand yuan in his pocket.
