Chapter 387 Cardiopulmonary Resuscitation

Ling Ran stared at the screen on the operating table until he finished the surgery and left the operating room before saying, "Take a break."

"Okay, okay, rest for a while." The director of the Department of Infectious Diseases of the Third Hospital who was waiting at the door nodded again and again.

They now only have two operating rooms left. After the operating room in front was sterilized and airtight, there was no time for air culture. No one in the Third Hospital expected that the surgeons at Yunhua Hospital would improve by leaps and bounds in their surgical style.

Yunhua is a wealthy city with a population of tens of millions, which has allowed his urban construction, especially the construction of infrastructure, to advance by leaps and bounds, and the establishment of infectious disease hospitals has far exceeded the scale currently required. Although the Department of Infectious Diseases of the Third Hospital has just been established, they are already a large hospital with 11 operating rooms. Although they are currently in the third grade, their goal must be the third grade.

Of course, goals are just goals. The hardware facilities can be paid for, but it is very difficult to build a high-standard, top-three infectious surgery.

Yunhua Third Hospital has relied on externally hired flying knife surgeons to solve most of the surgical operations, which also makes the quality of its own surgeons limited and its development slow.

Looking at Ling Ran's back, the leaders of the Third Hospital who were present all had different thoughts. Such a doctor is really one of the top ten existences. Although the surgical methods and scope of surgery have become narrower, it is better than being sparse.

However, none of the people present expressed their thoughts. They also knew the disadvantages of infectious surgery. If they wanted to poach high-end surgeons from other hospitals, it was not possible with ordinary treatment.

Ling Ran went to the shower room, washed his whole body carefully, changed into the full body clothes that he brought with him, put on clean hand washing clothes, and sat down in the lounge refreshingly.

"Open the box." Ling Ran poured himself a glass of water, and gulped it down.

The silver-white treasure chest quickly jumped out.

There was no need for Ling Ran to do anything else, the treasure chest was slowly opened, and a shiny silver skill book popped out

"CPR (Perfect Level)"

Ling Ran's hands that were about to pour water stopped for a moment.

Cardiopulmonary resuscitation, this is the leading technology of modern first aid.

In ancient times, if patients who lost their breathing or heartbeat were revived by cardiopulmonary resuscitation, it would be a story of living dead.

is in modern times,

CPR saves countless lives every year.

Ling Ran had always been interested in this technology before, but he did not ask Huo Congjun rashly.

Because cardiopulmonary resuscitation is a life-related technique, it doesn't mean that it can be practiced for you if you practice it. Although according to domestic training and practice requirements, each student is required to do several or even dozens of cardiopulmonary resuscitations when leaving the hospital, but the hospital is unable to provide such practice opportunities, and the so-called requirements and goals are in vain. in form.

Ling Ran poured himself another glass of water, and drank it slowly while recalling various information about cardiopulmonary resuscitation in his mind.

Simply being able to use cardiopulmonary resuscitation is a very low requirement.

Popular first aid training, such as various swimming teams and drowning rescue teams, will train cardiopulmonary resuscitation, but the skills of cardiopulmonary resuscitation they can master are very elementary, and it can only be said that they can perform cardiopulmonary resuscitation.

Specific to the compression frequency of cardiopulmonary resuscitation, the depth of compression, the operation of artificial respiration, etc., can only be said to be the primary level in the primary, which is better than no choice. It was done purely for the protection of Platinum 10 minutes.

Such "cardiopulmonary resuscitation" skills can only be regarded as the most basic entry level after a long period of practice and real operations.

Specialized "cardiopulmonary resuscitation" not only has the ability of personal rescue, but also should include the command ability of collective cardiopulmonary resuscitation - continuous chest compression is very laborious, coupled with constant bending over for artificial respiration , very few people can persist for a long time. In the history of cardiopulmonary resuscitation, ultra-long cardiopulmonary resuscitation of more than 30 minutes abounds, and there are even cases of 5 to 6 hours of cardiopulmonary resuscitation reported (Note 1).

For master-level cardiopulmonary resuscitation, post-resuscitation multiple organ dysfunction syndrome (ods) must be considered. It is a complex problem that can be counteracted by the correct treatment plan and smart strategies for the body damage caused by hypoxia and ischemia after the changing circulation stops.

What Ling Ran obtained was a perfect level of CPR, which meant that even with super-long CPR, the probability of success would be much higher than others.

A true lifesaver.

After Ling Ran finished his second glass of water, he suddenly had the urge to go back to the emergency room.

"Doctor Ling, would you like to drink some salt water?" The vice president hurried over when he heard that Ling Ran had entered a state of rest.

Ling Ran nodded, "Salt water is fine."

The vice president immediately offered a water glass, and then carefully squeezed a pack of normal saline into it...

Ling Ran looked at the vice president quietly, with such a calm expression

(￣(エ)￣)

"I'm worried that you are not used to it. After all, we are an infectious disease hospital." The deputy director explained with a smile as if he understood Ling Ran's expression.

"I want another cup." Ling Ran didn't intend to be polite at all.

In addition to psychological factors, the hardest part of performing infection surgery is that you wear too much and too thick clothes, so that you are extremely hot.

The operating room itself has a constant temperature. For normal operations, the doctors wear a hand-washing gown and a sterile surgical gown. The temperature is just right. Itinerant nurses or anesthesiologists don't need to wear surgical gowns, and they feel very comfortable wearing a hand-washing gown.

However, for infection operations, cloth surgical gowns should be worn inside, and the protective clothing itself is also airtight.

After several hours of such an operation, the doctors were thirsty to death.

At this time Zuo Cidian also changed into new clothes and came over. Seeing this, he quickly poured water and put out a row of snacks.

"Doctor Ling, add some energy." Zuo Cidian squinted his eyes and poured a new cup of tea for the vice president.

The vice president was overwhelmed by the flattery. Looking at Zuo Cidian's busy schedule, he suddenly felt that it was a good thing he hadn't made an invitation. With Ling Ran's treatment, the terms he put forward would probably be humiliating himself.

"Is the operating room ready?" Ling Ran's expression was calm, obviously he was also counting the time.

When it comes to skills such as calculation of operation time, Ling Ran does not need skills, but needs to be specialized or above.

The vice president quickly got up and said, "I'll go and supervise."

"Don't worry, the disinfection must be thorough." Ling Ran said and looked at Zuo Cidian.

"Doctor Yu has been following." Zuo Cidian responded immediately.

The vice president looked a little embarrassed. Yu Yuan supervised them to do the disinfection work, which was obviously unpleasant and undoubtedly caused many doubts.

However, Ling Ran simply ignored his complaints, and the vice president didn't have any other surgeons to replace him.

In fact, Ling Ran was the only top orthopedic surgeon he could find for 500 yuan a day.

"Let's go eat something." Ling Ran suddenly stood up and said, "Let's go to Shao's restaurant."

...

Note 1 "A Case of Successful Extra-Long Cardiopulmonary Resuscitation", from "China Medical Journal", Volume 45, Issue 7, 2010 (Wu Yinglin, Zhao Xiaoqing-Department of Critical Care Medicine, The First Affiliated Hospital of Guangxi Medical University)

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