Chapter 401 Cardiopulmonary Resuscitation

Looking at a group of medical staff surrounding the old lady, Tian Qi originally felt a little warm and curious.

After all, she had never deliberately visited such a scene before.

However, hearing the sharp beeping sound, seeing the old woman who was talking with her eyes open, she went into shock almost instantly, Tian Qi instantly felt that her heart seemed to be grabbed by someone.

"Vtrial fibrillation! Doctor Ling?" Nurse Niu raised her voice again and looked at Ling Ran. In the final analysis, she had never seen Ling Ran show the corresponding ability in the emergency area, so she raised her voice at this time to remind other doctors.

Ling Ran ignored Nurse Niu. He first looked at the ECG monitor, checked the ECG himself, and listened to the heart sounds before giving the order: "Asynchronous, defibrillation. 150 joules."

Nurse Niu secretly breathed a sigh of relief, and immediately handed the prepared defibrillator to Ling Ran.

At the same time, two other nurses put the patient in the recovery position and applied conductive paste. Nurse Niu turned around and chose asynchronous cardioversion on the defibrillator.

Everyone did the whole set of movements in an orderly manner.

Looking at it, Tian Qi felt that what they did was not fast, but dazzlingly fast, just like changing tires and refueling in an F1 race.

"finished charging."

"Get out of the way."

Holding the two large electrode plates in Ling Ran's hands, he used a little force to ensure good skin contact. At the same time, he pressed the discharge button with his two thumbs.

The patient trembled silently.

Ling Ran looked back at the ECG monitor and said, "Heart compressions."

At the same time, Ling Ran turned to the patient's head and shouted, "Tracheostomy kit."

In just a few tens of seconds, Ling Ran completed the endotracheal intubation and was connected to a simple artificial respirator as quickly as possible. Afterwards, Ling Ran took over the work of manual compression, counting while pressing at a steady and fast pace.

Nurse Niu immediately followed Ling Ran's rhythm and cooperated to provide breathing support for the patient.

Cardiopulmonary resuscitation in the emergency room is basically double cardiopulmonary resuscitation.

This is not only because doing chest compressions and artificial respiration at the same time can improve the survival rate, but also because cardiopulmonary resuscitation is extremely labor-intensive, with an average of more than 100 times per minute to play a good role, so two people are often required to take turns.

However, Ling Ran has no intention of taking turns for the time being.

In essence, cardiopulmonary resuscitation is a weakened version of Ye Kemo, that is, artificial extracorporeal circulation. Compression of the chest is to keep the heart pumping blood, artificial respiration is to keep the oxygen supply. In this way, the process of cardiac arrest, the whole body organs and brain stop working and death is transformed into a cardiac arrest, the whole body organs and brain are barely working, and see if they can persist until the heart starts to move.

Blood and oxygen are necessary for the organs and brain of the human body. In theory, cardiopulmonary resuscitation can provide 30% of the normal supply. If the cells are described as an army, the logistical support is maintained at 30%. The army may have lost Combat power, but at least it will not completely collapse.

High-quality CPR is like maintaining logistical supplies in a worst-case scenario.

The strength, frequency, degree of artificial respiration, etc. of chest compressions all play an unusually critical role at this time.

30% is already an extremely low limit, and if it is reduced to 25%, 20% or 15%, it seems that there is not much change, but in fact it may be the last straw that breaks the camel's back.

Ling Ran knelt on the hospital bed, only wanting to perform cardiopulmonary resuscitation as high as possible.

Just like Nurse Niu is not familiar with Ling Ran in the emergency room, Ling Ran is actually not familiar with the nurses and doctors in the emergency room.

Therefore, he prefers to do CPR himself.

How difficult it is to perform high-quality cardiopulmonary resuscitation can be seen by looking at the appreciation for ultra-long cardiopulmonary resuscitation in various journals and international conferences.

extended cardiopulmonary resuscitation,

It means that a strong team, high-quality cardiopulmonary resuscitation for a long time, coupled with great luck, can succeed in one case.

In the papers Ling Ran read, a certain hospital counted a total of 190 cases of cardiopulmonary resuscitation (resuscitation time greater than 30 minutes) in one year, and only 17 cases recovered spontaneous circulation; of the 17 cases, only 3 cases were discharged alive; 3 cases Among them, 2 cases were in a vegetative state and 1 case was cured.

Even so, the only one successful case still inspires doctors. After all, this is the person who was brought back from the Palace of the King of Hades.

"Defibrillation."

Ling Ran jumped off the hospital bed and picked up the defibrillator again.

After completing the defibrillation procedure again, Ling Ran continued to perform chest compressions.

Every 30 times, Ling Ran paused, and Nurse Niu performed artificial respiration with a simple respirator twice.

The perfect level of cardiopulmonary resuscitation can almost guarantee the accuracy of every compression. Even so, Ling Ran still cannot guarantee that the patient will wake up.

A perfect level of cardiopulmonary resuscitation is not a perfect level of resurrection.

Ling Ran could only keep calm, and while counting, he desperately thought about various plans and possibilities in his brain.

In the curtain, the only person who is free is the patient He Tian Qi.

It was the first time Tian Qi saw such a scene.

She was slightly shocked, especially by Ling Ran's focus, nervousness, composure and composure.

In Tian Qi's impression, a certain uncle who became famous in the copper futures market also had such concentration, nervousness, composure and calmness at the most important moment. His third wife seemed to have taken a fancy to his uncle because of this. , Even if my uncle earns more money in the future, he will never leave him.

However, the uncle who became famous in the futures market is still relatively inferior to his status. Even with the addition of career, success, dreams and victories, he can only be called ordinary.

Ling Ran...

Looking at Ling Ran, Tian Qi unconsciously fell into a fascination.

"Heart rhythm returned."

At some point, Nurse Niu's loud voice pulled Tian Qi back from her reverie.

More people surrounded the hospital bed, and doctors from the Department of Cardiology also joined in, and began to consider transferring the patient for intervention.

The old lady's son and daughter were also called over, and they were talked to by the doctor not far from the curtain.

Tian Qi heard "acute myocardial infarction" and professional vocabulary such as "acute inferior wall myocardial infarction". At the same time, he could hear the exclamation of the old lady's children.

Fortunately, the exclamation soon turned into the heavy breathing of Yu Sheng after the catastrophe.

"Because the rescue was timely, the patient's condition is relatively good, the spontaneous heart rhythm has recovered, and the blood pressure and oxygen saturation tend to improve. Next, we recommend interventional therapy to open the infarcted blood vessel..."

The doctor outside the curtain introduced the situation in a moderate voice, with a soft and comforting tone.

As Tian Qi listened, his attention shifted to Ling Ran again.

After completing the cardiopulmonary resuscitation, Ling Ran's arms were tired, his legs and feet were weak, but his smile was unexpectedly bright.

Tian Qi looked up at Ling Ran's face and said with a smile, "Doctor Ling is amazing!"

"Well, this time..." Ling Ran looked back at the uniform waveform on the ECG monitor, and said with a smile, "It seems to feel better to save lives."