Great Doctor Ling Ran

Chapter 405 Rescue

"Doctor! Doctor!" The man lying on the flat bed shouted loudly.

His shoulders were bandaged, and blood was leaking slightly, and two bottles of liquid were hanging on the infusion stand by his side. His disheveled upper body, and the abrasions on his hands and face made him look miserable.

However, none of the doctors and nurses who passed by responded to him.

The emergency center at this moment is already extremely busy.

There are already quite a few doctors and nurses rushing over after receiving the news, but more patients have sent over. The best emergency department in Yunhua is in Yunyi. The newly upgraded emergency center faces more than half of the seriously wounded and a large number of lightly wounded.

And at this time of year, even a seriously wounded person would consume a lot of resources.

As for the lightly wounded, naturally no one paid attention to them.

The man with bandaged shoulders frowned, took out his mobile phone, checked it secretly, then put down the mobile phone, raised his voice, and shouted wildly: "Oh...it can't be done, I'm going to die, oh, I'm so uncomfortable, my chest is so stuffy , chest pain..."

"I'll go." Lu Wenbin, who was immobilizing a fractured patient, said to the attending physician in front of him.

The attendant nodded slightly.

Chest tightness is a critical sign that requires immediate response in the emergency room.

Some patients complained of chest tightness and chest pain, pouting their mouths, and it disappeared in a blink of an eye.

So, even if you don't believe him anymore, you have to send someone over to have a look.

Lu Wenbin took off his gloves, shook his clothes, took out alcohol gel to apply on his hands, and went to the corner of the disposal room.

The man with bandaged shoulders had short hair, wide eye sockets, wide nose, thick lips, fat cheeks, and a round face. When he saw Lu Wenbin in a white coat approaching, he immediately groaned: "Doctor, look at me... ..."

"Hearing your cry just now, it's pretty loud." Lu Wenbin looked at the other person's appearance, and already had some guesses in his heart.

When a doctor looks at a patient's appearance, he cannot simply use "glance" as a unit.

When doctors look at people, they basically use the routine of inspection, which is what ancient China said.

Experienced doctors can judge a lot of information by looking at the patient's breathing rate, looking at the patient's nails and lips, etc.

The man with the bandaged shoulders laughed a few times, and said in disbelief, "I have to shout loudly so you can hear me. Right? Shouting is really tiring."

Lu Wenbin sighed helplessly: "Then how does your chest feel now?"

The other party rolled his eyes and said, "It's still a little boring, and it hurts a little bit."

"Let me take a look for you." Lu Wenbin took out his stethoscope.

"This is useless." The patient lying on the hospital bed turned around nimbly, not willing to let Lu Wenbin listen.

"Well... then what's the use?" Lu Wenbin was no longer a newcomer, so he asked softly.

The man with the bandaged shoulders looked around and said in a soft voice: "Let me tell you one thing first, the cost of our medical treatment this time is all paid by the government, right?"

"Either it's insurance, or the construction company you work for, I don't know the details..."

"Anyway, someone paid for it, right?"

Lu Wenbin hesitated for two seconds, nodded and said, "Normally, this is the case."

"Then give me a full set of inspections."

"kindness?"

"The chest X-ray, CT, EKG and so on, and then a blood draw and so on, all of them." The patient laughed twice: "You make money, I will check the body, is there any problem?"

After the guessed boots fell to the ground, Lu Wenbin felt a little relieved.

"Let me listen to the sound first." Lu Wenbin was still a little worried. Although the patient looked like he was lying, he didn't lie about anything else, but he lied about chest tightness and chest pain, so Lu Wenbin had to pay attention to it.

The patient didn't insist any longer, opened his arms, let Lu Wenbin touch them, and said: "If you can't do what you promised me, don't blame me for making trouble."

"Understood." Lu Wenbin's expression remained unchanged. Chest X-rays and the like are not worth a lot of money.

Moreover, like the other party's current situation, even if he doesn't want to have an examination, he can't do it.

At the very least, an electrocardiogram needs to be taken, and blood cT and the like also need to be checked.

Of course, Lu Wenbin would not say these words now, lest the other party feel that the advantage was not enough.

"Heart sound is fine." Lu Wenbin put down his stethoscope.

"Hello, doctor!" The voice of the patient lying on the hospital bed suddenly rose.

Lu Wenbin nodded: "The lungs are definitely fine."

"We agreed..."

Lu Wenbin shook his head, and didn't bother to think about it, he said, "I'll give you a checkup. But it will take a while, we're too busy right now."

"No, what if I have a myocardial infarction?" The patient yelled loudly, also worried about the long night and dreams.

Ling Ran happened to come over after the operation at this time, and when he heard the word "myocardial infarction", he immediately walked over.

Lu Wenbin knew Ling Ran very well. Looking at his actions, he could guess what he was thinking, and said quickly, "I don't have a heart attack."

"I have a myocardial infarction." The patient yelled.

"You didn't." Lu Wenbin comforted softly.

"I'll just yell and yell!"

"You..." Lu Wenbin suddenly felt guilty. If this guy really yelled out a heart attack...

Lu Wenbin turned his gaze to Ling Ran.

At this time, I saw that Ling Ran's attention had already fallen on the flat cart that had just been pushed in. An emergency worker was kneeling on it, counting while pressing, and the emergency worker pushing the cart shouted hastily: "Cardiac arrest for 5 minutes, cyanosis all over the body, dilated pupils on both sides, disappearance of aortic pulse, no spontaneous breathing..."

In the emergency room, there was a sudden silence.

Sudden cardiac arrest is a heart attack, and 5 minutes can be said to be quite a long time. Cyanosis of the whole body means that the blood in the whole body is hypoxic. If the pupils are dilated and fully alive, then the loss of light reflex should be added later, which is one of the signs of brain death.

It can be said that such a patient is in the most critical state. Or, maybe the most critical state has passed.

The doctors present all had work in their hands, so they had to think about it for two more seconds.

Ling Ran ran over without thinking.

"Defibrillation!" Ling Ran's voice was so loud that everyone could hear it.

The first responders saw Ling Ran's white coat, finished the last set of chest compressions, and immediately gave up their positions.

Two nurses quickly patched the patient's chest and charged the defibrillator.

"15o Jiao. Get out of the way!" Ling Ran yelled, and pressed the button with his thumb.

No response.

Without looking at it, Ling Ran directly knelt on the flat car, pressed the patient's chest, and ordered: "Intravenously inject 1 mg of epinephrine."

A defibrillator is not a panacea.

Defibrillation is often unsuccessful. At this time, the only thing the doctor can do is cardiopulmonary resuscitation.

Ling Ran straightened his posture, judged the patient's physical condition, and provided the quality of cardiopulmonary resuscitation as much as possible.

According to the medical profession, if the heart stops beating for one minute, the chance of survival will be reduced by 10%, unless high-quality cardiopulmonary resuscitation is performed.

High-quality cardiopulmonary resuscitation is a key factor in bringing modern medicine back to life.

Therefore, even if there is a first aider who has trained in cardiopulmonary resuscitation by his side, Ling Ran is unwilling to hand it over to the other party, and only gives orders.

"1 mg of atropine, 50 mg of lidocaine." Ling Ran then turned his head while pressing, and said, "Open the airway."

Doctor Zhou ran over, made a quick tracheotomy on the patient with a single cut.

Such a tracheotomy will be more difficult to heal during the recuperation period, and the recovery time will be longer. The premise is that the patient can live to that time.

"oo1, oo2, oo3..." Ling Ran quickly reported the number in a standard posture.

Every 30 times of chest compressions, combined with two artificial respirations, ordinary cardiopulmonary resuscitation is no longer ordinary, just repeat, repeat, repeat...

He looked down and could see the patient's face.

It was a young, somewhat old face.

It should be 30 years old, or in the early 30s. The skin is rough, as if it is in a semi-wild state, and it should have never been maintained.

There were no major wounds on his exterior, no signs of internal bleeding, and no cause for cardiac arrest.

Ling Ran gently adjusted his breathing to ensure that he continued to perform chest compressions.

The standard actions of cardiopulmonary resuscitation are simple, lengthy, and seemingly endless.

"oo1, oo2, oo3..." Ling Ran counted to 3o before stopping twice, but his movements remained unchanged.

The first responder who had just performed CPR for 5 minutes was already feeling very tired, panting, and looked at Ling Ran under the flat bed.

From his point of view, the cardiopulmonary resuscitation action of the doctor on the flat bed is more standard, the pressure is more uniform, and there seems to be some faint rhythm.

However, CPR is still just CPR.

three minutes.

five minutes.

ten minutes……

A combination of epinephrine, atropine and lidocaine had all been injected twice, and defibrillation had been done three more times.

However, the patient's condition was getting worse and worse, and his whole body was so purple that it didn't look like he could be saved.

"Is Lao Hu dead?" Behind Lu Wenbin, the patient who was bandaging his shoulders had already got out of bed and came to watch.

"Don't talk nonsense." Lu Wenbin turned around and said sternly, "If you don't go back now, then don't do the inspection."

"I'm afraid of you." As this man said, he still walked back, climbed onto the bed by himself, pulled the quilt, arranged the pillows, and lay down chubby.

Lu Wenbin turned his head again, and heard another voice from behind: "Lao Hu's family is here."

"En?" Lu Wenbin looked over and saw a fat woman rushing in from the outside.

"Old Hu." The woman shouted.

"Old Hu! That's my old Hu, let me go there." The woman shouted so loudly that her voice became hoarse.

Three security guards blocked her desperately, and a nurse explained: "You don't want to go over, the doctor is resuscitating, it would be bad for you to go over."

"Old Hu..." The woman struggled twice, then suddenly stood still, and shouted: "Don't pull the curtain, don't pull the curtain, I won't go over."

The nurse who was drawing the curtain to be isolated stopped and subconsciously looked at the head nurse.

The head nurse shook her head slightly.

The nurse bowed her head and left.

As she said, the fat woman stood outside the isolated glass door, looked inside through the glass, and lowered her voice a little: "Doctor, my son is only 9 years old, and my son can't live without a father. A baby without a father, is accepted by others." Bullying..."

The security guards by the side bowed their heads unbearably. They knew the meaning of cardiopulmonary resuscitation.

In the rescue room, Ling Ran turned a deaf ear to everything around him and just counted mechanically: "oo1, oo2, oo3..."

Chapter 444/1528
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Great Doctor Ling RanCh.444/1528 [29.06%]