Chapter 406: Do Your Best
Perhaps because she cried too loudly, Hu's wife quickly lost her energy.
She stood outside the glass door for too long and felt tired, so she could only lean against the door and look inside eagerly.
For her, today's accident was a bit too heavy.
Perhaps, for anyone, accidents about life and death are unusually heavy.
Ling Ran was still doing chest compressions continuously. Every 5 minutes, injections of epinephrine, atropine, and lidocaine were required.
In addition, 150 ml of sodium bicarbonate was also injected intravenously, which did not help.
The surrounding area was still very noisy, with medical staff, police and patients coming and going, making the environment of the emergency room as dry as a desert stove.
Ling Ran also felt that his body was a little hot.
For more than 100 chest compressions per minute, both the compression and release must be in place, and the hands must not completely leave the chest. It is difficult for people who have not been trained to grasp the severity, especially those who have not used their hands to press people. When it comes to cardiopulmonary resuscitation, it is not easy to achieve accurate compressions.
However, even after training, the huge physical demands still continue to test the rescuers.
"Doctor Ling, do you want to change someone?" Nurse Niu trotted over and asked softly.
"I'm okay." Ling Ran didn't want to say more, he was adjusting his breathing as much as possible to ensure the continuity of his chest compressions.
Chest compressions are the most important part of cardiopulmonary resuscitation.
In contrast, any drugs, instruments and technical means cannot achieve the same effect.
And high-quality chest compressions are also the best support for high-quality cardiopulmonary resuscitation.
Ling Ran hoped that he could hold on for a little longer.
In fact, if it wasn't for everyone's busy schedule, Ling Ran could have been promoted to become a commander.
However, if he moves out of his position now and relays cardiopulmonary resuscitation with other doctors, one or two doctors may not be enough.
Ling Ran must not be able to occupy so much physical strength and energy of so many doctors at such a tense moment.
What's more, Ling Ran felt that he could still persevere.
Any doctor, anyone, can often last a long, long time when performing CPR on another human being...
"Doctor Ling, it's been 25 minutes." Nurse Niu reminded in a low voice.
Ling Ran just let out a muffled "En".
Nurse Niu thought for a while and suggested, "Do you want to use a ventilator?"
At this time, the little nurse who had been doing artificial respiration for 25 minutes used a simple respirator, that is, a manual artificial respirator with a large balloon.
The artificial respiration effect of the ventilator is much better, but it is usually not used for CPR patients.
Ling Ran nodded appreciatively: "Using a ventilator is a good idea, pay attention to the replacement time."
Nurse Niu nodded, and immediately went to find someone to drag the ventilator.
The artificial airway had been opened a long time ago. Nurse Niu skillfully adjusted the ventilator and connected the throat tube without delay.
After some operations, Nurse Niu reported to Ling Ran again: "It's been 30 minutes."
Ling Ran still just said "En".
He knew what Nurse Niu meant. After 20 minutes of CPR, or more than 30 minutes, he could actually decide whether to give up.
If it is in 10 years, hospitals in most countries and regions will regard cardiopulmonary resuscitation for more than 20 minutes as unnecessary.
In fact, Americans still rarely perform ultra-long CPR (cardiopulmonary resuscitation).
However, this is related to their medical system.
In American hospitals, family members can leave the vegetative state in the hospital and ignore it. Hospitals will bear millions of dollars in medical expenses every year, so that there is even a vegetative transaction between hospitals-the large costly hospital uses a medical plane to sell the vegetative person to a lower-cost hospital and pays the latter High fees in the millions of dollars.
In this environment, allowing American hospitals to support ultra-long CPR means that the hospital will add several new vegetative patients every year.
Therefore, in order to allow patients to die with dignity (manual dog head), American hospitals do not encourage ultra-long cardiopulmonary resuscitation. Doctors are so educated that the proportion of ultra-long CPR is not high.
But in China, the proportion of medical staff performing ultra-long CPR is getting higher and higher.
Although the probability of success is often as low as one percent, this is the only way to bring patients back from death.
Ling Ran knew that at this moment, the only hope for "Old Hu" was himself.
If Ling Ran gave up, no doctor would follow up and continue to do CPR.
At that time, he could only declare his death.
And continue to do it, after all, there is still one percent hope.
For a life, there are countless times in his life that he has worked hard for a success rate of less than one percent.
At this moment, it seems easier to understand that another life is fighting hard to keep his life, with a success rate of less than one percent.
...
"dad!"
Outside the glass door, a 9-year-old boy, wrapped in adult clothes, was sniffling and shouting.
"Daddy is inside, let's wait outside." The round woman hugged her son, wanting to cry but not daring to cry.
"What's wrong with Dad?" The 9-year-old child is already very sensible. Now he hopes that the adults can deny his conjecture.
The round woman patted him on the shoulder and said, "Dad fell off the tower crane..."
"Don't say this to your child!" Standing on the right was the patient's mother, with an old face, flushed with anger, and took the opportunity to get angry: "Your own husband, are you cursing him to die? You shouldn't let me take the He's here, what are you bringing him here for?"
The daughter-in-law didn't choke as usual, she just said, "Let Chuan'er see his father more."
"It's the same when I go back and see it again." The patient's mother's momentum was much weaker, and she almost begged: "It's the same when I go to the ward to see it later."
The fat woman continued to pat her son gently with her hand, as if she was in the cradle, and said, "Chuan'er, your father only went to the night shift construction site to make money to pay the rent and tuition fees. From now on, you have to be careful." Reading, sitting in the office, the wind won’t blow, the rain won’t catch me, and I won’t fall off the tower crane…”
"You..." The old lady was angry and anxious, looking at her daughter-in-law, as if she was hysterical, she simply grabbed her grandson and said, "Don't talk nonsense, my son... my son..."
The old lady wanted to say something auspicious, but what she saw through the glass door did not allow her to say such words.
Ling Ran still pressed the patient's chest at a frequency of 100 to 120 times per minute.
Even a perfect level of CPR, there is no guarantee that he can maintain the same frequency for a long time.
What Ling Ran can guarantee is the depth of each compression and the degree of recovery of the chest wall each time.
Time passed by every minute and every second.
When he asked for intravenous medicine again, Huo Congjun came to Ling Ran.
"It will be an hour soon." Huo Congjun said.
Hearing Director Huo's voice, Ling Ran said without raising his head: "The patient is only 32 years old, has no medical history, and was previously in good health. I think continuing cardiopulmonary resuscitation can maximize the patient's benefits."
Huo Congjun was speechless.
Continuing CPR can naturally maximize the patient's benefits, and if you give up CPR, you will be declared dead.
Huo Congjun looked around. With the arrival of doctors from various departments, the busy scene in the emergency room has been slightly relieved. Although there were still people from the construction site sending them over, the total number of people was very small.
Huo Congjun breathed a sigh of relief and said, "You judge for yourself."
"Yes." Ling Ran replied, but the movement of chest compressions did not change.
At this time, Lu Wenbin finished what he was doing, came quickly, and said in a low voice, "Doctor Ling, I'll help you."
"Prepare for an electric shock." Ling Ran immediately gave the order.
"Oh... yes." It took Lu Wenbin a few seconds to react before he picked up the electrode plate.
"200 joules." Ling Ran ordered.
Lu Wenbin repeated: "200 joules, get out of the way."
The defibrillator gently discharged the current.
Ling Ran didn't even look at it, and continued to do CPR.
The shorter the interruption of cardiopulmonary resuscitation, the better. This is to borrow external force to provide logistical support to the body. The longer and more frequent the interruption of logistics, the easier it is to get into a mess.
drop.
Didi.
The heart rate monitor suddenly rang a few times, attracting the attention of everyone around.