Chapter 407: Autonomous Heart Rhythm

"Spontaneous heart rhythm." Nurse Niu shouted immediately.

She has been a nurse for more than 20 years, and she is older than some of the doctors present. Although she rarely sees cardiopulmonary resuscitation lasting more than an hour, it does not hinder her understanding of the patient's state.

At this time, it is about the most critical time for this patient.

Lu Wenbin also cheered up a little: "It's QRS, it's a bit wide..."

Ling Ran nodded silently, and said, "Touch the aorta."

His own hands were already numb, so he might not be able to touch anything.

As soon as Ling Ran finished speaking, Nurse Niu seized the patient's artery: "It's very weak."

A little bit is better than nothing.

At this time, the usually completely unacceptable physical condition has also become a good thing.

Ling Ran continued to perform chest compressions, and said, "Add lidocaine and epinephrine, and add 15 mg of dexamethasone."

Nurse Niu carried it out immediately. If she had doubts about Ling Ran a few hours ago, she has now turned into admiration.

Doing CPR is actually a mixture of despair and hope.

Ordinary people do cardiopulmonary resuscitation, 5 consecutive sets, each set of two minutes is very hard.

In the medical examinations in some places, only three sets of cardiopulmonary resuscitation are required, and the latter two sets only need to do oral simulations. That is to say, the physical strength of the students who are admitted to practice medicine has been taken into account.

But in reality, it is not uncommon for a single person to complete an hour or even two hours of CPR.

In most hospitals, there will be a story about a certain doctor doing cardiopulmonary resuscitation for 30 minutes or 40 minutes.

These stories do not necessarily happen to some physically strong doctors, but more often, it is because they are saving lives and are unable to spare themselves.

Persist for 10 minutes, maybe you can save your life...

If you persist for another five minutes, you may be able to save your life...

Do two more groups, and you will know the situation after the two groups...

Do another set, maybe it will work...

Hold on a little longer...

To do CPR is to live with the greatest expectations and often see the greatest disappointments.

This is especially true with extended CPR.

Of the 100 patients receiving ultra-long cardiopulmonary resuscitation, only one person may be able to recover their own heartbeat, and after 200 ultra-long cardiopulmonary resuscitations, it is possible for one person to wake up.

However, if 2 million people receive extended CPR, 10,000 people will be discharged alive.

If there are 20 million cases of ultra-long cardiopulmonary resuscitation, 100,000 people will wake up.

But from another perspective, this kind of hopeful effort is often brewing with greater disappointment.

At Nurse Niu's age, she no longer expected miracles.

Complete the daily work step by step, save people to be happy, fail not to be sad, and when you go home, leave the emotions in the hospital, together with the white coat...

However, Nurse Niu was still looking forward to seeing a doctor like Ling Ran.

Ask yourself, when you really encounter an extremely bad event, Nurse Niu also hopes that there will be such a doctor who will work hard to get a 1% chance of survival for herself.

"Prepare magnesium and calcium. Bolus."

Ling Ran's voice was clear and his orders were firm.

Nurse Niu turned around to do something, but found that there was already a young nurse beside her, who had completed the task.

She turned around in surprise, and saw Huo Congjun, Director Tao, and at least twenty or thirty medical staff, surrounding them.

Many people have seen ultra-long cardiopulmonary resuscitation, but not many people have seen ultra-long cardiopulmonary resuscitation successfully.

Ling Ran raised his sore neck, and as the chest wall recovered, he gently let go of his hands.

"Heart rhythm 130 beats, self-help heart rhythm... blood pressure 120, 74..." Nurse Niu read out the numbers on the monitor.

Ling Ran touched the patient's aorta with trembling fingers. His mood was also fluctuating, but the main reason for the trembling fingers was that the chest compression time was too long.

His muscles all over his body began to ache.

"How is it?" Huo Congjun asked expectantly.

"The pulse is obvious." Ling Ran said in a hoarse voice.

"Resuscitated?" It was not Huo Congjun who spoke this time, but an official from the government. He was also wearing a white coat, with dark circles, swollen eyes, and anxious expression.

"Not sure yet." Ling Ran said, "Continue to transfuse blood plasma and colloid, wear an ice cap... Supplement with sodium bicarbonate."

He said one item, and the nurses rushed to get it.

In this long night, a miracle happened, which touched everyone.

"Old Hu, old Hu..." Outside the glass door, the fat woman shouted again.

"The patient can't hear your voice yet." A nurse reminded.

"People in a vegetable can hear it, bah bah bah, our old Hu can hear it... Lao Hu, Lao Hu..."

Ling Ran was too tired to speak, so he found a chair against the wall and sat down, not wanting to move anymore.

Huo Congjun took out the flashlight, opened the patient's eyes, and shook it twice.

"Slight reflex to light." Huo Congjun nodded. Of course, the degree of pupil dilation was still very large, he just didn't say it.

Ling Ran looked at the ECG monitor, said "En" in his nose, and said to Lu Wenbin next to him, "Give me a glass of water."

"Glucose." The little nurse next to him immediately delivered a small cup with a doraemon printed on it, and said, "The cup is sterilized by high temperature."

Ling Ran gave a small smile, and drank the sweet glucose in the cup in one gulp.

At the same time, a bottle of energy potion was also drunk.

In a very short few seconds, Ling Ran felt that the exhausted energy and physical strength had been greatly recovered.

"Ling Ran, go and have a rest." Huo Congjun said in a low voice, and then said to the doctor next to him, "Send the patient to the ICU, and ask the neurology department for consultation."

Ling Ran stood up and wanted to tell him something, but he didn't say anything in the end.

Cardiopulmonary resuscitation does not end when the heartbeat is restored. After such a long period of cardiopulmonary resuscitation, the body suffers from all-round trauma, just like an army that has lost its logistics and is on the verge of collapse. effort.

In this regard, Ling Ran has some ability and experience, but all of them need to be analyzed in detail, so there is no need to say anything more at this time.

Yunyi's ICU and Department of Neurology are not underdogs, and both have experience in nursing long-term cardiopulmonary resuscitation.

"Old Hu, old Hu..."

Hu's wife outside the glass door watched the flat bed on which her husband lay moving, and she unconsciously followed it.

Behind her are her son and mother-in-law, as well as several friends and colleagues who have heard the news.

After such a long period of cardiopulmonary resuscitation, the critical illness notice has been issued, and everyone knows what is going on.

Now, they only have time to thank God for the miracle, and look forward to another miracle.

"Thank you, doctor." Walking to the elevator entrance, the chubby Hu wife suddenly thought of something, and turned around and shouted.

Still sitting on the chair, Ling Ran couldn't help but smile as he wanted to take a break, stood up slightly, and nodded to them again.

"Doctor, what's your surname?" Mrs. Hu asked through the door as she couldn't enter the emergency room.

Ling Ran looked at Huo Congjun, then turned around and said, "My name is Ling, Ling Ran."

"Doctor Ling Ran, thank you." Wife Hu forced a smile, wanted to say something, but didn't know what to say, just when the elevator came, she looked at Ling Ran again, then turned and left.

After entering the elevator, Mrs. Hu patted her son on the shoulder again, and said, "If your father passes this test, we will go back to our hometown, buy two pigs, and send them over. Thank you."

The 9-year-old son nodded foolishly.

"Do you remember his name?"

"Ling Ran." The son's pronunciation was accurate.

Hu's wife leaned on the elevator wearily, and the box shook twice.

The mother-in-law did not find fault with her daughter-in-law this time, and secretly prayed to the gods and Buddhas in the sky: Gods and Buddhas bless, the ancestors of the old Hu family bless, if my son Hu Qiang can make it through this time, and survive healthy and healthy, I, Zhu Xiulan, will kill him Three animals do the dojo for three days and three nights... Even if there are some sequelae, I will kill three big fat pigs, and ask people to sing a big show for three days and three nights... As long as the head is good, people can eat and drink by themselves, and I will kill them too Two big fat pigs...

When the elevator door opened and saw the scene in the ICU, her mother-in-law Zhu Xiulan clasped her withered fingers tightly together, and prayed more devoutly: As long as the head is healthy and people can walk and move, I will take care of the old Wang's family next door. Buy the Nian pig to support you... If it doesn't work, if it doesn't work, you can take the life of my old woman. Anyway, I am an orphan old woman, and I can't live without my son...

The more Zhu Xiulan thought about it, the more sad she became, and finally she couldn't help but sat on the ground and began to cry.

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