Chapter Six Hundred and Sixtieth Stop

For the emergency department, myocardial infarction and cerebral infarction are a big deal. If you have been to the emergency room of a hospital, many times, you can see the words "seek medical attention for chest pain" or "chest pain center" and other similar words posted in conspicuous places.

Of course, chest pain is not all myocardial infarction, but from the perspective of the emergency department, any patient with chest pain is a high-risk patient and should not be missed.

If it is missed, it should not be pointed out by the doctor of the outer hospital.

The doctor who was consulting other patients turned around, looked at the middle-aged patient twice, and then walked over, whether it was true or not, he asked first before talking.

The nurse next to him was a little ignorant and explained first: "He injured his hand. He was bandaged in our hospital before, and he came to change the dressing today. Because there are more people, I let him wait first."

Several doctors, including the senior nurse present, remained silent. What kind of disease a patient has is a real situation, not an explanation that can explain the past. Looking at it now, it is naturally best not to have a myocardial infarction. You should scold this doctor from the outer hospital...the doctor who is too handsome, just scold him for meddling in his own business, but if it is a myocardial infarction, the hasty talk now is just to scold him. up.

Several doctors from the emergency room approached together, which naturally made the patient sitting on the bench feel strange, trying to stand up while holding on to the armrest of the chair...

"Just sit down." Jin Xiongteng, the chief physician of the emergency department of Donghuang District Hospital, stepped forward quickly and stopped the patient.

As he got closer, he also saw that there was a problem. The patient's forehead was covered with fine sweat.

"Where does it hurt?" Jin Xiongteng asked directly.

"There's something wrong here." The patient pointed to the space between the two chests.

This is basically a diagnosis. Jin Xiongteng touched the patient's clothes again and found that he was already covered in sweat.

"Go get nitroglycerin, push the cart over here, take the EKG, and move quickly. Xiao Liu, go and call and notify the interventional department." Jin Xiongteng's forehead was also sweating, and he ordered in a low voice, and immediately turned his head Ask the patient: "Have you had surgery recently?"

The patient pointed to his hand, spoke slowly, and said with some difficulty: "It's just that the hand was injured..."

"What's next?" Jin Xiongteng hurriedly asked.

The sweating middle-aged patient shook his head slightly: "No."

"Do you have high blood pressure?"

"No.

"

"Have you been bedridden for a long time recently? Do you have a cold and a fever?" Jin Xiongteng said, and asked the nurse to measure the blood pressure on both sides. The whole process was tense and... chaotic.

From the perspective of Ling Ran, who is familiar with Yunyi's emergency center, the level of the emergency department of Donghuang District Hospital is indeed relatively average, and the experience of doctors and nurses is obviously not as good as Yunyi's.

The biggest difference is that only one chest pain patient mobilized most of the manpower in the emergency room. Looking at it, at least three nurses were running around the room to fetch carts, two nurses were helping to measure blood pressure, and one A nurse wanted to help but couldn't. Only two doctors came because there were only three doctors on duty in their emergency room.

At this moment, if there is another patient with chest pain, it may be ignored again. It is not necessarily ignored, but the busy medical staff obviously lack enough energy and attention to deal with it.

However, for this patient with chest pain, Jin Xiongteng and others did not have any problem dealing with it, it was nothing more than a waste of manpower.

However, the step-by-step treatment does not mean that the patient will follow the step-by-step procedure as his condition develops.

Ling Ran looked at it for a while, and saw that Jin Xiongteng had confirmed that the aorta was not ruptured, so he turned his head to the little doctor who smiled at Jingba, and said, "Bring me a white coat."

The little doctor hesitated for a moment, and said, "Here, isn't Dr. Jin taking over?"

"Take one first." Ling Ran didn't say much. He has been in the emergency room for a long time and knows the importance of equipment. Doctors in white coats tend to do things more smoothly, rather than repeatedly questioning.

The little doctor took a long time to find a white coat and handed it to Ling Ran: "I don't know if it fits or not."

"En. Thank you very much." Ling Ran took it and put it on.

The white coat really didn't fit well, but after putting it on, it was still dazzlingly handsome.

The patient's family members and nurses who had been staring at Ling Ran unblinkingly looked at Ling Ran unblinkingly, as if they were watching a changing show.

Ling Ran looked at the patient without blinking.

The patient was sweating profusely and barely spoke: "Should I call my family?"

"Let the nurse call for you." Jin Xiongteng replied.

The patient then wanted to get the mobile phone, but his arm moved and suddenly dropped down.

Jin Xiongteng's heart skipped a beat, did he stop fighting?

"Pull the bed over, lift the patient up, take off the clothes, prepare for the cardiac pacemaker, and move quickly." Jin Xiongbo's voice was fairly steady, not like shouting on TV.

In fact, emergency doctors only squander their throats in emergencies. Otherwise, critically ill patients are being rescued every day, and even if they can call for a day or two, it is impossible to call for three or five years.

Like Jin Xiongteng, if the patient is expected to suffer from myocardial infarction, then there is no need to shout, just follow the operation guide for myocardial infarction and follow the steps step by step.

The driving car that was going to be next to him was pulled over, the brakes were stepped on, the patient was lifted up, and the chest was exposed. Then, Jin Xiongteng picked up the electrode pad...

After two consecutive defibrillations, Jin Xiongteng climbed onto the flat bed and began to perform cardiopulmonary resuscitation.

The other two doctors in the emergency room also surrounded him, but they didn't know what to do for a while.

Ling Ran could tell at a glance that, apart from Jin Xiongteng, the other two young doctors probably had no relevant experience. Although Jin Xiongteng had certain experience and skills, he probably hadn't practiced cardiopulmonary resuscitation for a while.

In the huge capital city, patients with myocardial infarction are not sent to the district hospital every month.

Ling Ran looked at Jin Xiongteng with pity, and then walked forward, saying: "Open the airway, administer epinephrine, and open the second vein."

The little doctors next to him looked at Ling Ran in a daze, and then at Jin Xiongteng.

Ling Ran didn't wait for them to speak, and said, "I have many experiences in super-long CPR, the longest being more than 2 hours."

In a word, ultra-long cardiopulmonary resuscitation is the king of cardiopulmonary resuscitation. Those who can succeed in one case can brag for a long time.

"Adrenaline, the second intravenous access." Jin Xiongteng repeated the order, but did not agree to open the airway.

Ling Ran then said: "Opening the airway as soon as possible is conducive to the next operation. Advanced tracheal management is beneficial to all patients who need cardiopulmonary resuscitation."

While doing CPR, Jin Xiongteng said: "This is CPR in the hospital, there is no need to cut the trachea immediately."

Cardiopulmonary resuscitation in the hospital is generally much more successful than cardiopulmonary resuscitation outside the hospital. It is normal for Jin Xiongteng not to want to do damaging operations immediately.

After all, in many hospitals, CPR works within minutes.

Ling Ran shook his head slightly, but did not argue. He also wasn't sure that this patient wouldn't be able to recover his heart rhythm within a few minutes, but, based on Ling Ran's experience, the problem is often more serious for such a middle-aged man who has a sudden myocardial infarction.

The success rate of in-hospital pulmonary resuscitation is high, mainly because the patient was treated quickly after cardiac arrest, which does not mean that the patient himself is any special.

Many patients fell ill outside the hospital, and some of them were treated adequately by the pre-hospital first aid. Ling Ran has seen many cases of those who were pressured to the hospital by cardiopulmonary resuscitation, and most of them have also received good treatment.

But from Ling Ran's point of view, the prerequisite for any good treatment is to face the bad situation squarely.

It is indeed possible for the patient to wake up within a few minutes, but Ling Ran disagrees with Jin Xiongteng's hope here. Now don't open the airway, if the patient can't wake up in a few minutes, then what?

Time passed by every minute and every second.

"It's been three minutes." A nurse stood by and counted the time.

"Substitute." Jin Xiongteng called another doctor to come up, with secret sweat dripping from his face, frowning with an ugly expression, and said to the nurse, "Go get the tracheotomy kit."

After finishing speaking, Jin Xiongteng took another look at Ling Ran and noticed that he had changed into the white coat of this hospital, so he frowned again and asked with a Beijing accent, "Are you from our hospital?"