Chapter 900: The Expected Scene

Mission: save lives and heal the wounded.

Task content: Rescue 10 patients in the ICU (1/10)

Task Reward: Cardiac Trauma Repair (Master Level)

Ling Ran looked at the prompt on the system panel and nodded slightly.

Whether it is emergency rescue or ICU rescue, it is an act of teamwork after all. Being an assistant can also advance the task progress, which is a reasonable system.

"Put it away." Ling Ran said silently, and then the system panel flickered twice and disappeared.

Turning his head around, Ling Ran was about to continue the process of rounds, when the warning sound of the monitor started beeping again...

Once the monitor sounds, it will sound one after another. In the ICU, this is like some kind of metaphysical formula. It always happens again and again, making people go from being interested in research to numb.

Ling Ran was still the first to reach the rescue position.

Behind him, the doctors in the ICU were also driven to walk faster, but obviously they couldn't be as sensitive as Ling Ran. When the warning sound of the monitor appeared in the emergency room, it was like the charge trumpet sounded, but in the ICU, it was at most the level of a telephone ringing.

"Defibrillation." Ling Ran had already completed the examination and made a decision faster than the ICU doctor.

The nurse next to him also responded immediately, keeping his hands away from the patient.

"Chest compression." As Ling Ran said, he started cardiopulmonary resuscitation on the lying patient.

The success rate of in-hospital first aid is much higher than that of out-of-hospital first aid, because the judgment is timely and there are fast and high-quality rescue measures. For example, cardiopulmonary resuscitation, the average value of first aid in the hospital must be much higher.

In the intensive care unit, cardiopulmonary resuscitation is done every day, and it is always possible to grab the prime time. Patients in the ICU can live longer, and it often depends on this.

However, cardiopulmonary resuscitation has always been tiring. At this time, Ling Ran was willing to do it, and the later doctors would not compete with him. Just watching Ling Ran's ups and downs, I only felt a strong sense of rhythm, but I didn't have any special understanding. .

Even with perfect cardiopulmonary resuscitation, the action of chest compressions is still mechanical, it’s just that the position is more accurate, the frequency is more stable, and the rhythm is better.

"Adrenaline.

"Ling Ran ordered in a low voice.

A few seconds later, the adrenaline has entered the patient's body.

"Defibrillation." Ling Ran then let go, and a silent vibration came immediately.

"The heart rhythm has recovered." The ICU doctor who was watching dryly from behind smiled, and sent a free compliment, saying: "Doctor Ling grasped the timing well."

Ling Ran gave the other party a long-awaited smile, and before he could speak, Didi's warning sound rang again.

"You come." Ling Ran, who had just performed cardiopulmonary resuscitation, did not rush to start, but humbly gave way to the attending doctor of the ICU.

The attending doctors in their thirties felt inexplicably happy. After a brisk walk, they arrived at the position and immediately started the familiar rescue process. But it was different from before. ...

The urge to show off.

Yes, in the area that I am best at, I can do things that Ling Ran can't do... At least, I can do things better than Dr. Ling Ranling...

The attending doctor looked at the old and fierce nurses on both sides. Although he didn't have any ideas, he couldn't restrain the urge to pretend, show off, and fight!

After a brief examination, the attending doctor issued a doctor's order: "Mannitol. Do endotracheal intubation."

The nurse followed suit and made preparations.

Another senior nurse came over and introduced in Ling Ran's ear, "The patient has brain metastases from nasal cavity cancer. Before that, he suffered from head swelling and brain swelling and often fell into a coma, but he can breathe on his own..."

Ling Ran nodded slightly. He was able to breathe on his own. He was considered to be in a relatively good state in the ICU. However, the chances of rescuing patients with brain metastases are almost gone. Whether they want to continue living in the ICU depends on the patient. and family outlook on life and emergencies too.

Ling Ran stood in front of the hospital bed, watched the attending doctor unfold the endotracheal intubation bag, put on the gloves, took out the adult laryngoscope, and started intubation.

The attending doctor's expression was slightly excited.

"A bit of throat obstruction." The attending doctor was speaking, but he didn't stop, obviously preparing for a challenge.

Ling Ran frowned slightly, but didn't say anything to stop him.

Endotracheal intubation technology, in the gourmet world, is equivalent to making pasta. There are really many types, both difficult and easy.

Judging by the score, the soft palate, pharynx, uvula, and front and rear pharyngeal arches can be seen in the i-level airway, which is as simple as cooking instant noodles!

But at level II, the front and rear pharyngeal arches are missing, and you can only see the soft palate, throat, and uvula. This difficulty level instantly rises to cooking... pasta...

And when only the soft palate and the base of the uvula can be seen, scoring grade iii means real difficulties.

Generally speaking, intubating the airway at level III is equivalent to making sliced ​​noodles at home. Normal people would not make sliced ​​noodles at home. Therefore, endotracheal intubation at level three only occurs under special circumstances, such as the current one. A patient whose head is obviously swollen has already experienced laryngeal obstruction, and the starting price is grade III.

Grade III tracheal intubation is actually not as good as tracheotomy, but it also depends on the doctor's on-the-spot decision.

The attending doctor of the ICU is obviously very confident in endotracheal intubation, so Ling Ran has no need to stop it.

Just like when he performed surgery, certain operations were also unconventional, and an excellent surgeon would do some extraordinary operations.

Ling Ran understood this quite well.

Of course, if Ling Ran had the choice, he would still choose tracheotomy instead of tracheal intubation. The reason is very simple - his tracheotomy is perfect, and tracheal intubation has been practiced to this day, at most it is a senior Getting started, not at the level of specialization.

So, not to mention the possible level IV airway, Ling Ran would not hesitate to perform a tracheotomy even if he encounters a level III airway...

After all, if the endotracheal intubation is not done well, people will die.

Thinking of this, Ling Ran looked at it more seriously.

Clinical medicine is such a huge system that it takes many years for doctors in the system to learn the basic operations.

Even Ling Ran needs to make full use of his time.

"Damn it, it's inserted into the esophagus!" The confident attending doctor cursed, pulling the atmosphere around the hospital bed to the bottom in an instant.

"Tracheotomy package." Ling Ran was ready to take over immediately.

For him, this is also a very familiar scene. Indications that fail to operate, guitarists who fail to play, and athletes who fail to dunk, always inevitably appear in his life, and there is nothing strange about it.

On the contrary, the indications of ICU were a little stunned.

He is really professional in doing endotracheal intubation. Of course, this kind of work always has the possibility of failure, especially for the trachea of ​​level III difficulty, it is not easy for anyone to insert it, but it is relatively rare to insert it into the esophagus.

The attending doctor couldn't help but secretly sighed, and glanced at Ling Ran with the corner of his eyes, thinking: This show off didn't work.

A flood of thoughts, that is, a momentary matter.

However, before the attending doctor could calm down, Ling Ran's "tracheotomy package" had already reached his ears.

The attending doctor looked up in astonishment, and saw that the nurse, like a rebellious lioness, had already handed Ling Ran the tracheotomy bag.

Ling Ran put on his gloves a long time ago, opened the cloth bag without saying a word, glanced at the unconscious patient, picked up the scalpel without anesthesia, and made a longitudinal incision on the patient's neck.

"So fast!"

"So handsome!"

"It's all up to Dr. Ling."

The scene of the nurses wishing to clap their hands and dance was exactly what the attending doctor was expecting.