Chapter 147: Speed with Death

In the rescue room, people came and went, and the corners of white clothes were flying.

There were two beds of patients who needed to be rescued at one time, and the staffing that was originally a little redundant was instantly stretched.

Everyone is desperately trying to do their own thing.

Speaking is not talking, it is roaring.

Walking is not walking, it is flying.

But that's what the rescue room is, a place to race against death.

At this moment, Dr. Chen, who is still surrounded by many unseen patients in the emergency medicine department, has no one to care about.

As long as he doesn't send in serious patients at this time, it's enough to thank God!

Zhang Tianyang still held the electrodes in his hand and retreated from the bed.

Nurse Ouyang quickly took his place and gave chest compressions to the old man.

Zhang Tianyang moved to the bed and shook the bed low in three or two to facilitate pressing.

Nurse Ouyang took the time to glance at him and nodded slightly, but her subordinates were still doing the compressions in a standardized manner.

Zhang Tianyang was not idle, while catching people to work, he quickly found the ventilator and tracheal intubation tools, and quickly prepared.

Turn on the ventilator, adjust the parameters, and connect the ventilation tube.

Open a video laryngoscope and put on a disposable jacket.

Dismantle the tracheal tube, check for leakage, equip the guidewire, lubricate.

All in one go!

Holding the video laryngoscope in his left hand, Zhang Tianyang still only took two seconds to successfully slide the laryngoscope into it in the turbulence of chest compression.

The epiglottis is exposed, as is the approach to endotracheal intubation.

But chest compressions are originally a job that requires strength, and Nurse Ouyang, as a male nurse who is very popular in the emergency department, has very standard movements.

The end result is an unusually turbulent view of the video laryngoscope.

But what matters is not that the picture is turbulent, but that the approach is changing at any time, and there is simply no way to perform endotracheal intubation in this situation.

Zhang Tianyang squinted at the screen of the video laryngoscope that was shaking at any time, and yelled at Nurse Ouyang.

"Endotracheal intubation! Give me five seconds!"

"Is it five seconds?"

Nurse Ouyang didn't stop pressing immediately, still sweating like rain.

"Do you want to call Professor Yang?"

"No!"

Zhang Tianyang's eyes were glued to the screen, "I can! You are ready to call me!"

Nurse Ouyang stopped talking and continued to press.

While pressing, the number was reported in the mouth, and in the last few clicks, the sound gradually increased.

"Twenty-seven, twenty-eight, twenty-nine, ready!

Zhang Tianyang frowned, and at the moment when the picture began to stand still, he pinched the tracheal tube that had slid half of the tube into the old man's mouth with his right hand, and aimed it at the entrance and sent it inside!

"Pull the guidewire!"

The moment Zhang Tianyang yelled, Nurse Ouyang reached out and grabbed the guidewire with great discernment.

The next moment, Nurse Ouyang pulled the guidewire out, and Zhang Tianyang continued to send the tracheal tube inside.

Get it fast!

It doesn't take more than five seconds!

"You can keep pressing!"

Zhang Tianyang shouted out his judgment, his subordinates did not stop, quickly inflated the air bag, connected the catheter to the ventilator, and turned on the automatic gear.

Over there, Nurse Ouyang pounced on it again at the first moment and continued to do chest compressions.

In an emergency, it all relied on adrenaline, and now that she had calmed down a little, Nurse Ouyang couldn't help but be shocked in her heart.

While continuing to press, he turned his head to look at Zhang Tianyang, who was putting the patient's teeth pad and fixing the tracheal intubation.

The more I looked, the more I felt that this white coat, which was said to be an intern, was pleasing to the eye.

As a nurse in the emergency department all year round, Nurse Ouyang has experienced too many rescues.

can take a look at the old man Zhang Tianyang is in charge of.

How long has it been since ventricular fibrillation was discovered?

Two minutes?

And then what did Zhang Tianyang do?

He did chest compressions, did his first defibrillation, and did endotracheal intubation.

If nothing else, let's talk about endotracheal intubation.

Endotracheal intubation itself is an operation that requires technology, not to mention a difficult airway, even if it is an ordinary airway, it is common for it to fall into the hands of ordinary doctors and toss for five or six minutes.

Even for an experienced emergency physician like Professor Yang, it is normal for an endotracheal tube to be intubated for more than a minute.

But what about Zhang Tianyang?

Confident that you can do it in five seconds.

Actually, it's really five seconds in place!

Awesome!

Moreover, in the two minutes after the rescue began, in addition to the above operations, he also gave a bunch of verbal medical orders.

The little nurse next to her had just withdrawn from another patient's chest compressions, and was grabbed by Zhang Tianyang to pump adrenaline.

The white meat shield was also sent out to ventilate with the family.

He is in relatively safe shape, both for himself and for his family.

The nurses at the guide desk were all caught by him, and asked the old ladies outside to look at the family, don't make a bad deal, the old couple were sent to the rescue room.

Soon, another set of chest compressions ended, and within two seconds of the pause, the ventilator was just performing a new ventilation, and Zhang Tianyang copied the stethoscope and pressed it on the old man's lungs.

Although he is very confident in his own operation, Zhang Tianyang still rigorously verifies it.

"The sound of breathing is clear!

While listening to the breath sounds, his eyes stared at the curve on the monitor, and he quickly made a judgment.

"The patient's ventricular fibrillation has not recovered!"

In the next second, the stethoscope was brushed aside by Zhang Tianyang, and he picked up the electrodes that had been prepared next to him and pressed them seamlessly on the old man's chest.

"Second defibrillation preparation!"

"Ready!"

"Discharge!"

"Didi!"

The discharge prompt sounded, and half of the old man's body jumped up again, and was pressed down by Zhang Tianyang again.

"Keep pressing!"

As soon as the words fell, Zhang Tianyang had already pounced and took the place of Nurse Ouyang.

"Adrenaline!"

Zhang Tianyang's movements were too fast, and the little nurse was equipped with an adrenaline pump according to the normal "rescue speed", but it still seemed too late.

Nurse Ouyang quickly took the tube of the epinephrine pump and connected it to the old man's tee tube.

Fortunately, the old man had an accident in the courtyard.

Not only is the monitor monitored at all times, all kinds of consent forms have been signed, and the intravenous access has been established long ago.

In case he didn't stand the family trouble just now, he was put outside and had an infusion.

Or simply let him go home and have an accident on the way.

There's really no chance of coming back.

Zhang Tianyang and Nurse Ouyang took turns to give chest compressions to the old man, and at the same time, verbal medical orders were continuously given and implemented.

Compressions, defibrillation, ventilator emergency rescue.

Dopamine, norepinephrine, adrenaline booster excitement.

Lidocaine, Eslowol antiarrhythmia.

Potassium chloride corrects electrolyte imbalances.

Magnesium sulfate stomach care treatment......

All the health workers were moving.

All the family members were terrified and anticipating outside the door.

But everyone can only do their best.

The result?

Resigned.

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Stealing incense