197 The pain of the fire burning
What CPR is, simply put, is to establish a circulation that allows the paused heart to beat again and pump blood throughout the body. Important organs, especially the heart and kidneys, are particularly sensitive to hypoxia and ischemia, and if effective circulation cannot be established in time, even if the patient is rescued, the sequelae will be very serious.
"Shao Hua, you hurry up and go to the person in charge here and ask them to find a way to notify the hospital. Zhang Fan said to Shao Hua, who rushed over, although it was winter, but under the ice and snow, Zhang Fan had already begun to sweat all over his body.
"Good. After speaking, Shao Hua walked towards the crowd that came. "Contact the hospital, this employee of yours has been electrocuted!" Shao Hua shouted loudly into the crowd.
"Bayin!" These people are all from the same tribe, and they are more or less relatives, so a group of people from Hula surrounded them. "Don't get too close, spread out a little, it's being rescued now. Li Liang hurriedly said to the people who came up.
The crowd was babbling and saying, "No! Bayin can't do it! Can't let the boss run away!"
"Let's go and inform Bayin's father!"
The owner of the ski resort also ran over from a distance, looking at Bayin lying on the ground and Bayin's wife crying on the side, his face was pale with fright, and his speech was stumbling, "What's wrong!
"I was shocked, contact 120 immediately. Shao Hua hurriedly said.
"There's no signal here, you have to go up the mountain. The boss said bitterly, in order to escape the government's inspection, he specially chose such a place, but now there is an accident. He regrets it and smashes his chest!
"Find a car, find a truck and put the patient in the body, and we'll rescue as we go. Wang Yanan, you drove my car first, and as soon as there was a signal, you quickly contacted the hospital, are you sure to drive?"
"No problem. Wang Yanan said.
When the boss heard this, he hurriedly beckoned someone to drive the big truck of the ski resort over, and the chest compression could not be broken, and everyone worked together to lift the patient onto the body with the door panel. Zhang Fan and Li Liang and a few strong men continued to press in the body.
Speaking of first aid, how to judge the need for compression, it is very simple, the first is to judge, to determine whether the patient has a heartbeat, to touch the carotid artery and other large blood vessels, if you don't know where the carotid artery is, the easiest is to peel off the clothes and stick it on the heart to listen, to see if you can hear the heartbeat.
To ensure the smooth airway, the chest compression site is at 1/2 of the sternum, which is the specific place?
To be effective, compressions must be four to five centimeters deep enough to sink the sternum, preferably at a rate of 100 beats per minute, and should not interrupt the human breathing.
What is considered effective compression? Feel the pulsation of the carotid artery or the femoral artery, and if the compression is effective, these large arteries will pulse.
The cold wind is cold, and in the border of winter, there is no problem when the temperature is at its lowest, more than 30 degrees below zero, and this temperature directly condenses the water molecules in the air. The cold wind in the air was dry and cold, and the cold wind brought by the speed of the car cut across Zhang Fan's face like a knife, and his hands, and the skin exposed to the air felt that it was not his own for a few minutes.
Fortunately, there were many people, and Zhang Fan guided them to press in turn. Bayin was tightly wrapped. In this environment, if the temperature is not ensured, frostbite can definitely occur after a little time, and the perfusion is insufficient, and the circulation of the peripheral limbs of the body is very poor, and if the temperature is not ensured, the rescued patients may have to amputate their limbs due to frostbite.
Bayin's wife knelt in the corner of the carriage, like a lost lamb, looking at her man anxiously, fearfully, and worriedly, and tears couldn't stop flowing. She was afraid, extremely afraid, biting her sleeve in her mouth and not daring to cry. The child was only three years old, and if Bayin really died, she didn't dare to think about what to do in the future.
"Gods and Buddhas in the sky, I am willing to exchange the Kangtai of the rest of my life for Bayin's recovery!" the helpless woman watched a group of men steaming hot and pressing.
Wang Yanan drove in front of the truck, after all, it was a four-wheel drive off-road vehicle, and it was very fast in the snow. Shao Hua and Jia Suyue kept making phone calls in the car. "It's done!" Shao Hua said happily.
"120, we are in Wumu Taixiang, there is a patient with an electric shock here who needs first aid, and now he is almost out of the mountains!" Shao Hua quickly explained the situation.
"You take the phone and I'll tell you. After all, Wang Yanan is a doctor and knows how to make the best reasonable arrangements.
"I'm Wang Yanan from the Department of Orthopedics of the City Hospital, and we're about to enter the provincial highway now, so you let 120 wait for us at the provincial road intersection in Wumu Taixiang. ”
Wang Yanan drove the emergency double flashing lights in front of him, and the truck behind accelerated to follow.
Finally, I saw the purple flashing lights, and the medical staff of 120 were already waiting by the car. When he saw this scene, the emotional Jia Suyue burst into tears, "Finally saved! They are coming! They are coming!"
Wang Yanan parked the car, quickly jumped down and said to Dr. Li of 120: "Stretcher, the patient with electric shock, Zhang Fan has been pressing over, and it is estimated that there is still help." ”
After more than 20 minutes of compression, several strong men have already lost their strength, if it weren't for the large number of people and professional doctors, otherwise there would be absolutely no hope today.
"It works!" Zhang Fan would touch the artery from time to time. Opening the carriage door, the men carried the door panel, Zhang Fan was still pressing, although he could feel the pulse at this time, he still needed to continue to press.
Entering 120, Xiao Li relayed and continued to rescue. Zhang Fan put his frozen numb hands on his armpits, and his hands were numb. I didn't feel it when I was nervous, but now when I relax a little, the numbness in my hands and ears that are extremely cold slowly spreads.
At this time, the first aid was not successful, although Zhang Fan put his hands in the armpits, his mouth could not be idle, after all, he was the first doctor, "Intravenously push epinephrine 1.0mg plus vasopressin 40U, and put on a simple respirator." Open bilateral intravenous access and give atropine and calcium chloride, combined with sodium bicarbonate. "Although the space of 120 is small, the nurses and doctors who can rescue patients all year round are moving quickly to deal with patients.
Li Liang didn't go to 120, the space of 120 was too narrow, and he didn't need him now, after getting on Cooluzer, Shao Hua saw Li Liang's appearance and burst into tears.
After more than 20 minutes of rescue, Li Liang's already frozen lips turned purple. When he was rescued, he was sweating, and when the cold wind blew, his cotton clothes were already frozen, he shivered and held the hot water cup, took off his cotton shoes, and stuffed his feet into his mouth with hatred. The air conditioner in the car was turned on to the maximum, and after a while, Li Liang's ears began to run and frostbite. "I'm freezing to death! my hands and feet are not my own!" Li Liang said with a shivering sip of hot water.
His appearance is Zhang Fan's appearance, Shao Hua held his hands distressedly, and his nails sank into the skin. It's all frozen like this, Zhang Fan still has to rescue patients, what is this, it is a responsibility, and the profession gives doctors the responsibility. Looking at the 120 in front of her, Shao Hua's heart was dripping blood, she regretted it, regretted that she shouldn't have pulled Zhang Fan to ski. She felt sorry for her lover.
"Dr. Zhang, there is already a spontaneous cycle! The emergency nurse of 120 said to Zhang Fan.
Zhang Fan finally breathed a sigh of relief, "Send it directly to the ICU, the treatment after recovery is still very troublesome." The patient was saved, Zhang Fan finally felt the pain in his heart, and his ears, fingers, and toes felt the pain of burning fire!
But the heart is happy, happy, and fiery. He understands the importance of a young man to a family, not just to save a person, but to save a family!