Consultation, in fact, in the hospital, there are many kinds, such as the doctor needs to arrive quickly in the shortest time, urgent consultation.

When this happens, it means that the invited doctor must arrive at the invited department as soon as possible, and even if there is a patient number in hand, he must deal with it accordingly.

There are many cases in hospitals, especially cardiology, where there must always be a doctor who has time to prepare for emergencies.

To be honest, in internal medicine, there are the most emergency departments in the heart, and the most dangerous, often the difference between life and death is in seconds.

The complexity of the heart is different from that of the brain, the complexity of the heart lies in the variability, and the complexity of the brain lies in the unknown.

Bleeding or infarction in one part of the brain, whether it needs surgery or conservative needs, there is often a certain choice, but the heart is different, once there is a problem, the corresponding symptoms must be dealt with first, and then other considerations can be considered.

The change of the heart is due to the fact that this thing is a combination of two systems.

One set of electrophysiology, one set of fluid mechanical physiology. To be honest, if you want to be a very good cardiologist, you must first pass physics.

What fluid viscosity, electrical signals, turbulence, there are too many physics problems attached to the heart to be difficult for doctors.

Zhang Fan looked at Xu Lili's faqin face, he didn't need to start a physical examination, he could make it clear that Xu Lili had a heart problem, as for the heart problem.

If Zhang Fan could be given a little longer, maybe he would be able to rely on the knowledge of anatomy, physiology, pathology and other related knowledge, but in a matter of seconds, let him confirm the diagnosis, and he knew that he didn't have any ability.

Medicine is a very strange thing, it seems to be all the organs of the human body that are studied, and the basic physiology must be mastered by doctors no matter what discipline they are engaged in.

With a slight upgrade, a department and a department are directly like two different disciplines that collapse the discipline.

If a doctor wants to go up further, these are like interdisciplinary knowledge, and they have to be tied together to be overcome, so if you want to become an authoritative doctor, you must work diligently for decades to maybe have some hope.

Heart disease, it will not give you time to scrutinize, you must do it like eating dumplings, one bite down, no need to think, rely on the taste buds to say what disease, when you say it, but also give relevant treatment, like to eat or not to eat.

Therefore, Zhang Fan asked the nurse to call the cardiology department as an urgent number, and specially instructed that it was best to let the director of the department come, because young people generally do not have heart symptoms, but once they have, it is more dangerous.

Ren Li, not only the director of the Department of Cardiology, but also the position of a senior official in the hospital, she was poached by Ouyang from the Bird City Hospital, and is currently in the Chasu area, as far as the cardiology department is concerned, it is estimated that Ren Li is the first person.

She, like Zhang Fan, is a person who Ouyang treats differently. Ouyang handed over the surgery to Zhang Fan, and the internal medicine department was Ren Li.

Receiving an urgent emergency call, Ren Li took the flower and ran on the way to the hospital.

When the male doctor was in a hurry to get angry and speed up, just like Huang Feihong in the movie, he picked up his coat and strode away, because the white coat was too long, which affected the leap of his legs.

And when the female doctor is speeding up in a white coat, I don't know why, they don't lift the corners of the gown, but one hand is pressed on the waist, and one hand often covers the mouth, which is a very peculiar action. Do you have to cover your mouth when the wind is strong?

However, this does not affect their running speed, the little white shoes are swishing, the broken steps are rapid, or fast, less than three minutes, it is an accident!

Therefore, when you see a female doctor running with her mouth covered in the hospital, you must avoid it. Even when there is no wind, I am not curious, so I pulled her and asked why I covered my mouth.

Ren Li ran to the emergency center with the flower in two minutes, and before the person was in front of the patient, Zhang Fan began to loudly report the preliminary situation of the patient to the two people in the distance.

"Quick, the ECG is out, it's gone. That stethoscope auscultation!" Before the person arrived, after hearing Zhang Fan's report, Ren Li had already begun to deal with it accordingly.

"The ECG is out!" When Ren Li had just finished speaking, the doctor in the emergency center had already pulled the paper and handed it to Ren Li.

The rescue is like this, who leads and who cooperates, everyone knows very well in their hearts, and there is no need to temporarily assign them.

"Approximate syncope once, faint once, the ECG clearly showed a rapid heart rate, what about that heart rhythm. ”

In medicine, a word often represents different meanings and consequences, such as heart rate, in layman's terms, is the speed of the heartbeat, and heart rhythm is the rhythm of the heartbeat.

Syncope, not to mention ordinary people, is that some surgeons are not very clear about the definition of this word.

When the patient suddenly loses consciousness, it is syncope, and dizziness is similar to syncope, the definition is so defined, but to really quickly identify it in clinical practice, to be honest, it is difficult.

And this syncope and approximate syncope represent different diseases, one ring after another, and this is the case with diseases in the heart.

If one link is wrong, the treatment is wrong, the treatment must work within a few minutes, if you choose the wrong one, it means that it is a failure.

"Irregular rhythm, too fast!" Na Duo lay next to the patient, and the auscultation results were given in a few seconds, and the girl's basic knowledge was still quite solid.

As she spoke, Ren Li was like a female leopard, brushing it and pounced on Xu Lili's side.

Put your hands on the patient's neck and say, "Zhangyuan, quick, get ready for cardioversion." ”

"Good!"

In this way, I don't understand it at all if I don't work in medical care, so let's put it in layman's terms.

Xu Lili was attacked by anger, and then hormone secretion led to problems with the electrophysiology of the heart, like electric waves, which used to be tick-tock, tick-tock, like elderly prostate patients, very regular.

But as soon as there are too many hormones, the brain is stimulated, the brain drinks too many hormones, and then the fire is in a hurry, and the heart's radio waves become as urgent as the law, biu!Biu!Biu!

The signal is chaotic, and the muscles of the heart are also starting to be chaotic, and it was originally contracted regularly, but because there was a problem with the signal, it was not like receiving, and it was not like shrinking.

What is the heart, the heart is a pump, and if the contraction is disordered, then there is a problem with the blood pumped out.

The originally smooth blood, like a child's spit, is very smooth.

And this very irregular contraction will lead to countless swirls of blood in the blood vessels, which is turbulence.

When the turbulence appears, the blood can't flow out, and all gather together to play in circles, if the blood vessels are enlarged, the blood at this time is like the spin on the human head, countless spins, one after another.

The blood begins to play in circles, then the body begins to have ischemia, and then the brain is more anxious, originally just eating a little excess of hormones, but now it is not only hormones, but also hypoxia, ischemia, and lack of energy.

At this time, the brain is like a person who is deranged, and when he opens his mouth, he is talking nonsense.

The order that was already chaotic was even more chaotic at this time.

In the blood vessels, the blood pressure in a circle will break off the blood clots that were originally attached to the blood vessel walls, and more serious consequences will follow.

Moreover, if this chaotic order cannot be corrected in a short time, the muscles of the heart don't know what to do, so while they are doing it, these muscular men will strike, this is the so-called cardiac arrest, and Lao Tzu will stop doing it!

After cardiac arrest, heart failure, kidney failure, electrolyte imbalance, and multiple organ failures occur, just like a major rout, and the person hangs up.

Ren Li put her hands on the patient's neck, which is doing a carotid sinus massage.

Many people may have this experience, sometimes, I don't know what the reason, there will be a sudden panic, feeling that the heartbeat is particularly strong, as if it is about to jump out.

This is palpitations, no matter how old or young, many people will have them, palpitations, a short period of heart self-adjustment, when there are palpitations for a long time, there will be problems, there will be arrhythmia.

Therefore, in this case, ordinary people can cough, like an embarrassing cough, or take a deep breath and hold their breath, and then suddenly spit out, or massage the eyeballs, these actions can correct heart palpitations, but, as if there is an underlying heart disease, then, don't think about it, send it to the hospital immediately.

While massaging, Ren Li gave a verbal doctor's order: "360J single wave shock preparation, epinephrine 1mg intravenous push, prepare amiodarone, prepare lidocaine!"

Ren Li gave the doctor's order, and the monitor was installed, and in an instant, Xu Lili's chest was full of lines, and Zhang Fan was ready for an electric shock.

Outside the hospital, Xu Lili's boyfriend and Wang Xiaohu's father were staring at each other with blue noses and swollen faces, but when they heard the nervous and anxious voices of the doctors and nurses in the hospital, they couldn't take care of it.

Xu Lili's boyfriend chuckled when he saw the doctors looking like they were facing a great enemy, and he knew that there was something wrong with his girlfriend.

"Doctor, doctor!" an anxious voice cried out, and a doctor from the emergency center came out, holding a book-like medical notice.

"Who are you a patient?"

"I'm her boyfriend!"

"It's best to contact her immediate family, now you sign first, the patient has been reported critically ill, the situation is very serious, there is a possibility of rescue failure. ”

"Ah!" This voice was not made by Xu Lili's boyfriend, but Wang Xiaohu's father shouted, he never expected that his kid would cause such a serious disaster.

"It's over!" Although he is a demolition household, he is still an ordinary person, and in his mind, he is not thinking about whether his son is over 14 years old, but thinking about saving him!

When Xu Lili's boyfriend heard this, his heart was like a knife stirring, and he took out the phone with a trembling rope, and he wanted to inform Xu Lili's parents.

After making the call, the young man looked at Xu Lili in the rescue room in despair, but when he turned his head, he saw Wang Xiaohu's parents.

In an instant, the original depressed appearance became as if there was fire in his eyes. He didn't call anymore, he didn't make a fuss, and directly took out the phone, "I'm going to call the police, Wang Xiaohu and his father from XX Village killed the school teacher!"

"No, no death, no, no!" Wang Xiaohu's father cried directly, waving his hands and pleading.

Xu Lili's boyfriend, with a vengeful look, stared at ......

Arrhythmia rescue is effective, just like a broken dam, if it cannot be intercepted in the early stage, then it will bring catastrophic consequences.

Electric shock, medicine, when the five cycles have not been treated, it can represent the failure of the rescue, and this time is the so-called golden six minutes.

Doctors and nurses, more and more involved. Ren Li gave verbal instructions almost without stopping.

"Please anesthesiology, prepare for intubation if necessary!"

"Good!"

As the sun set, a faint circle of light shone on Xu Lili's pale face.