Chapter 17: Show Your Face and Go
"Director, the patient's heart rate is getting faster and faster, and the massage effect of the carotid sinus is not good!"
While listening to the heart, she stared at the ECG monitoring, and quickly combined her own listening to inform Ren Li of the results.
Venous sinuses, if there are palpitations on weekdays, the massage effect here is the best, but ordinary people can't find it at all, if they can find it, it is estimated that each can be like in the movie, a palm on the neck, knock people out.
"Electric shock!" Ren Li ordered.
Zhang Fan, with the assistance of the little nurse, adjusted the power supply and prepared for an electric shock. Cardiovascular development has gone out of two ways.
One is intervention, bypass, and stent, which is the road of cardiac vasculature. It is to improve the circulation of blood in the cardiovascular system.
The second is electrophysiology. That is, in the movie, the parents saw the scene, the patient lying on the bed, was hit by the electric shocker and jumped straight up.
In fact, it can be seen from this point that there are still many, many places in China that need to catch up with Europe and the United States and even the pill country.
In Europe, the United States, and the country of Maruko, this kind of thing is very common, subway stations, shopping malls, and places with dense crowds, often have the existence of this kind of instrument.
Training in the use of this instrument is also very common. The point of defibrillation is actually time.
When the systole period, he suddenly hit the chest with his fist, and he was pulled, and I don't know why he was able to get on the popular science book in a grand manner.
Not every boxer is a doctor, and not every passerby is a doctor and a boxer.
"The electric shock is ready!" Zhang Fan took the electric shock device and made a verbal report.
Why is it said that a fist hitting the chest is pulling, because the strength of the fist of an average person is absolutely not up to the energy to change the heart rhythm.
How much energy is the electric shock device, so to speak, if a third person appears during the electric shock, and the handle is in contact with the patient, then this electric shock device can definitely knock the third person away, which is so violent.
Knocking a normal person into the air, not a heavyweight professional boxer, can ordinary people do it, can't do it.
"Electric shock!" Saying this, Ren Li gave up his position, and Zhang Fan took the electric shocker and got started.
Although the electric shock device is very powerful, it is not very tall in appearance, like an old-fashioned iron, which is applied to the patient's chest and energized.
I only heard and saw, and with a bang, Xu Lili jumped up after being pressed and rebounded as if she was lying on a spring bed, while Zhang Fan was slightly bent with her arms to resist the reverse impact.
When a click was made, everyone looked at the ECG monitoring, and the flower immediately said: "No!"
At this moment, the hearts of people, including doctors, secretly furious. The first click is generally the best, if it doesn't work, then you need to use cardiac agonist drugs.
The use of cardiac agonist drugs, to be honest, is very risky, and it is like drinking alcohol.
Wu Song did three bowls of Lao Bai after the hill and the tiger, he didn't drink alcohol, it is estimated that he didn't dare, and if he drank a little more, it was estimated that the tiger killed him.
This means that Wu Song's drinks have been drunk to the point that they are just right, and the heart muscle group is like countless Wu Song.
It is very difficult to control the amount of medicine and make them drink to the point where they can fight tigers. Because the amount of alcohol in this group of things is uncertain, up and down.
Sometimes, 1ml goes down and there is no response, 5ml goes down is just right, and sometimes, 1ml goes down, the doctor hasn't prepared it, and the guys are all drunk.
And with the changes in blood and oxygen, the amount of alcohol in this group of muscular men is even more difficult to control, so when a doctor in the cardiology department rescues the sick number, her heart is actually beating wildly, because she is also gambling.
"5ml of adrenaline, push intravenously! Ren Li's face was dark, she didn't have time to think about it, she gritted her teeth and gave a verbal medical order.
Zhang Fan didn't have any special feelings, after all, in this field, Zhang Fan was still wandering outside the door.
The girl glanced at Ren Li in surprise, "It's too bold! If it were me, would I dare to give such a doctor's order?"
"Okay!" With the static push of the drug, Zhang Fan started the second click. What is intravenous pushing, which is to directly take a needle and quickly inject the drug from the veins.
This method of administration is the fastest, fast but also quite risky, it is different from the static point, which is the name of the usual infusion.
In fact, neither of these methods should appear in daily medical treatment and treatment, let alone routine.
Static point, it is clearly pointed out in the textbook that when the patient cannot take conventional medicine, the static point or intravenous push should be used for the patient's rescue!
Therefore, sometimes it is very strange, and everyone can only understand it from movies and television, and it should be avoided, but almost all the way up to the ninety old lady and the six-year-old child know it.
When there is no male doctor, the female doctor will also use the electric shock device, and if there is a male doctor, the male doctor will do it.
To be honest, when you look at the female doctor struggling, gritting her teeth and frowning and using all her strength, using this thing with a painful countenance, you will never want your girl to study medicine.
Xu Lili's whole body was beating. And this kind of beating is like a zombie, Xu Lili closed her eyes tightly, her teeth tightened, and her whole body went straight up and down.
"It worked! The shock worked! The patient was cardioverted. Na Duo quickly reported the results to Ren Li and Zhang Fan.
If cardioversion is not possible this time, then cardiac arrest will follow, and then the doctors will have to intubate.
"Okay!" Ren Li couldn't help but shout loudly, she was about to be intubated.
Zhang Fan also took a big breath, and his two arms were already a little sore.
When the flower was in the bluebird, the direction chosen was biased towards the direction of the vasculature, so this kind of first aid was rarely involved.
Because in large hospitals, there is a department called myocardial infarction and heart failure emergency channel, this kind of rescue is a race against time, and there are special departments, so Naduo rarely participates in this kind of rescue that considers courage and experience.
When the patient's heart rhythm was cardioverted, Ren Li shouted excitedly, and the doctor's face began to turn red as if he had drunk a glass of pure wine.
This is the doctor's sense of accomplishment, when the patient's teeth are clenched, the heart is about to stop, and death is already standing by the patient's side.
The doctor, relying on years of knowledge, relying on courage, relying on gambling, pulled the patient away from death, to be honest, very cool!
"Be observant! Don't take it lightly. Zhang Hospital's patients are transferred to the ICU, right?" Ren Li said to Zhang Fan after another examination.
This is the point that Ren Li will be a person, because Zhang Fan is the first leader to take over, although he is not a doctor in his heart, but he still asks with respect.
"Okay, you're an expert in your heart, so do as you say. Xiao Wang, hurry up and ask the family to sign and pay the deposit. ”
Zhang Fan said with a smile, and then called Shao Hua.
......
When they heard that Xu Lili had reported that she was critically ill, not to mention Xu Lili's boyfriend, Wang Xiaohu's parents' eyes were blue.
Human life, he can't bear this with a little money. Therefore, when the doctor walked out of the emergency hall and said that the patient was temporarily out of danger, Wang Xiaohu's parents almost couldn't help but shed tears of joy.
When the doctor said that he wanted to pay the money, Wang Xiaohu's parents ran faster than rabbits, and he went to the payment window as soon as possible.
It really feels like I'm going to have the rest of my life.
Xu Lili was really almost disgusted to death this time, she was a girl who was a little clean, and it is estimated that she would quit white foods in the future.
Xu Lili was pushed into the ICU, and with the cardioversion of the heart, the girl's face was also bloody, and she was awake, but she was still very weak.
Her parents also came, and Shao Hua was also called by Zhang Fan, Shao Hua didn't expect her classmates to be so serious.
Xu Lili's family are all workers on the education front, especially her father, who is also an education specialist in the Education Bureau, as if he is in charge of the commissioner who evaluates the teacher's title.
After she came to the hospital, when she heard that her daughter almost died, she not only reported that she was critically ill, but also received an electric shock.
Then, looking at the weak daughter in the ward, I felt unspeakably uncomfortable. Although the city hospital rescued his daughter, he was still not at ease.
"Lao Chen, I heard that a heart expert from Bird City has come to the countryside at Chasu Traditional Chinese Medicine Hospital. ”
After seeing his own girl, he called a friend of his.
"Well, the chief doctor of the cardiology of the Bird City Grade 3 Hospital is very high-level. What's the matter, your body ......" The other party is also surrounded by big doctors in a big hospital, and he is quite familiar with the medical system.
"Hey, it's not me, it's my daughter......
Can you pull a string and ask him to come and show my girl?"
"There's nothing wrong with seeing it, it's just that this director is more arrogant, and it's difficult for ordinary people to move. ”
As soon as the other party said this, Xu Lili's father understood, "There are red envelopes, how many bags are appropriate, brother, you must do a favor." ”
"What kind of red envelope is not a red envelope, it is the consultation fee, forget it, I'll contact you, my brother-in-law's title ......"
The cardiology department of the traditional Chinese medicine hospital is not well developed, while the cardiology department of the city hospital is in the tea area.
The director of the traditional Chinese medicine hospital is extremely hot-eyed, not to mention the income, just for the leaders to see a doctor, he has received a lot of praise.
Therefore, he specially invited a director of a tertiary hospital in Bird City to help the hospital develop cardiology.
In fact, lower-level hospitals invite doctors from higher-level hospitals from business to business, and to be honest, they can't invite top-level doctors.
To tell the truth, for example, a department director will never leave his department alone and go to the following hospital for a long time.
Moreover, the doctors with the best skills in the department will not be dispatched, so the doctors who come down from business to business, under normal circumstances, are second-rate or third-rate doctors.
Top doctors, in fact, are also a rather scarce resource, and it is illegal to go to the acupuncture and flying knives, to be honest, but really, if this road is also blocked, it will hurt ordinary people.
The chief doctor who came to the countryside has average skills in Bird City, so he is not very happy in the department, but after coming to Chasu, he is obedient and immediately different.
Everyone held him, so he was a little happy.
"What, I'm going to the city hospital for a consultation, hey, there are still a lot of patients here, and I can't pull away." ”
"Oh, there's a consultation fee. I'll just take some time. ”
He didn't care about the sick number, where he didn't have time, as soon as he heard that there was a consultation fee, or two thousand, he immediately agreed.
The ICU of the city hospital, Director Wang, who went to the countryside, originally wanted to show his face, but he made up his mind that he must stop the doctors of the city hospital today.
"How can I say it, it's also a doctor from a higher-level hospital! I'm an expert!"
This was what he thought, and while feeling the two thousand yuan in his pocket, he came to the city hospital.