Chapter 154: There Is Another Secret!
"Director Liu, are you receiving a gift?!"
In the rescue room, the little nurse glanced at the black tea in Liu Dongfang's hand and couldn't help but quip.
"It's not big, it's not small!" The old nurse next to her patted her head and said, "You can't make such a joke with Director Liu!"
Hearing this, Liu Dongfang smiled: "It's okay!"
"The main reason is that if you don't accept this tea, the patient's family will not be sure. ”
"Instead of struggling to speak, it is better to accept it directly, and the time saved will help the patient to cure the disease!"
After that, Liu Dongfang put the tea leaves in the spare drawer.
"As for the things, when the patient gets better, I will return him as well!"
The chic answer, without the slightest disguise, such a temperament, made the emergency people sincerely admire!
"What Director Liu said is that although some patients and their families always generalize!"
"They always think that if we don't accept red envelopes, we won't give good treatment!"
"In fact, in my opinion, every doctor wants his patients to recover as soon as possible!"
"After all, there are fewer sick numbers, and we can also find time to spend with our families, and we don't have to be in the hospital all day long!"
The simple and unpretentious words speak the heart of every medical worker.
There are even more people, listening to it, their noses are sore, and their eyes are beginning to redden.
However!
There is not much time left for them to sigh.
Because the patients in the emergency room have opened their eyes slightly.
The tube in his mouth prevented him from speaking.
But the gratitude in his eyes made everyone present feel the same way!
"Old man, are you awake?"
Liu Dongfang walked to the bedside, held the old man's hand, and said with a smile: "Don't be afraid, you are in the hospital now, very safe!"
Liu Dongfang comforted the old man and said to the nurse in charge: "It is a good phenomenon that the old man wakes up, which proves that our measures are effective!"
"You can take another blood routine and coagulation for him now, and see how the indicators are!"
"Good!"
The nurse who received the order immediately took out the empty needle, drew two tubes of blood from the old man's ART, and sent them to the laboratory department.
Because it was an urgent blood test, after a while, the phone from the laboratory department was called to the emergency room.
"Hemoglobin 8 grams 9!"
As soon as these words came out, Liu Dongfang's eyes lit up.
"It seems that the hemostatic effect is not bad!"
However, what made Liu Dongfang a little puzzled was that there was no prompt sound in his mind that the system task was completed.
Could it be that the old man's illness has another hidden secret?
At this moment, there was a sudden exclamation in my ears.
Look at the monitor!
As soon as the words fell, I saw that on the monitor, the rhythmic beating heart suddenly became chaotic.
The sawtooth wave is like a beast of predators, taking up the entire screen!
"Ventricular fibrillation?!"
"How is this possible?!"
What used to be a sinus rhythm of sixty or seventy beats per minute turned into a ventricular rhythm of more than 200 times in the blink of an eye!
When the heart beats 120 or 30 times a minute, ordinary people feel flustered and short of breath.
But the patient in front of him is good, his heart rate directly exceeds 200, and there is a tendency to beat towards 300 per minute.
"Prolonged body ischemia leads to a decrease in cardiac ejection function and malignant arrhythmia caused by a decrease in stroke volume per minute!"
Liu Dongfang can see the problem at a glance!
After all, the old man is old and has serious cardiovascular calcification, and if he suffers this blow at this moment, his heart will no longer be able to stand it!
"Defibrillation ready!"
"Asynchronous 200J!"
As soon as the words fell, the nurse next to him hurriedly pushed the defibrillator.
Turn on the instrument, click on the green charging button, and with a few seconds of dripping, the display will indicate that the charging is complete!
Tick knock, tick knock!
The rhythmic rhythm resounded throughout the rescue room!
"Asynchronous 200J, charging is complete, is it defibrillated?"
The nurse quickly repeated Liu Dongfang's rescue instructions.
"Prepare for defibrillation!"
With confirmation, Liu Dongfang nodded in response.
"Reconfirm ventricular fibrillation, others leave, leave by yourself!"
With that, everyone collectively took a step back and moved away from the bedside.
After all, the human body is also a conductive source.
When the defibrillator is discharged, if someone accidentally touches the patient, there is a good chance that they will be electrocuted as well!
At that time, not only will the patient's own power be insufficient, but he will not be able to stimulate the heart and relieve ventricular fibrillation.
More likely, the person who comes into contact with the patient will suddenly go into cardiac arrest.
After all, this has happened before, so everyone is very careful.
"Prepare for defibrillation!"
The nurse glanced around to make sure no one was approaching, and then discharged!
A current of 200J is applied directly to the patient's chest along the wire of the defibrillator through the motor plate.
Boom!
A soft bang!
The old man shuddered, his front body shook violently, and then calmed down.
"The patient is still having ventricular fibrillation and is ready for chest compressions!"
Liu Dongfang looked at the waveform on the monitor, and it was still a wide sawtooth wave!
Suddenly, Liu Dongfang's heart chuckled.
Malignant arrhythmia!
It is the most difficult arrhythmia to correct in emergency first aid, and is often known for the death of the patient!
"Record the rescue time!"
"Ten o'clock in the morning!"
Everyone looked at the table below and immediately laid the patient flat.
Go to the pillow supine position and place the compression plate under the patient!
Apply pressure to locate the middle and lower third of the sternum!
The palm of the right hand is folded on the back of the left hand, the arms are straight, and the waist is forced!
This is the standard chest compression position!
"One Zero Zero Demon, One Zero Twenty ......"
As the compression rate accelerates, the patient's heart gradually fluctuates.
After a few cycles, Liu Dongfang picked up the electric defibrillation on the side and immediately said: "360J asynchronous preparation!"
Hearing this, the nurse next to him immediately turned the black button under the defibrillator and repeated: "Confirm asynchronous 360J"
This time the charge takes longer!
As the prompt sounded, Liu Dongfang didn't say a word, and immediately put it on the patient's chest.
"Discharge!"
Order!
A strong electric current is again acting on the patient.
The violent tremor made the patient stiffen up and almost sit up!
Even the air smelled of burnt paste.
"If it doesn't work again, I'm afraid it will be difficult for the patient!"
Liu Dongfang stood motionless, his eyes staring at the monitor.
After all, the current of 360J has reached the maximum strength that the human body itself can bear!
Then!
An exclamation rang out.
"Director Liu, the patient has recovered sinus rhythm!"
I saw that the originally turbulent waveform suddenly became calm.
P-waves, QRS waves, and T-waves are gradually emerging on the monitor.
"It's done!"
The first aid crowd cheered!
At this time, Liu Dongfang's heart was also a little excited!
After all, such a dangerous arrhythmia is not common!
I'm really lucky to be able to pull it back at this moment.
But he didn't dare to be careless, after all, arrhythmia, once it happens, there is a possibility of recurrence!
"Amiodarone 450mg with 50ml of normal saline, intravenous pump!"
This is a drug for the prevention of arrhythmias, which can effectively reduce heart rate and enhance heart function.
"Call the operating room and get ready for exploratory laparotomy!"
As soon as these words came out, everyone was blind.
"Director Liu, the patient has just been rescued, is it okay to have surgery?"
Hearing this, Liu Dongfang's eyes narrowed slightly, and there was a hint of resoluteness in his eyes.
"I suspect the patient's illness, and there is something else hidden!"