Chapter 146: The Patient Has Ventricular Fibrillation!

In the next second, Dr. Chen was awakened by Zhang Tianyang's roar.

"Senior brother, it's best to contact the family!"

A roar wafted through the air, and the door to the rescue room closed, separating the inside and outside into two spaces.

I was delayed for at least three minutes by arguing with the family.

The string in Zhang Tianyang's heart became tighter and tighter.

Although the old man was still awake now, the sixth sense told him.

Something is going to happen!

The flat cart was pushed into place, and the rescue room was suddenly busy.

Zhang Tianyang's tone was hurried, and he roared directly.

"Quick!

"You can come and draw blood! Blood routine, liver and kidney function, six ions, two infections, and cardiac enzyme spectrum are all required!"

"Where's the ECG machine? Where's the machine? I'll pull an ECG for him!"

The patients next to him seemed to be also rescuing, a group of people were over there, and only a Senior Brother Deng and a nurse Ouyang came to Zhang Tianyang's side.

The three of them moved quickly, and soon picked up everything that should be on it, and indicators such as blood pressure, heart rate, and blood oxygen saturation began to be displayed on the screen of the monitor.

"Blood pressure 82/64mmHg!"

"Heart rate 94 beats per minute!"

"Oxygen saturation 99%!"

The curves of the first ECG are slowly printed on a special pink paper.

Zhang Tianyang stared at the curve, paused for a few seconds, and made a judgment.

"There is no obvious abnormality in the ECG!"

It stands to reason that the old man's electrocardiogram is not abnormal, although he is in a state of shock now, but he has begun to rehydrate, so there should be no problem.

But Zhang Tianyang always felt uneasy.

Even though he knew that there were still many new patients waiting to be seen in the emergency department, he just didn't want to leave the bedside.

For middle-aged and elderly people with chronic diseases, there is a high possibility that electrolyte imbalances after fever, diarrhea, vomiting, anorexia, and profuse sweating will induce serious malignant cardiovascular events.

And this old man, coincidentally, all the conditions are met.

Although the patient still looks normal one second, perhaps, the next second he will die for you.

The patient next to him seemed to be in cardiac and respiratory arrest, and a group of white coats and nurses gathered around the bedside, pressing and administering.

Zhang Tianyang did not participate.

He had brought this old man in, and he had to watch.

But Senior Brother Deng and Nurse Ouyang joined the rescue there.

After all, on the surface, it seems that the patient over there has a problem, and this old man looks okay.

Zhang Tianyang gritted his teeth and looked at the numbers on the monitor that had not changed significantly for the time being, suddenly turned around and began to operate on the computer.

Quickly put down all the medical orders that should be given, and simply typed in the complaint and the course of the disease in a few words.

Then print out the patient's power of attorney, critical illness notice, and rescue consent form, and take them to the old man and the old lady to sign respectively.

After signing these consent forms, if something happens, you can go directly to the rescue without scruples.

The door of the rescue room opened and closed, and when Zhang Tianyang came back with a few signed consent forms, he suddenly found that the old man on the hospital bed unconsciously covered his chest.

The heart rate number on the monitor is not large, 105 beats per minute, but in the two seconds when Zhang Tianyang's eyes fell on it, this number jumped several times.

They are 88, 121, 105.

Zhang Tianyang's heart jumped.

A bad premonition came to my heart.

A normal heart rate is generally relatively stable.

Whether it's beating too fast, or beating too slowly, or the heartbeat gradually increases, or the heartbeat gradually slows down, he will have a process.

The reaction on the monitor is that the value of the heart rate gradually increases or decreases.

And once this happens, the value changes quickly, and the jump is very large, one will be more than eighty, one will be one hundred and two, and one will jump to one hundred, which means that there is a problem!

The problem may be that the machine is not connected.

It is also possible that the patient has atrial fibrillation and ventricular fibrillation!

There are four chambers in the heart, the left atrium, the right atrium, and the left ventricle and the right ventricle.

Although the electrical conduction of the heart is carried from the atria to the ventricles, the ventricles also have a pacing system of their own.

And it is the ventricles that really play the role of pumping blood.

Atrial fibrillation is at risk when the patient is at risk.

When the ventricles are fibrillated, the patient will die!

I'm afraid, the old man is ventricular fibrillation!

Countless thoughts flashed in his heart, Zhang Tianyang casually slapped the stack of documents in his hand to the side, and the whole person rushed over.

"Uncle, how do you feel!

He quickly pulled away his uncle's arm, pressing one hand on his pulse, and the other hand quickly pulled away from his clothes, exposing his chest.

As soon as this pulse was pressed, Zhang Tianyang only felt a flurry of jumping under his fingers and stomach, and his heart couldn't help sinking.

The pulse rate is fast and uneven!

"I'm a little tight-chested ......"

The old man clutched his chest, his voice was intermittent, and when he asked again, he was already unable to speak.

Looking at the monitor again, the waveform on it jumped chaotic in an instant.

When Zhang Tianyang just rushed in, although the waveform on it had changed, the QRS wave was still normal.

But now, the waveform has become a quivering curve, and the QRS wave is not found at all!

The most feared situation has appeared!

"Come on, someone! The patient has ventricular fibrillation!"

Zhang Tianyang roared without looking back, his right hand had already touched the gloves that had been prepared a long time ago, and his left hand pressed on the guardrail next to the flat car, removed the baffle, and the whole person pounced.

The patient is on monitoring and tells you very clearly that he is not good, so all the steps to judge his state Zhang Tianyang directly omitted and went straight to the point.

The hospital bed was very high, and there was no way to perform effective chest compressions while standing, so Zhang Tianyang simply squeezed half of his body and knelt on the side of the bed to compress the old man.

"Defibrillator!

Zhang Tianyang's roar was echoed.

The patient who was being rescued next to him had just used a defibrillator, and at this time, he was directly carried by Nurse Ouyang and ran this way.

"I'm ready!"

Nurse Ouyang pinched the electric shock coated with conductive paste in both hands, ready to defibrillate the patient at any time.

"I'm coming! you're ready to press!"

Zhang Tianyang just finished a set of compressions, quickly jumped off the bed, and took over the equipment.

The electrodes pressed on the old man's chest, and Zhang Tianyang's face was serious, "Prepare to discharge!"

"Didi!"

The old man's whole body arched from his chest, as if he was about to jump.

Nurse Ouyang looked worried for a moment.

When defibrillation, it is normal for a patient to bounce off the bed from the floor.

Many novices will be startled by this reaction when they do defibrillation for the first time and let go.

But Zhang Tianyang's face was calm, his hand was slightly hard, and he directly pressed the old man back.

On the surface, he is a novice, but in fact, he has long been unaware of how many times he has practiced various clinical operations.

The only difference from the system space now is that this is a living person!

Although Zhang Tianyang rushed over at the first moment of the problem, whether he could be saved or not was not necessarily!

At the end of the first defibrillation, Zhang Tianyang jumped to the side and yelled.

"Keep pressing!"

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Stealing incense