Chapter 719: The User of the Emergency Artifact
A nurse screamed, "There's a response, there's a response, there's a response to the ECG monitor." ”
Everyone was overjoyed and stared at the ECG monitor in unison.
I saw that the straight line began to tremble.
Although in the end it did not become a normal heartbeat curve.
However, it is shown as a ventricular escape rhythm of 25 beats per minute.
This is a very slow heart rate.
It is also an abnormal heart rate.
But for a patient whose heart has stopped beating for almost 20 minutes.
This kind of more than 20 heartbeats per minute is already precious.
Bai Mingming was ecstatic, and couldn't help but burst into a foul mouth, "His grandmother's, there's hope, there's hope." ”
The rescue has been rewarded, and Zhou Zhou is also very excited.
However, it is not yet time for victory.
These 20 or so heartbeats per minute are not normal heartbeats.
It's like a small flame that has just been lit and can be extinguished at any moment.
On Monday, we should work hard to take care of it and make it burn more and more.
The crowd was still immersed in joy.
Monday had calmly given his eighth medical order.
"Epinephrine 1 mg, atropine 1 mg, intravenously. ”
The emergency artifact adrenaline is on again, and this time with the aid of atropine.
A two-pronged approach, Monday is a great way to play.
Atropine is also widely used in emergency treatment, and has a miraculous effect on the detoxification of organophosphorus pesticide poisoning. At the same time, it also has the effect of increasing the heart rate.
But any medicine has side effects, this atropine is effective for slow heart rate, but the dosage should not be too high, because too much use, there will be a risk of ventricular fibrillation. This is called haste is not enough.
At the moment, the timing and measurement of Monday's use are just right.
More than twenty seconds after Monday's doctor's order was issued.
The nurse had quickly pushed the two medicines into the small pot of infusion according to the meter.
With the drip, the medicine entered Boss Li's blood.
Everyone looked nervous and waited for a miracle to happen.
Two minutes later.
A miracle comes!
Suddenly, Boss Li's heartbeat rose rapidly.
Bai Mingming shouted: "Damn! There is a sinus rhythm of 135 times per minute!"
Sinus rhythm is a normal heart rate.
There was a boiling in the rescue room.
After 22 minutes of rescue, Boss Li had a normal heartbeat.
It's a miracle of life.
The faces of all the medical staff, including Bai Mingming, were filled with excitement.
Only Monday looked exceptionally calm.
It was clear on Monday that restoring the heartbeat was only the first step in a successful rescue.
The moment is far from the time to celebrate victory.
The patient's heart is beating fast and has not stabilized. At the same time, he has not regained his spontaneous breathing, and the person is still unconscious.
The road to rescue will continue.
But even so, the atmosphere in the rescue room was much better than before.
The recovery of Boss Li's heartbeat was like a shot in the arm, which made everyone full of confidence.
The probability of less than 1% has survived, what else is impossible?
Persistence leads to hope. The patient will definitely wake up.
At this moment, everyone felt that victory was at hand.
Zhou Zhou had a systematic prediction, and he knew better that it was a high probability event for Boss Li to wake up next.
The event to be done now is to stabilize the waves!
On Monday, he gave the ninth medical order non-stop.
"0.9% sodium chloride 250ml, plus dopamine 200mg intravenous infusion. Keep it on artificial ventilation!"
The heartbeat has been restored, and the adrenaline is no longer needed.
What needs to be done now is to raise blood pressure, stabilize the heartbeat, and restore the patient's spontaneous breathing.
At this time, it is time for dopamine, another artifact of the emergency department, to come into the field and kill all sides.
As an artifact, dopamine has the ability to enhance cardiac contractility and anti-shock.
Sure enough, an artifact is an artifact, and it lives up to expectations.
After two minutes of medication, Boss Li's heartbeat dropped from 135 beats per minute to 80 beats per minute.
Not only has the heartbeat returned to normal, but the blood pressure that had been undetectable due to the cardiac arrest is now occurring. The high pressure is 75mmHg and the low pressure is 55mmHg, which is lower than normal, but it is slowly rising.
All sorts of indications.
Boss Li's condition is improving little by little.
Everyone in the rescue room is quite excited, and everyone is getting braver and braver.
Five minutes after his heartbeat returned to normal, Boss Li began to breathe on his own.
Now everyone is quietly waiting for the moment when Boss Li wakes up.
However, there are many good things.
Just when everyone thought that Boss Li would soon regain consciousness.
Suddenly, Boss Li's heartbeat soared to 185 beats per minute.
There was no heartbeat, and the doctor was worried.
The heart beat is too high, and the doctor is equally worried.
A normal person's heart rate should be normal between beats per minute.
The heart rate of 175 beats per minute made Zhou Zhou, Bai Mingming and others start to get nervous again.
The atmosphere in the rescue room also became tense.
Sure enough, until the last moment, no one can say that this rescue victory has been achieved.
The nurses in the emergency room are used to Monday's orders.
When there was an emergency, they instinctively looked to Zhou Yi.
Monday didn't disappoint them either.
He was always vigilant, and when the patient now had an accident with tachycardia, he calmly and quickly issued the tenth doctor's order: "Lidocaine 50mg slowly intravenous!"
The nurses sprang into action.
Lidocaine is also one of the artifacts of emergency medicine.
In addition to the effect of local anesthesia, there is also an antiarrhythmic, lowering heart rhythm.
Of course, measurement is also strictly controlled.
Too much may cause direct cardiac arrest.
So this time, Monday's doctor's order was to let the nurse inject slowly.
Artifacts are important, but so are the people who use them.
Ordinary people use artifacts, and it is estimated that they can only make the artifact exert 50% of its power.