Bai Mingming has been auscultated.

At this moment, the patient's condition is not only confusion, urinary incontinence, but also cyanosis of the face.

Cyanosis is a sign of hypoxia.

From these symptoms, he knew that the patient must have a heart problem without using an auxiliary scan on Monday.

Rescue order!

Although it is only two or three minutes away from the rescue room.

But this cardiac arrest patient.

That's not a minute to lose.

Rescue must be a race against time.

In place, Zhou Sheng folded his hands and pressed to the left of the middle and lower part of the patient's sternum, and pressed rhythmically downward for 3 to 5 cm with the strength of the palm of his hand.

Once, twice, three times......

Zhou Yi was doing chest compressions on the patient, and at the same time turned on the A-level auxiliary scan, and at the same time he said to Bai Mingming beside him: "Hurry up and prepare the first aid equipment for cardiopulmonary resuscitation, and rescue on the spot." ”

Bai Mingming said "um" and ran away.

In an instant, in addition to Bai Mingming's return, several nurses also joined the rescue team.

"Open your airway!"

While continuing to do chest compressions, Zhou Shengsheng gave a doctor's order.

Needless to explain anything, he is the commander of this rescue at this moment.

Bai Mingming and the others spontaneously obeyed Zhou Shengsheng's command.

Bai Mingming immediately helped the patient clear his airway.

Three other nurses, under the direction of Monday, gave the patient a mask-assisted breathing apparatus.

One connects the patient to ECG monitoring.

The last nurse established intravenous access to the patient.

Monday's chest compressions continued.

The patient's heartbeat has not yet returned.

At this time, the check result has come out in the system.

Etiology: Coronary heart disease grade IV, causing sudden myocardial infarction.

Cardiac arrest.

Probability of cardiac resuscitation: 30%.

Salvage steps.

Epinephrine injection......

Defibrillation......

Monday immediately said: "Adrenaline injection 1mg intravenously!"

The nurse in charge of intravenous access responds to the call.

Bai Mingming finished the work of opening the airway.

His eyes kept on the ECG monitoring that he had just started, and he saw that the QRS complex, ST segment and T wave on it were unrecognizable.

Bai Mingming immediately reminded: "Doctor Xiao Zhou, ventricular fibrillation!"

Monday did not look closely at ECG monitoring.

The system panel in front of him has already clearly given these results.

At this moment, the patient's electrical activity of the heart is disordered, and it is no longer a strong beat, but an irregular peristalsis, and the heart no longer pumps blood.

The electrical activity disorder must be solved first!

Monday said in a deep voice: "Prepare to defibrillate!"

Bai Mingming immediately handed over the defibrillator.

On Monday, he immediately started doing it, placing one electrode on the front of his chest, above the right ventricle, and the other on his back, directly behind the left ventricle.

"Biphasic wave 200 joules defibrillation, pay attention to keep a distance from the patient. I'm going to get started. "Monday said.

When performing electrical defibrillation, it is strictly forbidden to touch the patient, and a certain distance should be maintained. Because of contact with patients, on the one hand, there may be the possibility of conductive accidental injury. On the other hand, when the defibrillator is working and discharged, the patient is likely to have convulsions, be hit by his limbs, and may also be shocked.

Bai Mingming and a few nurses nodded to indicate receipt. They leave the patient a little bit.

Bai Mingming's heart also contracted sharply at this moment.

Didn't start with a few tens of joules, and went straight to 200 joules, it seems that this patient's condition is very serious!

Monday is a day to come up with a fierce medicine!

Defibrillation once, twice......

Thirty-five full high-energy defibrillations.

After the defibrillation is over, 3 minutes have passed since the rescue.

The patient's heartbeat is still not restored.

However, at this time, real-time system monitoring has been shown.

The probability of the patient's heartbeat resuscitation reaches 60%.

Continue chest compressions on Monday.

Another 1 minute passed.

It's been a long minute.

Finally the patient's heartbeat returned.

At this point, ECG monitoring shows sinus rhythm at 40 beats per minute and a slow heartbeat.

On Monday, he continued to give the doctor's order, "Atropine injection 1mg intravenously!"

The nurse who was on guard immediately complied.

At this time, because the rescue work is carried out in the corridor against time.

So, there was a big circle of people watching.

Among them, there are patients and their families who come to the emergency center to see patients, and there are also nurses who cannot help.

Everyone's hearts were full of anxiety.

Hopefully, the patient will wake up.

Another 2 minutes passed.

After intense resuscitation, the patient finally returned to normal heartbeat and spontaneous breathing. The onlookers and all the medical staff at the scene breathed a sigh of relief.

The patient's family members hugged the patient in pain, and the 6 minutes just now were like 6 minutes of life and death.

Some patients couldn't help but take the lead in applauding at this time.

One response, two responses, three responses......

Gradually, applause rang out.

But Zhou Zhou didn't let up because the patient woke up.

The patient's condition given by the system is coronary heart disease grade IV.

In general, coronary heart disease is clinically classified into four grades.

Grade I: Daily activities with no obvious symptoms.

Class II: Mild limitation of daily activities due to angina.

Grade III: Significant limitation of daily activities due to angina attacks.

Grade IV: Any physical activity can cause an angina attack.

Grade IV coronary heart disease has a very high probability of causing sudden death.

Now although it is pulling the patient back from the line of death.

But this situation can happen again at any time.

Monday immediately notified the nurse and prepared to take the patient to the CCU.

The difference between one letter and the meaning is also different.

The CCU is a specialized cardiology intensive care unit.

When the nurse heard that she was going to be sent to the CCU, she also knew that the situation was serious. Several people immediately moved quickly, looking for stretcher beds, supporting patients, and the tallest nurse holding up the hanging water bottle. Several people worked together to get the patient to the CCU.

The nurses were busy, and Zhou Ming didn't let Bai Mingming be idle.

"Teacher Bai, please contact the inner and outer hearts to take a look. ”

The patient's condition was so serious that he wanted to take over on Monday.

However, there is some helplessness, looking at the current condition of the patient, it is estimated that the conservative treatment of the heart may not be effective, and it is estimated that it will fall to cardiac surgery.

Conservative treatment, through the system, Monday can be completely coped.

But once it involves surgery, he can't play that week, after all, he hasn't unlocked the field of cardiac surgery.

In terms of the difficulty of the operation, the extracardiac is definitely the top existence.

Even if there is a system, without the training of the copy, Zhou Yi will not be able to do it.

Zhou Zhou looked at Bai Mingming and the patient who were gradually moving away, and he was now thinking in his heart that there were many heart disease patients encountered in the emergency center every day, and he must find a time to take down this copy of the heart in the system!

……

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