But everything they did seemed futile, the patients on the stage became less and less responsive, their oxygen saturation continued to drop, their complexions worsened, and the two doctors and nurses in the operating room were busy.

"Have the family arrived?!" The surgeon who continued to press on the chest was obviously about to exhaust his last strength, and he yelled at the nurse next to him in great anxiety.

"Not yet!" The nurse shook her head helplessly, on the verge of giving up.

"Prepare for intubation!" The chief surgeon gave orders, but the nurse on the side was a little embarrassed.

It was clear that the rhythm of the rescue was disrupted, and someone in the team questioned the doctor's decision. I don't understand what's going on, because at this moment, continuous high-quality cardiopulmonary resuscitation may be the only way to save this life, in China, our doctors will hardly hesitate, unless the patient and his family jointly request to give up traumatic rescue measures, otherwise, we will intubate the patient as soon as possible, use an invasive ventilator to maintain normal ventilation and oxygen supply to all organs and cells throughout the body.

"Hat Happened?" I turned my head and hurriedly asked Steve, who was on the sidelines, that stopping further rescue at such a critical moment would undoubtedly be fatal to the patient.

"No authorization." Steve leaned to me and said to me softly.

I suddenly realized, but I instantly fell into doubt, don't doctors have the right to take emergency medical measures for patients in an emergency? Invasive surgeries have been performed, and there is no family to sign on? Why did I hesitate at this most critical time? I was puzzled, and at this time, the door of the operating room suddenly opened, and a man who was also wearing a surgical gown and a mask came panting to inform us that this man's daughter had arrived.

"You lead the rescue!" When the chief surgeon heard that the family had arrived, he immediately handed over the command to his deputy and hurriedly followed the person who came to report it.

I think he should have gone to fight for the so-called "authorization and authorization" and "informed consent", which the Chinese more commonly say is "to find family members to communicate and sign". As soon as the surgeon left, there was only one nurse and one doctor left in the operating room, and it was almost impossible for the two of them to give medical orders and carry out medical orders, and at the same time maintain chest cardiac compressions and simple respirators to maintain ventilation.

According to the international guidelines for cardiopulmonary resuscitation, only one person can be responsible for breathing and one person is responsible for compressions, and after every 15 compressions and 2 ventilations, the position should be quickly alternated, and the compression interruption should not exceed 10 seconds, otherwise the effectiveness of resuscitation will be greatly reduced. Chest compressions are most tormenting not for the demanding professional skills, but for the physical exertion of the rescuer.

Medical staff who have had cardiopulmonary resuscitation experience must have a deep understanding, because chest compressions use waist strength, and controlling the compression depth just right requires great endurance and control. When I was in China, I participated in the rescue work many times, the longest time, three people alternately pressed for nearly an hour and a half, after the rescue, the waist was broken, the hair was scattered, the glasses were crooked on the bridge of the nose, and the two arms seemed to be broken, the palms of the hands kept shaking, and it was almost impossible to hold objects.

“I can CPR! I can help you!" I watched the two people in front of me exhausted, the messy ECG waveform was completely the effect of compression, and the patient on the hospital bed showed no signs of life, I became more and more anxious, if it was in China, I would have rushed to the front.

They quickly looked at each other in the midst of their busyness, and then immediately agreed to join.

All the sterile measures were put in place at the start, and without any preparation, I immediately stepped forward to join the fight.

I stood on the pedal so that I could operate at the most comfortable height, and the criss-cross positioning method quickly positioned the compression area, crossed my hands on top of each other, stared at the patient's face, kept my shoulders and elbows upright in the same straight line, and used the strength of my upper body: "one!to!three!four......"

This is the first time I have used English numbers to report the number, but the magic is that I use it fluently, there is no lag, no counting errors. The temporary team of the three of us did not have any run-in, but they cooperated tacitly. The doctor and I are responsible for compressions and head ventilation, I am not very familiar with the English names of most rescue drugs, let alone the placement of them, so the nurse in the operating room is naturally responsible for administering and recording the medicine, and the doctor also has time to observe the patient's condition and give corresponding medical orders in the process of pinching the ball.

Steve later joined us, and after about ten minutes, the patient on the stage still did not regain his spontaneous heartbeat, and at this time, the surgeon who went out to talk to the family returned to the operating room, he stood at the door and glanced at the messy ECG on the monitor, and all our expectant eyes, giving us an infinite sigh of regret.

The family gave up the rescue, so we didn't need to do any more meaningless rescue, and the surgeon signaled us to stop, and it was all over.

But it's not yet 30 minutes, isn't it? Doesn't the guidelines say that CPR can't be stopped until it's ineffective for 30 minutes? I questioned, but no one paid attention to me, and I continued to do CPR while trying to communicate with them in broken English, and I could see in their eyes that I understood, but more importantly, regret.

No, no!

I ignored their eyes, but no one rushed up to stop me. All the movements become mechanical, as if the muscles have formed memories, and they repeat themselves tirelessly.

At this time, I can also take a closer look at the middle-aged man in front of me, who has almost been pronounced dead, the first case I rescued in Dublin. His body was bloated, his hair was vigorous, his facial expression of great pain had loosened at some point, his beard was sloppy, his lips and bare body had turned pale, and only the part of his chest that I had pressed down on was still a hint of redness.

"I can't give up, I can't give ......up," I kept repeating this sentence in my mouth, like every desperate rescue, still with my long hair peeking out of the disposable hat, flicking it in front of my forehead with the undulation of my body, the glasses on the bridge of my nose were crooked as always, and only in between the presses, I quickly straightened it with my arm, and the sound of counting also turned into a rapid sound as the strength disappeared.

I don't know how long the pressure has been, I don't know how many cycles have been done, and I don't have time to take care of the attitude and emotions of the three foreigners next to me. Until the monitor flashed a crisp "drop" sound, like a ray of sunshine shining into the night, calming everyone present, the monitor was no longer just flashing a red alarm, the green prompt light began to flash, I immediately stopped the movement of my hand, turned around in disbelief, stared at the next waveform flashed on the monitor, yes, autonomous heart rhythm!

The ecstasy of that moment offset all the discomfort in the body, and the doctors and nurses behind him quickly rushed forward and gathered around the operating table again. I was dragged to the periphery of the crowd by Steve, watching the doors of the operating room open and close, and the number of medical staff helping and watching, I sat on the floor, my eyes a little foggy, my hands on my knees, and I kept shaking as I did after every exhaustion.

There are still a lot of premature ventricular contractions on the ECG, and the patient may not end up well, but at least, at this time, he is still alive...... I struggled to my feet, shook my hands vigorously, and walked through one person after another out of the operating room.

It's so stuffy inside, I think I'll rest......

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