Chapter 334: Decisive Rescue

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Dylan's personality is somewhat different from that of Dalins, who initially feels like a somewhat cold woman, while Dylan's personality is more active. Pen × fun × Pavilion www. biquge。 info

"Don't be too nervous, I've got you covered." This is what Dylan often likes to say when he is with these apprentices. But when he was working, he didn't do everything like Dai Lins, and then the whole process would be explained to Qin Chuan and others, and he would also guide Qin Chuan and others to complete some easier things.

But Dylan likes to leave everything to Qin Chuan and others to do. Except for the sentence "Don't be too nervous, everything is with me", I didn't say much during the whole process. Only when he finds that the trainee has made a mistake will he start to correct it. I don't have the patience to explain anything. Especially seeing that Qin Chuan seems to be very skilled, almost all the things behind him are done by Qin Chuan.

Spacey was very depressed, and would complain when Dylan was away, "What kind of look is this Dr. Dylan?" The future American famous doctor is here, he turned a blind eye, you are now about to steal Dr. Dylan's life, and also steal the limelight of me, the future American famous doctor. "There is a lot of emotion about Yu and He Shengliang.

"You can be proactive. Dr. Dylan is not the same as Dr. Dalins. Dr Dylan encouraged trainees to be more proactive. Qin Chuan said with a smile.

"Really? Then I have to show off my demeanor as a future American famous doctor. You can't be preoccupied with beauty. Spacey habitually brushed the hair up on his forehead.

It's just that when the next patient came, Spacey still didn't take the lead, and her classmate Deborah Beauty took the lead. This blonde beauty may have just heard the conversation between Qin Chuan and Spacey, and when Spacey was about to move forward, she preemptively said, "Teacher Dylan, can you let me try this case?" ”

"Of course." Dylan was very satisfied and agreed. Then he said to Qin Chuan, "Qin, you are more experienced, you are responsible for helping Deborah." ”

Qin Chuan glanced at Spacey sympathetically, but he didn't expect Spacey to say that he didn't mind at all. In front of the beauty, Spacey slapped his swollen face. Be fat too.

Deborah's foundation is very solid, although there are still some deficiencies, but with the help of Qin Chuan, she still completed the task well.

"Qin, thank you. No wonder Dr. Dylan trusts you so much. If it weren't for you, I couldn't have done it so well. Deborah completed the task and smiled at Qin Chuan.

"You're welcome." Qin Chuan nodded casually.

The subsequent process became a completely chaotic battle, except for Qin Chuan. rushed to play one by one, Spacey showed a gentlemanly demeanor every time, but he almost didn't grab it together, and in the end, Qin Chuan really couldn't see it, so he won a chance for Spacey. But the future famous American doctor who was worried about it was obviously not in the state, and he made frequent mistakes, but thanks to Qin Chuan's help, he stumbled to complete his first time.

Due to the lack of experience of the rookies. So much so that the morning rounds were too slow, and Dylan had to slightly delay the lunch meal. to make sure that the day does not end the day with a full day of ward rounds. Because there is still a lot to do in the afternoon.

Just when the ward was relatively peaceful. Dr. Dylan's pager light came back on. It's callblue again!

"Let's go, go up to the tenth floor!" This time, Dylan didn't have the same slack as before, but quickly ran out of the hospital room and rushed straight to the staircase. He also ran to the stairs very decisively and ran directly upstairs. Qin Chuan quickly followed. Spike still wanted to keep up. But when he got to the top of the stairs, he was out of breath like the other medries.

Dylan didn't hesitate or slow down and waited for these rookies. Qin Chuan chased very quickly, and kept following Dylan on the ground. After running up two floors, Dylan's speed slowed down slightly, and Qin Chuan sped up and ran past Dylan. To Dylan's surprise. He often engages in fitness, and he looks stronger than Qin Chuan, but he didn't expect to be surpassed by Qin Chuan so easily. So he also sped up his speed and wanted to surpass Qin Chuan.

But Qin Chuan seemed to be running faster and faster, without panting. Dylan could only watch Qin Chuan pedal and run up to the tenth floor, and then rushed out of the entrance of the building. When Dylan rushed to the top of the stairs panting, the elevator clanged open, and several trainee doctors walked out of the elevator one by one.

"Hey, Dr. Dylan, hasn't Qin come up yet?" Spacey is such an unlikable guy that he dared to have a hint of schadenfreude in his tone at this time.

Dylan rolled his eyes and sped up to the room.

After Qin Chuan entered the ward, the nurse didn't notice that Qin Chuan was just a trainee doctor. Qin Chuan came to this ward yesterday, but he didn't expect that there would be a problem again.

Nurse Alyssa was already doing heart compressions, and when she saw Qin Chuan coming, she hurriedly said, "Mr. Cowles, a 75-year-old male, coronary heart disease. The patient was found to be short of breath, cyanotic, and pulseless. Ten years after coronary artery bypass grafting. Chronic renal failure, dialysis delayed yesterday due to low blood pressure. ”

Seeing that Alyssa couldn't hold on anymore, Qin Chuan hurriedly said, "I'll come." ”

Alyssa gave up her position, and Qin Chuan immediately took over. Qin Chuan has been working in the emergency department for a year, and this situation is often encountered, so the rhythm and force of compressions are better controlled than Alyssa. Alyssa is also very experienced, and as soon as she gets out of the way, she counts on the sidelines.

"Myocardial infarction?" Qin Chuan began to judge the patient's condition in his heart.

Qin Chuan pressed for a while, but the patient did not regain his spontaneous heartbeat. On the contrary, the situation is getting worse and worse.

A ventricular fibrillation signal is displayed on the monitor.

"Prepare for electrical cardioversion!" Qin Chuan hurriedly said.

The defibrillator is ready. Qin Chuan didn't hesitate and began to defibrillate.

"Electrical cardioversion, 300 joules!" Qin Chuan said.

The two large electrodes were pressed on the patient's chest, and as soon as Qin Chuan pressed the red button, Cowles's somewhat bloated body suddenly popped up, but the ventricular fibrillation did not disappear.

"Cardioversion, still 360 joules!" Qin Chuan did not hesitate.

"Cardioversion, still 360 joules!"

Several times in a row, each time the patient bounced high under the action of the electrodes, and then lay back on the bed heavily. But it still didn't work.

"Keep the heart compressions! Endotracheal intubation! 100% air bag oxygen! Femoral artery puncture, blood gas! Open up a second liquid path! 1mg ephrenin bolus! Qin Chuan spoke fluently about the further rescue methods.

Dylan and the others had already rushed over at this time, and in fact, Alyssa had already known the identity of Qin Chuan's trainee doctor. Therefore, she was a little hesitant about Qin Chuan's words.

"I'm in charge here. Do what he says. Dylan said decisively.

Alyssa nodded.

"Stand aside, pay attention, and don't interfere with the rescue." Dylan rarely began to mentor this group of rookies.

Qin Chuan was already continuing to press, but this time when pressing, Qin Chuan used some special techniques. But the patient's condition was too serious, and Qin Chuan's methods were tried a hundred times, but this time it didn't work.

Dylan has already operated the intubation and is very skilled.

A series of rescue measures have been completed, but still no effect has been achieved, and Cowles is still in a state of ventricular fibrillation.

"360 joules cardioversion! 75mg lidocaine bolus! Qin Chuan gave the order again very decisively.

This time, it finally had an effect, and it is also possible that Qin Chuan's previous rescue steps also played a role. Cowles' complexion slowly turned from pale to pink. The monitor also restored sinus rhythm. However, the symptoms of premature contractions are obvious.

"Blood pressure 80p, pulse 50, breath sounds on both sides!" Dylan said.

"10% calcium gluconate 10ml static push! Lidocaine 50mg is injected with 1mg per minute for two intravenous pushes! Magnesium sulfate 1g intravenously! Sodium hydrogen carbonate 1 tube bolus! Qin Chuan said.

This time, Cowles finally returned to normal, his fingers moving slightly, and then his eyelids twitched slightly.

Dylan said in admiration, "Qin, your performance this time is very good. I heard that you used to be a doctor in China, and you should be a very good doctor. ”

Dylan put himself in his shoes and thought about it, if he was in Qin Chuan's position just now, could he do Qin Chuan so well, and whether he could pull the patient back from the death line. Dylan was a little helpless, he couldn't be like Qin Chuan, who was able to make the right judgment every time in such a fast time. He was not as good as a trainee doctor, and Dylan was a little shy inside.

"Doctor Dylan, I'm sorry, I should have let you do it." Qin Chuan's current identity is a trainee doctor, so the operation just now is a little inappropriate.

"You're doing a very good job." Dylan doesn't seem to want to continue the conversation.

The follow-up has nothing to do with Dylan, Cowles is an ICU patient, and the ICU doctor has already rushed back. Dylan recorded the rescue process just now, and it was over.

"Let's go, let's have lunch. Otherwise, you'll have to eat dinner. "Dylan doesn't seem to be in a good mood.

Spacey was obviously not a person who could read faces, so he didn't see Dylan's bad face, and still said with a grin: "Doctor Dylan, we have done so much today, should we be rewarded?" Like lunch or something. ”

Qin Chuan hurriedly touched Spacey, but he didn't expect this second goods to figure out what was going on: "Qin, what are you doing?" Nearly knocked me out. ”

Qin Chuan shrugged helplessly, this kid is really too second.

However, Dylan is not a stingy person, and after a slight adjustment, he has returned to his usual open-mindedness.

"No problem. Let's have pizza at noon today. I know there's a really nice pizzeria nearby. "Dylan seems to have forgotten all the unhappiness before. (To be continued.) )

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