Chapter 113: Unconventional First Aid
Zhang Wenhao couldn't help but be a little annoyed, thousands of calculations, I didn't count that this injured person actually had Xianguang natural heart disease, there are many kinds of congenital heart disease, Zhang Wenhao can't diagnose which kind of woman this woman is at the moment, but the medical level of the United States is among the best in the world, and since the mother and daughter can sit on a Bentley with millions of dollars, they want to come to the family is also very wealthy, and they must have asked the world's top doctors to diagnose at that time, many patients with congenital heart disease, before the condition deteriorates, there is no need and cannot undergo surgical treatment, Since even the top doctor Lou does not recommend surgery, it can be seen that this woman's congenital heart disease is not serious.
But there is usually no problem, but once there is a problem with the organs in the body, the heart will be implicated, just like now, when there is a problem in other parts of the body, her heart is much weaker than the heart of ordinary people, if this woman dies of heart failure in her own hands, then for Zhang Wenhao, this result is too difficult to accept! Because this woman has wounds almost everywhere, but not her heart!
Zhang Wenhao hurriedly put the woman lying flat on the ground, and then didn't care about the contact between the bodies, his left hand was covered by the palm above the woman's heart, his right hand clenched into a fist, and without hesitation, he slammed three punches into the back of his left hand!
Three punches to help! When heart failure or myocardial infarction causes cardiac arrest, what the heart needs most is external stimulation, but now Zhang Wenhao cannot use a defibrillator to give first aid to her heart, so she can only use this primitive method.
The other party has congenital heart disease, and the heart is already on the verge of failure, if the force is too large and the force is uneven, it is easy to react, so Zhang Wenhao must use the entire palm of his left hand as a cushion to release the force of a fist through a palm, so as to ensure that the entire heart can receive uniform force stimulation.
After three punches, Li Changyun spoke: "The heartbeat has recovered a little, but it doesn't seem to be of much use......"
Zhang Wenhao nodded, gritted his teeth, and asked, "Do you have adrenaline in your ambulance?" "Yes" Li Changyun nodded, then his eyes widened, and he blurted out: "You want to use adrenaline?" No, no, no! The stimulation of the heart was so great, she suffered such a serious internal injury, and she shed so much blood, with adrenaline, the heart couldn't bear it at all! Besides, she's still losing blood, so if she raises her heart rate, ......"
"No problem!" Zhang Wenhao blurted out: "If you don't need to, her heart won't beat anymore soon!" Prepare me 1 mg of adrenaline and prepare two! â
Li Changyun stared at Zhang Wenhao for two seconds, his eyes were full of doubt and shock, he was going to play with his life? If the blood vessels are already losing blood and artificially raising the heart rate, wouldn't that accelerate blood loss? And the patient has a history of heart disease, no one knows what kind of heart disease she has, how serious it is, the American doctor said that her heart problem is not big, when did he say it? After all that, who knows if it has deteriorated? What if a shot of adrenaline pushes through and the heart can't withstand complete failure? If the patient really dies because of this injection of epinephrine, this is not a crime of emergency delay, but medical malpractice.
But Zhang Wenhao's expression was extremely resolute......
Li Changyun shook his head fiercely, if you don't inject it, you will die, if you inject it, you will die, since Zhang Wenhao insists, then give it a fight yourself!
Epinephrine is mostly used to treat cardiac arrest and severe anaphylactic shock, and few people use it on the injured, and it is such a serious injury, but Zhang Wenhao is a little sure, knowing that if he has a good grasp of proportion, the threat of adrenaline to patients can be reduced a lot.
The reason why this woman's vital signs were sluggish before should probably be because of the aggravation of congenital heart disease, as long as the heart is saved, this woman will be able to support it for a while.
"One milligram of diluted adrenaline." Li Changyun quickly prepared a syringe filled with transparent liquid from the first aid kit, the needle of the syringe was a few centimeters longer than an ordinary needle, Zhang Wenhao took it in his hand, and without hesitation, through the skin, straight to the heart, and inserted the needle into the heart of the injured person.
After the needle was pierced into the heart, Zhang Wenhao pushed the syringe with one hand, but the advance was extremely small
Heart, and the speed is not fast, the flow rate of the liquid injection is very accurately grasped by Zhang Wenhao, and Li Changyun with a stethoscope on the side does not even dare to breathe, paying close attention to the woman's heartbeat.
Chen lĂŹlĂŹ was also nervous and sweating, but he didn't dare to relax in his hands, and was still squeezing the oxygen bag to give oxygen to the injured.
In five seconds, the adrenaline liquid was only pushed into less than half by Zhang Wenhao.
Immediately, Zhang Wenhao's hand suddenly paused, and asked Li Changyun, "How is it?" Li Changyun shook his head and said, "I'm not sure, there seems to be no reaction." â
Zhang Wenhao said: "Put the stethoscope on my ear." Li Changyun hurriedly took off the stethoscope and put it on for Zhang Wenhao, Zhang Wenhao listened carefully to the beating sound of his heart, indeed as Li Changyun said, the heartbeat was extremely weak, and his fingers could also feel the tension of the other party's heartbeat. It seems to be very small.
Suddenly, at that moment, Zhang Wenhao's fingers felt a slight tremor, which was almost impossible to capture in the stethoscope.
Zhang Wenhao did not hesitate, and pushed the remaining adrenaline by a third, and at this time, the heartbeat had begun to gradually become louder.
Zhang Wenhao breathed a sigh of relief, the adrenaline stimulation was very strong, but as long as she controlled the dosage extremely accurately, she could ensure that her heart would not be subjected to the huge stimulation from adrenaline.
"How's it going?" Li Changyun asked nervously.
"It shouldn't be a big problem for the time being." Zhang Wenhao frowned and said, "But in her current situation, it is difficult to withstand the bumps of the car, and her right lung is a huge hidden danger." Li Changyun suddenly realized that the two had been worried about heart problems, but he forgot that the other party's lung lobe was pierced by broken ribs, and if he was careless in the car dealership, the fluid in the lungs or the ribs in the lungs were misaligned, which could be fatal.
"What then?" Li Changyun couldn't help but ask nervously.
Zhang Wenhao blurted out and asked, "Is there a silver needle for acupuncture?" â
"What do you want that thing for" Li Changyun was puzzled, and blurted out: "There is no such thing in the ambulance!" â
Zhang Wenhao said: "I need to block the nerve in her right lung first and separate the damaged lung so that I can temporarily stabilize the injury in her lung." â
"It's not a routine at all!" Li Changyun seemed to hear a fantasy and used acupuncture to block the nerves in the lungs? What do you mean? The lungs are organs that breathe on their own, can Zhang Wenhao still use just a few silver needles to completely disconnect the lungs of the injured from the injured themselves?
Even Liu Hengshan was dumbfounded, not to mention that he had never heard of this kind of acupuncture, and it was even beyond the scope of traditional Chinese medicine, he couldn't believe that Zhang Wenhao was telling the truth, and looking at Zhang Wenhao's expression, it didn't look like he was joking.
Many of the medical skills in the top medical skills package are beyond the scope of advanced medical circles, although there is talk about the so-called integration of Chinese and Western medicine everywhere, in fact, there are still primary and secondary, most of the stubborn diseases are mainly Western medicine, supplemented by Chinese medicine, chronic diseases rely on traditional Chinese medicine for treatment, Western medicine cooperation, in fact, in the top medical skills package, many medical skills have achieved the real combination of Chinese and Western medicine, just like acupuncture.
It's like the last time Zhang Wenhao used acupuncture to anesthetize Qian Ning, the effect even exceeded morphine and other powerful painkillers, the reason is that most of the acupuncture techniques in the top medical skill package are no longer aimed at acupuncture points, but directly act on human nerves, human nerves are like a data line that transmits data, find it, and use acupuncture's unique physical stimulation to achieve the purpose of temporarily blocking nerves, using this method to block the connection between one of the lungs and the human body. It's like pulling the kidney out of the body like a USB flash drive, so that the injury to the lung itself will not implicate the injured person itself.
However, this method is unthinkable in both the Chinese and Western medical circles today.
"I have a needle in my car!" Although Liu Hengshan couldn't believe it, he thought that he had his own medical box in the car, so he hurriedly ran to the car and took a box of silver needles, his acupuncture skills are not high, it is nothing more than being able to treat some minor diseases, so he also wants to see if what Zhang Wenhao said is the truth.
Zhang Wenhao took the needle, used the finger of his left index finger to find a suitable position for the needle in the right abdomen of the injured person, and pierced eight silver needles in a row, then he breathed a sigh of relief, raised his head, and said to Li Changyun: "Go and carry the stretcher!" Li Changyun has been watching Zhang Wenhao get the needle, but he can't see what effect these eight needles can be observed by the naked eye, but when he heard Zhang Wenhao say this, he didn't know why, he suddenly breathed a sigh of relief, and hurriedly nodded and said, "Okay!" I'll go! â
In Li Changyun's opinion, if Zhang Wenhao said that he would prepare a stretcher, then this woman should still be saved, Zhang Wenhao's character is not as cautious as himself, as long as there is a glimmer of hope, he will not let this woman die in the ambulance.
Li Changyun quickly ran over with the driver carrying a stretcher, the needle of adrenaline was still inserted above the woman's heart, and the eight silver needles were also not removed, and there were still some liquid medicines in the needle that were not pushed in, which was deliberately left by Zhang Wenhao, before arriving at the hospital, as long as the other party's heart rate changed a little, Zhang Wenhao could immediately give the other party's heart a strong power.
Zhang Wenhao and Li Changyun were very careful to raise their thighs and shoulders, and then they lifted the woman onto the wheeled stretcher.
While pushing the woman into the car, Zhang Wenhao said to Li Changyun: "You go to the car first to prepare albumin and glucose injection, contact the hospital, report the injury, and ask them to prepare the operating room." (To be continued.)