Su Hongwen turned his head to see a man in his forties sweating profusely running over with an old man on his back, the old man seemed to be unconscious, his hands and feet were swaying with the man's running, Su Hongwen turned his head and shouted to the nurse at the triage desk: "Flat car, fast." After saying that, he ran over and helped the man to be carried by the old man.

Put the old man on the flat car, Su Hongwen checked for him and said to the man: "What's the matter?" ”

The man wiped the sweat from his forehead and said, "My dad went to the bathroom in the morning, we thought it was nothing, and we would see that he didn't come out later, so I went in and saw that my dad fainted." ”

The vital signs detector also transmitted the old man's electrocardiogram to Su Hongwen's line of sight at this moment, and when he saw the changes in the electrocardiogram, Su Hongwen's face immediately sank and shouted: "Acute myocardial infarction, prepare for rescue, quickly." After speaking, he didn't talk to the man, pushed the old man, and ran to the rescue room.

Yesterday, Su Hongwen had already shown his magic, so even if the old man didn't have an ECG, the nurse believed his words and hurriedly followed Su Hongwen to push the patient to the emergency room.

Jin Hao came early, he was in the observation room to see other doctors deal with patients, and if he wanted to go to the rescue room, he had to pass through the observation room, Jin Hao saw Su Hongwen pushing an old man and ran in and hurriedly chased after him: "What's wrong with Mr. Su?" ”

Su Hongwen didn't have the heart to explain to Jin Hao and said directly: "Go and bring my coat, quickly." ”

Jin Hao nodded and turned around and ran, Su Hongwen pushed the patient directly into the rescue room, and as soon as he came in, he shouted: "Oxygen inhalation, ECG monitoring." Lidocaine 100 mg intramuscularly, nitroglycerin pumped in, fast. ”

The old man's son called Gao Xiang and followed, grabbed Su Hongwen's hand and said, "Doctor, what's wrong with my father?" You've got to save him. ”

Jin Hao ran in with Zhuang Ying with Su Hongwen's coat, and Su Hongwen said to Gao Xiang first: "Don't worry, we will definitely do our best." Speaking of this, he turned his head and said to Jin Hao: "Take the patient's family out first." ”

The nurse who came in with Su Hongwen is called Wu Suqing, who has been working in the emergency department for several years, and is considered an old nurse, who has been inhaling oxygen and electrocardiogram monitoring for the patient according to what Su Hongwen said, and another nurse named Zhang Qingmeng also gave the patient lidocaine.

At this time, Liu Hongsheng walked in with Chen Jinzhou. Chen Jinzhou happened to see what Zhang Qingmeng had just injected the patient. He immediately said urgently: "What did you give the patient?" ”

Zhang Qingmeng was stunned for a moment, and then said, "Lidocaine? ”

Chen Jinzhou said angrily: "Nonsense, how do you know that the patient has ventricular fibrillation without an electrocardiogram?" He also just learned about the patient's situation from the triage table, in fact, Chen Jinzhou was right. Ventricular fibrillation cannot be diagnosed in patients without an ECG as a basis for diagnosis. Lidocaine was given instead of ventricular fibrillation. Once there is an accident, it will be a medical accident, and no one can get better, no wonder he is so angry.

Su Hongwen also understood why Chen Jinzhou was so angry. He patted Chen Jinzhou and pointed to the ECG monitoring and said, "It's indeed ventricular fibrillation, you see?" ”

Chen Jinzhou was immediately stunned when he saw the ECG monitor, judging from the waveform of the ECG above, it was really ventricular fibrillation, but this ECG monitor had just been installed when he came in and was being activated, but at this time Zhang Qingmeng had already given the patient lidocaine, which showed that Su Hongwen had known that the patient had ventricular fibrillation, but the patient did not have an ECG, how did he know?

At this time, the ECG monitor suddenly made a piercing "Didi" sound, and Su Hongwen immediately shouted when he saw it: "Cardiac arrest, defibrillator, quickly." ”

Cardiac arrest in patients with acute myocardial infarction is often due to severe ventricular fibrillation, which is a severe ectopic heart rhythm, in which the ventricles lose their effective overall contractile ability and are often a fatal arrhythmia before death.

The nurse pushed the defibrillator over, and Su Hongwen picked up the defibrillator and said urgently: "400, quickly." "The 400 he said meant the current WS.

The nurse adjusted the defibrillator and quickly applied the defibrillator, and Su Hongwen shouted again: "Get out of bed." Then the two electric shock handles of the defibrillator were pressed, and the patient's body rose and fell to the bed with a "bang".

At this time, there was a cry outside, and an old lady of the same age as the patient stood outside crying and wanted to rush inside, Gao Xiang and Jin Hao pulled her so that she didn't let her in.

Su Hongwen looked at the ECG monitor and found that there was no change, and immediately folded his hands together and pressed them on the patient's chest to start doing freehand cardiopulmonary resuscitation, and after about three minutes, Liu Hongsheng suddenly shouted: "It's a relapse, but there is still a strict ventricular fibrillation, and I'm giving 100 ml of lidocaine." ”

Su Hongwen raised his head and looked at the ECG monitor and said, "Director Liu has just given 100 ml of lidocaine, but there is no relief from ventricular fibrillation, and I don't think the effect of 100 ml of lidocaine injected intramuscularly is not good at this time." ”

Chen Jinzhou frowned and said, "Then what do you say?" ”

Su Hongwen raised his head and looked at Liu Hongsheng and said, "Lidocaine is injected into the heart." ”

Liu Hongsheng and Chen Jinzhou frowned, intracardiac injection of ridocaine is indeed a pretty good method, the drug goes directly to the onset point, which can quickly relieve ventricular fibrillation, but this method is too risky, what if you use a syringe to pierce the heart in case it hurts the coronary arteries and veins? Once the patient is injured, he will definitely die, so no doctor would dare to do this without opening the chest and looking directly at the heart, the risk is too great.

Liu Hongsheng was puzzled: "The risk of Dean Su doing this is too great, I think it's better to inject it intramuscularly, it's safer." ”

Su Hongwen glanced at the ECG monitor and said urgently: "It's important to save people at this time, what are the risks?" If there is a cardiac arrest, the patient will not be saved, Director Liu. ”

Liu Hongsheng frowned and said: "But if you really hurt the coronary artery and vein in the process of injecting lidocaine in the heart, it will be troublesome, Dean Su, I understand your feelings, if you really want to do it, talk to your family members first, ask them to sign, and then do it." ”

As long as the patient's family signs to agree to do intracardiac lidocaine injection, even if this first aid measure fails and the family makes a fuss, the doctor and the hospital will not be affected much, but if the patient dies without the signature of the family, the doctor and the hospital will not be better once the family members make a fuss.

Su Hongwen knew that Liu Hongsheng was afraid of taking responsibility, but he didn't blame Liu Hongsheng, now the medical environment in Huaxia is very bad, the more doctors are more and more courageous, the more they dare not let go of their courage to save people, they are really scared by the patient's family, and they are also chilled, but now this situation is waiting to talk to the family members, and they have to sign, this time is too delayed, and the patient can't wait for such a long time.

Su Hongwen turned his head to Zhang Qingmeng and said, "100 ml of lidocaine intracardiac injection, fast." ”

Liu Hongsheng hurriedly said, "Dean Su, this is too risky. ”

Su Hongwen frowned and said, "I will bear all the responsibility for the accident, give it to me quickly." ”

Chen Jinzhou watched Su Hongwen from the side, and the previous jealousy in his heart suddenly disappeared, at this moment he admired Su Hongwen very much, he was like this when he first joined the work, he dared to do anything to save patients, but what was the result? People rescued the patient and the family is a thank you and then transferred to the department, some people began to make trouble after not being saved, Chen Jinzhou felt that his blood was cold after a few incidents, he would not dare to take any responsibility in order to save the patient, he became cautious, and before he became treated, he thought about whether he would cause trouble if something went wrong, he became constrained, became insensitive, and became indifferent to the life and death of the patient.

He thought that Su Hongwen was the same person as him, and it was the same, but today he found that he was wrong, ridiculously wrong, Su Hongwen is not a numb doctor, he is the same as himself back then, in order to save patients, he doesn't think about anything else at all, Chen Jinzhou feels that he is not a real doctor, and Su Hongwen is.

At this time, Zhang Qingmeng handed the syringe to Su Hongwen, he didn't want to prick it with a needle, and at this moment, Liu Hongsheng, Chen Jinzhou, Wu Suqing, and Zhang Qingmeng's hearts all rose to their throats.

Su Hongwen pulled out the syringe after injecting lidocaine, but everyone's hearts were still hanging in their throats, and time became extremely long at this moment, one second was the same as a year, and I don't know how long it was, Liu Hongsheng suddenly shouted: "Ventricular fibrillation has been corrected." ”

Everyone, including Su Hongwen, breathed a sigh of relief, handed the syringe in his hand to Zhang Qingmeng Su Hongwen said: "Notify the second line of heart and heart to come for consultation, this patient is only temporarily not in danger of life, but further treatment is needed, and surgery may be required, this matter will be decided by the second line inside and outside the heart." ”

After Su Hongwen finished speaking, he walked out, Gao Xiang took a few steps over and grabbed his hand and said, "Doctor, how is my dad?" ”

The old lady next to her had tears on her face, and asked again in that expectant tone.

Su Hongwen smiled at them and said, "It's okay now, but I still have to be hospitalized, and the doctors inside and outside the heart will come to consult in a while, and they will talk to you about the follow-up treatment." ”

Gao Xiang took Su Hongwen's hand and said, "Doctor, thank you, thank you so much." ”

Su Hongwen smiled and said, "No thanks, this is what we should do." ”

After saying this, Su Hongwen said a few more words to them and turned to leave, Zhuang Ying chased after him and shouted, "Teacher Su, you are too handsome." ”

Su Hongwen looked at the girl and said, "It's not handsome, the experience I asked you to write yesterday, and the things that you have seen have been read?" ”

Zhuang Ying's face crossed, obviously not doing what Su Hongwen said, but Jin Hao took out a piece of paper from his pocket and handed it to Su Hongwen.

Su Hongwen took his two students to the office, looked at their experiences, and asked them some questions, and after about 20 minutes, Zhang Qingmeng suddenly ran in and said, "Doctor Su is not good." (To be continued......)

PS: Four more sends, continue to roll all over the ground and sell cute monthly passes, the last day, don't hide if you have a monthly pass!