Precordial percussion!

Xu Qiaoen is naturally no stranger to this trick.

But in cardiopulmonary resuscitation, not only has she not used it, but she has rarely seen anyone use it.

Because patients with cardiac arrest like this often have complex causes, if it is cardiac arrest caused by ventricular fibrillation, at this time, percussion in the anterior cardiac area will aggravate ventricular fibrillation and be counterproductive!

Cardiac arrest is a race against time to rescue, and it happens anytime and anywhere, so you can't always send people to the hospital to take CT in a step-by-step manner, confirm the cause, and then decide whether to use the anterior cardiac mouth technology, right?

Therefore, those who dare to use this trick to save patients not only need the accurate judgment of the doctors present, but also need extraordinary courage!

In Xu Qiaoen's clinical experience over the years, the most successful precedent for using this trick has to be a big pig's trotter surnamed Song!

And the young lady in the white shirt in front of her not only has the style of Song pig's trotters, but also seems to be even more ...... Wild!

Under Xu Qiaoen's round apricot eyes, the young lady knocked once, and knocked three times in a row!

When the fourth percussion was over, the old woman's eyelids suddenly trembled!

Seeing this, the young lady in the white shirt hurriedly turned her head sideways and pressed her ear against the old woman's left chest.

Hearing the sound of her heart, the young lady breathed a sigh of relief.

Xu Qiaoen also took the opportunity to check his pulse, and nodded at the young lady with surprise and admiration.

The heart is beating again!

At this time, the staff of the train station also rushed over and asked, "Get out of the way, how are the people?" ”

"It's okay for the time being, call an ambulance immediately."

The young lady in the white shirt stood up and said very coolly.

"Great, thank you for your help." The staff also breathed a sigh of relief, and then after confirming that Xu Qiaoen and his daughter were doctors, they asked if they could stay and wait for the ambulance personnel to come.

"I'm fine."

The young lady in the white shirt readily agreed, and at the same time picked up the kun bag that the old woman had thrown on the ground, rummaged through it, and turned out a bottle of medicine.

Cediland!

A rapid cardiotonic, which strengthens the contraction of the heart muscle and slows down the heart rate and conduction.

As soon as Xu Qiaoen saw this bottle of medicine, he knew that the old woman was indeed suffering from arrhythmia and other pathologies!

This is slightly different from cardiac arrest caused by a heart attack.

But there is no doubt that this kind of sudden illness is indeed very suitable for the rescue of the anterior percussion technique.

"Is there any water?"

The young lady in the white shirt asked suddenly.

Xu Qiaoen hurriedly took out a bottle of mineral water from his bag, and then, raised the old woman's head slightly, and cooperated with the young lady in the white shirt to give the old woman stomach medicine.

"How can you be sure that a patient has ventricular fibrillation all at once?" Xu Qiaoen asked while he was in the middle of it.

The young lady glanced at her and said lightly, "Listen to the heart." ”

"Just now you said that you are a doctor, then you should know that ventricular fibrillation is different from ordinary cardiac arrest, that is, the ventricular muscle is in a state of rapid tremor and fibrillation, often in an instant completely lost ejection function, I just checked, the patient's blood circulation has stopped, heart sounds, pulse has completely disappeared, just a few seconds like this, eight or nine times out of ten is ventricular fibrillation!"

The young lady said slowly: "In this case, the heart that has just stopped beating is highly stressful, and when it percussion of the precordial area, it can stimulate the heart through vibration, convert mechanical energy into electrical energy, and play a role in defibrillation, adjusting the heart rhythm and causing the heart to rebeat...... Of course, if it doesn't work after percussion, I'll have to continue with chest compressions. ”

Xu Qiaoen couldn't help but be stunned.

In fact, she understands the truth, but it is difficult to do it in reality.

As mentioned earlier, since most of these diseases occur suddenly outside of the hospital, defibrillation and drug injections are often not available.

Until the cause is confirmed, chest compressions, which are the most conservative and secure procedures, should be performed.

"You're used to relying on machines for inspections, right?"

The corners of the young lady's mouth showed some playful smiles, and she said abruptly: "This is also a common problem of regular doctors in China, as long as you don't get the examination report, you often don't dare to cross the thunder pool by half a step." ”

Xu Qiaoen was a little depressed, but he had to admit that this young lady said a major "illness" in domestic medical treatment!

In these years, even if you go to the hospital for a common cold, the doctor must first prescribe a series of examinations and tests.

After the blood is drawn, wait for half an hour for the report to be issued before the doctor is willing to prescribe the medicine.

Too careful, too cautious.

It's exactly from the book!

The young lady also seemed to be aware of Xu Qiaoen's depression, and while continuing to check the old woman's condition, she said: "I don't mean to slander, this style of domestic doctors is nothing more than the result of exam-oriented education, or the embodiment of dogmatism, especially in the context of the tense relationship between doctors and patients, it is understandable that doctors habitually seek advantages and avoid disadvantages." ”

The corners of Xu Qiaoen's mouth couldn't help but pull.

This seems to be quite familiar.

It's like the style of a big pig's trotters.

"Listen to you as a domestic doctor, are you studying medicine abroad?" Xu Qiaoen asked.

"That's right, I graduated from Cambridge Faculty of Medicine."

The young lady simply admitted, "However, foreigners also generally advocate using instruments to check first and then rescue, but my working environment is relatively special, and I am not allowed to come so step-by-step." ”

"What is your job?"

"Aid to Africa doctors."

The young lady stroked the silk hair of her ears and temples, revealing a sassy and touching smile......

……

At the same time, in the small conference room of the Department of Cardiothoracic Surgery of the First Affiliated Hospital, Song Che and Zhai Lingxiao, as well as the members sent to Mao Lingang, were conducting a team discussion before the operation.

"Director Zhai, the emergency department called, saying that there was an old woman at the train station who had a heart attack and was being sent over urgently, and she might need the assistance of our department."

Suddenly, Liu Hao broke in again and told a breaking news.

"Didn't you see us discussing surgery?" Zhai Lingxiao was a little unhappy.

Song Che said: "Forget it, senior brother, you better go over and take a look, anyway, the team hasn't arrived yet." ”

Zhai Lingxiao frowned and said, "The assistant you said, are you sure you can come?" Do you want to make another call? ”

"With what I know about her, I shouldn't have released my pigeons, maybe there is something important and I don't have time to answer." Song Che said.

When he learned that Xu Qiaoen was going to come to the First Affiliated Medical College for further study, Song Che probably knew about Xu Qiaoen's "ill-intentioned attempts".

Putting aside each other's emotional trivialities, at the very least, the second assistant candidate in the surgical team is about to come out!

But just now Song Che called to contact, but Xu Qiaoen didn't answer, and I don't know if this big girl deliberately avoided herself.

"The ugly daughter-in-law always has to see her in-laws, little junior brother, you are so good-looking, it's not easy to run up this time, but you have to take it to my senior brother as soon as possible, don't hide it."

Zhai Lingxiao smiled a little ambiguously: "Don't think too much, senior brother, I just check her strength, whether she can be qualified for the position of assistant for this operation." ”

Zhai Lingxiao is also a person from here.

As soon as I heard that Xu Qiaoen didn't wait for the comfortable environment of Yunzhou, he came to study for a doctorate, and combined with the relationship with the little junior brother, he probably smelled the smell of dog blood gossip.

I'm afraid that if the little junior brother is in Yunzhou, he will abandon the chaos and end up, so that the girl can't stand the lovesickness, so she just abandons her family and business and comes to find a lover!

Song Che rolled his eyes, too lazy to explain.

Zhai Lingxiao also stopped in moderation, and asked Liu Hao instead: "What kind of patient?" ”

Liu Hao said: "It is said that it is ventricular fibrillation, and after taking cedilan, after cardiac arrest, thanks to the doctors in the station, emergency rescue was carried out, and it is said that precordial percussion was also used to make the heart beat again." ”

"What?"

Zhai Lingxiao once suspected that his ears had heard it wrong.

Not only him, but other medical staff, including Song Che, were also moved.

"You mean that after the patient suffered cardiac arrest at the station, a doctor confirmed that the patient had ventricular fibrillation on the spot, and directly used precordial percussion?!"

Zhai Lingxiao got up and asked in surprise.

"That's what the emergency center conveyed, and now the doctor is coming with the ambulance." Liu Hao replied.

"Evil Sect ......"

Zhai Lingxiao muttered, "Little junior brother, what do you think? ”

"Let's see."

Song Che was also interested, stood up, and followed Zhai Lingxiao to the emergency department.

In this short sentence, the information revealed is too amazing.

In the environment of the train station, without using any professional instruments, the patient was judged to be ventricular fibrillation, and the most "sword-walking" precordial percussion was adopted, which was obviously different from the conventional emergency rescue procedure.

Song Che occasionally plays cards so unreasonably.

But that's because he has a unique Chinese medicine technique of seeing, hearing, inquiring, and cutting.

And now, there are still doctors who dare to "take risks" without going through the instrument, and they are obviously not ordinary doctors!

Two people arrived at the emergency department.

At the entrance of the emergency hall, next to the gently sloping front steps, a roller mobile bed is ready.

Several doctors and nurses in the emergency department are already on standby.

Zhai Lingxiao was about to go up and inquire about the situation again, when a whistle whistle came from far and near!

In just a dozen seconds, the ambulance came to a speeding stop in front of the emergency hall.

The rear door opens.

The staff in green ambulance suits rushed to the scene.

One in front and one in the back, the two people directly opened the movable buckle, and the flat detachable stretcher was directly buckled on the hospital bed.

Seeing that the medical staff in the emergency department were handing over matters, two more pretty figures jumped out of the ambulance!

Among them, the beautiful and graceful Qianying is not Xu Qiaoen!

When Song Che and Xu Qiaoen's eyes met, their faces were surprised.

But maybe the situation was urgent, or maybe it was embarrassment to avoid suspicion, the two just bowed their heads slightly, and did not exchange pleasantries.

After taking the photo, Xu Qiaoen immediately stepped forward and explained the old woman's situation to the doctors and nurses of the emergency department of the First Affiliated Hospital.

"You're the doctor who rescued the ** in the train station, right, and you did the precordial percussion?"

Someone asked that this is also the topic that everyone is most concerned about in addition to the safety of patients.

Xu Qiaoen shook his head and said, "It's not me, it's another doctor." ”

Following Xu Qiaoen's gaze as he turned his head, the eyes of Song Che and the others focused on the woman behind him one after another.

Leather jackets, white shirts, jeans, high boots and crisp short hair exude a heroic, capable and resolute temperament.

The goose egg face, which was also beautiful and wheat-colored, flashed with bright eyes, opened his teeth, and said, "I did it,"