"Ah Jun stopped beating and breathing spontaneously for two hours and 5 minutes, had an electrical defibrillation, adrenaline, was intubated, and had been doing chest compressions."

The propeller rumbled, and in the rescue helicopter rescue cabin, Uncle Dan quickly told the colleagues of the rescue team about the general situation, and the team was also mainly composed of personnel from the Tianji Bureau.

Liu Mingfeng, an expert from the Emergency Department of the Medical Department of the Headquarters and now a member of the Spell Department, served as the team leader, and the middle-aged man in his forties knew Gu Jun and Uncle Dan, but he was responsible for logistics and rescue work. Liu Mingfeng listened while checking the vital signs of Gu Jun, who was fixed on the stretcher.

This time, the task force did not lose its materials and equipment after entering the different space, portable defibrillators, portable ventilators, etc. are still there, so the CPR of on-site first aid is of high quality, resuscitation drugs are given, electric shock defibrillation is given, tracheal intubation is ventilated by ventilator, and chest compressions are continued...... Uncle Dan, they have done everything they can.

It's just that......

The pupils are dilated bilaterally, the light reflex is absent, all reflexes of the muscles throughout the body are lost, and the electrocardiogram (ECG) is now showing an involuntary heartbeat.

It's been 125 minutes.

Uncle Dan said that the situation after the decisive battle at that time was that they could only resume their actions after a while, so they started rescue within about 6 minutes after Gu Jun's cardiac arrest, so that even if it was high-quality CPR, the success rate was only about 10%.

The current international standard is that a patient can be declared dead if CPR is performed with bare hands for more than 30 minutes and the patient has not recovered.

In addition, if the heartbeat stops for more than 5 minutes, the brain cells begin to be irreversibly damaged due to the long interruption of the blood supply to the brain. Brain death is the reason why some patients come back with heartbeats and breathing, but become vegetative.

Gu Jun also had obvious skin lacerations up to 5 cm long on the right forehead, local skin swelling and blackening, and the right eyeball was congested, possibly with a head injury.

Compared to these two injuries, the multiple fractures of his limbs seem to be a minor problem.

The situation is very unoptimistic.

Liu Mingfeng: The body on the stretcher they were facing could basically be called a corpse.

"He's not dead." Wu Shiyu, who was standing on the side, said in a strong voice, she was still holding those dissecting instruments, "I can feel that he is not dead yet." ”

Uncle Dan knew that this situation was particularly difficult for Miss Wu, and it was she who led the old seal to break down the banyan tree...... But her mental state is relatively stable.

No matter how anyone felt, the rescue team never thought of giving up, and their job was to fight for their lives with death.

Moreover, although it is rare, it is not uncommon to save patients who have stopped beating for two or three hours, or even patients with cerebral hemorrhage, in the emergency room of ordinary hospitals. Gu Jun is not an ordinary person, and they have the best use of medical resources.

The other two injured people, Deng Ximei's condition was lighter, and Xue Ba was heavier and earlier, but the quality of CPR on site was very high, and they couldn't give up.

At the same time, Zhang Huogang continued to do chest compressions for Gu Jun, and some nurses immediately wrapped Gu Jun's head with an ice cap to cool down, and another nurse intubated him. Liu Mingfeng and Uncle Dan were all nervously looking at the transparent urine bag, first aid has a chance to urine, and if there is no urine, it will basically not be saved.

When the urethral catheter is opened, I see dark yellow-brown urine flowing out of the urethral catheter and pouring into the urine bag.

"There's a chance, there's a chance!" Uncle Dan couldn't help but be excited, everyone's spirits were lifted, and Wu Shiyu's complexion also improved.

"Yes, and saved, keep in mind the amount of urine." Liu Mingfeng said resolutely to the nurse that this urine may also be present in Gu Jun's bladder before he fell into a coma, but it is always good to have urine, and said: "The boat is ready to do ECMO, and I will do it as soon as I go." ”

ECMO is extracorporeal membrane oxygenation, the principle is to use a tube to connect the patient's veins to the relevant artificial heart-lung machinery and equipment, guide the venous blood to the oxygenator for artificial oxygenation, and then the power pump will return the oxygenated blood to the patient's body to maintain organ function and help cardiopulmonary resuscitation.

This kind of cardiopulmonary bypass can completely replace the heart and lungs in the short term, and it can be said to be the last hand of critical first aid.

However, due to the high cost of the equipment and the technical difficulty of operation, it is necessary to have a specially trained ECMO team to have the equipment. Therefore, not every tertiary hospital in China can do ECMO, and there are few mature teams. But these are not the problems of the on-call rescue team on the destroyer.

Cardiovascular Medicine, Cardiac Surgery, Interventional Medicine, Emergency Medicine, Anesthesiology, Neurosurgery, Neurology, Orthopaedics, Respiratory and Critical Care Medicine......

With a team of hundreds of experts and professors from many disciplines, some on site and some remotely, this ECMO must be completed quickly.

Gu Jun's life is still there, and he is counting on this now.

As long as he connected to ECMO, even if Gu Jun was really already a corpse, he would not be allowed to decay so quickly.

And Xue Ba will also do ECMO to save.

"Is there an effect of anomalous forces in the patient's coma?" Liu Mingfeng asked again at this time.

Uncle Dan was a little creepy when he thought back to the situation at that time, "It was Ah Jun who brought the dark forces together, and he was basically devoured, so that we had a chance to fight back and win." That's how he fell from a great height, and that's how these fractures and forehead injuries came about. ”

The old spiritual seal has also been beaten, and the purification stone has also been used, all of which show that Gu Jun has not been eroded by the spirit.

This is up to Wu Shiyu to talk about the feeling, "I don't feel it, the dark power almost swallowed him at one point...... But in the end, those powers have been dispersed, and his taste is still salty, not so salty, but still salty, it's him. ”

Liu Mingfeng and the others nodded, I hope it is not, otherwise there will be too many unknowns.

It took off from the island in less than five minutes, and the helicopter landed on the deck of the destroyer, and they immediately carried out the stretcher carrying Gu Jun and put it on the emergency bed.

A minute earlier, or a minute later, can make or break whether a patient is dead or alive.

The battle on the front line of the Mobile Task Force is complete, and the battle for their logistics has just begun, so they must go all out to win.

On the command center, Tongye, Yao Shinian and others all stared at the scene of the rescue through the big screen.

Soon, Gu Jun was pushed into the ECMO operating room, the nurse changed his uniform into a hospital gown, and the surgical team that had been prepared immediately started.

The first step is to do femoral arteriovenous cannulation, which is also the most important and difficult step of the operation.

While continuing the chest compressions, they had to make a small hole in Gu Jun's thigh, find his femoral artery and femoral vein, and then use a thick connecting tube to connect to the ECMO machine. If this step is not done well, it will cause the patient to bleed heavily, which will not only delay the first aid time, but also make the situation worse.

At this time, the shadowless lamp was illuminated, and under the guidance of ultrasound, more than a dozen doctors and nurses in blue sterile surgical gowns were busy around Gu Jun, who was lying flat on the operating table.

Said the robot Vali

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