The nurse came in to give him an infusion, and Dr. Qi looked at his oxygen saturation, which was 92%. This reminded him of the case he had just heard from Li Yanling, the deputy director of the emergency center, that the patient's oxygen saturation was 92%, and she suddenly died when she was still hesitating to be intubated.

This patient wouldn't be so unlucky, would he? But he was a little puzzled about why he kept wearing a non-invasive ventilator, and the oxygen saturation was not above 95%. More than 95% is normal, 92% is low, and maintaining this state for a long time indicates that there is still a problem.

Is it a problem with the parameters of the ventilator machine? He adjusted the machine again, and watched it again for a while, but it remained at 92, not moving.

A little irritated, he reached out and tapped twice on the machine.

The nurse took the infusion liquid and hung it up and began to arrange the infusion set, and the athlete leaned on the hospital bed and stretched out his right hand. With his left hand, he lifted the oxygen mask he was holding and said, "Nurse, don't be nervous when you get the needle later." It doesn't matter, I have rough skin and thick meat, so I can tie as much as I want. ”

The nurse was a little embarrassed, and she also came to get a needle two days ago. His blood vessels are logically very thick, and they should be easy to insert, but strangely, maybe he got up in the morning to exercise, and his muscles were rougher than others, and he didn't return blood after two or three punctures.

However, this nurse was temporarily transferred to the emergency center, and there were too many patients in the intensive care of the emergency center, and there were not enough nurses at all. Previously, she did not prick needles in the clinical area, but did other nursing. Although I have practiced needle prick before, the technique has been abandoned after a long time.

This time, it was the same way, and the nurse pricked the athlete five or six times without bleeding.

She was very anxious but couldn't help it, seeing the athlete's painful grinning, she had to go downstairs to ask the head nurse Xiong Shengnan for help.

This little nurse just came, and Xiong Shengnan was in a good mood that day, so he didn't scold, but followed the good guide and said: "The technique of pricking needles did not fall from the sky, but practiced with a needle." I think that when I was in the army hospital, in order to practice low-light infusion in field conditions, we all covered our eyes with a layer of black veil and then practiced needle-piercing. So, try harder, don't ask for help for everything! ”

"Oh, thank you, head nurse."

The little nurse went upstairs with a bitter face.

Seeing that the little nurse was very depressed, the athlete said: "I told you everything, don't worry, even though I didn't say anything yesterday." ”

The nurses were grateful. said: "Thank you, then I will definitely tie you well." I thought about it a little more just now, and it should be better. ”

"Okay, that's good. Let's go! ”

The nurse was about to stick a needle when she noticed that his left hand was still wearing an oxygen mask and was not on his head. He hung the needle on the infusion set stand, reached for his breathing mask and buckled it on his head.

After the buckle was attached, the nurse was arranging the pressed threads for him to make him feel more comfortable. At this moment, the ECG monitor next to it suddenly beeped and beeped, very harsh, echoing throughout the room.

The nurse was startled and quickly turned her head to look, only to see that the electrocardiogram on the monitor had suddenly turned into a straight line.

She sighed, looked down, and saw that the athlete's whole expression had been frozen, and his hand had fallen weakly from the oxygen mask, which was still well buckled on his mouth and nose.

The little nurse screamed in fright, and Dr. Qi on the side rushed forward to check, and found that the patient's breathing had stopped, so he quickly pressed the emergency call bell on the wall and shouted: "Come on, the patient is out of breath!" ”

Immediately afterward, he put his hands on the athlete's left heart and began chest compressions CPR.

Several doctors and nurses rushed in and began to resuscitate.

The rescue lasted nearly an hour, and the patient's electrocardiogram was always in a straight line, and the beating never resumed.

Director Fu shook his head and said, "The patient died, stop the rescue." ”

Dr. Qi collapsed and squatted on the ground, holding his head in his hands, hitting his head against the side of the bed in pain, and muttered in his mouth: "I should have intubated him as soon as I came back, why didn't I do it?" ”

The news quickly spread in the intensive care isolation ward.

All the doctors were stunned, and they were a little skeptical at first about Wu Hao and Dai Yunyang's proposal to move the intubation forward, but this time the lesson of blood woke them up.

If it had happened before they had attended the meeting, they would have just attributed the situation to the fact that the coronavirus was too weird and scary, but they didn't know why it was weird, how to fix it, how to deal with it. After this meeting, they began to believe that Wu Hao and Dai Yunyang's proposal to move the intubation forward was an effective response.

When Dr. Qi hit his head on the bed, others had a similar urge and fear.

If the patient under his command encounters this situation, nine times out of ten they will not be intubated, because the patient's oxygen saturation is 92%, and he is alive and kicking, why should he be intubated, now they have some understanding, under normal circumstances, other diseases may not need to be intubated, at most non-invasive ventilators can be. But in the face of the terrifying opponent 'new coronavirus' that appeared in front of humanity for the first time, nothing is known.

This virus has shown him an extremely terrifying scene, and he can't even understand it with his current cognition, and there are still many things that need to be studied and understood.

Dai Yunyang's mood was very heavy, but he didn't expect that just after the meeting, everyone reached a consensus, and the situation of sudden death of the patient occurred again.

But to be fair, the doctor can't be blamed, because the patient didn't even have any signs of sudden death before, and once it appeared, he couldn't be saved by lying in the ICU ward and immediately being able to give first aid, which can only show one thing: before sudden death occurred, the body's compensatory mechanism had overdrawn his entire life energy.

In other words, the body has quietly exhausted all the energy that his body can sustain life, and the body has run out of oil. And this process is very well disguised, it is not discovered by others, and by the time it is discovered, there is no oil, and no matter how much it is in vain.

When Director Fu talked to Wu Hao and Dai Yunyang about this matter, Wu Hao said: "I'm still thinking about a problem, even if intubation, everything is not all right, many patients still can't recover from oxygen saturation after intubation, and they can't recover when the oxygen is turned on to the maximum, what should I do?" ”

Director Fu chuckled in his heart, it was true.

Several of his patients died in this situation, intubated, and the oxygen was turned on to the maximum, but the oxygen still could not enter, could not be delivered to the whole body, and the trachea quickly failed and there was no way.

The number of artificial heart-lung machines that can be used to replace the heart and lungs is too small to fight for most patients. And not every patient can use it, and other more effective and applicable methods must be found.