"Hey~ Intensive care unit, I'm the second line, the patient has arrived at your door, please pick it up." The second-line doctor pressed the intercom doorbell, and the nurse looked at him in surprise next to him, the second-line access card can open the doors of all departments, how can you ......

"Here we are." Chu Tai called out to the training doctor and rushed to the door to open the door.

"I'm sorry, the family can't go in, you guys wait at the door." As soon as Chu Tai opened the door, five or six family members wanted to squeeze in, so frightened that Chu Tai used his body as a wall and stopped Grandma Mao and them outside the door.

"We can't go in, so who will accompany the bed!" Grandma Mao is very unhappy, her daughter-in-law is clumsy, and she can choke her granddaughter with a milk, so she must not be allowed to accompany her; My son has been tired lately and can't stay with the bed; The Wang family's parents are reliable, but the grandparents are still there, how can there be a reason to let the grandparents accompany them? She had to go!

Hum! A lot of people can't enjoy the blessings of their children and grandchildren, what a sin! Grandma Mao scolded in her heart, she shouldn't have been in a hurry to let Wang Jing marry last year, she hadn't invited the big monk to see the eight characters of the little couple!

"This is the intensive care unit, there may be a big rescue at any time, it is inconvenient to have parents in it, please wait in the family waiting area." Chu Tai closed the induction door as if he was fleeing, and followed the second-line doctor to the operating room.

"Wait a minute, don't rush to put it on first, weigh it up." Luo Jiang saw that the emergency nurse was holding the patient and put it on the radiation bed, and hurriedly stopped him.

"Why, this person is not very good, let's connect it to the ventilator, and you will be okay when the condition is stable." The emergency nurse lowered the baby with a flat mouth, and then pinched the skin twice to disconnect the endotracheal intubation interface.

"Did you weigh yourself downstairs?" Luo Jiang turned on the electronic scale, quickly picked up the baby, and immediately connected to the ventilator after the number was stable, and the whole process did not take more than 3 seconds.

"Imperial Doctor Chu, weight 2.33." Luo Jiang wrote it down on the paper, and then connected the patient to the ECG monitor and measure the blood pressure.

"Uh, no." The emergency nurse is silent, how can I use medicine without weight? The drug dose of newborns can be calculated in terms of how many micrograms per kilogram of body weight, and the difference of one kilogram in adult body weight may be fine, and the drug dose of newborns will be much worse if the weight is not allowed!

"The average pressure is 32, is this baby full-term?" Luo Jiang looked at Chu Tai worriedly, the situation was not good.

"37 weeks, today is 16 days after birth, which is a small example[1]." The second-line doctor picked the beard on his chin, and he had already expanded his capacity once in the emergency room!

"Did the blood come out of the downstairs?" Bi Xin stared at the heart rate waveform on the monitor, is this high potassium? Bi Xin quickly touched the baby's limbs and began to look for the big veins, and later corrected acid and expanded the capacity to supplement calcium or something, and the peripheral small veins couldn't hold it.

"It should come out." The second-line doctor opened the outpatient system, clicked on Mao's happy message, and the blood gas turned red!

"I'm X, Luo Jiang, first push 10 ml of 1:1 sodium bicarbonate, and then push 5 ml of 1:1 calcium gluconate and push it once." Chu Tai was so frightened that he swallowed his saliva, and the pH was only 6.9? Is there 12 lactic acid? Lie!

"1:1 sodium bicarbonate pushes 10 ml, and then 1:1 calcium gluconate pushes 5ml, right!" Luo Jiang recounted while recording, and after Chu Tai nodded, he immediately brought out a treatment plate.

Since the emergency room called to say that the patient had been resuscitated for a long time, Luo Jiang and Bi Xin judged from experience: The baby will be acidosis? Hyperkalemia, pulmonary hemorrhage may occur after successful rescue! So the two took advantage of Mao's happiness before they came, and cooperated with the special drugs used in the rescue in advance.

What acid correction solution, normal saline, calcium, epinephrine, and then according to different drug routes, different concentrations are configured. No, it's needed now!

"Jiangjiang, you will use the needle in the patient's hand, I will try to wear an axillary vein, and the veins on this person's body are destroyed." Bi Xin glanced at the nurse in the emergency room, she could understand that the patient who had just been rescued had poor circulation and was difficult to puncture, but why did she get so many injections?

"Who am I working with~" The nurse on duty was in a hurry, there were three nurses on the night shift in the emergency room, there were so many patients today, she couldn't leave for too long.

"You say it, we'll all listen." Luo Jiang tugged at the corners of her mouth stiffly, she couldn't keep smiling.

"This baby choked on milk at about five o'clock, and when he went to the emergency room, he had no heart rate to breathe, and he was inserted into the tracheal intubation and pressed all the way back. In the emergency room, the cardiac arrest occurred again, and it took a cycle of resuscitation to come back. Normal saline expansion is done once. The nurse in the rescue room handed over the transfer order to Luo Jiang after the crackling report, put away the oxygen cylinder and prepared to leave.

"Jiangjiang, put me in a T-tube." Bi Xin successfully punctured the axillary vein, which was drawing blood from the indwelling needle. The patient's circulation is too poor, the whole body is full of spots, and the blood return from the axillary vein is also slow just now, so it is better to cross the blood now, and the blood for hepatitis B is drawn out first.

"Here we are." Luo Jiang's hand moved rapidly, but his eyes looked at the monitor, Chu Tai had already adjusted the ventilator parameters very high just now, why did the patient's oxygen saturation and heartbeat drop again?

"Imperial Doctor Chu! Chutai, hurry up, my heart rate and oxygen are all gone! Luo Jiang picked up the skin, took off the ventilator and pressed it directly with the skin.

"What's wrong?" Chu Tai rushed over.

"The sound of pinching the skin is wrong, there is phlegm in the lungs, no, it's milk, eh, and blood!" Luo Jiang's hand did not stop, the unobstructed tracheal intubation will not be like this, there is phlegm in the tube, and there is a puffing bubble sound when pinched, and there will be great resistance when the tube is blocked. And this person pinched it like blowing bubbles in the water, gurgling, saying that it was too much phlegm.

"I'll listen!" Chu Tai took the stethoscope and just wanted to listen to whether there was a wet rale, but he saw the patient choke twice, and the whole person jumped up, and then squirted a bundle of blood-red blood along the tracheal intubation!

"Teacher Bi, hurry up and help suck phlegm!" Luo Jiang gave up the position of the negative pressure suction device, looked up at the monitor, and fell down again!

"Here we are." Bi Xin quickly connected the sputum suction tube and inserted it into the tracheal intubation, and it was full of blood!

"Imperial Doctor Chu, there is 1:10,000 of adrenaline in the sterile tray on the treatment car, and the logo is written, help me get it!" Luo Jiang and Bi Xin cooperated perfectly, as soon as Bi Xin's sputum suction tube was withdrawn, Luo Jiang connected the skin sac, and when the patient's oxygen saturation rose to normal and Luo Jiang quickly took off the skin sac, Bi Xin's sputum suction tube was already waiting next to him.

"Yes, do I have to give a doctor's order? How to open? "There is a computer in the operating room, and Chu Tai only waits for the two nurse sisters to speak.

"Just look at it as usual." After Bi Xin suction three times, the endotracheal intubation was finally clean.

Luo Jiang waited for Bi Xin to pull out the sputum suction tube, and quickly dripped some diluted adrenaline before connecting to the ventilator.

"Oh, our rescue medication is the same as usual?" Chu Tai wondered, the charges for the two should be different.

"Yes, it's okay to get the money back for the medicine." Bi Xin rolled her eyes, this child was transferred from the accompanying ward at first glance, and many treatments in their department only charge material fees, not labor fees!