38 Countdown to Death
"Hoo Erlian!" Wang Guohua roared.
His voice rolled out of the emergency room like thunder, and it seemed that the patient's electrocardiogram had been shaken a little.
The falling blood rain fell on Wang Guohua and Luo Hao, as if they had just returned from the sea of hell and blood.
Wang Guohua was full of "murderous" energy, pressed his hands on the patient's chest, and began to do chest compressions as soon as he determined that the patient was in cardiac arrest.
"Epinephrine, 1 mg, intravenous push."
"Nikosami, Lobeline again."
"Defibrillator, energy to ......"
Luo Hao commanded the medical staff in the emergency department on the side, and the two cooperated seamlessly.
A minute later.
Wang Guohua's hand left the patient's chest.
The ECG fluctuated when he pressed, but as the hand that was pressing was gone, the ECG became straight again.
Try again and it's still the same after a minute.
Wang Guohua sighed and looked back at the village chief.
It should not work, and I have to explain to the "patient's family". The medical staff present all knew that fortunately Wang Guohua was there, otherwise there would have been some trouble.
Wang Guohua thought that the patient was no longer good, and then did his best, and then pressed for a few minutes to announce the patient's clinical death.
That's what other health care providers think.
Only Luo Hao doesn't think so.
The system had just issued a mission, and Luo Hao was sure that the patient in front of him was not dead, at least not completely.
"I'll come." Luo Hao twisted his eyebrows, the former sunny temperament was gone, countless blood dripped on his face, and a wave of iron and blood spurted out.
He bumped his shoulder and directly knocked Wang Guohua away.
Wang Guohua was stunned.
Luo Hao stretched his arms straight, palms folded, and did not make the most standard chest heart compression posture.
But when Luo Hao exerted his strength, Wang Guohua suddenly heard a "creaking" sound on the patient's chest.
Broken ribs!
A diagnosis appeared in Wang Guohua's mind.
Violent!
It's so violent!
However!!
In the next second, the patient's electrocardiogram begins to have a waveform on the electrocardiogram, and the heart is back to beating. (Note)
Gan!
Wang Guohua was stunned.
Is that okay?!
Emergency first aid, Wang Guohua has experienced countless times in his medical career;
Chest heart compressions, Wang Guohua has also experienced countless times.
The patient in front of him has already entered the ghost gate in Wang Guohua's judgment, and the cardiac compression and emergency rescue are only a little exhausted.
To put it simply, what can be done now and in the next ten minutes is to make the patient's family feel more comfortable and show that the doctor has done his best.
Doctors are not gods, and it is impossible to cure all patients.
But!
Luo Hao only pressed it, and the patient's heartbeat resumed, and it seemed that there would be no more stopping in a short period of time.
It's impossible, just now the defibrillator was also used, and the heart pressed itself, and the patient's heart did not respond in the slightest.
How Luo Hao ......
As soon as he thought of this, Wang Guohua suddenly heard a roar ringing in his ears.
"What are you doing! Wang Guohua, you are responsible for directing and sending the patient to the gastrointestinal endoscopy room! ”
The voice was cold, with a strong smell of blood, even Wang Guohua, who had experienced a hundred battles, subconsciously responded, "Gastrointestinal endoscopy room? ”
"Run, hurry!"
After Luo Hao finished speaking, he had already rushed out of the emergency room.
Chen Yong had been standing in the corner, his hands and feet trembling from the excessive adrenaline secretion.
It wasn't until the scene of Luo Hao "yelling" at Wang Guohua that Chen Yong completely calmed down.
It was as if he had seen this scene in the crystal, although the words were a little different.
Chen Yong has always thought that what he learns is just fun, and although he often comforts himself that the end of science is metaphysics, he has never believed it.
However, this scene calmed Chen Yong, he came to Wang Guohua's side, put on gloves and began to assist Wang Guohua in rescuing and transporting patients.
The village chief who came in with Wang Guohua was dumbfounded.
He never thought that he would say anything or the same, only he scolded people, and no one dared to scold him, Wang Guohua would be yelled at one day.
The doctors and nurses in the emergency room also clamped their tails and were busy with the wind under their feet.
Even Wang Guohua was yelled at, if he didn't do anything, he would not be hung up and whipped by Luo Hao from the medical department.
The infirmary is so fierce,
Luo Hao is so fierce.
All were awe-inspiring.
……
Luo Hao ran out of the emergency room and made a call with his mobile phone.
"Mr. Nie, I'm going to do an emergency banding, do you have any consumables?" Luo Hao ran wildly while calling Nie Changchun.
"Dr. Luo, there are consumables, I arranged for an assistant to be on the side of the hospital, and the rented house is a 2-minute walk. If you need it, you'll be there right away. Nie Changchun said simply and cleanly.
"Gastrointestinal endoscopy room, immediately, immediately!"
After Luo Hao finished speaking, he hung up the phone.
There was a "ding dong" sound of the system task being promulgated before, but Luo Hao just glanced at it and made sure that the system had issued the task, so he didn't look at the system panel in the upper right corner of the field of vision.
No time!
Although the patient's heartbeat recovered and could be maintained for the time being, Luo Hao knew that it would definitely not last long.
The last time I vomited blood, the blood rushed to the roof, because the blood pressure recovered a little after rehydration, the varicose veins of the gastric fundus continued to bleed, and the bleeding accumulated in the stomach, and after a certain amount, it would vomit out.
No matter how much fluid is given, as long as the bleeding point does not block the patient's gastric vein, it will continue to bleed, and it may even have another cardiac arrest at any time.
I was pressed by myself this time, and next time I ...... Luo Hao has no confidence.
The only way to solve the problem is to hurry up and do the surgery while you have just pressed back.
Hanging up the phone, Luo Hao immediately called Lin Yuming.
"Director Lin, the patient needs to do a gastroscopy for emergency hemostasis."
"I told them to open the door." Lin Yuming replied calmly.
"There's no time!" Luo Hao ran quickly, and the cold wind swept across his face like a knife.
“???” Lin Yuming was stunned.
Gastroscopy is not an emergency procedure, so why don't you have time?
"Let them as soon as possible, the patient's heartbeat just stopped once, I estimate ......"
As soon as he said this, a red light began to flicker in front of Luo Hao's eyes.
00:18:23
00:18:22
00:18:21
18 minutes?!
Luo Hao realized that this was the time that the system gave the patient's circulatory system to last, that is, the countdown to life.
Are you kidding!!
There are no emergency items in the gastrointestinal endoscopy room, and the door is locked at night. Even if there is a call from the head of the medical department, it will take more than ten or dozens of minutes for the head nurse to rush over.
"Uncle, there's no time, I'll slam the door and go in for surgery."
After speaking, Luo Hao hung up the phone.
Talking on the phone while running, coupled with the rescue that had just been full of hormones, Luo Hao felt a little tired.
At this moment, Luo Hao missed the attribute points very much.
It would be nice if the physical strength could be higher.
[It is said that a man is a teenager until he dies, but how can there be a teenager ......]
The mobile phone rang, and Luo Hao went straight to the gastrointestinal endoscopy room as if he hadn't heard it.
The iron door is locked.
Luo Hao stood in his position, without the slightest hesitation, sprinting quickly, slamming his right shoulder against the iron door like a galloping ancient beast.
[A man is a teenager until he dies......]
Boom~
[A man is a teenager until he dies......]
Knock knock~~
[A man is a teenager until he dies......]
Knock knock~~~
Rumble~
The iron door was slammed open by Luo Hao's livestock.
Breaking in, Luo Hao turned on the lights and prepared the equipment.
00:13:45
00:13:44
Luo Hao hung up the call from Lin Yuming and dialed Wang Guohua.
"Why hasn't the patient arrived yet! What are you eating!! ”
Without waiting for Wang Guohua to speak, Luo Hao shouted with his head covered his face.
"It's almost there, is there anyone in the gastrointestinal endoscopy room at night?"
"You have to take care of it! Give you two minutes, and the patient won't be able to go home and pick up his grandson. ”
Luo Hao hung up the phone in a cold scolding voice.
Wang Guohua on the other side of the phone held the phone in his hand and creaked.
He was old and his phone was loud, and the others could hear it clearly.
For decades, in the memories of all the medical staff on the scene, even the dean would not speak to Wang Guohua so violently.
And Luo Hao ......
Everyone didn't even dare to breathe, for fear of being angered by Wang Guohua.
Someone had already asked for the elevator, and the road was unimpeded, and the flat car was pushed to the door of the gastrointestinal endoscopy room.
As long as the patient can live, what is the point of being scolded for a few words? But if Luo Hao can't save the patient...... Wang Guohua thought coldly in his heart.
He suspected that Luo Hao was in a hurry, especially when he saw the blood rain falling, the whole person was in a state of stress, and Luo Hao didn't know what he was doing.
The door of the gastrointestinal endoscopy room is locked at night, what are you going to do there? Can it save people?
Sending the patient is Wang Guohua's respect for Luo Hao, which comes from the system and the operation completed by Luo Hao.
Wang Guohua rushed to the gastrointestinal endoscope room first, and saw that the door was smashed open, as if he had been a thief.
!
Awesome!!
Although Wang Guohua was scolded, he still gave a thumbs up in his heart when he saw this scene.
Luo Hao's decision is clear, and Wang Guohua admires this neatness very much.
Seeing the broken gate, everyone felt like they couldn't catch their breath.
They are all doctors and nurses in the emergency department, and they have experienced not a thousand but eight hundred, and no one has ever seen such a tragic scene.
Sending the patient in, a fair-eyed girl with a trolley case appeared timidly at the door.
"May I ask Dr. Luo......"
"Mr. Nie asked you to come, I'm going to do a gastric vein ligation and give me the consumables."
"Okay, Dr. Luo, I'm ...... Southern"
"Don't talk nonsense, I want bandage consumables!" Luo Hao yelled in a deep voice as he and the others carried the patient onto the operating table.
At this moment, Luo Hao was like a violent beast, as if he wanted to bite down and tear people apart no matter who he didn't like.
The girl was stunned, with tears in her aggrieved eyes. But she didn't forget her work, and immediately squatted down, opened the trolley box and took out the consumables.
To clean the mouth, Luo Hao used up all the remaining surgical training time, personally gave the patient basic anesthesia, and sent the gastroscope to the esophagus.
The screen is full of red.
As I entered the mirror, I sucked blood with a suction device, and from the entrance of the esophagus, I could see the varicose veins spreading like reptiles all the way to the cardia.
The variceal veins are nodular in shape, and a red thrombosis can be seen on the varices in the lower esophagus, and the variceal veins are dark red, and there is no sign of bleeding in the varices in the esophagus.
00:08:54
00:08:53
00:08:52
Although there was a death countdown in front of him, Luo Hao could accurately feel that the cold glow of the Death Scythe had fallen on the patient, but he still maintained a calm and cold state, concentrating on rescuing.
When the gastroscope is operated into the stomach, the screen is red all over the screen, and there is no surgical field at all.
The suction device "hissed" desperately to suck out the remaining blood in the stomach and expose the operating area.
But the exposure was limited, at least Wang Guohua and Chen Yong did not see veins in their eyes that needed surgery.
Luo Hao saw that the patient's gastric fundus veins were bead-like at the short interval when the venous blood had just been sucked out and the next wave of venous blood blocked his vision, and blood was still bubbling in at least 3 places.
Holding his breath, Luo Hao glanced at the countdown to death.
00:07:26
Time passed minute by minute, and there was not much time left for me.
Although the surgical field is limited, Luo Hao has done it dozens of times in the operating room of the system, and he calmly used the 7-ring suit device to directly capture a bleeding point for banding.
Generally speaking, no one wants to have a bandage while bleeding is a last resort.
There is no surgical field at all, and I can't see anything, how to do surgery?
At least that's what Wang Guohua thinks now.
But Luo Hao was in front of Wang Guohua, and the No. 7 ring set device directly covered a bleeding point for banding.
One blood vessel, two blood vessels, three blood vessels.
00:03:56
In less than 5 minutes, Luo Hao did 12 bandings.
Finally!
After the last bandage, a firework appears in view.
The pleasant sound of mission completion also rings in my ears.
The surgery was successful!
Luo Hao's body softened, but he immediately straightened his waist and began to concentrate on sucking out all the blood in the patient's stomach.
"Xiao Luo, can you see the bleeding spots?" Wang Guohua asked in a low voice.
Even Wang Guohua, who has always been arrogant and domineering, did not dare to speak loudly.
Although he couldn't understand it, the blood in his stomach was getting less and less, and Wang Guohua could still tell that the operation was close to success.
"Yes." Luo Hao said indifferently, "The operation is done, Director Guohua." ”
Wang Guohua was stunned and burst into tears.
MB's surgery is done, do you know to call yourself Director Guohua?
Who the hell said yelling to get out of the house and hug your grandson?!
"12 bleeding spots, fortunately you sent the patient in time, if it was five minutes late, the patient would have been able to take care of the corpse by now." Luo Hao narrowed his eyes and smiled slightly.
Wang Guohua was silent, and directly blocked the words that praised himself in the back, leaving only the focus of 12 bleeding points, and he felt that Luo Hao was bragging.
He has done dozens of menchi vein devagation, and is familiar with the anatomy of local tissues to the bones.
12 bleeding places, Wang Guohua can imagine.
But under the influence of red all over the field, he couldn't see the bleeding spot anyway, and Luo Hao actually did 12 bandings in a few minutes.
It's simply impossible!
Although he was skeptical, Wang Guohua was not stupid enough to say it.
The dwindling red color on the gastroscope screen seems to silently tell everyone that the operation has been successful.
As the amount of blood obscuring the field of vision decreases, the surgical area appears in the eyes of everyone.
There are a series of "beads" on the varicose veins, during which traces of banding appear.
The medical staff, who had been silent, became more and more silent after seeing the condition of the operation area clearly.
At the end of an operation, no one can see how the surgeon is doing, which is unbelievable and unimaginable.
Luo Hao didn't taste the joy of victory for the first time, he changed various angles to check to see if there was any active bleeding.
Although the system and microscopic observation told him that the operation was quite successful, Luo Hao still checked for 20 minutes as if he had obsessive-compulsive disorder.
Finding any missed active bleeding can take several times longer than surgery.
But no one questioned that the silence in the operating room was scary.
In the end, Luo Haocha had no active bleeding and ended treatment after inhaling the gas.
It was only at this time that Luo Hao breathed a sigh of relief. Just about to take a closer look at what rewards the task given by the system was, Luo Hao heard a loud roar.
"Luo Hao, you little cub! What the hell have you done!! ”
It's Lin Yuming......
"Take a patient to the ICU and say it's ...... Director Lin asked to send it. By the way, please ask Director Guohua to make a trip, hard work. ”
After the successful operation, Luo Hao's body completely lost that iron-blooded breath, gentle and amiable, and a sunny smile resurfaced.
Then Luo Hao took off his gloves, took off his mask, and trotted to the door with a smile on his face.
"Director Lin, you're here." Luo Hao bowed slightly, "It's an emergency rescue, the operation has been done, you don't need to toss in the middle of the night." ”
Wang Guohua looked at Luo Hao, who had changed his face, and felt an inexplicable emotion in his heart.
Is this the same guy who just scolded himself for being a dog?
can scold yourself, why can't you scold Lin Yuming?
If you can scold yourself, why can't you scold Lin Yuming?
"Luo Hao, what did you do! You've ruined public finances, and I think you've been floating lately. Lin Yuming reprimanded sharply.
Lin Yuming was obviously anxious, so much so that his voice was slightly sharp.
"Director Lin......"
"Director Lin is a patient with gastric varicose veins and vomiting a lot of blood." Wang Guohua explained in a deep voice.
Lin Yuming originally had a serious face and was ready to teach Luo Hao a lesson, but when he heard Wang Guohua's voice, he paused slightly, and a smile appeared on his face.
It's exactly the same as Luo Hao.
Or that Luo Hao and Lin Yuming are exactly the same.
"Director Guohua is also here."
"This patient had a heartbeat stop in the middle, I didn't press it back, it was Luo Hao who rescued him." Wang Guohua added.
“!!!” Lin Yuming was dumbfounded.
There are too many deep meanings in Wang Guohua's sentence that are worth thinking about.
"In the case of surgery, the patient has just finished anesthesia. But at that time, the matter was urgent, and the patient could vomit blood again at any time, so he came here. Luo Hao's banding was successful, and there was no active bleeding on the exploration. Wang Guohua looked straight at Lin Yuming, "Do you have any opinions?" ”
"No, no." Lin Yuming smiled, as if the person who had just reprimanded Luo Hao was not him.
"Human life is at stake, what's wrong with kicking a door? Report for maintenance during the day. You Director Lin are embarrassed to report it, I'll report it. Is the maintenance squad still Xiao Geng the squad leader? ”
"Harm, Director Guohua, look at what you said. Xiao Geng is already a section chief, so there is no need to trouble you with such a trivial matter. Lin Yuming smiled and said, "Saving people is the main thing, saving people is the main thing." ”
"You also know that human lives matter." After Wang Guohua finished speaking, he began to personally lead people to lift the patient to the flat car and send him to the ICU.
When he was about to go out, Wang Guohua passed by the broken gate and went up to make up for it.
Lin Yuming's eyelids jumped.
When everyone left, Lin Yuming asked, "Why don't you leave?" ”
"Uncle, I was really anxious just now, the patient suffered cardiac arrest and almost couldn't be saved. The old director of Guohua is going to do Menqi venous devascularization, I feel that anesthesia may not be able to pass, and people will put it on the stage, so. ”
"So what, so you kick the door?" Lin Yuming said bitterly, "To work for the government, you must first get rid of the pot, protect yourself, and have nothing to do." ”
Luo Hao responded again and again, but what he thought about was Lin Yuming, who was anxious to "grab eggs" with the boss of the pharmaceutical company.
One set of words, another set of made, believe it or not.
"Director Guohua said that he didn't press it, and you rescued it, what's going on?" Lin Yuming asked.
"Well, people who haven't done thoracic surgery don't dare to press hard. Insufficient strength, electrophysiological stimulation of the heart...... Simply put, the heart can't beat again. I'm ...... strong."
"Strength?"
"To put it more simply, I broke the patient's ribs."
“!!!”
"It's okay, I've met a patient with cardiac tamponade, the patient is out of breath, and he directly opens his chest and looks directly at the heart with his hands to save the person back. It's not a matter to break two ribs. ”
Lin Yuming looked at Luo Hao speechlessly.
In such a sinister medical environment, Luo Hao dared to do this.
A few years ago, cardiopulmonary resuscitation was done to break the patient's ribs, and finally the patient's family came to the door to ask for compensation.
"Do you know the consequences?" Lin Yuming asked solemnly.
"Yes, but isn't there still you, uncle?" Luo Hao said with a smile.
“……”
"The medical office will definitely be able to solve it, but it's a big deal to lose some money. We are owned by the whole people, and it is better to give it to anyone than to demolish and dismantle the garden in the back. ”
"¥#@&*" Lin Yuming directly burst into foul language.
After scolding for two minutes, Lin Yuming still felt tightness in his chest.
He looked at the broken gate, and suddenly realized that the gate was made of stainless steel, and he almost couldn't hit it open.
Reaching out and clenching his fist, Lin Yuming hammered Luo Hao's chest.
There was a muffled thud.
"Yes, it's a man." Lin Yuming said with a smile.
"Uncle, give me an access control card, I don't have to kick the door in case there is an emergency operation at night in the future."
"You're so @#¥*&!" Lin Yuming's emotions repeatedly switched between the top of the mountain and the abyss.
"Why did Wang Guohua help you speak?" Lin Yuming suddenly calmed down and asked a fatal question.
"The old director of Guohua protects the calves."
"You are my family's calf, and you need him to protect Wang Guohua?!" Lin Yuming was completely angry, "Which onion and which garlic is he Wang Guohua, you are my calf, my family!" ”
……
Note: There is a question on Zhihu, which is about the highlight moment of the doctor. I didn't answer, but after seeing it, I didn't have many highlights, one of which was a man who had a fight with his daughter-in-law at home, smashed the TV screen with his fist, ruptured the radial artery, and didn't go to the hospital.
About half an hour later, he went into hemorrhagic shock, and the 120 emergency doctor did all the way to the heart compression, but when he arrived at the hospital, there was still no spontaneous heart rate.
I was in the emergency department at the time, and the patient came in thinking it was gone, but I tried it anyway.
I pressed it, and the sound of a fracture came out, and my heart was beating again.
Big hand for a while, "Send the hand outside, notify the ICU for hand consultation." ”
I was very proud at the time.
The next day, the patient was successfully operated on, and the person was alive.