Early the next morning, Luo Hao got up very early and came to Geng Qiang's parents' house to take Geng Qiang's father to do tai chi.

Luo Hao was not in a hurry, and taught a few starting styles, ready to go step by step.

The old man was not in good health and had undergone a series of rescue surgeries such as thoracotomy and happiness.

Although it seems that there is no problem now, in the words of ordinary people, it is called a big loss.

This kind of thing can't be rushed.

After ten minutes, the old man began to sweat slightly.

Luo Hao patiently took him to rest and exercise, until the time was almost up, and he sent the old man home, and then went to work.

Half a month later.

The phase 4 clinical trial of Minimally Invasive in the south has been prepared, and Mr. Nie flew over to talk to Luo Hao again, and he was sure that Luo Hao would wait for the selection and time of Youqing, so he stopped chattering.

Youqing, that's Youqing!

Nie always knows the importance of it, the youngest Youqing in the country, and his own family...... I really can't rush Luo Hao.

As long as Luo Hao no longer thinks about swordsmanship, Mr. Nie has no other ideas.

Seeing that the time was approaching day by day, Luo Hao arranged his itinerary and went to the imperial capital to review Youqing, and then flew directly to India.

Wang Jiani took the initiative to ask for help several times, but Luo Hao refused.

The exhaust pipe of the car in India is unsafe, what are you taking Wang Jiani to do.

Luo Hao asked Meng Liangren to stay, and he took Chen Yong and No. 66 technician with him.

and Shen Zizai asked for leave, and Luo Hao did his surface work without leakage.

And this also represents Luo Hao's respect for Shen Zizi.

When he came to the First Hospital of the Medical University, Shen Zizai cared about himself, which Luo Hao knew very well.

"Director Shen, this is my recent arrangement."

"Harm, if you want to go, you can leave, fill in the leave form, you are kidding me." Shen Zizi waved his hand, "This is Youqing, and there are still phase 4 clinical projects." ”

"Then I'll have to take a leave of absence."

"Xiao Luo." Shen Zizai sat at his desk and looked at Luo Hao with a smile, "You tell me the truth, is it time to apply for Outstanding Youth next year?" ”

Luo Hao groaned slightly.

After a few seconds, Luo Hao smiled, "Yes, according to my plan, I will apply for Outstanding Youth next year, and then when I can give it a try, it is not certain." ”

"What about Hui Concord?" Shen Zizai's eyes were bright and bright.

"Huh? I haven't thought about it yet, but I'm thinking about how it would be better to become an academician and then go back. Luo Hao smiled shyly, "Is it a return to the hometown?" ”

Shen Zizai sighed in his heart, Xiao Luo always regarded Concord as his home.

Look at what people say, return home!

"Okay, you can be busy, don't worry about Corey's business." Shen Zizai said, "I've been lazy for a few days, and it's time to move." ”

[As the saying goes, a man is a teenager until he dies......]

Luo Hao's phone rang.

"Little Luo ......"

Luo Hao picked up the phone, it was Geng Qiang's father calling.

The old man's voice trembled, as if he had encountered a great terror.

Luo Hao was stunned, "Uncle, don't panic, what's wrong?" ”

"An old fellow of mine, playing in the park, suddenly fell."

"Then, say slowly, uncle, don't worry."

"When...... Then...... At that time, there was a young man who gave first aid, and 120 cars came to pull Lao Sun away, and 120 first aid ...... The emergency doctor said that enough people were choking. ”

"Which hospital are you coming to?" Luo Hao asked.

"Nearby district hospital."

Depend on!

Luo Hao's brows furrowed directly.

District Hospital, although Luo Hao has never been there, he knows what level he is. And I am not familiar with life, and there are a lot of troubles.

"Xiao Luo, I'm familiar with the district hospital." Shen Zizai whispered.

"Uncle, don't worry, go slowly, I'll rush over." Luo Hao quickly finished speaking and hung up the phone.

"That's the medical consortium of our first year of medical college, and I have a student who is the director there, and their DSA machine has recently broken down and is being repaired."

Shen Zizai briefly explained why he hadn't gone to the district hospital all the time, and explained the relationship.

"Trouble Director Shen."

Shen Zizai didn't ask who Luo Hao was, since the call was made to Luo Hao's mobile phone, it sounded quite familiar, it must be an acquaintance.

He didn't change his clothes and strode out of the director's office.

"Chen Yong, Lao Meng! Walk! Luo Hao shouted in the corridor.

Chen Yong and Meng Liangren ran out as fast as they could, not asking why at all, but preparing to go.

It was as if Luo Hao asked them to jump into the fire pit, and these two goods would not hesitate to jump down.

Shen Zizi was slightly stunned, although Luo Hao's medical team was small, but the momentum was like a thousand troops.

They work every day under Shen Zizi's eyelids, and they are usually no different from ordinary doctors, except that Chen Yong is willing to chat with the little nurse.

But Luo Hao said hello, they didn't ask what was going on, and ran out together.

Although there were only two of them, they still shocked Shen Zizai's heart.

After getting in the car, Shen Zizai dialed his student's phone and explained that he was going to their emergency department, and asked him to see the situation and contact him at any time.

"Luo Hao, what's the situation." Chen Yong didn't take the time to ask until the car started and walked through the river of cars.

"There was an elderly man who fell suddenly, and I thought it might be respiratory and cardiac arrest, but I don't know the specific cause."

"Huh? Did you press it back? ”

"I don't know."

Chen Yong shrugged.

Luo Hao scratched his head a little, there was no task on the system panel, and he couldn't even guess.

And the last time I got the skill [One Say], the diagnostic support AI was shunted and couldn't use it.

All this can only be done with your own clinical experience.

It was indeed very distressed, Luo Hao sighed. At a glance, knowing and needing to analyze, summarize, induct, and identify are two different things.

This skill will consume so much energy, if Luo Hao can choose, he may not want this active skill.

Fortunately, there is no evening rush hour, and there are a lot of cars on the road, but it is not to the extent of traffic jams.

When he came to the district hospital, as soon as he walked into the corridor of the emergency department, Luo Hao heard crying in the distance.

Cardiac arrest, the family did not cry before seeing the ghost.

Striding into the emergency room, a doctor in his 30s greeted him from afar.

"Teacher Shen." The middle-aged doctor greeted Shen Zizi very respectfully.

"Xiao Liu, how is the patient?"

"If the state is not good, press back 3 or 4 times, as long as it stops, it won't take long for ventricular fibrillation. After defibrillation, press again, and restore sinus rhythm, but the hand can not be moved, and the interval is getting shorter and shorter. ”

Shen Zizai was slightly dissatisfied with his answer.

In front of Luo Hao, Shen Zizai always thought that the doctors under his command could also be more elite, but the treatment process that Dr. Liu said was a bit sloppy, and it couldn't be written into the medical record at all.

Shen Zizi unconsciously used Luo Hao's daily life to ask others.

"Chen Yong, go ask for a medical history." Luo Hao said.

"Dr. Liu, where is the patient's family?" Chen Yong took off his mask as he spoke.

"This ...... This side. Dr. Liu hesitated.

Especially the moment when Chen Yong took off his mask, it was as if he had taken off the seal, although Dr. Liu was very straight, his heart was still hit hard.

"Xiao Liu, you take Dr. Chen to ask for a medical history, and let's go in and have a look."

Luo Hao didn't reach out to rescue, just stood by and watched for 1 minute.

As Dr. Lau describes, chest compressions restore sinus rhythm, but as soon as the hand is removed, the patient will soon develop ventricular fibrillation.

The condition is very serious, and there is no diagnostic assistance AI to give a definitive diagnosis at the first time, so Luo Hao can only make a little bit of identification.

This person is choking, Luo Hao's mood is a little heavy.

"Boom~~~"

The ultrasound doctor rushed over with the bedside ultrasound machine.

The machine in the district hospital is old, and it is only an ordinary B-ultrasound, which is actually not very useful. The biggest role is to go through a process to give the patient's family a little psychological comfort, so that they know that the hospital is doing its best to rescue.

"What did you tell me to do?" Dr. B-ultrasound was very unhappy, "I went to do CT, and suddenly I collapsed, there was no external injury, and B-ultrasound could see what was wrong before I saw the hell." ”

Luo Hao Khan.

The doctors of the district hospital actually began to dismantle the stage on such an occasion.

Is it really unprofessional to this extent?

The patient's family is still crying outside, if these words are heard by the patient's family, although there is a high probability that it will be fine, there is still a small probability that something will go wrong.

What the!

The patient in front of him cannot do without chest compressions, and no other tests can be done at all.

There are no conditions for other examinations, and doing some examinations can be regarded as a physical performance, so that the patient's family knows that the hospital has done its best, and that's it.

However, the ultrasound doctor complained when he met and looked impatient.

Luo Hao sighed in his heart.

"Xiao Luo, Xiao Luo!" Geng Qiang's father hurried over.

"Uncle, don't worry, how many times have I told you, slow down, don't panic no matter what happens." Luo Hao saw him panting and reprimanded with concern.

"How's the old grandson?" Geng Qiang's father asked.

"I guess it's enough." Luo Hao had one thing to say, "What was the situation at that time?" ”

"Didn't you teach me to do tai chi, I felt a lot lighter after practicing for half a month, and I didn't have to take a breath or breathe for a few minutes when I went upstairs, so I shouted a few old guys to teach them."

"In the afternoon, after practicing in the park, Lao Sun collapsed. Good and decent, no one touched him. ”

Geng Qiang's father tried to describe the situation in the simplest terms.

Luo Hao nodded.

There is no history of trauma, Geng Qiang's father said a lot, in fact, these 5 words are useful.

"There's nothing going on in my stomach." Dr. B-ultrasound applied the couplant to the patient's abdomen, and said impatiently after a brief sweep.

With that, he threw the toilet paper on the patient's stomach and packed up his things before leaving.

Damn it!

Luo Hao scolded in his heart.

Hundreds of differential diagnoses collided in his mind, and he caught up with such an eyeless guy, Luo Hao was very worried.

"Luo Hao, the patient has a history of hypertension and hyperlipidemia for more than ten years, spontaneous cerebral hemorrhage a month ago, and improved after conservative treatment." Chen Yong came over to "report" the situation.

"Cerebral hemorrhage?"

"I've been taking hemostatic drugs by mouth lately." Chen Yong added.

“！！！”

This history screened out most of the 100 differential diagnoses.

Luo Hao strode over, "Wait a minute." ”

He didn't talk nonsense either, squeezing the B-ultrasound doctor out of his shoulder.

"You ......" Dr. B ultrasound was about to say something, and then saw that the mark on Luo Hao's white suit was the First Hospital of the Medical University, and he then swallowed back the unpleasant words.

The emergency physician is doing chest compressions, and the patient's body is constantly moving under the compressions.

Luo Hao stared at the ECG monitoring.

"Give me 30 seconds after a turn to sinus rhythm." Luo Hao said in a deep voice.

"Huh?" The emergency doctor was already sweating, "30 seconds? The last time I stopped, I had ventricular fibrillation in less than 10 seconds. ”

"It's okay if the heart stops for more than ten seconds, I'll see if it's a pulmonary embolism."

"Can this machine see pulmonary embolism?" Dr. B ultrasound said disdainfully, "You can't even see if you're blind." Do you understand? Don't think it's awesome to wear the white clothes of a doctor in the first hospital of the medical university. ”

Luo Hao ignored him.

It's an away game, so it's better to talk less.

"It's just right, you help me press it, I'll go and explain to the patient's family, the person is no longer good." The emergency doctor said hurriedly.

"Old Meng, go press."

Meng Liangren immediately took over from the emergency doctor to do chest compressions.

The door of the emergency room closed, and the crying and shouting became much quieter, as if separated by this door into two worlds.

Meng Liangren pressed the standard and worked hard.

Soon, the patient regains sinus rhythm.

"Stop!" Luo Hao found the right time, and Meng Liangren immediately stopped pressing.

At the moment of stopping, the B-ultrasound probe was put up.

Meng Liangren couldn't understand what Luo Hao could see with the most ordinary bedside ultrasound machine, but since he came to the medical team, he has developed a good habit under Chen Yong's "example" - the medical team can only have one voice in the rescue.

After 9 seconds, the patient's sinus rhythm disappears and ventricular fibrillation appears.

But the B-ultrasound probe in Luo Hao's hand was still sweeping on the patient's chest wall.

Meng Liangren bit his lip and frowned.

Another 8 seconds.

"Defibrillation!" Luo Hao hung up the B-ultrasound probe, took the defibrillator, glanced at the voltage, and began to defibrillate.

The interval between sinus rhythm and ventricular fibrillation after each compression is getting shorter and shorter, and Luo Hao knows it.

This is a symptom of progression, but it is actually a different problem.

It is true that the bedside B ultrasound is not clear, but after sweeping around, Luo Hao has already made a general judgment, and the patient's preliminary diagnosis is pulmonary embolism.

It is estimated that it is related to the patient's fear of intracerebral hemorrhage and self-administration of a large amount of hemostatic drugs.

It's really pressing the gourd to float the scoop.

Pressing again, Luo Hao hesitated.

The probability of the correct diagnosis of pulmonary embolism is only about 60%, after all, it is only the most primitive bedside ultrasound machine.

At this moment, Luo Hao misses the diagnostic assistance AI system that has always been slandered.

Walking out of the emergency room, Luo Hao saw at a glance that the emergency doctor was talking to the patient's family.

The patient's family members were blank, and it was clear that the sudden accident had left their minds blank.

"People, we try to rescue, half an hour...... But you have to be mentally prepared that the probability of being able to save it is extremely low, almost zero. ”

"Prepare your clothes, and those who know your husband call your husband and ask them to hurry up."

"Who is in charge of the family? to sign. ”

The emergency doctor kept talking.

Not only the patient's family, but even Geng Qiang's father lost his spirit.

An old man of his age, witnessing the sudden death of an old friend around him, was a huge blow to his soul.

"Uncle." Luo Hao walked up to Geng Qiang's father and whispered.

"Huh?"

Geng Qiang's father had tears in his eyes, a little dazed, sad, and at a loss.

"If I was in the first hospital of the Medical University, there might be other solutions, but the conditions here are limited, so I want to try it."

"Doesn't it mean that people are no longer dead, they are dead." Geng Qiang's father asked blankly with tears on his face.

Although the emergency doctor of the district hospital explained a little tactfully, he could still understand the doctor's meaning - the person is gone, and he will be rescued for half an hour according to the process, and then he will cook the corpse, wear a shroud, and find Mr. to go to the funeral home.

"1% likelihood!" Luo Hao didn't chatter either, and said directly.

He estimated the time, and the window period for pulmonary embolism emergency first aid was still there, but it was basically over.

The system did not give a task, and the diagnostic assistance AI was not easy to use, so Luo Hao could only judge by experience.

"Who's in charge of his family?" Luo Hao asked solemnly.

"I'll take you." Geng Qiang's father hurriedly took Luo Hao to an old lady.

The old lady had a vacant look in her eyes, and she sat down in a waiting chair and didn't know what she was thinking.

Geng Qiang's father called twice, but the old lady didn't answer, as if her soul was not there, and she had already left with the old man in the rescue room.

"Ryoko!" Geng Qiang's father was in a hurry, and grabbed the man who was crying like a dog next to him, "The doctor has something to say to you!" ”

"I am a doctor in the first hospital of the Medical University, and now there is a 1% chance that the patient can be saved, but it needs to be medicated."

"It may be more expensive, and if you spend money, there is a high probability that you won't be able to keep it, so you want to give it a try."

The man nodded repeatedly, tears splashing.

Luo Hao knows what he is doing now...... It's just too dangerous.

Not only the patient is at risk, but also the patient.

First of all, the diagnosis is not clear, and it is not certain whether it is a pulmonary embolism.

Second, the patient had a spontaneous intracerebral hemorrhage one month ago, and if thrombolysis is to be done as soon as possible, secondary intracerebral hemorrhage is likely to occur.

Third, I am now working in the First Hospital of the Medical University, although the district hospital and the First Hospital of the Medical University belong to the medical alliance, but I am not as comfortable as the First Hospital of the Medical University.

Moreover, thrombolytic drugs are more expensive, only for the 1% chance of whether the patient's family can accept it.

Although the man kept nodding, Luo Hao was still worried.

With a move in his heart, Luo Hao opened [There is a saying].

The man seemed to feel something, and his fingers trembled.

"With a 1% chance, there is a high probability that it will not be saved, but it will cost a lot of money, can you accept it?" Luo Hao asked again.

"Doctor." The man held Luo Hao's hand and said earnestly, "Save people first, if you can't save it, it's my father's bad life, don't blame you." ”

Sigh~~~

Luo Hao breathed a sigh of relief.

He stopped as soon as he could.

This thing consumes too many experience points, and Luo Hao is a little distressed.

But at this time, it is really easy to use, Luo Hao chooses to believe in the "superpower" of the system.

Turning back to the emergency room, "What do you have thrombolytic drugs?" Luo Hao asked in a deep voice.

"Thrombolysis? The person is gone, and there is still a plug to dissolve. The emergency doctor didn't get started, he hid to the side and was lazy, watching Meng Liangren do chest compressions.

"Little doctor, you see that the patient has a heartbeat now, and that is an illusion that is pressed." The emergency doctor said, "If you let go, there is no point, no matter how expensive the medicine is, wait in the house, there are more than 20 minutes, go out and explain to the patient's family, let them take care of the aftermath." ”

"There's still a chance, I'd like to give it a try." Luo Hao said.

"Opportunity? Don't talk nonsense, have you rescued it? ”

Shen Zizai has been watching coldly.

To tell the truth, Shen Zizai didn't think there was any mistake in the handling of the emergency doctor in the district hospital.

Cardiac arrest, CPR on the way. After chest compressions, the patient is able to restore sinus rhythm, but after a short period of time, ventricular fibrillation recurs.

Defibrillation, compression, recovery again, and the cycle repeats.

This proves that the patient's heart is no longer able to take on the original task, in other words, there is no point in resuscitating.

If it weren't for the stipulation that the rescue must be carried out for half an hour, in fact, the rescue could have been given up now.

After giving up, within 2-3 minutes, the person will be really cold, and there will be no more sin.

If you really don't give up, once the sternum and ribs are fractured, you won't look good in clothes when you leave.

Even doctors will be complained, which is not uncommon.

But Luo Hao still wants to try.

Alas.

When will Xiao Luo learn...... Wait a minute!

Shen Zizi suddenly thought of one thing - every time he thought that Xiao Luo had a lot of things, he proved himself wrong afterwards.

"Xiao Liu, you go and coordinate and fully cooperate with Professor Luo's rescue." Shen Zizai immediately greeted himself Dr. Liu.

"Huh? Teacher, aren't all the patients dead......

"Hurry up!" Shen Zizi frowned.

The gap is really too big, Shen Zizi sighed in his heart.

Luo Hao, no matter what he said, the doctors under him didn't ask why, and directly carried it out.

Look at your own students again.

Compared with people, the gap is really big, and Shen Zizai doesn't know what kind of ecstasy Luo Hao poured into Chen Yong and Meng Liangren.

Envy.

"Alteplase for injection, fast!"

Shen Zizi was envious when he heard Luo Hao's voice coming.

This time, even Shen Zizi shuddered.

There are more than 5,000 alteplase for injection!

Clinically, this drug is a high-end drug.

Without CT and no more auxiliary examinations, Xiao Luo had to give the patient more than 5,000 alteplase for injection?!

Lose your marbles!

If someone met a similar patient in his own hospital and said this, Shen Zizai would definitely not have much contact with him in the future.

It's not that Shen Zizai hasn't seen all kinds of pickled things, pulling hopeless patients to the stage, just to use some consumables and the like.

This kind of people who just make money, and other people who don't care about it are not doctors at all, not even people.

Shen Zizai will not quarrel with them, draw a clear line in his heart, just don't smash his head when the thunder strikes.

But this is a district hospital, and alteplase for injection has nothing to do with Luo Hao.

Xiao Luo is really brave.

Brave in all aspects.

Shen Zizai endured it again and again, and didn't persuade Luo Hao much.

He wants to see the results.

Soon, two alteplase injections were retrieved by the nurse.

Luo Hao couldn't wait for them to dispense the medicine, so he directly dispensed the medicine himself, administered 100mg of intravenous bolus of alteplase for injection, and then adjusted the drip rate, and seemed to be ready to infuse 50mg in the next 30 minutes.

"Lao Meng, take a breath, I'll press it."

"Professor Luo, I'm okay."

"You rest, five minutes, you come back to me."

As the medicine was given, Luo Hao began to press again.

His eyes were not on the patient, but on the infusion of alteplase and ECG monitoring.

(End of chapter)