Born in Killeen, Texas, Brunn is a natural meat eater. Unlike those who live at U.S. Army Base in Killing or Fort Hood Air Force Base, the Bruin family has about fifteen square kilometers of land in the southwestern suburbs of Keeling. In addition to growing soybeans and corn, raising beef cattle is also an important part of the Brunn family's business. Coupled with the local eating habits and preferences, Brune has been eating pureed beef since the day he was weaned. For him, eating with large pieces of meat is called eating – vegetarians and environmentalists are unreliable hippies, and if everyone doesn't eat meat, then human society is doomed.

So, Brune is an authentic Texan, and a deviant Texan. He believed in God, but never discriminated against people with different sexual orientations. He despised hippies, but was also adamantly against gun-owning and abortion-ban fools. He is proud of his family history, but he also hates his grandfather, who was a member of the Ku Klux Klan. He loves his beard, but in order to wear an N95 mask into the clean room to rescue a patient with plague, he can not hesitate to shave off his beloved beard with a blade to ensure that the mask is airtight.

Dr. Huck Bruhn is a walking collection of contradictions. You can see in him the inexplicable boldness of a Texan, and you can also find some traits that are almost impossible for Texans to have.

This is probably the main reason why Xu Yourong has a good relationship with him.

"You Chinese doctors don't usually eat meat and don't go to the gym. What do you think you're doing? hippies, singing and smelling flowers can revive people?" Dr. Brunn's hands were thick and large, and they were almost effortless to press when they were folded together. He even had the strength to press while despising the sweaty Yuan Ping'an, "You're thin like a junior high school student who can only read!"

"You American junior high school students all take hormones?" Yuan Ping'an said unconvinced, but looking at the appearance of Brunn, a man-bear, doing chest compressions, Yuan Ping'an also had to admit that this old beauty's physical strength was really powerful. Two minutes passed, and he still didn't have any breath.

"There's a saying in Texas that if there's something worth doing, it's worth overdoing it. Brune clicked chest compressions and didn't look back, "Since cardiopulmonary resuscitation is the most worthwhile thing to do, there should be the ability to overdo it." In my department, a doctor can perform high-quality CPR for at least fifteen minutes straight!"

Dr. Pascal outside the door said angrily, "That's why you're expelled from the General Hospital!

Sun Lien glanced at Dr. Pascal outside the door, and felt as if there was a melon to eat. But that's not the point right now, and even if Brune is a real bear, it still can't change the fact that chest compressions are a heavy physical job. No matter how strong the muscles in a person's body are and how easy it is to move, this level of exercise necessarily requires a lot of oxygen consumption, and Brunn's face is covered with an N95 mask without a breathing valve.

The oxygen supply is insufficient, and the result is the same for two more bears. The body can still maintain exercise by consuming glucose when the oxygen supply is insufficient, but for a very limited period of time – this is called anaerobic exercise. Soon, these muscle fibers accumulate a lot of lactic acid during anaerobic exercise and are unable to maintain adequate contractions. To put it bluntly, although Brune looks easy now, he can't hold it down after a few rounds. This has nothing to do with how much beef you eat, this is the natural limit of the human body, and it is not subject to human will - if it could be transferred, Sun Lien would not have pulled the mask to press it.

The sixth and seventh defibrillations, under the high-intensity compression, Brune's head was already sweating. But he is still very confident that he can complete at least five rounds of cardiopulmonary resuscitation, "I'm not one of those hippies who don't even dare to eat meat!"

Sun Lien glanced at the status bar above Brunn's head and found that he was only "mild lactic acid accumulation", and the word "mild" had no signs of fading, so he relieved Bruen to do a third round of chest compressions. In Xiao Guo's password, the eighth defibrillation charge was completed, and under the action of 220J current, Tang Xingde's heart first stopped, and then quickly recovered sinus rhythm.

Chest compressions and defibrillation worked.

"Mommy Farke!" Dr. Brunn, who was half-kneeling in the hospital bed, jumped off the bed and rubbed his knees, Samuel L. Jackson got up again, scolding a few times before muttering, "My knees are on the armrest." ”

Dr. Brunn is nearly 1.9 meters tall and definitely weighs more than 140 kilograms. And it's also that kind of stout type of fat man. When CPR, he had to kneel on both knees on the bed, and most of his body's weight was concentrated on his knees. And one of the knees accidentally knelt on the hard armrest, and the pain was really unbearable. It's no wonder that after he jumped out of bed, he would curse so many foul words in a row.

"Blood draws, blood gas analysis. Sun Lien first gave an order to Yuan Ping'an, and then patted Dr. Brunn's shoulder with a smile, then gave a thumbs up, and said in Mandarin, "Awesome!"

I guess this sentence should be a compliment to me. Dr. Brunn glanced at Sun Lien, "But I always feel that you are suspected of lying to foreigners when you say this to me." "Deceiving foreigners" is in Cantonese.

Director Huang glanced at him and said, "Yes, you." After saying this, she didn't pay attention to Dr. Brunn, but turned to Sun Lien, "Do you judge it to be metabolic acidosis?"

"It is effective after an intravenous bolus of 5% sodium bicarbonate, which should be metabolic acidosis – we have given the patient a ventilator and are given pure oxygen, in which case respiratory acidosis should not occur. ”

Director Huang nodded slightly, "No wonder there are no symptoms of Ku's breathing." She also had some suspicions of respiratory acidosis, but because the patient was on a ventilator, she could not directly observe the spontaneous breathing response. So she wasn't sure.

As for why Sun Lien can judge it, Director Huang Wenhui is not too interested - Dr. Sun is now almost a well-known diagnosis expert in the hospital, and there is no vain under his reputation, not to mention the profession of a doctor.

After looking at the situation of the other two patients, Director Huang lowered his voice and said, "Calm the other two patients." Their current psychological pressure is definitely not small, and they may not be able to cooperate with invasive breathing in this situation. ”

Sun Lien patted his head, he really didn't pay attention to this aspect.

In fact, when Tang Xingde started ventricular fibrillation, Tang Wen had already discovered that his father's situation was wrong. He was very worried and wanted to look up, but was pressed back by the staff of the hospital department on the side.

Tang Wen did not have invasive breathing - he wore a positive-pressure non-invasive breathing mask on his face. Instead, Hou Huiying had a ventilation tube inserted in her throat. After all, young people, physical fitness is here. Tang Wen's condition seems to be much better than that of his parents.

And the continuous electric shock push and the movement of substitution became a cry of death after falling into Tang Wen's ears. In a sense, he heard it right, if Tang Wen had ventricular fibrillation again after these eight electric shocks, it would be difficult to save it.

And under the constant struggle and excitement, even Hou Huiying on the side was restless. Thanks to Director Huang's timely discovery of the mother and son's movements, it would be troublesome if there was anything abnormal because of the struggle.

"Are the anesthesiologists here?" asked Sun Lien as he looked outside, "We need to anesthetize the patient here." ”

"No anesthesia, adequate sedation is enough. Director Huang shook his head and put forward his own opinion on Sun Lien's decision, "Midazolam 1.5 mg, intravenous. ”

The medication plan proposed by the director of the Department of Respiratory Medicine, of course, Sun Lien has nothing to put his beak. After the paramedics infused the two with medication, they soon began to calm down and began to slowly close their eyes.

"The people from the CDC are here!" Xu Yourong stood outside the clean room and reported to Sun Lientong through the interlocutor, "Let the people inside prepare to come out, there are too many people standing inside and adding chaos." ”

The medical staff in the clean room discussed a little and decided to leave a group of doctors from Director Sun Lien and Director Huang Wenhui, while the others left the clean room to prepare for disinfection. At the same time, three CDC staff members wearing blue P4 protective suits different from those of the Fourth Hospital also walked into the emergency room.

The orange P4 protective suit looks a little scary.