Chapter 1190: Chapter 1189: Creating Miracles
Translator: 549690339
“It’s beating!”
“The heartbeat has returned?”
“It’s done?”
The doctors who had been suppressing their emotions for a long time let out soft cheers.
Regardless of whether they were doctors from the emergency department or not, they had actually seen a lot of life and death. However, ordinary doctors were able to calmly face the birth, aging, illness, and death of ordinary people. However, when they saw a young mother who was giving birth to a new life whose life and death were unknown, and when they saw a new life who had yet to see the world, it was difficult to tell whether it was still alive or dead, ordinary calmness could not be maintained.
Even an old Fox like Zheng Pei, no matter how much he liked to tease young nurses and talk nonsense, was willing to take a considerable professional risk and try to summon the only solution.
Fortunately, this seemed to be a successful adventure.
Zheng Pei stole a glance at Ling ran.
Not to mention, as long as it was not a dead body and two lives, Ling ran should not be too angry. If both mother and son could live, then it was more likely that it would be a happy ending.
Ruan Gaoge also looked at Ling ran with an expression of surprise and admiration.
Chest pounding was a first-aid technique that arose in the 1960s. It was not a traditional technique. The first report happened in 1960. It was probably not a well-thought-out invention, but because the effect was unexpectedly good, it spread naturally.
From the 1960s to the 2000s, the advantages of chest thumping were fairly obvious. First, it did not require additional defibrillators, which meant it could be used in any rescue scenario. Especially in an era when defibrillators were not yet invented and were not widely available, chest thumping was the only defibrillator that doctors could use.
Secondly, the more important factor was that defibrillators until 96 were single-phase wave technology.
Therefore, if you watch medical TV shows before 2000, you will often find doctors opening their mouths at 360 joules, and then watching medical TV shows after 2000, the energy required for defibrillators was reduced to 200 or even 120 joules.
The effect of the dual-phase wave defibrillator was significantly higher than that of the single-phase wave defibrillator. Therefore, it was not until 2010 that the guidelines explicitly listed chest thumping as a second-line technique. This was because the dual-phase wave defibrillator, which was developed in 1996, was basically common at this time.
From another perspective, before the dual-phase wave technique, chest thumping was actually not weak, at least not significantly weaker than the single-phase wave defibrillator. Moreover, early reports of cardiopulmonary resuscitation showed that chest pounding had a high success rate, which made chest pounding widely used.
Especially in the 1960s, 1970s, and until the 1980s, when single-phase-wave defibrillators were not widely used in the world, chest pounding could be said to be the best way for ordinary doctors to save patients.
Thinking along this direction, chest thumping was not included in the 2010 guidelines as a second line. There was also a reason why the number of doctors who mastered chest thumping skills was decreasing and becoming weaker.
After all, skills still needed practice. Early doctors could have enough cases to practice, review, and even expand, but later doctors still used more and more defibrillators, it was only natural for doctors to go from not being good at their skills to not being skilled enough to not dare to use them.
Ruan gaoge would beat Ling ran with his chest, but he had almost never practiced it before.
What he did not expect even more was that Ling ran knew how to use it. Moreover, Ling ran seemed to be using it perfectly.
At that moment, from the reverse analysis of the results, Ruan Gaoge felt that Ling ran’s choice of beating Ling ran with his chest was indeed better than the defibrillator.
The defibrillator mainly relied on a strong current to pass through the heart, stop the ventricular fibrillation, and allow the sinoatrial node to regain its impulse, thus allowing the heart to resume beating.
In short, the defibrillator relied on the effect of the current.
Whether it was a dual-phase wave or a single-phase wave, there was no difference on this point.
Beating his chest had a certain amount of mechanical force.
After he had already tried the defibrillator multiple times, would he be able to get a satisfactory result just by repeated electric shocks?
In fact, according to the current guidelines, the success rate of a single defibrillator was the highest. Although the subsequent defibrillators were effective, their effects could not be compared to the first defibrillator.
If Ling ran had enough time, he might be able to try using the defibrillator two to three more times. However, under the circumstances where he was pressed for time, Ling ran might be more risky if he tried other methods, but it might indeed be more effective.
This was also one of the differences between a perfect-level cardiopulmonary resuscitation specialist and an ordinary doctor who only knew how to read the guidebook.
Ordinary doctors did not have the right to choose, because other than the methods provided by the guidebook, ordinary doctors did not know how to refine the skills of cardiopulmonary resuscitation. The doctors in the ICU and emergency department might know more, but there were very few who could reach specialist level.
What the guidelines provided was always the most basic plan.
In fact, just by looking at the changes in the CPR guidelines over the years, one could realize that it was imperfect, incomplete, and unreliable. For example, the early CPR guidelines required 60-80 chest compressions per minute. In 1988, it was changed to 80-100 chest compressions per minute. In 2010, it was emphasized that high-quality chest compressions should be guaranteed to be more than 100 chest compressions per minute.
From a hindsight perspective, if a patient who received CPR 88 years ago met a doctor who accurately controlled the number of chest compressions, they might not be able to survive. There would definitely be many sequelae.
Clinical Medicine was always an empirical medicine. Success was the best reason.
Ling ran chose the plan of chest compressions. If he succeeded, it would prove the correctness of his experience and viewpoint.
“You’re too bold.”Ruan Gaoge looked at Ling ran, not knowing what to say.
If he failed, he would lose his wife and child at the same time. If he was so distraught that he wanted to sue the hospital and the doctors, the chest massage might turn into the wrong action that the lawyer said.
Of course, if he succeeded, he would not be blamed.
“Are we dissecting now?”The Department Director of the Obstetrics Department looked at the heartbeat curve that had slightly recovered. He had already bent his arms and put on latex gloves.
Next to a few still in a daze director also seems to be awakened, looking at Ling ran together.
“Wait a minute, wait a minute…”ling ran did not “With the people,”the joy up, is still to maintain the objective of caution.
Just because a patient’s heart has returned to normal doesn’t mean she should have an emergency c-section right away.
Although it may only take her a few dozen seconds or even a few dozen seconds to cut the fetus out of the mother’s stomach, as measured by the skills of the department director of Obstetrics at Yun Hua Hospital, however, it would be wishful thinking to say that the mother’s body would not be able to react in time because of this lightning-fast speed.
An immediate caesarean section was equivalent to putting the mother’s life on the gambling table again.
Although he had to gamble in the end, Ling ran still hoped that the cards on his side would be better.
“Ice cap, bring more ice bags and lower the temperature of the body surface…”Ling ran also stared at the curves and numbers on the monitor and gave a new order, then, he said to the chief obstetrician in a low voice, “Wait a little longer.”
“Okay.”The chief obstetrician wanted to object, but she still swallowed her words. She chose to believe in Ling Ran’s judgment.
The doctors who surrounded them did not object. At this moment, everyone believed in Ling ran’s ability to create miracles.
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