Chapter 1189: Chapter 1188 was raised
Translator: 549690339
“Department director Ruan, if you can spare some time, please bring someone to the resuscitation room… It’s a pregnant woman who is forty weeks pregnant. Her heart has stopped for twenty minutes. Doctor Ling is personally performing CPR…”Zuo Cidian picked up his phone, then, he dialed the number.
Ruan gaoge, who was on the other end of the phone, was originally prepared to take into account the factors such as status, status, and consultation. However, when he heard that Ling ran was personally attending the consultation, he immediately agreed. “I’ll be there in ten minutes.”
“Please hurry. Doctor Ling plans to make the final decision in ten minutes.”Zuo Cidian said a few words in a rough manner before he hung up the phone. He did not know what Ruan Gaoge was doing at the moment, so he only urged him.
However, he believed that Ruan gaoge would definitely rush to the resuscitation room as soon as possible.
If he could not do it, then the significance of the Emergency Medical Center’s ICU team would cease to exist.
This was also the best time for Ruan Gaoge to prove himself.
When Ling ran needed it, he would participate in the most important resuscitation… as long as ruan gaoge’s IQ was on the line, he knew that it was time for him to show off. There was a small universe, a limited-time mission that could be activated, a plug-in that could be used, and a panacea that could be eaten. It was time to use all of them.
Zuo cidian once again “Hummed”and dialed the number of the director of the obstetrics and gynecology department. After the call was connected.., he quickly said, “Director Li, Doctor Ling is currently performing cardiopulmonary resuscitation for a 40-week pregnant woman… Yes, I think you’ve received the call too, but after thinking about it, we still believe in your skills. If you have time… Alright, Doctor Ling will make the final decision in nine minutes!”
He hung up the phone again and made another call. Zuo Cidian called the Department of Anesthesiology and the Department of Neonatology, followed by the Department of Cardiology and the Department of Cardiology, then Huo Congjun and the hospital director.
After everyone understood Zuo Cidian’s description of the situation and requirements, their attitude was similar to ruan gaoge’s. There was no delay or delay.
For the current Yun Hua Hospital, since Ling ran had personally gone into action, it could be said that it was appropriate to ask them to form a team or something.
In fact, even if Zuo Cidian did not make a call and directly requested emergency consultations from all the departments, as long as Ling ran’s name was on the list, all the departments would have to dispatch their elite soldiers to come over.
After a series of phone calls, zuo cidian turned around and saw that Ling ran’s forehead was already covered in sweat.
The standard and high frequency of CPR was quite tiring, but if one wanted to save someone, they had to do it with a standard and high frequency.
Ling ran frowned. It was not because of the hard work of performing chest compressions. He was just trying to come up with a solution.
High-quality chest compressions might not be able to save the patient in front of him. Even if he combined them with a large number of medications that were not suitable for pregnant women, he might not be able to get a definite answer.
The latter thought appeared in his mind, but Ling ran quickly threw it to the back of his mind. At this time, there was no need for a definite answer. It would be good if there was a chance of survival.
When he thought of this, ling ran immediately ordered, “Check the airway and prepare to defibrillate. One milligram of epinephrine and IV drip.”
The first two orders were natural, but the last request made the anesthetist hesitate for a few seconds. He could not help but say, “Doctor Ling, the last dose of epinephrine took less than four minutes.”
“Okay.”Ling ran did not have the intention of canceling the Doctor’s order.
When the anesthetist saw this, he could only quietly leave.
The doctors beside him listened to the conversation between the two of them. They did not even bat an eyelid. At times like this, the chief surgeon would make the right decision. The risks brought by the medication and the treatment process could not be avoided just because they wanted to.
However, one thing was certain. Without medication and treatment, even though there would not be any side effects, people would not be able to survive.
“Doctor Ling, the defibrillator is ready,”the nurse said in a low voice after she applied the gel on the patient’s chest.
“200J.”Ling ran took a step back as he spoke. Then, he saw Lu Wenbin holding the defibrillator in his hand and pressing it firmly against the patient’s chest.
There was a silent tremor. Everyone looked at the monitor, trying to find an exciting protrusion in the straight curve.
However, it did not happen.
A few young doctors turned around and saw that Ling ran had already started performing chest compressions.
During the process of CPR, chest compressions were the most important. The shorter the time it stopped, the better. Therefore, other than giving Ling ran a short period of time to defibrillate, Ling ran immediately returned to the state of chest compressions.
Chest compressions could actually be considered as purely mechanical physical therapy. The heart was originally used as a pump. Now that the function of the pump had stopped, the pumping of blood had also stopped, hence, the continuous external chest compressions were used instead.
Now, the patient’s internal organs and brain, as well as the fetus in the abdomen, were also living by relying on the blood pumped by external chest compressions.
High-quality external chest compressions could provide 40% , up to 60% of the blood supply, and could also ensure the basic needs of the internal organs, brain, and fetus.
This was the theoretical foundation of ultra-long CPR, and also the foundation that Ling ran dared to fight for ten minutes.
He believed that ten minutes would give the pregnant woman in front of him a great chance of survival, and at the same time, it would not cause too much damage to the fetus.
However, the foundation was still the foundation. No matter how good the chest compressions were, they would not be able to restore the patient’s heartbeat. He had to successfully defibrillate the patient.
Eighty percent of adults who had sudden cardiac arrest had ventricular fibrillation, which was the initial arrhythmia. Ventricular fibrillation also had to go through the stages of electrophysiological disorders, circulatory disorders, and metabolic disorders, whether there is a time point and how to find such a time point for defibrillation is still a matter of discussion in the medical community. Various CPR guidelines are very concerned with simplifying the CPR process, that is because performing CPR is often not performed by a cardiopulmonary resuscitation specialist, or even a trained professional, but by ordinary doctors, nurses, and even non-medical people.
Theoretically, allowing ordinary people to perform the simplified cardiopulmonary resuscitation process in the right way could bring the greatest benefits to patients who suffered cardiac arrest.
However, at this moment, Ling ran, who was one of the few cardiopulmonary resuscitation specialists in Yun hua hospital and even in Xichang Province, no longer needed to think of a way to break out of this situation with this kind of thinking.
A correct time, a correct defibrillation, and a little bit of luck were the only ways to bring about a miracle.
The obstacle now was that Ling ran did not know the correct time, nor did he know the energy required to defibrillate correctly. He also did not know how to obtain luck..
“Epinephrine.”Ling ran gave another order after he racked his brains.
The nurse carried out the order without hesitation.
The anesthetist took a deep breath and turned to the chief anesthetist who had just arrived. He said in a low voice, “This is the fourth dose.”
In the first twenty minutes of resuscitation, he used two tubes of epinephrine. In just a few minutes, Ling ran had already used two more tubes.
The chief anesthetist did not comment. He said, “Doctor Ling’s style is just like this.”
“This is not quite the same as the guidelines…”
“If he succeeds, he can modify the guidelines based on his own experience.”As the chief anesthetist spoke, he waved his hand and gestured for his subordinates to get up. Then, he sat on the small round stool by the bed.
The directors of the neonatology, obstetrics, and gynecology departments, and the ICU team also rushed over, but they could only stand in front of the bed and watch as Ling ran performed the extremely boring chest compressions.
Before the end of CPR, none of them would be of any use. In fact, if the CPR failed, all of them would have come for nothing. It was not necessarily true. During the discussion of death, there was still a possibility that someone would come looking for trouble with them.
“Doctor Ling, let me operate the defibrillator.”Ruan Gaoge looked left and right and took the initiative to find a job for himself.
He had worked in the ICU for so many years, and he had used the defibrillator quite a lot. He was also experienced in CPR and other things.
However, Ling ran surprisingly shook his head and refused. “There’s no need for the defibrillator.”
“No defibrillator?”Ruan Gaoge was extremely surprised.
“Except.”Ling ran said one word concisely, then he pursed his lips and did not say anything.
The few department directors who came one after another looked at each other in confusion? They did not know what Ling ran meant, but it was not appropriate for them to ask him at this time.
Ling ran continued to perform chest compressions, but the frequency gradually increased.
Lu Wenbin looked at Ling ran, who was sweating profusely, and could not help but say, “Doctor Ling, let me replace you.”
“No.”Ling ran lowered his head and exerted all his strength in performing chest compressions. He performed more than 100 compressions per minute, and soon enough, a sufficient amount of sweat was produced, causing it to drip down his neck.
Lu Wenbin stepped back in confusion. He raised his head and looked at his watch. Another seven minutes had passed since the ten-minute deadline.
Suddenly, Ling ran stopped abruptly. He straightened his upper body and stared at the patient’s chest. When the chest wall rebounded completely, he raised his right hand without hesitation. He clenched his fist with one hand and struck the patient’s heart heavily.
“Chest hammering?”Ruan Gaoge opened his mouth in surprise when he saw Ling ran’s action, but his body subconsciously turned to the monitor on the side.
* beep *
A small protrusion gently jumped up from the edge of the screen.
..
