bookpower Chapter 486
Chapter 486
This is the first time that millions of viewers have truly witnessed the emergency rescue process.
The heart is in the air.
......
Advance the rescue room.
Lin Feng: "ECG monitor, oxygen mask, 3 intravenous channels, the rehydration plan is saline, no sugar..."
Quickly ordered.
The audience in the live broadcast room looked confused.
But the nurses very quickly fulfilled Lin Feng's order.
soon
The data is out.
Heart rate 122
Blood pressure 84/45
Blood oxygen: 99%
This blood pressure is really super low, but fortunately the blood oxygen is okay.
"Dopamine, give..."
Dopamine, which can increase cardiac output and increase arterial pressure, is mainly used clinically for various types of shock.
Blood is then drawn for testing.
"At present, it should be ketoacidosis, give her an insulin..."
Although it is not determined to be ketoacidosis, such high blood sugar, you can use insulin, and then speed up the breakdown of blood sugar and reduce blood sugar content.
10 minutes, anti-shock rehydration, hypoglycemia, oxygen supply, blood testing...
Next
Just wait.
"Are the families here?" At this time, Lin Feng asked.
"The family hasn't been contacted yet," the nurse replied.
At this time, Lin Feng was free to introduce to the live broadcast room:
"The current symptoms should be ketoacidosis, suspected that the patient has diabetes, resulting in the inability to decompose sugar, blood sugar rises, but because the body lacks sugar to supplement energy, it can only begin to decompose fat, resulting in the release of a large number of ketone bodies, increased acidity in the body..."
After explaining what ketoacidosis is,
Another sentence:
"If there is a weight loss audience, you must maintain the sugar in the body, otherwise it will break down fat, increase ketone bodies, and maybe like this patient, ketoacidosis..."
Live Broadcast Room:
"Learning is wasted!"
"Therefore, blind weight loss is unreasonable."
"Thinking of the last patient who lost weight..."
"By the way, is the patient's test results coming out now?"
......
Lin Feng prepared to return to the consultation room,
Keep busy with the next patient.
outcome
Before I could walk to the consultation room, I saw another patient arriving by ambulance and pushing a flat car into the emergency room.
"Doctor Lin, this patient has just been delivered, you can help take a look..."
Lin Feng: ".................."
Helpless.
"Okay, I'll do it..."
There was a lot of discussion in the live broadcast room: "Here it is again..." "So many rescues? "It's the same in the emergency room?"
Lin Feng took the flat car.
Male, about 30 years old, slightly fat, man
• Face pale...
Lin Feng: "What's going on?" "
The patient's friend stood up at this time.
"I am his friend, I used to study medicine, my friend was eating at my house, that is, 30 minutes ago, suddenly fell to the ground, and then woke up later, but incontinence, then convulsions, rolling eyes, although not unconscious, but feeling unconscious, more manic, and talking a little wrong... I thought he might be in danger and was sent to the hospital. "
The friend spoke extremely quickly and made it clear at once.
Lin Feng: "Go to the rescue room..."
Soon arrived at the rescue room,
Along the way, the Hanzi patient kept struggling to get up.
"Don't move yet, you lie down first..."
"I'm going to die, I'm going to die..."
Advance the rescue room,
Prepare for ECG monitors (blood pressure, finger oxygen, electrodes...). ）
outcome
The patient's resistance intensified.
"You guys let me go!"
"Do you want me to die?"
"Let go..."
When he was manic to the extreme, he still grabbed Lin Feng's hand, ready to bite down like this, but was surrounded by Lin Feng's hand.
Lin Feng felt that something was indeed wrong with the patient.
After all, incontinence, convulsions, and rolling eyes are not small problems.
Estimate what an emergency.
• Heart?
Or the brain?
In order to determine the condition, the ECG monitor must be connected.
But
After 2 minutes, only the electrodes were attached.
Heartbeat data began to appear on ECG monitors.
"Is your heart rate so low?"
"Only 30 times a minute..."
Lin Feng was taken aback.
Heart rate, generally 60-100 beats a minute...
Only 30 words, definitely a big problem.
At this point, the patient became quiet.
Not so manic.
Nurse: "He's quiet..."
Lin Feng: "It's not quiet, it's that the heartbeat has slowed down..."
Lin Feng saw that the patient's heart rate was constantly decreasing...
"No, his heartbeat is slowing down, anesthesia, intubation, right away!"
"Adrenaline, come on..."
Just when everyone began to get busy,
Didi ~~~~
The ECG monitor began to alarm up.
heartbeat
Stopped!!
All of a sudden, it became 0.
At this time, more than 8 million viewers soared in the live broadcast room, and the frying pan was on the spot.
"Dead?"
"I'll go, I'll die on the first day of live broadcasting?"
"The problem is that I haven't figured out what the disease is yet..."
"It's so sudden..."
At this time, Lin Feng was already at the bedside and began to perform CPR compressions rapidly.
The anesthesiologist has completed anesthesia, endotracheal intubation, and oxygen.
A rescue,
It went quickly, and it was seen in the live broadcast of more than 8 million viewers.
Lin Feng: "The family hasn't been contacted yet?" "
The nurse shook her head: "Not yet." "
1 minute...
10 minutes...
20 minutes...
30 minutes...
Halfway through, Lin Feng has been replaced, and other doctors and nurses take turns to apply CPR compressions.
But the patient still did not wake up.
"Dr. Lin, the family has been contacted..."
"Give me..."
"Hello, I am Lin Feng, a doctor from Harmony Hospital, and now there is a patient named Chen Zheng, the ID number is XXX, from XXX City, XX Province, in our hospital... Who are you? "
"I'm his sister..."
"It's like this, when your brother sent it, let's do it ~~~~ Before I could find out the cause, I went into cardiac arrest directly, and now I have been rescued for more than 20 minutes, and I didn't come back... In this case, we all begin to pronounce death, if you want to know the reason, you can do a medical dissection at that time..."
——————
ps: End today ~~
。。