bookpower Chapter 364
Chapter 364
Boom ~~~~~
The flat car quickly wheeled over the floor tile pavement of the emergency department and ran towards the rescue room.
"Prepare the defibrillator, the adrenaline... And ventilators..."
Lin Feng shouted while running.
What a thrill,
The exhaustion of working for 12 hours is gone all of a sudden.
Other paramedics have also entered a state of emergency combat.
"When did ventricular fibrillation occur?"
"When I first arrived at the gate of the hospital..."
“.................."
The patient is unfortunate.
Lin Feng could only hope to be rescued.
Push into the rescue room,
A nurse quickly boluses epinephrine.
Another nurse quickly connected the ECG.
Another nurse connected the prepared defibrillator and sent it to Lin Feng.
ECG connected,
Tick Tick..................
At first glance, it is indeed the waveform of ventricular fibrillation.
At this time, it is no longer possible to obtain the consent of the family, who have been turned away and anxiously waiting.
Lin Feng grabbed the defibrillator with both hands.
The nurse peeled off the clothes in front of the patient, revealing her chest.
Press on the area of the shock on the patient's chest.
Charge!
Discharge!!
Bang ~~~~
The patient's whole person seemed to bounce.
Lin Feng looked at the ECG monitor closely,
Defibrillation is unsuccessful.
Because continuous defibrillation is not possible.
After each defibrillation, CPR is required and five cycles later to check for indications for defibrillation.
The heavy responsibility of cardiopulmonary resuscitation was still handed over to Lin Feng's shoulders.
1 minute...
2 minutes...
Lin Feng's gaze was tightly fixed on the ECG monitor.
suddenly
The electrocardiogram of the ECG monitor changed all of a sudden.
"There is an autonomous heartbeat!"
The ECG is slowly turning into a normal waveform...
Lin Feng was pleased, and then his expression relaxed, he didn't expect it to be so simple this time, it was really lucky.
The patient's life should not be extinguished!
The surrounding medical staff breathed a sigh of relief.
However, there was still no cheering, because the condition could recur at any time...
After about 1 minute, the patient's heart rate began to turn to normal.
Blood pressure data, finally out, 160/90mmHg,
And the heart rate is 128 beats / min...
Blood oxygen saturation 99%......
It seems that the patient has been rescued.
"Do a blood gas analysis and see..."
Lin Feng ordered.
Soon the nurse drew a little blood, and then immediately did blood gas analysis on the spot, and the instrument immediately gave the results.
pH only 7.2 (normal value 7.35-7.45)
Low,
But it's not serious.
Lin Feng breathed a sigh of relief.
began to instruct the nurse: "Take a blood draw for the patient, do blood routine, myocardial enzyme spectrum (can be considered as heart work), liver work, kidney work..."
The patient's condition progressed too fast, and it stopped jumping directly, which was very serious, so Lin Feng felt that it was necessary to check it all.
Then take the stethoscope and listen to the patient's heart and lungs.
The result is a cardiopulmonary sound, no problem, quite healthy.
That's strange.
Next, it's time to find the reason.
The patient fainted for no reason, probably because of a more serious disease, must be found, otherwise the next time it appears may not be so lucky.
Lin Feng came out of the rescue room,
Family wives, daughters, and elderly parents quickly surrounded them.
"Doctor, how is my son (husband)?"
"Temporarily rescued, but I need to understand the situation, I ask, you answer, try to tell me everything that has to do with it..."
The families were pleasantly surprised.
"Thank you doctor..."
"Don't be happy yet, although the patient is now rescued, but the reason is not clear, if it is severe myocarditis, severe arrhythmia caused by cardiac arrest, and cerebral infarction and the like cannot be ruled out, the prognosis will be relatively poor... So, now I have to continue to observe..."
Lin Feng's words were like a basin of cold water, poured on the heads of the patient's family.
Lin Feng: This is telling the truth.
No way, the patient is so happy, in case the patient suddenly rushes to the street again, then it will be a medical dispute.
So, first make them aware of the seriousness.
Sure enough, when the patient's family heard this, everyone on the spot was dumbfounded.
"Ah~~~~"
The old lady almost fainted.
After Lin Feng and the other family members eased up, they began to formally interrogate.
First of all
Lin Feng asked the doctor on board earlier, and the patient did not have hypoglycemia, so the coma caused by hypoglycemia was ruled out.
Lin Feng: "How old is the patient now?" "
Wife: "32 years old ..."
"Is there a history of brain disease?" Do you also have a history of high blood pressure, diabetes, hyperlipidemia, etc.? "
"No..."
"Did the patient say he had hit his head too much?"
"Nor ..."
"Is there any family history of genetic history?"
"Nor ..."
Lin Feng nodded.
Coma, the first thing to consider is brain disease.
The patient is young, has no past medical history such as high blood pressure, and has not hit the head, so it should be unlikely that there will be cerebral hemorrhage, cerebral infarction and the like.
Of course, it is also possible that the patient has an artery malformation in the brain, such as an aneurysm, and then ruptures and bleeding leading to coma.
When the patient's condition is stable, go for a CT for a perfect examination.
Lin Feng continued to ask: "Is there anything else for the patient?" Lately..."
Wife: "My husband has had a cold in the last three days..."
Lin Feng was stunned: "Cold? "
A possibility came to mind at once:
Severe/explosive myocarditis!
Cold viruses travel from the bloodstream through the heart and can cause myocarditis.
Many patients often have a history of "colds" about 1 to 4 weeks before the onset of myocarditis.
Therefore, colds are sometimes more dangerous (if the cold has a flustered heart and a wrong heartbeat, then pay attention).
Lin Feng asked: "Before the patient's accident, did he say that his chest was stuffy and painful?" "
The wife and parents looked at each other, and finally shook their heads: "No..."
Lin Feng groaned.
"By the way, the patient has a cold, what medicine did he take?"
Medicine is a three-point poison,
Therefore, it is not impossible that the drug is caused!
"I take medicine again, it's common cold medicine, and I bought it in the pharmacy..." said my wife.
"What's the name?"
"I don't know, we all went directly to the pharmacy to buy it, and directly followed the doctor's instructions to eat..."
Lin Feng was disappointed.
......
It didn't take long for you to do so.
Blood draw for check, the results are out!!
.