bookpower Chapter 233
Chapter 233
Lin Feng asked urgently while starting CPR compressions.
"Did you do CPR on your way?"
"CPR ... Yes yes yes yes! "
The child's father nodded repeatedly.
"However, when you got out of the car, you obviously didn't press it! ...... Have you ever counted how many minutes it stopped? "
The child's father and mother were dizzy, and they couldn't think about it.
"I don't know!"
"I was out of order!"
Hold your head and cry!
Lin Feng shouted, "Is it more than 3 minutes?" Or 5 minutes? Or 8 minutes? "
"Probably 3... 5...... I don't know, woo~~~~"
The two parents, at this time, were confused and couldn't remember the time.
Why did Lin Feng ask that?
Because the time of hypoxia is basically regular.
Brain tissue also tolerates hypoxia poorly, when cerebral blood supply is interrupted and cerebral hypoxia:
Changes in cerebral blood flow: When asphyxia and hypoxia are incomplete, the blood flow of various organs in the body is redistributed to ensure the blood flow of the heart, brain, adrenal glands and other tissues.
If hypoxia continues, this compensatory mechanism fails, cerebral blood perfusion decreases, and a second redistribution of blood flow occurs, that is, blood flow to the cerebral hemispheres is reduced to ensure blood perfusion to the thalamus, brainstem, and cerebellum.
So
After the human body is deprived of oxygen, the head still has a certain buffer time.
This time is:
At 2 minutes, the brain cells stopped their electrical activity!
After 5 minutes, irreversible damage to brain tissue will occur!
After 8 minutes, there is basically no salvation!
The role of cardiopulmonary resuscitation is to pump blood from the heart to the whole body through artificial compression, and supply blood oxygen to the brain.
Therefore, CPR is very important!!
However, it is still necessary to know the exact duration of hypoxia.
Unfortunately, the two parents in front of them are already in a state of confusion and have forgotten everything.
"Wang Zirui, you come to CPR!"
Lin Feng shouted.
"Yes!"
Intern Wang Zirui panicked at this time, it was the first time he faced this kind of 'dead man' rescue.
However, CPR is the most basic knowledge, and he can complete it even with conditioned reflexes.
After quickly replacing it,
Lin Feng freed his hands.
"Xiao Ai, 50ml syringe needle, hurry up!"
"Yes!"
Xiao Ai quickly went to find the needle,
Lin Feng quickly said to the child's father: "I must now insert a needle in the child's throat, called a cricothyroid puncture, and I need you to sign and agree..."
The child's father cried and shouted: "Doctor, you hurry up and rescue, I promise everything, you do it....!" "
Why do you want this puncture?
Because the parents said that the child ate bananas and caused the tracheal blockage.
Therefore, endotracheal intubation will definitely not work, because the road ahead is blocked.
The only way is to open an opening in the lower part of the trachea.
Only by letting air enter the lungs can it be possible to save the child's life.
Tracheostomy is naturally best,
However, the needle is the fastest!
"Doctor Lin!"
Xiao Ai quickly gave the needle to Lin Feng.
Lin Feng took the needle,
"Okay, go and prepare the tracheostomy tool right away!"
"Yes!"
Lin Feng took the needle, pinched the child's neck with his left hand, and then touched his cricothyroid.
One prick down!!
Then you can hear the snort ~~whew~~~ho~~~
The sound of torrents of air currents sounded...
Lin Feng glanced at the ECG monitor, and it was all pressed out of the waveform.
Wang Zirui was trying to press, panting while panting.
With the continuous pressing, his tension finally eased a lot, but he was also sweating profusely.
Lin Feng began to open the child's mouth.
The flashlight shined.
The banana in the throat was slimy and blocked the throat.
In this case, there is no way to insert the trachea, because the banana mud will block and contaminate the trachea, and it will be even more troublesome if the banana mud enters the lungs.
So, next,
Lin Feng wants to do a tracheostomy for the child!
(The amount of oxygen in the needle is not enough...) ）
Lin Feng turned his head and shouted to his parents:
"The amount of oxygen at the mouth of a needle is not enough, now you have to do a tracheostomy for the child, the child is no longer good, if it is not cut, then there is no chance, do you do it?"
The child's father had red eyes and cried, "Do what you do... Do everything... Agree to everything..."
The two parents, hugging each other, cried.
After seven or eight years of hard work, the heart flesh, this moment of life and death, made them almost mentally collapse!
"Doctor Lin, got it!"
At this time, Xiao Ai also got a disposable surgical bag, took out the speed of a 100-meter race, and rushed over, panting.
Tear pull ~~~~
Tear open the surgical bag,
Lin Feng put on gloves...
Rapid disinfection...
Lin Feng's hands and feet are very fast!
The scalpel is slashed into the "safety triangle" of the child's neck.
Safety triangle: a triangular area with the superior sternal fossa as the top and the anterior edge of the sternocleidomastoid muscle on both sides as the side.
A knife falls!
Crosscutting!
Cut the skin, muscles...
Exposing the trachea...
Keep cutting cross!
When the incision is made, a huge air flow can be clearly felt, which begins to inhale and exhale.
"Trachea!"
"Give!"
Lin Feng took the trachea from Xiao Ai's hand, and the inside of the trachea was poor...
Only the sound of "whoosh" air ejecting and inhaling is heard.
Of course
These are not the breathing of a child, but the fluctuations in the air caused by cardiopulmonary compressions.
At this point,
The child still didn't react at all, and his face was blue and scary.
"Ventilator, pure oxygen!"
"Static push, epinephrine 1mg + 20mg saline!"
"Quick!!"
The ventilator is already ready.
Plug in...
Pure oxygen begins to enter the interior through the trachea.
Into the lungs, in combination with the bloodstream, into the heart...
Then through Wang Zirui's heart and lung compressions, it is continuously pumped into the whole body...
"I can't hold it, I'm too tired!"
Wang Zirui shouted with sweat!
"I'm on!"
Intern Yan Haoyu began to prepare...
“3、2、1...... Change!! "
Gapless switching!
Lin Feng's eyes were glued to the ECG monitor.
Lock your brows!
Others were also staring at the ECG monitor.
Prayer in the heart:
"It must be successful!"
......
At this point,
There were many doctors in the rescue room.
"What's wrong?"
"Eating bananas, choking, stopping breathing..."
"In the rescue..."
"Is it Lin Feng? Can he? "
"He was at the door of the emergency room and happened to meet..."
"It seems that Lin Feng's rescue this time is very sharp!"
"The strength is very strong, not to be underestimated!"
One by one, the doctors whispered.
......
Lin Feng calculated the time, and 3 minutes had passed.
The heartbeat has not been restored.
"Adrenaline, push again!"
The press keeps ...
4 minutes...
6 minutes...
suddenly
The ECG waveform begins to flutter irregularly.
"It's ventricular fibrillation!"
"Defibrillator!"
The defibrillator has long been ready.
Boom~~~~
Defibrillation makes a sound.
No way!
Go ahead and defibrillate again!
Boom~~~
Finally, ventricular fibrillation stopped.
Keep pressing
"Adrenaline, push again!"
8 minutes...
10 minutes...
And the adrenaline did not stop, every 3 minutes, it was pushed quietly.
At this moment,
"It's out!"
"The ECG is out!"
Intern Wang Zirui exclaimed in surprise, and he felt happy all over his body at this moment!
Everyone was overjoyed.
really
On the electrocardiogram, a regular QRS complex, ST segment and T wave, is constantly elongating...
"Hahaha~~~~"
"Good!!"
"Awesome!!"
The entire rescue room burst into cheers at once.
That's the touch of life!
The child's parents cried with excitement.
Tears flowed.
"Thank you doctor, thank you doctor!"
He thanked Lin Feng for constantly bowing, and Lin Feng couldn't stop it if he wanted to.
And then it's easy to do.
Lin Feng began to order: "Replace pure oxygen with 80% oxygen... Large flow..."
A series of medical orders, began to be given...
The nurses got busy.
......
Next
You need to think about what to do with those clogged banana puree in your child's throat...
This is minor surgery.
After the child recovers normal vital signs,
Lin Feng underwent surgery.
It takes about 1 hour to clean up carefully, and finally the mashed banana is completely removed.
......
At 12 noon,
The child woke up.
I did brain CT and found that part of the cerebral edema, acidosis...
Lin Feng evaluated it and felt that surgery was not needed, as long as the drug treatment continued.
In the afternoon of the same day,
The parents bought expensive fruits and sent them to Lin Feng, as well as a pennant.
Lin Feng Pennant +2...
......
......
Afternoon
Five
Lin Feng walked out of the hospital.
"Lin Feng... Over here! "
A Maserati parked on the side of the road outside the gate,
The windows fall,
Liu Shiran's beautiful smiling face excitedly beckoned to Lin Feng, and her face blushed.
"Where to?"
Lin Feng sat in the co-pilot and asked.
"Don't you have a place to live? I've got you ready. "
Liu Shiran looked forward to Shenghui and said with a smile.
"Huh?"
“gogogo~~~~"
Maserati rode all the way to an old alley in a few minutes.
Quadrangle!
"It's arrived!"
Liu Shiran beckoned and asked Lin Feng to follow.
"Miss..."
"Uncle Chen, this is my friend, Lin Feng, this is my family's housekeeper, Uncle Chen..."
The housekeeper was a middle-aged man in his 50s with meticulous hair and a gentle smile.
"Doctor Lin, long admired daimyo..."
"Hello."
It took an hour...
Under the leadership of Liu Shiran, Lin Feng looked at the entire courtyard inside and out, up and down.
Pool...
Garden......
Small bridges and flowing water...
Decorated in a modern sci-fi style...
A full house full of smart homes...
Lin Feng liked it very much.
"How? Do you like it? You said you like the sci-fi style, so I knocked out the original courtyard and redecorated it like this..."
Liu Shiran looked at Lin Feng with a smile.
Lin Feng's heart shook.
Is this remembering your own preferences and decorating it for yourself?
Lin Feng's heart was hot, looking at Liu Shiran,
The two made eye contact and quickly dodged away...
"Thank you!"
"You're welcome... You don't have a place to live in the imperial capital, just live here, how is it? "
"Good!"
Lin Feng smiled.
Liu Shiran quietly blushed.
"Ahem... Go, I'll take you to dinner..." Lin Feng waved his hand.
"I'll take it with me... I know the imperial capital well, I graduated here..." Liu Shiran said mischievously.
Lin Feng clenched his fists...
Big guy!
......
......
a community,
At 10 p.m. ...
"Dad, I'm back..."
The eldest son, Wang Ming, opened the door and walked into the house.
"Wait a minute, the dishes will be ready soon..." Wang Daqiang, his 65-year-old father, cooks in the kitchen.
Wang Ming: "I'll go wash my hands, wait to help you..."
Wang Ming went to the bathroom and washed his hands...
suddenly
Bang ~~~~
Wang Ming heard the sound of breaking the basin from the kitchen.
Flabbergast!
"Dad, what's wrong with you?"
Dash out of the bathroom and into the kitchen.
Then I saw his father Wang Daqiang lying on the ground, the stainless steel vegetable pot fell on the ground, and the vegetables were paste...
Burst~~~
At this time, Wang Daqiang suddenly stretched out his head,
A mouthful of blood,
Squirted out.
"Dad..."
Wang Ming was taken aback, quickly helped Wang Daqiang up, and then picked up his mobile phone and quickly dialed 120.
After 10 minutes,
The youngest son Wang Cheng ran back...
And the ambulance also rushed downstairs at this time.
......
harmonious
Emergency Department.
Lin Feng is on duty (PM afternoon shift).
There is still a little more than an hour to leave work.
Lin Feng is looking forward to going back to the courtyard and rolling the floor with Liu Shiran's sister to do some kind of harmonious thing.
Just as the so-called Lang has a concubine intention,
The relationship between the two has developed to the present, which can be regarded as a natural success, and then last night there was a water flow to formally establish a relationship.
Liu Shiran: "I'll make soup for you... Wait for you to come back and drink... (smiley)"
Lin Feng: "mua~~~"
Just then...
Beep beep beep ~~~~~~
The voice of an ambulance broke into the emergency department.
"Quick, there's a patient vomiting blood, shock!!"
The doctor of the emergency center quickly pushed the flat car and pushed the patient Wang Qiang into the emergency department.
Lin Feng: "??? "
Suddenly there was a bad premonition.
Wouldn't it be... My evening show is going to be ruined, right?
Lin Feng walked out quickly.
The other doctors on duty also walked out.
And then......
Among the many doctors, Wang Ming and Wang Cheng's two sons, they saw the beautiful Lin Feng standing out at a glance.
Exultation!
"Doctor Lin, please save my dad!"
"My dad vomited blood!"
Other doctors: "........................
emmm~~~~
We were ignored!
Roar in his heart: We are also the chief and deputy director of Harmony Hospital, much more powerful than Lin Feng!
Lin Feng was helpless and quickly walked over.
"Tell me what's going on?"
The doctor accompanying the car at the 120 center shouted quickly.
"The patient is 65 years old, vomiting blood, fainting on the road, in shock for 5 minutes... The initial diagnosis is gastrointestinal bleeding..."
The doctors listened.
Hey!
Gastrointestinal bleeding!
This is not Lin Feng's profession!
Wait for Lin Feng to ask for help us!
Hold your head high and be proud ·jpg
Outcome......
They did not wait for Lin Feng's help.
Lin Feng directly pushed the patient into the rescue room.
Observe the patient:
Patient, 65 years old, male patient,
Pale
According to this face, it is a severe anemia, a very typical face.
The patient has become confused
・There are blood stains on the chest clothes, and hematemesis marks
Nurse Xiao Ai and a few other nurses quickly came over to help.
Connect the ECG monitor and other instruments...
Blood pressure is only 70/40mmHg, heart rate 130 beats/min, breathing 25 beats/min,
Blood oxygen saturation 96%......
Blood pressure is very low, apparently hemorrhagic shock.
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ps: a little less update today, sorry...
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