Chapter 1189: Chapter 1188 was raised
Translator: 549690339
“Departnt director Ruan, if you can spare so ti, please bring soone 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 imdiately 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 mont, 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 Ergency dical Center’s ICU team would cease to exist.
This was also the best ti 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 ti for him to show off. There was a small universe, a limited-ti mission that could be activated, a plug-in that could be used, and a panacea that could be eaten. It was ti to use all of them.
Zuo cidian once again “Humd”and dialed the number of the director of the obstetrics and gynecology departnt. 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 ti… 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 Departnt of Anesthesiology and the Departnt of Neonatology, followed by the Departnt of Cardiology and the Departnt of Cardiology, then Huo Congjun and the hospital director.
After everyone understood Zuo Cidian’s description of the situation and requirents, 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 sothing.
In fact, even if Zuo Cidian did not make a call and directly requested ergency consultations from all the departnts, as long as Ling ran’s na was on the list, all the departnts would have to dispatch their elite soldiers to co 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 soone, 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 co 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 dications that were not suitable for pregnant won, 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 ti, 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 imdiately 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 tis like this, the chief surgeon would make the right decision. The risks brought by the dication and the treatnt process could not be avoided just because they wanted to.
However, one thing was certain. Without dication and treatnt, 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 ti it stopped, the better. Therefore, other than giving Ling ran a short period of ti to defibrillate, Ling ran imdiately returned to the state of chest compressions.
Chest compressions could actually be considered as purely chanical 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 abdon, 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 sa ti, 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 tabolic disorders, whether there is a ti point and how to find such a ti point for defibrillation is still a matter of discussion in the dical community. Various CPR guidelines are very concerned with simplifying the CPR process, that is because performing CPR is often not perford by a cardiopulmonary resuscitation specialist, or even a trained professional, but by ordinary doctors, nurses, and even non-dical 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 mont, 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 ti, 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 ti, 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 comnt. He said, “Doctor Ling’s style is just like this.”
“This is not quite the sa 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 departnts, and the ICU team also rushed over, but they could only stand in front of the bed and watch as Ling ran perford the extrely 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 co for nothing. It was not necessarily true. During the discussion of death, there was still a possibility that soone would co looking for trouble with them.
“Doctor Ling, let 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 extrely surprised.
“Except.”Ling ran said one word concisely, then he pursed his lips and did not say anything.
The few departnt directors who ca one after another looked at each other in confusion? They did not know what Ling ran ant, but it was not appropriate for them to ask him at this ti.
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 replace you.”
“No.”Ling ran lowered his head and exerted all his strength in performing chest compressions. He perford 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 hamring?”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.
..
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