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   Chapter 2715 [2715] Invalid

  During this period, Cao Zhao crossed his hands on the student's chest and continued to press frantically for 100 to 120 tis per minute.

   Picking up the two electrode pads on which the defibrillator spit glue, Cao Dong called everyone: "Get out of the way!"

   I'm going to defibrillate. Cao Zhao was forced to stop.

   Everyone swoops out of position.

  The two electrode pads were imdiately placed on the right side of the sternum and the apex of the patient's heart, racing against ti to discharge and make a sound.

   After the first blow, the cardioversion failed. Two hundred joules to prepare for the second blow.

  So people at the scene saw this situation and their legs beca weak again. All the dical students knew what it ant when the defibrillation didn't work.

   I have said before that electrical defibrillation is not effective for all heart disease rescue patients, it has its indications.

   On the current patient, the ECG connected to the instrunt shows a fast ventricular tachycardia heart rate, which is reasonable to say that it can be effective. If it does not work, one reason may be that the energy is not large enough, the operator can increase the charging energy to 200 and try again. If the second blow does not work, then the defibrillation should be re-estimated and the consequences should be considered.

   Once a patient was in a ventricular electrical storm, that is, ventricular tachycardia or ventricular fibrillation that recurred within 24 hours. During the rescue period, the dical staff perford defibrillation for 100 tis. Such a situation is a very, very special case. Before performing multiple electrical defibrillation, dical staff must have an accurate diagnosis of the patient. For example, this patient is a typical myocardial infarction caused by abnormal cardiac electrical activity.

   For patients without a clear cause, if electrical defibrillation does not play a role in successful electrical cardioversion, the doctor needs to carefully analyze the reasons for research and judgnt. Whether defibrillation can be given again, it is necessary to consider that electrical defibrillation is not completely without side effects. Electrical defibrillation acts directly on the heart. If it does not work, if it is repeatedly imposed on the heart, it will cause the opposite adverse consequences. No one can guarantee this.

The choice of    has always been the biggest problem facing doctors in rescuing patients.

   Defibrillator indications are not omnipotent, and death has never been easy to deal with.

   Under the current rescue, doctors can only think about routine dical asures according to dical procedures, and it is safest to follow steps.

  The defibrillation is ineffective, so continue to do chest compressions imdiately, and simultaneously take drug cardioversion and push rescue drugs.

  Relevant rescue personnel ran into the dispensing room, rushed out with boxes of commonly used rescue dicines, placed them on the ground, and asked the doctor, "What dicine?"

   No bosses responded.

   What dicine are you pushing? According to clinical experience, electrical defibrillation is the most effective asure to deal with the current abnormal ventricular electrical activity, with the least side effects. If you use drugs for cardioversion, cardioversion drugs have always had serious side effects. Doctors want to use them well, such as walking on thin ice.

   In simple terms, cardioversion drugs are to restore the heart rate to a normal state, and one of them must be to beat the heart rate down. In clinical practice, it is often seen that under the condition that the patient's heart rate is above 100 in the first second, the heart rate of the patient can suddenly beco below 60 in the next second under the condition that the cardioversion drug is slowly pushed at the speed of the turtle. This is what happens in patients with a clear cause, let alone what would happen if such a drug were given to a patient with no clear cause.

  If you push a dicine incorrectly, it will not save the patient but push the patient to death.

   The patient in front of him is his own student, and even a big boss would not dare to act rashly.

   To be considered, to be considered very carefully.

  

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