```
Looking at the ECG in his hand, the undulating waveforms seed like a harbinger of doom.
The incident occurred suddenly, and no one expected such a thing to happen.
The patient was all set to be discharged, the discharge papers had already been prepared, and the recovery was swift.
Who could have foreseen that at such an unimportant mont, such a critical issue would arise?
Ventricular fibrillation!
Now, the cause of the coma had been found: it was ventricular fibrillation.
Ventricular fibrillation, often abbreviated to VF, is one of the common triggers for sudden cardiac arrest and death.
In fact, the heart is a muscle that contracts rhythmically to pump blood...
However, its strength is limited; increase the frequency too much, and the force will inevitably be insufficient, thus naturally very little blood can be pumped out.
When the ventricles emit rapid, consistent impulses at a rate of over 240 per minute, this is known as ventricular flutter. If the ventricle’s impulses are rapid and irregular, this is called ventricular fibrillation.
The frequency of VF can be between 250-600 tis per minute.
How horrifying is that data?
Resuscitation!
At that mont, defibrillation was the only choice, but the defibrillator was not available!
Chen Cang urgently said,
"Prepare amiodarone!"
The nurse nodded briskly.
At this ti, ng Xi suddenly rembered there was an experienced ergency physician standing here.
Rich in experience, skilled in technique!
It wasn’t long before the defibrillator arrived.
Chen Cang quickly took the lead, preparing to defibrillate.
When Wu Peng saw Chen Cang, he also breathed a sigh of relief.
After all... this was Chen Cang!
The first defibrillation!
Unsuccessful!
Chen Cang glanced at Wu Peng, "Don’t stop the chest compressions!"
Then he turned to the nurse, "Administer a dose of epinephrine!"
The patient’s family was already crying inconsolably.
The young mother and child, having never witnessed such a scene before, and patients in neighboring beds were stunned.
Who could have thought that the young man, lively and chatting just a mont ago, could suddenly end up like this?
He was about to be discharged...
Chen Cang imdiately started the second defibrillation!
This ti it was successful!
In less than two minutes, the waveforms on the cardiac monitor gradually normalized.
At this mont, the patient finally restored spontaneous heartbeat.
The harrowing resuscitation finally ca to an end!
However, no one dared to relax, their eyes fixed intently on the cardiac monitor, fearing that the beautiful waveform and perfect rhythm might suddenly vanish...
Perhaps for doctors, the most perfect graph is: sinus rhythm!
A few more minutes passed!
The patient eventually stabilized; everyone let out a sigh of relief.
But then they suddenly discovered their backs were drenched in cold sweat.
Uncertain whether it was due to the room’s heating being too strong, or because of the intense tension just monts before.
The blood pressure also stabilized, the heart rate held at 120 beats per minute, oxygen saturation at 98%.
Chen Cang turned and said to the nurse, "Do a blood gas analysis."
It was ti to analyze the cause.
Why did the patient suddenly exhibit arrhythmia?
Resuscitation is like this.
Save life first, then treat the illness.
Now that the patient’s life was stabilized, it was ti to find what had caused the arrhythmia.
Soon enough, the blood gas analysis ca back, the pH value was basically normal, 7.31, with the normal range being 7.35-7.45, but it didn’t affect...
This resuscitation had essentially stabilized.
Now it was necessary to investigate the cause.
Because without knowing the cause, the patient could not be said to be absolutely safe.
At this mont, Chen Cang said to the nurse, "Draw so blood for testing: CBC, electrolytes... liver and kidney functions, get the lab to rush the results."
Having turned around, he took ng Xi’s stethoscope off and directly put it on his own ears.
Hmm!
There was a fragrance...
Chen Cang continued to carefully listen to the heart sounds, hoping to detect the slightest abnormality.
But after repeated listening, everything seed normal.
Why did the patient experience an arrhythmia?
Why ventricular fibrillation?
Chen Cang turned to Ge Huai, "Show the dications the patient has been taking recently."
Ge Huai nodded, imdiately bringing up a copy of the dical orders.
Upon inspection, Chen Cang saw the usual drugs prescribed by the cardiac surgery departnt; far from causing arrhythmias, these drugs could help treat them!
Chen Cang continued to ask, "Has the patient had any unusual reactions these past two days?"
"Such as, chest tightness, palpitations... any abnormal conditions?" Chen Cang inquired of the patient’s wife.
The woman shook her head, "No, he’s been saying that the surgery went very well and he’s been feeling great..."
Just then, as if she rembered sothing, "Oh! He caught a bit of a cold yesterday, but I didn’t think much of it, I even ntioned it to Dr. Ge.
Ge Huai nodded, "Yes, it didn’t seem serious, so I didn’t tell him to worry about it, especially since he was on an IV, with lots of dications; didn’t want any adverse reactions."
At this point, Chen Cang appeared to be the director.
Standing there, with young nurses and doctors gathered around, though the patient was surprised not to have seen this doctor before.
But...
It was this very doctor who had saved her husband’s life, so no matter who he was, a capable doctor was a good doctor!
Indeed, Scholar Two and Scholar Three were also present, everyone was listening to the patient’s condition.
```
Constantly helping to think!
However, sotis, the minds of ergency doctors really are different from those of other doctors.
Ergency patients co in all sorts of conditions, whereas specialists are more focused on their fields.
Chen Cang suddenly changed color, "Could it be acute myocarditis?"
That single sentence stunned everyone.
You must never underestimate a cold!
If it’s severe myocarditis, then it can be dangerous.
But, the heart sounds are basically normal, and it’s only been a day since the cold began, so myocarditis is unlikely, right?
ng Xi suggested, "Should we have the ultrasound room co up?"
After pondering for a mont, Chen Cang nodded, "Mm, let’s do it to rule it out."
Because of the patient’s special circumstances, the surgery scheduled for tonight might have to be postponed until tomorrow.
Alternatively, the patient could be transferred to the ICU for observation.
At this mont, Chen Cang suddenly looked down and saw the dication on the table.
His face imdiately changed!
"Did he take cold dicine?"
The wife nodded, "Yes, he said the doctor didn’t prescribe any, so he asked to buy so over-the-counter cold dicine."
"I thought there was nothing wrong with cold dicine, so I bought so."
Chen Cang’s face changed again, he opened the drawer and took out the dication.
Kang Gan!
Bai Jia Hei!
Pu Re Xi Tong!
As soon as Chen Cang saw them, he was stunned.
Perhaps the reason had been found.
Chen Cang sighed, "Did he take a lot of cold dicine?"
The wife nodded, "Yes, when he was at his hotown, he would take cold dicine like Gan Mao Tong and had to take a lot for it to work."
Chen Cang turned to the nurse and said, "Get a blood test for the acetaminophen concentration imdiately."
The nurse nodded, took the blood, and hurried off.
While waiting, the patient suddenly woke up.
Staring at the crowd around him, he was montarily baffled, "Did I fall asleep?"
"Doctor, I’m really sorry, I fell asleep after taking the cold dicine… Huh? Wait, what’s wrong with ?"
Seeing all the wires on himself, the man was flabbergasted.
Chen Cang asked the man sternly, "How much cold dicine did you take?"
The man cleared his throat, "I took two tablets of Bai Jia Hei, two tablets of Pu Re Xi Tong, and one tablet of Kang Gan…"
Chen Cang was speechless, "Are you eating or what?"
The man shook his head, "I take them often; I’ve developed a resistance to them."
Chen Cang couldn’t help shaking his head, "You just had a ventricular fibrillation and passed out; you nearly lost your life!"
The man was taken aback, "But… I’m fine now? Just a bit dizzy and heart flutters…"
Those around also looked at Chen Cang sowhat puzzled.
Ge Huai said, "Dr. Chen, are we still doing the ultrasound? The cardiologist is also here now."
Chen Cang shook his head, "No need for the ultrasound, wait for the blood concentration results."
The results ca quickly, and the phone call ca: a definitive diagnosis—acetaminophen poisoning!
Everyone was dumbstruck all at once.
They stared at Chen Cang with shock on their faces.
Is that even possible?
How could this be diagnosed?
The patient was taken to the dialysis room for treatnt and was essentially out of danger.
But whether it was the cardiologist who ca from upstairs or the ergency doctor Wu Peng, let alone everyone present, they all gaped in amazent.
Even the doctor from the dialysis room comnted, "To detect this is simply amazing!"
Indeed, everyone looked at Chen Cang with adoration, making him feel sowhat embarrassed…
Upon returning, San Bo all focused on Chen Cang:
"Dr. Chen, just how is your brain wired?"
"Yes, how could you even know about the adverse reactions to acetaminophen?"
"Did you morize the entire dication guide or what?"
Chen Cang just smiled.
ng Xi also looked at Chen Cang with delight, "Impressive! That actually worked!"
Chen Cang couldn’t help but comnt, "It’s all thanks to the teacher’s good teaching!"
ng Xi couldn’t hold back any longer, while San Bo all collectively flipped a middle finger.
"Dr. Chen, that’s too much flattery!"
"Exactly, your flattery missed the mark, it hit…"
ng Xi glared at the people around, "What’s wrong, isn’t he my student if he’s capable?"
Everyone forced an embarrassed smile, "Yes, yes, yes… It’s all credit to Director ng!"
[Ding! ng Xi’s favorability 10!]
Continue your journey on .Côm
Chen Cang smiled.
…
…
p.s.: Just a note, recently there have been quite a few patients with colds in the outpatient clinic. Everyone should not panic, and certainly should not rush to take a bunch of cold dicines.
Because nowadays, cold dicines are not prescription drugs, and everyone can buy them easily, but it’s best not to exceed the recomnded dose, especially not to take several kinds at once.
Exceeding the dosage of dication will not increase its effectiveness, but the toxic side effects of the drugs will increase proportionally.
Acetaminophen is generally safe, but it can cause liver damage, arrhythmia, and other serious adverse reactions in sensitive patients. After all, no one can be certain about probabilities, right?
If you’re sensitive, it’s a hundred percent, if not, it’s zero percent. Don’t experint with your body. You’re not Shennong, and besides… the lab rats have done the trials for you, so don’t worry unnecessarily.
p.s.: Habitual thanks to the generous patrons, thanks to Alliance Hierarch "Qing Yan Xiao Guan 168" for the 1,000,000 reward!
Thank you Grandmaster "Zhi Li Yu Lan" for the 10,000 reward!
More updates to co tomorrow...
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