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Chapter 020 This is the doctor's responsibility

Yang Xiaodong has experienced many rescues from patients with cardiac arrest, and is very experienced in how to rescue patients with cardiac arrest.

When I gave the doctor's advice, I almost subconsciously and didn't think much about it.

After giving the doctor's advice, he once again gave the old man an extra-chest compression.

Seeing that the doctor and nurse did not immediately execute the doctor's instructions, he immediately said: "I am a cardiac surgeon. I have experience in rescuing patients with heart accidents. You guys hurry up."

"Hurry, follow his doctor's instructions!" The emergency doctor's reaction was quite fast, and he immediately ordered the nurse.

The continuous compression finally had an effect. When the nurse established the venous passage, the patient resumed his independent heartbeat and breathing, his complexion became rosy, and his pupils began to shrink.

Yang Xiaodong and the doctors and nurses in the ambulance breathed a sigh of relief.

"Thank you so much!" The middle-aged doctor in his thirties nodded to Yang Xiaodong with gratitude, and then ordered the driver to take the patient to the hospital immediately.

"I'll go with you!" Yang Xiaodong knew that the old man's danger had not been lifted yet.

Although the level of emergency doctors is good, they are not very specialized. If there is any accident, they may not be able to deal with it in time.

Although Yang Xiaodong no longer wants to continue working as a doctor after rebirth, and even had plans to change his major, he will still be responsible for the matter that patients need to be rescued.

Most medical staff do this.

For them, saving lives and helping the wounded is an unavoidable responsibility.

"I'll go with you too!" Seeing that the doctor and nurse in the car agreed to let Yang Xiaodong go to the hospital with the car, Ouyang Xiaofei also wanted to go with her.

Yang Xiaodong asked her to sit in the passenger seat and squeezed with the old man's daughter who was about to go to the hospital with the car.

He and the emergency doctor, nurse and the elderly son were in the emergency cabin.

After the car drove away from the medical point quickly, the rescue continued.

After observing for a while, Yang Xiaodong discovered that the old man had ventricular fibrillation.

Ventricular fibrillation is a rapid and weak contraction or incoordinated rapid tremor of the ventricular muscles, which causes the heart to fail to supply blood, and blood perfusion of organs such as the heart and brain and surrounding tissues, which eventually leads to the onset of A-S syndrome and sudden death.

No matter how effective the cardiopulmonary resuscitation is, if concurrent ventricular fibrillation cannot be eliminated, all previous efforts may be wasted.

Patients may still die.

The emergency doctor did not immediately notice the patient's ventricular fibrillation, but he saw that the patient's electrocardiogram index was abnormal again.

"Detectodermake!" Yang Xiaodong saw that there was an AED on the ambulance, which is an automatic external defibrillator, and immediately instructed the nurses who were closer to bring the AED over.

The nurse quickly brought the automatic external defibrillator over.

While preparing for defibrillation, Yang Xiaodong had already untied the patient's clothes with the emergency doctor.

The sweater inside cannot be untied for the time being, so I can only cut it off.

Yang Xiaodong also ordered the nurse to inject adrenaline and lidocaine into his heart.

He turned his head and looked at Ouyang Xiaofei who was busy in the emergency warehouse behind him, and his heart kept on being there.

She even worried about the old man's safety than the patient's family.

Yang Xiaodong made efforts, and she hoped that the patient would survive, otherwise it would definitely be a big blow to Yang Xiaodong.

It will also be a big blow to the patient's family.

After cutting off the clothes, Yang Xiaodong skillfully glued the electrodes and began to defibrillate the patient.

He chose 200 Joule for the first defibrillation.

Because the patient was already fixed on the stretcher bed, when the electric shock was defibrillated, his body trembled suddenly and did not get bouncing.

After the first electric shock, ventricular fibrillation was still not completely eliminated. Yang Xiaodong chose 250 joules for the second defibrillation.

The old man's body spasmed again and bounced upwards. The old man's son, who was sitting on the side, was frightened and asked the medical staff present with a pale face, "How could this happen?"

"Shut up!" Yang Xiaodong yelled suddenly, and then checked his heartbeat indicator.

He was surprised to find that the patient's ventricular fibrillation had been completely eliminated, and the electrocardiogram indicators were no longer prompted by ventricular fibrillation.

"The danger is temporarily eliminated!" Yang Xiaodong handed over the automatic external defibrillator to the nurse and reached out to wipe his forehead.

My forehead was covered in sweat, and my body was soaked with sweat.

But, I didn't feel it at all before.

While carefully observing the various indicators on the electrocardiogram monitor, Yang Xiaodong also told the patient's family about the general situation.

After telling the patient's family that the old man was still not optimistic, and it is likely that the operation would be required, Yang Xiaodong asked the doctor again: "Where is the patient going to send?"

"The nearest city First People's Hospital!"

Yang Xiaodong nodded and did not ask again.

Qiantang First People's Hospital is a Grade A hospital with strong technical strength in the emergency department.

After being sent to the hospital, he should be fine.

Even if he wanted to participate in the subsequent rescue, the doctors in the emergency department would definitely not agree.

He is not a staff member of the city's No. 1 Hospital, nor does he have a medical qualification certificate. Even if his skills are better than them, he is not qualified to participate in the rescue again.

Although the patient was temporarily in danger, the situation was still not optimistic. Yang Xiaodong decided to tell the doctor in the emergency department about the general situation.

The ambulance pulled a harsh alarm and ran through several red lights in a row while honking the whistle. Finally, it took about ten minutes to drive into the emergency center of the city's First Hospital.

The doctors and nurses from the emergency room of the First Hospital of the City were already waiting by the car. As soon as the car stopped, they pushed the stretcher truck to the rear of the ambulance.

As soon as the car door was opened, they quickly transferred the patient.

The doctors and nurses in the ambulance and the emergency room staff who came to greet the patient were skillfully cooperated, and the patient was quickly sent to the emergency room.

Yang Xiaodong did not follow in immediately, but instead pulled Ouyang Xiaofei with tense legs and weak legs.

"I'll go in and explain it to you a few words and then come out." Yang Xiaodong asked Ouyang Xiaofei to wait outside the emergency room, and he went in to tell me the situation.

But Ouyang Xiaofei didn't want to stay alone. She held Yang Xiaodong's hand tightly and wanted to go in with him.

Yang Xiaodong had to follow him.

When they ran into the emergency room, the staff in the rescue room had already continued the subsequent rescue procedures in an orderly manner.

Doctors and nurses on the ambulance are handing over with emergency room staff.

Seeing Yang Xiaodong coming, the doctor and nurse in the ambulance nodded to him and told the staff of the emergency room about Yang Xiaodong's participation in the rescue.

Yang Xiaodong walked to the busy medical staff and briefly talked about the patient's condition with the doctor and nurse responsible for the rescue behind.

Then he made his own suggestions: "This patient has a Q wave in the electrocardiogram and a St segment elevation. He still has a stubborn arrhythmia after emergency treatment. I think this patient needs to undergo heart bypass or interventional treatment, and perform creatine kinase isozyme ck-mb and troponin i, coronary angiography examination as soon as possible, and ask the doctor inside and outside the heart to consult!"

After thanking Yang Xiaodong, the staff in the emergency room immediately went to prepare and called the doctor who was inside and outside to consult.

"Let's go!" Yang Xiaodong pulled Ouyang Xiaofei, who looked a little abnormal, "We're not going to do anything next."

"Will the patient still be in danger?"

"That's sure," Yang Xiaodong sighed, "If you can save your life, you have to leave it to fate!"

“…”
Chapter completed!
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